Дисертації з теми "Physical rehabilitation in RA"
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Іргашов, Роман Шамуратович. "Фізична реабілітація хворих на ревматойдний артрит". Master's thesis, КПІ ім. Ігоря Сікорського, 2020. https://ela.kpi.ua/handle/123456789/38801.
Повний текст джерелаАнотація:
Магістерська дисертація викладена на 83 сторінках, літературних джерел 37, серед них 4 іноземних; рис. 2, табл. 11.
Актуальність теми. Ревматоїдний артрит – є одним з найпоширеніших запальних хвороб суглобів, що завдає значну як фізичну, психічну та соціально-економічну шкоду хворим. На сьогоднішній день хвороби ревматоїдного походження залишаються найбільш поширеними патологіями в світі, в Україні зокрема.
З кожним роком з’являється велика кількість сучасних засобів, які доцільно включати до програми фізичної терапії. Все викладене вище визначає актуальність та необхідність подальшого вивчення данного питання у відновленні пацієнтів при ревматоїдному артриті, що і стало підставою для виконання цієї магістерської дисертації.
Зв’язок роботи з науковими програмами, планами, темами. Магістерська дисертація виконана відповідно до наукової тематики кафедри біобезпеки і здоровя людини НТУУ «КПІ ім. Сікорського».
Мета роботи: розробити програми фізичної терапії при ревматойдному артриті та оцінити її ефективність.
Завдання: за даними спеціальної літератури вивчити сучасний стан і напрямки вдосконалення програми фізичної терапії при ревматойдному артриті; дослідити функціональний стан суглобів; розробити програму фізичної терапії при ревматойдному артриті та перевірити її ефективність.
Об’єкт дослідження –хворі на ревматойдний артрит.
Предмет дослідження – фізична реабілітація хворих на ревматойдний артрит.
Методи дослідження: аналіз спеціальної науково-методичної літератури та інформаційних джерел; клінічні методи дослідження (контент-аналіз історій хвороби, огляд); візуально-аналогова шкала болю (VAS); інструментальні методи дослідження та методи математичної статистики.
Наукова новизна одержаних результатів: вивчені функціональні особливості суглобів у хворих на ревматойдний артрит, що відкрило можливості для розробки програми фізичної терапії; визначені особливості змісту та спрямованості програми фізичної терапії, підібрані засоби відновлення з урахуванням ступеня функціональних порушень.
Практичне значення отриманих результатів. Розроблена програма фізичної терапії при ревматойдному артриті, дозволила підвищити ефективність відновного лікування. Дані магістерської дисертації можуть бути використанні в роботі медичних закладів, реабілітаційних центрах, санаторіях та під час навчального процесу у вищих навчальних закладах з фізичного виховання і спорту, кафедрах фізичної терапії та ерготерапії.
За результатами дослідження було опубліковано:
1 стаття в Международной научной интернет-конференции «Тенденции и перспективы развития науки и образования в условиях глобализации»;
1 тезиси в I Международная научно-практическая конференция “PRIORITY DIRECTIONS OF SCIENCE AND TECHNOLOGY DEVELOPMENT”, 27-29 сентября 2020 года Киев, Украина.The master's dissertation is presented on 83 pages, literary sources 37, among them 4 foreign; Fig. 2, table. 11, Annex 1. Actuality of theme. Rheumatoid arthritis is one of the most common inflammatory diseases of the joints, which causes significant physical, mental and socio-economic damage to patients. Today, diseases of rheumatoid origin remain the most common pathologies in the world, in Ukraine in particular. Every year there are a large number of modern tools that should be included in the physical therapy program. All of the above determines the relevance and need for further study of this issue in the recovery of patients with rheumatoid arthritis, which became the basis for this master's thesis. Connection of work with scientific programs, plans, topics. The master's dissertation is made in accordance with the scientific theme of the Department of Biosafety and Human Health NTUU "KPI. Sikorsky ». Purpose: to develop physical therapy programs for rheumatoid arthritis and evaluate its effectiveness. Objectives: according to the special literature to study the current state and areas of improvement of physical therapy for rheumatoid arthritis; to investigate the functional state of the joints; develop a program of physical therapy for rheumatoid arthritis and test its effectiveness. The subject of the study is patients with rheumatoid arthritis. The subject of research - physical rehabilitation of patients with rheumatoid arthritis. Research methods: analysis of special scientific and methodical literature and information sources; clinical research methods (content analysis of case histories, review); visual-analog pain scale (VAS); instrumental research methods and methods of mathematical statistics. Scientific novelty of the obtained results: the functional features of the joints in patients with rheumatoid arthritis were studied, which opened opportunities for the development of a physical therapy program; the peculiarities of the content and direction of the physical therapy program are determined, the means of recovery are selected taking into account the degree of functional disorders. The practical significance of the results. Developed a program of physical therapy for rheumatoid arthritis, increased the effectiveness of rehabilitation treatment. The data of the master's dissertation can be used in the work of medical institutions, rehabilitation centers, sanatoriums and during the educational process in higher educational institutions of physical education and sports, departments of physical therapy and occupational therapy. According to the results of the study were published: 1 article in the Международной научной интернет-конференции «Тенденции и перспективы развития науки и образования в условиях глобализации»; 1 thesis in the I Международная научно-практическая конференция “PRIORITY DIRECTIONS OF SCIENCE AND TECHNOLOGY DEVELOPMENT”, 27-29 сентября 2020 года Киев, Украина.
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Ляшенко, Ірина Володимирівна, Ирина Владимировна Ляшенко, Iryna Volodymyrivna Liashenko, and K. D. Shtelmah. "Physical rehabilitation of children." Thesis, Сумський державний університет, 2019. http://essuir.sumdu.edu.ua/handle/123456789/72508.
Повний текст джерелаАнотація:
At present, the issue of child rehabilitation is very important.
Rehabilitation is achieved by focusing on the impact of a condition of
health, developmental difficulties or disability on a person's life, and not on
their diagnosis.
