Dissertations / Theses: 'Sensory impairment'

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Connell, Louise Anne. "Sensory impairment and recovery after stroke." Thesis, University of Nottingham, 2007. http://eprints.nottingham.ac.uk/10247/.

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Sensory impairment is common after stroke though problems with the assessment of sensation have hindered research into sensation and its recovery. The revised Nottingham Sensory Assessment [NSA] (Lincoln et al, 1998) is a standardised assessment but there have been difficulties interpreting results, as it is not possible to calculate total scores. Therefore the purpose of this study was: - To investigate the extent of sensory impairment and recovery in stroke patients - To investigate if a total score for the NSA can be obtained - To explore the factors that are related to sensory impairment and outcome Method Patients with a first stroke were recruited on admission to two rehabilitation units in Nottingham. The NSA, which measures tactile sensations, proprioception and stereognostic ability, was administered on admission and at two, four and six months after stroke. Rasch analysis was used to examine if total scores of the NSA could be calculated. Results Seventy patients were recruited during a fifteen-month period. Mean age was 71 years (SD 10.00) and 36 were men. Sensory impairment was common in stroke patients and was significantly related to stroke severity. Stereognosis was the most frequently and severely impaired sensation. Rasch analysis enabled total scores of the NSA to be calculated. These totals showed significant recovery at six months post-stroke for upper limb tactile sensations, stereognosis and proprioception. Lower limb tactile sensations did not show significant recovery. The severity of the stroke, initial sensory impairment and activities of daily living ability were significantly related to sensory recovery, however they only accounted for 46-71% of the variance. Conclusion Sensation is a complex ability and a problem in its own right. Sensory impairment was a reflection of stroke severity but low variance indicates other factors were involved. Therefore there is a need to assess sensory impairment after stroke. Sensory outcome could not be accurately predicted, suggesting other potentially treatable factors such as cognitive and perceptual ability are involved. Rasch analysis allowed calculation of total scores, but also importantly allowed the scale to be shortened, making the NSA a more useable outcome measure.

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Mayhook, Stevie. "Access to education-industry links programmes by students with special needs." Thesis, University of Southampton, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.250045.

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Smith, Ginny. "Challenging behaviour in people with intellectual disabilities and sensory impairment." Thesis, University of Kent, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.498862.

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Volpe, Alessandra G. "Predicting neurological impairment with the Dean-Woodcock Sensory Motor Battery." Virtual Press, 2004. http://liblink.bsu.edu/uhtbin/catkey/1292040.

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An integral part of neuropsychological assessment is the measurement of sensory-motor performance. Many studies have been conducted on the effectiveness of neuropsychological batteries to assess neurological impairment, however examination of only the sensory-motor portion of those measures has been limited. Investigations of tests of sensory and motor functions have often limited their analysis to single tests. The present study assessed the ability of the Dean-Woodcock Sensory Motor Battery (DWSMB), part of a new neuropsychological measure, the Dean-Woodcock Neuropsychological Battery (DWNB), to distinguish between normal subjects and neurologically impaired individuals as diagnosed by a neurologist. Scores from the subtests of the DWSMB from an existing data set for 250 normal and 250 neurologically impaired individuals were randomly assigned to two equal groups to allow for cross validation. Results indicated that the DWSMB was able to correctly identify 92.8% of the cases, identifying 94.4% of the normal population and 91.2% of the neurologically impaired subjects. An additional discriminant analysis was conducted to establish the accuracy of the DWSMB to identify individual diagnoses within neurologically impaired and normal subjects. The DWSMB correctly identified the following cases: 44.9% cardio-vascular accidents, 66.7% multiple sclerosis, 40% seizures, 42% traumatic brain injuries, 62.7% dementia, and 54.5% Parkinson's disease. Results indicated the usefulness of the DWSMB in identifying neurological damage and specific diagnoses in a relatively quick assessment. The utility of the DWSMB and the use of standardized administration procedures, behavioral information for evaluation, and measures of subcortical functions was discussed in light of future research. The potential use of the DWSMB in clinical and educational settings was also considered.
Department of Educational Psychology

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Abrahams, Warwick Ashkey. "Service Organisations and Sexual Diversity: Sensory Impairment, Subcultures and Representation." Thesis, Griffith University, 2012. http://hdl.handle.net/10072/367772.

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The research deals with how blind or d/Deaf, Queer, Lesbian, Gay, Bisexual, Transvestite and Transgendered (QLGBT) citizens are recognized or not by their advocacy and service organization. QLGBT persons with sensory difference or impairment are largely excluded from QLGBT lives. Even for those persons who have access to broader worlds substantially off-limits for persons with sensory difference or impairment, being ‘who one really is’ may not be an option in those environments daily lived. Representation, acceptable stereotypes, dominant constructs, self-acceptance, community bonding and the establishment of truly representative organizations are issues in this research. Disability, being Queer blind, d/Deaf, and disabled are 'normal' even if not 'average'. Sexual diversity and sensory difference are normal in the realm of human and animal lived experience. The research has investigated how organisations can assist stakeholders to enjoy or at least survive in their multi-faceted identities. www.netsurvey.com.au was a specially created website designed to interview people who are Deaf, an Australian first in the field, now being emulated. A long and extensive publicity campaign brought self-selecting blind and d/Deaf persons to the research. Ambitions of the research included: painting a picture of what was happening to persons who were marginalized in marginal situations, opening up the topics of sensory difference and diverse sexualities to further study and debate, providing a forum that might augment the voices of persons who seek recognition, catalyzing activism and increasing focus on the issues.
Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Human Services and Social Work
Griffith Health
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Karpa, Michael James. "Impact of Individual and Combined Sensory Impairment in Older Australians." Thesis, The University of Sydney, 2015. http://hdl.handle.net/2123/17283.

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Purpose: To estimate the prevalence and examine the clustering patterns of visual, auditory and olfactory impairments; to estimate the associations of olfactory impairment with neurodegenerative and other morbidities; to estimate the associations of visual and auditory impairments with morbidity and mortality using Cox regression; and to examine the associations of visual and auditory impairments with morbidity and mortality using structural equation modelling to identify potential indirect pathways and assess whether Cox regression underestimated the associations between VI, AI and mortality in a representative sample of older Australians. Methods: The Blue Mountains Eye Study (BMES) examined 3,654 persons aged 49+ during 1992-1994, and after 5 and 10 years. The Blue Mountains Hearing Study (BMHS) invited participants who attended the second cross-sectional survey of the Blue Mountains Eye Study (BMES 2). Persons who moved into the study area or study age group, identified from a repeat door-to door census in 1999, were also invited to participate. The Blue Mountains Hearing Study (BMHS) examined 2956 persons aged 49+ years (75.5% response) during 1997-2000. Vision, hearing and olfaction were assessed in BMES 3. Assessment was by interviewer administered structured questionnaire, clinical examination, audiometry, blood testing and the San Diego Odor Identification Test. A total of 1,497 (74.3% of all participants) had complete vision, auditory and olfactory data after BMES 3. Visual impairment (VI) was categorized as either: presenting visual impairment (PVI), VA less than 6/12 Snellen equivalent (<39 letters read correctly) in the better eye using current glasses; or correctable visual impairment (CVI), PVI less than 6/12 Snellen equivalent correctable to 6/12 or better after subjective refraction; or non-correctable visual impairment (NCVI), PVI correctable to less than 6/12 Snellen equivalent in the better eye, after subjective refraction. Olfactory impairment (OI) was defined by San Diego Odour Identification Test score with subjects classified as having no impairment (score 6, 7 or 8), mild impairment (4 or 5), moderate impairment (≤3), or any impairment (<6). Auditory impairment (AI) was defined as the pure-tone average (0.5-4kHz) of air-conduction hearing thresholds >25 decibels hearing level (dBHL). Cognitive impairment was defined as mini mental state exam (MMSE) scores <24. Log-linear models were used to assess the concomitant presence of the three sensory impairments (visual, auditory and olfactory). Observed frequencies of concomitant sensory impairments were compared to the expected frequencies estimated assuming they occurred independently (no clustering tendency). Multivariable adjusted logistic regression models were constructed to estimate associations between olfactory impairment and morbidities, including neurodegenerative conditions. Associations between visual impairment and mortality risk, and between hearing loss and mortality risk, were estimated using Cox regression and structural equation modelling (SEM). Odds ratios (OR), hazard ratios (HR) and 95% confidence intervals (CI) are presented. A p-value of less than 0.05 was considered statistically significant. Australian National Death Index data confirmed deaths until 2005. Results: After13 years from baseline, 1273 participants had died. After 5 years from BMES 2 (BMHS), 403 participants had died. At BMES 3, the prevalence of PVI, CVI and NCVI was 11%, 8% and 3% respectively. The prevalence of any OI was 27.0% and the prevalence of AI was 43%. The observed prevalence of having all three sensory impairments in persons with PVI (or NCVI) was 2.6 (or 3.0) times greater than predicted if they clustered independently. VI, AI and OI clustered differently in women compared to men. Inverse associations were observed between OI and body mass index (OR per 5 kg/m2 increase, 0.8, CI 0.7-0.9) and between moderate impairment and hypertension (OR 0.6, CI 0.4-0.9). There was no significant relationship with angina, previous myocardial infarction or diabetes. Persons with Parkinson disease had an increased likelihood of both mild (OR 9.8, CI 2.0-47.5) and moderate OI (OR 16.1, CI 3.8-68.2), as did persons with impaired cognitive function (OR 3.3, CI 1.3-8.6 and OR 3.7, CI 1.5-9.6, respectively). After adjusting for mortality risk markers using Cox regression, higher mortality was associated with NCVI (HR 1.35, CI 1.04-1.75). This association was stronger for ages <75 years (HR 2.58, CI 1.42-4.69). Structural equation modelling revealed greater effects of NCVI on mortality risk (HR 5.25, CI 1.97-14.01 for baseline ages <75), with both direct (HR 2.16, CI 1.11-4.23) and indirect effects (HR 2.43, CI 1.17-5.03). Of the mortality risk markers examined, only disability in walking demonstrated a significant indirect pathway for the link between VI and mortality. Disability in walking acted both directly on mortality and via an association with self-rated health. Using Cox regression, hearing loss was associated with increased risk of both cardiovascular (HR 1.36, CI 1.08-1.84) and all-cause mortality (HR 1.39, CI 1.11-1.79) after adjustment for age and sex, but not after multivariable adjustment. Structural equation modelling pathway analysis, however, revealed a higher all-cause mortality risk (HR 2.58, CI 1.64-4.05) in persons with hearing loss, which was mediated by two variables: cognitive impairment (HR 1.45, CI 1.08-1.94) and disability in walking (HR 1.63, CI 1.24-2.15). These variables increased mortality both directly and indirectly through effects on self-rated health. Conclusions: In this representative population of older Australians, over one in ten persons had VI, over one in four persons had OI and almost one in two persons had AI. The prevalence of VI, AI and OI increased with increasing age. The prevalence of AI and OI was higher in males. The prevalence of VI was higher in females. Visual, auditory and olfactory impairments aggregated mutually and dependently. Visual impairment and AI were significantly associated with morbidity and mortality. Visual impairment predicted mortality by both direct and indirect pathways. Auditory impairment predicted mortality via indirect pathways. Disability in walking, which can substantially influence general health, represented a major indirect pathway for both VI and AI. Auditory impairment was also associated with increased all-cause mortality via cognitive impairment and self-rated health. Adjustment for these co-variables using Cox regression underestimated the associations between VI and AI and mortality. Olfactory impairment was inversely associated with BMI and hypertension. Olfactory impairment was significantly higher among persons with Parkinson disease and cognitive impairment. It is important to recognise that persons with sensory impairments are at increased risk of important comorbidities and mortality. Dependent clustering of sensory impairments suggest the possibility of a common underlying mechanism and that separate hearing and vision services may not adequately support older persons.

