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1
Davis, Aileen M. "Measuring physical disability following limb preservation for lower extremity sarcoma." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp02/NQ27905.pdf.
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Paton, Andrew Simon. "Steering capability assessment in upper limb rheumatoid arthritis." Thesis, University of Sunderland, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.325884.
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3
Alreni, Ahmad Salah Eldin. "Clinical management and measurement of upper limb disability in neck pain patients." Thesis, Sheffield Hallam University, 2018. http://shura.shu.ac.uk/24065/.
Повний текст джерелаАнотація:
There is a strong relationship between non-specific neck pain (NS-NP) and upper limb disability (ULD). Optimal management of NS-NP should incorporate upper limb (UL) rehabilitation and therefore include evaluation of ULD using suitable UL outcome measure (OM) in the assessment and during the management process. However, there is no clear guidance regarding the suitability of available measures alongside a lack of information on how physiotherapists in the United Kingdom (UK) measure and rehabilitate their patients with NS-NP. The purpose of this thesis was to explore the clinical measurement and management of ULD in patients with NS-NP. The quantitative research approach adopted by this thesis enabled the researcher to gain a deeper understanding of the clinical measurement and in turn rehabilitation of ULD in patients with NS-NP, and build on knowledge acquired throughout the period of study. In order to support this methodology, a positivist philosophical stance was adopted. A systematic review was completed to identify all available UL OMs that were used for patients with neck pain (NP) and to make recommendations about those that are suitable for use in clinical practice and research. A survey with a national sample of physiotherapists was completed to establish current physiotherapeutic management of NS-NP and ULD in the UK. This was followed by a validation study aimed at exploring the acceptability and feasibility of the Single Arm Military Press (SAMP) test. Subsequently, a second validation study was completed to explore the reliability and validity of the SAMP test in female patients with NS-NP and healthy subjects. The systematic review identified five measures but quality issues prevented a clear recommendation for any of the identified instruments. The survey highlighted substantial gaps in current evidence-based practice of UK physiotherapists regarding the measurement of patients with NS-NP and associated deficits in the measurement and management of ULD in this population. Subsequently, a validation study established the acceptability and feasibility of the SAMP test using a 1-kg hand weight in female patients with NS-NP. In the second validation study, the SAMP test was found to be a reliable and valid UL instrument for female patients with NS-NP. This thesis provided preliminary evidence that the SAMP test is an acceptable, feasible, valid and reliable measure of ULD for female patients with NS-NP and of its suitability for use in clinical practice and research. The SAMP test can be used by clinicians to improve their assessment of UL functional capacity and to suggest management strategies for patients with NS-NP. Further longitudinal studies are required to evaluate the further validity and reliability of the SAMP test in older and younger female patients, and male patients using additional examiners and additional populations. Further studies are required to establish the responsiveness of the SAMP test in patient populations with all types of NP.
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Limakatso, Katleho Maxwell. "The effectiveness of graded motor imagery for reducing phantom limb pain and disability in amputees." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/29440.
Повний текст джерелаАнотація:
Introduction
Phantom limb pain (PLP) is described as painful sensations felt in the missing portion of an amputated limb. PLP occurs in up to 85% of amputees, making it the most common painful condition secondary to amputation. PLP interferes with sleep, mobility, and work, general activities of daily living and enjoyment of life. Current pharmacological and non-pharmacological interventions have shown limited efficacy for reducing PLP, perhaps because they do not effectively target the mechanisms that have been proposed to underlie PLP in people who have undergone amputations. Graded motor imagery (GMI) is a cortical mechanisms-based intervention which aims to reduce PLP using a graded sequence of strategies including left/right judgements, imagined movements and mirror therapy. The aim of this thesis was to investigate whether the GMI programme is effective for reducing PLP and disability in people who have undergone amputations.
Methods
A single blinded randomised controlled trial was conducted at Somerset, Khayelitsha and Victoria hospitals in Cape Town, South Africa. The experimental group underwent a 6-week GMI programme where each phase was carried out for two weeks, during which the patient received treatment for 30 minutes on two separate days of the first week (at least one day apart) and continued with a structured home-exercise programme during the first week until the end of the second week. The control group continued with routine care. Data on the outcomes- PLP severity, pain interference with function and health-related quality of life were collected at baseline, 6 weeks and 3 months by a blinded outcome assessor.
Results
The study recruited 21 participants from which 11 and 10 were randomly allocated to the experimental and control groups respectively. Within group analysis showed that participants in both the experimental and control groups had improved pain severity scores immediately after treatment and at 3-month follow-up. The between-group analysis showed that the experimental group had significantly greater improvements in pain immediately after treatment (p=0.02). However, there was no difference between groups at 3-months follow-up (p=0.14). To explore clinically meaningful improvements in pain, the Number Needed to Treat (NNT) were calculated using a cut-off of 3 points on a 0-10 scale. The NNT were 2 [95% CI: 1.1 – 6.5] and 3 [95% CI: 1.9 – 7.1] immediately after treatment and at 3-months follow-up respectively. For pain interference with function, within group analysis showed that participants in the experimental group had significant improvements immediately after treatment and at 3-month follow-up. The between-group analysis showed that the experimental group had significantly greater improvements in pain interference with function immediately after treatment (p=0.007) and at 3- month follow-up (p=0.02). The NNT were 1.4 [95% CI: 1 – 1.8] and 1.9 [95% CI: 1.1 – 6.5] immediately after treatment and at 3-months follow-up respectively. For disability, the experimental group had significantly fewer problems with mobility than the control group at 3 months (χ2 = 9.8; p= 0.04).
Conclusion
The results of the current study provide support for the use of GMI to treat PLP based on the proposition that PLP is driven by cortical mechanisms and that GMI effectively targets these mechanisms. On the basis of the significant pain reduction within the GMI group, the lack of serious adverse effects, and the ease of application, GMI may be a viable treatment for treating PLP in people who have undergone amputations. While more studies using rigorous methodology, including sham treatment, larger sample sizes and a more generalisable sample, are required, the efficacy of GMI coupled with its affordability and low risk, suggest that it is applicable in a resource-constrained primary health setting in South Africa.
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Ripat, Jacqueline Dawn. "The relationship between functional upper limb kinematics, pain and perceived disability in individuals with rheumatoid arthritis." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0008/MQ32234.pdf.
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6
Dyer, Bryce T. J. "An insight into the acceptable use and assessment of lower-limb running prostheses in disability sport." Thesis, Bournemouth University, 2013. http://eprints.bournemouth.ac.uk/21069/.
Повний текст джерелаАнотація:
Sports technology can be any product or system used to facilitate, train or influence an athlete’s performance. The role of prostheses used for disability sport was initially to help facilitate exercise and then ultimately, competition. In able-bodied sport, controversy has occasionally been caused through the adoption or introduction of sports technology. However, scant attention has been paid to sport with a disability with respect to such concerns. This research project provides a novel contribution to knowledge by investigating the use of lower-limb running prostheses in competition by trans-tibial amputees. A novel study using a mixed method approach has investigated the nature, use and assessment of lower-limb running prostheses. It has proposed that the unchecked introduction of such technology has affected the sport negatively. From this, the study conducted a stakeholder assessment of the sport and provided a proposed series of guidelines for lower-limb prostheses technology inclusion. Finally, the recommendation was made that a proactive approach to such technologies’ inclusion in the future should be implemented. These guidelines were further developed by assessing symmetrical and nonsymmetrical lower-limb function and proposed that single and double lowerlimb amputees should be separated in competition in the future. To this end, it was proposed that lower-limb symmetry, stiffness and energy return were important means of monitoring prosthesis performance. Ultimately, a dynamic technique which assesses these qualities was proposed as an assessment strategy for further development in the future.
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McLean, Sionnadh M. "Conservative management of non-specific neck pain : effectiveness of treatment, predictors of treatment outcome and upper limb disability." Thesis, University of Hull, 2007. http://hydra.hull.ac.uk/resources/hull:5857.
