Dr. Sebestina Anita D’Souza

Professor

Department of Occupational Therapy

CURRENT ACADEMIC ROLE & RESPONSIBILITIES

    Dr Sebestina Anita Dsouza is Professor, Department of Occupational Therapy, MCHP, Manipal Academy of Higher Education. She oversees the academic program and the clinical services of the department.

    She is also:

    ·         PhD guide

    ·         Clinical In-charge of Neuromedicine, Neurosurgery and Medicine units.

    ·         Dissertation guide for postgraduate students of Neurorehabilitation

    ·         MOT & BOT clinical supervisor

    ·         BOT & MOT teaching faculty

    ·         Subject in-charge: Occupational Therapy: Occupational Therapy in Neurorehabilitation (II MOT)

 

SUBJECTS CURRENTLY TEACHING

Subject Subject code Semester
Occupational Therapy Fundamentals I BOT
Occupational Therapy Neurological, Geriatric and Medical Condition III BOT
Occupational Therapy Practice Issues IV BOT
Occupational Therapy in Neurorehabilitation, Part A II MOT
Occupational Therapy in Neurorehabilitation, Part B II MOT

ACADEMIC QUALIFICATIONS

Degree Specialisation Institute Year of passing
PhD Geriatrics Manipal Academy of Higher Education 2012
MSc in Occupational Therapy Neuroscience Lokmanya Tilak Municipal & Medical College, Sion, University of Bombay, Mumbai, India. 1999
BSc in Occupational Therapy Occupational Therapy in Neuroscience Topiwala National Medical College, Bombay Central, University of Bombay, Mumbai 1997

Experience

Institution / Organisation Designation Role Tenure
Department of Occupational Therapy,MCHP, Manipal Academy of Higher Education Professor & Head PhD Guide, Clinical In-charge of Neuromedicine, Neurosurgery, Medicine and geriatric units, Clinical supervisor of Neuromedicine unit, BOT teaching faulty, MOT teaching faculty, MOT dissertation guide for Neuroscience specialization 2013 onwards
Department of Occupational Therapy, SOAHS, Manipal Academy of Higher Education Associate Professor BOT coordinator, BOT & MOT syllabus revisions and planning, BOT & MOT teaching faculty, MOT dissertation guide for Neuroscience specialization, Clinical In-charge of Neuromedicine, Neurosurgery, Medicine and geriatric units, Clinical supervisor of Neuromedicine unit 2005 - 2013
Department of Occupational Therapy, SOAHS, Manipal. Senior Grade Lecturer BOT coordinator, BOT teaching faulty, MOT teaching faculty, MOT dissertation guide for Neuroscience specialization, Clinical supervisor of Neuromedicine unit, 2002 - 2005
Department of Occupational Therapy, SCOAHS, Manipal. Lecturer BOT teaching faulty, academic planning, scheduling and organization, Clinical supervisor in Mental Health unit 2000 - 2002
Department of Occupational Therapy, Christian Medical College, Vellore, Tamil Nadu. Lecturer BOT teaching faulty and coordinator for I BOT, Clinical supervisor in Mental Health unit 1999-2000

Meeting community needs through collaborative partnerships: A case study of a novel awareness program for learning disability using creative art forms

2017-01-12 Shashank Mehrotra

This publication was part of project named “ASHA: An awareness program for learning disability” which was financially supported by Lions and Lioness Club, Manipal, Udupi. Role (Principle investigator/Co-Investigator): Co-Investigator Publications (If any): Title, Journal. Year Month; Volume (Issue): Page No. Meeting community needs through collaborative partnerships: A case study of a novel awareness program for learning disability using creative art forms, World Federation of Occupational Therapists Bulletin, 2017 April, 73:2, 125-127, DOI: 10.1080/14473828.2017.1308085 Research period: January 2016- February 2017 (The project was carried out at different timelines in community). Description (Funding description if any): This publication was part of project named “ASHA: An awareness program for learning disability” which was financially supported by Lions and Lioness Club, Manipal, Udupi.

Managing Time in Dementia

Dr. Vinita Acharya Ms. Meena Ramachandran

Role: Principle investigator Publications: None Research period: August 2017 - August 2020 Description: Indo-Swedish collaborative project funded by ICMR, India and Forte, Sweden

AREAS OF INTEREST, EXPERTISE AND RESEARCH

Area of Interest

Occupational Therapy education and research, curriculum development, neurorehabilitation, motor control and motor learning, occupation and participation, ergonomics, geriatrics and gerontology, work-related health problems, health promotion and prevention,

Area of Expertise

Neurorehabilitation, especially with stroke rehabilitation, Parkinson’s disease, fall prevention in older adults, health promotion and prevention, management and prevention of computer related health problems, functional restoration in neurological conditions.

Area of Research

Stroke rehabilitation, fall prevention in older adults, health promotion and prevention, management and prevention of computer related health problems, functional rehabilitation in neurological conditions.

