Evidence of the efficacy of occupational therapy in different conditions: an overview of systematic reviews

@article{Steultjens2005EvidenceOT,
  title={Evidence of the efficacy of occupational therapy in different conditions: an overview of systematic reviews},
  author={Esther M. J. Steultjens and Joost Dekker and Lex M. Bouter and Chantal J Leemrijse and Cornelia H. M. van den Ende},
  journal={Clinical Rehabilitation},
  year={2005},
  volume={19},
  pages={247 - 254}
}
Objective: To summarize the research evidence available from systematic reviews of the efficacy of occupational therapy (OT) for practitioners, researchers, purchasing organizations and policy-makers. Data source: The search for systematic reviews was conducted in PubMed and the Cochrane Library (October 2004). Methods: The reviews included were those that utilized a systematic search for evidence with regard to OT for specific patient groups. Data were summarized for patient group… 
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TLDR
Occupational therapy focused on improving personal activities of daily living after stroke can improve performance and reduce the risk of deterioration in these abilities.
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TLDR
The quality and applicability of scientific research in occupational therapy intervention related to the use of everyday life occupations and client-centred practice within stroke rehabilitation was investigated and the quality evaluated using an evidence taxonomy and an evidence hierarchy.
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TLDR
An overview of OT interventions in adult mental health and their documented outcomes was provided: employment/education; psychoeducation; creative occupations/activity; time use/occupational balance; skills/habit development; group/family approaches; and animal-assisted therapy.
trials after stroke: systematic review of randomised problems in personal activities of daily living Occupational therapy for patients with
TLDR
Focused occupational therapy focused on improving personal activities of daily living after stroke can improve performance and reduce the risk of deterioration in these abilities.
The Evidence Base for Occupational Therapy in Mental Health: More Systematic Reviews Are Needed
TLDR
This article explains a six-stage process for conducting a systematic review that can be used by occupational therapists in mental health and identifies gaps in the knowledge base.
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The stroke-related content on OTseeker is useful for allied health professionals and a need for better definitions of interventions and consensus about the best outcome measures is highlighted.
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References

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Occupational Therapy for Stroke Patients: A Systematic Review
TLDR
Small but significant effect sizes for the efficacy of comprehensive OT on primary ADL, extendedADL, and social participation are identified and more research is needed to enable evidence-based OT for stroke patients.
Effectiveness of Physiotherapy, Occupational Therapy, and Speech Pathology for People with Huntington's Disease: A Systematic Review
This review provides a summary of the current literature examining the outcomes of physiotherapy, occupational therapy, and speech pathology interventions for people with Huntington's disease. The
Occupational therapy for children with cerebral palsy: a systematic review
TLDR
The inconclusive findings regarding the efficacy of occupational therapy for children with cerebral palsy may be a reflection of the difficulties in efficacy research in OT, and future research should critically reflect on methodological issues.
The effectiveness of physical, psychological, and functional interventions in treating clients with multiple sclerosis: a meta-analysis.
  • N. Baker, L. Tickle-Degnen
  • Medicine
    The American journal of occupational therapy : official publication of the American Occupational Therapy Association
  • 2001
TLDR
A review of the research designs used to study MS suggests that more rigorous research is necessary to fully understand treatment effectiveness and more research must be done to establish the effectiveness of occupational therapy treatment at the life role level.
Occupational therapy for community dwelling elderly people: a systematic review.
TLDR
This review shows that occupational therapy interventions for community dwelling elderly people results in positive outcomes, and research into tailoring interventions to the needs of elderly patients is recommended.
The effectiveness of occupational therapy-related treatments for persons with Parkinson's disease: a meta-analytic review.
  • S. Murphy, L. Tickle-Degnen
  • Medicine
    The American journal of occupational therapy : official publication of the American Occupational Therapy Association
  • 2001
TLDR
A meta-analysis of available evidence on the effectiveness of occupational therapy-related treatments for persons with Parkinson's disease revealed small to moderate positive effects of intervention on outcomesrelated to clients' capacities and abilities as well as for outcomes related to function during activities and tasks.
Occupational therapy for rheumatoid arthritis.
TLDR
Evidence that occupational therapy has a positive effect on functional ability in patients with rheumatoid arthritis is found and there is strong evidence for the efficacy of "instruction on joint protection" and limited evidence for comprehensive occupational therapy in improving functional ability.
A meta-analysis of the effectiveness of occupational therapy for older persons.
TLDR
It was concluded that factors such as publication bias or poor study design are incapable of accounting for the positive meta-analytic result and that occupational therapy represents a worthwhile treatment option for older persons.
The Effectiveness of Community-Based Occupational Therapy Education and Functional Training Programs for Older Adults: A Critical Literature Review
TLDR
The results indicate that there is evidence that programs are effective in three areas: prevention of functional decline and falls, stroke and rheumatoid arthritis.
Occupational therapy for multiple sclerosis.
TLDR
A survey of occupational therapy practice for MS patients including the characteristics and needs of these patients is necessary to develop a research agenda for efficacy studies and no conclusions can be stated whether occupational therapy improves outcome in MS patients.
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