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The OT Journal Club, on The Occupational Therapy Hub

The OT Journal Club

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Topic of the month (January-February 2021): Effects of Telerehabilitation in occupational therapy practice: A Systematic review


Facilitator of the month: Dr. Taslina Kader (Occupational therapist), India.



The following article is an open access systematic review (Level I evidence) published in the Hongkong Journal of occupational therapy . The link to the article is provided at the end of the post.


791 Views
Abhinav  Mishra
Abhinav Mishra
Jan 30, 2021

This is the perfect topic taken up Dr. Taslina.. I would like to congratulate you for the same.. I too believe that telerehab has helped alot. but at the same time i have also experienced limitations with many of my clients with balance disorder.. Even in stroke rehab for that matter. What is your view regarding the sustainability of this model??

September - October 2020: Walking as a meaningful occupation

Topic for September – October 2020: Walking as a meaningful occupation.

Hosted by: Eleanor Dixon, MSc OT student at Sheffield Hallam University, UK.




This article is titled “Walking as a meaningful leisure occupation: the implications for occupational therapy” (Wensley & Slade, 2012), published in the British Journal of Occupational Therapy.


This level of evidence falls into category VI as seen in the following table, which is based on the effectiveness rating scheme by Ackley, Swan, Ladwig & Tucker (2008).


787 Views
Ellie Dixon
Oct 01, 2020

Hi Abi, thanks for your comments, I completely agree! This article highlights the wide range of benefits and value of meaningful occupational engagement, particularly the sense of purpose and satisfaction associated with engagement, as well as socialisation.

I also agree that an outcome measure would strengthen the findings in relation to developing and evidence-base for practice, although it does well to explore the range of benefits.

I have not used the re-motivation process in practice yet, although I would be interested to hear others views on it's usage, especially considering it's focus on comparing functioning to the individuals abilities, fostering choice, control and hope for individuals, which may be particularly pertinent in Mental Health practice.

Abhinav  Mishra
An active participant in OT Circles - posting, commenting and/or sharing resources

OT Circles Engager

Topic of the month: (July- August 2020) Rehabilitation Robotics: A systematic review.



Facilitator of the month: Dr. Abhinav Mishra, India ( Neuro-Occupational Therapist)


The following article is an open access article published in the JIMR publications. The link to the article is provided at the end of the post.


Aims and Issues addressed by the article:

This article aims to identify the potential and latest trends in the area of exoskeleton- or robotic-aided therapy in combination with VR, AR, or gamification for the improvement of motor function for post-stroke patients.


551 Views
Lkjh Hyui
Oct 20, 2024

The integration of rehabilitation robotics, VR, AR, and gamification in occupational therapy is revolutionary. This systematic review highlights the potential of exoskeleton-aided therapy, especially when combined with engaging gaming elements, to improve motor function in post-stroke patients.


As Dr. Abhinav Mishra pointed out, the study's findings emphasize the need for more research on home-based rehabilitation using these technologies. By bridging the gap between clinical and home settings, occupational therapists can improve patient outcomes and motivation. The use of multiplayer gaming, in particular, shows promise in promoting social interaction and confidence.


The article's open access nature and the authors' meticulous methodology following PRISMA guidelines make it a valuable resource for occupational therapists. Thank you, Dr. Mishra, for facilitating this discussion and sharing your expertise in rehabilitation robotics. As we continue to explore the therapeutic potential of gaming, I look forward to seeing future studies that change the game for rehabilitation outcomes.

Bill Knight
An active participant in OT Circles - posting, commenting and/or sharing resources

OT Circles Engager

Topic of the month - May - June 2020: Social and Therapeutic Horticulture Interventions


Facilitator for the Month: Bill Knight, Bristol, UK (Resources & Services Lead)


The following article is an open access article published in The Open Journal of Occupational Therapy.


The link is provided for the same at the end of the post.


1138 Views
kerriemacmurray
Sep 24, 2021

I was very lucky to be supported on my 3rd year placement to implement a gardening group in a forensic mental health setting. (I will note that I trained in horticulture before OT). The sense of purpose the clients demonstrated, their response to being trusted with a caretaking role/gentle responsibility, their personal achievement when seeds germinated and the positivity of the group, including the officers and allied health staff as everyone worked towards a common goal was overwhelming and so rewarding. I particularly noted that the trust given to our clients, when working with tools that could easily have been used as weapons, was paid back tenfold. Obviously there were many confines in the group practice, the materials and plants we could use and the design of the space, but every single client was involved, whether it was choosing their favourite veggies to grow, sowing seeds with gloves on due to sensory aversions, digging and raking to let off some steam, watering as part of a morning routine or harvesting and engaging in cooking. My highlight was when a chap who rarely showed any emotion just lit up when his saw his seeds had germinated and he got to plant them out. The sense of shared ownership calmed clients and supported collaboration. A very enriching experience and I will carry it with me always. I sf it's made specific enough to suit individual goals, inclusion, choice and control, then it's a great intervention in any setting and the growing body of evidence backs this up.

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