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Influence of Purposeful Activities on Upper Extremity Motor Performance: A Systematic Review.

Julie M Collis¹, Nada Signal¹, Elizabeth Mayland²

¹Auckland University of Technology, New Zealand.

OTJR : Occupation, Participation and Health

|March 24, 2020

Summary

Engaging in purposeful activities and occupations enhances upper extremity motor performance. This approach shows potential for rehabilitation following injury, though more research in musculoskeletal populations is needed.

Keywords:

occupation rehabilitation systematic review

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Area of Science:

Rehabilitation Science
Occupational Therapy
Motor Control

Background:

Exercise approaches are common for upper extremity motor impairments after injury.
Occupation-based approaches are less promoted, with unclear mechanisms.
Purposeful activity engagement may improve motor performance compared to non-purposeful tasks.

Purpose of the Study:

To review the influence of purposeful activities and occupations on upper extremity motor performance.
To compare motor performance during purposeful activities versus non-purposeful movements.
To assess the potential of occupation-based approaches in rehabilitation.

Main Methods:

Systematic literature search of studies comparing motor performance during purposeful activities and non-purposeful movements.
Inclusion of studies in healthy adults or those with upper extremity musculoskeletal injuries.
Analysis of 21 moderate-quality studies, predominantly in healthy populations.

Main Results:

Upper extremity movement quantity and quality were enhanced during purposeful activities.
Evidence suggests purposeful engagement improves motor outcomes.
Studies were primarily conducted on healthy individuals.

Conclusions:

Purposeful activities can enhance upper extremity movement and address motor impairments post-injury.
Occupation-based approaches warrant greater promotion in rehabilitation.
Further research is needed in musculoskeletal populations to validate these findings.