Повний текст джерелаАнотація:
Neck pain is a prevalent musculoskeletal problem that consumes considerable NHS resources. The socioeconomic impact for individuals, industry and society is high. However research into the management of neck pain is sparse. Reviews of the evidence revealed relatively little high quality evidence relating to the development, progression and management of non-specific neck pain. There is emerging evidence for the use of dynamic strengthening, proprioceptive and postural exercises for neck pain, although it is not known whether group exercise based on this emerging evidence is effective compared to usual physiotherapy. There is little evidence for prognostic factors for the progression of neck pain or outcome of treatment. Consequently clinicians are unable to predict which patients are likely to develop recurrent, persistent or chronic problems and have difficulty directing patients towards the most effective treatment approaches. Finally, there is anecdotal understanding that neck problems may lead to the development of upper limb disability and that upper limb disability may influence treatment outcome for patients with neck pain. Currently the relationship between neck pain and upper limb disability remains unquantified. The information gained from these reviews was utilised in the design of a randomised controlled trial to compare group based Graded Exercise Treatment and Usual Physiotherapy (GET UP) for patients with non-specific neck pain. The first aim of this thesis was to investigate the effectiveness of a graded neck and upper limb exercise programme (GET) compared with "usual physiotherapy" (UP). A randomised controlled trial of 151 patients showed that patients receiving UP and GET interventions had reduced neck pain and disability six months following intervention. Neck pain and disability scores in the UP group reduced by 7.7% at six month followup whilst those in the GET group reduced by 5.0%. For patients who completed treatment as per protocol, GET (8.8%) was as effective as UP (9.0%). The second aim was to investigate patient psychological, socio-demographic and physical variables which predicted treatment outcome. After adjusting for baseline neck pain and disability and treatment allocation, general linear modelling identified that, regardless of intervention, deprivation status significantly predicted treatment outcome at six months. In addition, baseline fear avoidance and treatment allocation interacted to predict six month outcome. Patients with high fear avoidance were predicted to have better outcome following GET. Those with low fear avoidance were predicted to have better outcome in UP. The final aim was to investigate the relationship between neck pain and upper limb disability. Pair wise analysis revealed a strong positive correlation between neck pain and disability and upper limb disability. Linear regression indicated that the severity of upper limb disability was predicted by two main baseline variables: higher NPQ scores and lower pain self efficacy scores. In conclusion GET and UP produced small but clinically meaningful reductions in neck pain and disability. Adherence to both forms of treatment, particularly GET, was a problem. For the subgroup group of patients who adhered to the treatment protocol, GET was as effective as UP, therefore the barriers to adhering with these treaments need to be better understood by clinicians and researchers alike. The GET programme appeared to be particularly beneficial for patients exhibiting high levels of fear avoidance beliefs. Therefore patients with neck pain should be assessed for the presence of fear avoidance beliefs and where appropriate directed towards active neck and upper limb rehabilitation. Patients from areas of social deprivation fared less well with physiotherapy than those from more affluent areas, regardless of intervention type. There is a need for more research into the influence of deprivation on treatment outcome. In particular there is a need to develop and evaluate innovative and targeted approaches which are suitable for such patients. Finally, clinicians should be aware that higher levels of neck pain and lower levels of pain self efficacy may provide an early indication of the presence of upper limb disability. Effective ways of managing neck related upper limb disability need further investigation since neither treatment was effective at reducing upper limb disability.
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Toosizadeh, Nima, Christopher Wendel, Chiu-Hsieh Hsu, Edward Zamrini, and Jane Mohler. "Frailty assessment in older adults using upper-extremity function: index development." BIOMED CENTRAL LTD, 2017. http://hdl.handle.net/10150/624654.
Повний текст джерелаАнотація:
Background: Numerous multidimensional assessment tools have been developed to measure frailty; however, the clinical feasibility of these tools is limited. We previously developed and validated an upper-extremity function (UEF) assessment method that incorporates wearable motion sensors. The purpose of the current study was to: 1) cross-sectionally validate the UEF method in a larger sample in comparison with the Fried index; 2) develop a UEF frailty index to predict frailty categories including non-frail, pre-frail, and frail based on UEF parameters and demographic information, using the Fried index as the gold standard; and 3) develop a UEF continuous score (points scores for each UEF parameter and a total frailty score) based on UEF parameters and demographic information, using the Fried index as the gold standard. Methods: We performed a cross-sectional validation and index development study within the Banner Medical Center, Tucson, and Banner Sun Health Research Institute, Sun City, Arizona. Community-dwelling and outpatient older adults (>= 60 years; n = 352; 132 non-frail, 175 pre-frail, and 45 frail based on Fried criteria) were recruited. For the UEF test, each participant performed a 20-s elbow flexion, within which they repetitively and rapidly flexed and extended their dominant elbow. Using elbow motion outcomes two UEF indexes were developed (categorical and score). The Fried index was measured as the gold standard. Results: For the categorical index, speed of elbow flexion, elbow range of motion, elbow moment, number of flexion, speed variability and reduction within 20 s, as well as body mass index (BMI) were included as the pre-frailty/frailty predictor parameters. Results from 10-fold cross-validation showed receiver operator characteristic area under the curve of 0.77 +/- 0.07 and 0.80 +/- 0.12 for predicting Fried pre-frailty and frailty, respectively. UEF score (0.1 to 1.0) was developed using similar UEF parameters. Conclusions: We present an objective, sensor-based frailty assessment tool based on physical frailty features including slowness, weakness, exhaustion (muscle fatigue), and flexibility of upper-extremity movements. Within the current study, the method was validated cross-sectionally using the Fried index as the gold standard and the UEF categorical index and UEF frailty score were developed for research purposes and potentially for future clinical use.
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KOUTSOGEORGOU, ELENI. "SOCIAL RELATIONSHIPS AND SOCIAL PARTICIPATION OF WOMEN WITH DISABILITY." Doctoral thesis, Università degli Studi di Milano, 2019. http://hdl.handle.net/2434/640911.
Повний текст джерелаАнотація:
Aim: The aim of this study was to explore structural, functional, and cognitive characteristics of social relationships of women across and within three types of disability, as well as aspects of their social participation in the wider community – barriers and facilitators of their social and physical environment in that respect. The three types of disability explored were: sensory (deafness), physical (inability to move lower limbs), and mental (psychotic disorder).
Methods: In the study participated 30 women – 10 per type of disability – aged 22-44, living in the metropolitan area of Milan (Italy), and having at least one role of relative autonomy. Qualitative semi-structured face-to-face interviews were conducted. All interviews were held in Italian language [or Italian Sign Language (LIS) for six deaf participants], and were audio recorded and transcribed verbatim. Data analysis was conducted using the template analysis technique of thematic analysis. Comparisons within and across the three types of disability were performed as well.
Main findings: The findings highlighted barriers that women with disability face within their social and physical environment. In specific, it emerged that women with mental disability faced prejudice, discrimination, stigmatisation, and/or lack of empathy towards them from other people of the wider population which hinder their social participation. All women with physical disability faced barriers to social participation related to numerous accessibility hindrances of the physical environment, and most of them had also faced prejudice and mentality barriers towards them from persons of the wider population. Women with sensory disability encountered mostly barriers for social participation related to lack of resources for communication with people of the general population, whether in private or public places, when there is no sign language interpreter or subtitles, while they have also limited opportunities for employment compared to hearing persons. From comparison across types of disability various common patterns emerged. Women with mental disability appeared to have the lowest level of social participation, whereas women with physical disability the highest.
Conclusion: It appears compelling to focus on the exploration of aspects of the social relationships and social participation of persons with disability since the barriers they face relevantly are numerous, multi-faceted and related to their personal and social development. The biopsychosocial model of health and disability could be employed towards the goal of full social inclusion.
10
Bakhtiary, Amir Hoshang. "Development of a system for assessing upper limb function and disability: effect of motor learning in facioscapulohumeral muscular dystrophy." Thesis, University of Liverpool, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.484293.
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11
Grigoratos, Angelik. "A narrative exploration into the world of ill fathers who have lost a limb due to diabetes." Diss., Pretoria : [s.n.], 2006. http://upetd.up.ac.za/thesis/available/etd-11052007-104428/.
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12
Thorpe, Alison. "Assessing the efficacy of a specific physiotherapy intervention for the prevention of low back pain in female adolescent rowers: a field study." Thesis, Curtin University, 2009. http://hdl.handle.net/20.500.11937/1692.
Повний текст джерелаАнотація:
Objectives: To determine the efficacy of a specific physiotherapy intervention administered to adolescent female rowers with the aim to decrease the prevalence of low back pain (LBP) and associated levels of pain and disability. A secondary aim of the study was to determine whether changes in lower limb endurance and flexibility were evident in an experimental group.Design: A non randomized controlled trial in adolescent female rowers with and without LBP.Setting: Curtin University of Technology, Western Australia and the participating private school boatshed, Perth, Western Australia.Participants: Participants were 82 adolescent female rowers, with and without LBP. These participants attended the same school and were aged between 13-17 years [experimental group 13.9(0.9) years, control group 13.8(1.0) years]Main Outcome Measures: Primary outcome measures in this study included; LBP point prevalence, pain intensity (utilizing a visual analogue scale) and disability level (utilizing a modified Oswestry questionnaire). These measures were taken at four time points over the rowing season. Secondary outcome measures of lower limb flexibility (sit and reach test) and lower limb endurance (timed squat test) were taken in the experimental group only.Results: The experimental group demonstrated a significant reduction in the prevalence of LBP across the rowing season 48% to 19% pre-season to midseason and from 48% to 24% pre-season to end-season. The prevalence of LBP in the control group slightly increased from 22% to 25% pre-season to mid-IV season and was unchanged at 22% pre-season to end-season. A significant increase in the proportion of subjects pain-free was shown in the experimental group at mid-season compared with pre-season (p=0.007), but no change thereafter (p>0.05). In the control group the proportion pain-free remained relatively stable across the four time points (p>O.2 for changes between consecutive times). The experimental group rowers demonstrated reduced pain intensity over the course of the rowing season compared with the control group [mean pre-end season exp 6.4(21.0), control -2.7(17.6) Z= -2.283, P = 0.022]. Levels of disability did not differ between the groups across the rowing season. Significant improvements in lower limb endurance and flexibility were observed in the experimental group (p=<0.05).Conclusions: A specific physiotherapy exercise intervention was effective in reducing the prevalence of LBP in a population of adolescent female rowers and reducing pain intensity levels in subjects who complained of LBP at the commencement of the rowing season. A randomized trial to test the intervention under more rigorous scientific conditions is recommended.
13
Elliott, Catherine. "Efficacy of lycra arm splints : an international classification of functioning disability and health approach." University of Western Australia. School of Human Movement and Exercise Science, 2005. http://theses.library.uwa.edu.au/adt-WU2006.0017.
