Dissertations / Theses on the topic 'Cognition disorders – Patients – Rehabilitation'
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1
Basterfield, Candice. "The cognitive rehabilitation of a sample of children living with HIV : a specific focus on the cognitive rehabilitation of sustained attention." Thesis, Rhodes University, 2015. http://hdl.handle.net/10962/d1017881.
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Pharmacological interventions to treat Human Immunodeficiency Virus (HIV) with antiretrovirals (ARVs), have dramatically improved the survival rates of HIV positive children maturing into adulthood. However, HIV-associated neurocognitive decline still persists in the era of ARVs. Within the framework of brain plasticity, a number of researchers have begun to assess the feasibility of cognitive rehabilitation therapy as a complement to ARVs to reverse neurocognitive decline as a result of HIV (e.g., Becker et al., 2012). Only one study has been conducted in South Africa, by Zondo & Mulder (2014), assessing the efficacy of cognitive rehabilitation in a paediatric sample. The current research builds on the above mentioned study by implementing an experimental approach to examine the effect of cognitive rehabilitation in a sample of both HIV positive and HIV negative children. Five HIV positive and six HIV negative children were assigned to either an experimental or control group. The experimental group underwent two months of cognitive rehabilitation therapy remediating sustained attention, whereas the control group took part in placebo activities. Sustained attention measures were taken before and after the intervention training sessions, using a sustained attention subtest from the Test of Everyday Attention for Children (TEA-CH). A Mann Whitney U Test revealed that the experimental group (Mdn=38.50) did not differ significantly from the control group (Mdn = 37.00) after the cognitive rehabilitation intervention, U=12.00, z= -.55, p= .66, r= -.17. But a Wilcoxon Signed Rank Test found that there was a significant improvement from pretest scores (Mdn=31.00) to posttest scores (Mdn=38.00) following the rehabilitation for HIV positive participants in the sample, T=15.00, z = -2.02, p= .04, r= -.90. This raises the possibility that cognitive rehabilitation could be used as a low cost intervention in underdeveloped contexts
2
Rydholm, Hedman Ann-Marie. "Unequal opportunities for patients with and without cognitive impairment : relatives' and significant others' views on care and rehabilitation after hip fracture /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-118-0/.
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Patel, Avani Rajnikant. "Cognitive Rehab Solutions: A computer-assisted cognitive training program." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2321.
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The purpose of this project is to offer a functionally comprehensive application, Cognitive Rehab Solutions (CRS), that is designed for neuropsychologists to deliver restorative cognitive training in areas of attention and memory of persons with brain impairment.
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Isaac, Clemence. "Élaboration d’un programme de remédiation cognitive au profit des patients bipolaires : approche clinique et neuropsychologique." Thesis, Paris 8, 2018. http://www.theses.fr/2018PA080014/document.
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Introduction : Près de 60% des patients bipolaires stabilisés souffrent de déficits cognitifs associés à des troubles du fonctionnement psychosocial. En l’absence de traitement, ces troubles sont susceptibles de persister tout au long de la vie. Malgré cela, les déficits cognitifs ont longtemps été ignorés dans les troubles bipolaires et il n’existe que peu d’études à l’heure actuelle ciblant cette problématique. Méthodologie : Nous avons développé le programme individuel écologique de remédiation cognitive ECo, élaboré pour les troubles de l’humeur. Nous avons mené une série d’études empiriques afin d’explorer les corrélats psychologiques des troubles cognitifs, ainsi que l’amélioration cognitive, fonctionnelle et psychologique de patients bipolaires suite à une intervention en remédiation cognitive ou une psychothérapie individuelle.Résultats : Les troubles métacognitifs pourraient être associés à une augmentation de la fréquence des activités des patients et à une fragilisation sur le plan cognitif et émotionnel. La remédiation cognitive, et en particulier le programme ECo, a permis d’améliorer les capacités de résolution de problèmes dans notre population. Le programme ECo peut normaliser les fonctions cognitives déficitaires et la régulation métacognitive chez certains patients, mais peut également améliorer la résistance aux facteurs de stress, le contrôle émotionnel, l’ouverture aux relations et l’estime de soi.Conclusion : Un programme de remédiation cognitive écologique et individualisé, centré sur la métacognition et le sentiment d’efficacité personnelle, peut contribuer à améliorer des composantes de la santé fonctionnelle chez les patients bipolairesBackground: Nearly sixty percent of stabilized bipolar patients suffer from important cognitive impairments that lead to significant functional disabilities. Without proper treatment, these impairments remain throughout lifespan. However, cognitive deficits in bipolar disorders have been overlooked and only a few studies investigated treatments to improve cognitive functioning for bipolar patients. Method: We developed ECo, an individual ecological cognitive remediation intervention that was designed for mood disorders. We conducted experimental studies to investigate psychological correlates of cognitive impairments, and the cognitive, functional and psychological improvements of bipolar patients after either cognitive remediation or individual psychotherapy.Results: Our results suggest that metacognitive impairments lead to an increased frequency of everyday life activities that can create a cognitive and emotional overload. We observed that cognitive remediation, and in particular the ECo program, can improve problem solving skills in our population. The ECo program can improve impaired cognitive functions and metacognitive regulation, as well as coping skills, emotional control, openness to relationships and self-esteem.Conclusion: An ecological, individualized cognitive remediation program, targeting metacognition and self-efficacy, can contribute to an improvement of functional health components in bipolar disorders
5
Merrick, Daniel. "A follow-up of patients with chronic musculoskeletal pain, focusing on multimodal rehabilitation." Doctoral thesis, Umeå universitet, Rehabiliteringsmedicin, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-54357.
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Chronic pain is usually defined as pain of more than three months duration. The prevalence of chronic pain among the general population in Sweden is 18%. Compared with the general population, these patients report lower life satisfaction, decreased activity in daily life and higher levels of depression with decreased work ability, and increased sick leave. Research indicates that multimodal rehabilitation (MMR) programmes, including cognitive behavioural approaches for patients disabled by chronic pain, are effective for return to work. The primary aim of this thesis was to assess outcomes by a long-term follow-up of patients with chronic musculoskeletal pain. Furthermore, the aim was to evaluate two different rehabilitation strategies regarding impact on pain intensity, activity, depression, life satisfactions, and sick leave. Two groups, comprising 255 (between the years 1999-2002) and 296 (between 2007-2008) patients respectively, from the Pain Rehabilitation Clinic at Umeå University Hospital, Sweden, were all assessed by interdisciplinary teams. They completed questionnaires regarding pain intensity, disability, life satisfaction, anxiety and depression, and sick leave, before intervention, immediately after intervention (only the first group; n=255), and at one-year follow-up, after participating in a MMR programme in a specialist clinic, or after receiving a rehabilitation plan (RP) with follow-up in primary care. Allocation to either of the two groups was based on the initial interdisciplinary team assessment. Furthermore, a five-year follow-up of 158 patients with whiplash injury was conducted. Pain intensity decreased and life satisfaction increased significantly regarding somatic health in both groups, at follow-up. In addition, depression improved and disability decreased to a higher extent after participating in the MMR programme as compared to RP and subsequent follow-up in primary care. Patients’ positive beliefs about recovery, and positive expectations about work correlated with favourable rehabilitation outcomes. Sick leave at one year follow-up decreased in both groups. Regarding whiplash injury, patients who reported moderate or severe disability also reported significantly higher pain intensity, depression and post-traumatic stress scores and lower perception of general health compared with patients who reported mild or no disability. In conclusion, MMR programmes seem to be beneficial by decreasing pain intensity, depression, disability and sick leave among patients with chronic musculoskeletal pain. Furthermore, patients’ positive beliefs correlate with more favourable long-term outcomes. An interdisciplinary team assessment based on a biopsychosocial approach may be of value for selection of rehabilitation strategy.
