Early Daily Activity: Development and Description of an Occupation-Based Intervention for Surgically Repaired Distal Radius Fractures
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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
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Clinical Rehabilitation, ISSN: 0269-2155 (Print); 1477-0873 (Online), SAGE Publications, 38(9), 1158-1170. doi: 10.1177/02692155241258296
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© 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).