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五年之后:实现专业效能,推动神经康复发展。

Five years later: achieving professional effectiveness to move neurorehabilitation forward.

机构信息

Division of Rehabilitation Sciences, The University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-1137, USA.

出版信息

Am J Occup Ther. 2013 Sep-Oct;67(5):e106-19. doi: 10.5014/ajot.2013.008417.

DOI:10.5014/ajot.2013.008417
PMID:23968801
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5362029/
Abstract

The AOTA Centennial Vision outlined in 2007 challenged the occupational therapy profession to become a "powerful, widely recognized, science-driven, and evidence-based" profession that could adapt to changing societal and cultural needs and flourish well into the future. That challenge can be met by simply being effective at what we do; this will increase our value and validate our worth. Neurorehabilitation in occupational therapy can also thrive if we verify that the interventions we use and the strategies we implement are grounded in evidence. Professional effectiveness will emerge by (1) increasing the dissemination of research that supports the methods we use and informs others of the successful patient outcomes we achieve and (2) expanding development and validation of instruments that quantitatively and qualitatively measure functional outcomes. Occupational therapists can individually develop professional effectiveness by fostering greater academic-clinical alliances, objectifying evaluation and intervention methods, and preparing future practitioners appropriately for evidence-driven practice.

摘要

2007 年提出的 AOTA 百年愿景挑战了职业治疗专业,要求其成为一个“强大、广泛认可、以科学为驱动、基于证据”的专业,能够适应不断变化的社会和文化需求,并在未来蓬勃发展。这一挑战可以通过我们在工作中做到高效来应对;这将提高我们的价值并验证我们的价值。如果我们能证明我们使用的干预措施和实施的策略是基于证据的,那么职业治疗中的神经康复也可以蓬勃发展。专业有效性将通过以下方式显现:(1)增加支持我们使用的方法的研究的传播,并告知他人我们所取得的成功患者结果;(2)扩大工具的开发和验证,以定量和定性地衡量功能结果。职业治疗师可以通过培养更强的学术-临床联盟、客观评估和干预方法,以及为循证实践适当培养未来的从业者,来单独发展专业有效性。

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本文引用的文献

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Occupational therapy in neurological disorders: looking ahead to the American Occupational Therapy Association's centennial vision.神经障碍职业治疗:展望美国职业治疗协会的百年愿景。
Am J Occup Ther. 2012 Nov-Dec;66(6):e119-30. doi: 10.5014/ajot.2012.005280.
2
Behavioral, neurophysiological, and descriptive changes after occupation-based intervention.行为、神经生理学和描述性改变后的基于职业的干预。
Am J Occup Ther. 2012 Nov-Dec;66(6):e107-13. doi: 10.5014/ajot.2012.003590.
3
Development and validation of tools for evaluation of orthosis fabrication.矫形器制作评估工具的开发与验证。
Am J Occup Ther. 2012 Nov-Dec;66(6):739-46. doi: 10.5014/ajot.2012.005553.
4
Effectiveness of the California Tri-Pull Taping method for shoulder subluxation poststroke: a single-subject ABA design.加利福尼亚三拉贴扎法治疗脑卒中后肩关节半脱位的有效性:单病例ABA 设计。
Am J Occup Ther. 2012 Nov-Dec;66(6):727-36. doi: 10.5014/ajot.2012.004663.
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Preliminary validation of a vision-dependent activities of daily living instrument on adults with homonymous hemianopia.基于视觉的日常生活活动评估工具在成人同视性偏盲患者中的初步验证。
Am J Occup Ther. 2012 Jul-Aug;66(4):478-82. doi: 10.5014/ajot.2012.004762.
6
Neuromuscular electrical stimulation-assisted grasp training and restoration of function in the tetraplegic hand: a case series.神经肌肉电刺激辅助抓握训练和四肢瘫痪手功能恢复:病例系列。
Am J Occup Ther. 2012 Jul-Aug;66(4):471-7. doi: 10.5014/ajot.2012.003004.
7
Patient handling methods taught in occupational therapy curricula.职业治疗课程中教授的患者处理方法。
Am J Occup Ther. 2012 Jul-Aug;66(4):463-70. doi: 10.5014/ajot.2012.003822.
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Improving older trauma patients' outcomes through targeted occupational therapy and functional conditioning.通过有针对性的职业治疗和功能调节改善老年创伤患者的预后。
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Am J Occup Ther. 2012 Jul-Aug;66(4):389-94. doi: 10.5014/ajot.2012.664001.
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Evidence-based practice behaviours: a comparison amongst occupational therapy students and clinicians.循证实践行为:职业治疗专业学生与临床医生的比较
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