Japanese Occupational Therapy Research
Online ISSN : 2434-4419
Print ISSN : 0289-4920
Current issue
Displaying 1-16 of 16 articles from this issue
FOREWORD
ORIGINAL ARTICLES
  • Chihiro Maruoka, Kouhei Ikeda, Satoshi Sasada
    2024 Volume 43 Issue 5 Pages 607-613
    Published: October 15, 2024
    Released on J-STAGE: October 15, 2024
    JOURNAL FREE ACCESS

    The purpose of this study was to clarify how occupational therapists treated acute stroke patients by incorporating qualitative descriptive methods. As a result, 28 codes, 9 sub-categories, and 4 categories were generated; the categories included Occupations grasping the patient as a personA qualitative study of occupational practice with patients suffering from acute cerebrovascular disorders: Occupational therapists' narratives of the meaningfulness of work, [increased likelihood of patients to receive assistance in occupational therapy programs and wards], [Occupational therapists changing patients], and [Occupational therapists and patients visualizing the future]. It becomes clear that occupational therapists make changes to patients and that occupational therapists and patients envision the future. The occupational therapist who treated a patient in the acute phase empathized with the patient who was difficult to treat in the medical environment and regarded the patient as a person. In addition, the occupational therapist and the patient experienced specific perspectives through carrying out specific tasks.

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  • Tetsuri Suzuki, Hisayoshi Suzuki
    2024 Volume 43 Issue 5 Pages 614-621
    Published: October 15, 2024
    Released on J-STAGE: October 15, 2024
    JOURNAL FREE ACCESS

    This study aimed to quantitatively examine contemporary occupational therapy research topics by applying natural language processing to articles submitted to the Journal of Japanese Occupational Therapy Association. The target was abstracts of original papers published in the journal Occupational Therapy from volume 38 to volume 42, issue 2. Research topics and their time-series changes were extracted from the abstracts by BERTopic, which can extract textual topics. Five topics were extracted: qualitative study, evaluation tool development, stroke patient's ability to perform activities of daily living after discharge from the hospital, the effects of modified CI therapy, and health and occupational participation of the elderly community. The results suggest that two topics, qualitative study and evaluation tool development, are specific to the current era, while the other three are common research topics from the past.

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  • Yasunori Imaoka, Sho Maruyama, Misaki Kataoka, Hirotaka Yamamoto, Osam ...
    2024 Volume 43 Issue 5 Pages 622-629
    Published: October 15, 2024
    Released on J-STAGE: October 15, 2024
    JOURNAL FREE ACCESS

    This study aimed to elucidate the experiences of patients with acute exacerbations of chronic obstructive pulmonary disease (COPD) when acquiring occupational performance while considering their respiratory status. The study participants consisted of 11 patients who were hospitalized due to acute exacerbations of COPD. Qualitative research utilizing recursive thematic analysis was carried out. As a result, patients with COPD valued performing tasks while considering their breathing condition. Furthermore, the patients practiced problem-solving behaviors based on both trial-and-error from their deteriorating health condition, and their feelings and thoughts caused by the COPD condition, including experiences of loss. The results also point to experiences related to support for learning by healthcare professionals and the challenges in accessing learning opportunities.

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  • Satonori Nasu, Yu Ishibashi, Junichi Ikuta, Ryuji Kobayashi
    2024 Volume 43 Issue 5 Pages 630-637
    Published: October 15, 2024
    Released on J-STAGE: October 15, 2024
    JOURNAL FREE ACCESS

    This study examined the effects of different decision-making factors on driving cessation after acquired brain injury. Occupational participation was measured through a pilot study using a questionnaire. The subjects were 26 acquired brain injury patients divided into two groups: those who voluntarily decided to stop driving (self-decision group) and those forced to do so by their healthcare providers or family members (third-party decision group); the two groups were then compared by occupational therapists. The results showed that the third-party-determined group significantly decreased their scores scores for “things one wants to do” and “things one needs to do,” and that the inability to drive tended to cause inconvenience in many of the activities they performed daily. The results suggest that driving cessation after acquired brain injury may affect subsequent occupational participation differently depending on the decision-making factors.