Повний текст джерелаАнотація:
[Truncated abstract] This thesis consists of five experimental studies from seven data collection periods. The first two studies quantitatively analyse children with and without cerebral palsy using upper limb three dimensional (3D) motion analysis. Upper limb angular kinematics and sub-structures were measured and analysed, both of which were utilised during subsequent studies. The final three studies assess the efficacy of lycra® arm splints using clinical assessments, 3D dimensional upper limb kinematics and 3D sub-structures. Study 1 analysed 3D movement sub-structures in children with and without cerebral palsy ... The aim of the study was to quantitatively analyse movement sub-structures in children with and without cerebral palsy during four functional tasks taken from the Melbourne Assessment of Unilateral Upper Limb Function (Melbourne Assessment - Randall, Johnson & Reddihough, 1999) ... Results demonstrated significant differences in angular kinematics in children with and without cerebral palsy, while the methodology developed in this study provided improved insight into the movement of the upper limb and trunk during functional tasks. Study 3 reported a randomised controlled trial of lycra® arm splints in children with cerebral palsy across all levels of the International Classification of Functioning Disability and Health (ICF) ... Lycra® arm splints were shown to have a statistically significant impact at the level of participation, whereas no significant difference was seen at the level of impairment and activity. Study 4 reported a randomised controlled trial of the effects of lycra® arm splints on 3D movement sub-structures during functional tasks in children with cerebral palsy ... This research demonstrated that movement sub-structures (including movement time) can be quantified and are amenable to change with intervention. Study 5 reported a randomised controlled trial of the effects of lycra® arm splints on angular kinematics (thorax, shoulder and elbow) during functional tasks in children with cerebral palsy ... The benefits of the splint on angular kinematics were only apparent when worn for the 3 month period, as minimum evidence was established for the short-term (1hour) and long term (3 month post splint wear) carry-over effects.
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Perius, Tiago Faria. "Geração de diretrizes de projeto com o uso do Design For X para o desenvolvimento de prótese de membro inferior de baixo custo." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2014. http://hdl.handle.net/10183/116624.
Повний текст джерелаАнотація:
A presente pesquisa teve por objetivo a geração de diretrizes de projeto para o desenvolvimento de Próteses de Membros Inferiores, que atendesse as necessidades funcionais dos usuários que resulte na simplificação do objeto. Para isso, investigou-se o usuário, percebendo suas necessidades físicas e psicológicas, com conhecimento de leis federais existentes para o auxílio a esse público. Também, foram examinados a anatomia humana e os procedimentos cirúrgicos para a amputação de membros inferiores, a fim de compreender sua influência na concepção de uma prótese. Outro enfoque da pesquisa foi o estudo da biomecânica para reconhecer os movimentos realizados por uma pessoa sadia durante a deambulação, observando-se as etapas da sua marcha em comparação à marcha de indivíduos amputados que utilizavam próteses. Ainda foram analisados distintos tipos de próteses de membros inferiores e a tecnologia empregada em cada uma de suas partes: sistema de encaixe ao coto, joelho protético e sistema pé-tornozelo. Esses estudos originaram dados empregados na aplicação da metodologia do Design for X, para avaliar as próteses atuais em seus aspectos e construção, com o objetivo de gerar diretrizes de projeto para a elaboração de próteses simplificadas. Constatou-se que a aplicação do método originou diretrizes de projeto que poderão ser empregados durante o desenvolvimento de projetos de próteses de membros inferiores, visando à redução de custo do produto.This research aims to generate design requirements for the development of Lower Limb Prosthetics that meet the functional needs of users, leading to a simplification of the object. For this, we investigated the users regarding their physical and psychological needs, with full knowledge of the existence of federal laws in order to help people. Human anatomy and surgical procedures for lower limb amputation were also examined in order to understand their influence on the design of a prosthesis. Another focus of the research was the study of biomechanics to recognize the movements performed by a healthy person when walking, observing the steps of their march comparing them with the march of amputees who used prosthesis. For the simplified development of prosthesis different types of prosthetic legs have been examined, technology has been employed in each of its parts such as fitting the stump prosthetic knee and the ankle-foot system. These studies yielded useful data used in the application of the methodology of Design for X to assess current prosthetic aspects and construction, to achieve design requirements for the development of simplified prosthesis. It was found that the application of the method originated design requirements that may be employed during the development of lower limb prosthesis projects, aiming to reduce product cost.
15
Vargas-Prada, Figueroa Sergio 1976. "Role of psychological and culturaly influenced risk factors on symptoms and disability for musculoskeletal disorders. CUPID study (Spain)." Doctoral thesis, Universitat Pompeu Fabra, 2014. http://hdl.handle.net/10803/287976.
Повний текст джерелаАнотація:
This PhD thesis is based on the Spanish sample of the International “Cultural and Psychosocial Influences on Disability” (CUPID) study. This multicentre study is coordinated by Professor David Coggon at the University of Southampton (UK) and the project focuses on 47 occupational groups (nurses, office workers and manual workers) from 18 countries. At the beginning, it was planned that each participating country would include the three occupational groups mentioned before. However, the Spanish sample of the study was composed only by nurses and office workers; due to logistic reasons, it was not possible to access local postal workers who carried out sorting mail tasks. This dissertation aims to assess the importance of health beliefs, mental health, and somatising tendency as predictors of incidence and persistence of musculoskeletal pain and to investigate if these psychological risk factors primarily influence the development and persistence of pain, or whether their impact is more on the disability that musculoskeletal pain causes. Dataset was collected in the workplace, both at baseline (between November 2007 and February 2010), and again after a follow-up interval of 12 months, at four hospitals (Badalona Serveis Assistencials, Consorci Sanitari Integral, Consorci Hospitalari Parc Taulí and Parc de Salut Mar) and a university (Universitat Pompeu Fabra) in Barcelona. To be included in the study, participants had to be aged 20–59 years and been in their current job for ≥12 months. Written informed consent was obtained from all who agreed to take part, and the Parc de Salut Mar Ethics Committee of Barcelona and the Health and Safety Committee of each participating centre approved the study. The baseline and follow-up questionnaires were originally drafted in English, translated into Spanish, and then checked by independent back-translation. Participants were asked at baseline about socio-demographic and lifestyle characteristics, current working conditions, health beliefs concerning pain, mental health, somatising tendency and musculoskeletal pain in the past month and past year at six different anatomical areas (back, neck, and shoulders, elbows, wrists/hands, and knees). Pain was classed as disabling if it made ≥1 specified everyday activities difficult or impossible. At 12-month follow-up, pain in the past month and associated disability was again ascertained. Log binomial and multilevel multinomial logistic regression models were used to explore associations of baseline risk factors with pain outcomes at follow-up.Esta tesis doctoral está basada en la muestra española del Estudio Internacional “Cultural and Psychosocial Influences on Disability” (CUPID) Este estudio multicéntrico es coordinado por el Profesor David Coggon de la Universidad de Southampton (Reino Unido), y el proyecto se centra en 47 grupos ocupacionales (enfermeras, trabajadores de oficina y trabajadores manuales) de 18 países. Al principio estaba previsto que cada país participante incluiría los tres grupos de trabajo antes mencionados. Sin embargo, la muestra española del estudio CUPID está compuesta sólo por enfermeras y trabajadores de oficina; por razones logísticas, no fue posible acceder a los trabajadores de correos que realizaban tareas de clasificación de correo. Esta tesis doctoral tiene como objetivo evaluar la importancia de las creencias sobre la salud, salud mental, y la tendencia a somatizar como predictores de la incidencia y persistencia de dolor músculo-esquelético y para investigar si estos factores de riesgo psicológicos influyen principalmente en el desarrollo y la persistencia del dolor, o si su impacto es más en la discapacidad que provoca el dolor músculo-esquelético. El conjunto de datos del estudio se recogió en el lugar de trabajo, tanto al inicio del estudio (entre Noviembre de 2007 y Febrero de 2010), como después de un intervalo de seguimiento de 12 meses, en cuatro hospitales (Badalona Serveis Assistencials, Consorci Sanitari Integral, Consorcio Hospitalario Parc Taulí y el Parc de Salut Mar) y una universidad (Universitat Pompeu Fabra) en Barcelona. Para ser incluidos en el estudio, los participantes debían tener entre 20 a 59 años y haber estado en su puesto de trabajo por lo menos los últimos 12 meses. Se obtuvo consentimiento informado escrito en todos aquellos que aceptaron participar, y proyecto fue aprobado por el Comité de Ética del Parc de Salut Mar en Barcelona y el Comité de Seguridad y Salud de cada centro participante. Tanto los cuestionarios basales como del seguimiento fueron redactados originalmente en Inglés, traducido al español, y luego retro-traducido al inglés. Los participantes fueron entrevistados al inicio del estudio sobre sus características socio-demográficas y de estilo de vida, condiciones de trabajo actuales, salud mental y tendencia a somatizar, creencias sobre la salud aplicables al dolor y la presencia de dolor músculo-esquelético en el último mes y en el último año en seis zonas anatómicas diferentes (espalda, cuello, hombros, codos, muñecas/manos y rodillas). El dolor fue clasificado como discapacitante si se reportaban 1 o más actividades cotidianas difíciles o imposibles de realizar. A los 12 meses de seguimiento, se volvió a entrevistar a los participantes sobre la presencia de dolor en el último mes y la discapacidad asociada. Se utilizaron modelos de regresión log-binomial y logística multinomial multinivel para explorar las asociaciones de los factores de riesgo basales con el dolor al seguimiento.
