A case report on the use of vibration to improve soft tissue extensibility after major trauma.

This report presents a case where vibration training to the arm alone, as opposed to whole-body vibration, was used to aid rehabilitation to a serious traumatic injury. An improvement in soft tissue extensibility to a major traumatic wound to the wrist and forearm has been noted in a therapy plan including vibration under stretch. After 12 weeks of intensive therapy, a considerable improvement was seen in both the active extension of the wrist and the composite extension of all fingers. This may highlight the use of vibration, as an adjunct to therapy, to specific areas of the human body for improving outcome from traumatic injury. LEVEL OF EVIDENCE: IV.

The Impact of an Expressive Writing and Storytelling Program on Ex-Offenders: A Pilot Study.

While storytelling or expressive writing has been studied in prisoners, little is known about the impact of these art interventions on ex-offenders. This study aims to evaluate a 6-week expressive writing and storytelling program in a group of nine ex-offenders who attend a peer support group. Quantitative data, including psychological recovery, well-being, hope, social support, and loneliness, was collected at baseline and post-program. Individual interviews were conducted at post-program. Results revealed a significant increase in participants' psychological recovery as measured by the Recovery Assessment Scale-revised at post-program with an effect size of 0.56. Three themes about participation in the program emerged: safe space for processing and expressing inner feelings, relating to and connecting with peers, and adjusting the way of thinking. Findings showed this program has the potential to improve ex-offenders' psychological recovery, and provide them with skills to desist from crime and be better serve as peer support workers.

The Facilitators and Barriers Faced When Transitioning Back into the Community Following a Prison Sentence.

This qualitative study explored ex-offender's community reintegration experiences following a prison sentence. Fourteen ex-offenders from the Offender Alumni Association participated in an in-person in-depth individual interview regarding their current roles, daily routines, living situation, activity participation, and current and future plans. A phenomenological approach using thematic analysis was employed for data collection and interpretation. The emerged themes were categorized under facilitators and barriers that influence healthy community reintegration. The facilitators included visualizing and committing to an ideal future, establishing a daily routine, upholding life balance, and discovering and connecting to external supports. The barriers included impediments to employment opportunities, lack of financial resources, social stigma, regulations imposed by the judicial system, disconnection from social advancements, and addiction to drugs and alcohol. The themes identified from the interviews suggest that current reintegration strategies and programs need to be improved in order to benefit ex-offenders seeking these services.

Occupational Therapists' Rehabilitation Orientation Toward People Who Are Incarcerated.

One hundred seventy-two occupational therapists in Alabama completed an online survey to identify factors associated with their orientation toward rehabilitating people who are incarcerated. The level of the respondents' rehabilitation orientation toward people who are incarcerated was assessed using the Rehabilitation Orientation Scale (ROS). Results indicated that the respondents' attitudes were favorable and comparable to those on the prison rehabilitation team. Respondents who considered working in prison settings had 2 times greater odds of favoring rehabilitation intervention than those who did not consider working in prison settings. None of the respondents' personal attributes and professional experience variables were significantly associated with the ROS score. Findings provide an initial direction indicating that resources should be placed on recruitment of occupational therapists to work in the correctional setting.