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. 2022 Dec;35(2):125-136.
doi: 10.1177/15691861221137223. Epub 2022 Nov 2.

Energy conservation, minimum steps, and adaptations when needed: A scoping review

Kátia Maki Omura  1 , Otavio Augusto de Araujo Costa Folha  1 , Paula Silva Moreira  1 , Estéfanny da Silva Bittencourt  1 , Adriene Damasceno Seabra  1 , Marcelo Marques Cardoso  1
Affiliations

Energy conservation, minimum steps, and adaptations when needed: A scoping review

Kátia Maki Omura et al. Hong Kong J Occup Ther. 2022 Dec.

Abstract

Background/objective: Although many therapeutic approaches use energy conservation, only a few effectively report the steps involved. Thus, it is intended to identify energy conservation practices to be organized in flexible and adaptable stages.

Methods: A scoping review was carried out, whose search strategies were applied in seven databases (CINAHL, Cochrane Library, Portal BVS, PsycINFO, PubMed, Scopus, and Web of Science) following guidelines by Arksey and O'Malley on the Rayyan software. Searches were carried out from January 2010 to December 2020. Inclusion of refered publications with different study designs, participation of adults with or by demands of energy conservation, joint protection, and control of fatigue and/or pain. Exclusion of productions without an occupational therapist or involving merely pharmacological or surgical therapeutic strategies.

Results: 653 articles were identified, after the selection and eligibility steps, 30 articles were full review, 18 articles were included and 635 excluded. Energy conservation studies have been increasingly focusing on neurological and systemic diseases, especially regarding symptoms of fatigue and pain. The findings were arranged in six strategies whose interventions are essentially based on guidelines and setting goals for patients, client-centered approach. Merely supervised interventions are less frequent. The number of sessions is closed, but the duration of treatment is not yet.

Conclusions: The signs of pain and fatigue are confirmed as indicators of energy conservation strategies, this delivery can be condensed from planning and organization, priorities, activity analysis, balance between activity and rest, outsourcing of tasks and physical/environmental adaptation.

Trial registration osf: https://osf.io/rsyq4.

Keywords: energy conservation; fatigue; occupational therapy; pain management; rehabilitation.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
PCC Abbreviation and definition.
Figure 2.
Figure 2.
Search strategies.
Figure 3.
Figure 3.
PRISMA-ScR flowchart. Caption: occupational therapist (OT).
Figure 4.
Figure 4.
Introduction of metadata. Caption: Activities of Daily Living (ADLs); Instrumental Activities of Daily Living (IADL); and Occupational Therapy (OT). Order of articles presented in Table 1 (#).
See this image and copyright information in PMC

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