Sarah Alageel

Fatigue is one of the most disabling symptoms experienced by people with Parkinson's disease, yet few evidence-based non-pharmacological interventions are available. This study evaluated the feasibility, acceptability, and exploratory clinical signals of the Rebalancing Fatigue and Enhancing Self-Help (ReFresh) online fatigue management programme for people with Parkinson's disease. A pilot randomized controlled trial with a wait-list control group was conducted. Participants with Parkinson's disease experiencing fatigue were randomized to either the six-week ReFresh online programme or a wait-list control. Feasibility outcomes included recruitment, retention, adherence, and participant engagement. Secondary outcomes included fatigue severity, fatigue self-efficacy, sleep quality, mood, and occupational performance. A total of 118 participants were randomized. Recruitment targets were achieved; however, retention and adherence were modest. Participants who completed the programme reported improvements in fatigue self-efficacy and perceived ability to manage fatigue, while changes in fatigue severity were smaller. Qualitative feedback indicated that participants valued the flexibility and accessibility of the online format. The ReFresh programme demonstrated feasibility and acceptability as a digitally delivered fatigue management intervention for people with Parkinson's disease. Future research should explore strategies to improve engagement and evaluate the programme in a fully powered randomized controlled trial. ISRCTN Registry, ISRCTN62114944, https://www.isrctn.com/ISRCTN62114944.

Introduction. Occupational therapists play a crucial role in the rehabilitation process, as they maximise patients independence and participation in meaningful occupations by adopting creative solutions in their treatment plan. Recognizing the importance of creative work and incorporating it into daily activities can be a powerful technique for enhancing quality of life. As a result, OTs must comprehend the significance of using creativity on a daily basis with patients. Creativity has been implicit in occupational therapists values and practices since the occupational therapy fields early days. In particular, OTs use meaningful activities to promote health, wellbeing, and independence, which have traditionally had a strong connection with creativity. Primarily, the OT uses practical exercise to create wellbeing and autonomy, which have had a healthy linkage with imagination. The OT has used creative exercise as a treatment technique since the beginning of the profession. Method. In this paper, a Narrative Review Checklist was used to carry out specific checks of manuscripts structures and a careful selection of the articles which are included in the manuscript. In addition, articles referenced in review articles or guidelines were reviewed for inclusion. Findings. This review has shown that the primary motivation for implementing creative activities was to improve the patient performance, wellbeing, and self-esteem. The goal of implementing creative activities was to assist the client in self-expression as well as experience joy and desire. As a result, the necessity to investigate the influence of creative solutions in treatment from an OT standpoint has been identified. Conclusion. Future studies should focus on how it is important to consider the patients intrinsic and extrinsic motivations when designing creative solutions, as well as how the disability affects their daily activities, occupations, and adherence to a treatment plan.

PurposeTelerehabilitation (TR) is a medical option that should be embraced in contemporary society to curb the spread of coronavirus. An umbrella along with mapping review based on a meta-meta-analysis (MMA) has recently been conducted using available scientific revelations to establish whether TR could be a critical option for traditional rehabilitation systems in occupational therapy practices [1].MethodsA systematic review of reviews along with previous and current studies on the objectives and systematic evidence based on an MMA and visual maps was conducted. A systematic search was then initiated in the Google Scholar, MEDLINE (PubMed), and Cochrane Database of Systematic Reviews (CDSR). Accordingly, two independent reviewers scrutinized and examined all obtained data and simultaneously analysed the authenticity of the reviews included while evaluating the bias risks using ROBIS. ResultsTwenty-five articles that met the inclusion thresholds were selected and grouped based on the conditions of the patients on rehabilitation, which constituted musculoskeletal, cardiorespiratory, and neurological conditions. The MMA linked to occupational functioning between normal care rehabilitation and TR failed to indicate a statistical difference among patients with musculoskeletal and cardiorespiratory conditions [2]. The MMA showed statistically significant results among patients with neurological conditions but with negligible impacts in six reviews on TR. The standardized mean difference was 0.18 with a 95-confidence interval of 0.03–0.34.ConclusionThese results suggest that TR provides admirable results that in many ways can be compared with face-to-face rehabilitation processes.ImpactTR has the advantage of reducing costs that work along with its minimal interruptions on a patient’s contemporary interactions, suggesting that it helps current medical setups when society requires minimal interactions to curb the spread of coronavirus.