16
Powell, Julie McClain. "The Labor Army of Tomorrow: Masculinity, Allied Rehabilitation, and the First World War." The Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu1586261542237109.
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17
Kruger, Jennifer. "What businesses think of disability management." Online version, 2000. http://www.uwstout.edu/lib/thesis/2000/2000krugerj.pdf.
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18
Arnould, Carlyne. "Hand functioning in children with cerebral palsy / Le fonctionnement de la main chez les enfants infirmes moteurs d'origine cérébrale." Université catholique de Louvain, 2006. http://edoc.bib.ucl.ac.be:81/ETD-db/collection/available/BelnUcetd-01242006-153948/.
Повний текст джерелаАнотація:
The purpose of the present work was to study hand impairments and manual ability in children with cerebral palsy (CP) as well as to clarify their relationship. Appraising the degree of hand impairments requires normative data to differentiate the real dysfunctions of CP children from the normal difficulties according to their age, sex, or handedness. As there is no normative data for gross manual and fine finger dexterity, a first experiment focused on the normal development of manipulative functions was conducted to establish these norms. A second experiment was carried out to develop and validate through the Rasch model a measure of manual ability in children with CP since such a measure was not yet available. The invariance of the ABILHAND-Kids questionnaire was also tested across relevant demographic and clinical subgroups of CP children. Finally, a third experiment was performed to quantify the hand impairments in children with CP and to investigate their relationship with manual ability as measured with the ABILHAND-Kids questionnaire. Hand motor impairments, markedly more prevalent than hand sensory impairments, were moderately correlated with manual ability measures and predicted 58% of their variance. Consequently, manual ability cannot simply be inferred from hand impairments and should be measured and treated per se. / L'objectif de ce travail était d'étudier les déficiences de la main et l'habileté manuelle chez les enfants infirmes moteurs d'origine cérébrale (IMOC) ainsi que de clarifier leur relation. Apprécier la gravité des déficiences de la main nécessite des données normatives afin de différencier les dysfonctionnements réels des enfants IMOC des difficultés normales compte tenu de leur âge, sexe, ou latéralité. Etant donné l'absence de normes quant à la dextérité manuelle grossière et la dextérité digitale fine, une première étude a été réalisée afin d'examiner le développement normal de ces deux types de dextérité. Des normes sur les dextérités manuelle grossière et digitale fine ont ainsi pu être établies. Une deuxième étude a été effectuée afin de développer et valider à travers le modèle de Rasch une mesure de l'habileté manuelle chez les enfants IMOC. L'invariance du questionnaire ABILHAND-Kids a également testée à travers différents sous-groupes démographiques et cliniques d'enfants IMOC. Enfin, une troisième étude a été réalisée afin de quantifier les déficiences de la main chez les enfants IMOC et d'investiguer leur relation avec l'habileté manuelle. Les déficiences motrices de la main, plus prévalentes que les déficiences sensitives, étaient modérément corrélées avec les mesures d'habileté manuelle et prédisaient 58% de leur variance. En conséquence, l'habileté manuelle ne peut être simplement inférée à partir des déficiences de la main et devrait donc être mesurée et traitée pour elle-même.
19
Haats, Rikka Ann. "Predictive validity of kindergarten screeners for young children wth reading difficulties." Online version, 2002. http://www.uwstout.edu/lib/thesis/2002/2002haatsr.pdf.
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20
O'Connell, Michelle M. "To disclose or not disclose a disability, that is the question." Menomonie, WI : University of Wisconsin--Stout, 2006. http://www.uwstout.edu/lib/thesis/2006/2006oconnellm.pdf.
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21
Bents, Fafani M. "Concurrent validity of the Group Reading Assessment and Diagnostic Evaluation and Dynamic Indicators of Basic Early LIteracy Skills." Menomonie, WI : University of Wisconsin--Stout, 2007. http://www.uwstout.edu/lib/thesis/2007/2007bentsf.pdf.
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22
Martin, Jessica M. "Risk factors for reading difficulty examining the impact of family structure on curriculum-based measures of reading /." Online version, 2008. http://www.uwstout.edu/lib/thesis/2008/2008martinj.pdf.
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23
Hubbard, James E. "Enhancement of a safety and risk control management program for university-based disability services laboratories." Menomonie, WI : University of Wisconsin--Stout, 2004. http://www.uwstout.edu/lib/thesis/2004/2004hubbardj.pdf.
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24
Ruckman, Sara E. "Vocational rehabilitation and cancer is vocational rehabilitation ready for the challenges cancer assumes as a disability? /." Online version, 2002. http://www.uwstout.edu/lib/thesis/2002/2002ruckmans.pdf.
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25
Northrup, Ashley. "Using functional assessment and intervention planning with a single-case study of a child with cognitive disability." Menomonie, WI : University of Wisconsin--Stout, 2007. http://www.uwstout.edu/lib/thesis/2007/2007northrupa.pdf.
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26
Boos, Lisa A. "A survey of potential curricular domains for a disability management concentration in masters degree vocational rehabilitation program." Online version, 1998. http://www.uwstout.edu/lib/thesis/1998/1998boosl.pdf.
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27
Szymanski, Teri L. "The fit of Certified Disability Management Specialists' (CDMS) knowledge domains with Minnesota's Qualified Rehabilitation Consultants' (QRCS') competencies." Online version, 2002. http://www.uwstout.edu/lib/thesis/2002/2002szymanskit.pdf.
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28
Desler, Sandra. "The impact of intimacy and disability on the perception toward rehabilitation processes of a person with traumatic injury." Online version, 2003. http://www.uwstout.edu/lib/thesis/2003/2003deslers.pdf.
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29
Martin, Jessica M. "Using curriculum-based measures for assessing achievement in children who may have potential risk-factors for reading difficulty." Menomonie, WI : University of Wisconsin--Stout, 2006. http://www.uwstout.edu/lib/thesis/2006/2006martinj.pdf.
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30
Cabrera, Vega Félix Israel. "Movilidad urbana, espacio público y ciudadanos sin autonomía. El caso de Lima." Doctoral thesis, Universitat Autònoma de Barcelona, 2019. http://hdl.handle.net/10803/667392.
Повний текст джерелаАнотація:
L'evolució conceptual de la mobilitat ha determinat que aquesta sigui considerada com
un dret de tots els ciutadans. No obstant això, a Lima, encara hi ha persones sense
autonomia com els infants, els adults grans i les persones amb discapacitat que
s'enfronten a dificultats per desplaçar-se per la ciutat, i per tant no poden exercir els seus
drets fonamentals. El món d'aquestes persones és encara desconegut, de manera que per
incloure'ls en la societat cal, primer, explorar les seves vides, sentiments, problemes i
característiques de mobilitat, per després establir mètodes d'avaluació de l'espai públic
segons les seves necessitats. La present tesi persegueix aquest objectiu i es desenvolupa
a partir d'un enfocament mixt i holístic.
Els ciutadans sense autonomia presenten diferents característiques, definicions
d'autonomia, experiències, necessitats i propostes de millora. Així mateix, els problemes
que enfronten en desplaçar-se són diferents i fins i tot els seus requeriments per superarlos
entren en conflicte amb els dels altres ciutadans sense autonomia, el que qüestionaria
l'abast real del concepte del disseny universal. Per això, val la pena ressaltar que
s’enfrontaren a barreres físiques, socials i personals (en diferent grau), però
contràriament al que es pensa, la primera barrera a superar seria psicològica i no física.
És a dir, si la persona no està preparada psicològicament no podrà sortir al carrer tot i
que aquesta i el transport públic siguin accessibles. Són quatre els principals troballes:
les percepcions d'autonomia, la cadena cíclica dels requeriments per als desplaçaments,
la jerarquia implícita i el dilema dels requeriments físics.
Igualment, els seus patrons de desplaçament i d’organització espacial van dependre de
les seves característiques psicofísiques i del mètode que van emprar per a orientar-se
espacialment, de manera que hi hauria una clara relació entre els següents elements: les
característiques pròpies de les persones (velocitat, acceleració, patrons de organització i
trajectòries) i la seva interacció amb l'entorn (tipus d'obstacles, àrees d'influència i
regles de prioritat en la circulació). També, la qualitat de l'espai públic i la serendipitat
influirien en la generació de micro desplaçaments i en les activitats dels adults grans. De
la mateixa manera, el desenvolupament de la tesi permet proposar el mètode d'avaluació
dels entorns de proximitat inclusius (AEPI) que abasta criteris qualitatius i quantitatius
agrupats en dos nivells d'anàlisi: planificació i operació. El mètode és el resultat de
l'aplicació de les entrevistes en profunditat, l'observació i el mesurament de variables
quantitatives.