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  • Tomohiro Kawada, Taisuke Nakamura, Shouta Yuguchi, Shinji Satake, Tosh ...
    2024 Volume 43 Issue 5 Pages 638-644
    Published: October 15, 2024
    Released on J-STAGE: October 15, 2024
    JOURNAL FREE ACCESS

    A multi-institutional survey was conducted to examine the factors related to caregiver burden (J-ZBI_8) among the families of home-visit rehabilitation users. A questionnaire was conducted on the users and their families living with them, and the results showed that the concordance rate of expectations for home-visit rehabilitation had a significant negative correlation with the family's caregiver burden. In addition, the association was different for each disease. This suggests that the differences in expectations for home-visit rehabilitation between the patient and his/her family could be clues for estimating the family's caregiver burden. In addition, the relationship differs depending on the disease, and it was necessary to consider the family's sense of caregiver burden depending on the patient's main disease.

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  • Koki Matsumoto, Takuhiko Kato, Koshi Sumigawa, Makoto Tanaka, Misato M ...
    2024 Volume 43 Issue 5 Pages 645-652
    Published: October 15, 2024
    Released on J-STAGE: October 15, 2024
    JOURNAL FREE ACCESS

    Purpose: This study examined the possibility of predicting cognitive and motor FIM of patients with acute phase cerebral infarction at the time of discharge from recovery hospitals. Methods: The subjects were 115 patients with cerebral infarction who were transferred from an acute care hospital to recovery hospitals. Methods were multiple regression analysis of the association between cognitive and motor FIM at discharge from recovery hospitals and data from acute care hospitals. Results: The adjusted R-square of each model to cognitive and motor FIM was 53.9% and 59.2%, respectively, and NIHSS at the start of rehabilitation, age, presence of pre-existing dementia, and time of OT were extracted as factors associated with cognitive and motor FIM at discharge from recovery hospitals in both cases. Conclusion: The results suggest that cognitive and motor FIM at discharge from recovery hospitals may be accurately predicted from the acute phase.

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  • Shuhei Koeda, Kazuma Numamoto, Misaki Mikami, Chihiro Sato, Manabu Sai ...
    2024 Volume 43 Issue 5 Pages 653-661
    Published: October 15, 2024
    Released on J-STAGE: October 15, 2024
    JOURNAL FREE ACCESS

    We investigated the relationship between various symptoms and behavioral characteristics related to developmental disabilities and the development of Human figure drawing in 233 5-year-old developmental health check-up subjects in A City. We used the JMAP's scoring rubric for Human figure drawing development. The results of the study revealed that WISC-IV working memory index, gender, SDQ-T prosocial behavior score, and DCDQ total scores were related to the judgment of JMAP's Human figure drawing test. The results of this study suggest that children with WISC-IV working memory IQs below 85, boys, SDQ-T prosocial behavior scores below 4 for boys and 6 for girls, and DCDQ scores below 47 have high risk of developmental delay in Human figure drawing.

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PRACTICAL REPORTS
  • Yoshihiro Kuhara, Yoshiya Arishima, Masakazu Kubo, Hidefumi Fukuda, Ta ...
    2024 Volume 43 Issue 5 Pages 662-668
    Published: October 15, 2024
    Released on J-STAGE: October 15, 2024
    JOURNAL FREE ACCESS

    For patients who were unable to continue inpatient individual rehabilitation due to contracting a new coronavirus infection after extensor pollicis longus tendon reconstruction, we implemented 20 days of telerehabilitation and a team approach with nurses as an alternative method. As a result, we were able to prevent re-rupture and adhesion of the extensor pollicis longus tendon reconstruction site, and maintain the thumb function (automatic extension angle of the thumb phalangeal joint at 24°). At the final evaluation, the automatic extension angle of the thumb-phalangeal joint was 20°, and the hand improved 15 items of activities of daily living. Based on the above, we believe that telerehabilitation and a team approach with nurses, which were implemented as an alternative to the usual inpatient individual rehabilitation after extensor pollicis longus tendon reconstruction, contributed to the improvement of thumb function and subjective evaluation.

