Dissertations / Theses on the topic 'Physical rehabilitation in RA'
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Іргашов, Роман Шамуратович. "Фізична реабілітація хворих на ревматойдний артрит." Master's thesis, КПІ ім. Ігоря Сікорського, 2020. https://ela.kpi.ua/handle/123456789/38801.
Full textThe master's dissertation is presented on 83 pages, literary sources 37, among them 4 foreign; Fig. 2, table. 11, Annex 1. Actuality of theme. Rheumatoid arthritis is one of the most common inflammatory diseases of the joints, which causes significant physical, mental and socio-economic damage to patients. Today, diseases of rheumatoid origin remain the most common pathologies in the world, in Ukraine in particular. Every year there are a large number of modern tools that should be included in the physical therapy program. All of the above determines the relevance and need for further study of this issue in the recovery of patients with rheumatoid arthritis, which became the basis for this master's thesis. Connection of work with scientific programs, plans, topics. The master's dissertation is made in accordance with the scientific theme of the Department of Biosafety and Human Health NTUU "KPI. Sikorsky ». Purpose: to develop physical therapy programs for rheumatoid arthritis and evaluate its effectiveness. Objectives: according to the special literature to study the current state and areas of improvement of physical therapy for rheumatoid arthritis; to investigate the functional state of the joints; develop a program of physical therapy for rheumatoid arthritis and test its effectiveness. The subject of the study is patients with rheumatoid arthritis. The subject of research - physical rehabilitation of patients with rheumatoid arthritis. Research methods: analysis of special scientific and methodical literature and information sources; clinical research methods (content analysis of case histories, review); visual-analog pain scale (VAS); instrumental research methods and methods of mathematical statistics. Scientific novelty of the obtained results: the functional features of the joints in patients with rheumatoid arthritis were studied, which opened opportunities for the development of a physical therapy program; the peculiarities of the content and direction of the physical therapy program are determined, the means of recovery are selected taking into account the degree of functional disorders. The practical significance of the results. Developed a program of physical therapy for rheumatoid arthritis, increased the effectiveness of rehabilitation treatment. The data of the master's dissertation can be used in the work of medical institutions, rehabilitation centers, sanatoriums and during the educational process in higher educational institutions of physical education and sports, departments of physical therapy and occupational therapy. According to the results of the study were published: 1 article in the Международной научной интернет-конференции «Тенденции и перспективы развития науки и образования в условиях глобализации»; 1 thesis in the I Международная научно-практическая конференция “PRIORITY DIRECTIONS OF SCIENCE AND TECHNOLOGY DEVELOPMENT”, 27-29 сентября 2020 года Киев, Украина.
Ляшенко, Ірина Володимирівна, Ирина Владимировна Ляшенко, Iryna Volodymyrivna Liashenko, and K. D. Shtelmah. "Physical rehabilitation of children." Thesis, Сумський державний університет, 2019. http://essuir.sumdu.edu.ua/handle/123456789/72508.
Full textЛяшенко, Ірина Володимирівна, Ирина Владимировна Ляшенко, Iryna Volodymyrivna Liashenko, and V. V. Nahorna. "Physical Rehabilitation for Treatment Diseases." Thesis, Сумський державний університет, 2019. http://essuir.sumdu.edu.ua/handle/123456789/72497.
Full textA professional in phуsical rehabilitation takes care of patients in all phases of curing, from defining the initial diagnosis through the restorative and preventive stages of getting over. This sphere is a standalone option, or it maу be in assistance with other treatments and so it's so important to discuss this topic.
Lawson, Sonia Kristi. "Achievement goal orientations in physical rehabilitation." College Park, Md. : University of Maryland, 2005. http://hdl.handle.net/1903/3146.
Full textThesis research directed by: Human Development. Title from t.p. of PDF. Includes bibliographical references. Published by UMI Dissertation Services, Ann Arbor, Mich. Also available in paper.
Park, Saengryeol. "Physical activity and sedentary behaviour in older adults : associations with physical and mental health." Thesis, University of Birmingham, 2017. http://etheses.bham.ac.uk//id/eprint/7441/.
Full textЛяшенко, Ірина Володимирівна, Ирина Владимировна Ляшенко, Iryna Volodymyrivna Liashenko, and A. V. Tsyganij. "The Prospects of Rehabilitation." Thesis, Сумський державний університет, 2019. http://essuir.sumdu.edu.ua/handle/123456789/72494.