Professional Affiliations & Contributions

  • Life Member of All India occupational Therapy Associations (AIOTA).
  • Reviewer for abstracts of the 15th International Congress of the World Federation of Occupational Therapists held on 4-7 May, 2010, Santiago.
  • Participated in Validation of the Comprehensive ICF Core Set for Multiple Sclerosis from the Perspective of Occupational Therapists supported by ICF Research Branch of the WHO CC  FIC, Department of Physical Medicine and Rehabilitation of the University of Munich, Germany in 2006.

Work Experience

Organisation Role Tenure
Manipal Academy of Higher Education Press (MUP) Member of the team of copy editors for MUP 2012 onwards
School of Allied Health Sciences, MU Chairperson of Student Affairs Committee 2012-2014
All India Occupational Therapist Association Reviewer for Indian Journal of Occupational Therapy 2011-2013
School of Allied Health Sciences, MU Member of Research Committee 2006-2012

Impact of International Collaborative Project on Cultural Competence among Occupational Therapy Students

2014-02-04 International collaboration, culture, global partnership Sood D Cepa D Shovan Saha

Abstract: Occupational therapy (OT) educators recognize a need to ensure that OT students are culturally competent. The researchers developed the International Collaborative Project on Cultural Competence (ICPCC) to help students understand the impact of cultural context on client care. Entry-level MOT students from a university in the US (N = 18) collaborated with BOT students (N = 4) and advanced MOT students (N = 9) from two universities in India using an online course management system WebCT. The study explored the impact of the ICPCC on OT students’ cultural competence and discusses students’ perceptions of culture on the OT process. The Inventory for Assessing the Process of Cultural Competence among Health Care Professionals Revised© measured students’ cultural competence at baseline and immediately after participation in the ICPCC. Qualitative data was collected using a Self-Reflection Form. There was an increase in the cultural competence scores among all three groups of students after participating in the ICPCC at p value < .05. Three themes emerged from the qualitative data analysis: meaning of the term culture, impact of cultural on client centered practice, and impact of cultural on OT outcomes. OT students recognized the role that cultural differences play in OT evaluation and intervention. The Open Journal of Occupational Therapy, 2(3), Article 7

Falls in older adults: a barrier to active ageing in India

2014-02-06 Accidental falls; Aged; Prevalence; Primary prevention; Risk factors B Rajashekhar Dsouza HS Kumar KB

ABSTRACT: Objectives. Rapid population ageing is predicted in India. Falls are one of the causes of injuries and non-communicable diseases associated with old age. Studies on falls in Indian older adults were reviewed to determine the prevalence, consequences, risk factors, and interventional strategies for falls. Data sources. MEDLINE, PubMed, Google, and IndMED. Study selection. Studies related to falls in Indian older adults published after 2000 were found using the key words: falls, Indian older adults or older adults, prevalence, circumstances and consequence, injuries, risk factors, health, balance, and mobility. Data extraction. The search resulted in 16 publications and 3 unpublished research studies. Data synthesis. The prevalence of falls in Indian older adults ranges from 14% to 53%. Falls result in considerable morbidity and mortality. Indian elderly people are facing challenges secondary to the changing socio-economic scenario, economic dependency, and decreasing family support. Fall-related injuries impose a substantial financial burden on older adults and their families, in addition to dependency for daily activities and activity restriction. Conclusion. Falls are an emerging public health problem and a barrier to active ageing in India. There is an urgent need for coordinated and collaborative efforts of health professionals, researchers, policy makers, and health care delivery systems to prevent falls and promote active ageing. Asian Journal of Gerontology and Geriatrics; 9(1): 33–40

An Integrated Multimodal Intervention of Remedial and Adaptive Approaches improves Function in Secondary Dystonia of Hand: A case report

2013-01-04 women with disabilities, movement disorders, rehabilitation, orthoses, electrical stimulation, activity adaptations

ABSTRACT: Purpose: To evaluate an integrated approach of remedial and adaptive interventions that were employed to improve functional independence of a young woman with childhood-onset secondary dystonia of the right hand. Methods: The intervention involved inhibiting dystonic movements, functional training with correct movement patterns, and activity modifications. The techniques combined multiple modalities (static and dynamic orthoses, electrical stimulation, purposeful activities, and adaptations), therapeutic exercises (stretching, inhibitory strategies and strengthening), sensorimotor training and motor learning strategies. Results: After a year-long intervention of supervised therapy sessions and home programmes, there were improvements in dystonia severity (25%), hand functions (38%) and disability scores (30.3%). Conclusion: The intervention outlined is a positive therapeutic approach to enhance function in secondary dystonia of the hand. Disability, CBR & Inclusive Development, 24(2): 100-110.