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Ляшенко, Ірина Володимирівна, Ирина Владимировна Ляшенко, Iryna Volodymyrivna Liashenko, and V. V. Nahorna. "Physical Rehabilitation for Treatment Diseases." Thesis, Сумський державний університет, 2019. http://essuir.sumdu.edu.ua/handle/123456789/72497.
Повний текст джерелаАнотація:
Nahorna, V.V. Physical Rehabilitation for Treatment Diseases / V.V. Nahorna; Language advisor I.V. Liashenko // Перший крок у науку : матеріали X студентської конференції, м. Суми, 24 лютого 2019 р. / відп. за вип. С.М. Солодовніков. – Суми : СумДУ, 2019. – С. 10.A professional in phуsical rehabilitation takes care of patients in all phases of curing, from defining the initial diagnosis through the restorative and preventive stages of getting over. This sphere is a standalone option, or it maу be in assistance with other treatments and so it's so important to discuss this topic.
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Lawson, Sonia Kristi. "Achievement goal orientations in physical rehabilitation." College Park, Md. : University of Maryland, 2005. http://hdl.handle.net/1903/3146.
Повний текст джерелаАнотація:
Thesis (Ph. D.) -- University of Maryland, College Park, 2005.Thesis research directed by: Human Development. Title from t.p. of PDF. Includes bibliographical references. Published by UMI Dissertation Services, Ann Arbor, Mich. Also available in paper.
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Park, Saengryeol. "Physical activity and sedentary behaviour in older adults : associations with physical and mental health." Thesis, University of Birmingham, 2017. http://etheses.bham.ac.uk//id/eprint/7441/.
Повний текст джерелаАнотація:
With an increasing ageing population, it is important to explore factors that can contribute to healthy ageing. Physical activity (PA) and sedentary behaviour (SB) are associated with psychological and physical health in older adults. This thesis therefore aims to explore the associations between PA as well as SB and a range of health, motivational, environmental factors in older adults from assisted living facilities (ALFs) and community settings using various methodological approaches. Study 1 used latent profile analyses to group people based on PA, SB, and physical function in resident of ALFs. It was found that those classed as high physical function with an active lifestyle had better mental health compared to those who had lower physical function and an inactive lifestyle. These findings suggest that in order to improve mental health in older adults, interventions should take all these variables into account. Study 2 used latent profile analyses to classify people based on the degree of autonomy support from important others and perceptions of the physical environment, and subsequently examined differences in engaging in light PA and moderate-to-vigorous PA (MVPA) between these groups. Results suggest that perceptions of the physical environment should be taken into account along with support from important others to facilitate increases in levels of PA. Study 3 employed ecological momentary assessment to examine the within-person association of light PA, MVPA, and SB in relation to bodily pain and fatigue in older community dwelling adults. This study revealed associations between bodily pain and PA, as well as SB. Furthermore, daily fatigue was influenced by typical fatigue and physical health. The overall conclusion of the studies presented in this thesis implies that individual, social, and environmental factors and its interactions can all contribute to mental health, PA, SB, bodily pain, and fatigue outcomes in older adults.
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Ляшенко, Ірина Володимирівна, Ирина Владимировна Ляшенко, Iryna Volodymyrivna Liashenko, and A. V. Tsyganij. "The Prospects of Rehabilitation." Thesis, Сумський державний університет, 2019. http://essuir.sumdu.edu.ua/handle/123456789/72494.
Повний текст джерелаАнотація:
Rehabilitation has long been lacking in a unified conceptual framework.
Rehabilitation is always voluntary and some people may need help in
deciding on the choice of rehabilitation. In all cases, rehabilitation should
help strengthen the person with disabilities and his family.
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Elsworth, Charlotte. "Community mobility and physical activity participation in individuals with mulitple sclerosis." Thesis, University of Birmingham, 2011. http://etheses.bham.ac.uk//id/eprint/1518/.
Повний текст джерелаАнотація:
This thesis incorporates five studies investigating physical activity and community mobility in individuals with multiple sclerosis (MS). 1. Pedometer step count accuracy was investigated whilst examining activity levels in individuals with neurological disease (n=43). The pedometers significantly under-estimated counts in this group. 2. The test-retest reliability of the Physical Activity Scale for the Elderly (PASE) was examined. People with MS (n=20) were found to have low activity levels with a test-retest reliability coefficient total PASE score of 0.934 (95% CI=0.62-0.97). 3. An observational study examined physical activity levels in individuals with MS using the PASE. Participants appeared to be less active than healthy individuals (69.6±50.11, 154.3±80.4 respectively). 4. A questionnaire (n=80) and focus group discussions (n=24) were used to gather user opinions regarding physical activity participation. Emerging themes were the desire to be active and the barriers and facilitators to participation. 5. A phase II RCT investigated the feasibility of a physical activity provision support system in people with MS (n=18). The approach successfully resulted in attendance at fitness centres and increased activity levels (but did not reach statistical significance). The 5 studies each present new data in the field. The implications are discussed with suggestions for further research.
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Ляшенко, Ірина Володимирівна, Ирина Владимировна Ляшенко, Iryna Volodymyrivna Liashenko, and I. O. Piesotska. "The modern concept of rehabilitation." Thesis, НБК, 2019. http://essuir.sumdu.edu.ua/handle/123456789/72450.
Повний текст джерела
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Zbogar, Dominik. "Physical activity during inpatient spinal cord injury rehabilitation." Thesis, University of British Columbia, 2015. http://hdl.handle.net/2429/55204.
Повний текст джерелаАнотація:
Introduction
Rehabilitation activities of a sufficient intensity are necessary for optimal recovery in individuals with spinal cord injury (SCI). Optimizing rehabilitation and activity prescription requires quantification of physical activity and its predictors during this time.
Purpose
To determine, during inpatient rehabilitation, the:
1) reliability and validity of measures of physical activity.