Full textElsworth, Charlotte. "Community mobility and physical activity participation in individuals with mulitple sclerosis." Thesis, University of Birmingham, 2011. http://etheses.bham.ac.uk//id/eprint/1518/.
Full textЛяшенко, Ірина Володимирівна, Ирина Владимировна Ляшенко, Iryna Volodymyrivna Liashenko, and I. O. Piesotska. "The modern concept of rehabilitation." Thesis, НБК, 2019. http://essuir.sumdu.edu.ua/handle/123456789/72450.
Full textZbogar, Dominik. "Physical activity during inpatient spinal cord injury rehabilitation." Thesis, University of British Columbia, 2015. http://hdl.handle.net/2429/55204.
Full textMedicine, Faculty of
Graduate
Hamim, Hamza. "MAPPING BETWEEN REHABILITATION REQUIREMENTS AND GAME DESIGN PATTERNS IN A GAME FOR PHYSICAL REHABILITATION." Thesis, Högskolan i Skövde, Institutionen för kommunikation och information, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-6092.
Full textBonnechere, Bruno. "Functional assessment during physical rehabilitation exercises using serious games." Doctoral thesis, Universite Libre de Bruxelles, 2019. https://dipot.ulb.ac.be/dspace/bitstream/2013/282817/4/Contents.pdf.
Full textDoctorat en Sciences biomédicales et pharmaceutiques (Médecine)
info:eu-repo/semantics/nonPublished
Morris, Melissa. "Robot Control for Remote Ophthalmology and Pediatric Physical Rehabilitation." FIU Digital Commons, 2017. http://digitalcommons.fiu.edu/etd/3350.
Full textArmshaw, Brennan P. "Contingency Management of Physical Rehabilitation: The Role of Feedback." Thesis, University of North Texas, 2018. https://digital.library.unt.edu/ark:/67531/metadc1404528/.
Full textSayyari, Sarah. "Access to oncology physical rehabilitation services in British Columbia." Thesis, University of British Columbia, 2017. http://hdl.handle.net/2429/64239.
Full textMedicine, Faculty of
Graduate
Abdulqadir, Ayiman Husayn Khalleefah. "Rehabilitation professionals' views on the experiences of patients with physical disabilities accessing community health centres." University of the Western Cape, 2018. http://hdl.handle.net/11394/6409.
Full textRehabilitation services have been described as being necessary to maximize patient independence in order to enable them to participate fully in their communities. The Aim of the study was based on the problem statement and the research question, this study aims at exploring rehabilitation professionals' views on the experiences of patients with physical disabilities accessing CHCs in the Western. The objectives of the study were to explore the views of rehabilitation professionals regarding experiences by patients accessing rehabilitation services at the Community Health Centres (CHCs) in the Western Cape and to reach health experts consensus on how rehabilitation services should be provided at the CHCs based on the outcomes of objective 1. Methodology: This study used an exploratory design that used qualitative methods for data collection (workshops and focus group discussions (FGDs) and a Delphi study. The study was conducted at purposively selected CHCs in the Western Cape. The population in this study included all rehabilitation professionals who provide rehabilitation services in the CHCs, who were invited to participate in the study. Data collection: In the qualitative and the Delphi study, data was collected through workshops, focus group discussions and emails respectively. Data analysis: The workshops and the FGDs were audio recorded and then transcribed verbatim for content analysis.
Danzl, Megan M. "Developing the Rehabilitation Education for Caregivers and Patients (RECAP) Model: Application to Physical Therapy in Stroke Rehabilitation." UKnowledge, 2013. http://uknowledge.uky.edu/rehabsci_etds/12.
Full textHall, Courtney D., Dara Meldrum, Gary P. Jacobson, and Neil T. T. Shephard. "The Aging Vestibular System: Implications for Rehabilitation." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/476.
Full textHall, Courtney D. "The Role of Emerging Technologies in Rehabilitation." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/583.
Full textHall, Courtney D., Dara Meldrum, and Susan L. Whitney. "The Role of Emerging Technologies in Vestibular Rehabilitation." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/480.
Full textLee, Shwe-yan, and 李瑞炎. "Physical medical rehabilitation in Hong Kong: a study of the government's policy." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1993. http://hub.hku.hk/bib/B31964576.
