Occupational therapy intervention to inspire self-efficacy in a patient with spinal ataxia and visual disturbance

We report a case of a patient with severe ataxia and visual disturbance due to vitamin E deficiency, whose self-efficacy was inspired by intervention with an appropriate occupational therapy activity. Before the handloom intervention, her severe neurological deficits decreased her activities of dail...

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Bibliographic Details
Published in:BMJ case reports 2015-02, Vol.2015, p.bcr2014208259
Main Authors: Tohyama, Satsuki, Usuki, Fusako
Format: Article
Language:English
Subjects:
Activities of Daily Living
Age
Ataxia
Ataxia - psychology
Ataxia - rehabilitation
Depressive Disorder - rehabilitation
Female
Humans
Japan
Middle Aged
Motivation
Occupational therapy
Occupational Therapy - instrumentation
Occupational Therapy - methods
Other Asian
Patients
Rehabilitation
Reminder of Important Clinical Lesson
Self Efficacy
Spinal Cord Diseases - psychology
Spinal Cord Diseases - rehabilitation
Treatment Outcome
Vision Disorders - rehabilitation
Vitamin E Deficiency - complications
Wheelchairs
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Summary:We report a case of a patient with severe ataxia and visual disturbance due to vitamin E deficiency, whose self-efficacy was inspired by intervention with an appropriate occupational therapy activity. Before the handloom intervention, her severe neurological deficits decreased her activities of daily living (ADL) ability, which made her feel pessimistic and depressed. The use of a handloom, however, inspired her sense of accomplishment because she could perform the weft movement by using her residual physical function, thereby relieving her pessimistic attitude. This perception of capability motivated her to participate in further rehabilitation. Finally, her eager practice enhanced her ADL ability and quality of life (QOL). The result suggests that it is important to provide an appropriate occupational therapy activity that can inspire self-efficacy in patients with chronic refractory neurological disorders because the perception of capability can enhance the motivation to improve performance in general activities, ADL ability and QOL.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2014-208259