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Schroeder, Jan Walter. "Creating tactile feedback with intelligent electrical stimulation to compensate for sensory impairment." Thesis, Bournemouth University, 2014. http://eprints.bournemouth.ac.uk/21781/.

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Performing daily life activities can be more challenging as a result of peripheral neuropathy in the feet and can lead to an increased risk of falls and injuries. Biofeedback, in the form of electrocutaneous stimulation, can be used as a means to transmit information about the force and pressure applied to the feet, and this can help people determine their body position in relation to the ground and the amount of sway movements. The motivation for the present work was to explore whether a wearable electrotactile feedback system (EFS) could improve life quality by supporting people with balance instability as a result of this condition. In this study a wearable EFS was designed to estimate the magnitude of pressure applied to the feet during standing and walking. The study also aimed to determine whether the EFS had an effect on posture control in standing and confidence in walking among individuals suffering from peripheral neuropathy. A wearable EFS has been developed in this work including the hardware design for an electrocutaneous stimulation and a processing unit to compute the sensor data. The EFS uses a sensor system with piezoresitive force sensors that has been developed and tested beforehand. The proposed system considers aspects of safety and portability, as well as meeting individual parameters. The latter one was assured by implementing and testing a novel calibration method for the detection of sensory thresholds and device parameters. A software for magnitude estimation and force and pressure feedback based on the centre of pressure (COP) movement was programmed and a psychophysical transfer function involving sensory thresholds and sensor system variables was implemented. A pilot study with 11 participants was carried out to evaluate the suitability of the EFS for magnitude estimation. Magnitude estimation with the EFS showed high accuracy and sensitivity and it was found that the design proposed in this work is beneficial over other solutions. The upper leg was identified as a suitable location for electrotactile feedback. A proof of concept study was undertaken among 14 individuals suffering with peripheral neuropathy and five controls in a clinical environment, testing the effects of the EFS on balancing and walking in different scenarios. It was shown that, when used by patients with neuropathy, the EFS helped improving posture control in certain scenarios and did not hinder patients during walking. A longer learning period might be necessary so that users can fully benefit from the EFS. The findings of the study contribute to the understanding of electrotactile feedback and are valuable for further developments of wearable EFS to compensate for sensory impairment and improve activities of daily life for people with sensation loss in their feet.

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Atchley, Rachel M. "Mindfulness Meditation Reduces Stress-Related Inhibitory Gating Impairment." Bowling Green State University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1401920790.

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Bisi, Elizabeth A. "Impacts of Motor and Sensory Impairment on Language in Young Children with Autism." Thesis, Seattle Pacific University, 2021. http://pqdtopen.proquest.com/#viewpdf?dispub=28023622.

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Children with autism spectrum disorder (ASD) present with varying degrees of deficit in the broader areas of social communication and stereotyped behaviors, but emerging research proposes delayed motor skill and atypical sensory processing as additional factors worth closer examination. In the current study, I sought to investigate the impacts of visual motor skills and sensory differences on language ability in young children with autism. I hypothesized that young children with autism, atypical sensory processing (Short Sensory Profile, 2nd Edition), and impaired visual motor integration (Beery VMI, 6th Edition) would have the most impacted language ability scores (Differential Ability Scales, 2nd Edition). A total of 22 children, eight with autism (25% female; M age = 66 months or 5.5 years) and 14 with typical development (50% female; M age = 73 months or 6 years) between the ages of 3:0 and 9:6 and their parents completed measures for this study. Findings were significant for the relations of status (i.e., TD vs. ASD) on language ability [t(20) = 2.66, p = .015], status on visual motor integration [t(20) = 2.27, p = .035], and for status on sensory processing [t(20) = −5.35, p < .001]. Results of the three-way interaction indicated that 72% of the variance in language ability was accounted for by the key variables in this model, but this hypothesis was not supported: p = .09, B = .15, CI95 = −.031 to .33. Related hypotheses of visual motor integration on status and language, sensory processing on status and language, and between visual motor integration and sensory were also not supported. Ancillary analyses of individual moderation indicated significant status group (TD vs. ASD) differences for children with visual motor integration full form standard scores of 119 and below (p < .05) and for children with total sensory scores of 25 to 36 (p < .05). These post hoc findings are consistent with previous literature and demonstrate promise for replication in future research with a larger and more heterogeneous sample. Further research on these constructs is encouraged as it could inform meaningful pathways for early intervention.

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Dunsmore, Moira Elizabeth. "An invisible disability: navigating the enduring state of dual sensory impairment (DSI) in older age." Thesis, The University of Sydney, 2022. https://hdl.handle.net/2123/29262.

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Dual sensory impairment (DSI) is a combination of vision and hearing impairment or loss, which varies in severity and is particularly prevalent in older age. DSI is a unique disability that sits at the intersection of ageing and disability, a complex medical issue with profoundly social consequences that has received little attention in health policy or disability research and practice. DSI presents significant challenges to older adults, their families and those with whom they interact, and despite its growing global prevalence, is underexplored in extant literature. This study uses grounded theory to explore the social meaning and experiences of older adults with DSI and their family carers in Australia. Multiple physical, social and emotional impacts of DSI contribute to reduced social participation and declining availability of social networks. Critically, smaller social networks reduce access to resources and support, with the spouse, or significant other, becoming the main locus of support and, by default, social engagement. Using Charmaz’s constructivist grounded theory methodology, this thesis examines the dyadic, that is, the interrelated, social experiences of two persons in a DSI context, through the narratives of both older adults with DSI and their family carers (n=23), to extend current and develop new understandings of the meaning and experiences of DSI in a social context. Findings from this study establish that the social experience of DSI can be understood as a series of asynchronous transitions and shared experiences that occur between the older person with DSI and their family carer. These findings are conceptualised as an ‘enduring state’, which represents the interrelated and embedded actions involved in the daily life work of DSI. This research draws attention to the hidden arduous ‘lines of work’ shared by both those with DSI and their family carers, specifically the social work of DSI. This social line of work reflects experiences of social exclusion and poor recognition of DSI at micro, meso and macro levels of society. The age of participants, their associated co morbidities and declining personal agency impact access to the limited resources, support and information available, despite significant effort on their part. Complex processes of emotional and interactional disconnection are characterised by social loss, social effort and social isolation, shaped by changing roles and asynchronous adaptation to living with DSI. Caring in this context is often predominantly social and ‘invisible’. To reduce the social effort of their family member with DSI and to maintain their own self-identity, family carers in this context adopted a ‘conscious caring’ approach. This is conceptualised in this thesis as an approach to caring that accounts for the subtle and enduring shared impacts of DSI. The power of ‘conscious’ in this context is the level of understanding of DSI that empowers family carers to recognise the shared elements of DSI and facilitate better articulation of needs to engage others within their care network. Caring was multifactorial with key characteristics of negotiation, facilitation, guardianship and creating opportunities. These caring characteristics were dynamic and strategic in that family carers sought opportunities that were mutually beneficial. Conscious caring contextualises the capacity of family carers to access resources embedded in their social networks by bridging the gap between the dyad (close ‘bonding’ ties) and broader social networks (i.e. weaker, ‘bridging’ and more diverse networks). Social capital is a critical factor in DSI; it is defined in this thesis as the flow of resources (such as social support, health information) via social networks at a personal and interpersonal level. A reduction in both bonding and bridging networks limits personal, social and psychosocial resources and impacts the capacity of the dyad to renegotiate their roles, create and maintain their individual and shared social networks, and successfully transition to living with DSI. This study adopts a novel approach to understanding the social experiences of DSI from the ‘ground up’, that is, from the perspectives of older adults with DSI and their family carers. The shared experiences of DSI suggest that a socially inclusive, relational and interdisciplinary approach to future service, research and practice has merit in bridging the social gap that currently exists in the care and support available to the DSI family.

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O'Connell, Erin K. "Senses of Place." University of Cincinnati / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1276954023.

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Ashtarikiani, Abdolreza. "A study of autism spectrum disorder and sensory impairment in adults with intellectual disability." Thesis, University of Leicester, 2015. http://hdl.handle.net/2381/40806.

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Autism spectrum disorder (ASD) and sensory impairment are common in people with intellectual disability (ID), but little is known about the relationship between them. The primary aim of this thesis was to explore the relationship between deafness, blindness and ASD. The secondary aim was to determine the prevalence of sensory impairment, ASD and other co-morbidities in adults with ID. This thesis comprised a comprehensive literature review followed by a 2-stage study. Stage 1 involved cross-sectional analysis of data on adults with ID on a population-based case register. Stage 2 involved investigating adults with congenital deafness and their controls (deaf subgroup), and congenital blindness and their controls (blind subgroup) using medical case file review and face-to-face interviews, including the Pervasive Developmental Disorder in Mental Retardation Scale to identify ASD. Data were analysed using chisquared tests, estimated probabilities (to explore interactions) and general linear, conditional and non-conditional logistic regression modelling. Stage 1 identified 3183 adults with ID, 634 (20%) of whom had sensory impairment (congenital and acquired), comprising partial (n=447), total (n=165), or dual/deaf-blindness (n=22). Both visual and hearing impairment were associated with degree of ID, age and having Down syndrome but only visual impairment was associated with epilepsy. Neither visual impairment nor hearing impairment was associated with ASD at this stage of the study. In stage 2, those with an acquired sensory impairment were excluded and only 60 congenitally blind cases, 21 congenitally deaf cases and their controls (matched on degree of ID and gender) were included. Congenital blindness, but not deafness, was associated with ASD (OR=3.03; 95% CI: 1.34–6.89; p < 0.008) after adjustment for potential confounders. This thesis supports previous findings of high prevalence of sensory impairment among adults with ID. For the first time, an independent relationship was observed between congenital blindness and ASD in a cohort of adults with ID. The implications of these findings are discussed.

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Cheong, Michael Alexander. "Genetic and physical mapping of the mouse deafness gene bronx waltzer (bv) and its effect on the vestibular system." Thesis, University of Nottingham, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.312200.

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Croft, Richard P. "The epidemiology, risk factors and response to treatment by corticosteroids of acute nerve function impairment in leprosy." Thesis, University of Oxford, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.325251.

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Daugherty, Julie A. "The Relationship between Hearing Status and Cognitive Performance and the Influence of Depressive Symptoms in the Older Adult." Scholar Commons, 2015. https://scholarcommons.usf.edu/etd/5467.

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Hearing loss and cognitive impairment are significant health problems, threatening the independent function of older adults. While there appears to be a strong relationship between the two conditions, the mechanisms underlying this association are complex and are not fully elucidated. The purpose of this secondary analysis was to explore the relationship between hearing ability and cognitive performance in older adults. In addition, this study attempted to examine the role of depressive symptoms in the relationship between hearing loss and cognitive performance. Comprehensive measures of peripheral hearing, central auditory processing and cognitive performance were utilized to examine these relationships in a sample (N = 30) of adults aged 60 years and older. The Geriatric Depression Scale (GDS) was used to assess depressive symptoms. Correlational analyses revealed a statistically significant relationship between central auditory processing and executive function. Statistically significant relationships were also observed between speed of processing and peripheral hearing as well as central auditory processing. No significant relationships were noted between depressive symptoms, hearing acuity and cognitive performance. While the correlation coefficients (r) for several of the hearing and cognitive performance measures were not statistically significant, medium effect sizes were detected, suggesting a moderate association may exist between these variables.