Modified Falls Behavioral Scale for Indian community dwelling older adults

2012-02-07 Guruprasad V KR Banumathe

Abstract: In the absence of culturally relevant measurement tool to assess behavior factors leading to fall in Indian older adults, this study aims to develop an objective measure to assess behavioral factors leading to fall by modifying the existing Falls Behavioral Scale for Australian older adults and establish its content and construct validity. METHOD: Following interviews with older adults, the existing scale was modified for language and relevant items. The 30-item preliminary scale thus developed was sent to experts for content validation, following which five items were added. For the field trial, 193 older adults were assessed with the 35 items Modified Falls Behavioral Scale, the Berg Balance Scale, and physical functioning component of SF-36. RESULTS: Following factor analysis, one item was eliminated, the items were reloaded to different dimensions and one new dimension “Anticipatory Strategies” was introduced. The final 34- item scale was positively associated with history of fall in last one year (r =0.021, p < .005) and age of the older adults (r = 0.26, p <.001). The scale also had significant negative correlation with Berg Balance Scale (r=-.4, p< .001), number of times an older adult went out in last one month (r = -0.031, p < .001), and SF 36 Physical Functioning (r = -.18, p = .01). CONCLUSION: In the present study, a 34-item Modified Falls Behavioral Scale was developed to assess fall behaviors in Indian older adults, and its content validity and construct validity is established International Journal of Scientific Research, 1(2): 152-154

Diagnosis, evaluation, and treatment of lead poisoning in general population

2011-01-04 D'souza SH Menezes G Thuppil V

Abstract: Among the heavy metals, lead still remains the major toxic pollutant of the environment. Human exposure to lead can occur through numerous pathways including air, food, dust, soil, and water. In the present study 14 lead poisoned patients with non-occupational lead exposure were evaluated. They were followed up and compared against the controls with no history of lead exposure. The patients had high blood lead levels and symptoms of weakness, dizziness, abdominal pain, generalized body ache, loss of appetite, and anxiety. Repeated course of chelation therapy helped to bring down their body burden of lead. Alternative sources for lead exposure can cause severe lead poisoning in general population. Screening and medical management of such individuals is very important to identify and eliminate sources of lead. The treatment and management requires a thorough medical evaluation and environmental intervention. Indian Journal of Clinical Biochemistry; 26(2): 197–201.

Computer Related Injuries: Awareness and Health Behaviors in Computer Users

2011-01-01 Shiao E Yamuna C Bhat P

Abstract: OBJECTIVE: This cross-sectional survey aims to investigate the awareness of Computer Related Injuries (CRI) and in computer users and their health behaviors related to computer use. METHOD: using a questionnaire 200 computer users were interviewed about their awareness of CRI and health behaviors with respect to computer use. RESULTS: Among the participants, 58.5% were aware of CRI of the various symptoms, pain was commonly identified (60%). Few identified prolonged keyboard use (40%), mouse use (33%) and striking key hard (22%) as causes of CRI. Participants were are of CRI as preventable (69%) and most preventable methods, with the exception of “pacing work” (41.5%). As compared to use of keyboard tray (49.5%), keeping mouse in easy reach (67.5%) and taking one break in an hour (45.5%); the other recommended methods of computer use were not used. 12% undertook computer activities in their break. Few were involved in regular stretching (12.5%) and exercises (25.5%). There was no significant relationship between prevalence of musculoskeletal symptoms and awareness of CRI. CONCLUSION: Computer users awareness of CRI appears to be fragmented. Education progams should emphasize on the appropriate health behaviors, cautions use of computers of leisure and encourage an active lifestyle for effective prevention of CRI. Indian Journal of Occupational Therapy; 43(1): 10-15

Moberg Pick-up Test (Indian version): Test-Retest Reliability and Normative values for Indian adults of 30 to 60 years

2010-02-09 dexterity, functional sensibility, test-retest reliability, normative values. Kishan V

ABSTRACT: Objective: To determine the test-retest reliability of Moberg Pick-Up Test (MPUT), Indian version and establish normative values for Indian adults of 30 to 60 years of age. Methods: The performance of 600 adults in the age groups 30-39, 40-49 and 50-60 years, on MPUT (Indian version) was assessed. 50 subjects were reassessed after three days. Results: The coefficient alpha for test-retest reliability was 0.985.There was no significant difference in test components between 30-39 and 40-49 years age groups, and significant difference (P<0.05) between 40-49 and 50-60 years age groups. Women were significantly faster (P<0.05) than men on most components. Performance with dominant hand was significantly faster (P<0.05). Conclusion: The test has good test-retest reliability. Hand dexterity declines with age, especially after 50 years. The normative values based on age and gender will be useful in occupational therapy practice. Indian Journal of Occupational Therapy; 42(3): 9-12.

