GLORIA

GEOMAR Library Ocean Research Information Access

X

Your email was sent successfully. Check your inbox.

An error occurred while sending the email. Please try again.

Proceed reservation?

Export
  • 1
    Online Resource
    Online Resource
    Post-operative management of flexor tendon injuries at zone II and flexor pollicis longus – a survey of Irish practice
    Emerald ; 2021
    In:  Irish Journal of Occupational Therapy Vol. 49, No. 2 ( 2021-12-10), p. 70-76
    Details
    In: Irish Journal of Occupational Therapy, Emerald, Vol. 49, No. 2 ( 2021-12-10), p. 70-76
    Abstract: The post-operative management of flexor tendon injuries has been the focus of considerable exploration and there continues to be variation in approaches and methods of mobilisation. The purpose of this paper is to explore therapy management following repair to flexor tendons at zone II and flexor pollicis longus (FPL) (all zones) in Ireland. Design/methodology/approach A descriptive survey questionnaire design through an online format was used. Therapists were recruited through the Irish Association of Hand Therapists, the national bodies for occupational therapy and physiotherapy, and therapy managers in acute hospitals, with 29 therapists participating in the study. Descriptive statistics were used to analyse the survey data. Findings Patients were generally seen three to five days following surgery. Early active mobilisation approaches were favoured by all but one therapist, with 62% using the Belfast protocol and 34% the Manchester Short Splint (MSS) protocol. Each early active protocol exercise session commences with passive motion followed by graded active flexion. Tenodesis is incorporated by the majority of respondents within the first four weeks. Therapy programme and splints are modified based on patient presentation. Resistance exercises are commenced from week seven. Patient compliance was identified as the most influential factor in the post-operative intervention approach taken. Originality/value This study provides the first Irish profile of current practice in the post-operative management of flexor tendon repairs at zone II and FPL which has not previously been reported. Further research should explore the reasoning behind the interventions chosen and also the implications for practice of changes to surgical techniques.
    Type of Medium: Online Resource
    ISSN: 2398-8819 , 2398-8819
    URL: Article
    DOI: 10.1108/IJOT-01-2021-0001
    Language: English
    Publisher: Emerald
    Publication Date: 2021
    detail.hit.zdb_id: 2919965-7
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 2
    Online Resource
    Online Resource
    Surgical Treatment of Swan-Neck Deformity in Hemiplegic Cerebral Palsy
    Elsevier BV ; 2007
    In:  The Journal of Hand Surgery Vol. 32, No. 9 ( 2007-11), p. 1418-1422
    Details
    In: The Journal of Hand Surgery, Elsevier BV, Vol. 32, No. 9 ( 2007-11), p. 1418-1422
    Type of Medium: Online Resource
    ISSN: 0363-5023
    URL: Article
    DOI: 10.1016/j.jhsa.2007.07.002
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2007
    detail.hit.zdb_id: 2023397-8
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 3
    Online Resource
    Online Resource
    An examination of the operative and post-operative management of trapeziometacarpal osteoarthritis in Ireland
    IOS Press ; 2023
    In:  Physiotherapy Practice and Research ( 2023-06-23), p. 1-10
    Details
    In: Physiotherapy Practice and Research, IOS Press, ( 2023-06-23), p. 1-10
    Abstract: BACKGROUND: The trapeziometacarpal or first carpometacarpal (CMC) joint is the second most common joint affected in osteoarthritis (OA) of the hand. Surgical intervention may be required when conservative measures fail to alleviate symptoms. OBJECTIVE: To investigate operative and post-operative management of trapeziometacarpal osteoarthritis in Ireland. METHODS: An on-line Qualtrics survey was used to determine practice patterns of hand surgeons and therapists including surgical technique, patterns of referral to therapy, treatment protocol and perceived pain impact. RESULTS: Twenty surgeon’s responses were received. Trapeziectomy with Ligament Reconstruction and Tendon Interposition (LRTI) was the most common procedure for all stages of arthritis for sedentary and manual patients. Sixty seven