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Reynolds, Gillian Margaret. "Work, charity and physical/sensory impairment : biographical accounts of the re-negotiation, or subversion of dominant ideologies." Thesis, Staffordshire University, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.358497.

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Bothma, Jó-Marié van der Merwe. "A neurodevelopmental movement programme for 4-8 year old hearing impaired children in the rural QwaQwa region of South Africa / Jó-Marié van der Merwe Bothma." Thesis, North-West University, 2012. http://hdl.handle.net/10394/9721.

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Being hearing impaired does not only affect a child’s academic performance, but can also influence a child’s overall development and ability to succeed academically. Evidence suggests that the outlay in early childhood has a large impact on a child’s readiness to learn. Neurodevelopmental movement programmes are generally not accepted as evidenced-based practice and their effect on academic performance is often underrated. Movement, however, is regarded by many as essential to learning and there seems to be a positive interchange between the brain and the body. This study reports on the influence of a neurodevelopmental movement programme on the development, behaviour and performance on a neurodevelopmental evaluation scale of four to eight year-old children with hearing impairment children. The study furthermore provides a report of the results of the psychometric assessment in the form of a neurodevelopmental profile for this specific sample. Children were selected from a special needs school in the rural QwaQwa Free State area of South Africa. Two groups of children (an experimental and comparison group) were used in this study, with both groups undergoing a pretest and posttest phase using three test batteries (Griffiths Mental Developmental Scales- Extended Revised, Child Behaviour Checklist, and a neurodevelopmental evaluation scale). The experimental group was subjected to a fourteen-week neurodevelopmental movement programme. The comparison group underwent a placebo intervention. The results indicate that the children in the experimental group showed an improvement in some aspects of specific development following the intervention (locomotor functioning, performance related abilities, and practical reasoning skills). General developmental age showed significant improvement in both the experimental group and the comparison group. No behavioural aspects showed significant improvements following the intervention, whereas some neurodevelopmental aspects, such as the vestibular system (Tandem Walk and One Leg Stand) and the reflex system (TLR – reflex) showed significant improvements. The results of this empirical investigation aid in understanding the impact of movement programmes on a child with hearing disability’s general development and neurodevelopmental development.
Thesis (PhD (Psychology))--North-West University, Potchefstroom Campus, 2013.

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Nioi, Amanda. "Evaluation of blue light exposure, illuminance level and the associations with sleep/wake patterns in two populations living with sensory impairment." Thesis, Heriot-Watt University, 2016. http://hdl.handle.net/10399/3134.

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Exposure to sufficient light during the daytime is fundamental for the regulation of the sleep/wake cycle, with the blue part of the spectrum most influential. This thesis explores exposure to environmental blue light and level of illuminance in two populations that experience circadian disruption i.e. older people and young people with autism spectrum disorder (ASD). The aim was to examine associations between blue light exposure, illuminance level and sleep/wake and physical activity patterns. Firstly, an exploratory study was conducted in adolescents with ASD living in a residential school setting aged 13-17 years (n=8). Secondly, a cross-sectional study carried out in two seasons (summer and winter) with a comparative study between seasons of varying light exposure and sleep/wake and physical activity outcomes was conducted in older people aged 72-99 years (n=20). In both studies quantitative measures were used to examine personal light exposure and sleep/wake patterns by use of novel equipment known as an actiwatch. This research demonstrated that objective measures of sleep/wake and light monitoring could be successfully administered in two populations with complex sensory issues. Preliminary findings from the exploratory study in adolescents with ASD indicated that exposure to blue light prior to bedtime was associated with a delay in sleep onset. The methodology developed for participant recruitment and engagement in a study using body sensors proved to be successful. Results for the study in older people suggested that between seasons daytime physical activity, blue light exposure and illuminance levels were significantly higher in summer. Correlated component regression (CCR) was used to investigate predictors of sleep parameters, suggesting morning blue light exposure (a predictor of total night-time sleep), daytime activity level (a predictor of sleep efficiency) and visual function (a predictor of minutes awake during the night) may contribute to sleep quality. The findings from these studies suggested that light exposure and health outcomes, such as physical activity and visual function could be responsible for sleep quality. This has important implications for design and health interventions promoting health and wellbeing, i.e. morning light exposure and time outdoors are important for circadian entrainment and building design and routine should reflect a diurnal light pattern light.

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Schneider, Julie. "Becoming deafblind: Negotiating a place in a hostile world." Thesis, The University of Sydney, 2006. http://hdl.handle.net/2123/4011.

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This study addresses the situation of adults who become deafblind. To date, their everday lives have received little attention in the research literature. Of the few studies conducted many involve surveys, the findings of which present the characteristics of people who are deafblind such as their rates of employment, need for support, or use of equipment. There are also a small number of qualitative studies that have explored the effects of having dual sensory impairment, and particularly in relation to communication and psycho-social wellbeing. Important as these research efforts have been, there is little empirical information available about the everyday lives of people who become deafblind and their concerns, nor any systematic attempt to theorise their experiences. There are however many personal anecdotes typically presented at conferences or through community publications and newsletters. This project aimed to redress the gap in the literature by developing a theoretical framework to explain the everyday experiences of adult who become deafblind. In doing so, it built upon the research and anecdotal literature with an overall purpose of presenting, through rigorous research, the experiences of adults who become deafblind and to do so within the broader discourse on disability and disablism. The study was informed by the social relational understanding of disability developed within the Nordic countries. Grounded theory was the method of choice to examine the lives of adults who become deafblind from their own perspective.Participant observation was employed through direct engagement in shared experiences with adults who have become deafblind both at a social group and via an e-mail list group. Mulitple in-depth interviews were undertaken both face to face and by e-mail with a smaller group of eight participants.The core finding from this study is that people who become deafblind are rendered interactionally powerless in a society predicated on seeing and hearing. The powerlessness that they experience comes from having this dual impairment in a world in which being able to see and hear are expected both in the physical and social environment. The inability of people who become deafblind to 'know and be' in the world in the same way as others results in them feeling, and experienceing, interactional powerlessness. In response, people who become deafblind actively engage in trying to minimise or remove their powerlessness. They do so by working to negotiate a place in this hostile world. They adopt four interrelated strategies, namely, doing things differently, managing support relationships, survivings others' perceptions and presenting sides of self.This study, with its central tenet that interactional powerlessness drives ongoing attempts to negotiate a place makes a theoretical contribution to understanding the experience of becoming deafblind. The findings support the concept of disbaility as social relational. Disability is not the same as the sensory impairment, rather it is expressed in the organisation of personal relations in society which render some more powerful than others and in this case, some less powerful due to their inability to use the natural means of communication of hearing and sight. Moreover, the study findings propose that professionals working with people with this dual sensory impairment must endeavour to reduce their part in the hostile world by providing information about options and support available; recognising the complexity of these adults support requirements; and considering the link between psycho-emotional issues and disablism. Further research is needed to understand empirically and theoretically the relative contribution of personal relationships vis a vis organisational or structural relationships in disabling people who become deafblind.

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Schneider, Julie. "Becoming deafblind negotiating a place in a hostile world /." University of Sydney, 2006. http://hdl.handle.net/2123/4011.

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Doctor of Philosophy
This study addresses the situation of adults who become deafblind. To date, their everday lives have received little attention in the research literature. Of the few studies conducted many involve surveys, the findings of which present the characteristics of people who are deafblind such as their rates of employment, need for support, or use of equipment. There are also a small number of qualitative studies that have explored the effects of having dual sensory impairment, and particularly in relation to communication and psycho-social wellbeing. Important as these research efforts have been, there is little empirical information available about the everyday lives of people who become deafblind and their concerns, nor any systematic attempt to theorise their experiences. There are however many personal anecdotes typically presented at conferences or through community publications and newsletters. This project aimed to redress the gap in the literature by developing a theoretical framework to explain the everyday experiences of adult who become deafblind. In doing so, it built upon the research and anecdotal literature with an overall purpose of presenting, through rigorous research, the experiences of adults who become deafblind and to do so within the broader discourse on disability and disablism. The study was informed by the social relational understanding of disability developed within the Nordic countries. Grounded theory was the method of choice to examine the lives of adults who become deafblind from their own perspective.Participant observation was employed through direct engagement in shared experiences with adults who have become deafblind both at a social group and via an e-mail list group. Mulitple in-depth interviews were undertaken both face to face and by e-mail with a smaller group of eight participants.The core finding from this study is that people who become deafblind are rendered interactionally powerless in a society predicated on seeing and hearing. The powerlessness that they experience comes from having this dual impairment in a world in which being able to see and hear are expected both in the physical and social environment. The inability of people who become deafblind to 'know and be' in the world in the same way as others results in them feeling, and experienceing, interactional powerlessness. In response, people who become deafblind actively engage in trying to minimise or remove their powerlessness. They do so by working to negotiate a place in this hostile world. They adopt four interrelated strategies, namely, doing things differently, managing support relationships, survivings others' perceptions and presenting sides of self.This study, with its central tenet that interactional powerlessness drives ongoing attempts to negotiate a place makes a theoretical contribution to understanding the experience of becoming deafblind. The findings support the concept of disbaility as social relational. Disability is not the same as the sensory impairment, rather it is expressed in the organisation of personal relations in society which render some more powerful than others and in this case, some less powerful due to their inability to use the natural means of communication of hearing and sight. Moreover, the study findings propose that professionals working with people with this dual sensory impairment must endeavour to reduce their part in the hostile world by providing information about options and support available; recognising the complexity of these adults support requirements; and considering the link between psycho-emotional issues and disablism. Further research is needed to understand empirically and theoretically the relative contribution of personal relationships vis a vis organisational or structural relationships in disabling people who become deafblind.

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Assensio, Cibele Barbalho. "Comunidade surda: notas etnográficas sobre categorias, lideranças e tensões." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/8/8134/tde-01032016-145531/.

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O objetivo deste trabalho é empreender uma análise de um campo discursivo das práticas que conferem à surdez o estatuto de particularidade linguística e cultural. Para tanto, foi realizada pesquisa etnográfica em espaços caracterizados pela presença de sistemas de comunicação gestuais-visuais normatizados sob a forma da Língua Brasileira de Sinais (LIBRAS). Atentou-se também a aspectos históricos relativos à surdez e a formas disciplinares constitutivas da LIBRAS. Acompanhar o percurso de líderes surdos em espaços variados foi fundamental para revelar uma normatividade na qual a surdez é afirmada e performatizada em termos de língua e cultura. Ao mesmo tempo são constituídas tensões, disputas e lutas em torno dessa normatividade. Categorias identitárias, tais como cultura surda e comunidade surda, são constantemente mobilizadas por profissionais que atuam em defesa da libras e são referidas sobretudo a sujeitos classificados como surdos . Constatou-se, enfim, que líderes surdos ocupam posição de destaque ao atuarem como porta-vozes da coletividade linguística falante de libras.
The objective of this work is to analyze a discursive field of practices that grants deafness a status of linguistic and cultural particularity. For this purpose, ethnographic research was conducted in spaces characterized by the presence of gestural-visual communication systems normalized in the form of the Brazilian Sign Language (LIBRAS). Research on historical aspects regarding deafness and integral disciplinary forms of LIBRAS was also undertaken. Following the course of deaf leaders in varied spaces was crucial in revealing a normativity in which deafness is affirmed and performed in terms of language and culture. At the same time, tensions, disputes and struggles are formed around this normativity. Identifying categories, such as deaf culture and deaf community, are constantly mobilized by professionals that act in defense of LIBRAS and are referenced primarily in terms of subjects classified as deaf. Ultimately, it was determined that deaf leaders occupy a prominent position in acting as spokespeople for the linguistic collective of LIBRAS speakers.

