Outcomes of Research or Clinical Trials Activity Levels Acute Flaccid Paralysis Ageing Anaerobic Threshold Anaesthesia Assistive Technology Brain Cardiorespiratory Cardiovascular Clinical Evaluation Cold Intolerance Complementary Therapies Continence Coping Styles and Strategies Cultural Context Diagnosis and Management Differential Diagnosis Drugs Dysphagia Dysphonia Epidemiology Exercise Falls Fatigue Fractures Gender Differences Immune Response Inflammation Late Effects of Polio Muscle Strength Muscular Atrophy Orthoses Pain Polio Immunisation Post-Polio Motor Unit Psychology Quality of Life Renal Complications Respiratory Complications and Management Restless Legs Syndrome Sleep Analaysis Surgery Vitality Vocational Implications

Title order Author order Journal order Date order
Category: Vocational Implications

Title: Developing vocational rehabilitation services for people with long-term neurological conditions: Identifying facilitators and barriers to service provision
Author: Kate Hayward, Bilal A Mateen, E Diane Playford, Gail Eva
Affiliation: Therapy and Rehabilitation Services, National Hospital for Neurology and Neurosurgery, London, UK
Journal: NEW - PUT DETAILS IN CITATION FIELD
Citation: British Journal of Occupational Therapy
Publication Year and Month: 2019 03

Abstract: Introduction
This study aimed to understand existing vocational rehabilitation service provision in one locality in London (population 3.74 million), identify any gaps and explore reasons for this, to support service development.

Method
Using soft systems methodology to guide the research process, semi-structured interviews were completed with nine participants, who were clinicians and managers providing vocational rehabilitation within a National Health Service context. Data were analysed thematically to build a ‘rich picture’ and develop a conceptual model of vocational rehabilitation service delivery. Findings were then ratified with participants at an engagement event.

Results
The findings indicate a spectrum of vocational rehabilitation service provision for long-term neurological conditions with differing levels of funding in place. Vocational rehabilitation often takes place ‘under the radar’ and therefore the true vocational rehabilitation needs of this population, and the extent of service provision, is not known. There is inconsistency of understanding across the services as to what constitutes vocational rehabilitation and outcomes are not routinely measured.

Conclusions: For vocational rehabilitation services to develop they require appropriate funding, driven by government policy to commissioners. Clear definitions of vocational rehabilitation, collecting and sharing outcome data and effective communication across services are needed at a local level. This is expressed in a conceptual model of vocational rehabilitation service delivery.

Outcome of Research: More research required

Availability of Paper:

Comments (if any):

Link to Paper (if available): Click here to view full text or to download


Category: Vocational Implications

Title: Occupations that people with late effects of polio perceive difficult to perform
Author: Appelin K, Lexell J, Månsson Lexell E
Affiliation: Department of Rehabilitation Medicine, Skåne University Hospital, Sweden
Journal: Occupational Therapy International
Citation: Occupational Therapy International - Occup Ther Int. 2014 Sep;21(3):98-107. doi: 10.1002/oti.1368
Publication Year and Month: 2014 09

Abstract: The aims of this study were to describe which occupations that people with late effects of polio perceive difficult to perform, which occupational area the occupations were related to and their level of complexity. The aims were also to describe their own perception of the importance, performance and satisfaction with these occupations. Sixty-two participants (mean age 61 years) were assessed with the Canadian Occupational Performance Measure. A total of 431 occupations were reported (43% self-care, 32% productivity and 25% leisure). Two subcategories, household management (27 %) and functional mobility (23 %), represented half of all the reported occupations. Ratings for prioritized occupations (N = 300) were high for importance and generally low for performance and satisfaction. A wide variety of occupations were reported, related to both occupational areas and different levels of complexity within an occupational area. The results underscore the importance of using assessment tools that can capture both the variety and complexity of occupations. By obtaining more detailed information about occupations that people with late effects of polio perceive difficult to perform, this will enable occupational therapists to offer targeted interventions that can facilitate engagement in meaningful and purposeful occupations. A larger and more heterogeneous sample may enable the results to be generalized to more people with late effects of polio. Future studies should focus on methods that can facilitate engagement in meaningful and purposeful occupations for people with late effects of polio.

Conclusions:

Outcome of Research: Not applicable

Availability of Paper: Paid subscription required to view or download full text.

Comments (if any):

Link to Paper (if available): Click here for preview


Category: Vocational Implications

Title: Overcoming barriers to work participation for patients with postpoliomyelitis syndrome
Author: Ten Katen K, Beelen A, Nollet F, Frings-Dresen MH, Sluiter JK
Affiliation: Department of Rehabilitation, Academic Medical Center, Amsterdam, The Netherlands
Journal: Disability and Rehabilitation
Citation: Disabil Rehabil. 2011;33(6):522-9. doi: 10.3109/09638288.2010.503257. Epub 2010 Jul 12
Publication Year and Month: 2010 07

Abstract: PURPOSE: This study aimed to explore the perceived work ability of patients with postpoliomyelitis syndrome (PPS), to identify barriers and factors that are impeding or conducive, respectively, to work participation, and to identify possible interventions.