2) level of physical activity using objective and self-report measures.
3) level of cardiovascular stress experienced during physical therapy (PT) and occupational therapy (OT).
4) variables associated with greater time spent at higher heart rate during PT.
5) number of active movement repetitions occurring during PT and OT.
Methods
Design: A test retest design was used to determine the reliability of physical activity measures. A longitudinal observation design was used to determine movement repetitions and physical activity levels. A cross-sectional observational design was used to determine the level of cardiovascular stress.
Subjects: Participants (n=108) were recruited from consecutive admissions to rehabilitation.
Results
Good reliability for accelerometry and step counts, and moderate reliability for self-report, was demonstrated. Validity was demonstrated for wrist accelerometry and step counts but not self-report physical activity.
For most groups and variables, no changes occurred during therapy time from admission to discharge. Outside of therapy all groups increased from admission to discharge in accelerometer measured activity kilocounts but not self-report minutes, where the majority of time was spent in leisure time sedentary activity (~4.5 hours).
The average time spent at a heart rate within the cardiovascular training zone was 6.0±9.0 minutes in PT and lower in OT. Lower spasticity, higher exercise self-efficacy, and better orthostatic tolerance correlated with a greater amount of time within a cardiovascular training zone.
Average repetitions for PT and OT combined did not exceed 300 for the upper or lower extremity. Most repetition variables remained unchanged over the inpatient rehabilitation stay while clinical outcomes improved significantly.
Conclusions
Individuals report that a large amount of time is spent engaged in higher intensity activities. Measurement of heart rate during therapy sessions shows little time is spent at intensities sufficient to accrue cardiovascular benefits. Repetitions in therapy are low compared to the motor learning literature.Medicine, Faculty of
Graduate
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Hamim, Hamza. "MAPPING BETWEEN REHABILITATION REQUIREMENTS AND GAME DESIGN PATTERNS IN A GAME FOR PHYSICAL REHABILITATION." Thesis, Högskolan i Skövde, Institutionen för kommunikation och information, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-6092.
Повний текст джерелаАнотація:
The development of serious games, requires the participation and collaboration of several disciplines; as in the following thesis, showing the collaboration between physiotherapists and developers. Obviously good collaboration and understanding requires a tool that allows passage of information from one discipline to another. One example of such a tool is the concept of patterns. The concept has been adopted in many communities, one of which is game design where they have been called game design patterns, to offer the same advantages with additional benefits. In the following thesis we use game design patterns in order to translate the requirements of physiotherapists into a serious game. Or more precisely, the aim is to satisfy the requirements of physiotherapists as movements, motivation, and other features and map them into patterns and translate them in a serious game. The validation of the mapping was carried out in three different ways: with the physiotherapists, patients, and finally with game designers. The work carried out, shows an example of how game design patterns can be used to satisfy the requirements of physiotherapists in a game for rehabilitation.
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Bonnechere, Bruno. "Functional assessment during physical rehabilitation exercises using serious games." Doctoral thesis, Universite Libre de Bruxelles, 2019. https://dipot.ulb.ac.be/dspace/bitstream/2013/282817/4/Contents.pdf.
Повний текст джерелаАнотація:
Lack of motivation has been highlighted as a major cause of adverse patients outcomes during the rehabilitation process.Thanks to the evolution in the way video games are controlled, from totally passive to active situation, clinicians have had the idea of integrating video games into rehabilitation to increase adherence to treatments, especially during at-home exercises.Specially developed games, the Serious Games (SG), must be created to fulfill the needs and specificities of clinicians and patients.As the rehabilitation exercises are performed in the SG, it is easy to record the movements performed by the patients with the gaming hardware.The aim of this thesis was to determine if the gaming hardware, the Kinect sensor and the Wii Balance Board, can be used to: i) perform functional evaluation of the patients, ii) monitor motions performed by the patients during the rehabilitation exercises and iii) assess the severity of the disease based on the performance during the SG.In order to validate this new approach several validation processes were done: from the strict controlled environment gait laboratory to the clinics.The different developments and validation phases are presented in this thesis.Doctorat en Sciences biomédicales et pharmaceutiques (Médecine)
info:eu-repo/semantics/nonPublished
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Morris, Melissa. "Robot Control for Remote Ophthalmology and Pediatric Physical Rehabilitation." FIU Digital Commons, 2017. http://digitalcommons.fiu.edu/etd/3350.
Повний текст джерелаАнотація:
The development of a robotic slit-lamp for remote ophthalmology is the primary purpose of this work. In addition to novel mechanical designs and implementation, it was also a goal to develop a control system that was flexible enough to be adapted with minimal user adjustment to various styles and configurations of slit-lamps. The system was developed with intentions of commercialization, so common hardware was used for all components to minimize the costs. In order to improve performance using this low-cost hardware, investigations were made to attempt to achieve better performance by applying control theory algorithms in the system software. Ultimately, the controller was to be flexible enough to be applied to other areas of human-robot interaction including pediatric rehabilitation via the use of humanoid robotic aids. This application especially requires a robust controller to facilitate safe interaction. Though all of the prototypes were successfully developed and made to work sufficiently with the control hardware, the application of advanced control did not yield notable gains as was hoped. Further investigations were made attempting to alter the performance of the control system, but the components selected did not have the physical capabilities for improved response above the original software implemented. Despite this disappointment, numerous novel advances were made in the area of teleoperated ophthalmic technology and pediatric physical rehabilitation tools. This includes a system that is used to remote control a slit-lamp and lens for examinations and some laser procedures. Secondly, a series of of humanoid systems suitable for both medical research and therapeutic modeling were developed. This included a robotic face used as an interactive system for ophthalmic testing and training. It can also be used as one component in an interactive humanoid robotic system that includes hands and arms to allow use of teaching sign language, social skills or modeling occupational therapy tasks. Finally, a humanoid system is presented that can serve as a customized surrogate between a therapist and client to model physical therapy tasks in a realistic manner. These systems are all functional, safe and low-cost to allow for feasible implementation with patients in the near future.