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Lamargue, Delphine. "Cognition et sclérose en plaques : développement de nouveaux outils d’évaluation « écologique » en réalité virtuelle et d'un programme spécifique de réhabilitation, caractérisation de l’humeur dépressive, évaluation de la qualité de vie et apport de l’imagerie cérébrale à l'étude de la réhabilitation." Thesis, Bordeaux, 2015. http://www.theses.fr/2015BORD0120/document.
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L’objet de ce travail est de mieux comprendre les modifications cognitives et cérébrales liées à la sclérose en plaques (SEP) et les facteurs pouvant les affecter afin de contribuer à améliorer la prise en charge cognitive des personnes vivant avec une SEP. Nous avons orienté nos travaux selon 2 axes. Le premier visait à optimiser les évaluations cognitives. Nous avons montré une diminution de la qualité de vie (QdV) liée à l’atteinte cognitive et à son retentissement sur le statut professionnel, ainsi que l’intérêt d’utiliser l’Echelle d’Humeur Dépressive version auto-questionnaire que nous avons validée et dont la dimension « perte de contrôle émotionnel » était particulièrement associée à la QdV. Nous avons aussi élaboré des tâches « écologiques » en environnement virtuel et montré leur potentiel à évaluer plusieurs composantes cognitives, voire leurs interactions, suggérant leur intérêt pour évaluer l’impact des troubles cognitifs dans les activités quotidiennes. Le second, pour lequel nous avons présenté les bases théoriques, la méthodologie et les résultats préliminaires, consistait à améliorer la prise en charge cognitive grâce à son évaluation et à la réhabilitation (étude REACTIV, en cours). Nous avons créé des paradigmes en IRMf et un programme de réhabilitation spécifique visant à guider les phénomènes de plasticité cérébrale afin d’optimiser le transfert des acquis dans la vie quotidienne et améliorer la QdV. Lors des résultats préliminaires, nous avons identifié en imagerie multimodale des mesures IRM de deux structures prédictives de la progression de certaines performances cognitives au cours de nos thérapies : le thalamus et le corps calleuxThe purpose of this work is to better understand the cognitive and brain changes associated with multiple sclerosis and the influencing factors to help improve cognitive support for people living with MS. We organized our work according to two axes. The first one was to optimize cognitive assessments. We have shown i) a decrease in quality of life (QoL) linked to cognitive impairment and its impact on the professional status and ii) interest in the use of Depressed Mood Scale self-questionnaire that we validated and whose lack of emotional control dimension was particularly associated with QoL. We also developed ecological tasks in virtual environment and showed their potential to evaluate several cognitive components or their interactions, suggesting an interest in evaluating the functional impact of cognitive impairment in daily activities of PwMS. The second, for which we presented the theoretical basis, methodology and preliminary results, was to improve cognitive care through its assessment and rehabilitation (REACTIV study in progress). We created fMRI paradigms and a specific rehabilitation program to guide brain plasticity phenomena in order to optimize the transfer of training in daily life and improve QoL. Preliminary results in multimodal imaging revealed MRI measures of two structures, the thalamus and the corpus callosum, which would be predictive of progression of certain cognitive performance during our therapies
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Young, Man-chi, and 楊敏智. "Determinants of resilience in patients with rheumatic disorders." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B47869653.
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Introduction
Rheumatic disease is an autoimmune disorder with an unpredictable course of
exacerbation and remission. There is no known cure for the disease at the moment.
The patients’ conditions may progressively deteriorate despite intensive therapies, and
runs an erratic course with the possibility of disfiguration and alteration in body
image. Pain, disabilities and psychological distress are common. Rheumatic patients
may respond differently to the same level of pain and physical symptoms. The
understanding of the needs of rheumatic patients and how they successfully manage
the disease and optimize psychological adjustment can help develop effective
psychosocial interventions.
Aims
The aims of the study are (1) to identify the needs of rheumatic patients and
perceptions of their disease, (2) to develop a conceptual framework for psychological
adjustment, and (3) to identify factors associated with resilience in rheumatic patients.
Methods
The present study consisted of two phases. The first phase was a focus group
interview, aiming to understand the patients’ feelings and to design a questionnaire.
The second phase was a prospective questionnaire survey that includes a baseline
study and a six-month follow-up study. Patients were recruited from support groups in
Hong Kong. The baseline questionnaire was self-administrated, and the follow-up
questionnaire was administrated by telephone interview. The self-regulation model
was chosen as the basis for the conceptual framework for psychological adjustment.
The questionnaire included demographics, illness representation, coping efforts,
appraisal of coping efforts, sense of coherence, quality of care, functional disability,
and health-related quality of life. The outcome measures were functional and
psychological health, change in adjustment, and positive and negative resilience.
Results
Having a good and caring doctor, more information on the disease, and public
understanding of the disease were the needs of rheumatic patients. The patients
perceived that the disease was chronic, cyclical, and had poor consequences. They
perceived that the disease caused great pain, stress, depression and anxiety, and
affected their daily activities, appearance, and relationship with family and friends.
Poor adjustment was associated with chronic and cyclical timeline, and poor
perception of personal and treatment control. The analysis of resilience shows that
positive perception of treatment control and disease consequence, correct
understanding of disease causes, and high sense of own value and importance to the
society, were protective. While those who lacked family support and blamed
themselves or their families to be the cause of disease, were vulnerable.
Discussion and conclusions
The present study lends support to the validity of self-regulation model in
psychological adjustment to disease, but coping efforts could only partially mediate
the relationship of illness representation to appraisal of coping efforts, implying that
the coping style might not sufficiently capture the underlying differences in individual
coping styles. An effective psychosocial intervention can be developed based on the
factors associated with better adjustment and resilience, and targeted at non-working
older patients with rheumatoid arthritis. Last but not least, support from the
community, and public understanding of the disease are important for rheumatic
patients.published_or_final_version
Psychiatry
Doctoral
Doctor of Philosophy
8
Sit, Bik-yan Sonia. "Cognitive function in Chinese stroke patients /." View the Table of Contents & Abstract, 2005. http://sunzi.lib.hku.hk/hkuto/record/B31595923.
