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Research Paper | Occupational Therapy | India | Volume 13 Issue 3, March 2024 | Popularity: 5.5 / 10
School - base Occupational Therapy Services on Activity Limitation and Participation Restriction in Students with Disabilities
Jeetendra Mohapatra, Amitabh Kishor Dwivedi
Abstract: Occupational science is a valuable research area that can contribute to the disability strategy and the strategy towards social cohesion and inclusion of occupational deprived and excluded groups in India. Occupational therapists demonstrate advocacy for people with disabilities who are occupational deprived and their participation in all sectors of social life including schooling in an accessible environment and being part of an inclusive society. The scope of the study is for a better understand of problems experienced and record information of activity limitation and participation restriction in students with disability in educational setting on clinical and social policy contexts. The importance for the proposed study is to find out the need of Occupational therapy services in educational setting to enhance activity participation of student with disabilities. Methodology: ICF checklist is administered to record information on the functioning and disability of the students. It was identified the problems experienced by students with disability and was used as a case record for future reference. Informed consent on sample of 110 subjects was taken through sampling method. The subjects were allocated into two groups through randomization. Patients in experimental group received school based occupational therapy services along with the conventional therapy in clinics/departments & the patients in the control group received conventional therapy alone. Pre - test evaluations of subjects of both the control and experimental groups were recorded on the parameter of activity limitation and participation restriction with outcome measures SALSA Scale (Screening Activity Limitation and Safety Awareness, Users Manual Version 1.1) and Participation Scale User Manual Version 6. Post - intervention all subjects were evaluated for all the outcome measures on 90th day. The data was recorded before training at (T0) and at 90 (T90) days after the training program. Result: The subjective data analysis results shows that in experimental group 48 students with disabilities in compare to 34 in control group were benefitted from severe limitation to mild limitation and independent participation in school environment. The SALSA score recorded improvement in all 20 - items of daily activities related to the three domains of mobility, self - care and schooling and related perceiveness of students at his/her functional level more in experimental group in compare to control group. The pretest and posttest ratio of mean SALSA score in control group is 52.7/41.8 whereas in experimental group it stands at 54.2 / 28.4. The score suggested severe activity limitation reduces to moderate activity limitation in control group but in experimental group it progressively reduces further to come under mild limitation. Conclusion: The study concluded that to make any treatment effective the occupational therapist and the skilled teacher need to work hand in hand. The study focusing on the introduction of the barrier free environment in school and use of assistive/adaptive devices and technology for better participation of students with disabilities in their curricular activities.
Keywords: Occupational therapy, Inclusive education Activity limitation, Participation restriction, Students with disabilities
Edition: Volume 13 Issue 3, March 2024
Pages: 1221 - 1224
DOI: https://www.doi.org/10.21275/SR24318104433
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