METHODS: Qualitative cross-sectional interview study with 17 subjects with PPS, 12 women and 5 men, mean age 49 years (SD: 11). Semi-structured interviews were held with the subjects in their homes, with the aid of a topic list. The COREQ criteria list for qualitative research was used as guideline in design and analysis.

RESULTS: Thirteen out of 17 subjects rated their work ability six or higher on a scale from 0 to 10. Most subjects worked in an administrative, educational or managerial function. Five subjects stopped working, four worked between 0 and 20 h/week and eight worked between 20 and 40 h/week. Factors conducive to working were physical adaptations in the workplace, accessibility of the workplace and high decision latitude. Barriers to full work ability in PPS patients were high physical job demands, low social support and the symptoms of PPS, especially fatigue and pain.

Conclusions: These findings suggest that work-oriented interventions aimed at preventing PPS patients from dropping out of the workforce should primarily focus on reducing physical job demands, arranging adaptations in the workplace and increasing job control.

Outcome of Research: Not applicable

Availability of Paper: Paid subscription required to view or download full text.

Comments (if any):

Link to Paper (if available): Click here to view Abstract


Category: Vocational Implications

Title: University of Alberta Hospital Acute and Convalescent Polio Care and the Reintegration of Polio Patients into Albertan Communities, 1953–80
Author: Geraldine Huynh
Affiliation: University of Alberta
Journal: NEW - PUT DETAILS IN CITATION FIELD
Citation: Canadian Bulletin of Medical History, https://doi.org/10.3138/cbmh.249-022018
Published Online: March 22, 2019
Publication Year and Month: 2019 03

Abstract: Following Canada’s largest polio epidemic in 1953, Station 67 at the University of Alberta Hospital (UAH) in Edmonton became home to patients who contracted the virus. As young as nine years old, some of these patients lived at the UAH for more than three decades. Akin to wartime services, the epidemic banded together families, patients, doctors, nurses, community members, and later respiratory, physical, and occupational therapists. The nature of the disease, the government response, and the social and economic climate dramatically affected the lived experiences of patients in Alberta’s fight against polio. Drawing on archival research and oral interviews, this article argues that it was the agency and resilience of patients, the contributions of healthcare providers to rapid developments in acute and convalescent care, and the dedication of families that were primarily responsible for the recovery and reintegration of polio patients back into the community.

Conclusions:

Outcome of Research: More research required

Availability of Paper:

Comments (if any):

Link to Paper (if available): Click here for preview


Category: Vocational Implications

Title: Vocational implications of post-polio syndrome
Author: Elrod LM, Jabben M, Oswald G, Szirony GM
Affiliation: CARE Department, University of Arkansas at Little Rock, Little Rock, AR 72204, USA
Journal: Work
Citation: Work. 2005;25(2):155-61
Publication Year and Month: 2005

Abstract: Of more than 1,000,000 survivors of poliomyelitis living in the United States, about 80% experience symptoms associated with post-polio syndrome (PPS). New weakness, fatigue, and pain are the most common symptoms that may appear years after acute polio. PPS is reported to be the most prevalent progressive neuromuscular disease in North America. The physical symptoms of PPS can be severe enough to decrease an individual's quality of life, significantly alter work function, and impose lifestyle changes. The psychological implications of battling once again with a disease that had stabilized decades ago can be devastating. Rehabilitation physicians and counselors knowledgeable of post-polio syndrome and its possible impact on employment can have a positive influence on persons with PPS.

Conclusions:

Outcome of Research: Not applicable

Availability of Paper: Paid subscription required to view or download full text.

Comments (if any):

Link to Paper (if available): Click here to view Abstract


Category: Vocational Implications

Title: Workplace disability management in postpolio syndrome
Author: Saeki S, Takemura J, Matsushima Y, Chisaka H, Hachisuka K
Affiliation: Department of Rehabilitation Medicine, University of Occupational and Environmental Health, 1-1, Iseigaoka, Yahata-nishi-ku, Kitakyushu, Fukuoka 807-8555, Japan
Journal: Journal of Occupational Rehabilitation
Citation: J Occup Rehabil. 2001 Dec;11(4):299-307
Publication Year and Month: 2001 12

Abstract: Postpolio syndrome (PPS) is generally defined as a clinical syndrome of new weakness, fatigue, and pain in individuals who have previously recovered from acute paralytic poliomyelitis. These new problems may lead to loss of employment as well as new deficits in instrumental activities in daily living (cleaning, washing, shopping, transportation, etc.), walking, climbing stairs, and personal assistance. We presented three cases of PPS with working disabilities in Japan, and stated the issues confronted with. Particularly at the workplace, PPS individuals need special supports from both rehabilitation medicine and occupational health services, including improved nutrition, achieving ideal body weight, regular and sensible exercise, frequent checkups, and modifying working conditions.