Evaluation and treatment of wrist drop in a patient due to lead poisoning: Case Report

2009-02-12 Lead poisoning, Wrist drop, BPb levels, Chelation therapy, Occupational hazard D'souza SH Menezes G Thuppil V

Abstract: Lead (Pb) is widely used because of its useful properties and it is ubiquitous in human environment. There are various lead based industries and several workers who are working in these industries without the knowledge of the ill effects of lead and hence not taking proper precautions while handling lead. Many a times, these workers who have accumulated lead in their blood and body organs, are not properly diagnosed and might receive only symptomatic treatment. We describe a thirty-two-year old male, who was working in an unorganized lead based industry for 3 yr, developed severe lead poisoning leading to wrist drop. Since one year the patient received only symptomatic treatment for abdominal pain. His laboratory investigation showed elevated blood lead levels. The chelation therapy using D-Penicillamine brought down his blood lead levels and is on follow up presently. It is required to take proper history about the occupation of the patient, exposed to potentially hazardous levels of lead in the workplace and medically evaluate them. Industrial Health; 47: 677–680

Balance confidence in Indian community dwelling older adults.

2008-02-12 Kaushik A

ABSTRACT: Background and Purpose: Poor balance confidence has been recognized as an intrinsic factor of falls that leads to restriction of daily activities thereby affecting the quality of life of older adults. The aim of this study was to investigate the balance confidence in Indian community dwelling older adults and its influence on performance of daily activities. Methods: Sixty older adults above 65 years of age volunteered to participate in the study. Mean age of the participants was 74.28 years (S.D=6.90). Balance confidence was determined using the Balance Confidence Scale which was administered through personal interview. The mean balance confidence was then categorized on the basis of severity as low (0%-30%), medium (31%-60%) and high (61%-100%). Results: Five percent Indian community dwelling older adults reported low balance confidence, 23.33% reported medium and 71.67% reported high balance confidence. Analysis of balance confidence on individual activities showed that older adults reported lower balance confidence on community mobility activities like going to hilly areas (31.67%), walking in crowd (26.67%) and crossing a road (25.0%). Conclusion: The study suggests that Indian community dwelling older adults report decreased confidence in activities of community mobility, which may hinder their participation in social activities; which is essential to promote active ageing and improve the quality of life. An early screening of balance confidence and its influence on activity participation is essential in fall risk assessment. Intervention strategies directed towards intrinsic factors along with modification in the attributed environmental factors may enhance balance confidence and reduce risk for falls in older adults. Journal of the Indian Academy of Geriatrics; 4(4): 149-155, 2008

Developing a scale to assess balance confidence in Indian community dwelling older adults.

2008-01-05 Falls, Fear of Falling, Balance confidence, Self-efficacy, Activity restriction, Older adults. Sharma A

Abstract: PURPOSE: In the absence of culturally relevant measurement tools to assess fear of falling (FOF) in older adults, this study aims to develop an objective measure to assess balance confidence in the community dwelling Indian older adults (>65years), establish its test-retest reliability, content and construct validity. METHOD: Items were generated from reviewof literature, semi-structured interview of older adults and discussion with experts. After content validation, the Balance Confidence Scale (BCS) with 22 items was developed. To establish the construct validity of BCS, field trial on 60 respondents was done comprising of high and low mobility groups with 30 respondents each. To establish test-retest reliability and reliability of phone as a mode of administration, 15 respondents were reassessed after two weeks interval. RESULTS: The experts validated the content of BCS. Construct validity of BCS is established (p<0.001). BCS has high test– retest reliability (r=0.93, p<0.001), high internal consistency (a=0.97) and reliability on phone (r=0.96, p<0.001). CONCLUSION: BCS is a reliable tool for assessing balance confidence in Indian community dwelling older adults with content and construct validity established. BCS may contribute significantly to a comprehensive, functional and culturally relevant fall risk assessment and guide intervention in fall prevention and rehabilitation programs. Indian Journal of Occupational Therapy; 40(2): 33-47

Circumstances & consequences of falls in Indian older adults

2008-02-04 Falls, Older adults, Fall prevention. Karol J Shringarpure A

ABSTRACT: Objective: To determine the prevalence, circumstances and consequences of falls in Indian older adults. Methods: 190 older adults, 60 years and above were interviewed for history and description of falls in the previous two years. Results: 72 older adults (38%) fell, amassing 95 falls, 47% women fell as compared to 31.2% men (p=.040). Fall prevalence increased with age (p=.035). 58.6% older adults using mobility aids/personnel assistance for ambulation fell as compared to 34.2% older adults not using mobility aids (p=.022). Falls most often occurred in the morning (54.7%); while engaged in ambulatory activities (58.9%) and bathing (18.9%). Most of the falls occurred on the road (30.5%) and in the bathroom/toilet (21.1%). Slips (44.2%) and trips (25.3%) were the most prevalent causes of falls. Soft tissue injuries (28.4%) were most common injuries and physician’s treatment was required for 47.37% of fall related injuries. 52.8% of older adults with falls had fear of fall and 30.6% reported activity restriction especially outdoors. Conclusion: Falls are a prevalent health problem in Indian older adults. Fall prevention is important to promote health and well-being in older adults. The results provide insight into circumstances of falls. Implications for occupational therapy in fall prevention are discussed. Indian Journal of Occupational Therapy; 40(1): 3-11.