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Duff, Barbara Jane. "Cognition in t(1;11) translocation carriers and patients with psychotic disorders." Thesis, University of Edinburgh, 2017. http://hdl.handle.net/1842/28826.
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Deficits in a number of cognitive domains have been associated with core symptoms of schizophrenia, including working memory, attention, motor skills, reaction time, episodic memory and executive function. Bipolar Disorder is also associated with cognitive impairment; however the level of impairment appears to be less severe than that seen in schizophrenia. A translocation (t(1;11)) containing the Disrupted-in-Schizophrenia 1 (DISC1) gene has been found to be highly associated with schizophrenia, bipolar disorder and major depressive disorder. As such, this gene has been the focus of much research and to date DISC1 has been found to be associated with brain development, brain structure and the glutamate system - all key factors in current models of schizophrenia and affective disorders. The aim of this PhD is to identify cognitive domains that are differentially impaired or unimpaired in a large Scottish family, some of whom carry this rare DISC1 variant, a balanced translocation (t (1;11) (q 42; q14.3)), that segregates with schizophrenia and affective disorders, as well as psychiatric patients with schizophrenia and bipolar disorder and healthy control subjects. All participants have undergone standardised cognitive assessments to measure premorbid I.Q. (NART), current I.Q. (WASI) verbal memory, working memory, verbal fluency, processing speed, motor skills, executive function (BACS) and selected CANTAB tasks to assess simple and five-choice reaction time. Polygenic risk profile scores and self-report questionnaire data have also been investigated. Results indicate an impact of the DISC1 t(1;11) translocation on general intelligence and attention and processing speed. Significant differences were also identified between DISC1 t(1;11) carriers and non-carriers on self-report questionnaire data. Mean scores for polygenic risk for bipolar disorder were significantly different between DISC1 t(1;11) carriers and non-carriers and polygenic risk for schizophrenia was significantly associated with symptom severity, as measured by the Positive and Negative Symptom Scale (PANSS). Within the patient groups, a measure of processing speed (the token motor task) was found to be significantly different between those with schizophrenia and bipolar disorder and there was also a trend for attention and processing speed. As expected, I.Q. was significantly different between patients and control participants. Clinical ratings were significantly associated with neuropsychological and self-report measures. Polygenic risk for major depressive disorder was found to be significantly associated with impaired general intelligence (current IQ) and slowed reaction time in patients who were not currently depressed, suggesting there may be genetic risk markers in this population which impact on cognition. This is a novel finding and further suggests the possibility of a biological component related to the genetics of depression. In conclusion, and in line with the literature, psychosis has a negative impact on cognition with reduced performance across several neuropsychological tasks between patient groups, with schizophrenia patients performing worse than patients with bipolar disorder and both patient groups performing worse than healthy control participants. Cognition is markedly more impaired in DISC1 t(1;11) translocation carriers and especially in those with psychosis. The DISC1 t(1;11) translocation and psychosis may therefore confer a “double hit” on cognition - in addition to psychosis itself - which is known to impair cognitive function, significantly increasing the level of cognitive impairment and increasing the risk for psychosis in general.
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Leung, Nim-no. "Cognitive impairment in Chinese DM patients /." View the Table of Contents & Abstract, 2005. http://sunzi.lib.hku.hk/hkuto/record/B35507081.
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Andersson, Christin. "Predictors of cognitive decline in memory clinic patients /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-232-3/.
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Chua, Eldrich Norwin Siy, and 蔡季延. "The effects of noninvasive brain stimulation on cognitive function in patients with stroke : a systematic review." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/206919.
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Introduction: Cognitive impairments occur frequently in stoke survivors, yet current conventional post-stroke care focuses mainly on motor function. Transcranial direct current stimulation (tDCS) and repetitive transcranial magnetic stimulation (rTMS) are noninvasive brain stimulation techniques (NIBS) that are used in neurological rehabilitation. Its efficacy is well-established in motor recovery post-stroke, but research on its effects on the associated cognitive decline after stroke is fairly new. The aim of this review is to evaluate recent studies and provide a summary on the effects of NIBS on post-stroke cognitive decline.
Methods: PubMed and CINAHL were searched using the keywords: “cerebrovascular accident”, “stroke”, “NIBS” or “noninvasive brain stimulation”, “tDCS” or “transcranial direct current stimulation”, and “TMS” or “transcranial magnetic stimulation”. PEDro system was used to assess the quality of the studies that passed the inclusion and exclusion criteria.
Results: The initial search returned 1081 citations, among which 12 were included in this review. The mean PEDro score of the studies was 7.5 out of 10. The trials had a total of 176 participants with stroke. Lesion site was heterogeneous. Six trials investigated tDCS, and the other 6 investigated rTMS. The main outcome measures were grouped into 3 domains: memory, visuospatial, and attention. Both tDCS and rTMS resulted in significant changes in the visuospatial domain in terms of improving spatial neglect. The results on memory and attention are mixed, but tDCS shows more consistent results.
Conclusion: NIBS is a safe and low-cost treatment that can improve cognitive decline post-stroke. However, the evidence is still lacking due to the small number of trials and sample sizes. More studies need to be conducted in order to establish a proper guideline for usage. Long term effects also need to be investigated.published_or_final_version
Public Health
Master
Master of Public Health
13
Banala, Sai Kumar. "Lower extremity exoskeletons for gait rehabilitation of motor-impaired patients." Access to citation, abstract and download form provided by ProQuest Information and Learning Company; downloadable PDF file, 204 p, 2008. http://proquest.umi.com/pqdweb?did=1456297091&sid=5&Fmt=2&clientId=8331&RQT=309&VName=PQD.
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Schrader, Robert J. "Implications of undiagnosed cognitive impairments in people with a history of substance abuse seeking vocational rehabilitation." Online version, 2009. http://www.uwstout.edu/lib/thesis/2009/2009schraderr.pdf.
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Lorefält, Birgitta. "Weight loss in elderly patients with Parkinson's disease /." Linköping : Univ, 2005. http://www.bibl.liu.se/liupubl/disp/disp2005/med896s.pdf.
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Konishi, Kyoto. "The cognitive profile of elderly Korsakoff's syndrome patients /." Thesis, McGill University, 2009. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=116028.
