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      Leitfaden für das Management von Folgen viraler Erkrankung mit SARS-CoV-2 aus Sicht der Ergotherapie : Ergänzung zur Leitlinie S1 für das Management postviraler Zustände am Beispiel Post-COVID-19 Translated title: Occupational Therapy Guideline for the management of sequelae of viral diseases with SARS-CoV-2 : Supplement to the S1 guidelines for the management of post-viral conditions exemplified by post-COVID-19

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          Abstract

          Folgen viraler Erkrankung mit SARS-CoV-2 wirken sich auf die biopsychosoziale Gesundheit und damit auf den Alltag Betroffener, deren Handlungs- und Partizipationsmöglichkeiten in sämtlichen Lebensbereichen aus. Ergotherapeut*innen verfügen in sämtlichen Versorgungsphasen über zahlreiche Möglichkeiten in der Auswahl und Gestaltung des Settings, der Interventionsmittel, -maßnahmen und -methoden, um Betroffenen im Hinblick auf größtmögliche Lebensqualität und in einer aktiven Neu-Gestaltung ihres Lebens zu unterstützen. Dieses Dokument bietet diesbezüglich einen Einblick und enthält Empfehlungen für die ergotherapeutische Praxis im Rahmen der bis zum Zeitpunkt der Verfassung verfügbaren Evidenzquellen.

          Translated abstract

          Sequelae of viral disease with SARS-CoV-2 impact clients’ biopsychosocial health, thus their daily life, with limitations resp. barriers in their occupational capacities and opportunities. Occupational therapists have numerous and, with constantly growing evidence, personalised therapeutic means, measures, and methods in any intervention phase relevant to these according health problems, supporting i. e. coping, occupational adaptation, quality of life and participatory re-shaping of (daily) life. Based on ongoing research findings and practice evidence, this document contains recommendations for occupational therapy intervention for clients with biopsychosocial health conditions post COVID-19.

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          Most cited references63

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          The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment.

          To develop a 10-minute cognitive screening tool (Montreal Cognitive Assessment, MoCA) to assist first-line physicians in detection of mild cognitive impairment (MCI), a clinical state that often progresses to dementia. Validation study. A community clinic and an academic center. Ninety-four patients meeting MCI clinical criteria supported by psychometric measures, 93 patients with mild Alzheimer's disease (AD) (Mini-Mental State Examination (MMSE) score > or =17), and 90 healthy elderly controls (NC). The MoCA and MMSE were administered to all participants, and sensitivity and specificity of both measures were assessed for detection of MCI and mild AD. Using a cutoff score 26, the MMSE had a sensitivity of 18% to detect MCI, whereas the MoCA detected 90% of MCI subjects. In the mild AD group, the MMSE had a sensitivity of 78%, whereas the MoCA detected 100%. Specificity was excellent for both MMSE and MoCA (100% and 87%, respectively). MCI as an entity is evolving and somewhat controversial. The MoCA is a brief cognitive screening tool with high sensitivity and specificity for detecting MCI as currently conceptualized in patients performing in the normal range on the MMSE.
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            The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus.

            Fatigue is a prominent disabling symptom in a variety of medical and neurologic disorders. To facilitate research in this area, we developed a fatigue severity scale, subjected it to tests of internal consistency and validity, and used it to compare fatigue in two chronic conditions: systemic lupus erythematosus and multiple sclerosis. Administration of the fatigue severity scale to 25 patients with multiple sclerosis, 29 patients with systemic lupus erythematosus, and 20 healthy adults revealed that the fatigue severity scale was internally consistent, correlated well with visual analogue measures, clearly differentiated controls from patients, and could detect clinically predicted changes in fatigue over time. Fatigue had a greater deleterious impact on daily living in patients with multiple sclerosis and systemic lupus erythematosus compared with controls. The results further showed that fatigue was largely independent of self-reported depressive symptoms and that several characteristics could differentiate fatigue that accompanies multiple sclerosis from fatigue that accompanies systemic lupus erythematosus. This study demonstrates (1) the clinical and research applications of a scale that measures fatigue severity and (2) helps to identify features that distinguish fatigue between two chronic medical disorders.
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              Hand Grip Strength: age and gender stratified normative data in a population-based study