Amb aquesta tesi s'han pogut conèixer els sentiments de les persones sense autonomia i
especialment d'aquelles amb discapacitat motriu, visual i cognitiva. I pot assenyalar-se
que per la seva falta de normalitat conviuen amb la tristesa, la incertesa, la depressió, la
marginació i l'oblit. Es consideren ciutadans de segona classe i s'enfronten a continus
conflictes personals. Els casos analitzats de discapacitat són un subconjunt dels
existents, de manera que l'aportació d'aquesta tesi és només un bri de coneixement dins
de l'immens àmbit de la mobilitat. Encara s'ha de recórrer un llarg camí per reivindicar a
aquestes persones i atorgar-los la real ciutadania, almenys en el context de Lima.La evolución conceptual de la movilidad ha determinado que esta sea considerada como un derecho de todos los ciudadanos. Sin embargo, en Lima, aún existen personas sin autonomía como los niños, los adultos mayores y las personas con discapacidad que enfrentan dificultades para desplazarse por la ciudad, y por ende no pueden ejercer sus derechos fundamentales. El mundo de estas personas es aún desconocido, por lo que para incluirlos en la sociedad es necesario, primero, explorar sus vidas, sentimientos, problemas y características de movimiento, para luego establecer métodos de evaluación del espacio público según sus necesidades. La presente tesis persiguió este objetivo y se desarrolló a partir de un enfoque mixto y holístico. Los ciudadanos sin autonomía presentaron diferentes características, definiciones de autonomía, experiencias, necesidades y propuestas de mejora. Asimismo, los problemas que enfrentaron al desplazarse fueron diferentes e inclusive sus requerimientos para superarlos entraron en conflicto, lo que cuestionaría el alcance real del concepto del diseño universal. Por ello, vale la pena resaltar que enfrentaron barreas físicas, sociales y personales (en diferente grado), pero contrariamente a lo que se piensa, la primera barrera a superar sería psicológica y no física. Es decir, si la persona no está preparada psicológicamente no podrá salir a la calle aunque esta y el transporte público sean accesibles. Son cuatro los principales hallazgos: las percepciones de autonomía, la cadena cíclica de los requerimientos para los desplazamientos, la jerarquía implícita y el dilema de los requerimientos físicos. Igualmente, sus patrones de desplazamiento y organización espacial dependieron de sus características psico-físicas y del método que emplearon para orientarse espacialmente, por lo que habría una clara relación entre los siguientes elementos: las características propias de las personas (velocidad, aceleración, patrones de organización y trayectorias) y su interacción con el entorno (tipos de obstáculos, áreas de influencia y reglas de prioridad en la circulación). También, la calidad del espacio público y la serendipia influirían en la generación de micro desplazamientos y en las actividades de los adultos mayores. Del mismo modo, el desarrollo de la tesis permitió proponer el método de evaluación de los entornos de proximidad inclusivos (EEPI) que abarca criterios cualitativos y cuantitativos agrupados en dos niveles de análisis: planificación y operación. El método es el resultado de la aplicación de las entrevistas en profundidad, la observación y la medición de variables cuantitativas. A lo largo de esta tesis se ha podido conocer los sentimientos de las personas sin autonomía y en especial de aquellas con discapacidad motriz, visual y cognitiva. Y puede señalarse que por su falta de normalidad conviven con la tristeza, la incertidumbre, la depresión, la marginación y el olvido. Se consideran ciudadanos de segunda clase y se enfrentan a continuos conflictos personales. Los casos analizados de discapacidad son un subconjunto de los existentes, por lo que el aporte de esta tesis es solo un grano de conocimiento dentro del inmenso ámbito de la movilidad. Aún se debe recorrer un largo camino para reivindicar a estas personas y otorgarles la real ciudadanía, al menos en el contexto de Lima.
The conceptual evolution of mobility has determined that it is considered a right of all citizens. However, in Lima, there are still people without autonomy such as children, the elderly and people with disabilities who face difficulties to move around the city, and therefore can not exercise their fundamental rights. The world of these people is still unknown, so including them in society is necessary, first, to explore their lives, feelings, problems and characteristics of movement, to then establish methods to evaluate the public space according to their needs. This thesis pursued this objective and was developed from a mixed and holistic approach. Citizens without autonomy presented different characteristics, definitions of autonomy, experiences, needs and proposals. Also, the problems they faced when moving were different and even their requirements to overcome them came into conflict, which would question the real scope of the concept of universal design. Therefore, it is worth noting that people without autonomy faced physical, social and personal barriers (to different degrees), but contrary to what is thought, the first barrier to overcome would be psychological and not physical. In other words, if the person is not psychologically prepared, they will not be able to go out to the street even though the streets and public transport are accessible. There are four main findings: perceptions of autonomy, the cyclical chain of requirements for displacements, the implicit hierarchy and the physical dilemma. Likewise, their patterns of displacement and spatial organization depended on their psycho-physical characteristics and the method they used to orient themselves spatially, so there would be a clear relationship between the following elements: the characteristics of people (speed, acceleration, patterns of organization and trajectories) and their interaction with the environment (types of obstacles, areas of influence and priority rules in circulation). Also, the quality of the public space and serendipity would influence the generation of micro-trips and the activities of the elderly. In the same way, the development of the thesis made it possible to propose the method of evaluation of inclusive proximity environments (EEPI in Spanish) that includes qualitative and quantitative criteria grouped into two levels of analysis: planning and operation. The method is the result of the application of in-depth interviews, observation and measurement of quantitative variables. Throughout this thesis has been able to know the feelings of people without autonomy and especially those with motor, visual and cognitive disability. And it can be pointed out that due to their lack of normality they coexist with sadness, uncertainty, depression, marginalization and forgetfulness. They consider themselves as second-class citizens and face continual personal conflicts. The analysed cases of disability are a subset of the existing ones, so the contribution of this thesis is only a fraction of knowledge within the immense scope of mobility. There is still a long way to go to vindicate these people and grant them real citizenship, at least in the context of Lima.
31
Northrup, Ashley W. "Functional behavioral assessment and intervention planning a single-case study and follow-up of a child with a cognitive disability /." Online version, 2009. http://www.uwstout.edu/lib/thesis/2009/2009northrupa.pdf.
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32
Xiong, Mao. "Hmong parents' attitudes, perceptions of disability, and expectations of children with disabilitites a qualitative study of its impact on academic performance /." Menomonie, WI : University of Wisconsin--Stout, 2007. http://www.uwstout.edu/lib/thesis/2007/2007xiongma.pdf.
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33
Anderson, Ruskin Tonia L. "The achievement gap comparing children's reading trend lines by socioeconomic status over time /." Menomonie, WI : University of Wisconsin--Stout, 2007. http://www.uwstout.edu/lib/thesis/2007/2007andersonruskint.pdf.
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34
Avalos, Gomez Nuria Alexandra, Diaz Esther Giovanna Ordaya, and Córdova Luz Andrea Verástegui. "Las percepciones de los docentes del colegio público Luis Braille en Lima-Perú sobre las dificultades que presentan los niños con discapacidad visual al aprender el sistema braille, 2018." Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2019. http://hdl.handle.net/10757/631308.
Повний текст джерелаАнотація:
El tema de la presente investigación es «Las percepciones de los docentes del colegio público Luis Braille en Lima-Perú sobre las dificultades que presentan los niños con discapacidad visual al aprender el sistema braille, 2018». El objetivo general es explorar cuáles son las dificultades del aprendizaje del braille en niños con discapacidad visual según las percepciones de sus docentes. Para ello, como parte de los objetivos específicos, se realiza una breve revisión de las investigaciones acerca de nuestro tema en el Perú y en el mundo. Además, para propósitos de esta investigación, se parte de un enfoque cualitativo situado en el paradigma interpretativo, en la dimensión epistemológica, con base en el método de análisis de entrevistas. Los resultados de la investigación muestran que algunas de las dificultades están altamente relacionadas con la situación familiar, la falta de materiales en las instituciones educativas, y las deficiencias en gestiones nacionales e institucionales a favor de las personas con discapacidad visual.The following article discusses about the “The perceptions of teachers from the Louis Braille Public School in Lima-Peru about the difficulties in children with visual impairment when learning Braille system, 2018”. The main objective is to explore what are the difficulties of learning Braille in children with visual impairment, according to the perceptions of their teachers. For this effect, as part of the specific objectives, a brief review of the research done regarding our topic in Peru and worldwide. Furthermore, for the purposes of this research, a qualitative approach is used, in the interpretative paradigm, in the epistemological dimension, based on the interview analysis methodology. The results of this research showed that some of the difficulties are highly related to the family situation, the lack of material in educational institutions, and the lack of national and institutional policies for people with visual impairment.
Trabajo de investigación
35
Velarde, Talleri Andrés. "Inclusión de las personas con discapacidades sensoriales y físicas en el mercado laboral : el caso de Lima-Perú." Doctoral thesis, Universitat Politècnica de Catalunya, 2015. http://hdl.handle.net/10803/328146.
Повний текст джерелаАнотація:
The objective of this research is to propose a model of inclusion of people with disabilities (hereby known as PWD) in the labor market of Lima - Peru.
Material and Methods: A baseline descriptive, cross-sectional study. Ofthe 10,000 top companies of Peru, 188 companies where chosen aleatory and classified in large 27.1% (51), medium 13.3% (25), Small 48.4% (9) and very small 11% (21). For the quantity information a validated survey was used and for the quality information a narrative matrix was used.