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Korsakoff's syndrome (KS) is characterized by the acute onset of a severe anterograde memory impairment and a less pronounced retrograde amnesia. In addition to deficits in memory, executive function, visuo-spatial abilities, and visuo-perception are impaired. The main structures involved in the neuropathology of KS are the mammillary bodies and the thalamus. It is generally assumed that KS is a stable amnesic condition, and little research has been done in studying the effects of aging on the syndrome.A group of elderly KS patients were evaluated on a large battery of neuropsychological tests to examine general cognitive function, memory, attention, visuo-spatial ability, and executive function. Their performance was compared to age-matched Alzheimer's disease patients and healthy controls. Results showed that there is an interaction between age and KS, with exaggerated deficits seen in memory and executive function, as well as new deficits in semantic memory.
To better understand KS, the thesis provides a review focusing on human, English language studies published between the years 1995 and 2008. Updates on the current findings of treatment and prevention, genetics and prevalence, neuropathology, and neuropsychology including memory and frontal function are provided. In addition, comparison studies of KS to other neurological disorders are summarized.
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Davison, Andrew Charles. "Development of a smart knee brace for early gait rehabilitation of stroke patients /." Access to citation, abstract and download form provided by ProQuest Information and Learning Company; downloadable PDF file, 68 p, 2007. http://proquest.umi.com/pqdweb?did=1251900481&sid=2&Fmt=2&clientId=8331&RQT=309&VName=PQD.
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Thesis (M.S.M.E.)--University of Delaware, 2006Principal faculty advisors: Sun, Jian-Qiao, Dept. of Mechanical Engineering; Katherine Rudolph, Dept. of Physical Therapy. Includes bibliographical references.
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Lee, Wing-ho Peter. "Information processing deficits and outcome patterns in schizophrenic patients /." [Hong Kong : University of Hong Kong], 1989. http://sunzi.lib.hku.hk/hkuto/record.jsp?B12561927.
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Tsang, Yuen. "The relationship between balance and functional outcomes of subacute in-patient rehabilitation in stroke patients." Click to view the E-thesis via HKUTO, 2004. http://sunzi.lib.hku.hk/hkuto/record/B3197224X.
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Urimubenshi, Gerard. "Profile of and challenges experienced by stroke patients admitted to Ruhengeri Hospital in Rwanda." Thesis, University of the Western Cape, 2009. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_3179_1273708790.
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Stroke is the world&rsquo
s third highest cause of death and a major cause of disability. In order to define optimal management for stroke, reliable data are needed. Although Ruhengeri Hospital in Rwanda receives many stroke patients, no in-depth study has been carried out on stroke patients admitted at the hospital. This study, therefore, identified the profile of stroke patients admitted at Ruhengeri Hospital in Rwanda and explored the challenges that they experienced. A concurrent mixed model design was used to collect data. With a data gathering instrument which was developed by the researcher, a quantitative retrospective approach was used to review existing patients&rsquo
records to collect information related to demographic characteristics, documented clinical features and risk factors for stroke, stroke onset-admission interval, length of hospital stay and the process of hysiotherapy for stroke patients. In-depth face-toface interviews were also used to collect data regarding the challenges experienced by stroke patients. The sample for the quantitative phase consisted of medical records of stroke patients admitted at Ruhengeri Hospital from January 1st, 2005 up to December 31st, 2008. In the qualitative phase, a purposive sample of 10 participants was selected.
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Leung, Nim-no, and 梁念挪. "Cognitive impairment in Chinese DM patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2005. http://hub.hku.hk/bib/B45010778.
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Maynard, Hugo. "Memory Deficit Compensation Among Survivors of Traumatic Brain Injury." PDXScholar, 1995. https://pdxscholar.library.pdx.edu/open_access_etds/4871.
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Memory impairment is an outcome of Traumatic Brain Injury (TBI), and associated with lower levels of post-morbid adjustment. This research isolated the memory impairment of retrieval deficit, and examined the efficacy of cues and mnemonics in remediating the impairment. Thirty-three male and female TBI survivors, 18 to 71 years old, were pre-tested for attention (COPY), short-term memory (SD), long-term memory (LD) and recognition memory (RS) employing the Rey Osterrieth Complex Figure Test (CFT), and Subtest. Sixteen subjects demonstrating a retrieval deficit were administered the post-test, with even random assignment into four treatment conditions: a control group (CONTROL), a group administered cues (CUES), a group administered mnemonics {MNEM), and a group administered mnemonics and cues (BOTH) (n = 4). A MANOVA revealed a significant effect of TRIAL (p5.05), no significant effect of TREATMENT, and no interaction. A power analysis indicated the lack of TREATMENT effect could be the result of sample size. Post-hoc t tests revealed a difference across TRIAL for SD and LO in the two experimental conditions which utilized mnemonics. The sample was divided into two groups according to subjects' level of functioning (HIGH and LOW). A MANOVA showed main effects for LEVEL for SD and RS, for TRIAL for SD, LO, and RS, and a LEVEL by TRIAL interaction for COPY (R
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李永浩 and Wing-ho Peter Lee. "Information processing deficits and outcome patterns in schizophrenic patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1989. http://hub.hku.hk/bib/B31231858.
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Annerbo, Sylvia. "Development of dementia in mild cognitive impairment (MCI) patients with focus on B-vitamins /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-223-1/.
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Laske, Kate M. "Correlation of assessment measures in a rehabilitation program for individuals with traumatic brain injury." Oxford, Ohio : Miami University, 2004. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=miami1082685973.
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Lee, Hongting Claudia, and 李康婷. "Mental practice with physiotherapy in gait rehabilitation in Chinese elderly." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B4501081X.
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Sit, Bik-yan Sonia, and 薛碧茵. "Cognitive function in Chinese stroke patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2005. http://hub.hku.hk/bib/B45010390.
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Hagberg-van't, Hooft Ingrid. "Cognitive rehabilitation in children with acquired brain injuries /." Stockholm, 2005. http://diss.kib.ki.se/2005/91-7140-380-9/.
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Ohrt, Torbjörn. "Cognitive dysfunction : assessed by questionnaires in a population sample and in patients with affective or anxiety disorders before, during and after treatment /." Linköping, 1999. http://www.bibl.liu.se/liupubl/disp/disp99/med601s.htm.
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Agresti, Albert A. "Effects of mode of presentation on head injured patients' recall of narrative information /." The Ohio State University, 1986. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487266691094183.
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Tsang, Yuen, and 曾苑. "The relationship between balance and functional outcomes of subacute in-patient rehabilitation in stroke patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B3197224X.
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Ngan, Yuk-hing Candy, and 顏玉卿. "Diet and fluid tolerance of dysphagic stroke patients in predicting swallowing outcomes at 3 months post-stroke." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B3197210X.
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Lee, Jane. "A critical review on the use of service dogs for individuals with autism spectrum disorders and its application in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/206939.
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Background: Individuals with autism spectrum disorders (ASD) are characteristically deficient in social awareness and communication skills, while displaying repetitive behaviours. Because of this, integration of individuals with ASD into society is often difficult as people do not know how to respond to their atypical behaviour. Particularly in Asian cultures, this vulnerable group is often subjected to stigmatization. However, recent literature has highlighted some benefits of assistive animal intervention (AAI) for individuals with ASD, which may improve their ability for social interaction. This review examines the effects of AAI in terms of service dogs for individuals with ASD.