Conclusions:

Outcome of Research: Not applicable

Availability of Paper: Paid subscription required to view or download full text.

Comments (if any):

Link to Paper (if available): Click here to view Abstract


There are currently 6 papers in this category.

Category: Vocational Implications

Title: Occupations that people with late effects of polio perceive difficult to perform
Author: Appelin K, Lexell J, Månsson Lexell E
Affiliation: Department of Rehabilitation Medicine, Skåne University Hospital, Sweden
Journal: Occupational Therapy International
Citation: Occupational Therapy International - Occup Ther Int. 2014 Sep;21(3):98-107. doi: 10.1002/oti.1368
Publication Year and Month: 2014 09

Abstract: The aims of this study were to describe which occupations that people with late effects of polio perceive difficult to perform, which occupational area the occupations were related to and their level of complexity. The aims were also to describe their own perception of the importance, performance and satisfaction with these occupations. Sixty-two participants (mean age 61 years) were assessed with the Canadian Occupational Performance Measure. A total of 431 occupations were reported (43% self-care, 32% productivity and 25% leisure). Two subcategories, household management (27 %) and functional mobility (23 %), represented half of all the reported occupations. Ratings for prioritized occupations (N = 300) were high for importance and generally low for performance and satisfaction. A wide variety of occupations were reported, related to both occupational areas and different levels of complexity within an occupational area. The results underscore the importance of using assessment tools that can capture both the variety and complexity of occupations. By obtaining more detailed information about occupations that people with late effects of polio perceive difficult to perform, this will enable occupational therapists to offer targeted interventions that can facilitate engagement in meaningful and purposeful occupations. A larger and more heterogeneous sample may enable the results to be generalized to more people with late effects of polio. Future studies should focus on methods that can facilitate engagement in meaningful and purposeful occupations for people with late effects of polio.

Conclusions:

Outcome of Research: Not applicable

Availability of Paper: Paid subscription required to view or download full text.

Comments (if any):

Link to Paper (if available): Click here for preview


Category: Vocational Implications

Title: Vocational implications of post-polio syndrome
Author: Elrod LM, Jabben M, Oswald G, Szirony GM
Affiliation: CARE Department, University of Arkansas at Little Rock, Little Rock, AR 72204, USA
Journal: Work
Citation: Work. 2005;25(2):155-61
Publication Year and Month: 2005

Abstract: Of more than 1,000,000 survivors of poliomyelitis living in the United States, about 80% experience symptoms associated with post-polio syndrome (PPS). New weakness, fatigue, and pain are the most common symptoms that may appear years after acute polio. PPS is reported to be the most prevalent progressive neuromuscular disease in North America. The physical symptoms of PPS can be severe enough to decrease an individual's quality of life, significantly alter work function, and impose lifestyle changes. The psychological implications of battling once again with a disease that had stabilized decades ago can be devastating. Rehabilitation physicians and counselors knowledgeable of post-polio syndrome and its possible impact on employment can have a positive influence on persons with PPS.

Conclusions:

Outcome of Research: Not applicable

Availability of Paper: Paid subscription required to view or download full text.

Comments (if any):

Link to Paper (if available): Click here to view Abstract


Category: Vocational Implications

Title: University of Alberta Hospital Acute and Convalescent Polio Care and the Reintegration of Polio Patients into Albertan Communities, 1953–80
Author: Geraldine Huynh
Affiliation: University of Alberta
Journal: NEW - PUT DETAILS IN CITATION FIELD
Citation: Canadian Bulletin of Medical History, https://doi.org/10.3138/cbmh.249-022018
Published Online: March 22, 2019
Publication Year and Month: 2019 03

Abstract: Following Canada’s largest polio epidemic in 1953, Station 67 at the University of Alberta Hospital (UAH) in Edmonton became home to patients who contracted the virus. As young as nine years old, some of these patients lived at the UAH for more than three decades. Akin to wartime services, the epidemic banded together families, patients, doctors, nurses, community members, and later respiratory, physical, and occupational therapists. The nature of the disease, the government response, and the social and economic climate dramatically affected the lived experiences of patients in Alberta’s fight against polio. Drawing on archival research and oral interviews, this article argues that it was the agency and resilience of patients, the contributions of healthcare providers to rapid developments in acute and convalescent care, and the dedication of families that were primarily responsible for the recovery and reintegration of polio patients back into the community.