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Armshaw, Brennan P. "Contingency Management of Physical Rehabilitation: The Role of Feedback." Thesis, University of North Texas, 2018. https://digital.library.unt.edu/ark:/67531/metadc1404528/.
Повний текст джерелаАнотація:
Modern advances in technology have allowed for an increase in the precision with which we are able to measure, record, and affect behavior. These developments suggest that the domains in which behavior analysis might contribute are considerably broader than previously appreciated, for instance the area of behavioral medicine. One way the field of behavior analysis can begin to address problems in behavioral medicine is with biosensor technology, like surface electromyography (sEMG). For sEMG technology to be useful in behavioral medicine, specifically recovery from total knee arthroplasty, a reference value (the maximum voluntary individual contraction-MVIC) must be established. The MVIC value allows for the comparison of data across days and may allow the programming of contingencies. However, current MVIC methods fall short. Study 1 compares MVIC values produced by a participant given the typical instruction only method with two alternative methods: instruction + feedback, and instruction + feedback in a game context. Across 10 participants both feedback conditions lead to higher MVIC values then the instruction only condition. Study 2 applies the MVIC techniques developed during Study 1 to an exercise procedure. Using an MVIC value as the criteria for feedback Study 2 compares the same three conditions, however this time assessing for the conditions under which exercise performance is optimal. Across all 9 participants the instruction + feedback in a game context lead to the participant ‘working harder' and 8 out of 9 participants exceeded the MVIC value more often during this condition then in the other two conditions.
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Sayyari, Sarah. "Access to oncology physical rehabilitation services in British Columbia." Thesis, University of British Columbia, 2017. http://hdl.handle.net/2429/64239.
Повний текст джерелаАнотація:
Background:
Cancer survivors report unique health complications associated with their treatment. Common symptoms include pain, compromised physical functioning, and lymphedema. Although these complications are highly responsive to physical therapy, many cancer survivors do not receive adequate physical therapy care. Furthermore, the delivery of physical therapy services for cancer survivors in British Columbia (BC) has not yet been investigated, warranting an inquiry specific to BC.
Purpose:
To develop an accurate description of the physical therapy services and programs currently accessible to oncology patients within BC’s public health care system.
Methods:
A standardized survey was used to investigate the provision of physical therapy to cancer survivors across BC. Public health care sites offering physical therapy services were identified through a comprehensive list of BC hospitals and out-patient health centres. Public practice health care professionals responsible for overseeing physical therapy at each site were requested to complete a survey regarding the physical therapy care provided to cancer survivors at their respective location.
Results:
Of the 98 sites contacted, surveys were collected for 92 for an overall response rate of 94%. Seventy-one (77%) of sites offered physical therapy to oncology patients, and two (2%) reported having an oncology-specific rehabilitation program, both of which were exclusive to breast cancer survivors and located in the lower mainland (Vancouver and Surrey). Thirty-one (44% of) participants agreed that the services currently being offered at their site were meeting the needs of their patients, 15 (21%) did not consider current services to be adequately meeting the needs of their oncology population, and 25 (35%) were unsure. The most common reasons for not meeting patient needs was lack of funding (83%), lack of professionals experienced in oncology rehabilitation (73%), and lack of resources (e.g., equipment) (70%).
Conclusion:
In BC, only two public health care sites deliver oncology-specific rehabilitation programs. The remaining sites offer services to oncology patients based on need. A minority of sites report meeting patient rehabilitation needs, with primary barriers being lack of funding, resources, and specialized health care professionals.Medicine, Faculty of
Graduate
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Abdulqadir, Ayiman Husayn Khalleefah. "Rehabilitation professionals' views on the experiences of patients with physical disabilities accessing community health centres." University of the Western Cape, 2018. http://hdl.handle.net/11394/6409.
Повний текст джерелаАнотація:
Masters of Science - Msc (Physiotherapy)Rehabilitation services have been described as being necessary to maximize patient independence in order to enable them to participate fully in their communities. The Aim of the study was based on the problem statement and the research question, this study aims at exploring rehabilitation professionals' views on the experiences of patients with physical disabilities accessing CHCs in the Western. The objectives of the study were to explore the views of rehabilitation professionals regarding experiences by patients accessing rehabilitation services at the Community Health Centres (CHCs) in the Western Cape and to reach health experts consensus on how rehabilitation services should be provided at the CHCs based on the outcomes of objective 1. Methodology: This study used an exploratory design that used qualitative methods for data collection (workshops and focus group discussions (FGDs) and a Delphi study. The study was conducted at purposively selected CHCs in the Western Cape. The population in this study included all rehabilitation professionals who provide rehabilitation services in the CHCs, who were invited to participate in the study. Data collection: In the qualitative and the Delphi study, data was collected through workshops, focus group discussions and emails respectively. Data analysis: The workshops and the FGDs were audio recorded and then transcribed verbatim for content analysis.
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Danzl, Megan M. "Developing the Rehabilitation Education for Caregivers and Patients (RECAP) Model: Application to Physical Therapy in Stroke Rehabilitation." UKnowledge, 2013. http://uknowledge.uky.edu/rehabsci_etds/12.
Повний текст джерелаАнотація:
Patient and caregiver education is recognized as a critical component of stroke rehabilitation and physical therapy practice yet the informational needs of stroke survivors and caregivers are largely unmet and optimal educational interventions need to be established. The objective of this dissertation was to develop a theory and model of “Rehabilitation Education for Caregivers and Patients” (RECAP) in the context of physical therapy and stroke rehabilitation, grounded in the experiences and perceptions of stroke survivors, their caregivers, and physical therapists.