Full textLahtinen, A. (Antti). "Rehabilitation after hip fracture:comparison of physical, geriatric and conventional treatment." Doctoral thesis, Oulun yliopisto, 2019. http://urn.fi/urn:isbn:9789526222158.
Full textTiivistelmä Lonkkamurtuma on yksi merkittävimmistä toimintakyvyn laskua ja kuolleisuutta aiheuttavista vammoista. Tämän väitöskirjatutkimuksen tarkoituksena oli (1) tutkia tehostetun (fysikaalisen ja geriatrisen) kuntoutuksen vaikutusta itsenäisesti asuvien, vähintään 50-vuotiaiden lonkkamurtumapotilaiden kuntoutumiseen murtumaa seuraavan vuoden aikana, (2) arvioida lonkkamurtuman hoidon kustannuksia ja kustannusvaikuttavuutta tehostetussa kuntoutusyksikössä, (3) tutkia lonkkamurtuman kuntoutumisen eroja mies- ja naispotilaiden välillä sekä (4) tarkentaa lonkkamurtuman hoitoketjun yleisiä suosituksia Suomessa. Tutkimuksessa seurattiin 538 lonkkamurtumapotilasta, jotka hoidettiin kirurgisesti Oulun yliopistollisessa sairaalassa. Valintakriteereihin kuului vähintään 50 vuoden ikä sekä kyky itsenäiseen asumiseen joko omassa kodissa tai kodinomaisessa ympäristössä ennen murtumaa. Lonkkaleikkauksen jälkeen potilaat satunnaistettiin yhteen kolmesta kuntoutusryhmästä: fysikaaliseen kuntoutusryhmään (Oulun Diakonissalaitos), geriatriseen kuntoutusryhmään (Oulun kaupunginsairaalan kuntoutusosasto) sekä kontrolliryhmään (terveyskeskussairaalassa tapahtuva kuntoutus). Seuranta-aika oli yksi vuosi. Potilaat haastateltiin ennen kuntoutusta, sekä neljän ja 12 kuukauden kuluttua murtumasta, joiden yhteydessä aineisto kerättiin koskien yleistä terveydentilaa, toiminta- ja kävelykykyä, asumismuotoa ja kuolleisuutta. Kustannukset arvioitiin terveyspalveluiden käytöstä ja näiden hintoina käytettiin sairaalan yksikköhintoja (DRG) ja sosiaali- ja terveysalan tutkimus- ja kehittämiskeskuksen (STAKES) yksikköhintoja. Fysikaalinen kuntoutus vähensi merkittävästi potilaiden kuolleisuutta neljän ja 12 kuukauden seurannoissa verrattuna geriatriseen kuntoutukseen sekä kontrolliryhmään. Lisäksi fysikaalinen ja geriatrinen kuntoutus lisäsivät lyhytaikaisesti potilaiden kykyä itsenäiseen asumiseen verrattuna kontrolliryhmään. Taloudellisten vaikutusten osalta fysikaalinen kuntoutusjakso oli huomattavasti tavanomaista kuntoutusta kalliimpi, mutta fysikaalisen kuntoutusryhmän kokonaiskustannukset vuoden aikana olivat pienemmät kuin kontrolliryhmän potilailla. Sukupuolella ei ollut vaikutusta potilaiden toimintakykyyn, laitostumiseen tai kuolleisuusriskiin murtuman jälkeen. Merkittäviksi kuolleisuutta ennustaviksi tekijöiksi osoittautuivat ikä, toimintakyky ennen murtumaa sekä leikkauskelpoisuusluokitus. Tulokset puoltavat tehostetun, erikoistuneessa kuntoutusyksikössä suoritetun hoidon käyttöä lonkkamurtumapotilailla sekä terveydellisten että taloudellisten syiden osalta
Lee, Shwe-yan. "Physical medical rehabilitation in Hong Kong a study of the government's policy /." Click to view the E-thesis via HKUTO, 1993. http://sunzi.lib.hku.hk/hkuto/record/B31964576.
Full textMcGarty, Arlene Marie. "Understanding and validating accelerometry as a measure of physical activity in children with intellectual disabilities." Thesis, University of Glasgow, 2015. http://theses.gla.ac.uk/7340/.
Full textBellner, Anna-Lena. "Professionalization and rehabilitation : the case of Swedish occupational and physical therapists /." Linköping : Tema, Univ, 1997. http://www.bibl.liu.se/liupubl/disp/disp97/arts166s.htm.