percent (n = 18) stated they perform an additional procedure if stage IV arthritis is present. Eighty percent (n = 16) stated they would perform an additional procedure for MCP joint hyperextension. There were 28 therapist responses. Almost all respondents indicated that patients are initially casted post-surgery with 88% (n = 24) indicating they remain casted for 1-2 weeks. A rigid long thumb spica and neoprene splint are most commonly used. The commencement of exercises differed between respondents and surgical procedures. All participants stated that pain is an issue in the rehabilitation of these patients. CONCLUSIONS: There was consistency in the surgical procedure choice. The stage of arthritis and functional level of the patient was not found to be an important factor for choosing this procedure. There is some consensus for post-operative casting and splinting but more variability in terms of exercise prescription. Pain is a factor to consider post-operatively.
    Type of Medium: Online Resource
    ISSN: 2213-0683 , 2213-0691
    URL: Article
    DOI: 10.3233/PPR-230746
    Language: Unknown
    Publisher: IOS Press
    Publication Date: 2023
    detail.hit.zdb_id: 2669151-6
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 4
    Online Resource
    Online Resource
    Chest tube drainage of pleural effusion correcting abdominal ascites in a patient with severe ovarian hyperstimulation syndrome: a case report
    Elsevier BV ; 1995
    In:  Fertility and Sterility Vol. 63, No. 5 ( 1995-05), p. 1114-1117
    Details
    In: Fertility and Sterility, Elsevier BV, Vol. 63, No. 5 ( 1995-05), p. 1114-1117
    Type of Medium: Online Resource
    ISSN: 0015-0282
    URL: Article
    DOI: 10.1016/S0015-0282(16)57558-X
    Language: English
    Publisher: Elsevier BV
    Publication Date: 1995
    detail.hit.zdb_id: 1500469-7
    SSG: 12
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 5
    Online Resource
    Online Resource
    Impact of an Evidence-Based Practice Course on Occupational Therapist's Confidence Levels and Goals
    Informa UK Limited ; 2015
    In:  Occupational Therapy In Health Care Vol. 29, No. 1 ( 2015-01-02), p. 27-38
    Details
    In: Occupational Therapy In Health Care, Informa UK Limited, Vol. 29, No. 1 ( 2015-01-02), p. 27-38
    Type of Medium: Online Resource
    ISSN: 0738-0577 , 1541-3098
    URL: Article
    DOI: 10.3109/07380577.2014.968943
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2015
    detail.hit.zdb_id: 2093881-0
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 6
    Online Resource
    Online Resource
    ‘In your own head everyone is staring’: the disability related identity experiences of young people with hemiplegic cerebral palsy
    Informa UK Limited ; 2022
    In:  Journal of Youth Studies Vol. 25, No. 1 ( 2022-01-02), p. 50-66
    Details
    In: Journal of Youth Studies, Informa UK Limited, Vol. 25, No. 1 ( 2022-01-02), p. 50-66
    Type of Medium: Online Resource
    ISSN: 1367-6261 , 1469-9680
    URL: Article
    DOI: 10.1080/13676261.2020.1844170
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2022
    detail.hit.zdb_id: 2008171-6
    SSG: 5,2
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 7
    Online Resource
    Online Resource
    Investigation of the conservative management of mallet injury in Irish acute hospitals
    SAGE Publications ; 2012
    In:  Hand Therapy Vol. 17, No. 2 ( 2012-06), p. 28-36
    Details
    In: Hand Therapy, SAGE Publications, Vol. 17, No. 2 ( 2012-06), p. 28-36
    Abstract: Mallet injury is a commonly treated hand injury in acute hospitals. While there is much literature regarding the various treatment options and outcomes, no studies were found that describe the management of this injury across a national health service. This study describes how mallet injury is managed within the acute hospital system in Ireland. An understanding of the current system of service provision is essential for future service development in this area. Method Emergency and occupational therapy departments in the 29 acute case-mix hospitals in Ireland were contacted by telephone and postal questionnaire with 47 respondents participating in the study. Descriptive statistics are used to present the results. Results Results indicate that accessing acute hospital-based services for the conservative