Conclusions:

Outcome of Research: More research required

Availability of Paper:

Comments (if any):

Link to Paper (if available): Click here for preview


Category: Vocational Implications

Title: Developing vocational rehabilitation services for people with long-term neurological conditions: Identifying facilitators and barriers to service provision
Author: Kate Hayward, Bilal A Mateen, E Diane Playford, Gail Eva
Affiliation: Therapy and Rehabilitation Services, National Hospital for Neurology and Neurosurgery, London, UK
Journal: NEW - PUT DETAILS IN CITATION FIELD
Citation: British Journal of Occupational Therapy
Publication Year and Month: 2019 03

Abstract: Introduction
This study aimed to understand existing vocational rehabilitation service provision in one locality in London (population 3.74 million), identify any gaps and explore reasons for this, to support service development.

Method
Using soft systems methodology to guide the research process, semi-structured interviews were completed with nine participants, who were clinicians and managers providing vocational rehabilitation within a National Health Service context. Data were analysed thematically to build a ‘rich picture’ and develop a conceptual model of vocational rehabilitation service delivery. Findings were then ratified with participants at an engagement event.

Results
The findings indicate a spectrum of vocational rehabilitation service provision for long-term neurological conditions with differing levels of funding in place. Vocational rehabilitation often takes place ‘under the radar’ and therefore the true vocational rehabilitation needs of this population, and the extent of service provision, is not known. There is inconsistency of understanding across the services as to what constitutes vocational rehabilitation and outcomes are not routinely measured.

Conclusions: For vocational rehabilitation services to develop they require appropriate funding, driven by government policy to commissioners. Clear definitions of vocational rehabilitation, collecting and sharing outcome data and effective communication across services are needed at a local level. This is expressed in a conceptual model of vocational rehabilitation service delivery.

Outcome of Research: More research required

Availability of Paper:

Comments (if any):

Link to Paper (if available): Click here to view full text or to download


Category: Vocational Implications

Title: Workplace disability management in postpolio syndrome
Author: Saeki S, Takemura J, Matsushima Y, Chisaka H, Hachisuka K
Affiliation: Department of Rehabilitation Medicine, University of Occupational and Environmental Health, 1-1, Iseigaoka, Yahata-nishi-ku, Kitakyushu, Fukuoka 807-8555, Japan
Journal: Journal of Occupational Rehabilitation
Citation: J Occup Rehabil. 2001 Dec;11(4):299-307
Publication Year and Month: 2001 12

Abstract: Postpolio syndrome (PPS) is generally defined as a clinical syndrome of new weakness, fatigue, and pain in individuals who have previously recovered from acute paralytic poliomyelitis. These new problems may lead to loss of employment as well as new deficits in instrumental activities in daily living (cleaning, washing, shopping, transportation, etc.), walking, climbing stairs, and personal assistance. We presented three cases of PPS with working disabilities in Japan, and stated the issues confronted with. Particularly at the workplace, PPS individuals need special supports from both rehabilitation medicine and occupational health services, including improved nutrition, achieving ideal body weight, regular and sensible exercise, frequent checkups, and modifying working conditions.

Conclusions:

Outcome of Research: Not applicable

Availability of Paper: Paid subscription required to view or download full text.

Comments (if any):

Link to Paper (if available): Click here to view Abstract


Category: Vocational Implications

Title: Overcoming barriers to work participation for patients with postpoliomyelitis syndrome
Author: Ten Katen K, Beelen A, Nollet F, Frings-Dresen MH, Sluiter JK
Affiliation: Department of Rehabilitation, Academic Medical Center, Amsterdam, The Netherlands
Journal: Disability and Rehabilitation
Citation: Disabil Rehabil. 2011;33(6):522-9. doi: 10.3109/09638288.2010.503257. Epub 2010 Jul 12
Publication Year and Month: 2010 07

Abstract: PURPOSE: This study aimed to explore the perceived work ability of patients with postpoliomyelitis syndrome (PPS), to identify barriers and factors that are impeding or conducive, respectively, to work participation, and to identify possible interventions.

METHODS: Qualitative cross-sectional interview study with 17 subjects with PPS, 12 women and 5 men, mean age 49 years (SD: 11). Semi-structured interviews were held with the subjects in their homes, with the aid of a topic list. The COREQ criteria list for qualitative research was used as guideline in design and analysis.

RESULTS: Thirteen out of 17 subjects rated their work ability six or higher on a scale from 0 to 10. Most subjects worked in an administrative, educational or managerial function. Five subjects stopped working, four worked between 0 and 20 h/week and eight worked between 20 and 40 h/week. Factors conducive to working were physical adaptations in the workplace, accessibility of the workplace and high decision latitude. Barriers to full work ability in PPS patients were high physical job demands, low social support and the symptoms of PPS, especially fatigue and pain.

Conclusions: These findings suggest that work-oriented interventions aimed at preventing PPS patients from dropping out of the workforce should primarily focus on reducing physical job demands, arranging adaptations in the workplace and increasing job control.

