Category Archives: Upper Limb Presentations

Presentations, ULPA Presentations, Upper Limb Presentations

Ranka, J. (2005, November). The Comparative Analysis of Performance (CAP-M): An occupation-focused method of identifying motor impairment. Workshop presented at the Occupational Therapy Australia – Queensland State Conference “OT in Arms”, Brisbane, Qld.

Ranka, J. (2005, November). The Comparative Analysis of Performance (CAP-M): An occupation-focused method of identifying motor impairment. Workshop presented at the Occupational Therapy Australia – Queensland State Conference “OT in Arms”, Brisbane, Qld.

A major expectation of occupational therapists in upper limb rehabilitation is to identify the occupational performance limitations of clients, to identify the causes of these limitations and to design intervention to restore lost abilities. Although numerous assessments of motor ability exist, few examine motor skills within the context of everyday tasks. The Comparative Analysis of Performance – Motor (CAP-M) is one of the structured, skilled observation tools that has evolved out of the Occupational Performance Model – Australia [OPM(A)], and is used to occupation-embedded motor ability. A client is observed attempting to carry out a specific, self-selected task and a biomechanical analysis is carried out. The actions that are typically used are listed and compared with those observed when the client performs the task. These actions can be of the trunk, shoulder girdle, arm, hand and/or thumb. Atypical and missing elements of movement are then identified. This provides specific information about what the aims of intervention are and how these aims relate to a desired occupational performance outcome. Participants in this session will learn about the CAP-M and how it is used to assess occupation-embedded motor performance and set intervention targets. Examples of clients with upper limb dysfunction from neurological origin will be used to illustrate key points.

Presentations, Upper Limb Presentations

Ranka, J., (2005, November). Arm in arm or up in arms? Invited key note address at the Occupational Therapy Australia – Queensland State Conference “OT in Arms”, Brisbane, Qld.

Ranka, J., (2005, November). Arm in arm or up in arms? Invited key note address at the Occupational Therapy Australia – Queensland State Conference “OT in Arms”, Brisbane, Qld.

 

A primary aim of occupational therapy is to enhance performance and participation of people whose occupational performance has been compromised by physical, cognitive or psychosocial impairments or delays, as well as, environmental constraints. Many of the clients seen by occupational therapists have compromised occupational performance as a result of conditions and impairments that affect the arm and hand in different ways. Occupational therapists are expected to identify the occupational performance limitations that exist and, at least, be knowledgeable about the conditions and impairments that cause these limitations.

Contemporary occupational therapy practice is typically described as client-centred, collaborative and occupation-focused. Is this the reality? Many practice contexts demand quick decision-making and rapid service delivery. Therapists have little time to gain a view of life from the perspective of the client and his or her role partners. Therapists are expected to be directive and prescriptive rather than collaborative. Methods used in practice are often technique-focused and this is encouraged, somewhat, by the current evidence-based health care paradigm. How do we assert and demonstrate our unique role in the health care team? Employers and clients are entitled to data that demonstrates occupational therapy outcomes, yet measures of occupational therapy outcome are few and often do not fit the expectations of administrators. Policy-makers and employers continue to explore the concept of a multi-skilled workforce, and educators are being urged to develop generic professional preparation programs. How will we maintain our place in health care?

The purpose of this paper is to explore the challenges facing occupational therapy practice further and to present ideas for how to address them. Specifically, I will present a framework for client-centred, occupation-focused practice that encompasses the totality of practice regardless of the clients seen, the context of practice or the techniques used. Case examples of clients with a variety of arm and hand disorders will be used to illustrate key points. I will then demonstrate how this model can be used to assert our unique place in health care. A summary of the research evidence about occupation-focused practice in upper limb and hand therapy will be presented, and a client-centred method of collecting specific evidence about outcomes in occupational performance will be described. Finally, I will discuss my perspective on the research imperatives facing practice and make suggestion for how this research can be carried out.

Presentations, Upper Limb Presentations

Fayle, S., & Ranka, J. (2006, 23-28 July). Development of an occupational therapy scale of upper limb occupational performance following CVA. Poster presented at the 14th Congress of the World Federation of Occupational Therapists, Sydney

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Development of an OT Scale

Fayle, S., & Ranka, J. (2006, 23-28 July). Development of an occupational therapy scale of upper limb occupational performance following CVA. Poster presented at the 14th Congress of the World Federation of Occupational Therapists, Sydney

Occupational Performance Presentations, Presentations, PRPP Presentations, ULPA Presentations, Upper Limb Presentations

Ranka, J. (2006, 24-28 July). Assessing occupational performance through skilled observation: Task mastery & component operations. Pre-congress workshop presented at the Congress of the World Federation of Occupational Therapists, Sydney, Australia