management of mallet injury typically follows a predictable pathway, but can result in delays and disruption to treatment for the patient. There is little evidence of direct referral from the emergency department to the occupational therapist which, when compared with published literature, would represent the most efficient and optimum care pathway for the patient. The choice of splint used by both the emergency and occupational therapy departments differs, but treatment provided is in line with available evidence-based practice. Conclusions This preliminary study provides a basis for future service development in the acute management of mallet injury, by describing how treatment is currently provided nationally. Recommendations for further investigation have been made, and the need for audit and outcome measurement has been highlighted. The development of therapy-led services in Ireland is proposed, to improve efficiency and quality of service provision in the conservative management of mallet injury.
    Type of Medium: Online Resource
    ISSN: 1758-9983 , 1758-9991
    URL: Article
    DOI: 10.1258/ht.2012.012004
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2012
    detail.hit.zdb_id: 2492669-3
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 8
    Online Resource
    Online Resource
    An investigation of the acute management of closed intra-articular fractures of the proximal interphalangeal joint in Ireland
    Emerald ; 2020
    In:  Irish Journal of Occupational Therapy Vol. 48, No. 1 ( 2020-03-27), p. 55-68
    Details
    In: Irish Journal of Occupational Therapy, Emerald, Vol. 48, No. 1 ( 2020-03-27), p. 55-68
    Abstract: Many treatment methods for intra-articular fractures of the proximal interphalangeal (PIP) joint are described in the literature without a consensus on the most effective approach. The purpose of this study was to investigate the methods of treatment of PIP joint fractures being used by trauma surgeons in the Republic of Ireland currently and the timing of referral to therapy. Design/methodology/approach A cross-sectional descriptive study methodology was used to survey trauma surgeons, occupational therapists and physiotherapists in Ireland. An online platform was used. A total of 21 surveys were returned by surgeons and 37 by therapists. Descriptive statistical analysis was used to present the results. Findings Buddy strapping was reported as the primary treatment method for stable PIP joint fractures. All levels of fracture severity were reported to be treated using traction constructs, which include static and dynamic fixation and orthoses. Unstable fractures were managed using open reduction with internal fixation by 50 per cent of surgeons. Early timing of referral to therapy is reported by more surgeons than therapists. The majority of therapists indicated that they did not have the resources to see patients at the optimal time. Originality/value To the authors’ knowledge, this study provides the first description of the management of PIP joint fractures across the Irish health service. The findings of this study suggest that additional therapy resources are required within the health service executive to facilitate the desired early referral to therapy and to enable service development for this category of hand fractures.
    Type of Medium: Online Resource
    ISSN: 2398-8819 , 2398-8819
    URL: Article
    DOI: 10.1108/IJOT-09-2019-0011
    Language: English
    Publisher: Emerald
    Publication Date: 2020
    detail.hit.zdb_id: 2919965-7
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 9
    Online Resource
    Online Resource
    Autism Awareness Interventions for Children and Adolescents: a Scoping Review
    Springer Science and Business Media LLC ; 2021
    In:  Journal of Developmental and Physical Disabilities Vol. 33, No. 1 ( 2021-02), p. 27-50
    Details
    In: Journal of Developmental and Physical Disabilities, Springer Science and Business Media LLC, Vol. 33, No. 1 ( 2021-02), p. 27-50
    Type of Medium: Online Resource
    ISSN: 1056-263X , 1573-3580
    URL: Article
    DOI: 10.1007/s10882-020-09741-1
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2016851-2
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
Close ⊗
This website uses cookies and the analysis tool Matomo. More information can be found here...