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   Table of Contents - Current issue
April-June 2021
Volume 53 | Issue 2
Page Nos. 49-95

Online since Friday, July 23, 2021

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The issues of concern in respect to the National Commission for Allied and Healthcare Professions Act 2021 and the notification on laid down rules p. 49
Anil Kumar Srivastava
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Development of scope of practice of occupational therapy in India: An overview Highly accessed article p. 51
Karthik Mani, Ashwini Rao, Murali Krishnan, Shobana Moorthy, Jothikumar Ramakrishnan, Naresh Babu Karunakaran
An official scope of practice (SOP) is a critical document for any healthcare profession as it defines the profession's scope and protects its boundary from encroachment by unqualified individuals. It is a key document referred by professional regulators when regulating healthcare professions. This article outlines the development process utilized by the Indian Occupational Therapists Think Tank to develop an official SOP document for the profession of occupational therapy in India.
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Bottom-up and top-down cognitive rehabilitation following mild traumatic brain injury - Occupational therapists' perspective: An online survey study p. 56
Asha K Vas, Anna Luedtke, Eryn Ortiz, Marsha Neville
Background: Mild traumatic brain injuries (mTBIs) can result in long-lasting cognitive deficits. Comprehensive rehabilitation efforts need to integrate varied training approaches to address cognitive challenges and subsequently improve long-term functional outcomes. Objectives: The goal of this pilot study was to learn about occupational therapists' interpretation and practice of bottom-up and top-down cognitive rehabilitation activities for adults with mTBI. Study Design: An online survey study was conducted. Methods: A TBI expert team developed a case study with 30 functionally based treatment activities that closely align with the current rehabilitation practice. Of the 30 activities, the team identified 15 as bottom-up and 15 as top-down based on the definitions in the literature and clinical experience. The case study was sent in an online survey format to Occupational Therapists (OTs) across the country. Results: Out of 67 participants who agreed to participate, 30 completed the survey. The majority of the participants (87.5%) indicated that they were familiar with bottom-up and top-down treatment activities. Descriptive analyses found that the agreement between the authors and participants on bottom-up activities was 47.5% and on top-down activities was 77.56%; significant Intraclass Correlation Coefficient (0.939, 95% confidence interval [0.903, 0.966], P < 0.001) on all the items suggests that there was nearly perfect agreement in all item scores between the participants. These responses were consistent across OTs with varying levels of education, experience, and geographical locations. Conclusions: Increased knowledge and awareness of the distinction between bottom-up and top-down activities could equip clinicians with effective training tools to improve cognitive training. Future studies could address limitations of the study, including small sample size, descriptive statistical approach, and potentially biased view of the treatment activities by the authors.
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A study on impact of Corona Virus Disease 2019 Pandemic on activities of daily living, play, and sensory behaviors of children with autism spectrum disorder: A cross-sectional survey study p. 64
G Daris Nithya, V Damodaran, V Mythili
Background: New Corona Virus Disease 2019 (COVID-19) pandemic has a greater influence on all of us and has changed many of our everyday routines. Adjusting to a new routine is stressful for everyone, but especially for children with Autism who have difficulty with change, it is more stressful. As, insistence on sameness, inflexible adherence to routines, and ritualistic patterns are the core features of autism, environmental changes, home confinement, disrupted daily routines, restricted access to schools, therapy centers during this pandemic will have a unique impact on children with Autism and their families. Objectives: The objective of this study was to systematically assess the impact of the COVID-19 pandemic on activities of daily living (ADL), play, and sensory behaviors of children with autism spectrum disorder (ASD). Study Design: Cross-sectional survey study was conducted. Methods: Convenient sampling method was used. The study sample consisted of 100 parents/primary caregivers of children with Autism. A structured ADL, play, sensory behavior questionnaire (45 items) was designed, validated, and administered through face to face and telephonic interviews. The duration of the study was 1 month. Results: Substantial proportion of the parents (69%) reported inconsistent daily routines and inconsistent sleep routines (67%) since the COVID-19 pandemic. Eighty-three percent of ASD children spend more time on mobile phones and televisions than interactive play. Home confinement during this pandemic resulted in lower physical activity was mentioned by 69% of ASD parents and 70% mentioned the increased social withdrawal of ASD. Many parents reported increased intensity of vestibular-proprioceptive seeking (75%), other sensory behaviors during this COVID-19 pandemic. Conclusion: The study analysis suggests that COVID-19 pandemic has a major impact on children with ASD on their ADL, play, and sensory behaviors. Ninety nine percent of our study respondents were not able to access therapy centers, and other intervention facilities during this pandemic. Lack of access to these structured environments during this pandemic could have contributed to the worsening of ASD children's behaviors. So, this study stress, access to the health care services that serve ASD children, especially occupational therapy, needs to be considered essential and remain available during these kinds of pandemics with universal precautions and/or via alternative modes of delivery, i.e. tele-consultation.
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OTICON'2021 Conference Abstracts p. 77

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News and Information p. 93

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