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Souza, Marcia Maurilio. "Surdocegueira e deficiência múltipla sensorial: análise do Programa Atendimento Domiciliar & Famílias Apoiadas." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/48/48134/tde-22062010-121150/.

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O objetivo desta dissertação foi o de identificar as orientações e estratégias, utilizadas com as famílias no atendimento em ambiente domiciliar, que ajudaram seus filhos com surdocegueira ou com deficiência múltipla sensorial a alcançarem habilidades em atividades de vida autônoma e social (Avas). A fundamentação teórica refere-se à caracterização da pessoa com surdocegueira e deficiência múltipla sensorial, suas dificuldades de comunicação e participação; às metodologias que orientam a avaliação e organização de programas educacionais; à caracterização e necessidades das famílias; à programas baseados em Avas. Os participantes da pesquisa foram dois alunos e suas mães atendidos no Programa de Atendimento Domiciliar e Famílias Apoiadas (Programa AD & FA), da Ahimsa. Os critérios de seleção dos sujeitos foram: semelhanças nas características devidas à etiologia da deficiência, Síndrome da Rubéola Congênita (SRC) e alterações de comportamentos causados pelas manifestações tardias da (SRC); similaridade da faixa etária, jovens entre 22 e 23 anos. Para a coleta de dados foram realizadas dez visitas domiciliares para cada família no período de fevereiro a setembro de 2009, nas quais foram desenvolvidas atividades em Avas e elaborados relatórios das observações; foram realizadas no final dos atendimentos entrevistas semi-estruturadas com as mães. Foram elencadas as estratégias que efetivaram a participação do aluno e os fatores que constituíram auxílio ou dificuldade para as mães efetivarem ou não as estratégias, por meio da análise dos dados realizada em cinco etapas: 1) elaboração de quadros dos registros dos comportamentos/participação e dos comportamentos comunicativos dos alunos nas atividades no primeiro atendimento; 2) elaboração de quadros dos registros dos comportamentos/participação e dos comportamentos comunicativos dos alunos nas atividades no último atendimento; 3) discussão sobre as diferenças, evolução e outras variações (apresentadas nas participações e na comunicação, assim como na aquisição de autonomia e independência) na execução das atividades, amparado nos quadros da etapa 1 e etapa 2 e nos relatórios das observações das visitas; 4) análise dos relatos e entrevistas das mães assinalando as necessidades e expectativas levantadas, as estratégias que foram efetivadas pelas mães que melhoraram a participação e a comunicação dos alunos e os fatores que levaram as famílias a implementarem ou não as estratégias; 5) reflexões sobre os dados da discussão da etapa 3 e as consonâncias e divergências com a análise da etapa 4. A análise dos dados mostrou os maiores ganhos na comunicação e participação dos alunos nas atividades propostas nas visitas e no dia a dia, também evidenciou as estratégias que trouxeram maiores resultados durante a realização das atividades e ajudaram a melhorar a participação dos alunos, como a adoção e efetivação pelas mães da: implementação de rotina e manutenção de sequências nas atividades, organização das atividades realizadas, organização de utensílios e materiais utilizados, sistematização e implementação de formas de comunicação expressivas e receptivas. A investigação assinalou dificuldades das famílias, para a implementação de algumas orientações e estratégias, devido a questões relacionadas a condições de saúde e a distúrbios de comportamentos de seus filhos. O período bastante exíguo de atendimento, de apenas dez sessões e número de somente dois jovens e suas mães constituíram limites a esta investigação, assinalando a necessidade de dar continuidade aos estudos com mais dados, mais sujeitos e maior tempo para a pesquisa. Apesar disso, a pesquisadora propõe-se a divulgar estes dados por meio de publicações, considerando a inexistência de dados 10 sistematizados e analisados sobre o atendimento domiciliar a pessoas com surdocegueira e com deficiência múltipla sensorial.
The objective of this thesis was to identify the orientations and strategies used with families at home visits that have helped their children with deafblindness or with multiple sensory impairment to develop skills in daily living activities. The theoretical basis refer to the characterization of the person with deafblindness and multiple sensory impaired, their difficulties with communication and participation; to the methodologies that guide the evaluation and organization of educational programs; to the characterization and needs of the families; to programs based on daily living activities. The participants were two students and their mothers enrolled in the Home Visit & Supported Families Program (Program AD & FA), of Ahimsa. The criteria to select the participants were: similarities in the characteristics due to etiology of the disability, Congenital Rubella Syndrome (CRS) and behavior alterations caused by the late manifestations of the CRS; similarity of age group, young adults between 22 and 23 years old. To data collection there were performed 10 home visits to each family in the period of February to September 2009, in which daily living skills activities were developed and observations reports were made; towards the end of the visits semi-structured interviews were carried out with the mothers. The strategies that promoted the participation of the student were listed and the factors that either contributed or made difficult for mothers to promote or not the strategies, through analysis of the data collected in five steps: 1) creation of the tables to record behavior/participation and the communicative behaviors of students in the activities at the first home visit; 2) creation of the tables to record behavior/participation and the communicative behaviors of students in the activities at the last home visit; 3) discussion on the differences, evolution and other variations (presented in the participations and in communication, as well as in the acquisition of independence and autonomy) in the execution of activities, based on the tables of steps 1 and 2 and on the observations reports of the home visits; 4) analysis of reports and interview of the mothers pointing out the needs and expectations raised, the strategies that were used by the mothers that have improved the participation and communication of the students and the factors that led families to implement or not the strategies; 5) reflections on the data of the discussion from step 3 and the similarities and differences with the analysis of step 4. Data analysis showed the benefits in communication and participation of students in the daily living activities proposed during the home visits and day-by-day, in addition, it has showed which strategies brought better results during the performance of the activities and helped improve the participation of the students, as the adoption and use by mothers of: routine implementation and maintenance of sequences in the activities, organization of the activities done, organization of materials used, systematization and implementation of means of expressive and receptive communication. The research pointed out difficulties of families, to implement some orientations and strategies, due to matters related to health conditions and challenging behaviors of their children. The short period of time of the home visits, only 10 sessions, and the number of only two young adults and their mothers were limitations found in this research, pointing out the need to carry on with the studies with more data, more participants and more time for the research. Nevertheless, the researcher proposes to divulge these data through publications, 12 considering the lack of systematized and analyzed data on home visits of people with deafblindness and multiple sensory impairment.

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Santos, Eurico Cabreira dos. "Horta sensorial como apoio aos professores de ciências naturais no contexto da educação inclusiva." Universidade Federal de Mato Grosso, 2015. http://ri.ufmt.br/handle/1/262.

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Nas últimas décadas a Educação Inclusiva tem ganhado evidência por meio dos movimentos sociais, com várias conquistas de garantias legais que acenam com a possibilidade para uma melhoria na sua condição social, de estudo e de acessibilidade. Entretanto, as leis por si só, não são garantia de que seus direitos sejam respeitados, se esses direitos não forem trabalhados pela Educação. Esta pesquisa teve como objetivo estudar as espécies olerículas para uso em horta sensorial, como apoio a formação continuada de professores que trabalham com alunos “normais” e com deficiência visual. Este estudo foi realizado no período de março a novembro /2014 em Cáceres – MT, na Escola Estadual Dr. José Rodrigues Fontes, uma escola da rede estadual de ensino que trabalha na perspectiva da Educação Inclusiva. Para fazer o experimento com as plantas foi implantada uma horta suspensa para o cultivo das hortaliças e, posteriormente, realizou-se a avaliação sensorial para conhecer o status afetivo. Nessa avaliação os colaboradores (cegos) faziam uma análise criteriosa de todas as estruturas morfológicas e da arquitetura das plantas, depois baseado nos escores da escala hedônica atribuíam os conceitos. Os resultados foram favoráveis, pois das 17 plantas avaliadas, 14 tiveram os conceitos máximo (gostei muito) e 03 o conceito gostei, baseado nesses conceitos pode-se concluir que todas as plantas despertaram a sensação de prazer nas pessoas. Ainda como resultado, foi construído um Guia Pedagógico como material didático com sugestões de atividades pedagógicas para o ensino de ciências utilizando das técnicas da ilustração científica para alunos videntes e, para alunos cegos foi construído pranchas em relevo das estruturas morfológicas das plantas e avaliadas pelos alunos com deficiência visual. Consideramos que os resultados foram favoráveis no que se refere às plantas avaliadas e servirão de subsídio para os professores no ensino de ciências voltados a trabalhar os conceitos da botânica, especialmente, aos trabalhos relacionados às estruturas morfológicas das plantas para os alunos da Educação Inclusiva.
In recent decades, inclusive education has gained evidence through social movements with various achievements of legal guarantees waving with the possibility for an improvement in their social status, study and accessibility. However, laws alone are no guarantee that their rights are respected, if these rights are not worked for Education. This research aimed to study the greenery species for use in sensory garden to support the continuing education of teachers who work with students 'normal' and visually impaired. This study was carried out from March to November/2014 in municipality of Cáceres, Mato Grosso State; in a state school Dr. José Rodrigues Fontes a state school education working in the perspective of inclusive education. To make the experiment with plants was implemented a garden suspended for the cultivation of vegetables and later held the sensory evaluation to know the effective status. In this evaluation employees (blind) made a careful analysis of all morphological structures and plant architecture, then based on the scores of hedonic scale attributed the concepts. The results were favorable because of the 17 plants evaluated, 14 had the maximum concepts enjoyed and liked the concept 03, based on these concepts can be concluded that all plants have awakened the feeling of pleasure in people. Also as a result, a pedagogical guide was built as teaching material with suggestions of educational activities for teaching science using the techniques of scientific illustration for seers students and for blind students was built planks in relief of morphological structures of plants and evaluated by students visually impaired. We believe that the results were favorable with respect to the evaluated plants and will inform teachers in science education aimed at working the concepts of botany, especially the work related to morphological structures of plants for the students of inclusive education.

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Murnane, Owen D. "Sensory Impairments: Hearing." Digital Commons @ East Tennessee State University, 2004. https://dc.etsu.edu/etsu-works/1949.

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Dupuy, Emma. "Impact d'une déficience somesthésique sur les mécanismes de régulation du contrôle postural : un nouveau modèle, le syndrome d'Ehlers-Danlos de type hypermobile." Thesis, Normandie, 2019. http://www.theses.fr/2019NORMC402/document.