The effect of inter-manual transfer of an occupationally-embedded task on skill generalization

2006-03-04 Occupationally embedded task, Motor learning, Intermanual transfer or cross transfer, Near-transfer task, Far-transfer task, Dexterity, Generalization Ganesk K

OBJECTIVE: In this study, intermanual transfer effects of an occupationally embedded task (chopsticks activity), its underlying skill (dexterity) and the ability to generalize the skill to near (spoon activity) and far (lock activity) transfer tasks were examined. METHOD: 50 right-handed college students (mean age = 20.58; SD = 2.41) who volunteered were trained in chopsticks activity (right hand). Before training they underwent pretest on spoon and lock activities (left hand) and left hand subtest of Purdue pegboard (dexterity).24 hours after training, posttest was conducted on all the three pretest activities (left hand) and chopsticks activity (both right & left hands). Dependent variables measured were performance time, number of errors and number of pegs placed. RESULTS: Analysis revealed no significant difference in error (p>0.05), but significant difference in time (p<0.001) for chopsticks activity. Comparison of pre & post test data showed significant change in both error (p<0.001) and time (p<0.001) for spoon activity and in time (p<0.001) for lock activity and in performance of Purdue pegboard (p<0.001). CONCLUSION: The study indicates that in a population without impairments, intermanual transfer of an occupationally embedded task and its underlying skill occurs with asymmetry and the skill is generalized to near and far transfer tasks. Indian Journal of Occupational Therapy; 38(1): 3-8

A study addressing the impact of cognitive and perceptual deficits on sitting and standing balance following cerebrovascular accident

2001-02-04 stroke, sitting balance, standing balance, cognitive deficits, perceptual deficits Vyas O

OBJECTIVE: The study aimed to determine the effect of cognitive and perceptual deficits on sitting and standing balance following stroke. METHOD: 32 patients with a first episode of acute stroke participated in the study. Lowenstein Occupational Therapy Cognitive Assessment (LOTCA) was used to assess their cognitive and perceptual functions. Sitting and standing balance was assessed with a six and seven point ordinal scale respectively. RESULTS: Chi-square tests revealed significant correlation of sitting balance with LOTCA subtests Orientation in Place (p= .04), Riska Object Classification Structured (p=.04) and Unstructured (p=.01) and attention (p=.02). Standing balance showed significant correlation with LOTCA subtests of Visual Shapes Identification (P = .03), Pegboard Construction (P = .01), Riska Object Classification Structured (p =.003) and Unstructured (P <.001), Geometric Sequencing (P == .01) and Attention (P = .001). CONCLUSION: Cognitive and perceptual deficits following stroke influence sitting and standing balance and should be addressed in balance assessments and interventions following stroke Indian Journal of Occupational Therapy; 33(1): 11-15.

Occupational Therapy Perspective of Dementia

2010-01-01 Shovan Saha

Chapter in Kar N, Jolley D, Misra B, eds. Handbook of Dementia. 6th ed, 2010: 251-279. New Delhi: Paras.

A Cross-Sectional Survey on Older Adults’ Community Mobility in an Indian Metropolis. Journal of Cross-Cultural Gerontology

2015-15-12 Activity. Community mobility. Environment. Older adults. Public transport .Roles

Abstract Community mobility supports occupational participation among older adults and promotes active ageing. This study aimed to explore community mobility of older adults within an urban Indian context in view of the limited available literature in this area. A cross sectional survey was conducted on a convenience sample of 75 older adults residing in Chennai city using a questionnaire and a non-retrospective, open format, two-day time diary. Participants engaged in community mobility and activities outside home for 10 % of time over two days. Activities and roles related to religious and spiritual activities and expression, social participation, leisure and informal personal education participation occupied most time and were engaged in most frequently. Walking was the most frequently used mode of transportation and participants reported numerous road-related hazards (lack of proper pavements, disobedience of traffic rules, difficulty crossing roads, crowded roads, and poor condition of roads). Participants used public transport less often. Public transport-related barriers (difficulty boarding and alighting buses/trains due to high steps/insufficient time, inadequate seat reservation for older adults, overcrowding and increased expense on auto rickshaws/taxis) were also expressed as concerns. Participants linked their ability to use public transport with independence and assigned relatively less value to driving. The findings emphasize the significance of community mobility to promote participation in older adults and recommend age-friendly environments in Indian cities. Journal of Cross-Cultural Gerontology. DOI 10.1007/s10823-015-9276-7. Published online 26 December 2015

Bathroom hazards among older adults in western India: a cross-sectional study.