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  • Naoki Okusa, Wataru Kukizaki, Ryoya Kimura, Kanta Ohno
    2024 Volume 43 Issue 5 Pages 669-678
    Published: October 15, 2024
    Released on J-STAGE: October 15, 2024
    JOURNAL FREE ACCESS

    Objectives: This study aimed to develop and evaluate the effectiveness of the Aid for Decision-making in Occupation Choice for Distal Radius Fracture (ADOC-DRF) as a decision aid to facilitate the daily use of the injured hand after distal radius fractures. ADOC-DRF employs illustrations depicting upper limb usage scenarios arranged by postoperative weeks and exercise loads, allowing for consideration of appropriate limb usage through illustration selection. Methods: Twelve patients participated in occupational therapy sessions utilizing the ADOC-DRF. Changes in physical function and patient-centric outcomes were assessed pre-and post-intervention, respectively. Additionally, a survey of occupational therapists using the ADOC-DRF was conducted to evaluate clinical utility and satisfaction. Results: After the intervention, significant improvements were observed in physical function and patient-centric outcomes. Occupational therapists expressed high satisfaction with the clinical utility of ADOC-DRF. Discussion: The positive outcomes suggest that ADOC-DRF effectively supports decision-making for promoting the daily use of the affected upper limb after distal radius fracture. A tailored approach, utilizing illustrations and exercise progression, contributes to enhanced patient outcomes. Conclusion: ADOC-DRF marks a promising advance in aiding distal radius fracture recovery. Its positive impact on patient outcomes and therapist satisfaction highlights its potential as a valuable rehabilitation tool in this population.

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  • Saki Moriguchi, Rie Yamaguchi, Atsushi Hirata, Kenta Takeuchi, Kounosu ...
    2024 Volume 43 Issue 5 Pages 679-685
    Published: October 15, 2024
    Released on J-STAGE: October 15, 2024
    JOURNAL FREE ACCESS

    In recent years, goal setting involving patient decision making has been emphasized in rehabilitation practice. However, there are few reports that present the process from goal setting to intervention. This study presents a case of stroke hemiplegia in which the patient's goal was to acquire the ability to write. However, the initial intervention was inadequate, and the goal needed to be modified. Therefore, we reset and graded this goal by using 1) Frame of meaning of occupation, 2) Activity analysis, and 3) Goal Attainment Scaling, resulting in attaining the goal and improving upper limb function. This report clarifies the specific methods of evaluation and goal setting for the case in which resetting of occupational therapy goals was necessary and discusses the results as a clinical case study.

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  • Yuuto Tonouchi, Yuki Kataoka, Yasuro Kakegawa, Kohei Kusuda, Osamu Iso ...
    2024 Volume 43 Issue 5 Pages 686-693
    Published: October 15, 2024
    Released on J-STAGE: October 15, 2024
    JOURNAL FREE ACCESS

    In Guillain-Barré syndrome (GBS), early response is crucial to avoid finger joint contractures that impact activities of daily living (ADL) following functional recovery. Herein, we report a case with GBS featuring bilateral finger flexion contracture treated with upper limb orthosis using two types of splints. This treatment promoted finger range of motion expansion, improved finger function, and ADL independence. Upper limb orthosis therapy may be effective for GBS.