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Le syndrome d’Ehlers-Danlos (SED) est un groupe mixte de maladies héréditaires dont la caractéristique commune est une altération d’origine génétique du tissu conjonctif. Sa forme hypermobile (SEDh) se caractérise par une hypermobilité articulaire généralisée, associée à une hyperélasticité cutanée, générant toutes deux un déficit somesthésique. Or, le système somesthésique est, avec les systèmes visuel et vestibulaire, crucialement impliqué dans le fonctionnement du système sensorimoteur. Ce travail de thèse visait donc à comprendre comment le déficit somesthésique propre au SEDh modifie les mécanismes perceptifs et sensorimoteurs sous-tendant le contrôle postural. L’appréhension de ces mécanismes s’est articulée autour de deux types d’approches : l’une indirecte, au travers de l’étude des mécanismes sensoriels sous-tendant la perception de la verticale, et l’autre directe, au travers d’analyses posturographiques approfondies.Le premier objectif de travail visait à déterminer comment le déficit somesthésique affecte l’utilisation des cadres de référence spatiale (allocentré, égocentré et géocentré) pour la perception de la verticale visuelle. Pour ce faire, nous avons conduit deux études évaluant respectivement la perception de la verticale avec ou sans indices visuels (test de la baguette et du cadre, RFT ; test de verticale visuelle subjective, VVS). Ces deux études ont montré que le déficit somesthésique diminuait la contribution du référentiel égocentré (axe corporel) à la perception de la verticale. En réponse, les patients présentent une plus grande dépendance au champ visuel et s’appuient donc préférentiellement sur le référentiel allocentré. Le second axe de travail visait à identifier les stratégies sensorielles adoptées par ces patients, et à évaluer les répercussions de celles-ci sur les mécanismes de régulation posturale. Ces questions ont été investiguées au moyen d’évaluations posturographiques approfondies, utilisant à la fois des paradigmes de perturbation sensorielle et de double tâche, ainsi que des analyses linéaires et non-linéaires. Nous avons ainsi observé que le déficit somesthésique des patients altérait la contribution de la proprioception musculaire aux mécanismes en charge de la régulation automatique de l’équilibre postural. Ces modifications dans la régulation posturale se répercutent par une augmentation du monitoring actif des oscillations posturales par le système nerveux central. En retour, les patients SEDh développent une visuodépendance, et mettent en place des stratégies adaptatives basées sur une rigidification des mécanismes correctifs à long terme. Enfin, deux études pilotes ont été conduites afin de tester l’effet de stratégies de remédiation proprioceptive, à savoir les orthèses somesthésiques et la reprogrammation sensorimotrice, sur le contrôle postural de ces patients. Chacune de ces prises en charge semble exercer un effet bénéfique sur leur contrôle postural, qui se traduit par une augmentation de la stabilité posturale lors du port des orthèses somesthésiques, et une amélioration de l’efficacité du contrôle postural suite à la reprogrammation sensorimotrice. Néanmoins, les résultats indiquent également que l’effet immédiat opéré par les dispositifs orthétiques de suppléance somesthésique est limité puisqu’il ne permet pas de diminuer la visuodépendance des patients. Cet effet est, en revanche, induit par l’action de la reprogrammation sensorimotrice, qui, par le renforcement du système proprioceptif, libère les patients SEDh de leur visuodépendance. Ainsi, ces observations nous ont permis de caractériser les spécificités de la régulation posturale chez les patients SEDh, et, de façon préliminaire, d’observer la façon dont celles-ci évoluent en réponse à des prises en charge spécifiquement orientées sur la remédiation sensorielle
Ehlers-Danlos syndrome (EDS) is the clinical manifestation of hereditary connective tissue disorders, comprising several clinical forms. The EDS hypermobility type (EDSh) is characterized by generalized joint hypermobility and variable skin hyperextensibility, which both generate somatosensory impairment. Somatosensory system is, together with visual and vestibular systems, crucially involved in sensorimotor system functioning. The aim of this work was to understand the impact of impaired proprioception on perceptive and sensorimotor mechanisms underlying postural control in EDSh patients. Evaluation of postural control was structured around two approaches. The first one was indirect, and evaluated the sensory mechanism underlying vertical perception. The second one was direct, and used detailed stabilometric analyses to investigate postural control.The first objective of this work was to evaluate how somatosensory impairment affects the contribution of spatial frame of reference (allocentric, egocentric, and geocentric) to visual vertical perception. Two types of tests were conducted to assess the vertical perception with and without visual information (Rod and Frame Test, RFT; Subjective visual vertical, SVV). These two studies showed that somatosensory impairment reduces the contribution of egocentric frame of reference (body axis) to vertical perception. In response, patients increase their visual field dependence, and thus, use preferentially allocentric frame of reference. The second axis aimed to identify sensory strategies adopted by these patients and their repercussion on postural regulation mechanisms. To investigate this question, a thorough postural assessment was conducted, using sensory perturbation and dual-task paradigm, and linear and non-linear analyses. We observed that somatosensory impairment impacts muscular proprioceptive contribution to automatic regulation mechanism involved in postural control. These modifications in postural regulation induce an increase of active monitoring of postural sway. In response, EDSh patients develop a visual dependence, and produce adaptive strategies based on stiffening of corrective mechanisms acting in long term. Finally, two pilot studies were conducted to test the impact of proprioceptive remediation, somatosensory orthoses and sensorimotor rehabilitation program, on postural control of these patients. Both of these two therapeutic solutions seem to induce a beneficial effect on postural control. This effect is reflected by an improvement of postural stability when patients wore somatosensory orthoses, and an enhancement of postural efficiency in response to sensorimotor rehabilitation. However, results also indicate that the immediate effect induced by orthotic device of somatosensory substitution is limited, because it did not help to decrease visual dependency. Hence, these observations allowed us to identify the postural regulation specificities in EDSh patients, and, in a preliminary way, to observe how they change in response to therapeutic solutions based on sensory remediation

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Lebat, Cindy. "Les personnes en situation de handicap sensoriel dans les musées : réalités d’accueil, expériences de visite et trajectoires identitaires." Thesis, Sorbonne Paris Cité, 2018. http://www.theses.fr/2018USPCA060.

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Cette thèse présente les modalités d’expérience muséale proposées aux visiteurs déficients visuels et auditifs. Elle expose pour cela à la fois les dispositifs d’accueil et de médiation culturelle des musées, leurs discours sur l’accessibilité et la différence, mais aussi la réception et l’expérience vécue par ces visiteurs. À partir d’un travail de terrain mené dans des établissements muséaux d’Île-de-France et auprès d’individus en situation de handicap, il s’agit d’abord de montrer comment ces institutions structurent et révèlent le traitement social du handicap. Les processus sociaux assignant une place et une identité sociale y étant fortement perceptibles, le musée est pris comme cadre d’analyse et de compréhension des trajectoires identitaires des personnes en situation de handicap. Plus encore, le dispositif muséal conditionne aussi le rapport sensible à l’environnement, notamment par le biais des outils de médiation culturelle. Il contribue en conséquence à imposer une image de soi, et à structurer la carrière de visiteur. En outre, cette recherche souligne la capacité des individus à s’emparer de ces éléments pour élaborer leurs propres trajectoires identitaires. Ainsi, la responsabilité portée par l’institution muséale est mise en évidence, puisqu’elle participe à la construction des identités sociales et des modalités d’être au monde des visiteurs en situation de handicap
This PhD dissertation focuses on the ways and means of the museum experience for visitors with visual or hearing deficiencies. For that matter, the aim is to grasp both the cultural mediation systems, the welcoming apparatus proposed by museums but also the experience lived by the visitors. This allows to touch upon the discourses then carried out regarding accessibility and difference. A field work was carried out in the museums of the region Île-de-France and through interviews with people with disabilities. The main objective was to bring out the way in which museums, through the devices they propose and by the discourses they carry and relay on accessibility, organize and reveal at the same time the social treatment of disability. Museums can be considered frameworks for analysis and for understanding identity trajectories, since the social processes giving a place and an identity to people are strongly perceptible in this institution. Moreover, the sensitive connection to environment and, in this case to the exhibits, is also conditioned by the museum. It therefore contributes to establish a self-image for the visitor, and thus to structure the visitor's journey. In addition, by also highlighting the ability of individuals to seize these elements to develop their identity trajectories, this work highlights the responsibility of the museum as an institution, which participates in the construction of social and personal identities

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Ferreira, Josélia Braz dos Santos. "Efeitos das intervenções psicomotoras no equilíbrio do idoso com déficit cognitivo leve: quase experimento." Universidade Federal Fluminense, 2014. https://app.uff.br/riuff/handle/1/840.

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Mestrado Acadêmico em Ciências do Cuidado em Saúde
Trata-se de um estudo quantitativo com uma abordagem quase experimental, cujo objetivo geral foi analisar os efeitos das atividades psicomotoras para o equilíbrio em idosos com distúrbio cognitivo leve e os objetivos específicos foram identificar o déficit psicomotor nos idosos com Déficit Cognitivo Leve utilizando a Escala Motora para a Terceira Idade (EMTI) e a Escala de Tinetti; implementar atividades e exercícios psicomotores para o idoso com Déficit Cognitivo Leve visando a melhora dos fatores psicomotores com ênfase ao equilíbrio e marcha; comparar as condições psicomotoras dos idosos com Déficit Cognitivo Leve antes e após a implementação de atividades e exercícios psicomotores. A pesquisa foi realizada em um período de 4 (quatro) meses, com início em abril de 2014 e término em julho de 2014. Os sujeitos do estudo foram 43 idosos de duas instituições públicas, na faixa etária entre 64 a 88 anos, 86,04% do sexo feminino. O estudo desenvolveu metas que foram cumpridas de acordo com a Teoria do Alcance de Metas de Imogene King. Foi aplicado o MEEM (Mini Exame do Estado Mental) em todos os idosos para avaliação da memória. Para avaliar os parâmetros motores foi utilizada a Escala Motora para Terceira Idade (EMTI) e para avaliar o Equilíbrio e a Marcha, a Escala de Tinetti; foi utilizado também o Diário de Quedas do Idoso. As escalas foram aplicadas antes e após a implementação das atividades psicomotoras, que foram realizadas durante 10 (dez) sessões. Nos resultados, utilizou-se do software estatístico SAS versão 9.3.1, tal que primeiramente realizou-se uma análise descritiva dos dados, dividindo em primeira medida (primeira avaliação) e segunda medida (segunda avaliação). A avaliação do MEEM mostrou 15 (quinze), 34,88%, dos idosos avaliados apresentaram sinais sugestivos de déficit cognitivo. Resultados relacionados ao desempenho dos idosos nos parâmetros motores Motricidade Fina, Organização Espacial e Organização temporal, tanto na primeira como na segunda medidas apresentaram bons resultados e ficaram na classificação normal médio da EMTI. No entanto, na primeira avaliação, os parâmetros Motricidade Global, obteve média de 34,88 pontos, equivalente a classificação muito inferior; o Esquema Corporal com média de 76,46 pontos correspondeu a classificação inferior; e também o Equilíbrio com média de 79,81 pontos ficou na classificação inferior. Estes resultados corresponderam aos resultados do Equilíbrio e Marcha da Escala de Tinetti, que apresentou 22 (51,16%) idosos com média de 17,22 pontos e ficaram, segundo a escala, com alto risco para quedas. Os resultados destas escalas foram corroborados com os resultados do Diário de Quedas dos Idosos, onde 26 (60,47%) idosos sofreram 52 quedas, sendo que 33 (63,46%) quedas ocorreram por desequilíbrios e 31 (59,62%) quedas foram na rua. Na segunda avaliação após as atividades implementadas, os idosos apresentaram melhores resultados com mudança da classificação de acordo com os escores, exceto a Motricidade Global, que permaneceu na classificação muito inferior. No entanto, o Esquema Corporal mudou para a classificação normal baixo com média de 86,93 pontos, o Equilíbrio mudou da classificação inferior para normal médio com média de 92,37 pontos. O Equilíbrio e marcha da Escala de Tinetti apresentou aumento em seus escores e a maioria dos idosos, 28 (65,11%), ficaram com risco moderado para quedas segundo a escala. Concluiu-se com os resultados na segunda medida, que as metas foram alcançadas e a hipótese de que o exercício de estimulação psicomotora favorece o equilíbrio de idosos com distúrbio cognitivo leve foi confirmada
This is a quantitative study with a quasi-experimental approach, whose general objective was to analyze the effects of psychomotor activities for balance in elderly people with mild cognitive impairment and specific objectives were to identify the psychomotor deficit in the elderly with mild cognitive deficit using the Scale motor for the Elderly (EMTI) and the Tinetti scale; implement activities and psychomotor exercises for the elderly with Mild Cognitive Deficit aimed at improving the psychomotor factors with emphasis on balance and gait; compare psychomotor conditions of elderly people with Mild Cognitive Deficit before and after the implementation of activities and psychomotor exercises. The survey was conducted over a period of four (4) months, starting in April 2014 and ending in July 2014. The study subjects were 43 elderly two public institutions, aged between 64 and 88 years, 86, 04% female. The study developed goals that were performed in accordance with the Scope of the Theory of Imogene King Goals. The MMSE (Mini Mental State Examination) in all the elderly to assess memory was applied. To evaluate the motor parameters we used the Motor Scale for the Elderly (EMTI) and to assess the balance and the March, the Tinetti Scale; we used the Elderly Falls Journal. The scales were applied before and after the implementation of psychomotor activities, which were performed for 10 (ten) sessions. In the results, we used the SAS statistical software version 9.3.1, such that first carried out a descriptive analysis of data, sharing in a first step (first evaluation) and second measurement (second evaluation). The assessment of the MMSE was 15 (fifteen), 34.88% of the sample respectively showed signs suggestive of cognitive impairment. Results related to the performance of the elderly in the parameters Motricity Thin engines, Space Organization and temporal organization, both in the first and second measurements showed good results and were in the normal average rating of EMTI. However, the first evaluation, the Global Kinetics parameters obtained an average of 34.88 points, equivalent to much lower rating; the Body Scheme averaging 76.46 points corresponded to a lower classification; and also the balance with an average of 79.81 points was in a lower classification. These results corresponded to the results of Balance and Gait Tinetti Scale, which showed 22 (51.16%) elderly with an average of 17.22 points and were, according to the scale at high risk for falls. The results of these scales were corroborated by the results of the Seniors' Falls Gazette, where 26 (60.47%) elderly suffered 52 falls, of which 33 (63.46%) decreases occurred by imbalances and 31 (59.62%) falls were in the street. In the second evaluation after the implemented activities, the elderly showed better results with rating change according to the scores, except the Global Mobility, which remained much lower rating. However, the Body Scheme moved to low normal rating with an average of 86.93 points, the balance changed the lower rating for average normal with an average of 92.37 points. The Balance and Gait Tinetti Scale showed an increase in their scores and most elderly, 28 (65.11%) were at moderate risk for falls under the scale. Concluded with the results in the second measure, which targets have been achieved and the hypothesis that the psychomotor stimulation exercise favors the balance of elderly patients with mild cognitive impairment was confirmed