2015-15-12 Accidental falls; Aged; Baths; Safety management Joshi RM

ABSTRACT: Background. Bathroom accidents are a common cause of injury in older adults. This study aimed to identify the types and prevalence of bathroom hazards in the urban Indian elderly. Methods. 110 female and 88 male community-dwelling older adults in Ahmedabad aged ≥60 years living in a house with at least one bathroom were included. Hazards in their bathrooms were identified using the 18-item Bathroom Hazard Checklist. Results. Of the 198 bathrooms, 85 (42%) had 7 to 10 hazards, and 113 (58%) had 11 to 15 hazards. Frequent architectural hazards included absence of bidirectional doors (100%), inadequate door width (100%), slippery floor (91.9%), inappropriate bathroom size (80.3%), and high door threshold (53.5%). Frequent non-architectural hazards included absence of non-skid mat at entrance (99.5%), absence of grab bars (97%), absence of exhaust fan (96.6%), inadequate bathroom illumination (94.4%), inadequate illumination of bathroom pathway (91.4%), unavailable/unsafe hot water use (89.9%), unsafe seating surface (55.6%), absence of light switch at entrance (53%), and cluttered pathway (39.4%). Conclusions. The prevalence of bathroom hazards in the urban Indian elderly was high. Modification of non-architectural hazards is important to reduce injury risk. Guidelines for age-friendly bathroom design and construction are recommended. Improving awareness of older adults and caregivers is also important to safety. Asian Journal of Gerontology and Geriatrics; 10(2): 83–91

Meeting community needs through collaborative partnerships: A case study of a novel awareness program for learning disability using creative art forms.

2017-01-12 Shashank Mehrotra

Learning disability (LD) is a prevalent problem among Indian children. Due to poor awareness among teachers and parents, children with LD face many challenges in school that adversely affect their self-confidence and career prospects. The present case study describes a novel community-based awareness program for LD. Occupational therapy students performed street plays, a culturally relevant art form in public places and schools, depicting the symptoms of LD, effect on the child and family and management. The program also involved a pilot workshop for 20 primary school teachers emphasizing on early signs and symptoms, their critical role in early identification during the formative years of a child, behavioral issues and management strategies. The program required engagement of key stakeholders, namely the university, healthcare team, district education department, schools, civic authorities and philanthropists in the community. It demonstrates how occupational therapists could liaison and develop creative partnerships to serve community needs. World Federation of Occupational Therapists Bulletin, 73(2), 125-127. DOI: 10.1080/14473828.2017.1308085

Self-management Skills for Occupational Therapists.

2017-01-12 Shashank Mehrotra

Mehrotra, S., & Dsouza, S. (2017). Self-management Skills for Occupational Therapists. In Dsouza. S. A., Galvaan. R., Ramugondo. E. L. (Eds.), Concepts in Occupational Therapy: Understanding Southern Perspectives (368-384) Manipal. Manipal University Press.

Instrumental Activities of Daily Living (IADL) among Indian Older Adults

2015-01-06 IADL, older adults, participation, importance, independence Shashank Mehrotra

This study explores the IADL participation of Indian elderly. It identifies IADL that Indian elderly find meaningful and determines the level of independence in IADL participation.

Age and Gender influences on Inter-limb Co-ordination during Marching-in-place

2015-01-06 inter limb coordination, age, gender Swati Sweta Das

This study investigates the inter-limb coordination in marching-in-place and studies the influence of age and gender on the same.

Participation and Satisfaction in Life roles of Community Dwelling Indian Elderly Women with good and poor mobility

2015-01-06 elderly women, mobility, participation, satisfaction, life roles Thajus Asirvatham

This study compares elderly women with good and poor mobility to understand the impact of mobility on participation and satisfaction in life roles. It concludes that mobility impairments influence the participation and satisfaction with life roles.

Normative Performance of Indian Older Adults on Modified Jebson Hand Function Test

2014-02-06 older adults, gross hand function, older adults, normative values Prerna Lal

Normative Performance of Indian Older Adults on Modified Jebson Hand Function Test This study establishes the normative values for Indian older adults on the Modified Jebson Hand Function Test, a test of gross dexterity.

Perspectives of Older Adults on Community Mobility in an Indian Metropolis

2014-02-06 community mobility, metropolis, experiences, barriers, challenges Meena Ramachandran

This is a qualitative study involving older adults of Chennai city on their experience of community mobility, the problems encountered and the strategies they us to deal with the problems.

A Cross-Sectional Study on Bathroom Hazards in Urban Community Dwelling Older Adults

2014-02-06 bathroom, elderly, hazards, injury prevention, safety Ruchir M. Joshi

This study investigates the type and prevalence of hazards in bathrooms of community dwelling elderly in Ahmedabad, India.

A cross sectional study on fall related injuries and hospital admissions in Indian elderly.