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  • Tatsuya Iwasaki, Masanori Sakamoto, Takekazu Akiyama
    2024 Volume 43 Issue 5 Pages 694-700
    Published: October 15, 2024
    Released on J-STAGE: October 15, 2024
    JOURNAL FREE ACCESS

    We conducted occupational therapy combined Management Tool for Daily Life Performance with modified CI therapy to help an acute stroke survivor reacquire hair dressing and cooking activities. As a result, the patient reacquired hair dressing abilities and upper limb function, and activities of daily living (ADL) improved beyond the minimum clinically meaningful change. The client was then able to reacquire cooking activities by transferring her lifestyle goals and tasks to the recovery phase. The results suggest that this intervention can promote desired activities and participation from the acute phase. It is possible that the supporters shared meaningful and agreed-upon goals, and that the appropriate program was implemented seamlessly, leading to behavioral change toward a proactive lifestyle. In addition, we believe that it is important for occupational therapy in the acute phase to acquire the desired upper limb functions and achieve ADL independence, and to pass on the goals and tasks of daily living to the next support person.

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  • Shoichiro Minami
    2024 Volume 43 Issue 5 Pages 701-707
    Published: October 15, 2024
    Released on J-STAGE: October 15, 2024
    JOURNAL FREE ACCESS

    In this report, I had the opportunity to interact with a high school girl in the child and adolescent psychiatry ward who self-harmed due to stress at school. In this intervention, she cultivated a sense of self-affirmation and self-efficacy based on the occupation that she showed interest in, and then clarified the situations that led to self-harm. Additionally, by using a self-harm prevention plan, I could reduce the risk of self-harm and enable her to return to high school. Through this intervention, it was thought that occupational therapists could support clients' return to school in several ways: by fostering the clients' self-affirmation and self-efficacy through concrete occupations, improving the skills necessary for returning to school, such as social interaction skills and stress coping skills, and by reducing the risk of self-harm through creating a plan that included various coping behaviors.

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  • Ayami Yoshihara, Hajime Tanaka
    2024 Volume 43 Issue 5 Pages 708-712
    Published: October 15, 2024
    Released on J-STAGE: October 15, 2024
    JOURNAL FREE ACCESS

    Brain injury can result in physical and cognitive impairments affecting an individual's ability to drive. Individuals who resume driving after a Brain injury often neglect the mandatory reporting to the Driver's License Center. We developed an informative guidebook “Cognitive Dysfunction and Driving,” and investigated whether the distribution of this guidebook to patients with Brain injury affected the rates of reporting to the Driver's License Center. A questionnaire was mailed to two sets of patients: 77 patients with Brain injury who had undergone driving evaluation, and 93 patients after the guidebook was used. Before the guidebook was used, 12 of the 26 reported to the Driver's License Center, while 14 did not. After the guidebook was implemented, 38 of the 42 reported to the Driver's License Center, while only 4 did not, indicating a disparity in reporting rates. Offering a comprehensive guidebook to individuals with Brain injury and explaining the specific steps to resume driving can ensure compliance with the mandatory reporting procedures.

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  • Shigeki Kurasawa, Kiyomi Tateyama, Yoshinobu Tanaka, Maki Ogasawara, H ...
    2024 Volume 43 Issue 5 Pages 713-720
    Published: October 15, 2024
    Released on J-STAGE: October 15, 2024
    JOURNAL FREE ACCESS

    We attempted to apply a “Jibun-kenkyu” based on cognitive-behavioral therapy as part of an instructional program for a high-school student with autism spectrum disorder who used a resource room. The results showed that after one year, the Child Behavior Checklist (Youth Self-Report) scores improved from the clinical range to the normal range for rule-breaking behavior, and from the clinical range to the borderline range for anxious/depressed, withdrawn/depressed, and attention problems. The number of incidents with classmates decreased and partnerships with teachers were formed. It is assumed that the “Jibun-kenkyu” not only deepens the self-understanding of a student, but also promotes the understanding of the people supporting the student, suggesting that “Jibun-kenkyu” is useful as an occupational therapy intervention for high-school students in resource rooms.

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