Evidence Based Practice
Note:  Formal research has not been conducted with our products.   The research articles cited below will offer evidence base practice information related to performance components* that our products address, and to the best practices regarding the level of interventions needed.
 
  • Regarding performance components:  Whatever combination of evaluation tools and procedures utilized, an occupation based activity analysis allows the therapist to identify performance components related to the desired goals.  An effort is made to make the patient aware of the performance component during occupation based activity, AND during treatment media intervention -- seeing the path to goal attainment can be inspiring for all involved.
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FIRST CITATION:

Journal of Geriatric Physical Therapy:
2009 - Volume 32 - Issue 4 - p 148-152, 158
White Paper

WHITE PAPER: STRENGTH TRAINING FOR THE OLDER ADULT

Avers, Dale PT, DPT, PhD; Brown, Marybeth PT, PhD, FAPTA

The White Paper can be found via Google free of charge.  Since it is a review, the paper includes many (42) research cites that will be of interest for PT's and OT's.  The paper begins by highlighting  physiological changes common to the aging process and how declines in some areas can lead to falls and/or nursing home placement.  Next, they emphasize the level of muscle overload necessary to increase strength -- are we providing adequate challenges during occupation based activities an/or treatment media interventions?   And, I found the section on "Specificity and Functional Strength Tranining" inline with how we design simulated functional tasks/challenges to achieve functional gains with the elderly.  My thanks to the authors for their work, and for producing a paper with valuable information that is easy to read.
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SECOND CITATION:

Effects of passive-active movement training on upper limb motor function and cortical activation in chronic patients with stroke: a pilot study.

Lindberg, PåvelView Profile ; Schmitz, ChristinaView Profile ; Forssberg, HansView Profile ; Engardt, Margareta; Borg, JörgenView Profile ; et al. Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine36.3 (May 2004): 117-123.
Since our products offer many upper extremity reaching acitivities which can be configured in a wide range of spacial orientations, this abstract was of interest.  It indicates that further research would be valuable given the positive outcomes from their pilot study involving reaching activities.
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THIRD CITATION

A Comparison of Three Occupational Forms in Rehabilitation Patients Receiving Upper Extremity Strengthening

This study compares the efficacy of different forms of exercise: rote exercise, occupationally embedded exercise, and altruistic occupationally embedded exercise.   The activity chosen for the study was sanding a board bilaterally.  The three conditions were:  instructions to sand the board for exercise to obtain the therapy goal of getting stronger, the second to sand the board for making a shelf that would be used in the institution, and thirdly to sand the board so it could be part of a rocking horse to be given to children on the pediatric unit of the hospital.  The results indicated no significant difference in number of repetitions or distance of motion between conditions.  They went on to say that the results were not consistent with the theory of occupational therapy, and they offered possible explanations for the results and possible research strategies for the future.  They also suggested that if rote exercise is as effective with cognitively intact patients as occupationally embedded exercise, its use could free the clinician up (since it may be more efficient) to address other patients with greater intervention needs.  I commend the researchers for their openess to publish research findings that provoke questions which may lead to further development of the profession.