Occupational Therapy Interventions in Adults with Multiple Sclerosis or Amyotrophic Lateral Sclerosis: A Scoping Review.
Luis De-Bernardi-OjuelLaura Torres-ColladoManoli García de la HeraPublished in: International journal of environmental research and public health (2021)
This scoping review aims to describe occupational therapy interventions carried out with multiple sclerosis (MS) and amyotrophic lateral sclerosis (ALS) patients in occupational therapy. A peer review of the literature was conducted in different databases: Pubmed, Scopus, Web of Science and Embase, and in some occupational therapy journals. A search of the literature published was carried out before December 2019. The inclusion criteria were as follows: (1) articles evaluating the intervention of occupational therapy in MS or ALS including experimental, randomized, nonrandomized and exploratory studies; (2) written in English or Spanish; (3) adult population (over 18 years old). The initial search identified 836 articles of which we included 32 divided into four areas of intervention: fatigue-targeted interventions, cognitive interventions, physical interventions and others. Only 16 studies were carried out exclusively by occupational therapists. Most occupational therapy interventions are aimed at fatigue and physical rehabilitation. The majority of the studies in our review included MS patients, with little representation from the ALS population. These interventions have shown an improvement in perceived fatigue, manual dexterity, falls prevention and improvement in cognitive aspects such as memory, communication, depression and quality of life in the MS and ALS populations.
Keyphrases
- amyotrophic lateral sclerosis
- multiple sclerosis
- physical activity
- mass spectrometry
- sleep quality
- ms ms
- randomized controlled trial
- mental health
- systematic review
- end stage renal disease
- white matter
- depressive symptoms
- public health
- chronic kidney disease
- clinical trial
- ejection fraction
- open label
- double blind
- machine learning
- drug delivery
- cancer therapy
- prognostic factors
- neural network