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Radford, Darren Lee James. "Fusion-based impairment modelling for an intelligent radar sensor architecture." Thesis, Cardiff University, 2009. http://orca.cf.ac.uk/54820/.

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An intelligent radar sensor concept has been developed using a modelling approach for prediction of sensor performance, based on application of sensor and environment models. Land clutter significantly impacts on the operation of radar sensors operating at low-grazing angles. The clutter modelling technique developed in this thesis for the prediction of land clutter forms the clutter model for the intelligent radar sensor. Fusion of remote sensing data is integral to the clutter modelling approach and is addressed by considering fusion of radar remote sensing data, and mitigation of speckle noise and data transmission impairments. The advantages of the intelligent sensor approach for predicting radar performance are demonstrated for several applications using measured data. The problem of predicting site-specific land radar performance is an important task which is complicated by the peculiarities and characteristics of the radar sensor, electromagnetic wave propagation, and the environment in which the radar is deployed. Airborne remote sensing data can provide information about the environment and terrain, which can be used to more accurately predict land radar performance. This thesis investigates how fusion of remote sensing data can be used in conjunction with a sensor modelling approach to enable site-specific prediction of land radar performance. The application of a radar sensor model and a priori information about the environment, gives rise to the notion of an intelligent radar sensor which can adapt to dynamically changing environments through intelligent processing of this a priori knowledge. This thesis advances the field of intelligent radar sensor design, through an approach based on fusion of a priori knowledge provided by remote sensing data, and application of a modelling approach to enable prediction of radar sensor performance. Original contributions are made in the areas of intelligent radar sensor development, improved estimation of land surface clutter intensity for site-specific low-grazing angle radar, and fusion and mitigation of sensor and data transmission impairments in radar remote sensing data.

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Arruda, Luciana Maria Santos de. "O ensino de geografia para alunos com deficiência visual: novas metodologias para abordar o conceito de paisagem." Universidade Federal de Uberlândia, 2014. https://repositorio.ufu.br/handle/123456789/16198.

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The present dissertation was developed from the need to rethink the teaching of geography to visually impaired students concerning the landscape concept. In order to do that the main goal was the creation of sensory didactic material using the experiences lived by the students of Instituto Benjamin Constant (IBC) in the landscape that composes it. It was also necessary a reflection on special and inclusive education in the world and in Brazil, particularly nowadays in Brazil with an inclusive perspective in which legislation has advanced greatly. To present IBC and how it organizes itself as a center of reference was also of the utmost importance, as it is necessary a historical recovery of the teaching of geography in this centenarian and pioneer institution, due to the fact that the first tactile didactic materials used in the teaching of these students were there. The methodology used by teachers is a differential from the moment that several languages are employed to develop the teaching of geography in the IBC, and through their accounts this knowledge was presented and recovered. Geography is build up from learning experiences that go beyond the classroom and therefore the use of sensory didactic resources will add up to the teaching and learning process making the construction of a multisensory landscape possible. Thus, by means of sensory activities, materials which may help students in the understanding of the landscape concept were devised, making the use of the senses real. The theoretical reference was based on Tuan (2012) and Soler (1999) to think this multisensory landscape. Therefore, to think of a meaningful geographic education, independent of the student and the reality that surrounds him, is very important in an inclusive society.
A presente dissertação foi desenvolvida a partir da necessidade de repensar o ensino de Geografia para alunos com deficiência visual no que tange ao conceito de paisagem. Para isso, o objetivo principal foi a criação de materiais didáticos sensoriais utilizando as experiências vividas pelos alunos do Instituto Benjamin Constant (IBC), na paisagem que estas compõem. Também foi necessária uma reflexão sobre a educação especial e inclusiva no mundo e no Brasil e hoje, particularmente no Brasil, com uma perspectiva inclusiva, pois a legislação teve um grande avanço. Apresentar o IBC e como este se organiza como centro de referência também foi de suma importância, uma vez que se faz necessário um resgate histórico do ensino de Geografia nessa instituição centenária e pioneira, visto que os primeiros materiais didáticos táteis utilizados no ensino desses alunos estavam ali. A metodologia utilizada pelos professores é um diferencial a partir do momento em que as diferentes linguagens são utilizadas para desenvolver o ensino de Geografia no IBC, e por meio de seus relatos possibilitou que esse conhecimento fosse apresentado e resgatado. A Geografia é construída a partir de situações de aprendizagem que vão além da sala de aula. Dessa forma, a utilização de recursos didáticos sensoriais irá somar no processo de ensino e aprendizagem, possibilitando a construção de uma paisagem multissensorial. Então, por meio de atividades sensoriais, foram construídos materiais que pudessem auxiliar os alunos na compreensão do conceito de paisagem e possibilitem a utilização dos sentidos. Para isso, o referencial teórico da pesquisa foi pautado em Tuan (2012) e Soler (1999), considerando acercar essa paisagem multissensorial. Assim, pensar uma educação geográfica significativa independente do aluno e da realidade que o cerca é muito importante na sociedade inclusiva.
Mestre em Geografia

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Knoth, Sharon K. "Essential accommodations for students with sensory impairments : perceptions from the field." Virtual Press, 2006. http://liblink.bsu.edu/uhtbin/catkey/1354646.

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This thesis explored standardized assessment practices and analyzed accommodations commonly provided to address the unique needs of students with a sensory impairment. Current assessment practices in Indiana result in well below average scores on the Indiana Statewide Testing for Educational Progress - Plus (ISTEP+) and the Graduation Qualifying Examination (GQE) for students who have a sensory impairment. Using a mixed-method of qualitative and quantitative processes, the researcher postulated that if assessment processes were equitable for this population of students, their scores should approximate the normal distribution seen in the overall state totals for the total school population; albeit with a slightly lower trajectory. Reasoning being that the overall population of students with a sensory impairment spans from students with high ability to students with multiple disabilities. Through a literature review and meta-analysis on the topic of assessment, surveys and discussions with varied local experts, and interviews with state and national experts in the sensory areas represented, this study sought to establish a framework for accommodating this population of students on standardized assessments. Using descriptive analysis procedures, the various data sets brought forth 25 qualities or practices that the diverse experts agreed should be in place when assessing this population of students. The data reflected a high level of consensus among parents, teachers, state, and national experts regardless of region of state represented. The data also reflected consensus across sensory subgroups (blind, deaf, deafblind, hard of hearing/cochlear implant, and low vision). The research concluded with a modified confirmatory factor analysis of the 25 qualities with the state-dictated permissible accommodations published in the test guidance manual. This analysis revealed less than half of the perceived best practices were in place for the current state-mandated assessment system. Suggestions for improving accommodation options on future assessment procedures and the prospective for further research were offered.
Department of Special Education

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Sterling, Michele. "Motor, sensory and psychological impairments following whiplash injury : development and predictive function /." St. Lucia, Qld, 2003. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe17379.pdf.

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Murdoch, Heather Rosemary. "Repetitive behaviours in children with sensory impairments and multiple disabilities : a developmental approach." Thesis, University of Birmingham, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.366173.

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Pimenta, Iuri Saulo de Castro. "Avaliação do equilíbrio em indivíduos com défice visual e normovisuais." Bachelor's thesis, [s.n.], 2016. http://hdl.handle.net/10284/5738.

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Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em Fisioterapia
Objetivo: Avaliar o equilíbrio em indivíduos com Défice Visual (DV) e Normovisuais (NV) durante a execução de diferentes testes de avaliação e verificar se os testes aplicados são apropriados para a avaliação do equilíbrio em sujeitos com DV. Metodologia: Neste estudo participaram 22 indivíduos, do sexo feminino e masculino, com mais de 50 anos de idade e com diferentes condições visuais. Para avaliar as oscilações posturais, utilizou-se um sistema de centrais inerciais. Os participantes realizaram 5 testes de equilíbrio, tendo sido colocada uma venda a todos os participantes para retirar o estímulo visual. Resultados: A comparação entre o grupo DV e NV apenas revelou diferenças significativas no Tandem Preferido (Tandem Pre). Dos três componentes avaliados, o ântero-posterior foi o que registou mais oscilação. Conclusão: Os participantes com DV apresentam melhor equilíbrio no teste Tandem Pre. Para a amostra estudada, os testes de Tandem revelaram-se mais desafiantes na avaliação do equilíbrio em indivíduos com DV.
Aim: To evaluate balance in Visual Impairment (VI) and sighted (NV) people during the execution of different assessment tests and to verify if the applied tests were appropriate for the assessment of balance in subjects with VI. Methodology: The study included 22 individuals, both male and female, aged above 50 years and with different visual conditions. To assess postural oscillations, a inertial measurement system was used. Participants performed five balance tests, and all participants were blindfolded to remove the visual input. Results: The comparison between VI and NV groups showed significant differences in the Tandem Preferred (Tandem Pre). Between the three assessed components, the anteroposterior was the most unstable. Conclusions: VI participants evidenced better balance in the test Tandem Pre. In general, the Tandem tests revealed more challenging in the assessment of balance in VI individuals.
N/A

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Harrison-Allen, Melissa. "An investigation of impairments of absolute and just noticeable difference sensory thresholds in the chronic phase of stroke." Thesis, University of Central Arkansas, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10010552.