Qualitative research methods with a novel grounded theory approach were used. Potential constructs of RECAP were identified from existing research. Next, semi-structured interviews were conducted with 13 stroke survivors and 12 caregivers from rural Appalachian Kentucky, a region with high incidence of stroke and lower levels of educational attainment. Lastly, 13 physical therapists, representing inpatient rehabilitation, outpatient, and home health, were recruited and participated in pre-interview reflection activities and interviews. Data analysis involved predetermined and emerging coding and a constant comparative method was employed. Verification strategies included self-reflective memos, analytic memos, peer debriefing, and triangulation.
The theory generated from this dissertation is: physical therapists continually assess the educational needs of stroke survivors and caregivers, to participate in dynamic educational interactions that involve the provision of comprehensive content, at a point in time, delivered through diverse teaching methods and skilled communication. This phenomenon is influenced by characteristics of the physical therapist and receiver (stroke survivor/caregiver) and occurs within the context of the physical therapist’s professional responsibility, the multidisciplinary team, a complex healthcare system, and the environmental/socio-cultural context. The RECAP theoretical model depicts the relationships between the core and encompassing constructs of the theory.
The RECAP theory and model presents a significant advancement in the study of patient and caregiver education in physical therapy in stroke rehabilitation. This research provides a springboard to inform future research, guide RECAP in stroke physical therapy practice, design optimal educational interventions, develop training tools for entry-level curriculum and practicing clinicians, and to potentially translate to the practice of patient and caregiver education for other rehabilitation professionals and patient populations.
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Hall, Courtney D., Dara Meldrum, Gary P. Jacobson, and Neil T. T. Shephard. "The Aging Vestibular System: Implications for Rehabilitation." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/476.
Повний текст джерелаАнотація:
Book Summary: Balance Function Assessment and Management, now in its second edition, continues to comprehensively address the assessment and treatment of balance system impairments through contributions from top experts in the areas of dizziness and vertigo. Designed for use in graduate audiology programs and by practicing audiologists, this is also a valuable text for those in the fields of physical therapy, otolaryngology, and neurology. Assessment chapters focus on ocular motility testing, positional/positioning testing, caloric testing, rotational testing, computerized dynamic posturography, and vestibular evoked potentials. Treatment chapters examine nonmedical, medical, and surgical treatments of dizziness and vertigo, vestibular rehabilitation, and assessment of and intervention for risk of falls. Additionally, this text provides background information on the vestibular and ocular motor systems with corresponding sample cases. New topics addressed in this edition include: Development of the vestibular system Central compensation following peripheral vestibular system impairment Video head impulse test (vHIT) Biomechanics and physiology of balance Electrocochleography (ECochG) Pediatric vestibular system and balance assessment Effects of age on the vestibular and balance systems
An added bonus to the second edition is the companion website that offers additional reference materials, such as video clips, associated with the text.
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Hall, Courtney D. "The Role of Emerging Technologies in Rehabilitation." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/583.
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Hall, Courtney D., Dara Meldrum, and Susan L. Whitney. "The Role of Emerging Technologies in Vestibular Rehabilitation." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/480.
Повний текст джерелаАнотація:
Book Summary: Recognized as two of the world's leading authorities on the subject, Susan Herdman and Richard Clendaniel, joined by a team of expert contributors, deliver the 4th Edition of the field's definitive text on the management of vestibular diseases and disorders. From assessment through therapy, they present the scientific and clinical knowledge you need to distinguish between vestibular and non-vestibular dizziness and to plan and implement the appropriate treatments.
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Lee, Shwe-yan, and 李瑞炎. "Physical medical rehabilitation in Hong Kong: a study of the government's policy." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1993. http://hub.hku.hk/bib/B31964576.
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Lahtinen, A. (Antti). "Rehabilitation after hip fracture:comparison of physical, geriatric and conventional treatment." Doctoral thesis, Oulun yliopisto, 2019. http://urn.fi/urn:isbn:9789526222158.
Повний текст джерелаАнотація:
Abstract Hip fracture causes substantial burden for individual and society, with increased mortality and loss of function. The purpose of this study was to (1) examine the effects of specialized (physical and geriatric) rehabilitation on home-dwelling hip fracture patients 50 years or older on recovery one year after the fracture, (2) to evaluate the costs and cost-effectiveness of specialized rehabilitation modalities, (3) to study the recovery after hip fracture between home-dwelling male and female patients and (4) to determine recommendations for hip fracture rehabilitation concerning the general rehabilitation practices in Finland. A total of 538 consecutively, independently living patients with non-pathological hip fracture treated in Oulu University hospital, were randomized to one of the three rehabilitation modalities: privately-based rehabilitation unit (physical rehabilitation), geriatric department (geriatric rehabilitation) and healthcare centre hospital (control group). Patients were evaluated on admission, at 4 and 12 months for social status, residential status, walking ability, use of walking aids, pain in the hip, activities of daily living and mortality. Costs were evaluated by recording the use of healthcare service and the prices were obtained from Diagnosis Related Group (DRG) price list for the hospital and from a publication of the National Research and Development Centre for Welfare and Health. Mortality was lower in the physical rehabilitation group 4 and 12 months after the fracture compared to geriatric and the control rehabilitation group. Physical and geriatric rehabilitation improved the ability of independent living after 4 months, but this effect could not be seen after 12 months. The rehabilitation costs were higher in the physical rehabilitation than in the control group, but the total