              Background The North West Adelaide Health Study is a representative longitudinal cohort study of people originally aged 18 years and over. The aim of this study was to describe normative data for hand grip strength in a community-based Australian population. Secondary aims were to investigate the relationship between body mass index (BMI) and hand grip strength, and to compare Australian data with international hand grip strength norms. Methods The sample was randomly selected and recruited by telephone interview. Overall, 3 206 (81% of those recruited) participants returned to the clinic during the second stage (2004-2006) which specifically focused on the collection of information relating to musculoskeletal conditions. Results Following the exclusion of 435 participants who had hand pain and/or arthritis, 1366 men and 1312 women participants provided hand grip strength measurement. The study population was relatively young, with 41.5% under 40 years; and their mean BMI was 28.1 kg/m2 (SD 5.5). Higher hand grip strength was weakly related to higher BMI in adults under the age of 30 and over the age of 70, but inversely related to higher BMI between these ages. Australian norms from this sample had amongst the lowest of the hand grip strength of the internationally published norms, except those from underweight populations. Conclusions This population demonstrated higher BMI and lower grip strength in younger participants than much of the international published, population data. A complete exploration of the relationship between BMI and hand grip strength was not fully explored as there were very few participants with BMI in the underweight range. The age and gender grip strength values are lower in younger adults than those reported in international literature.
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                Author and article information

                Contributors
                ursula.costa@fhg-tirol.ac.at
                Journal
                Wien Klin Wochenschr
                Wien Klin Wochenschr
                Wiener Klinische Wochenschrift
                Springer Vienna (Vienna )
                0043-5325
                1613-7671
                31 July 2023
                31 July 2023
                2023
                : 135
                : Suppl 4
                : 599-618
                Affiliations
                Ergotherapie und Handlungswissenschaft, fhg – Zentrum für Gesundheitsberufe Tirol GmbH / fh gesundheit, ( https://ror.org/00b063968) Innrain 98, 6020 Innsbruck, Österreich
                Article
                2243
                10.1007/s00508-023-02243-y
                10504210
                37522912
                12efddbd-cb4a-44d6-9490-8db574ab3bee
                © The Author(s) 2023

                Open Access Dieser Artikel wird unter der Creative Commons Namensnennung 4.0 International Lizenz veröffentlicht, welche die Nutzung, Vervielfältigung, Bearbeitung, Verbreitung und Wiedergabe in jeglichem Medium und Format erlaubt, sofern Sie den/die ursprünglichen Autor(en) und die Quelle ordnungsgemäß nennen, einen Link zur Creative Commons Lizenz beifügen und angeben, ob Änderungen vorgenommen wurden.

                Die in diesem Artikel enthaltenen Bilder und sonstiges Drittmaterial unterliegen ebenfalls der genannten Creative Commons Lizenz, sofern sich aus der Abbildungslegende nichts anderes ergibt. Sofern das betreffende Material nicht unter der genannten Creative Commons Lizenz steht und die betreffende Handlung nicht nach gesetzlichen Vorschriften erlaubt ist, ist für die oben aufgeführten Weiterverwendungen des Materials die Einwilligung des jeweiligen Rechteinhabers einzuholen.

                Weitere Details zur Lizenz entnehmen Sie bitte der Lizenzinformation auf http://creativecommons.org/licenses/by/4.0/deed.de.

                History
                : 14 June 2023
                Categories
                Leitfaden
                Custom metadata
                © Springer-Verlag GmbH Austria, part of Springer Nature 2023

                Medicine
                intervention,long covid,alltag,partizipation,leitlinie,daily life,participation,recommendations
                Medicine
                intervention, long covid, alltag, partizipation, leitlinie, daily life, participation, recommendations

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