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BACKGROUND AND PURPOSE: While it is well known that sensory impairment is indicative of poor outcome following stroke, we do not know its true prevalence nor do we understand how brain lesions influence sensory impairment or how sensory impairment influences functional status. The current project analyzed an existing de-identified database to address three specific aims: 1) To determine the prevalence of impairments of absolute and just noticeable difference sensory thresholds in chronic stroke, 2) To determine the relationship of specific lesion characteristics to impaired sensory thresholds in chronic stroke, and 3) To determine the correlation between impaired sensory thresholds and functional status in the chronic phase of stroke. METHODS: Absolute and just noticeable difference sensory thresholds were assessed for eleven perceptual continua spanning five sensory domains in 110 subjects (76 normal controls, 21 with right hemisphere lesions, 13 with left hemisphere lesions). Lesion volume and subtraction analysis were performed with the MRIcroN software. RESULTS: Subjects with right hemisphere lesions had a greater percentage of failures on threshold assessments that subjects with left hemisphere lesions (p=0.004) and normal control subjects (p<0.0001). Subjects with right hemisphere lesions had greater severity of impairment on threshold assessments than subjects with left hemisphere lesions (p=0.003) and normal control subjects (p<0.0001). Lesion volume was not correlated with impaired sensory thresholds, instead lesions of the caudate nucleus were common to subjects with a high percentage of failures on threshold assessments. Impaired sensory thresholds correlated with stroke severity as defined by the NIHSS (r=0.39, p<0.03) and transfer scores on the Barthel Index (r=-0.55, p=0.02).

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Abouzar, Pooyan. "Mitigating the effect of propagation impairments on higher layer protocols and algorithms in wireless sensor networks." Thesis, University of British Columbia, 2016. http://hdl.handle.net/2429/58915.

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Wireless sensor networks (WSNs) range from body area networks (BANs) that involve a relatively small number of nodes, short paths and frequent update rates to precision agriculture wireless sensor networks (PAWSNs) that involve a relatively large number of nodes, long paths and infrequent update rates. They are distinguished from wireless access networks by: 1) their mesh architecture and reliance on higher layer protocols and algorithms to perform routing, scheduling, localization, and node placement, 2) their need to operate for long periods of time with only limited access to battery or scavenged power. Energy conservation has long been an important goal for developers of WSNs and the potential for reducing energy consumption in such networks by reducing the strength and/or frequency of transmission has long been recognized. Although the impact of propagation impairments on the physical and media access control layers of WSNs has long been considered, few previous studies have sought to assess their impact on higher layer protocols and algorithms and devise schemes for mitigating or accounting for such impacts. Here, we present four case studies that demonstrate how higher layer protocols and algorithms can be devised to achieve greater energy efficiency by accounting for the nature of the propagation impairments experienced. In the first two case studies, we focus on BANs and: 1) propose a routing protocol that uses linear programming techniques to ensure that all nodes expend energy at a similar rate and thereby maximize network lifetime and 2) propose a scheduling algorithm that accounts for the periodic shadowing observed over many BAN links and thereby reduce the transmit power required to transfer information and thereby maximize network lifetime. In the second two case studies, we focus on PAWSNs and 3) propose an efficient localization algorithm based on the Bayesian model for information aggregation and 4) demonstrate that path loss directionality observed in sites such as high density apple orchards greatly affects WSN connectivity and, therefore, energy consumption and must be considered when designing node placement in agricultural fields.
Applied Science, Faculty of
Electrical and Computer Engineering, Department of
Graduate

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Ludwig, Simon [Verfasser]. "Sensory and working memory impairments, delayed decisions, and different action modalities within the somatosensory perception-action cycle / Simon Ludwig." Berlin : Freie Universität Berlin, 2017. http://d-nb.info/1128150581/34.

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Sijobert, Benoît. "Assistive control of motion in sensorimotor impairments based on functional electrical stimulation." Thesis, Montpellier, 2018. http://www.theses.fr/2018MONTS079/document.

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Suite à une lésion (ex: blessure médullaire, accident vasculaire cérébral) ou une maladie neurodégénérative (ex: maladie de Parkinson), le système nerveux central humain peut être sujet à de multiples déficiences sensori-motrices menant à des handicaps plus ou moins lourds au cours du temps.Face aux méthodes thérapeutiques classiques, la stimulation électrique fonctionnelle (SEF) des muscles préservés permet de restaurer le mouvement et de fournir une assistance afin d’améliorer la condition des personnes atteintes et de faciliter leur réadaptation fonctionnelle.De nombreuses problématiques intrinsèques à la complexité du système musculo-squelettique et aux contraintes technologiques rendent néanmoins difficile la démocratisation de solutions de stimulation électro-fonctionnelle en dépit d’avancées majeures dans le domaine.Visant à favoriser l’utilisabilité et l’adaptabilité de telles solutions, cette thèse s’appuie sur un réseau de capteurs/actionneurs génériques embarqués sur le sujet, afin d’utiliser la connaissance issue de l’observation et l’analyse du mouvement pathologique des membres inférieurs pour étudier et valider expérimentalement de nouvelles solutions de commande de la SEF à travers une approche orientée-patient
The human central nervous system (CNS) can be subject to multiple dysfunctions. Potentially due to physical lesions (e.g.: spinal cord injuries, hemorrhagic or ischemic stroke) or to neurodegenerative disorders (e.g.: Parkinson’s disease), these deficiencies often result in major functional impairments throughout the years.As an alternative to usual therapeutic approaches, functional electrical stimulation (FES) of preserved muscles enables to assist individuals in executing functional movements in order to improve their daily life condition or to help enhancing rehabilitation process.Despite major technological advances in rehabilitation engineering, the complexity of the musculoskeletal system and the technological constraints associated have led to a very slow acceptance of neurorehabilitation technologies.To promote usability and adaptability, several approaches and algorithms were studied through this thesis and were experimentally validated in different clinical and pathological contexts, using low-cost wearable sensors combined to programmable stimulators to assess and control motion through a patient-centered approach

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Linz, Sarah [Verfasser], Alexander [Akademischer Betreuer] Kölpin, Peter [Gutachter] Knott, and Wolfgang [Gutachter] Heinrich. "Impairment analysis and their calibration techniques for Six-port based displacement sensors / Sarah Linz ; Gutachter: Peter Knott, Wolfgang Heinrich ; Betreuer: Alexander Kölpin." Erlangen : Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), 2019. http://nbn-resolving.de/urn:nbn:de:bvb:29-opus4-131427.

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Linz, Sarah Verfasser], Alexander [Akademischer Betreuer] [Kölpin, Peter [Gutachter] Knott, and Wolfgang [Gutachter] Heinrich. "Impairment analysis and their calibration techniques for Six-port based displacement sensors / Sarah Linz ; Gutachter: Peter Knott, Wolfgang Heinrich ; Betreuer: Alexander Kölpin." Erlangen : Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), 2019. http://d-nb.info/1204257922/34.

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Dudek, Manuel [Verfasser]. "Towards Future Automotive Safety Applications based on Phased-Array FMCW-Radar Sensors - a Holistic Simulative Approach Incorporating RF-Frontend Impairments / Manuel Dudek." München : Verlag Dr. Hut, 2015. http://d-nb.info/1077403887/34.

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Bouscaren, Nathalie. "Facteurs de risque de la dépendance chez des femmes âgées françaises : étude sur la cohorte E3N." Thesis, Université Paris-Saclay (ComUE), 2018. http://www.theses.fr/2018SACLS508/document.

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Avec le vieillissement démographique, le nombre de personnes âgées dépendantes augmente et les proches (ou "tierces personnes") sont de plus en plus sollicités à leur côté. Dans une visée de santé publique, il importe d'étudier la place des tierces personnes dans le vieillissement et la relation entre dépendance et accumulation de facteurs de risque accessibles à la prévention.Le premier axe de cette thèse s'intéresse à l'intervention des tierces personnes dans les études de cohorte avançant en âge. Le deuxième axe consiste à analyser l'association entre la dépendance et l'accumulation de déficits sensoriels ou de comportements de santé.Cette thèse se base sur les données des femmes de la cohorte E3Nnées entre 1925 et 1930 : celles auto-rapportées et celles recueillies auprès d'une tierce personne. La dépendance est définie comme la présence d'une limitation dans au moins une des huit activités de l'échelle des activités instrumentales de la vie quotidienne (IADL).Les tierces personnes corroborent globalement la perception des personnes âgées concernant leur capacité à réaliser les IADL, étayant ainsi l'intérêt de leur implication dans les études épidémiologiques portant sur le vieillissement. Nous montrons également qu'un double déficit sensoriel est associé à un risque accru de survenue de la dépendance à court terme. De plus, le non-respect des recommandations concernant cinq comportements de santé était associé à une augmentation du risque de dépendance une dizaine d'année plus tard, selon un schéma cumulatif.Cette thèse contribue à valoriser la place des tierces personnes dans les études épidémiologiques et à améliorer les connaissances sur les facteurs de risque modifiables de la dépendance. Elle ouvre des pistes d'actions ciblées permettant d'améliorer la qualité de vie des personnes âgées tout en augmentant leur durée de vie sans incapacité
The number of people living with disabilities is rising with the ageing of the population, leading to an increased need in proxy' help (or from "third partie"). Preventive approaches to delay disability or increase disability-free life expectancy are needed. In that respect, it is essential to study proxies'role in ageing, to identify risk factors of disability, and to analyze the effect of combinations of risk factors on risk of disability.The first aim of this PhD thesis was to study the contribution of proxies in cohorts of older people. The second aim was to analyze the association between disability and cumulative sensory impairments or health behaviours.The study population consisted in a subpopulation of the E3N cohort of women born between 1925 and 1930. Data were self-reported and/or reported by a proxy. Disability was defined as a limitation in at least one of the eight instrumental activities of daily living (IADL) scale.Results supported the interest of proxy involvement in epidemiological studies, particularly in those dealing with ageing. Indeed, most proxies corroborated the perception of the elderly women about their ability to perform IADL. In the study of risk factors of disability, having a dual sensory impairment was associated with higher short-term incidence of disability. Moreover, not adhering to the recommendations in the five studied health behaviours was associated with an increased risk of disability ten years later, in a dose-dependent manner.This work contributes to highlight the usefulness of proxies in large epidemiological studies, and to enhance knowledge about risk factors of disability. It suggests tracks of targeted actions to improve the quality of life of older people, and to increase their disability-free life duration

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Liljas, Ann Elizabeth Margaretha. "The relationship of sensory impairments with cardiovascular disease and mortality, disability and frailty in older age : longitudinal cohort studies using the British Regional Heart Study and the English Longitudinal Study of Ageing." Thesis, University College London (University of London), 2017. http://discovery.ucl.ac.uk/10037994/.

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BACKGROUND AND AIM: Impairments in hearing and vision (sensory impairments) are common in older age and associated with increased risks of important adverse health outcomes such as chronic diseases and poor physical functioning. However the majority of previous studies are of cross-sectional design and little research has focused on older adults. The overarching aim of this thesis is therefore to prospectively investigate the influence of sensory impairments on the subsequent risks of adverse cardiovascular disease (CVD) incidence and mortality, disability and frailty. METHODS: This thesis uses data from two population-based cohorts: the British Regional Heart Study (BRHS) (3981 men aged 63-85 years) and the English Longitudinal Study of Ageing (ELSA) (2836 men and women aged ≥ 60 years). Data from the BRHS were used to examine the prospective relationships between self-reported sensory impairments and the risk of non-fatal and fatal CVD (MI or stroke) (data obtained from medical records), all-cause mortality, and self-reported disability defined as mobility limitation, activities of daily living (ADL) and instrumental ADL (IADL). ELSA data were used to examine the prospective relationship between self-reported sensory impairments and incident frailty defined as the Fried phenotype. RESULTS: In the BRHS, hearing impairment was associated with greater risks of incident CVD, in particular incident stroke, and CVD mortality. Vision impairment was not associated with incident CVD outcomes but with increased risks of all-cause mortality. Hearing impairment, but not vision impairment, was associated with increased risks of incident disability in the form of IADL. In ELSA, hearing impairment was associated with increased risks of incident frailty in individuals who were pre-frail. Vision impairment was associated with greater risks of incidence of pre-frailty and frailty in non-frail participants. The findings of this thesis emphasise the potentially important contribution of sensory impairments in older age particularly to risk of stroke, disability and frailty.

