Early daily activity: development and description of an occupation-based intervention for surgically repaired distal radius fractures

Julie M. Collis, Elizabeth C. Mayland, Nicola Kayes, Nada Signal

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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 languageEnglish
Pages (from-to)1158-1170
Number of pages13
JournalClinical Rehabilitation
Volume38
Issue number9
DOIs
Publication statusPublished - 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

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