Results: Of the universe used, there is only 0.084% of persons with disabilities (PWD) in the payroll of the top companies in Lima. Of the sample, large companies have 0.07%; Medium 0.24%; small 0.21% and 0.69% very small feature in their payroll PWD, whose ages range between 18 and 35 years, although the General Law of Persons with Disabilities says that 3% of the payroll should be PWD. One of the main conclusions is that the companies are not complying with the Law that commands to insert PWD in their payroll, because they are only incorporating an average of 0.084%, far below from the 3% indicated as the standard;however, there is availability to insert PWD according to a profile by company type that requires it.El objetivo de esta investigación es proponer un modelo de inclusión de las personas con discapacidad en el mercado laboral en adelante PCD en el mercado laboral de Lima-Perú. Material y métodos: Estudio descriptivo, transversal de nivel básico. De las 10,000 empresas top del Perú se determinó por muestreo paramétrico aleatorio simple 188 empresas, distribuidas en grandes 27.1% (51), medianas 13.3 % (25),Pequeñas 48.4% (9) y Muy pequeñas 11% (21). Para la recolección de la información cuantitativa se utilizó una encuesta validada y para la información cualitativa una matriz narrativa. ResuItados: Del universo,solo hay 0.084% de personas con discapacidad (PCD) en las planillas de las principales empresas de Lima. De la muestra, las empresas grandes cuentan con el 0.07 %; medianas 0.24%; pequeñas 0.21% y las muy pequeñas 0.69% cuentan con PCD en su plana laboral, cuyas edades fluctúan entre 18 y 35 años, pese a que la Ley General de Personas con Discapacidad ordena que el 3% sea PCD. Una de las principales conclusiones del trabajo es que no se cumple con la Ley para insertar PCD a las empresas, las cuales solo incorporan un 0.084%, lejos del 3% que indica la norma; sin embargo, hay disponibilidad para insertarlos de acuerdo a un perfil por tipo de empresa que lo requiera.
36
Graham, Erin Marie. "Understanding of disability law at the University of Wisconsin-Stout faculty, staff and administrations knowledge of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990 /." Online version, 1999. http://www.uwstout.edu/lib/thesis/1999/1999graham.pdf.
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37
Rosen, Leon D. "Evaluation of selected University of Wisconsin college webpages for disability access compliance with Rehabilitation Act Section 504 and 508 with JAWS (Job Access with Speech) version 4.51 (screen reading software)." Menomonie, WI : University of Wisconsin--Stout, 2005. http://www.uwstout.edu/lib/thesis/2005/2005rosenl.pdf.
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38
Masters-Schimek, Jennifer A. "A grant proposal to study the benefits of reading software for students with reading learning disabilities." Menomonie, WI : University of Wisconsin--Stout, 2006. http://www.uwstout.edu/lib/thesis/2006/2006masters-schimekj.pdf.
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39
Requena, Coda Daniela, and Vásquez Claudia Paola Serpa. "Autocompasión e imagen corporal en jóvenes con discapacidad motriz de centros de rehabilitación de Lima Metropolitana." Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2020. http://hdl.handle.net/10757/653508.
Повний текст джерелаАнотація:
Introducción: El propósito del estudio fue determinar la relación entre la autocompasión y la imagen corporal en jóvenes con discapacidad motriz. Método: Se utilizó el inventario de Autocompasión (SCS) de Javier García Campayo (2014) y el cuestionario de Imagen Corporal Para Personas en Situación de Discapacidad Física (PICDF) de Botero y Londoño (2014). La muestra estuvo conformada por 172 jóvenes de ambos sexos con discapacidad motriz, cuyas edades fluctuaron entre 16 y 25 años quienes reciben terapias en centros de rehabilitación de Lima Metropolitana y poseen diferentes tipos de discapacidad motora y diferentes niveles de afectación, de los cuales el 57.6% son hombres y el 42.4% mujeres. El tipo de investigación es cuantitativa con un diseño transversal y correlacional. Resultados: Dentro de los principales resultados se hallaron relaciones significativas entre las dimensiones de Autocompasión e Imagen Corporal. Además, el resultado comparativo de la variable Autocompasión respecto al sexo, conlleva a una mayor exploración en futuras investigaciones. Conclusión: Los resultados de la investigación reflejan correlación entre las variables de estudio, lo que conlleva a profundizar en dimensiones de connotación positiva que fomenten programas de mejora, para que las personas con discapacidad puedan mejorar su calidad de vida, ya que en ellos no solo se deberían de considerar los factores médicos o educativos.Background: The purpose of the study is to determine the relationship between self-compassion and body image among young people that suffer from motor disability. Methodology: The self-compassion inventory (SCS) by Javier Garcia Campayo (2014) was used, as well as the questionnaire that measured Body Imagen in People who Suffered from Physical Disability (PICDF) by Botero and Londoño (2014). The sample was composed of 172 young adults, males and females with motor disability, whose ages fluctuated between 16 and 25 years, who receive therapy in rehabilitation centers with Lima City, and why suffer from different levels of motor disability and degree of affection, of which 57,6% are men and 42,4% are women. The design of the study is quantitative, transversal, and correlational. Results: Within the main results, significant relationships between the dimensions of self-compassion and body image. Conclusion: Furthermore, the comparative results of the self-compassion variable regarding gender, leads to deepen in positive connotation dimensions that encourage improvement programmers, so that disabled people can improve their quality of live, due to the fact that not only medical or educational factors should be considered when evaluating them.
Tesis
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Cuberos, Hélène. "Les LIM kinases dans la neurofibromatose de type 1 : caractérisation cellulaire et moléculaire de LIMK2-1, une isoforme associée à la déficience intellectuelle." Thesis, Tours, 2016. http://www.theses.fr/2016TOUR3306/document.
Повний текст джерелаАнотація:
LIMK1 et LIMK2 sont des sérines/thréonine kinases capables de phosphoryler et d’inactiver la cofiline, un facteur de dépolymérisation de l’actine. Elles sont régulées négativement par la neurofibromine, responsable de la neurofibromatose de type 1, et pourraient être impliquées à la fois dans les aspects tumoraux et cognitifs de cette maladie par leur rôle dans la dynamique de l’actine. Nous avons étudié l’isoforme LIMK2‐1 de LIMK2, spécifique des hominidés et précédemment associée à la déficience intellectuelle. Cette isoforme possède un domaine kinase tronqué et un domaine inhibiteur de la phosphatase 1 (PP1i) en C‐terminal. Nos résultats montrent, d’une part, que LIMK2‐1 existe sous forme de protéine et qu’elle est exprimée dans le système nerveux central chez l’homme, en particulier au cours du neurodéveloppement. D’autre part, il apparaît que cette isoforme favorise la polymérisation de l’actine. Cette action semble indépendant de l’activité kinase puisque LIMK2‐1 ne phosphoryle pas la cofiline. Nous avons également montré que le domaine PP1i interagissait spécifiquement avec la phosphatase 1 et des résultats complémentaires suggèrent un rôle de ce domaine dans l’inhibition de la dépolymérisation de l’actine. Ces données mettent en évidence un mécanisme moléculaire nouveau pour une protéine de la famille des LIMK et soulignent l’intérêt d’étudier ces protéines afin de mieux comprendre leur implication dans les troubles cognitifs et dans la neurofibromatose de type 1LIMK1 and LIMK2 are serine/threonine kinases that phosphorylate and subsequently inactivate cofilin, an actin-depolymerizing factor. Neurofibromin, the protein responsible for neurofibromatosis type 1, negatively regulates these proteins that may be involved in tumoral and cognitive aspects of the disease through their role in actin dynamics. We studied LIMK2-1, a hominidae-specific isoform previously involved in intellectual disability. This isoform possesses a truncated kinase domain and a protein phosphatase 1 inhibitory (PP1i) domain at its C-terminal extremity. Our results showed that LIMK2-1 exists at a protein level and that it is expressed in human central nervous system, especially during neurodevelopment. Moreover, LIMK2-1 promotes actin polymerization independently from a kinase activity, since this isoform does not phosphorylate cofiline. We also highlighted an interaction between the PP1i domain and protein phosphatase 1 and complementary results suggest a role of this domain in the inhibition of actin depolymerization. These data highlight a new molecular mechanism for a LIMK protein and emphasize the interest of studying these proteins to understand their involvement in cognitive disorders and in neurofibromatosis type 1
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Castro, Mesias Hilda Guadalupe. "Análisis del sistema de señalética y diseño gráfico ambiental en la actualidad para personas con discapacidad visual en el Metro de Lima." Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2020. http://hdl.handle.net/10757/655962.
Повний текст джерелаАнотація:
La presente investigación analiza el sistema de señalética y diseño gráfico ambiental del Metro de Lima y la manera que impacta en la movilidad de las personas con discapacidad visual. Se identifica las características del sistema, las necesidades de las personas con discapacidad visual respecto a su movilidad y el modo de interacción de éstas con este establecimiento. Se propone como hipótesis que el sistema de señalética y diseño gráfico ambiental tiene deficiencias que impactan de manera social en la vida de las personas con discapacidad visual.
Para esta investigación se aplica un enfoque cualitativo, se analiza un espacio y un grupo humano determinado, a través de la observación, investigación de campo, análisis visual y de experiencias. Se recaudó documentación visual, listas de frecuencias y cotejo.
Los principales hallazgos fueron que el sistema efectivamente tiene deficiencias que lo convierten en un servicio limitado y no inclusivo, provocando inaccesibilidad al transporte de personas con discapacidad visual. En consecuencia, hay una restricción de participación social, dificultad de poder satisfacer necesidades y deseos diarios.
