The relationship between sensory experiences and social functioning in children with autism spectrum disorder.

Objective: This study was undertaken to substantiate the connection between sensory experiences and social functioning among 142 children ages 4-10 years with autism spectrum disorder. Methods: Using an online cross-sectional survey, mothers' perceptions of sensory and social characteristics of their children on parent-reported measures of sensory experiences and social functioning were collected. Findings: Using SPSS software to follow the related descriptive statistics and correlational analysis, the results indicated that children had different levels of challenging sensory experiences and social interaction difficulties. It was revealed that higher intensities of sensory issues were associated with lower levels of functioning and greater social interaction difficulties. Further analysis revealed that less awkward, unpleasant experiences in the auditory and tactile sensory functioning correlated with less social difficulties. Conclusions: Given that no causal relationship could be drawn in this study, the findings complemented those of earlier studies, which suggest engagement in social interactions may be correlated with sensory response patterns.

Impact of an Interdisciplinary Team and Traditional Therapy on Functional Recovery of Patients With Covid-19 in Inpatient Rehabilitation.

This is a retrospective study that evaluated the medical charts of prior patients who were admitted to a hospital with the coronavirus, to trace changes in their function-based capabilities after receiving inpatient rehabilitation. Data related to demographics and comorbidities as well as self-care and functional mobility capabilities were reviewed at admission and discharge. Under the care of an interdisciplinary team and traditional therapy, patients with Covid-19 in this study demonstrated positive recoveries. The results suggested the effectiveness of having an interdisciplinary model and the potential influence of demographics and comorbidities on recovery from the Covid-19 virus.

Making lighting adjustments to establish new behavioral patterns in a child with autism: A follow-up study.

Acknowledging the importance of lighting adjustment (a less-studied aspect of the environmental modification), this study showed novel effects of black light conditions, where white objects became part of the foreground of a blackened environment to train a child with autism to master a series of self-care tasks. This follow-up study provided details about how training progressed under black light conditions to teach the child a second task called self-feeding. The process of training self-feeding for this child was undergone after the child mastered the self-care task of toothbrushing. Healthcare practitioners may want to illuminate overlooked aspects of the non-human environment, which may be ignored by children with autism, to stimulate interest in objects following lighting adjustments.

A cross-sectional study to investigate motivation for physical activity in a sample of Iranian community-dwelling older adults.

Background: On the basis of the Social-Ecological Model, there are assumed to be three sources of motivation - intrapersonal, interpersonal, and community motivation - that prompt older adults to participate in physical activity (PA). These three motivational sources can lead to PA behavior adherence. Little empirical research exists that investigates which motivational source is more influential in older adults' adherence to PA, thus creating an area of interest for this research. Methods: A cross-sectional study was used to investigate the relationship between levels of PA and different sources of motivation. The convenience sample of 140 community-dwelling older adults, aged 60 and greater, living in Shiraz, Iran agreed to complete self-reported questionnaires,to measure motivation and PA. Five statistical tests were used: Independent-samples t test, one way ANOVA, Pearson correlation coefficient, chi-square, and ordinal regression. Results: Ordinal regression indicated that gender (P = 0.001, CI: 0.523-2.115) and intrapersonal motivation (P < 0.001, CI: 0.038-0.126) were useful predictors of variations in the levels of PA. Compared to males, females engaged in PA with less frequency (P = 0.006). Community motivation decreased with age (r = - 0.213, P < 0.05). There were no significant relationships between age, educational level, health status, and PA (P > 0.05). Conclusion: Interpersonal and community motivation were insignificant factors for PA participation, perhaps due to non-facilitating environment. Future research should be conducted to investigate the environmental issues that hinder PA participation in older adults.

Neuro-occupation: A self-organizing approach to conflate the brain, context, and occupation.

BACKGROUND.: Neuro-occupation was coined to conflate three distinctly different concepts: the brain, context, and occupation. Discussing neuro-occupation has been more of an academic exercise rather than cogently researched for everyday practice, perhaps due to the seemingly incongruity among the concepts. PURPOSE.: This article traces the self-organization approach, an assumption of complex systems, to understand how the concepts can be conflated. METHOD.: Deductive category application, a qualitative descriptive method for tracing theoretical assumptions, was drawn from the lived experiences of 11 Iranian participants with cerebrovascular accidents. Matrix construction aided collection of data for analysis. FINDINGS.: The self-organization approach, underpinning neuro-occupation, was shown to be traceable, explaining how occupational participation may be influenced by the brain circular causality and perturbations provided by the context. IMPLICATIONS.: By understanding the dynamics of self-organization, occupational therapists can identify and create salient features that may motivate and enable clients to enhance occupational participation.

