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It is reported that the thesis section is available, to publish abstracts of postgraduate theses in the disciplinary field. Who submits your thesis, must present the title, abstract, key words (include Occupational Therapy), and a summary of 2 to 3 pages of your thesis. And `present it in Spanish, English and / or Portuguese.

Rehabilitation and occupational therapy from a person-centred and occupation-based approach. A case study of psoriatic arthritis.

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Vol. 20 No. 2 (2020): Diciembre
https://doi.org/10.5354/0719-5346.2020.53867

Abstract

A case study with a diagnosis of psoriatic arthritis is presented. The intervention proposal was articulated from a person-centered and occupational-based approach, attending to the position statement of the World Federation of Occupational Therapists (WFOT). Aim: To evaluate the efficacy of an individualized occupational therapy program, based on occupation-based and centered on a patient with psoriatic arthritis, in terms of occupational performance improvement, and perceived quality of life. Methodology: Occupational performance problems (COPM and DASH), as well as perceived quality of life (WHOQOL-BREF) were evaluated. Secondarily, pain measurements (VAS), joint mobility (goniometry and centimeter measurements) and strength (dynamometry) were recorded. Functional intervention aims were established from the SMART methodology, and an intervention program was applied combining various treatment modalities that have accumulated scientific evidence: splints, support products, exercise, joint protection and health education. Results: Significant improvements were registered in occupational performance (COPM and GAS), as well as in satisfaction (COPM) and in perceived quality of life (WHOQOL-BREF). Likewise, positive results were obtained in the rest of the variables observed: reduction in pain, increase in joint movement and muscle strength. Conclusions: The proposed intervention, from a top-down approach, achieved significant changes not only in occupational performance and perceived quality of life, but also in deficiencies in body functions.

Keywords:

Psoriatic arthritis; COPM; person centred approach; occupational therapy.

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How to Cite
Rubio Belmonte, C., & Zisa, N. S. (2020). Rehabilitation and occupational therapy from a person-centred and occupation-based approach. A case study of psoriatic arthritis. Revista Chilena De Terapia Ocupacional, 20(2), 249–257. https://doi.org/10.5354/0719-5346.2020.53867
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Revista Chilena de Terapia Ocupacional
Facultad de Medicina
Universidad de Chile
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