The Evidence-Based Practice Contradiction in Occupational Therapy

The term evidence-based practice (EBP) is now widely used, taught, and practiced. But should occupational therapy practitioners (OTPs) accept EBP as the ‘gold standard’ for how we choose OT interventions? What are the downsides to EBP for a health profession like OT? What can we do instead? What should we use instead? The term evidence-based medicine … Read more

Stereotypy vs. Stimming: Restricted & Repetitive Behaviors in Autism (ASD) | Occupational Therapy Interventions

This article will use identity-first language based on the community’s preference for such language in accordance with the APA’s recommendations. Introduction Restricted and repetitive behaviors (RRBs) are one of the core symptoms of autism spectrum disorder (ASD). The other core symptoms of autism include deficits in communication and social interaction. RRBs include stereotyped behaviors such … Read more

Evidence-Based & Supported Sensory Integration Interventions for Autism | Occupational Therapy Practice

Not all Sensory Integration interventions are effective or supported by the latest evidence. Introduction This is not to say that sensory integration as a whole is not effective. Even still, as occupational therapists should strive to be holistic – research suggests that a top-down approach/perspective instead should at least be considered in addition to SI … Read more

Dementia and Wandering | Occupational Therapy Interventions & Evidence-Informed Practice Guidelines

Motivation for this article I recently saw some social media posts from OTs on managing wandering or those who are a ‘flight risk’ with dementia. They offer some great ideas such as environmental barriers to prevent wandering outside the home – that sounds good at least in theory. Modern approaches may even incorporate smart home … Read more

Evidence-Based Occupational Therapy Practice for Cerebral Palsy

Summary of Evidence for CP OT Interventions most supported by EBP Constraint-Induced Movement Therapy (CIMT) Orthotics and Casting (Lower limb casting) Goal-directed training Bimanual training Context-focused therapy Home programs Avoid: NDT, SI((Novak, I., Mcintyre, S., Morgan, C., Campbell, L., Dark, L., Morton, N., … & Goldsmith, S. (2013). A systematic review of interventions for children … Read more

Burns – Occupational Therapy Evidence-based Interventions

Commonly used occupational therapy interventions for burns include: Physical activity and conditioning Pain management Scar management Orthoses and Splints Participation in Occupations Physical Activity and Conditioning Occupational therapists can promote therapeutic activities and exercise to help correct impairments and improve musculoskeletal function.((Kottke FJ, Stillwell GK, Lehman JK. Handbook of physical medicine and rehabilitation. W B … Read more

Spinal Cord Injury Stimulation Technology Promotes Mobility – Occupational Therapy

STIMO is a First-in-Man (FIM) study to confirm the safety and feasibility of a closed-loop Epidural Electrical Stimulation (EES) in combination with overground robot assisted rehabilitation training for patients with chronic incomplete spinal cord injury (SCI). –https://clinicaltrials.gov/ct2/show/NCT02936453 The Study I found an interesting study through CNN about the STIMO clinical trial that was published on … Read more

Where to Find Evidence-Based Practice (EBP) – Occupational Therapy

In occupational therapy, evidence-based practice is the integration of various factors to inform clinical practice with clients, groups, and the population. Factors that are considered include: Research and evidence in the literature Clinical expertise and opinion Client and caregiver perspectives Clinicians consider these factors together to make their practice decisions and to provide high-quality services … Read more

Preliminary Data for Pilot Study – Occupational Therapists Living with Chronic Disabilities – An Online Quantitative & Qualitative Survey

I decided to post the raw results from my 6 participants as this is a small sample size and not too overwhelming to read. This data comes from a survey I posted calling for participants who experienced a disability (mental or physical) in the field of occupational therapy. It asked questions about basic demographic information, … Read more