The Relationships between Problem-Solving, Creativity, and Job Burnout in Iranian Occupational Therapists.

Cognitive resources are assumed to have the potential to buffer the negative influence of job demands. In this study, the relationship between burnout, a consequence of job demands, and cognitive resources of problem-solving and creativity was investigated. There were 50 occupational therapists that completed three standardized instruments assessing problem-solving, creativity, and burnout. Using multiple regression analysis and the Independent-Samples t-test to analyze the data, results showed that cognitive resources were inversely associated with burnout [R2 = 0.38, F (4, 45) = 6.94, p < 0.001] and comparison analysis showed significant differences in creativity between males and females (p = 0.04). Significant positive correlations were also found between creativity and working experience whereby higher levels of creativity associated with more working years. Problem-solving and creativity require attention in occupational therapy because they may mitigate against burnout as the consequence of job demands. A possible implication would be the necessity of empowering occupational therapists' cognitive resources.

Modification of the training environment to improve functional performance using blacklight conditions: a case study of a child with autism.

Objective: This retrospective case study of an eight year old female with autism illuminates how alteration of the training environment using florescent objects under blacklight conditions, may have been the facilitating impetus that increased her interaction with objects over time. Methods: This study approach was chosen to best correspond with establishment of an individualized education plan for a child with limited functional skills. The complicated task of teaching toothbrushing was broken down into 34 action steps, grouped into six training clusters that were chained together, using a hierarchy of prompts that were faded on every step, until the child functioned on each step independently. Her progress was evaluated by four points of data. Findings: The child interacted with objects and became independent in toothbrushing. Conclusion: Backlighting brought previously ignored objects into the foreground, enabling a child with autism to develop or accentuate visual focus. Future research about the effect of blacklight paired with powerful instructional techniques is recommended.

A Cognitive Neurodynamic Approach to Prediction of Students' Adaptation to College: An Ex-Post Facto Study.

INTRODUCTION: Campus life tends to make social and academic demands on college students. To cope with these demands, students are required to use their neurocognitive skills of problem-solving and planning intentional actions that target towards adaptation to college. This paper presents an illuminating perspective that would inform understanding of a new approach to cognitive neuroscience. The linkage between cognition and adaptation was sought in the context of a cognitive neurodynamic approach proposed by the Intention, Meaning, and Perception (IMP) model of neuro-occupation. METHODS: An ex post facto study was conducted on a convenience sample of 187 college students in Shiraz, Iran. A brief questionnaire was developed to screen participants for diversity of cognitive neurodynamic processing capacity and three standardized questionnaires were used to gather data about college adaptation manifestations. The partial correlation, 1-way, and 2-way ANOVA tests were used to analyze the data. RESULTS: The partial correlation test showed large, positive correlation (r≥0.7, P<0.001) between elements of the cognitive neurodynamic process, denoting that the interrelated connections among intention, meaning, and perception were governed by feedback loops. One-way ANOVA test revealed that students with diverse cognitive neurodynamic processing capacity had a variety of college adaptation manifestations. Two-way ANOVA showed a statistically significant main effect for neurodynamic processing capacity (F2, 178=8.1, P<0.001). CONCLUSION: College adaptation could have been established by the cognitive neurodynamic process proposed by the IMP model. Therefore, it is advisable for faculty, mental health practitioners, and counselors who work with students at universities to understand this process and address students' maladaptation to campus life.

Comparing the Cognitive Process of Circular Causality in Two Patients with Strokes through Qualitative Analysis.

Walter J. Freeman pioneered the neurodynamic model of brain activity when he described the brain dynamics for cognitive information transfer as the process of circular causality at intention, meaning, and perception (IMP) levels. This view contributed substantially to establishment of the Intention, Meaning, and Perception Model of Neuro-occupation in occupational therapy. As described by the model, IMP levels are three components of the brain dynamics system, with nonlinear connections that enable cognitive function to be processed in a circular causality fashion, known as Cognitive Process of Circular Causality (CPCC). Although considerable research has been devoted to study the brain dynamics by sophisticated computerized imaging techniques, less attention has been paid to study it through investigating the adaptation process of thoughts and behaviors. To explore how CPCC manifested thinking and behavioral patterns, a qualitative case study was conducted on two matched female participants with strokes, who were of comparable ages, affected sides, and other characteristics, except for their resilience and motivational behaviors. CPCC was compared by matrix analysis between two participants, using content analysis with pre-determined categories. Different patterns of thinking and behavior may have happened, due to disparate regulation of CPCC between two participants.

