Early Daily Activity: Development and Description of an Occupation-Based Intervention for Surgically Repaired Distal Radius Fractures

Date
2024-05-30
Authors
Collis, Julie M
Mayland, Elizabeth C
Kayes, Nicola
Signal, Nada
Supervisor
Item type
Journal Article
Degree name
Journal Title
Journal ISSN
Volume Title
Publisher
SAGE Publications
Abstract

OBJECTIVE: To describe the theoretical development and structure of an occupation-based intervention for people with a surgically repaired distal radius fracture.

INTERVENTION DEVELOPMENT AND RATIONALE: The Early Daily Activity (EDA) intervention uses the performance of strategically selected daily activities as the primary rehabilitative strategy. Occupation-based interventions are recommended for hand injury rehabilitation but are often poorly described and lack explicit theoretical underpinnings. The EDA-intervention was developed from exploratory research that informed the theory and structure. The theoretical principles are that daily activity performance is (i) safe within defined parameters (ii) appropriately self-determined (iii) produces high ranges and amounts of therapeutic movement, and (iv) builds psychosocial competencies.

INTERVENTION DESCRIPTION: The EDA-intervention is designed to be commenced within 2 weeks of surgery. There are three key components. The first is activity-specific education to emphasise the safety, benefits, and therapeutic actions of activity performance. A set of parameters for defining safe activities is described to support education. The second component is patient-therapist collaboration to select a range of daily activities that provide a 'just-right' challenge. Collaboration occurs at regular intervals throughout the rehabilitation period to incrementally increase the challenge of activities. The third component is performance of activities at-home targeted at improving range of movement and function.

NEXT STEPS: The EDA-intervention can be used by hand therapists, but it has not yet undergone effectiveness evaluation. A planned study will explore clinician readiness to adopt the EDA-intervention, inform iterative changes to the protocol and the design of feasibility and effectiveness studies.

Description
Keywords
activities of daily living , distal radius fracture , hand therapy , occupational therapy , Occupation-based intervention , rehabilitation , Occupation-based intervention , activities of daily living , distal radius fracture , hand therapy , occupational therapy , rehabilitation , 4201 Allied Health and Rehabilitation Science , 42 Health Sciences , Rehabilitation , Physical Rehabilitation , Clinical Research , Behavioral and Social Science , 11 Medical and Health Sciences , Rehabilitation , 32 Biomedical and clinical sciences , 42 Health sciences
Source
Clinical Rehabilitation, ISSN: 0269-2155 (Print); 1477-0873 (Online), SAGE Publications, 38(9), 1158-1170. doi: 10.1177/02692155241258296
Rights statement
© The Author(s) 2024. Creative Commons License (CC BY-NC 4.0). This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).