Full textBarry, Vaughn W. "A physical activity assessment of pulmonary patients participating in pulmonary rehabilitation." Virtual Press, 2007. http://liblink.bsu.edu/uhtbin/catkey/1380094.
Full textSchool of Physical Education, Sport, and Exercise Science
Al, Hajri Ahlam Saleh A. "Impact of physical activity and dietary programme on metabolic syndrome risk factors in Saudi women." Thesis, University of Nottingham, 2018. http://eprints.nottingham.ac.uk/51477/.
Full textElramli, Amal. "Effectiveness of community based physical activity on step count and sedentary behaviour in people with rheumatoid arthritis within the first five years of diagnosis." Thesis, University of Glasgow, 2017. http://theses.gla.ac.uk/8491/.
Full textHall, Courtney D. "Management of Dizzy Patient." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/559.
Full textWiley, Steve. "Lived experiences of physical therapists in inpatient rehabilitation facilities : an interpretive phenomenological analysis." NSUWorks, 2013. http://nsuworks.nova.edu/hpd_pt_stuetd/28.
Full textCulpepper, W. Leigh. "Factors influencing injured athletes' adherence to rehabilitation." Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/834133.
Full textDepartment of Counseling Psychology and Guidance Services
Jung, Helen. "Physical performance and health-related quality of life post-stroke." Thesis, McGill University, 2002. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=33788.
Full textForty-three community-living persons with stroke were recruited to participate in a six-week intervention preceded and followed by a performance- and interview-based evaluation assessing different levels of disability and functioning. HRQL was measured by the VAS of the EQ-5D.
Regression models generated cross-sectionally demonstrated that physical performance, social, and psychological functioning explained up to 90% of the variation in HRQL. A GEE model revealed that, over time, only upper extremity functioning had a significant relationship with HRQL.
Much attention has already been focused on increasing physical performance in rehabilitation. However, clinicians should consider other components that affect HRQL directly or indirectly through physical performance. Only by treating the different components of functioning at various levels can HRQL be ultimately increased.
Kolbjørnsen, Morten. "A Comparison of Motion-Sensing Game Technologies for use in Physical Rehabilitation." Thesis, Norges teknisk-naturvitenskapelige universitet, Institutt for datateknikk og informasjonsvitenskap, 2012. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-18419.
Full textSmeets, Robert Johannes Elise Marie. "Active rehabilitation for chronic low back pain: cognitive-behavioral, physical, or both?" [Maastricht : Maastricht : Universiteit Maastricht] ; University Library, Universiteit Maastricht [host], 2006. http://arno.unimaas.nl/show.cgi?fid=5954.
Full textTurner, Sally. "Relationship of physical fitness, depression and mortality in a cardiac rehabilitation cohort." Thesis, University of Warwick, 2007. http://wrap.warwick.ac.uk/40001/.
Full textJones, Nicole L. "Comparison of physical activity assessment methods among Phase III cardiac rehabilitation participants." Virtual Press, 2006. http://liblink.bsu.edu/uhtbin/catkey/1339152.
Full textSchool of Physical Education, Sport, and Exercise Science
Olugbade, Temitayo A. "Automatic monitoring of physical activity related affective states for chronic pain rehabilitation." Thesis, University College London (University of London), 2018. http://discovery.ucl.ac.uk/10045652/.
Full textHassanien, Shehabeldin. "A Framework for Physical Rehabilitation Using Natural User Interface with Electromyography Biofeedback." University of Akron / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=akron1354205753.
Full textHalahdina, A. A. "Physical rehabilitation in a treatment of inflammatory processes of the maxillofacial area." Thesis, БДМУ, 2021. http://dspace.bsmu.edu.ua:8080/xmlui/handle/123456789/19120.
Full textСірик, Антоніна Євгенівна, Антонина Евгеньевна Серик, Antonina Yevhenivna Siryk, Оксана Робертівна Гладченко, Оксана Робертовна Гладченко, and Oksana Robertivna Hladchenko. "The modelling of health activities during students' training in physical rehabilitation groups." Thesis, Sumy State University, 2015. http://essuir.sumdu.edu.ua/handle/123456789/48625.
Full textPike, Victoria. "Factors associated with quality of life in long-term rehabilitation." Thesis, Bangor University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.367359.