Outcome of Research: Not applicable

Availability of Paper: Paid subscription required to view or download full text.

Comments (if any):

Link to Paper (if available): Click here to view Abstract


There are currently 6 papers in this category.

Category: Vocational Implications

Title: Overcoming barriers to work participation for patients with postpoliomyelitis syndrome
Author: Ten Katen K, Beelen A, Nollet F, Frings-Dresen MH, Sluiter JK
Affiliation: Department of Rehabilitation, Academic Medical Center, Amsterdam, The Netherlands
Journal: Disability and Rehabilitation
Citation: Disabil Rehabil. 2011;33(6):522-9. doi: 10.3109/09638288.2010.503257. Epub 2010 Jul 12
Publication Year and Month: 2010 07

Abstract: PURPOSE: This study aimed to explore the perceived work ability of patients with postpoliomyelitis syndrome (PPS), to identify barriers and factors that are impeding or conducive, respectively, to work participation, and to identify possible interventions.

METHODS: Qualitative cross-sectional interview study with 17 subjects with PPS, 12 women and 5 men, mean age 49 years (SD: 11). Semi-structured interviews were held with the subjects in their homes, with the aid of a topic list. The COREQ criteria list for qualitative research was used as guideline in design and analysis.

RESULTS: Thirteen out of 17 subjects rated their work ability six or higher on a scale from 0 to 10. Most subjects worked in an administrative, educational or managerial function. Five subjects stopped working, four worked between 0 and 20 h/week and eight worked between 20 and 40 h/week. Factors conducive to working were physical adaptations in the workplace, accessibility of the workplace and high decision latitude. Barriers to full work ability in PPS patients were high physical job demands, low social support and the symptoms of PPS, especially fatigue and pain.

Conclusions: These findings suggest that work-oriented interventions aimed at preventing PPS patients from dropping out of the workforce should primarily focus on reducing physical job demands, arranging adaptations in the workplace and increasing job control.

Outcome of Research: Not applicable

Availability of Paper: Paid subscription required to view or download full text.

Comments (if any):

Link to Paper (if available): Click here to view Abstract


Category: Vocational Implications

Title: Workplace disability management in postpolio syndrome
Author: Saeki S, Takemura J, Matsushima Y, Chisaka H, Hachisuka K
Affiliation: Department of Rehabilitation Medicine, University of Occupational and Environmental Health, 1-1, Iseigaoka, Yahata-nishi-ku, Kitakyushu, Fukuoka 807-8555, Japan
Journal: Journal of Occupational Rehabilitation
Citation: J Occup Rehabil. 2001 Dec;11(4):299-307
Publication Year and Month: 2001 12

Abstract: Postpolio syndrome (PPS) is generally defined as a clinical syndrome of new weakness, fatigue, and pain in individuals who have previously recovered from acute paralytic poliomyelitis. These new problems may lead to loss of employment as well as new deficits in instrumental activities in daily living (cleaning, washing, shopping, transportation, etc.), walking, climbing stairs, and personal assistance. We presented three cases of PPS with working disabilities in Japan, and stated the issues confronted with. Particularly at the workplace, PPS individuals need special supports from both rehabilitation medicine and occupational health services, including improved nutrition, achieving ideal body weight, regular and sensible exercise, frequent checkups, and modifying working conditions.

Conclusions:

Outcome of Research: Not applicable

Availability of Paper: Paid subscription required to view or download full text.

Comments (if any):

Link to Paper (if available): Click here to view Abstract


Category: Vocational Implications

Title: Developing vocational rehabilitation services for people with long-term neurological conditions: Identifying facilitators and barriers to service provision
Author: Kate Hayward, Bilal A Mateen, E Diane Playford, Gail Eva
Affiliation: Therapy and Rehabilitation Services, National Hospital for Neurology and Neurosurgery, London, UK
Journal: NEW - PUT DETAILS IN CITATION FIELD
Citation: British Journal of Occupational Therapy
Publication Year and Month: 2019 03

Abstract: Introduction
This study aimed to understand existing vocational rehabilitation service provision in one locality in London (population 3.74 million), identify any gaps and explore reasons for this, to support service development.

Method
Using soft systems methodology to guide the research process, semi-structured interviews were completed with nine participants, who were clinicians and managers providing vocational rehabilitation within a National Health Service context. Data were analysed thematically to build a ‘rich picture’ and develop a conceptual model of vocational rehabilitation service delivery. Findings were then ratified with participants at an engagement event.

Results
The findings indicate a spectrum of vocational rehabilitation service provision for long-term neurological conditions with differing levels of funding in place. Vocational rehabilitation often takes place ‘under the radar’ and therefore the true vocational rehabilitation needs of this population, and the extent of service provision, is not known. There is inconsistency of understanding across the services as to what constitutes vocational rehabilitation and outcomes are not routinely measured.

