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

• 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
• ISSN: 1757-790X; 1757-790X
• DOI: 10.1136/bcr-2014-208259

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.