2013-01-06 Falls, older adults, fall-related injuries, functional status and cost Kosha F. Shah

This study is a cross-sectional survey of elderly hospitalized for fall related injuries and the impact on functional independence.

Impact of Motor recovery and functional dependence in chronic young stroke survivors on caregiver burden.

2013-01-06 motor recovery, Activities of daily living, caregiver burden Metapalli L.K. Anusha

This study investigates the caregiver burden of young stroke survivors and studies the influence of the survivor’s motor recovery and functional independence on caregiver burden.

Comparison of fall risk in rural and urban community dwelling Indian older adults.

2013-01-06 Fall, elderly, urban, rural Yashaawini Kumari

This study cross-sectional evaluates the fall risk in rural and urban community dwelling Indian older adults and discusses its implications.

Modified Fall Behavioral Scale for Indian Community Dwelling Older Adults

2012-01-06 fall behaviors, older adults, falls, community-dwelling Guruprasad V

This study describes the development of a tool for assessment of fall-related behaviors in older adults.

Effect of age and activity on performance of floor-sitting in Indian Adults

2012-01-06 Floor-sitting, movement patterns, age, activity Anjana Nagarajan

This study analysis the performance of floor-sitting using video recording of Indian adults and studies the influence of age and activity on the performance.

Modified Jebsen Test of Hand Function: Test-Retest Reliability and Normative Values for Indian Adults of 20 t0 59 years

2012-01-06 Gross dexterity, hand function, age, gender Timsy Jain

This study establishes the test-retest reliability of the modified Jebsen Test of Hand Function and reports the normative values for Indian adults.

Bimanual coordination and its impact on functional performance in adults with epilepsy

2012-01-06 Bimanual coordination, functional tasks, cognition, epilepsy, antiepileptic medications Siddhi Jobalia

This study investigates bimanual coordination in adults with epilepsy and its impact on some fnctional activities

A Retrospective Study on Fall Related Injuries and Hospital Admissions in Indian Elderly

2012-01-03 fall-related admissions, older adults, prevalence, consequences Ashita Chopra, Ann Susan Mathew

This retrospective study investigates the prevalence of falls that resulted in injuries requiring hospital admission and the consequences of the same.

A study to evaluate the Influence of Occupation on functional sensibility and two Point Discrimination of Hand

2011-01-06 functional sensibility, dexterity, two-point discrimination, occupation, gender Larisuk Raplang

This study investigates the influence of occupations on functional sensibility and two point discrimination of the hand in young adults.

Effectiveness of Ipsilateral hand Training on dexterity of the (contra lateral) hemiparetic hand.

2011-01-06 stroke, cross-transfer phenomenon, occupationally embedded task, dexterity Sarah Mary Joseph

This pilot study investigates the effectiveness of an activity based intervention for the unaffected hand using the phenomenon of cross-transfer for improving dexterity of the hemiparetic hand.

Effectiveness of activity based Bilateral arm training in acute-sub acute phase after stroke

2011-01-06 acute-subacute stroke, hemiplegia, activity based bilateral arm training, motor recovery Yamuna C

This study investigates the effectiveness of bilateral arm training in acute-subacute phase of stroke.

Effect of Lateral Head Movements on walking with manual Dual Task in Elderly and young Adults

2011-01-06 head movements, dual task, young and older adults, walking speed Arun D

This study evaluates the effect of lateral head movements during dual-task performance on walking speed and quality in elderly and young adults

Effect of Dual Task on Functional Mobility of Adults With Subacute And Chronic Stroke

2010-01-06 dual task, stroke, functional mobility Vidushi Sharma

This study investigates the effect of dual task on functional mobility of adults with stroke.

Effectiveness of Exercises to alter the Risk of Computer Related Musculoskeletal Problems in bank Employees: A Quasi Experimental Pilot Study.

2009-01-06 Exercises Computer Related Musculoskeletal Problems, bank employees Shinu Bobby

This study compares two different exercise programs to reduce risk of musculoskeletal problems in bank employees working with computers for prolonged duration

Effect of Dual Task On Components of Functional mobility In Elderly

2009-01-06 dual task, functional mobility, healthy older adults, older adults at risk for fall Tony M. Thomas

This study investigates the effect of dual task performance on the components of functional mobility: sit-stand, gait initiation, walk, turn and stand-sit

Moberg Pick Up Test-Norms For Indian older Adults

2008-02-06 elderly, functional sensibility, normative values P. Karthikeyan

This study establishes the normative values of the Moberg Pick up test for Indian elderly and discusses its clinical application.

Effectiveness of Reaction Time Training For Ipsilateral Upper Limb Following Stroke: A Pilot Study

2008-02-06 stroke, reaction time, cross-transfer Lakshmi Narayanan

This study investigates the effectiveness of reaction time training for the ipsilateral upper limb in stroke patients on improving the reaction time of ipsilateral side and motor recovery of the contralateral side following stoke.