healthcare-related costs one year after the fracture were lower in the physical rehabilitation group than in the control. Male and female patients recovered similarly after hip fracture. Age, poor functional status before the fracture and high ASA-score increased the mortality risk. This thesis suggests that intensive mobilization and rehabilitation is a recommended practice after the hip fracture, resulting in better functional recovery, survival and lower economic costs compared to routine treatment. Poor recovery was predicted not by sex, but by prefracture function and morbidityTiivistelmä Lonkkamurtuma on yksi merkittävimmistä toimintakyvyn laskua ja kuolleisuutta aiheuttavista vammoista. Tämän väitöskirjatutkimuksen tarkoituksena oli (1) tutkia tehostetun (fysikaalisen ja geriatrisen) kuntoutuksen vaikutusta itsenäisesti asuvien, vähintään 50-vuotiaiden lonkkamurtumapotilaiden kuntoutumiseen murtumaa seuraavan vuoden aikana, (2) arvioida lonkkamurtuman hoidon kustannuksia ja kustannusvaikuttavuutta tehostetussa kuntoutusyksikössä, (3) tutkia lonkkamurtuman kuntoutumisen eroja mies- ja naispotilaiden välillä sekä (4) tarkentaa lonkkamurtuman hoitoketjun yleisiä suosituksia Suomessa. Tutkimuksessa seurattiin 538 lonkkamurtumapotilasta, jotka hoidettiin kirurgisesti Oulun yliopistollisessa sairaalassa. Valintakriteereihin kuului vähintään 50 vuoden ikä sekä kyky itsenäiseen asumiseen joko omassa kodissa tai kodinomaisessa ympäristössä ennen murtumaa. Lonkkaleikkauksen jälkeen potilaat satunnaistettiin yhteen kolmesta kuntoutusryhmästä: fysikaaliseen kuntoutusryhmään (Oulun Diakonissalaitos), geriatriseen kuntoutusryhmään (Oulun kaupunginsairaalan kuntoutusosasto) sekä kontrolliryhmään (terveyskeskussairaalassa tapahtuva kuntoutus). Seuranta-aika oli yksi vuosi. Potilaat haastateltiin ennen kuntoutusta, sekä neljän ja 12 kuukauden kuluttua murtumasta, joiden yhteydessä aineisto kerättiin koskien yleistä terveydentilaa, toiminta- ja kävelykykyä, asumismuotoa ja kuolleisuutta. Kustannukset arvioitiin terveyspalveluiden käytöstä ja näiden hintoina käytettiin sairaalan yksikköhintoja (DRG) ja sosiaali- ja terveysalan tutkimus- ja kehittämiskeskuksen (STAKES) yksikköhintoja. Fysikaalinen kuntoutus vähensi merkittävästi potilaiden kuolleisuutta neljän ja 12 kuukauden seurannoissa verrattuna geriatriseen kuntoutukseen sekä kontrolliryhmään. Lisäksi fysikaalinen ja geriatrinen kuntoutus lisäsivät lyhytaikaisesti potilaiden kykyä itsenäiseen asumiseen verrattuna kontrolliryhmään. Taloudellisten vaikutusten osalta fysikaalinen kuntoutusjakso oli huomattavasti tavanomaista kuntoutusta kalliimpi, mutta fysikaalisen kuntoutusryhmän kokonaiskustannukset vuoden aikana olivat pienemmät kuin kontrolliryhmän potilailla. Sukupuolella ei ollut vaikutusta potilaiden toimintakykyyn, laitostumiseen tai kuolleisuusriskiin murtuman jälkeen. Merkittäviksi kuolleisuutta ennustaviksi tekijöiksi osoittautuivat ikä, toimintakyky ennen murtumaa sekä leikkauskelpoisuusluokitus. Tulokset puoltavat tehostetun, erikoistuneessa kuntoutusyksikössä suoritetun hoidon käyttöä lonkkamurtumapotilailla sekä terveydellisten että taloudellisten syiden osalta
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Lee, Shwe-yan. "Physical medical rehabilitation in Hong Kong a study of the government's policy /." Click to view the E-thesis via HKUTO, 1993. http://sunzi.lib.hku.hk/hkuto/record/B31964576.
Повний текст джерела
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McGarty, Arlene Marie. "Understanding and validating accelerometry as a measure of physical activity in children with intellectual disabilities." Thesis, University of Glasgow, 2015. http://theses.gla.ac.uk/7340/.
Повний текст джерелаАнотація:
Background Physical activity in children with intellectual disabilities is a neglected area of study, which is most apparent in relation to physical activity measurement research. Although objective measures, specifically accelerometers, are widely used in research involving children with intellectual disabilities, existing research is based on measurement methods and data interpretation techniques generalised from typically developing children. However, due to physiological and biomechanical differences between these populations, questions have been raised in the existing literature on the validity of generalising data interpretation techniques from typically developing children to children with intellectual disabilities. Therefore, there is a need to conduct population-specific measurement research for children with intellectual disabilities and develop valid methods to interpret accelerometer data, which will increase our understanding of physical activity in this population. Methods Study 1: A systematic review was initially conducted to increase the knowledge base on how accelerometers were used within existing physical activity research involving children with intellectual disabilities and to identify important areas for future research. A systematic search strategy was used to identify relevant articles which used accelerometry-based monitors to quantify activity levels in ambulatory children with intellectual disabilities. Based on best practice guidelines, a novel form was developed to extract data based on 17 research components of accelerometer use. Accelerometer use in relation to best practice guidelines was calculated using percentage scores on a study-by-study and component-by-component basis. Study 2: To investigate the effect of data interpretation methods on the estimation of physical activity intensity in children with intellectual disabilities, a secondary data analysis was conducted. Nine existing sets of child-specific ActiGraph intensity cut points were applied to accelerometer data collected from 10 children with intellectual disabilities during an activity session. Four one-way repeated measures ANOVAs were used to examine differences in estimated time spent in sedentary, moderate, vigorous, and moderate to vigorous intensity activity. Post-hoc pairwise comparisons with Bonferroni adjustments were additionally used to identify where significant differences occurred. Study 3: The feasibility on a laboratory-based calibration protocol developed for typically developing children was investigated in children with intellectual disabilities. Specifically, the feasibility of activities, measurements, and recruitment was investigated. Five children with intellectual disabilities and five typically developing children participated in 14 treadmill-based and free-living activities. In addition, resting energy expenditure was measured and a treadmill-based graded exercise test was used to assess cardiorespiratory fitness. Breath-by-breath respiratory gas exchange and accelerometry were continually measured during all activities. Feasibility was assessed using observations, activity completion rates, and respiratory data. Study 4: Thirty-six children with intellectual disabilities participated in a semi-structured school-based physical activity session to calibrate accelerometry for the estimation