Ergotherapie - Repository of the LBI-HTA - Ludwig Boltzmann ...
Ergotherapie - Repository of the LBI-HTA - Ludwig Boltzmann ...
Ergotherapie - Repository of the LBI-HTA - Ludwig Boltzmann ...
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Ergebnisse der systematischen Reviews der American Occupational Therapy Association<br />
Author/Year<br />
Inpatient/ or Outpatient<br />
Study Objectives<br />
Design/ Participants<br />
Intervention and Outcomes Measure<br />
Results<br />
Study Limitations<br />
Robichaud, Hebert & Desrosiers<br />
(1994)<br />
INPATIENT<br />
Pomeroy (1997)<br />
INPATIENT<br />
Rosswurm (1990)<br />
INPATIENT<br />
To verify whe<strong>the</strong>r a sensory<br />
integration program improves<br />
<strong>the</strong> behaviour and<br />
functioning <strong>of</strong> institutionalized<br />
patients with dementia.<br />
To assess a physio<strong>the</strong>rapy<br />
music and movement intervention.<br />
RCT<br />
N=40<br />
RCT<br />
N=24<br />
residents in a hospital longstay<br />
facility (psychiatric)<br />
To investigate <strong>the</strong> effectiveness<br />
<strong>of</strong> an attention-focusing N=30<br />
RCT<br />
group program in stimulating<br />
<strong>the</strong> perceptual and cogni-<br />
selected from three skilled<br />
nursing homes<br />
tive processing, functional<br />
performance, and social interactions<br />
<strong>of</strong> people with<br />
dementia.<br />
Intervention<br />
Sensory integration, 3 sessions/wk<br />
for 10 wk<br />
Control<br />
Alternative OT-intervention<br />
(leisure activities <strong>of</strong> same duration)<br />
Outcome Measures<br />
Memory and behaviour problems,<br />
ADLs<br />
Intervention<br />
Physio<strong>the</strong>rapy including music,<br />
movement, body awareness, mobility<br />
Control<br />
No intervention<br />
Outcome Measures<br />
Mobility<br />
Intervention<br />
Welcome and relaxation, perceptual<br />
matching exercises, refreshments<br />
30 min, 3x/wk over 4 wk<br />
Control<br />
Alternative intervention<br />
(social interaction, refreshments)<br />
Outcome Measures<br />
Behaviour, cognition, visual matching<br />
No statistically significant between-group<br />
differences<br />
were identified; both groups<br />
improved in behaviours and<br />
ADLs.<br />
Mobility improved during<br />
treatment.<br />
Perceptual processing and social<br />
interactions improved,<br />
but improvements did not<br />
transfer to functional activities.<br />
Sample provides questionable<br />
power for analyses; it is uncertain<br />
whe<strong>the</strong>r measures<br />
were sensitive enough for<br />
analyses.<br />
Long-term effects were not<br />
addressed; rate <strong>of</strong> noncompliance<br />
was high.<br />
Sample size was justified;<br />
outcome measures have<br />
questionable sensitivity.<br />
AD= Alzheimer’s disease; ADLs = activities <strong>of</strong> daily living; OT = occupational <strong>the</strong>rapy; RCT = randomized controlled trial, SR = systematic review<br />
Source: taken with adaptations from Suppl. Table 2, Letts (2011a)<br />
<strong>LBI</strong>-<strong>HTA</strong> | 2012 39
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