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The effectiveness of nontraditional or home-based programing on ADL performance of individuals living with multiple
Kimberlyn Belveal1, Stephanie Gunkel-Lam1, Amanda Hajare1
1The University of Texas Medical Branch at Galveston, 301 University Blvd. # 3.908, Galveston, TX 77555-1142, United States.
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.
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