of physical activity intensity. Participants wore a hip-mounted ActiGraph wGT3X+ accelerometer, with direct observation (SOFIT) used as the criterion measure. Receiver operating characteristic curve analyses were conducted to determine the optimal accelerometer cut points for sedentary, moderate, and vigorous intensity physical activity. Study 5: To cross-validate the calibrated cut points and compare classification accuracy with existing cut points developed in typically developing children, a sub-sample of 14 children with intellectual disabilities who participated in the school-based sessions, as described in Study 4, were included in this study. To examine the validity, classification agreement was investigated between the criterion measure of SOFIT and each set of cut points using sensitivity, specificity, total agreement, and Cohen’s kappa scores. Results Study 1: Ten full text articles were included in this review. The percentage of review criteria met ranged from 12%−47%. Various methods of accelerometer use were reported, with most use decisions not based on population-specific research. A lack of measurement research, specifically the calibration/validation of accelerometers for children with intellectual disabilities, is limiting the ability of researchers to make appropriate and valid accelerometer use decisions. Study 2: The choice of cut points had significant and clinically meaningful effects on the estimation of physical activity intensity and sedentary behaviour. For the 71-minute session, estimations for time spent in each intensity between cut points ranged from: sedentary = 9.50 (± 4.97) to 31.90 (± 6.77) minutes; moderate = 8.10 (± 4.07) to 40.40 (± 5.74) minutes; vigorous = 0.00 (± .00) to 17.40 (± 6.54) minutes; and moderate to vigorous = 8.80 (± 4.64) to 46.50 (± 6.02) minutes. Study 3: All typically developing participants and one participant with intellectual disabilities completed the protocol. No participant met the maximal criteria for the graded exercise test or attained a steady state during the resting measurements. Limitations were identified with the usability of respiratory gas exchange equipment and the validity of measurements. The school-based recruitment strategy was not effective, with a participation rate of 6%. Therefore, a laboratory-based calibration protocol was not feasible for children with intellectual disabilities. Study 4: The optimal vertical axis cut points (cpm) were ≤ 507 (sedentary), 1008−2300 (moderate), and ≥ 2301 (vigorous). Sensitivity scores ranged from 81−88%, specificity 81−85%, and AUC .87−.94. The optimal vector magnitude cut points (cpm) were ≤ 1863 (sedentary), ≥ 2610 (moderate) and ≥ 4215 (vigorous). Sensitivity scores ranged from 80−86%, specificity 77−82%, and AUC .86−.92. Therefore, the vertical axis cut points provide a higher level of accuracy in comparison to the vector magnitude cut points. Study 5: Substantial to excellent classification agreement was found for the calibrated cut points. The calibrated sedentary cut point (ĸ =.66) provided comparable classification agreement with existing cut points (ĸ =.55−.67). However, the existing moderate and vigorous cut points demonstrated low sensitivity (0.33−33.33% and 1.33−53.00%, respectively) and disproportionately high specificity (75.44−.98.12% and 94.61−100.00%, respectively), indicating that cut points developed in typically developing children are too high to accurately classify physical activity intensity in children with intellectual disabilities. Conclusions The studies reported in this thesis are the first to calibrate and validate accelerometry for the estimation of physical activity intensity in children with intellectual disabilities. In comparison with typically developing children, children with intellectual disabilities require lower cut points for the classification of moderate and vigorous intensity activity. Therefore, generalising existing cut points to children with intellectual disabilities will underestimate physical activity and introduce systematic measurement error, which could be a contributing factor to the low levels of physical activity reported for children with intellectual disabilities in previous research.
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Bellner, Anna-Lena. "Professionalization and rehabilitation : the case of Swedish occupational and physical therapists /." Linköping : Tema, Univ, 1997. http://www.bibl.liu.se/liupubl/disp/disp97/arts166s.htm.
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Barry, Vaughn W. "A physical activity assessment of pulmonary patients participating in pulmonary rehabilitation." Virtual Press, 2007. http://liblink.bsu.edu/uhtbin/catkey/1380094.
Повний текст джерелаАнотація:
Pulmonary patients attending outpatient rehabilitation experience an enhanced ability for physical activity. The current study assessed and characterized domestic physical activity levels of new and maintenance patients to 1) compare physical activity levels of pulmonary patients on rehabilitation and non-rehabilitation days, 2) to identify factors that may contribute to low physical activity levels and 3) to compare step count levels between 2 activity monitors.Eighteen patients (age, 66.2 ± 8.8 y; FEV1, 52.1 ± 11.8%) participating in pulmonary rehabilitation wore an accelerometer and pedometer for 7 consecutive days. Patients new to pulmonary rehabilitation and maintenance patients participated in the study. Upon returning the monitors, patients returned a log sheet with the times monitors were put on and taken off each morning and night.The participants who completed the one week assessment had an average step count of 3,800 ± 1,651 steps/day, with a significant difference (p < .05) between rehabilitation days (5,468 ± 2,810 steps/day) and non-rehabilitation days (2,874 ± 1,490 steps/day). The number of minutes/day spent in moderate walking activities was also significant (p < .05) between rehabilitation (10.9 ± 16.0 minutes/day) and non-rehabilitation days (3.1 ± 5.8 minutes/day). Male waist circumference and occupational status were significantly correlated with low physical activity levels. The pedometer and accelerometer step count values were not significantly different from each other.Patients participating in pulmonary rehabilitation have significantly different activity levels between rehabilitation and non-rehabilitation days. To increase activity benefits, patients with COPD should increase activity levels on rehabilitation and non-rehabilitation days. Special consideration should be taken to help patients increase physical activity levels on non-rehabilitation days.(key words: chronic obstructive pulmonary disease, pedometer, accelerometer, pulmonary rehabilitation.School of Physical Education, Sport, and Exercise Science
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Al, Hajri Ahlam Saleh A. "Impact of physical activity and dietary programme on metabolic syndrome risk factors in Saudi women." Thesis, University of Nottingham, 2018. http://eprints.nottingham.ac.uk/51477/.