Awareness about Computer Related Health Problems And Work Related Health Behaviors in Computer Professionals

2008-01-03 computers, awareness, work behaviors, musculoskeletal problems Evlyn Shiao Prithvi Bhat Yamuna C.

This cross-sectional study investigates the prevalence of musculoskeletal problems, in computer professionals and also their health behaviors at work to understand the influence of health behaviors on CRHP.

Developing a scale to Assess Balance Confidence In Indian Community Dwelling older Adults

2007-01-06 falls, balance confidence, older adults Archna Sharma

This study involves developing a contextually relevant tool to assess balance confidence in Indian older adults

Age-And Gender-Related Performance In Community-Dwelling Indian Older Adults On Four Square Step Test (FSST)

2007-01-06 Four Square Step Test, dynamic balance, older adults, normative values Sherry Batra

This cross-sectional study establishes age and gender based norms of the FSST for Indian older adults that could be used in clinical assessment of fall risk in Indian elderly

A cross Sectional Survey on Falls And Its Related Factors in Indian Older Adults

2007-01-02 falls, Indian older adults, circumstances and consequences Aditi Shringapure Jhanavi Karol

This cross-sectional survey studies the prevalence of falls in older adults in Udupi, and also the circumstances and consequences of the falls.

Effect of Physical Context On Learning An Occupationally Embedded Task

2006-01-06 learning, occupationally embedded task, physical context Vasudha Rishi Mohan

This study compares the influence of physical context on learning of an occupationally embedded task in young adults. It highlights the importance of understanding the influence of physical features of the task on learning

The Relationship of Anthropometric factors and Functional reach in young Indian Adults

2006-01-06 Indian young adults, balance, anthropometric factors K.P. Jaikumar

This study studies the effect of height and weight on functional reach of young adults in India and discusses its implications on balance abilities

Moberg pickup Test (MUPT): Test-Retest reliability And Norms for 30-60 Years Indian Adults

2006-01-06 dexterity, functional sensibility, test-retest reliability, normative values Vikram Kishan

This study establishes the normative values in Indian population for the MUPT. It also determines its test-retest reliability and supports the clinical application of this test.

Influence of Age & Culture on Performance of Indian Older Adults on Modified Behavioral Inattention Test

2006-01-06 older adults, visual field, culture, behavioral inattention test Amitabh Kishor D.

This study investigates the influence of age and culture on the performance of Indian elderly on the behavioral inattention test. It recommends that age and cultural influences need to be considered when interpreting test results.

A Normative Study of Functional Reach Test In Indian Population: Comparison with Western Norms

2005-01-06 adults, balance, functional reach test, norms Samuel Kamlesh Kumar

This study establishes the normative values on Indian population for the Functional reach test that supports its use in clinical practice.

Attentional Demands During Postural control under Single And Dual Task Conditions In Middle And Older Adult Group

2005-01-06 falls, balance, elderly, secondary task Jagadeesh S

This is aprelimnary study that explores the influence of a secondary task on balance abilities in elderly and discusses its implications in fall prevention in elderly

The Effect of Inter Manual Transfer of an Occupationally Embedded Task On Skill Generalization.

2005-01-06 Occupationally embedded task, Motor learning, Intermanual transfer, Dexterity, Generalization. Ganesh Kumar

This study investigates the effect of intermanual or inter-limb transfer on skill generalization following practice of an occupationally embedded task (feeding with chopsticks) in young adults. The implications on clinical populations is discussed

Effectiveness of Sensory Interaction Training for Improving Standing Balance After Stroke: A Pilot Study

2004-01-06 balance, sensory interaction training, stroke Rinta Peter Vijayan

This experimental study investigates the effectiveness of balance training with graded sensory context on standing balance in patienst with stroke.

Basic Visual Function Deficits and their effects on functional tasks following cerebrovascular accident

2004-01-06 basic visual functions, cerebrovascular accidents, daily living Ritu Sharma

This study investigates the effect of basic visual function deficits on functional abilities of acute stroke patients.

Effect of Cognitive Impairments on Ipsilateral hand Performance Following acute stroke

2004-01-06 stroke, ipsilateral side, apraxia, hand Tarun Ramachandran

This study investigates the impact of cognitive impairments on ipsilateral (unaffected) hand following acute stroke and identifies praxis abilities influencing the performance of the ipsilateral side.

    Article on stroke

    Udayavani, 2011. The article explains in simple term the warning signs of stroke, the importance of immediate medical management and the rehabilitation following stroke.

    Article on fall prevention in elderly

    Udayavani, 2006. The article discusses on the causes of falls in elderly, the importance of fall prevention and strategies for the same.

    Article on Rheumatoid Arthritis

    Udayavani, 2003. The article discusses on the causes and symptoms of arthritis, the management for the same and strategies to retard the degenerative process.