Abstract
Objective: To describe the theoretical development and structure of an occupation-based intervention for people with a surgically repaired distal radius fracture.
Intervention development and rationale: The Early Daily Activity (EDA) intervention uses the performance of strategically selected daily activities as the primary rehabilitative strategy. Occupation-based interventions are recommended for hand injury rehabilitation but are often poorly described and lack explicit theoretical underpinnings. The EDA-intervention was developed from exploratory research that informed the theory and structure. The theoretical principles are that daily activity performance is (i) safe within defined parameters (ii) appropriately self-determined (iii) produces high ranges and amounts of therapeutic movement, and (iv) builds psychosocial competencies.
Intervention description: The EDA-intervention is designed to be commenced within 2 weeks of surgery. There are three key components. The first is activity-specific education to emphasise the safety, benefits, and therapeutic actions of activity performance. A set of parameters for defining safe activities is described to support education. The second component is patient–therapist collaboration to select a range of daily activities that provide a ‘just-right’ challenge. Collaboration occurs at regular intervals throughout the rehabilitation period to incrementally increase the challenge of activities. The third component is performance of activities at-home targeted at improving range of movement and function.
Next steps: The EDA-intervention can be used by hand therapists, but it has not yet undergone effectiveness evaluation. A planned study will explore clinician readiness to adopt the EDA-intervention, inform iterative changes to the protocol and the design of feasibility and effectiveness studies.
Original language | English |
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Pages (from-to) | 1158-1170 |
Number of pages | 13 |
Journal | Clinical Rehabilitation |
Volume | 38 |
Issue number | 9 |
DOIs | |
Publication status | Published - Sept 2024 |
Bibliographical note
Publisher Copyright:© The Author(s) 2024.
Keywords
- activities of daily living
- distal radius fracture
- hand therapy
- Occupation-based intervention
- occupational therapy
- rehabilitation