Chih-Huang Yu, Virgil Mathiowetz; Systematic Review of Occupational Therapy–Related Interventions for People With Multiple Sclerosis: Part 1. Activity and Participation. Am J Occup Ther 2014;68(1):27–32. https://doi.org/10.5014/ajot.2014.008672
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© 2019 American Occupational Therapy Association
This article is the first part of a systematic review of studies on occupational therapy–related intervention for people with multiple sclerosis (MS). The objective of this systematic review was to critically appraise and synthesize the applicable findings to address the following focused question: What is the evidence for the effectiveness of interventions within the scope of occupational therapy practice for people with multiple sclerosis? This article focuses on occupational therapy interventions aimed at activity and participation, including programs (e.g., inpatient and outpatient rehabilitation) in which an occupational therapy practitioner was one member of the team. Part 2 (Yu & Mathiowetz, 2014) focuses on interventions within the scope of occupational therapy to remediate impairment (e.g., exercise, cognition, emotional regulation).
Rehabilitation programs, including outpatient rehabilitation programs (2 Level I and 1 Level II), inpatient rehabilitation programs (2 Level I and 3 Level III), home-based programs (2 Level I and 1 Level III), rehabilitation programs in a variety of settings (2 Level I), vocational rehabilitation programs (1 Level I), and functional mobility programs (2 Level I and 1 Level II)
Fatigue management courses, including face-to-face format (3 Level I and 1 Level II) and long-distance format (2 Level I and 2 Level III)
Health promotion programs (3 Level I).
Occupational therapists can contribute to individualized and goal-directed multidisciplinary rehabilitation programs promoting engagement in occupational performance. Although occupational therapy services vary among programs and settings, the evidence indicates that direct training in functional performance results in greater improvement than therapeutic exercises.
Occupational therapists can use group fatigue management courses delivered in a face-to-face or long-distance format to reduce the impact of fatigue on clients and improve their quality of life. Therapists can also use these courses to emphasize the balance between person, occupation, and environment and to encourage active engagement in occupations and fulfillment of life roles.
Occupational therapists should have a role in the development of health promotion programs. They can incorporate concepts of occupation and actual doing into the program to motivate active learning and active engagement in occupations required for life roles.
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