Methods: Journal articles were identified through a systematic review on psycINFO, Pubmed, Scholars Portal and Web of Knowledge. Additional searches were conducted for inclusion of grey literature and doctoral theses in the review.
Results: Of the 170 studies initially found, 7 were selected; 3 cohort studies, 3 case-control studies, and 1 cross-sectional study. Reported outcomes included increased social reciprocity, decreased behavioural problems and decreased stress in individuals with ASD. Despite these positive outcomes, they should be taken with caution, as the designs of the seven studies included in this review show methodological weaknesses, such as small sample sizes and possible information bias from data collection.
Conclusions: Additional research focused on varying age groups with ASD, longitudinal studies and standardized outcome measures are required for further research. What this review suggests though is that there is a need to address social services gaps for various disability groups, not just for those with ASD. Some legislative measures are in place in Hong Kong to support the accessibility of assistance dogs in public; however, since there are so few in Hong Kong, their exposure is not enough to gain widespread acceptance. Expansion of assistance dog services to serve other disability groups may help to enhance their quality of life.published_or_final_version
Public Health
Master
Master of Public Health
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Söderqvist, Anita. "Bedömning av kognitiv förmåga hos äldre patienter med höftfraktur : assessment of cognitive function in elderly patients with hip fractures /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-065-7/.
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Daniels, Bradley J. "Neural change in patients with chronic nonfluent aphasia after language rehabilitation a functional magnetic resonance imaging (fmri) study /." [Gainesville, Fla.] : University of Florida, 2005. http://purl.fcla.edu/fcla/etd/UFE0010549.
Full textAbstract:
Thesis (M.S.)--University of Florida, 2005.Typescript. Title from title page of source document. Document formatted into pages; contains 66 pages. Includes Vita. Includes bibliographical references.
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Soukup, Vicki Marlene. "The Assessment of Cognitive Functioning among Patients with Unilateral Visual Neglect: Effects of Field of Presentation and Cueing." Thesis, University of North Texas, 1992. https://digital.library.unt.edu/ark:/67531/metadc278752/.
Full textAbstract:
Prior evidence has shown a reduction of neglect on line bisection tasks as a function of altered hemispace presentation and left cueing. The present study was conducted to examine the effect of these factors in reducing symptoms of neglect on measures of general cognitive functioning. To examine proposed changes, revised versions of the Raven's Coloured Progressive Matrices and the Memory-for-Designs (MFD) Test were constructed by placing the target stimuli in the right hemifield. Two experimental presentations, a right hemispace condition and a right hemispace plus left cue prompt condition, were compared to the standard presentation format. The primary hypotheses predicted that RBD neglect patients would reveal enhanced performance on the criterion measures as a result of these manipulations. Significant correlations were predicted between the neglect measures and between the two scoring systems for the MFD. The sample was comprised of 54 hospitalized patients, assigned to either a RBD neglect group (N = 18), a RBD nonneglect group (N = 18) , or an orthopedic control group (N = 18) . Both RBD groups were administered the Mini Inventory of Right Brain Injury, to document the presence and severity of right brain injury. Presence of neglect was assessed via the Schenkenberg Line Bisection Task and the Bells Test for Visual Neglect. Subjects were examined under all three conditions by administering one third of the items for each condition. Neglect subjects demonstrated significantly poorer performance on both criterion measures than the two comparison groups. However, no significant improvement in performance was revealed with right hemispace presentation of stimuli or left cue prompts combined with the right hemispace version. Ancillary predictions concerning correlations for the neglect measures and MFD scoring systems were confirmed. Results are interpreted in terms of increased attentional demands and task complexity. These results suggest that, despite the frequent clinical use of these manipulations in the cognitive assessment of this population, support for the efficacy of these procedures is lacking.
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Hunt, Angela Jane. "The effectiveness of outpatient and home based pulmonary rehabilitation programmes in patients with obstructive and restrictive ventilatory disorders." Thesis, Imperial College London, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.408851.
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Thiart, Karen. "Traumatic brain injury (TBI) patients’ post-acute rehabilitation : the experience of family members." Diss., University of Pretoria, 2012. http://hdl.handle.net/2263/28339.
Full textAbstract:
A traumatic brain injury (TBI) is what its name suggests: an extremely traumatic event that affects the most supremely powerful but fragile organ that controls all our bodily functions and holds the essence that makes individuals unique. Some patients with a traumatic brain injury will recover without realising what the effect could have been and others will be left with effects that will last throughout their lives. “Many sufferers will remain severely incapacitated and a lamentably large number will become part of the statistics on the mortality after TBI” (Burns, 2008a:76). The impairments that an individual faces after a TBI will be dealt with in an acute rehabilitation setting. Significant emotions are experienced by patients with a traumatic brain injury. The researcher believes that this emotional reaction is also experienced by the family members. The event may be even more devastating to the family members, because of the impaired cognitive functions of the injured person. Ross and Deverell (2004:36) state that when individuals are diagnosed with disabling conditions, they experience strong emotional reactions. “Feelings of grief, anxiety, inadequacy, anger, guilt, vulnerability and confusion are some of the more common emotions that clients and their families experience when they encounter a disability in themselves or a family member” (Ross and Deverell, 2004:41). After a traumatic brain injury the patient is usually admitted to an intensive care unit (ICU). Once medically stable and able to participate in an active rehabilitation programme, provided this is authorised by the patient’s medical aid, the patient is transferred to a rehabilitation unit. While in ICU, the outcome is very uncertain and the the family often receives very limited support. Patients are often in a coma and unable to communicate. In working with TBI patients, the researcher found that family members receive very limited support, education on the condition and feedback on the patient’s medical state from team members, and therefore become very anxious when the patient is eventually transferred to a rehabilitation unit. In this study, the researcher focused on the family’s experience from the time of the patient’s admission into ICU until discharge from rehabilitation. During the rehabilitation process, family members are encouraged to support their family member in the rehabilitation unit. This is often very difficult for them, as it entails being confronted with reality and the often devastating impact of the injury. The focus of this study is on the experiences of family members while the patient with a TBI is in hospital and in the rehabilitation unit and the challenges they face. The researcher strove to understand the experiences of family members of patients with TBI, from ICU through until discharge from acute rehabilitation. The goal was to explore the experiences of adult family members of the traumatic brain-injured person in post-acute rehabilitation. The research question was: What were the experiences of adult family members of the person with a traumatic brain injury (TBI) during post-acute rehabilitation? A qualitative approach was used in this study, with a collective case study research design. The population for this study was all the family members of patients who underwent rehabilitation as a result of traumatic brain injury in the Life Eugene Marais Hospital, Pretoria, Gauteng. In this study purposive sampling was used to choose participants who were family members of TBI patients. The criteria for sampling of family members as participants were as follows. The patient - had suffered a traumatic brain injury;
- had undergone acute rehabilitation at Life Eugene Marais Hospital for the last four years;
- had completed rehabilitation, in other words had to be post discharge;
- lived in the province of Gauteng; and
- was able to speak and understand English or Afrikaans, irrespective of gender, race, religion, culture or age.
