TY - JOUR
T1 - The effectiveness of nontraditional or home-based programing on ADL performance of individuals living with multiple sclerosis
T2 - A systematic review
AU - Belveal, Kimberlyn
AU - Gunkel-Lam, Stephanie
AU - Hajare, Amanda
AU - Lambropoulos, Alexandra
AU - Rogers, Shelby
AU - Hilton, Claudia
AU - Armstead, Amber
N1 - Publisher Copyright:
© 2023 Elsevier B.V.
PY - 2023/3
Y1 - 2023/3
N2 - Purpose: To examine evidence-based nontraditional and home-based interventions and their efficacy for use in individuals with MS to improve performance in their daily activities. Materials and methods: A search of five databases including PubMed, CINAHL, Cochrane Library, OT Seeker, and Ovid Medline produced 924 research articles. Thirty-two articles were selected for full-text review, of which 15 were included in this systematic review. Inclusion criteria: Articles were level 2B or higher evidence, had a minimum of 19 participants with MS, addressed ADLs or body functions supporting ADL performance, and were published since 2010. Exclusion criteria: Articles not written in English and not identified as nontraditional or home-based programming. Results: The review uncovered strong evidence for the use of the nontraditional interventions of vestibular rehabilitation, self-management, yoga, musical production, and ELEVIDA to improve ADL performance in individuals with MS. Strong evidence supported the use of home-based programs that included cognitive behavioral therapy, cooling suits, manual dexterity, strengthening, vestibular rehabilitation, and physical activity. Conclusions: High levels of evidence support the use of nontraditional or home-based interventions to improve ADL performance in clients with MS. Innovation and technology continue to expand the occupational therapist's toolbox of interventions.
AB - Purpose: To examine evidence-based nontraditional and home-based interventions and their efficacy for use in individuals with MS to improve performance in their daily activities. Materials and methods: A search of five databases including PubMed, CINAHL, Cochrane Library, OT Seeker, and Ovid Medline produced 924 research articles. Thirty-two articles were selected for full-text review, of which 15 were included in this systematic review. Inclusion criteria: Articles were level 2B or higher evidence, had a minimum of 19 participants with MS, addressed ADLs or body functions supporting ADL performance, and were published since 2010. Exclusion criteria: Articles not written in English and not identified as nontraditional or home-based programming. Results: The review uncovered strong evidence for the use of the nontraditional interventions of vestibular rehabilitation, self-management, yoga, musical production, and ELEVIDA to improve ADL performance in individuals with MS. Strong evidence supported the use of home-based programs that included cognitive behavioral therapy, cooling suits, manual dexterity, strengthening, vestibular rehabilitation, and physical activity. Conclusions: High levels of evidence support the use of nontraditional or home-based interventions to improve ADL performance in clients with MS. Innovation and technology continue to expand the occupational therapist's toolbox of interventions.
KW - Activities of daily living
KW - Home-based programming
KW - Multiple Sclerosis
KW - Nontraditional
KW - Occupational therapy
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U2 - 10.1016/j.msard.2023.104576
DO - 10.1016/j.msard.2023.104576
M3 - Review article
C2 - 36842310
AN - SCOPUS:85149050046
SN - 2211-0348
VL - 71
JO - Multiple Sclerosis and Related Disorders
JF - Multiple Sclerosis and Related Disorders
M1 - 104576
ER -