Full textAuais, Mohammad. "Hip fracture rehabilitation: where are we now and where are we going?" Thesis, McGill University, 2013. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=114481.
Full textLa fracture de la hanche est un problème de santé publique majeur dans de nombreux pays développés. Environ 30 000 fractures de la hanche surviennent chaque année au Canada. Afin d'initier des mesures préventives adéquates, il est nécessaire d'avoir une compréhension approfondie des caractéristiques des cas de fracture de la hanche et des services que les patients reçoivent dans le continuum des soins. L'objectif global de cette thèse est de contribuer à la base de connaissances des besoins actuels et futurs, des lacunes, et des solutions permettant d'offrir des soins optimaux aux personnes ayant souffert de fracture de la hanche. La première partie définit et décrit le processus de rétablissement des patients ayant subit une fracture de la hanche. Une cohorte post soins aiguës a été suivie pendant un an suivant la fracture et le processus de guérison du patient a été étudié en utilisant deux différentes façons de définir le rétablissement. Cette étude a démontré que le degré et le temps de récupération fonctionnelle après fracture de la hanche varient sur la base de la définition du rétablissement choisie et de l'état fonctionnel avant la fracture. Malgré l'amélioration initiale, l'état fonctionnel des patients a diminué suivant l'arrêt des soins de réadaptation. L'étude des soins et du rétablissement des patients ayant une fracture de la hanche dans un seul site pendant un temps limité a mené à examen des caractéristiques de la population souffrant d'une fracture de la hanche dans la province de Québec. Que savons-nous sur les tendances des fractures de la hanche, sur les changements dans le profil de la santé, et qu'est-ce que cette information pourrait signifier pour l'avenir? Ceci a conduit l'auteur à utiliser une base de données administrative (Med-Echo) pour répondre à ces questions. Les résultats ont confirmé l'hypothèse selon laquelle la population de patients ayant une fracture de la hanche devient de plus en plus fragile, ce qui nécessitera une augmentation des ressources. De plus, le profil de santé de cette population comparée à celle la population générale diffère sur les critères de l'âge et du sexe.Le taux de mortalité pendant l'hospitalisation suivant une fracture de hanche est en déclin ainsi que la proportion des patients envoyés en réadaptation à leur congé. Cela a comme conséquence d'augmenter de la demande de services en communauté. Rechercher les lacunes et décrire les besoins constituent une première étape vers l'amélioration de la qualité des soins, mais elle demeure insuffisante. Le but de la dernière partie est de proposer des solutions potentielles. Un examen systématique de la littérature a été mené dans le but de trouver des solutions aux lacunes identifiées précédemment, en particulier, le fait que l'état fonctionnel des patients ayant subit une fracture de la hanche se détériore après l'arrêt de la réadaptation et la nécessité d'augmenter les services de réadaptation communautaires. L'effet rapporté dans la littérature d'un programme d'exercices de réadaptation prolongée a été examiné et quantifié. Cette méta-analyse est la première à démontrer qu'une amélioration cliniquement significative du fonctionnement peut être acquise plus tard qu'on ne le croyait chez les personnes âgées ayant souffert d'une fracture de la hanche. Une telle amélioration suggère qu'il n'y a pas de «plateau» pour la récupération. Enfin, la méthodologie pour évaluer et créer un programme complet visant à servir les patients suivant une fracture de la hanche au cours du continuum des soins est discutée et un programme de simulation multidisciplinaire est proposé en tant que modèle.
Shaab, Kathryn R. "Predicting success| A study of admission processes and passing the national physical therapy examination for physical therapist assistants." Thesis, Capella University, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3590559.