Dissertation (MSW)--University of Pretoria, 2012.
Social Work and Criminology
unrestricted
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Harrison, Benjamin James, and habj@unimelb edu au. "Functional imaging studies of executive-attention in humans comparing healthy subjects & patients with neuropsychiatric disorders." Swinburne University of Technology, 2006. http://adt.lib.swin.edu.au./public/adt-VSWT20060227.101116.
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One of the major goals of cognitive neuroscience is to better understand the psychological and
neural bases of human executive-attention. Executive or supervisory attention refers to a collection
of higher-order cognitive functions whose primary contribution to behavior is to support controlled
information processing and action. The capacity to control attention is essential for our adaptive
interaction with the environment because it allows flexibility in our responses to ever changing
situational contexts and demands. Executive-attention processes therefore play a unique role in
shaping the human experience.
Use of three-dimensional functional neuroimaging has fast become the empirical standard for
investigating how executive-attention is implemented in the human brain. Most recently, emphasis
has been placed on the use of these techniques to parse discrete components of a putative neural
network relating to action-monitoring and cognitive control processes of the medial and lateral
prefrontal cortex. This work has relied heavily on the use of popular experimental paradigms such
as the Stroop task and their unique capacity to challenge such processes in humans. These tasks
have also been especially useful for conceptualizing the nature of higher-cognitive dysfunction in
complex brain disorders such as schizophrenia.
The focus of this thesis concerns a novel application of the Stroop paradigm and functional imaging
approach to examine executive-attention performance in healthy subjects and patients with
schizophrenia and obsessive-compulsive disorder. On one hand, this work aimed to address
current ideas on the nature of executive-control mechanisms and how they may be compromised in
these two common psychiatric disorders. On the other hand, this work aimed to examine important
conceptual and methodological issues associated with functional imaging approaches to the study
of higher-cognition and cognitive psychopathology in humans.
In line with connectionist models of executive-attention phenomena, the first study in this thesis
investigated the effects of task practice on a larger-scale neurocognitive network associated with
performance of the Stroop task in healthy subjects. This study involved the use of a novel methodological approach to model physiological covariances or ?functional connectivity? in PET
data, which generated previously unseen and interesting insights into the neural basis of Stroop
phenomena, whilst complimenting existing ideas on the role of the anterior cingulate and lateral
prefrontal cortex in mediating executive-control functions. These findings were then extended to a
comparative study of patients with schizophrenia and obsessive-compulsive disorder. This study
largely corroborated previous reports of prefrontal executive dysfunction in schizophrenia,
although patients also showed evidence for a compensatory strengthening of connectivity in a
fronto-parietal network that accompanied task practice. This finding has important implications for
existing models of higher-cognitive dysfunction and abnormal brain integration in schizophrenia.
For patients with OCD compared to healthy subjects, performance of the Stroop task evoked a
pattern of abnormal connectivity among predominantly corticostriatal regions, including a
previously reported hyperfunction of the dorsal anterior cingulate cortex. While this latter result
has been linked to a specific disturbance of action-monitoring in patients with OCD, the current
study suggests that this may map onto a more extensive corticostriatal network abnormality in line
with current theoretical models of this illness.
One caveat raised in the first study of patients with schizophrenia concerned the effects of illnesschronicity
and medication on functional imaging studies of higher-cognition and prefrontal
function in schizophrenia. To address this, a second clinical study was undertaken in patients with
a first-episode of schizophrenia (diagnosis confirmed at follow-up) who were examined before and
after commencing antipsychotic treatment. Overall, the findings from this study support the idea of
trait-like disturbances of prefrontal executive function in schizophrenia; however, they also
suggested that aspects of this disturbance may be specific to the critical, early stage of illness -
implicating progressive changes with illness chronicity and/or treatment intervention. These
findings are discussed in relation to the developmental context of cognitive psychopathology in
schizophrenia.
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Smith, Tracy-Ann. "Frozen in time to reclaiming one's life: the evaluation of the Ehlers and Clark Cognitive Therapy Model in the assessment and treatment of a hijacking survivor." Thesis, Rhodes University, 2006. http://hdl.handle.net/10962/d1002569.
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The aim of this research study was achieved by providing support for the effectiveness and the transportability of the Ehlers and Clark (2000) cognitive therapy model for the assessment and treatment of PTSD. Furthermore, the contextual factors which were important in this case were investigated and documented. However, research within the social sciences will inevitably produce various limitations due to the unique individuals and dynamic phenomena that are studied.
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Van, Wyk Andoret. "The effect of visual scanning exercises integrated into task-specific activities on the functional ability in patients with visual perceptual disorders post stroke." Diss., University of Pretoria, 2013. http://hdl.handle.net/2263/28672.
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Stroke is the first cause of disability and second most frequent cause of mortality after ischemic heart disease in adults worldwide. The influence of visual system impairment on the patient’s functional ability and quality of life are still largely neglected in neurological rehabilitation. Therapists are seldom concerned with the visual status and ability of their patients. Members of the rehabilitation team rarely assess, monitor or treat impairment of visual efficiency processes and visual information processing dysfunction that may be observed in patients after a stroke. In the absence of specific intervention visual deficits stabilise and become permanent due to poor or almost absent spontaneous recovery of the visual system in stroke patients. A matched-pair randomised controlled trial was conducted. Twenty-four (24) participants were screened based on their functional activity level as measured on the Stroke Activity Scale (SAS). When a participant’s SAS score matched a previously allocated participant’s score, that particular participant was placed in the opposite group from the existing matched participant. If the newly assessed participant’s SAS did not match another participant’s SAS, the participant was randomly allocated to either the experimental or the control group. The process was repeated until (24) patients had been allocated into two groups consisting of twelve (12) participants per group as they were admitted to Tshwane Rehabilitation Centre (TRC). Group 1 (Experimental Group) received saccadic eye movement training with visual scanning exercises integrated with task-specific activities and Group 2 (Control Group) received task-specific activities for four (4) consecutive weeks. Participants functional progress on body impairment and functional activity level were assessed and documented on a weekly basis during the intervention period of four (4) weeks. In order to determine whether the integration of visual scanning through saccadic eye movement training had a permanent or long-term effect on the participants’ functional ability and quality of life after rehabilitation had been terminated, functional progress on body impairment-, functional activity and participation levels as well as their perceived quality of life were assessed and documented eight (8), twelve (12), sixteen (16) and twenty (20) weeks after admission to the rehabilitation facility. A large number of participants were lost to follow-up following discharge from the TRC after the intervention period of four (4) weeks. As result of the small sample group at week eight (8), week twelve (12), week sixteen (16) and week twenty (20), these results were not discussed. Results of the matched-pair randomised controlled trial indicated that the effect of saccadic eye movement training with visual scanning exercises integrated with task specific activities as an intervention for participants that presented with unilateral spatial inattention, visual-spatial disorders and visual-constructive disorders poststroke resulted in significant improvement in impairment level. This improvement related to oculomotor visual performance, visual attention, depression as well as results on functional activity level with regard to the ability to independently complete ADL after four (4) weeks of rehabilitation. It may therefore be concluded that saccadic eye movement training with visual scanning exercises integrated with task-specific activities as an intervention tend to improve functional ability in participants that presented with unilateral spatial inattention, visual-spatial disorders and visual-constructive disorders post-stroke.Dissertation (MPhysT)--University of Pretoria, 2013.