Para concluir, el sistema sí impacta en las formas de desplazamiento de estas personas, afecta su desarrollo personal al no poder cumplir con necesidades diarias y en su desenvolvimiento social e inclusivo puesto que, a través de la posibilidad de movilidad autónoma en los espacios hay interacción, como hacer actividades o conocer, hablar, estar con otro. Además, se propone crear una solución con un diseño universal, que no sea exclusivo de personas que presenten discapacidades físicas, sino que sea apto para todos.This research analyzes the environmental signage and graphic design system of the Metro de Lima and the way it impacts the mobility of people with visual disabilities. It seeks to analyze the characteristics of the system, identify the needs regarding its mobility and the mode of impact. It was proposed as a hypothesis that the environmental signage and graphic design system has deficiencies that have a social impact on the lives of people with visual disabilities. The most functional for this research is a qualitative approach, a space and a certain group are analyzed, through observation, field research, visual analysis and experiences. Visual documentation and frequency lists and checklists were collected. The main findings were that the system does indeed have deficiencies that make it a limited and non-inclusive service, causing inaccessibility to transportation. Consequently, there is a restriction of social participation, difficulty of being able to satisfy daily needs and desires. To conclude, the system does impact on the mobility of these people, affects their personal development by not being able to meet daily needs and their social and inclusive development since, through mobility in spaces there is interaction, such as doing activities or meet, talk, be with another. In addition, it is proposed to create a solution with a universal design, which is not exclusive to people with physical disabilities, but is suitable for everyone.
Trabajo de investigación
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Vargas, Párraga Tamara. "Análisis de casos de éxito de packagings con soluciones inclusivas para personas con discapacidad visual en España y Latinoamérica, con proyección a su desarrollo en el contexto de Lima, Perú." Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2020. http://hdl.handle.net/10757/654560.
Повний текст джерелаАнотація:
El objetivo de la investigación realizada fue analizar la usabilidad de packagings inclusivos para las personas con discapacidad visual al momento de realizar compras en supermercados, con la proyección de desarrollarlos en Lima, Perú. La hipótesis con la que se inició la investigación fue que la existencia de packagings inclusivos en el Lima facilitaría la experiencia de compra de las personas con discapacidad visual, al igual que el desarrollo de su autonomía.
Las muestras fueron seleccionadas por conveniencia y bajo el concepto de “bola de nieve”. La primera fue delimitada a estudios acerca de packagings inclusivos de origen español o latinoamericano, mientras que, para la segunda, la población seleccionada fue residentes de Lima con discapacidad visual. El vínculo se consiguió gracias a la Asociación Yo Soy Tus Ojos.
Dentro de los resultados obtenidos se encuentra que todos los packagings mencionados en las investigaciones estudiadas presentan al braille como método de inclusión y solo uno presenta alto relieve al mismo tiempo. No obstante, se aprecia también que el total de personas entrevistadas consideran que el alto relieve es una opción más accesible para las personas con discapacidad visual.
Se pudo concluir que, efectivamente, la implementación de soluciones inclusivas a los packagings facilitaría la experiencia de compra de los peruanos, residentes de Lima, con discapacidad visual. Asimismo, se puede afirmar que esta solución sería solo una de las que deberían de ser desarrolladas para minimizar las barreras que existen para las personas con capacidades especiales en Lima, Perú.The objective of the investigation was to analyze the usability of inclusive packaging for people with visual impairment when making purchases in supermarkets, with the projection of developing them in Peru. The hypothesis with which the research began was that the existence of inclusive packaging in Peru would facilitate the shopping experience of people with visual disabilities, as well as the development of their autonomy. The samples were selected for convenience and under the concept of "snowball". The first one was limited to studies about inclusive packaging of Spanish or Latin American origin, while for the second one, the selected population was Peruvians with visual disabilities. The connection with them was achieved thanks to the Association Yo Soy Tus Ojos. Between the results obtained, it is found that all the packagings mentioned in the studies that were reviewed present braille as an inclusive method and only one presents high relief at the same time. However, the total number of people interviewed consider that high relief is a more accessible option for people with visual impairments than braille. It was concluded that, in fact, the implementation of inclusive solutions to packaging would facilitate the shopping experience for Peruvians with visual disabilities. In addition, it can be affirmed that this solution would be just one of the ones that should be developed in order to minimize the barriers that exist for people with special abilities in Peru.
Trabajo de investigación
43
Tchirkov, Vitaly. "Déterminants du handicap moteur en République de Guinée : causes et conséquences des déficiences des membres inférieurs chez les habitants de Conakry." Thesis, Strasbourg, 2012. http://www.theses.fr/2012STRAG014.
Повний текст джерелаАнотація:
Lorsqu’elle s’inscrit dans un contexte tel que celui des pays en développement, la notion de handicap se caractérise par des tendances bien singulières. C’est notamment en République de Guinée que nous avons décidé de centrer notre travail, traitant des problématiques liées aux handicaps physiques et plus particulièrement aux déficiences des membres inférieurs. Les objectifs fixés dans cette recherche consistent à expliquer les causes et les conséquences de la prédominance de ce type de déficiences à Conakry. De plus, parmi d’autres problématiques que soulève notre travail, nous nous intéressons aux représentations que reflètent les handicaps et aux influences qu’elles subissent de la part des croyances traditionnelles et religieuses. Notre travail s’inscrit donc à la fois dans la volonté d’établir un état des lieux de la situation actuelle et dans la réalisation d’un important travail de terrain qui a été mené à Conakry entre 2008 à 2011 auprès d’un millier de personnes. D’après nos résultats, la principale cause des déficiences des membres inférieurs est liée aux séquelles de la poliomyélite et à la présence d’autres facteurs de risques tels que l’insécurité routière. De plus, selon nos analyses, près de 80% des personnes atteintes de ce type de déficience résidant à Conakry sont issues de l’exode rural. Une fois installées à Conakry, elles optent pour les trois modes de subsistance à savoir : la pratique de la mendicité (48%), l’occupation d’un emploi (16%) et la prise en charge familiale (18%). Par ailleurs, chaque mode semble déterminer leur participation et leur intégration au sein de la société. Enfin, nos résultats montrent que près de la moitié des Guinéens croit en la sorcellerie et en la nature maléfique des handicaps. Comme nous l’expliquons, ces croyances influencent négativement les représentations des handicaps. Pour conclure, selon nos analyses la majorité des Guinéens s’accorde à définir le handicap comme un phénomène biomédical et le considère comme un problème individuel et non socialWhile dealing with the context of the developing countries, the notion of handicap is characterized in a specific way. We carried out our study in the Republic of Guinea, particularly related to the problems of the handicap, more specifically with the disability of inferior members. The main objectives of this research consist in explaining the causes and the consequences of the ascendancy of this type of deficiencies in Conakry. Furthermore, among the other problems analyzed in this work, we are interested in the representations which reflect the handicaps and the influence of traditional and religious beliefs on handicap. Our work is aimed to present the current conditions of the situation and to carry out a significant work on the site. In this framework, we organized two surveys during 2008 and 2009, dealing with approximately 1000 persons. According to our results, the main cause of the deficiencies of lower limbs is associated to the aftereffects of the poliomyelitis and to the presence of the other risk factors, such as the lack of safety on the roads. Furthermore, according to our analyses, about 80 % of the people questioned, belonged to the rural depopulation. Once installed in Conakry, they opt for three modes of subsistence: the practice of begging (48 %), working (16 %) and the family care (18 %). Moreover, each mode seems to determine the participation and the integration of these individuals in the society. Finally, our results show that nearly half of the Guineans believe in the witchcraft and in the malefic nature of the handicaps. Consequently, the faith influences negatively on the interpretation of the handicaps. To conclude, according to our analyses, the majority of the Guineans agrees to define the handicap as a biomedical phenomenon and considers it as an individual and not a social problem
44
Chau, Ka-Hei Anthony, and 周家曦. "A Study on Participation of Workers with a Lower Limb Disability in A Health Promotion Program." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/49basm.
Повний текст джерелаАнотація:
碩士國立彰化師範大學
復健諮商研究所
105
The aim of this research was to explore the motivation and issues of workers with a lower limb disability when participating in the health promotion program. This research using case study of qualitative method, the semi structured interview method and participant observation method were used to collect data of ten research participants. The results and findings of this research are as follows: 1. Because each interviewee's background and characteristics are different, the participation goal will be different. The motivation for the workers with a lower limb disability to participate in the health promotion program can classify as: (1) personal health factors: conscious aging, gradual deterioration of the body function, weight loss, and understanding of their physical fitness; (2) psychological factors: to relieve stress; (3) social factors: the workplace manager and family support, know new friends, and learn more about sports. 2. The issues faced by the workers with a lower limb disability to participate in health promotion program can classify as: (1) internal factors: difficult to control the nutrient intake, occupational injuries, no movement by sickness causes, and reduce willingness to exercise by working fatigue; (2) external factors: venue distance, need to participate in other activities, group events affect the time spent with family members, the need for traffic and accessibility support, unable to move independently, the need for group help. 3. The effect for the workers with a lower limb disability to participate in health promotion program can classify as: (1) physiological level: promoting physical fitness; (2) psychological level: the spirit becomes better, feel more pleasant and relax, to eliminate the negative emotion brought by the work, and encourage their own movement; (3) social level: to meet more friends with disability. 4. For participants following the exercise program, participants with habits of exercise will maintain current patterns of exercise, exercise with other colleagues in the workplace, control their dietary intake, increase their exercise capacity. Participants who do not have a habit of exercise will maintain when time and physical condition allowed, and looking for the information and opportunities of sports suitable for them. Finally, this study presents the recommendations for the relative participants and future researchers as a reference.
45
MIRANDOLA, DANIELA. "Effetti morfo-funzionali dell’attività motoria adattata sull'arto superiore affetto da linfedema secondario a patologia oncologica Morpho-functional changes in cancer-related upper limb lymphedema after adapted physical activity." Doctoral thesis, 2021. http://hdl.handle.net/2158/1227728.
