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Biomedical subjects

C Trombly

Publications and source records attributed to C Trombly.

6 recordsLinked to original sources
PubMed1993

Anticipating the future: assessment of occupational function.

I believe that the occupational therapy assessment procedure should reflect our conceptualization of occupational functioning and that there should be a congruence among goals, assessments, and treatment. I believe that there should be a universal occupational therapy intake assessment procedure that follows a top-down approach to clarify for the client that the role of occupational therapy is to promote his or her occupational functioning. All the layers of function that we treat should be assessed, with the particulars of context incorporated into assessments at the activity and higher levels. Further and most important, occupational functioning should be fully conceptualized and the relevant constructs and their relationships verified and made clear to all.

Activities of Daily Living↗
PubMed1990

The effect of mouth closure on drooling and speech.

The efficacy of a feeding program to decrease drooling and increase vocalizations by promoting mouth closure was explored in two boys with cerebral palsy through the use of oral facilitation techniques. A single-subject ABA design was repeated across subjects. Baseline 1 consisted of 5 (Subject 1) and 10 (Subject 2) half-hour sessions during which the subjects were fed applesauce and apple juice without treatment. A 1-hr play session followed, during which saliva was collected on an absorbent bib and weighted. Bilabial vocalizations produced by the subjects were recorded and counted. A 12-session intervention phase followed, which was identical to the baseline phase except that treatment was implemented. Treatment consisted of techniques to reduce tactile hypersensitivity before feeding and the application of jaw control during feeding. Baseline 2 consisted of 7 sessions identical to baseline 1. The results suggest that this intervention decreases drooling but does not increase bilabial vocalizations. Longer treatment and follow-up may be needed in future efficacy studies.

Cerebral Palsy↗
PubMed1985

Effect of intermittent, supine cervical traction on the myoelectric activity of the upper trapezius muscle in subjects with neck pain.

This study was undertaken to compare the myoelectric activity of the upper trapezius muscle before, during, and after intermittent, supine cervical traction. Twelve people with diagnosed disease or injury of the cervical spine served as subjects. Electromyographic recordings were taken from the upper trapezius muscle with bipolar surface electrodes. The subjects were treated with 20 minutes of intermittent, cervical traction at a force of 8% of their body weight. Recordings were taken with the subjects in the supine position before the traction, during one pull and release phase of the 10th and 20th minutes of traction, and after completion of the traction treatment. An analysis of variance with repeated measures showed no significant differences in the myoelectrical activity during the six time periods measured. The results of this study do not support the clinical use of intermittent, supine traction to produce cervical muscle relaxation.

Adolescent↗
PubMedDate not supplied

The effect of keeping an end-product on intrinsic motivation.

OBJECTIVE: According to literature in occupational therapy and psychology, intrinsic motivation is thought to be enhanced if people can keep the end-product of an activity. The purpose of this study was to examine the effect of keeping an end-product on intrinsic motivation. METHOD: Fifty participants chose one of four activities (painting a ceramic vase, decorating cookies, stringing beads for a necklace, creating stationery) and performed two conditions (keep, no-keep) in counterbalanced order. Participants were timed in each condition and, after each condition, ranked their self-determination and competence, which are psychological needs underlying intrinsic motivation. Participants were interviewed at the end of the study to examine their experiences. RESULTS: Participants worked significantly longer on a chosen activity when the end-product could be kept and rated themselves significantly more self-determined and competent after performing the keep condition. However, further analysis revealed that these results depended on the activity chosen. CONCLUSION: The findings support that keeping an end-product can enhance performance of an activity. However, because results were not consistent across all activity choices, further research is needed to characterize the meaningfulness of particular activities.

Adult↗