Physiotherapy
unrestricted
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Mogotsi, Seipati J. K. "Utilization of adult day care and rehabilitation centers by patients suffering from Alzheimer’s disease and related disorders in Georgia." DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 1990. http://digitalcommons.auctr.edu/dissertations/3535.
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Adult day care rehabilitation centers represent options for the elderly population that long-term care professionals have long been seeking. Chapter One represents the statement of the problem, historical overview of adult day care/rehabilitation centers in general and in Georgia, conceptual framework and theoretical grounding and research method. Chapter Two discusses the problem in contextual review, services, access, quality in adult day care and rehabililitation, the federal government and adult day care programs. Further discussions focus on centers and their relationship of variables from the instrument in the participation of persons suffering from Alzheimer's diseasae and related disorders in Georgia. This chapter seeks also to utilize secondary data on previous studies relating to adult day care/rehabilitation centers to supplement the study. Primary emphasis was to determine the extent to which those adult day care/rehabilitation centers studied provide for Alzheimer's disease and related disorders patients through their services. Chapter three will cover presentation of data and discussion in the area of analyzing and examining the centers having Alzheimer's disease and related disorders patients. Presentation of data and interpretation of findings, sampling frame characteristics, key variables and utility and limitation of the study will all be included in this chapter. Included also, will be a comparison of participation of the Alzheimer's disease and related disorders patients between adult day care and rehabilitation centers, a breakdown of adult day care, adult day rehabilitation and combination centers, and the relationship between adult day care and selected variables from the instrument. Finally, in Chapter Four, a summary of findings, conclusions and study recommendations if need be as to how the adult day care and rehabilitation centers can or should be operated in order to accommodate a greater number of Alzheimer's disease and related disorders cases in Georgia will be addressed.
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Zhong, Xuebing, and 鍾雪冰. "Enhancing the quality of life of cognitively impaired older adults : the role of organizational strategy and human resource management." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/206675.
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China has 9 million elderly individuals with dementia, which places it first in the world. Although family care remains the major source of support for people with dementia, residential care has become an indispensable choice in recent years. The biggest concern is the quality of life of the elderly with cognitive impairment or dementia (QOL-ECI) in residential care facilities (RCFs). Previous studies have explored many individual-level factors associated with QOL-ECI; however, less discussion has been conducted on how to improve it from an organizational-level perspective. China serves as a good research setting for this issue.
The present study aims to establish an organizational-level framework to investigate QOL-ECI in RCFs. The Person-centered Care (PCC) Approach serves as an organizational strategy, and the High Commitment Work System (HCWS) is used as a human resource management practice. The study exposes the QOL-ECI status of RCFs in Xi’an China; and examines the relationship between PCC/HCWS and QOL-ECI respectively and jointly.
A quantitative research method, survey in particular has been designed to achieve the research objectives, and has been conducted in two phases. Phase one of the study aims to validate a Chinese Version of the Person-centered care Assessment Tool (P-CATC), which is designed to measure the extent to which formal caregivers rate their facility as being person-centered. The resulting 24-item P-CAT-C is validated among a sample of full-time employees (n=330) in all 34 RCFs in urban Xi’an, a city in China.
Phase two is a survey conducted among the same 34 RCFs. Full-time employees (n=330) evaluated the HCWS level for each RCF; residents with cognitive impairment (n=307) and their respective personal care workers (n=207) were invited to evaluate QOL-ECI. Hierarchical Linear Modeling (HLM) has been adopted to test the hypothesis.
In phase one study, Confirmatory Factor Analysis (CFA) shows that a three-factor 15-item solution of the P-CAT-C provided adequate fit indices to the data (χ2 = 145.69, df = 81, p< 0.001, CFI = 0.93, TLI=0.91; RMSEA = 0.05). The internal consistency coefficient (Cronbach’s α=0.68) is satisfactory. The inter scale correlation shows good construct validity.
The result of Phase two study shows that the total mean patient-rated QOL-ECI score is 36.06 (SD=8.16) and the caregiver-rated score is 34.09 (SD=6.88). Using caregiver-rated QOL-ECI as the dependent variable, the HLM regression analysis shows that PCC and HCWS are statistically significant with QOL-ECI respectively, and that the HCWS has a positive moderate effect on the relationship between PCC and QOL-ECI. Using patient-rated QOL-ECI as the dependent variable, the hypotheses are partially supported.
This study is among the first to report the QOL-ECI status of RCFs in China. It initially demonstrates that PCC and HCWS are positively associated with QOL-ECI both respectively and jointly. It also primarily establishes an organizational-level framework to examine QOL-ECI. This will generate valuable implications and insight into research, practice and policy-making. Finally, this study further develops the PCC theory from an organizational perspective, and contributes to both management and social work literature by first adopting the HCWS for service organizations for the elderly.published_or_final_version
Social Work and Social Administration
Doctoral
Doctor of Philosophy
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Morris, Paul Graham. "Long-term neuropsychological outcome following subarachnoid haemorrhage or traumatic brain injury." Thesis, University of Stirling, 2001. http://hdl.handle.net/1893/1877.