Adaption to Stroke: A Nonlinear Thinking Approach in Occupational Therapy.

This paper explores the role of perturbance and attractor, two key nonlinear features described by the Neuro-occupation model in shaping human behavior. A convenience sample of eleven Iranian participants who had both strokes and demonstrated high resilience were recruited for this study. To explore the process of how participants fell under the influence of the perturbance and attractor, the content analysis with pre-determined categories using deductive reasoning was used. The findings suggest that perturbance and attractor exerted considerable influences on adaptation to stroke and assist in the understanding of the Neuro-occupation model.

Healthy older adults balance pattern under dual task conditions: exploring the strategy and trend.

Background: In line with health promotion plans, early intervention and fall prevention in geriatric population, it is important to study healthy individuals balance mechanisms. The aim of this research was to investigate the effect of adding and removing visual input and dual task on elderly balance. Methods: Twenty healthy elderly recruited from four different senior citizen health club centers and from the University of Social Welfare and Rehabilitation Sciences (USWR) participated in this analytic cross-sectional study. At USWR's Motor Control Laboratory, the participants' postural sway were assessed using force plate in 4 distinct double leg standing conditions with and without presence of visual input and Stroop dual task. Postural and Stroop variables were compared. Results: Findings indicated that when the elderly encountered with either dual task or absence of visual input, they can still manage the situation in a way that changes in sway parameter would not become significant. But, when these two conditions occurred simultaneously, the participant's balance strategy fluctuated. Therefore, the mean velocity showed a significant difference between the "single quiet standing" condition and the condition of standing with eyes closed while the participants were answering Stroop dual task (Mean difference = -0.007, 95% CI = -0.012, -0.002). Conclusion: It appears that velocity parameter is sensitive to small changes, so it is recommended that researchers include this parameter in their future analyses. Balance in elderly can be manipulated by dual task and visual input deprivation.

Exploring the Nature of the Intention, Meaning and Perception Process of the Neuro-occupation Model to Understand Adaptation to Change.

The theoretical model of neuro-occupation, intention, meaning and perception, sought to describe the symbiotic relationship between occupation and the brain, as a chaotic, self-organized, complex system. Lack of evidence has limited its applicability to practice. The aim of this study was to track the postulates of the model within the daily experiences of subjects. Structured matrices were created for content analysis, using a qualitative multiple-case-study design, typically used for testing models. An underpinning principle of the model, defined a circular causality feedback process, which was confirmed as described through tracing the repetitive processes within the lived experience of two Iranian men. The process suggested that continual adaptation occurred in lives interrupted by cerebrovascular accident, which enabled the subjects to return to expression of meaning through purposeful occupation and continually re-shaped their perceptions. The primary limitation of this study was that it was the earliest attempt to test the model and to substantiate the process by comparing the similarities and differences between too few subjects. Future research should identify the same process in more subjects and validate a practical assessment tool for clients. These findings may inform practitioners about intentional use of occupational challenges to elicit adaptive behaviours in clients.

Modification of the Persian version of Hermans Achievement Motivation Questionnaire to develop an adapted scale for measuring motivation of post-stroke survivors in Iran.

Background: Research has shown that in order for recovery from a stroke to occur, motivation for recovery has been essential component of rehabilitation. Researchers and clinicians have tended to categorize stroke survivors subjectively into two groups: those who have been motivated or unmotivated, perhaps due to the paucity of objective measures that distinguish the groups. Since classification of clients based on subjective inference would be prone to bias, this pilot study aimed to establish a regionally validated scale that was adequately standardized for measuring motivation of adult post-stroke survivors in Iran. Methods: The Persian version of Hermans Achievement Motivation Questionnaire (PHAMQ) was identified as the best test for the purposes of this study. A multistep process was undertaken to create an adapted scale from the PHAMQ that focused on functional behaviors, often seen in the process of rehabilitation. Thus, the Adapted Achievement Motivation Questionnaire (AAMQ) was examined for reliability and validity. Cronbach's alpha was used for measuring internal consistency and expert panel opinions were sought to analyze the content validity of AAMQ. Results: A convenience sample of 25 stroke subjects comprised of 10 males and 15 females participated in this study with the mean age [(± standard deviation (SD)] 58.3 ± 9.8 years and range of 35-72 years. Expert opinion regarding the relevance of AAMQ items led to provide compelling evidence for a 28-item AAMQ. Cronbach's alpha of 0.946 showed a perfect internal consistency for test items. Conclusion: This pilot study suggested that AAMQ could be utilized as a regionally validated scale for examining the motivational level of patients who have sustained strokes in Iran. Further research are recommended.