Full textIn order to practice physical therapy, physical therapist assistants (PTAs) must graduate from an accredited academic program and pass the National Physical Therapy Examination for Physical Therapist Assistants (PTA-NPTE). The primary objective of academic programs is to prepare students to successfully complete these two milestones to become competent, entry-level practitioners. The ability of an academic program to achieve this goal begins with the admission of students most likely to complete the academic training and pass the PTA-NPTE. Although previous research has examined the relationships between certain programmatic and PTA student characteristics and the PTA-NPTE, research had yet to explore the relationships between admission processes and criteria and student achievement. The purpose of this study was to examine the existence of a relationship between the admission processes and criteria used by PTA programs and student achievement. An online survey was used to gather data from a convenience sample of 85 PTA program directors across the United States. Data collected included the process and criteria used to admit students into the technical phase of training from 2008 through 2010 and the corresponding student achievement outcomes. Statistically significant differences were identified between selective admission and open enrollment programs for both completion rates and PTA-NPTE pass rates. With regard to completion rates, statistically significant differences were identified between schools that considered completion of prior college credit and experience in the field of physical therapy during the admission process and those programs that did not. No statistically significant differences were revealed in PTA-NPTE pass rates based on the admission criteria examined. The study concluded that PTA programs that use a selective admission process would have higher completion and PTA-NPTE pass rates than those that use an open enrollment process. Within the selective admission process, consideration should be given to completion of prior college credits as well as experience in the field of physical therapy. Despite these findings, further research is needed to clearly identify the specific admission criteria correlated to both student achievement outcomes.
Hall, Courtney D. "Vestibular Rehabilitation and Dizziness in Older Community-Dwelling Adults." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/569.
Full textKammerlind, Ann-Sofi. "Vestibular rehabilitation therapy in dizziness and disequilibrium /." Linköping : Univ, 2005. http://www.bibl.liu.se/liupubl/disp/disp2005/med914s.pdf.
Full textHerdman, Susan J., Courtney D. Hall, Brian Maloney, Sara Knight, Marti Ebert, and Jessica Lowe. "Variables Associated with Outcome in Patients with Bilateral Vestibular Hypofunction: Preliminary Study." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/556.
Full textMohammed, Khair Ro'aa Mohammed Jafar Mohammed. "Comparative in vitro study of selected physical properties of activa, cention n and vitremer." University of the Western Cape, 2021. http://hdl.handle.net/11394/8138.
Full textThis study aimed to determine the association between dimensional change and surface roughness (Ra) of Vitremer, Activa and Cention N after immersing them into two different media: acidic and artificial saliva media for the period of a year. Measurements were made at 10 time intervals during the observation period.
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.
Full textArvinen-Barrow, Monna. "Psychological rehabilitation from sport injury : issues in training and development of chartered physiotherapists." Thesis, University of Northampton, 2009. http://nectar.northampton.ac.uk/2456/.
Full textSelf, Megan. "Identifying the Physical Activity Needs of Outpatients with a Traumatic Brain Injury." Thesis, University of North Texas, 2011. https://digital.library.unt.edu/ark:/67531/metadc84274/.
Full textSchneiberg, Dias Sheila. "Rehabilitation strategies to improve upper limb movement quality in children with cerebral palsy." Thesis, McGill University, 2009. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=66702.
Full textLes enfants avec paralysie cérébrale (PC) constituent un groupe clinique fortement hétérogène, tant au point de vue de l'étiologie que des caractéristiques cliniques. Malgré les efforts de recherche qui ont été déployés dans plusieurs études pour examiner les stratégies de réadaptation visant l'amélioration de la fonction du membre supérieur chez les enfants avec PC, il demeure que la confiance démontrée envers la validité de ces résultats est encore de modérée à faible. Une des limites notées dans la littérature est reliée au type de variables qui sont mesurées : ces variables ne seraient pas assez sensibles pour détecter des changements ou ces études ne décriraient pas la qualité du mouvement. Cette évaluation objective de la qualité de mouvement peut être réalisée par l'intermédiaire d'analyses cinématiques ou cinétiques. La description de la qualité du mouvement est considérée primordiale, puisque des lésions cérébrales en bas âge sont plus susceptibles d'amener une plasticité « maladaptative » et donc d'engendrer des mouvements anormaux.Le premier objectif de cette recherche prospective à protocoles individuels est de déterminer les effets de 2 stratégies de réadaptation visant la qualité du mouvement du membre supérieur: la contrainte du bras et la restriction du tronc, réalisées respectivement dans le contexte d'une intervention par contrainte modifiée (mCIT) et d'une intervention orientée vers la tâche. Globalement, les variables cinématiques mesurées dans ces protocoles comprennent les trajectoires de la main, les angles articulaires du bras et le déplacement du tronc vers l'avant. Deux échelles de mesure cliniques reliées à la qualité du mouvement du bras ont aussi été utilisées : le QUEST (étude mCIT) et le Melboune assessment (intervention orientée vers la tâche). Étant donné l'observation d'une grande variabilité au