Conclusions: For vocational rehabilitation services to develop they require appropriate funding, driven by government policy to commissioners. Clear definitions of vocational rehabilitation, collecting and sharing outcome data and effective communication across services are needed at a local level. This is expressed in a conceptual model of vocational rehabilitation service delivery.

Outcome of Research: More research required

Availability of Paper:

Comments (if any):

Link to Paper (if available): Click here to view full text or to download


Category: Vocational Implications

Title: University of Alberta Hospital Acute and Convalescent Polio Care and the Reintegration of Polio Patients into Albertan Communities, 1953–80
Author: Geraldine Huynh
Affiliation: University of Alberta
Journal: NEW - PUT DETAILS IN CITATION FIELD
Citation: Canadian Bulletin of Medical History, https://doi.org/10.3138/cbmh.249-022018
Published Online: March 22, 2019
Publication Year and Month: 2019 03

Abstract: Following Canada’s largest polio epidemic in 1953, Station 67 at the University of Alberta Hospital (UAH) in Edmonton became home to patients who contracted the virus. As young as nine years old, some of these patients lived at the UAH for more than three decades. Akin to wartime services, the epidemic banded together families, patients, doctors, nurses, community members, and later respiratory, physical, and occupational therapists. The nature of the disease, the government response, and the social and economic climate dramatically affected the lived experiences of patients in Alberta’s fight against polio. Drawing on archival research and oral interviews, this article argues that it was the agency and resilience of patients, the contributions of healthcare providers to rapid developments in acute and convalescent care, and the dedication of families that were primarily responsible for the recovery and reintegration of polio patients back into the community.

Conclusions:

Outcome of Research: More research required

Availability of Paper:

Comments (if any):

Link to Paper (if available): Click here for preview


Category: Vocational Implications

Title: Occupations that people with late effects of polio perceive difficult to perform
Author: Appelin K, Lexell J, Månsson Lexell E
Affiliation: Department of Rehabilitation Medicine, Skåne University Hospital, Sweden
Journal: Occupational Therapy International
Citation: Occupational Therapy International - Occup Ther Int. 2014 Sep;21(3):98-107. doi: 10.1002/oti.1368
Publication Year and Month: 2014 09

Abstract: The aims of this study were to describe which occupations that people with late effects of polio perceive difficult to perform, which occupational area the occupations were related to and their level of complexity. The aims were also to describe their own perception of the importance, performance and satisfaction with these occupations. Sixty-two participants (mean age 61 years) were assessed with the Canadian Occupational Performance Measure. A total of 431 occupations were reported (43% self-care, 32% productivity and 25% leisure). Two subcategories, household management (27 %) and functional mobility (23 %), represented half of all the reported occupations. Ratings for prioritized occupations (N = 300) were high for importance and generally low for performance and satisfaction. A wide variety of occupations were reported, related to both occupational areas and different levels of complexity within an occupational area. The results underscore the importance of using assessment tools that can capture both the variety and complexity of occupations. By obtaining more detailed information about occupations that people with late effects of polio perceive difficult to perform, this will enable occupational therapists to offer targeted interventions that can facilitate engagement in meaningful and purposeful occupations. A larger and more heterogeneous sample may enable the results to be generalized to more people with late effects of polio. Future studies should focus on methods that can facilitate engagement in meaningful and purposeful occupations for people with late effects of polio.

Conclusions:

Outcome of Research: Not applicable

Availability of Paper: Paid subscription required to view or download full text.

Comments (if any):

Link to Paper (if available): Click here for preview


Category: Vocational Implications

Title: Vocational implications of post-polio syndrome
Author: Elrod LM, Jabben M, Oswald G, Szirony GM
Affiliation: CARE Department, University of Arkansas at Little Rock, Little Rock, AR 72204, USA
Journal: Work
Citation: Work. 2005;25(2):155-61
Publication Year and Month: 2005

Abstract: Of more than 1,000,000 survivors of poliomyelitis living in the United States, about 80% experience symptoms associated with post-polio syndrome (PPS). New weakness, fatigue, and pain are the most common symptoms that may appear years after acute polio. PPS is reported to be the most prevalent progressive neuromuscular disease in North America. The physical symptoms of PPS can be severe enough to decrease an individual's quality of life, significantly alter work function, and impose lifestyle changes. The psychological implications of battling once again with a disease that had stabilized decades ago can be devastating. Rehabilitation physicians and counselors knowledgeable of post-polio syndrome and its possible impact on employment can have a positive influence on persons with PPS.

Conclusions:

Outcome of Research: Not applicable

Availability of Paper: Paid subscription required to view or download full text.

Comments (if any):

Link to Paper (if available): Click here to view Abstract


There are currently 6 papers in this category.