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Taylor, Margaret Jill. "Representation, identity and self esteem : a study of disability, arts education and self-identity, with particular reference to students with physical and sensory impairments who are studying, or who have studied, at Hereward College." Thesis, University of Leeds, 2004. http://etheses.whiterose.ac.uk/593/.

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This study examines the processes by which disabled young people who have studied, or are studying, the visual arts at Hereward College have resisted oppressive perceptions of impairment and disability in the production of empowering images that counteract negative representations of disabled people. Hereward College is a national, residential, general college of further education that has extensive specialist resources for students with impairments. Central to this study are the students' own reflections, thoughts, feelings and opinions, and their experiences and artwork are the primary means by which the relationship between disability and impairment, self-identity, and visual arts education have been investigated. It is from their accounts that the significant factors that have impacted on these experiences have been identified. Ultimately it is intended that this research will contribute to a greater understanding in the field of arts education in general and the arts education of young people with physical and sensory impairments in particular.

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LI, CHIEN-CHANG, and 李建樟. "Influence of Bullying Experience on the Academic Performance and Job / School Transition of Adolescent with Sensory Impairment." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/s374yx.

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碩士
國防醫學院
公共衛生學研究所
106
Background: Sensory impairment include visual impairment, hearing impairment, and language impairment. Some of the learning processes affect their learning performance due to their impairment. The phenomenon of bullying has always been noteworthy in campus issues. It is pointed out that people who suffer from bullying will affect their mental health and life satisfaction. The purpose of this study is to understand whether the academic performance of adolescents with sensory impairment and post-graduation job / school transition will be affected by bullying experience. Objectives: (1) To understand the situation of bullied experience of adolescents with sensory impairment (2) to understand the effects of bullied experience on the academic performance of adolescents with sensory impairments of different grades (3) to understand the experience of bullied on job/school transition of the adolescents with sensory impairment. Methods: In this study, a longitudinal study design was conducted using the “Special Needs Education Longitudinal Study Database”(SNELS). The analysis of data from the 98, 100, and 101 years of the special education database will explore whether adolescents with sensory impairments suffer bullying at school, and whether their academic performance and job / school transition will be affected. Results: (1) Adolescents with sensory impairment have suffered more from relationship bullying and verbal bullying during high school. Their academic performance was more common than that of ordinary students; (2) the academic performance of adolescents suffering from physical bullying during the fist year of high school period and suffering relationship bullying during the third year of high school is poor; (3) the first grade of high school suffered from bullying has no significant effect on the status of transition after graduation, but sexual harassment during the third year resulted in a lower chance of a smooth transition. Conclusions: Adolescents with sensory impairment are generally poor in academic performance during high school, and suffer bullying experience, which will negatively affect their academic performance, and adversely affect their transition. Students with a good parent-child relationship haav a positive impact on academic performance; Students with better family incomes have lower chances of successful transition.

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Deng, Ju-Han, and 鄧如涵. "A study of the effects of sensory-stimulating group activities to nursing home residents with mild cognitive impairment." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/86120059520904186044.

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碩士
國立臺北護理健康大學
長期照護研究所
102
Among the aged population, the incident of cognitive impairment is rapidly increasing with age. Therefore, it is becoming an important issue in health care to provide relevant activities for elderly patients with cognitive impairment that can help moderate the negative impact of this disease. Earlier studies have shown the following two facts. Firstly, among the nursing home residents, the factor of age is significantly correlated with their cognitive and depressive symptoms and has an influence on their quality of life. Secondly, early detection of a patient’s cognitive impairment can lead to an early therapy or intervention with nonpharmacological (non-drug) treatment, which can help delay the degeneration of cognitive impairment and provide positive effects to the patient’s verbal and emotional expressions. Accordingly, this study is aimed at the investigation of how the use of sensory-stimulating group activities would improve the cognitive and depressive symptoms of nursing home residents with mild cognitive impairment. This study is based on a pre-test and post-test experiment with the participation and cooperation of two elderly nursing homes. A total of 38 patients qualified for this study were selected from the nursing homes and randomly divided into two groups: an experimental group and a control group, both with 19 patients. The experimental group then underwent a series of one-hour sensory-stimulating group activities once in a week and consecutively for eight weeks. These group activities were designed as an intervention plan for the experimental group by using everyday objects that are familiar to the patients and also by using therapeutic communication techniques that were learned from social workers. The objective was to provide a variety of sensory stimulations to the five senses, namely sight, hearing, touch, smell, and taste. By contrast, the control group were involved only in participating routine institutional activities and receiving care and get-well wishes. The results showed that the two groups had no significant difference in basic demographic data and had an average age of 84.16 years with a standard deviation of 5.33 years. For both groups, the post-test of cognitive symptoms showed that p＝.957 (p＞.05), which was below significance. For the experimental group, the score of GDS-s was reduced from 4.11±3.247 to 2.79±2.123, indicating an improvement on their depressive symptoms. By contrast, for the control group, the score of GDS-s was increased from 5.84±3.905 to 6.33±4.446, indicating a worsening of their depressive symptoms. The post-test of GDS-s showed that t＝-3.121 and p＝.005 (p＜.05), which was above significance. For both groups, the respective differences between the pre-test and post-test of cognitive and depressive symptoms were p＝.669 and p＝.092 (p＞.05), both of which were below significance. Accordingly, it can be seen that the sensory-stimulating group activities tend to improve the depressive symptoms of the nursing home residents. Therefore, it can be considered to prolong the duration of the intervention by increasing the number of weeks or the number of times in each week for the activities, with the purpose of raising the level of significance after intervention. It is hoped that this study can serve as a reference for the planning of cognitively-stimulating activities for the nursing home residents.

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"Utilising sociodrama as therapeutic intervention to address the sensory integration development of adolescents who present with intellectual impairment." Thesis, 2015. http://hdl.handle.net/10210/14118.

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D.Ed. (Educational Psychology)
This research was done in response to the need of educational psychologists to intervene on a sensory integration level as it affects learning and behaviour, which falls within the scope of practice of educational psychologists in South Africa. The research study aimed to explore the research question: how sociodrama could be used as a therapeutic intervention to address the sensory integration of adolescents who present with mild intellectual impairment. The study is situated in the interpretivist-constructivist paradigm, using sociocultural theory as theoretical framework. I therefore commenced with the research with the assumption that the six participants each had their own cultural stories and background within which they functioned, and that they could learn from one another in the sociodramatic group setting. The sociodrama sessions were conducted at a school for learners who presented with mild learning impairments. The participants of the research study attended the bridging class of the school, where the focus is on basic literacy and mathematical skills. Thirteen sociodrama sessions were conducted, where the focus was on the development of sensory integration skills. A qualitative research approach was followed and a case study design was chosen for the inquiry. Data collection included the use of sensory profiles, a background questionnaire, context observation, participant observation, visual journals, reflections, video-recordings and an interview with the educator. I utilised the steps suggested by Braun and Clarke (2006) to thematically analyse the qualitative data and to identify themes. The aim of the research study was to firstly be of benefit to the research participants, creating sociodramatic opportunities through which their sensory integration skills could be developed. The research inquiry furthermore aimed to contribute to the field of educational psychology as it allowed for the development of knowledge on sensory integration and provides a unique therapeutic approach to develop sensory integration skills in adolescents who present with mild intellectual impairment.

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Tsung-Hsun, Hsieh, and 謝宗勳. "Modulation of Motor Evoked Potentials (MEPs) and H-reflexes after Peripheral Nerve Stimulation in Individuals with Sensory Impairment following SCI." Thesis, 2004. http://ndltd.ncl.edu.tw/handle/38207643581477853655.

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碩士
長庚大學
復健科學研究所
92
Somatosensory input was required for accurate motor performance and for new motor skill learning. In humans, above motor threshold peripheral nerve stimulation resulted in an increased excitability of the motor pathway to the stimulated body parts. The purpose of this study was to investigate whether peripheral sensory afferents was essential in facilitation of motor pathway by electrical stimulation. Eight subjects with sensory impairment following SCI and nine healthy subjects were recruited. Motor evoked potentials (MEP), silent period(SP) elicited by 120% motor threshold transcranial magnetic stimulation (TMS), and H-reflex elicited by median nerve stimulation were recorded on flexor carpi radialis (FCR) muscle before, during, immediately and 30 minutes after repetitive electrical stimulation (25 Hz, on/off=800ms/ 800 ms) on median nerve. In healthy subjects, the averaged amplitude of MEP increased to 154±29% of initial (P=0.01) after repetitive electrical stimulation. This increment became statically non-significant 30 min after the stimulation stopped. In subjects with SCI, the MEP did not change. The H-reflex and low frequency depression ratio did not change in both subjects. We concluded that the sensory afferent input was essential to facilitate the corticomotoneuronal excitability during peripheral nerve stimulation.

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Přibylová, Eliška. "Teoretické znalosti první pomoci u žáků se sluchovým postižením vzdělávaných různými komunikačními přístupy." Master's thesis, 2020. http://www.nusl.cz/ntk/nusl-412287.

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Title: Theoretical knowledge of first aid of pupils with hearing impairment educated by different communicational approach. Objectives: The purpose of this diploma thesis is to compare the level of theoretical knowledge concerning the first aid at schools for pupils with hearing impairment depending on main communicational approach. The partial goal is to determine if there is a connection between subjective evaluation of first aid knowledge, the ability to provide the first aid and the theoretical knowledge itself. Methods: Questionnaire containing 14 questions was used to determine pupils' knowledge. It was distributed in three elementary schools for hearing impaired children. The aiming group were pupils from the 9th and 10th grade of elementary school. Altogether 18 respondents from 3 elementary schools (X, Y and Z) participated in the research. There were 5 pupils in each class at schools X and Y, and both schools used bilingual communication as the education method, the questionnaire was translated into sign language there. At school Z there were 8 pupils and they were educated by the oral method. Data were converted into electronic form and graphically processed in the program Numbers. Results: Pupils educated at school favoring an oral communication approach achieved 12% better results in...

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Piepenbrock, David. "Genetics of Drosophila hearing." Doctoral thesis, 2013. http://hdl.handle.net/11858/00-1735-0000-0001-BBC2-F.

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Zvelebil, Maxmilián. "Vývoj a výchova dítěte s duálním smyslovým postižením z pohledu matky." Master's thesis, 2020. http://www.nusl.cz/ntk/nusl-436381.

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The diploma thesis deals with development and education in families with a child with dual sensory impairment, namely, from mother's point of view. The objective is to analyse stories of selected mothers of children with this particular disability, to explore the course of development and education involving deafblind children from different points of view (pedagogical, psychological etc.). The author of this thesis tries to find out about mothers' experiences and models of behaviour during pregnancy and afterwards. It focuses on acceptance of the disabled child within (and possibly outside) the family. In addition, the thesis explores reactions of mothers and others to a child with disability, it outlines the subsequent course of development and education in various periods of life. The particular emphasis is put on specific ways, by which these mothers developed their children during different activites (plays, conpensatory senses development, communication system development, independence of deafblind children etc.). It also describes developmental delays (emotional, social and cognitive functioning). Education options for deafblind are also mentioned. The stories are then compared to each other, as well as to selected literature from different countries. At the end of this thesis, practical...

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Dissertations / Theses on the topic 'Sensory impairment'

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