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Purpose: The principal aim of this project was to investigate the influence of clinical indices of injury severity and polymorphism of the apolipoprotein E gene upon the long-term physical, cognitive and emotional sequelae of traumatic brain injury and spontaneous subarachnoid haemorrhage. It was also intended to determine the extent to which changes occur in these sequelae beyond the initial six months post injury. Method: Sixty-two brain injury patients who had previously taken part in a neuropsychological assessment at six months post injury were traced and participated in a follow-up assessmens some 6-9 years subsequent to their injury. Separately, a group of 70 subarachnoid patients drawn from a consecutive series of neurosurgical admissions participated in a neuropsychological assessment at 14 months subsequent to their haemorrhage. In both studies, the assessment comprised a semi-structured interview and a battery of cognitive measures focusing principally upon memory and executive function tasks. A questionnaire including a range of standardised measures of anxiety, depression and quality of life was left with patients to be returned by post. Results: The ApoE e4 allele did not appear to influence recovery amongst these brain injury survivors, though there are suggestions that it may have an influence upon subgroups of patients. Amongst traumatic brain injury survivors, post-traumatic amnesia was a better predictor of functional or emotional outcome than consciousness based measures. However, consciousness based measures were more predictive of cognitive sequelae and low admission Glasgow Coma Scale was associated with continued improvement on information processing tasks. Other than on these tasks, there was little evidence of change between 6 months and 6-9 years post injury. Amongst the subarachnoid haemorrhage patients, Fisher Grade was found to be more predictive of subsequent Glasgow Outcome Scale and cognitive function than WFNS Grade or other clinical indices. Surviving aneurysmal patients had comparable levels of recovery to patients who had a negative angiogram. In both studies emotional sequelae, in particular anxiety-related difficulties, were found to be a principal factor in the functional outcome of some 40% of patients. Conclusions: Greater emphasis should be placed upon measures of post-traumatic amnesia as predictors of functional recovery in surviving patients. The use of an amnesia measure may also be warranted in studies of outcome following subarachnoid haemorrhage or other stroke. The ApoE e4 allele does not appear to have a strong influence upon functional recovery after brain injury across all patients, though it is possible that it interacts with other factors to influence recovery in subgroups. Greater emphasis should be placed upon the prevention and/or detection and treatment of mood disorders following brain injury. In the absence of intensive rehabilitative interventions, survivors of serious brain injury are more likely to deteriorate than to continue to recover beyond six months post injury.
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Chan, Shuk-kwan May, and 陳淑君. "Effectiveness of a multimedia-based voice therapy program for teacherswith voice disorders." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B40987590.
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Rahe, Patricia A. "Self-efficacy perceptions of patients following a cerebral vascular accident before and after participation in a stroke rehabilitation program." Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/845965.
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The purpose of this study was to determine if the perceived level of ability (self-efficacy) differed from actual performance ability for individuals with cerebral vascular accidents (CVA's). Patients were assessed for perception and actual ability level on Activities of Daily Living (ADL's) and Balance skills at admission and at discharge from an inpatient CVA rehabilitation program. Thirty patients with unilateral brain lesions (15 right and 15 left) constituted the study group. ANOVA and repeated measures were used in this quasi-experimental, quantitative study to examine data. All three research hypotheses were tested at an alpha level of .05 for significance. The first and third research hypotheses were supported: CVA patients' self-efficacy scores on ADL's and Balance Skills were significantly different from actual performance scores at time of admission to a CVA rehabilitation program; and the self-efficacy scores were significantly closer to actual performance scores for ADL skills at discharge. The improved accuracy in perception of Balance Skills was not supported by comparison of scores between admission and discharge measurements. The second hypothesis that right hemisphere CVA lesion patients self-efficacy and actual performance scores would be significantly different compared to the scores of patients with left hemisphere CVA lesions was not supported. A ttest for paired samples was also performed on the ADL scores data to investigate three-way significance for the third hypothesis. The patients studied successfully completed the prescribed therapeutic activities in a CVA rehabilitation program and were able to predict with significantly improved accuracy, performance ability on ADL skills at discharge.School of Nursing
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Whaley, Mirtha Montejo. "Effect of personal and practice contexts on occupational therapists' assessment practices in geriatric rehabilitation." [Tampa, Fla.] : University of South Florida, 2007. http://purl.fcla.edu/usf/dc/et/SFE0002091.
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Dyster-Aas, Johan. "Psychiatric History and Adaptation in Burn Injured Patients." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-7252.
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Thomas, Kathy Lee. "Organization of Narrative Discourse in Children and Adolescents with Acute Traumatic Brain Injury." Thesis, University of North Texas, 2002. https://digital.library.unt.edu/ark:/67531/metadc3075/.
Full textAbstract:
Children with a recent history of TBI often demonstrate impaired memory, which can be affected by impaired attention, processing speed or impaired verbal information processing. The purpose of this study was to determine if qualitative differences exist among the narrative recall of TBI patients that is not adequately accounted for by standard scoring methods. Sixty-six TBI subjects ranging in age from 6 to 16 were given the Wide Range and Memory and Learning (WRAML) Story Memory subtest and selected subtests from the Wechsler Intelligence Scale for Children - Third Edition (WISC-III). Mean elapsed time since injury was 53 days. Recall of the story on the WRAML subtest was hand-recorded by the examiner. A supplemental scoring method accounted for differences in length, errors, and disorganization. Comparisons were made to a randomly selected control group consisting of 16 hospitalized subjects between 7 and 15 years with no history of head injury, neurological condition or event. Findings suggest the WRAML Story Memory subtest is relatively robust in providing information regarding the quality of recall, with the exception of not accounting for the addition of erroneous details. Subjects with both cortical and subcortical injuries were more likely to add superfluous details to their stories. Results also demonstrated significant differences between the TBI subjects and control group in how well the stories were recalled, primarily in the order of details recalled and in retention after a 30 minute delay. Location was not a significant predictor of narrative organization. Although using this comprehensive supplemental scoring system a regular basis has practical limitations, hand-recording the narrative takes relatively little time and does appear to provide useful additional information concerning the nature of the child's verbal memory difficulties. Furthermore, the more knowledgeable the child, parents and teacher are about these difficulties and about remediation strategies, the more likely the child will have a successful learning experience upon return to the classroom.
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Caldwell, Nicole. "Applied Use of Video Modeling in Educational and Clinical Settings: A Survey of Autism Professionals." Thesis, University of North Texas, 2017. https://digital.library.unt.edu/ark:/67531/metadc984262/.
Full textAbstract:
Individuals with autism spectrum disorder (ASD) display deficits in communication and social interaction that can impact their ability to function in daily environments. To remediate these deficits, it is critical for professionals to use effective interventions. While there are many evidence-based practices (EBPs) identified for ASD (e.g., video modeling), the adoption of these EBPs may not occur automatically. Existing research suggests professionals have a generally favorable impression of video modeling. However, little research has examined opinions and applied use of video modeling, which was the purpose of the present study. Using survey methodology, data were collected from 510 professionals in various disciplines (e.g., special educators, speech-language pathologists [SLPs], and behavior analysts [BCBAs]). Data were analyzed primarily via factor analysis and multiple regression. Factor analysis was used to examine the underlying structure of the instrument, revealing two predominant factors: (1) interest in and (2) perceived accessibility of video modeling. Multiple regression was used to examine which demographic characteristics (e.g., age and years of experience) were associated with each factor. Results indicated that BCBAs and SLPs perceived video modeling as more accessible. In terms of interest, professionals who worked with preschool-aged students, who worked in a suburban location, and who had an extended family member with ASD showed higher interest in video modeling. Implications for practice and future research are discussed.