Category: Vocational Implications

Title: Developing vocational rehabilitation services for people with long-term neurological conditions: Identifying facilitators and barriers to service provision
Author: Kate Hayward, Bilal A Mateen, E Diane Playford, Gail Eva
Affiliation: Therapy and Rehabilitation Services, National Hospital for Neurology and Neurosurgery, London, UK
Journal: NEW - PUT DETAILS IN CITATION FIELD
Citation: British Journal of Occupational Therapy
Publication Year and Month: 2019 03

Abstract: Introduction
This study aimed to understand existing vocational rehabilitation service provision in one locality in London (population 3.74 million), identify any gaps and explore reasons for this, to support service development.

Method
Using soft systems methodology to guide the research process, semi-structured interviews were completed with nine participants, who were clinicians and managers providing vocational rehabilitation within a National Health Service context. Data were analysed thematically to build a ‘rich picture’ and develop a conceptual model of vocational rehabilitation service delivery. Findings were then ratified with participants at an engagement event.

Results
The findings indicate a spectrum of vocational rehabilitation service provision for long-term neurological conditions with differing levels of funding in place. Vocational rehabilitation often takes place ‘under the radar’ and therefore the true vocational rehabilitation needs of this population, and the extent of service provision, is not known. There is inconsistency of understanding across the services as to what constitutes vocational rehabilitation and outcomes are not routinely measured.

Conclusions: For vocational rehabilitation services to develop they require appropriate funding, driven by government policy to commissioners. Clear definitions of vocational rehabilitation, collecting and sharing outcome data and effective communication across services are needed at a local level. This is expressed in a conceptual model of vocational rehabilitation service delivery.

Outcome of Research: More research required

Availability of Paper:

Comments (if any):

Link to Paper (if available): Click here to view full text or to download


Category: Vocational Implications

Title: University of Alberta Hospital Acute and Convalescent Polio Care and the Reintegration of Polio Patients into Albertan Communities, 1953–80
Author: Geraldine Huynh
Affiliation: University of Alberta
Journal: NEW - PUT DETAILS IN CITATION FIELD
Citation: Canadian Bulletin of Medical History, https://doi.org/10.3138/cbmh.249-022018
Published Online: March 22, 2019
Publication Year and Month: 2019 03

Abstract: Following Canada’s largest polio epidemic in 1953, Station 67 at the University of Alberta Hospital (UAH) in Edmonton became home to patients who contracted the virus. As young as nine years old, some of these patients lived at the UAH for more than three decades. Akin to wartime services, the epidemic banded together families, patients, doctors, nurses, community members, and later respiratory, physical, and occupational therapists. The nature of the disease, the government response, and the social and economic climate dramatically affected the lived experiences of patients in Alberta’s fight against polio. Drawing on archival research and oral interviews, this article argues that it was the agency and resilience of patients, the contributions of healthcare providers to rapid developments in acute and convalescent care, and the dedication of families that were primarily responsible for the recovery and reintegration of polio patients back into the community.

Conclusions:

Outcome of Research: More research required

Availability of Paper:

Comments (if any):

Link to Paper (if available): Click here for preview


Category: Vocational Implications

Title: Occupations that people with late effects of polio perceive difficult to perform
Author: Appelin K, Lexell J, Månsson Lexell E
Affiliation: Department of Rehabilitation Medicine, Skåne University Hospital, Sweden
Journal: Occupational Therapy International
Citation: Occupational Therapy International - Occup Ther Int. 2014 Sep;21(3):98-107. doi: 10.1002/oti.1368
Publication Year and Month: 2014 09

Abstract: The aims of this study were to describe which occupations that people with late effects of polio perceive difficult to perform, which occupational area the occupations were related to and their level of complexity. The aims were also to describe their own perception of the importance, performance and satisfaction with these occupations. Sixty-two participants (mean age 61 years) were assessed with the Canadian Occupational Performance Measure. A total of 431 occupations were reported (43% self-care, 32% productivity and 25% leisure). Two subcategories, household management (27 %) and functional mobility (23 %), represented half of all the reported occupations. Ratings for prioritized occupations (N = 300) were high for importance and generally low for performance and satisfaction. A wide variety of occupations were reported, related to both occupational areas and different levels of complexity within an occupational area. The results underscore the importance of using assessment tools that can capture both the variety and complexity of occupations. By obtaining more detailed information about occupations that people with late effects of polio perceive difficult to perform, this will enable occupational therapists to offer targeted interventions that can facilitate engagement in meaningful and purposeful occupations. A larger and more heterogeneous sample may enable the results to be generalized to more people with late effects of polio. Future studies should focus on methods that can facilitate engagement in meaningful and purposeful occupations for people with late effects of polio.