Повний текст джерелаАнотація:
La localizzazione del linfedema agli arti superiori riconosce quasi sempre una natura secondaria dovuta nel 98% dei casi a linfoadenectomia ascellare e/o radioterapia per il trattamento del carcinoma mammario. Attualmente sono diverse le possibilità di trattamento per il linfedema, ma nessuna sembra essere efficace nel ridurre l’edema in modo permanente.
In questo contesto, scopo di questo progetto di ricerca è stato quello di valutare gli effetti morfo-funzionali dell’attività motoria adattata (AMA) sull'arto superiore affetto da linfedema secondario a patologia per tumore mammario. In particolare, è stata indagata l’efficacia di un protocollo di AMA, incentrato su un esercizio specifico adattato, utilizzando una tavoletta propriocettiva appositamente costruita (Hand Walk), per il management del linfedema cronico di grado medio-grave a carico dell’arto superiore. Inoltre, questo tipo di intervento è stato confrontato con un trattamento di agopuntura (AGO) specifico per la gestione del linfedema.
Dall’analisi dei dati al baseline, i due gruppi sono risultati omogenei per età, tipo di intervento e trattamenti adiuvanti, mentre differenze statisticamente significative sono state riscontrate per le variabili relative all’indice di massa corporea, alla circonferenza vita e fianchi, alla gravità del linfedema e per la percezione del dolore del tratto cervicale e lombare. Inoltre, il gruppo AMA mostrava caratteristiche psicologiche peggiori rispetto al gruppo AGO. Tali differenze nei parametri descritti evidenziavano una condizione al baseline peggiore nel gruppo AMA. Queste differenti caratteristiche possono aver determinato la scelta individuale del percorso, indirizzando i soggetti verso AMA o AGO. Tuttavia, i risultati ottenuti al post-intervento hanno mostrato nel gruppo AMA miglioramenti statisticamente significativi nella mobilità articolare, nella percezione del dolore e nella qualità della vita. L’intervento AGO è invece risultato più efficace solo nella riduzione dell’edema.
Le valutazioni di follow-up (effettuate a 3 e 4 mesi dalla presa in carico) sono state eseguite e analizzate solo per il gruppo AMA in quanto i soggetti del gruppo AGO hanno scarsamente aderito alle valutazioni, quindi non è stato possibile elaborare i dati in modo statistico. In particolare, è emerso che nella valutazione a 3 mesi dalla presa in carico i valori dei parametri analizzati si mantenevano più o meno stabili, mentre nell’ultimo follow-up (a 4 mesi dalla presa in carico) quasi tutti i valori tendevano a peggiorare ritornando simili a quelli del baseline. La mobilità del polso, invece, progressivamente migliorava in maniera statisticamente significativa.
Quindi, si può dedurre che l’AMA risulti efficace nel migliorare la percezione psicofisica dei soggetti. Pertanto, un intervento programmato e strutturato di attività fisica progettato in base alle esigenze del soggetto può essere utile nella gestione del linfedema cronico di grado medio-grave. Tuttavia, è da notare che più ci si allontana dalla presa in carico più i soggetti tendono a peggiorare.
In conclusione, complessivamente i risultati ottenuti suggeriscono che un percorso integrato tra le due attività (AMA e AGO) possa risultare più efficace nel management del linfedema medio-grave secondario al trattamento per carcinoma mammario.
46
Chou, Tzu-Yen, and 周子硯. "Development of evaluation tool for upper limbs motor control with disability." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/34364271006927773083.
Повний текст джерелаАнотація:
碩士國立陽明大學
物理治療暨輔助科技學系
96
Human being use upper extremity to finish action assignment in daily life. The process of the action is that the sense organ receives the message, integrate by brain and transmit to movement mode, then conduct extremity organ to get action. The process of operating objects needs to combine with sense, aesthesia, cognition, action controlling…etc., (Bailey, 1989) these abilities concern many joints、muscle coordinate and reaction time (Hogan, 1989). It will cause operating perplexity when one of these links gets problems. And then cause upper extremity function limitation can not be autonomous in the environment to affect the life quality. Physician will estimate case’s upper extremity function for knowing the problems, at least it needs professional training to operate these evaluation tool. So the study develops evaluation tool which can objectively quantify input interface. The platform is designed with touch screen and Flash software. The software builds variables size target in different place on screen, and after cases choice the target and we will easy to get their movement characteristic ability. The experiment takes from common male and female schoolchildren each 11 and more 3 intelligent barrier schoolchildren who are 6 years old the right hand users. The result display system has diacritic ability of the action, and also can get the estimation of case’s operating. The platform is the feasible evaluation tool.
47
Bartůňková, Petra. "Význam sociální rehabilitace u klientů po amputaci končetiny v domácí péči." Master's thesis, 2018. http://www.nusl.cz/ntk/nusl-384082.
Повний текст джерелаАнотація:
This diploma thesis deals with the topic of clients after lower limb/s amputation and their social rehabilitation afterwards in home care. Beginning of thesis describes the current situation and the concept of social rehabilitation as one of the comprehensive rehabilitation process of people in early post-amputation stage. Next section of thesis shows difficulties that occurs after amputation and impact upon personal life that is materially changed. Describing the process of coping with this unpleasant health change is based on traditional model of two important people in this field Mr. Kübler-Ross and Mr. Křivohlavý. At the same time, analysis of the formal support system in Ústí nad Labem is being evaluated. This system provides support not only to disabled people but also to people who take infromal care of the one injured. Informal care plays significant role in the process of social rehabilitation of people starting new life stage due to physical change. In thesis are mentioned possibilities of developing skills of informal caregivers, usage of financial benefits for disabled people and possible providers support of medical and social services in a given location. However, it also focuses on possible troubles associated with care provided by family members or other persons. At the same time,...
48
Wen-Chin, Wang, and 王文欽. "Four strophes about limbs disability women’s warm-up process experience in the psychodrama group." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/98885908412491973931.
Повний текст джерелаАнотація:
碩士國立臺北教育大學
心理與諮商學系碩士班
96
Four strophes about limbs disability women’s warm-up process experience in the psychodrama group Wen-Chin, Wang This study uses the unstructured method to interview four limbs disability women about their experience participating in the psychodrama warm-up process. In this study, disability is defined based on the law of Taiwan. We combined two data analysis approaches: Gee’s Linguistic approach and Riessman’s (who was under the influence of Gee) poetic structural approach. Psychodrama group: those group is lead by the psychodrama director who must received at least 500 hours training from a T.E.P certified by the American Board of Examiners in Psychodrama, Sociometry and Group Psychotherapy. Warm-up process: At this study, we take a narrow sense to the warm up process, It is meaning at the group initial stage, under the leadership of the director, and in the end, the group selects a protagonist. From these four experiences we conclude: (1)When the director can comprehend the participant’s needs, she/he can encourage members with disability problems to explore themselves. The director must create free access for the disabled warm up actions and space for members with disabilities. (2) Disability participants need extra time to build up a sense of security in order to fit in new environments. For 3 participants at this study, “Guided fantasy” is not suitable at the early stage of group activity. They need support from the whole group so they may feel comfortable to express themselves. (3) In Chinese culture, Most people was familistic-oriented self , relationship-oriented self, and other-oriented self. People tend to be bound by self-discipline. They value expertise and leadership. In the multicultural context, when the director is a professional and carries a leader’s demeanor, members are more willing to express themselves.
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Perry, Karen-Marie Elah. "Virtual reality and the clinic: an ethnographic study of the Computer Assisted Rehabilitation Environment (The CAREN Research Study)." Thesis, 2018. https://dspace.library.uvic.ca//handle/1828/9261.
Повний текст джерелаАнотація:
At the Ottawa Hospital in Ontario, Canada, clinicians use full body immersion virtual reality to treat a variety of health conditions, including: traumatic brain injuries, post- traumatic stress disorder, acquired brain injuries, complex regional pain syndrome, spinal cord injuries, Guillain-Barré syndrome, and lower limb amputations. The system is shared between military and civilian patient populations. Viewed by clinicians and the system’s designers as a value neutral medical technology, clinical virtual reality’s sights, sounds, movements, and smells reveal cultural assumptions about universal patient experiences. In this dissertation I draw from reflexive feminist research methodologies, visual anthropology and sensory ethnography in a hospital to centre the body in current debates about digital accessibility in the 21st Century. 40 in-depth interviews with practitioners and patients, 210 clinical observations, and film and photography ground research participant experiences in day-to-day understandings of virtual reality at the hospital. In this dissertation I address an ongoing absence of the body as a site of analytical attention in anthropological studies of virtual reality. While much literature in the social sciences situates virtual reality as a ‘post-human’ technology, I argue that virtual reality treatments are always experienced, resisted and interpreted through diverse body schemata. Furthermore, virtual reality cannot be decoupled from the sensitivities, socialities and politics of particular bodies in particular places and times. The Ottawa Hospital’s Computer Assisted Rehabilitation Environment (CAREN) system features a digitally enhanced walk-in chamber, treadmills on hydraulic pistons, surround sound audio, advanced graphics and user feedback utilizing force plates and a dynamic infrared motion capture system. The CAREN system utilizes hardware and software reliant on specific assumptions about human bodies. For example, these assumptions are echoed in depictions of race, gender, class, and indigeneity. Patients using virtual reality technologies can experience more than one disability or health condition at a time, further disrupting the idea of universal user experiences. As clinicians and patients confront the limitations of body normativity in the CAREN system’s interface design, they improvise, resist, and experience virtual reality in ways that defy design agendas, ultimately shaping patient treatments and unique paths to healing and health.Graduate