University of Southern California
University of Southern California
Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy
Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy
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Faculty
Faculty

Ashley Uyeshiro Simon OTD, OTR/L, MSCS

Ashley Uyeshiro Simon OTD, OTR/L, MSCS

Associate Professor of Clinical Occupational Therapy

Room: HRA 500
(323) 442-3354
.(JavaScript must be enabled to view this email address)

Biography

Ashley Uyeshiro Simon practices Lifestyle Redesign® at the USC OT Faculty Practice, and works predominantly with clients in the Pain Management, Chronic Headaches, Multiple Sclerosis, and Ergonomics Programs. She teaches the Optimal Living with Multiple Sclerosis course, is a National MS Society Partner in MS Care, and is a Multiple Sclerosis Certified Specialist. Dr. Uyeshiro Simon coordinates the Quality and Process Improvement projects for the Faculty Practice. She is a Resident Faculty Fellow in the Office of Residential Education, and has an interest in animal-assisted therapy for mental and physical health.

Dr. Uyeshiro Simon received her Doctorate of Occupational Therapy (OTD) degree in 2011 from the University of Southern California. She completed her residency at the USC Occupational Therapy Faculty Practice, where she saw clients and conducted market analyses. She received her BA degree in Psychology and her MA degree in Occupational Therapy from USC.

Education

Doctorate of Occupational Therapy (OTD)
2011 | University of Southern California

Master of Arts (MA) in Occupational Therapy
2010 | University of Southern California

Bachelor of Arts (BA) in Psychology
2008 | University of Southern California

Publications

Journal Articles

Sahai-Srivastava, S., Sigman, E., Uyeshiro Simon, A., Cleary, L., & Ginoza, L. (2017). Multidisciplinary team treatment approaches to chronic daily headaches. Headache, 57(9), 1482-1491. https://doi.org/10.1111/head.13118 Show abstractHide abstract

Objective. In this review, we focus on nonmedication treatment approaches to chronic daily headaches and chronic migraine. We review the current scientific data on studies using multimodal treatments, especially physical therapy and occupational therapy, and provide recommendations on the formation of interdisciplinary headache teams.
 
Background. Chronic daily headache, which includes chronic migraine, is a particularly challenging clinical entity which often involves multiple headache types and comorbidities. A team approach in treating these patients may be particularly useful.
 
Design/Methods. We review all current studies performed with at least one or more other modality in addition to usual medical treatment, with a focus on physical and occupational therapy. Emphasis on physical and occupational therapy with an explanation of their methods and role in multidisciplinary treatment is a pivotal part of this review. We also suggest approaches to setting up a multimodality clinic for the busy headache clinician.
 
Conclusion. Setting up a collaborative, multidisciplinary team of specialists in headache practices with the goal of modifying physical, environmental, and psychological triggers for chronic daily headaches may facilitate treatment of these refractory patients.

Uyeshiro Simon, A., & Collins, C. E. (2017). Lifestyle Redesign® for chronic pain management: A retrospective clinical efficacy study. American Journal of Occupational Therapy, 71(4), 7104190040p1-7104190040p7. https://doi.org/10.5014/ajot.2017.025502 Show abstractHide abstract

Objective. Our objective was to determine the efficacy of a Lifestyle Redesign® intervention for people living with chronic pain on quality of life (QOL), function, self-efficacy, and pain levels.
 
Method. Clinical outcomes were collected from 45 patients who completed an individual outpatient Lifestyle Redesign occupational therapy program for chronic pain as part of their usual plan of medical care. Outcome measures included the Canadian Occupational Performance Measure, the 36-Item Short-Form Survey, the Brief Pain Inventory, and the Pain Self-Efficacy Questionnaire. We analyzed scores using paired-samples t tests.
 
Results. Significant changes were observed in occupational performance and satisfaction scores, physical and social functioning, role limitations due to physical and emotional problems, energy and fatigue, general health, and pain self-efficacy.
 
Conclusion. Lifestyle Redesign interventions, when integrated into a patient's medical plan of care, can improve patient functioning, self-efficacy, and QOL.

Other Articles

Cunningham, R., & Uyeshiro Simon, A. (2018, March 12). Optimal Living with Multiple Sclerosis: A program description and alternative payment model. OT Practice, 23(4), 20-22. Full text

Conference Presentations/Proceedings

Uyeshiro Simon, A., & Reeves, L. (2015). Occupational therapy's role in headache management: A lifestyle behavioral approach [Poster session presented at the 17th Congress of the International Headache Society, Valencia, Spain]. Cephalalgia, 35(6S), 280-281. https://doi.org/10.1177/0333102415581304