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Outcome of Research: Not applicable

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Category: Vocational Implications

Title: Overcoming barriers to work participation for patients with postpoliomyelitis syndrome
Author: Ten Katen K, Beelen A, Nollet F, Frings-Dresen MH, Sluiter JK
Affiliation: Department of Rehabilitation, Academic Medical Center, Amsterdam, The Netherlands
Journal: Disability and Rehabilitation
Citation: Disabil Rehabil. 2011;33(6):522-9. doi: 10.3109/09638288.2010.503257. Epub 2010 Jul 12
Publication Year and Month: 2010 07

Abstract: PURPOSE: This study aimed to explore the perceived work ability of patients with postpoliomyelitis syndrome (PPS), to identify barriers and factors that are impeding or conducive, respectively, to work participation, and to identify possible interventions.

METHODS: Qualitative cross-sectional interview study with 17 subjects with PPS, 12 women and 5 men, mean age 49 years (SD: 11). Semi-structured interviews were held with the subjects in their homes, with the aid of a topic list. The COREQ criteria list for qualitative research was used as guideline in design and analysis.

RESULTS: Thirteen out of 17 subjects rated their work ability six or higher on a scale from 0 to 10. Most subjects worked in an administrative, educational or managerial function. Five subjects stopped working, four worked between 0 and 20 h/week and eight worked between 20 and 40 h/week. Factors conducive to working were physical adaptations in the workplace, accessibility of the workplace and high decision latitude. Barriers to full work ability in PPS patients were high physical job demands, low social support and the symptoms of PPS, especially fatigue and pain.

Conclusions: These findings suggest that work-oriented interventions aimed at preventing PPS patients from dropping out of the workforce should primarily focus on reducing physical job demands, arranging adaptations in the workplace and increasing job control.

Outcome of Research: Not applicable

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Category: Vocational Implications

Title: Vocational implications of post-polio syndrome
Author: Elrod LM, Jabben M, Oswald G, Szirony GM
Affiliation: CARE Department, University of Arkansas at Little Rock, Little Rock, AR 72204, USA
Journal: Work
Citation: Work. 2005;25(2):155-61
Publication Year and Month: 2005

Abstract: Of more than 1,000,000 survivors of poliomyelitis living in the United States, about 80% experience symptoms associated with post-polio syndrome (PPS). New weakness, fatigue, and pain are the most common symptoms that may appear years after acute polio. PPS is reported to be the most prevalent progressive neuromuscular disease in North America. The physical symptoms of PPS can be severe enough to decrease an individual's quality of life, significantly alter work function, and impose lifestyle changes. The psychological implications of battling once again with a disease that had stabilized decades ago can be devastating. Rehabilitation physicians and counselors knowledgeable of post-polio syndrome and its possible impact on employment can have a positive influence on persons with PPS.

Conclusions:

Outcome of Research: Not applicable

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Category: Vocational Implications

Title: Workplace disability management in postpolio syndrome
Author: Saeki S, Takemura J, Matsushima Y, Chisaka H, Hachisuka K
Affiliation: Department of Rehabilitation Medicine, University of Occupational and Environmental Health, 1-1, Iseigaoka, Yahata-nishi-ku, Kitakyushu, Fukuoka 807-8555, Japan
Journal: Journal of Occupational Rehabilitation
Citation: J Occup Rehabil. 2001 Dec;11(4):299-307
Publication Year and Month: 2001 12

Abstract: Postpolio syndrome (PPS) is generally defined as a clinical syndrome of new weakness, fatigue, and pain in individuals who have previously recovered from acute paralytic poliomyelitis. These new problems may lead to loss of employment as well as new deficits in instrumental activities in daily living (cleaning, washing, shopping, transportation, etc.), walking, climbing stairs, and personal assistance. We presented three cases of PPS with working disabilities in Japan, and stated the issues confronted with. Particularly at the workplace, PPS individuals need special supports from both rehabilitation medicine and occupational health services, including improved nutrition, achieving ideal body weight, regular and sensible exercise, frequent checkups, and modifying working conditions.

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Outcome of Research: Not applicable

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There are currently 6 papers in this category.

Outcomes of Research or Clinical Trials Activity Levels Acute Flaccid Paralysis Ageing Anaerobic Threshold Anaesthesia Assistive Technology Brain Cardiorespiratory Cardiovascular Clinical Evaluation Cold Intolerance Complementary Therapies Continence Coping Styles and Strategies Cultural Context Diagnosis and Management Differential Diagnosis Drugs Dysphagia Dysphonia Epidemiology Exercise Falls Fatigue Fractures Gender Differences Immune Response Inflammation Late Effects of Polio Muscle Strength Muscular Atrophy Orthoses Pain Polio Immunisation Post-Polio Motor Unit Psychology Quality of Life Renal Complications Respiratory Complications and Management Restless Legs Syndrome Sleep Analaysis Surgery Vitality Vocational Implications