Ranka, J. (2006, 24-28 July). Assessing occupational performance through skilled observation: Task mastery & component operations. Pre-congress workshop presented at the Congress of the World Federation of Occupational Therapists, Sydney, Australia

A major expectation of occupational therapists is to identify the occupational performance limitations of clients, to identify the causes of these limitations and to design intervention to restore or compensate for lost skills and abilities. Although numerous assessments of task performance and measures of impairment exist, few examine the motor, cognitive, perceptual, intrapersonal or interpersonal component operations that support occupational performance within the context of everyday task performance. The lack of occupation-embedded assessments of occupational performance skill and component ability requires that occupational therapists rely on skilled observation. However, there is also a lack of formal structures of skilled observation.

The purpose of this session is to present a suite of structured skilled observation tools that have evolved out of the Occupational Performance Model (Australia). These tools are based on a method of procedural task analysis that results in calculation of a mastery score. This is followed by an assessment of the reasons for reduced mastery using a comparative format, the Comparative Analysis of Performance (CAP). CAPs exist for motor operations (CAP-M), sensory operations (CAP-S), cognitive operations (CAP-C), intrapersonal operations (CAP-IAP) or interpersonal operations (CAP-IER). Findings from CAP assessments provide therapists with specific information on which to design intervention to achieve mastery outcomes.

This session is designed for therapists who wish to learn more about skilled observation and educators who teach occupational therapy process and task analysis. At the end, participants will be able to carry out an assessment of mastery and the component operations that support mastery for selected videotaped case examples.

Presentations, ULPA Presentations, Upper Limb Presentations

Ranka, J. (2007, 23-26 June). The Comparative Analysis of Performance (CAP-M): An occupation embedded method of assessing motor capacity. Poster presented at the 4th Asia Pacific Occupational Therapy Congress, Hong Kong

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The Comparative Analysis of Performance

Ranka, J. (2007, 23-26 June). The Comparative Analysis of Performance (CAP-M): An occupation embedded method of assessing motor capacity. Poster presented at the 4th Asia Pacific Occupational Therapy Congress, Hong Kong

Occupational Performance Presentations, Presentations, ULPA Presentations, Upper Limb Presentations

Ranka, J., Nott, M., Crippin, W., Barden, H., & Baguley, I. (2013, July). Effects of Botulinum Toxin-A injections on arm and hand use in adults with ABI during self-selected task performance. Paper presented at the Occupational Therapy Australia National Conference and Exhibition, Adelaide.

Ranka, J., Nott, M., Crippin, W., Barden, H., & Baguley, I. (2013, July). Effects of Botulinum Toxin-A injections on arm and hand use in adults with ABI during self-selected task performance. Paper presented at the Occupational Therapy Australia National Conference and Exhibition, Adelaide.

Presentations, Upper Limb Presentations

Ranka, J., Nott, M., Crippin, W., Barden, H., & Baguley, I. (2014, June). Effects of Botulinum Toxin A (BoNT-A) injections on functional arm and hand use in adults with acquired brain impairment (ABI). Poster presented at the 14th International Congress of the World Federation of Occupational Therapists. Yokohama, Japan

Ranka, J., Nott, M., Crippin, W., Barden, H., & Baguley, I. (2014, June).  Effects of Botulinum Toxin A (BoNT-A) injections on functional arm and hand use in adults with acquired brain impairment (ABI).  Poster presented at the 14th International Congress of the World Federation of Occupational Therapists. Yokohama, Japan

Presentations, Upper Limb Presentations

Ranka, J., Nott, M., Crippin, W., Barden, H., & Baguley, I. (2014, June). Effects of Botulinum Toxin A injections on arm and hand use in adults with acquired brain impairment on self selected tasks. Poster presented at the World Federation of Occupational Therapists Congress, Yokohama, Japan

Ranka, J., Nott, M., Crippin, W., Barden, H., & Baguley, I.  (2014, June).  Effects of Botulinum Toxin A injections on arm and hand use in adults with acquired brain impairment on self selected tasks.  Poster presented at the World Federation of Occupational Therapists Congress, Yokohama, Japan

Presentations, Upper Limb Presentations

Barden, H., Baguley, I., Nott, M., Chapparo, C., & Ranka, J. (2015). Upper Limb Performance Analysis for measuring change in upper limb movement following Botulinum Toxin-A injection. Paper presented at the OT Australia National Conference, Melbourne

Barden, H., Baguley, I., Nott, M., Chapparo, C., & Ranka, J. (2015).  Upper Limb Performance Analysis for measuring change in upper limb movement following Botulinum Toxin-A injection.  Paper presented at the OT Australia National Conference, Melbourne