Повний текст джерелаАнотація:
This thesis explores the impact of lifestyle factors on the development of metabolic syndrome (MS) in Saudi Arabian women. A survey of a snowball sample was used to recruit 258 female and explored factors influencing physical activity (PA) and food intake and their effects on BMI in women living in the KSA and the UK. Participants completed a self-reporting questionnaire relating to knowledge, attitudes, barriers and levels of PA, sedentary activity and eating habits. Excessive energy intake, physical inactivity and sedentary lifestyle were all prevalent in Saudi women, resulting in 80%, over the age of 35y, being overweight or obese. BMI was associated with both energy intake and PA, though the relationship with the former was stronger. The most common barriers to regular exercise were transportation and lack of time. Findings were generally similar between women living in Saudi Arabia and the UK. The efficacy of reducing energy intake, with or without increased PA, on risk factors associated with MS in overweight Saudi women was investigated in a pilot study. After a four-week program, incorporating dietary modification alone (D) or in combination with regular vigorous aerobic exercise (D+E), improvements were seen in body composition and a range of metabolic risk factors. Both groups lost weight, but, paradoxically, those in D lost significantly more than those in D+E (5.3 vs. 3.3%, p=0.016). Moreover, significant reductions were also found in blood pressure, plasma triacylglycerol, insulin, total and LDL cholesterol, with no significant differences between the two groups. Plasma glucose and HDL cholesterol remained unaltered. Overall, these changes led to a decline in the prevalence of MS from 20% to 5% and 21% to 7% for the D and D+E groups, respectively. Thus, reducing energy intake appears, at least in the short term, more important than increasing PA in reducing body weight and associated metabolic risk factors. These studies confirm that excessive dietary intake and physical inactivity both contribute to overweight and obesity in Saudi Arabian women. With appropriate support, it is possible to both reduce energy intake and increase PA, although, in the short -term, the former appears to be most important. It remains to be established whether longer-term improvements in PA would further improve metabolic health.
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Elramli, Amal. "Effectiveness of community based physical activity on step count and sedentary behaviour in people with rheumatoid arthritis within the first five years of diagnosis." Thesis, University of Glasgow, 2017. http://theses.gla.ac.uk/8491/.
Повний текст джерелаАнотація:
Background: Rheumatoid Arthritis (RA) is associated with increased risk of cardiovascular disease (CVD). Physical inactivity is a modifiable risk factors of CVD and frequently associated with impaired functional status and health related quality of life. Objectives: This single blind randomised controlled trial investigated the impact of a pedometer-supported walking and education programme (Walk for RA-WARA) on PA, sedentary time, PA self-efficacy, disease activity, functional capacity, quality of life and cardiovascular (CV) risk in people with RA. Methods: Seventy-six individuals, aged 56 (±15) years and within 5 years from RA diagnosis were randomly assigned to either the WARA intervention group (six weekly group education sessions and two booster sessions at 3 and 6 months) or the control group (single session). Demographic data were recorded and Body Mass Index (BMI), Waist-Hip ratio (WHR), Waist-Height ratio (WHtR), and blood pressure were measured. The primary outcomes were objectively measured PA profiles, daily step counts and time spent sedentary, using an activPALTM and self-reported using international physical activity questionnaire (IPAQ). Functional status was assessed with six-minute walk test (6MWT), health assessment questionnaire (HAQ), and hand grip strength. Rheumatoid arthritis quality of life (RAQoL) and PA Self-efficacy were evaluated. Blood samples were taken and the 10-year risk of CVD scores were calculated, using the Scottish Intercollegiate Guidelines Network (ASSIGN). Data were analysed descriptively and mixed generalised linear models (GLM) were used incorporating restricted maximum likelihood (REML) and post-hoc analyses. Interviews were undertaken with 10 people from the intervention and data were analysed thematically using the framework approach and NVivo 11 software. Results: The intervention group showed a significantly greater increase than the control group in steps/day at 3 months (by 3413 (1835-4990) steps/day, mean (95%CI)) (P < 0.001), and 6 months (3599 (2135-5062) steps/day) (P < 0.001) and a significant reduction in IPAQ weekday (P=0.014) and weekend sitting time (P=0.046). There were significant improvements in 6MWT (P < 0.001), PA self-efficacy (P=0.008), systolic blood pressure (P=0.002) and ASSIGN scores (P < 0.001) in the intervention group. Participants found education sessions, booster sessions, hand-outs, pedometer, PA diaries were important factors in increasing their step counts. In addition, they stated that WARA programme was enjoyable and helpful in terms of raising their knowledge regarding their condition. They also reported they felt much healthier and their mood had improved. Conclusions: The 6-month WARA intervention was effective in promoting PA, PA self-efficacy, physical function, and reducing the 10-year risk of CVD. The WARA programme may be a useful adjunct to current clinical practice in rheumatology.
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Hall, Courtney D. "Management of Dizzy Patient." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/559.
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Wiley, Steve. "Lived experiences of physical therapists in inpatient rehabilitation facilities : an interpretive phenomenological analysis." NSUWorks, 2013. http://nsuworks.nova.edu/hpd_pt_stuetd/28.
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Culpepper, W. Leigh. "Factors influencing injured athletes' adherence to rehabilitation." Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/834133.
Повний текст джерелаАнотація:
The purpose of this study was to examine the influence of self-motivation and several non-psychological variables on injured athletes' adherence to rehabilitation. Twenty-five (17 male, 8 female) injured intercollegiate athletes from several sports (football, gymnastics, diving, swimming, volleyball, cross country/track, baseball, and tennis) participated. After injured athletes reported to the training room for treatment, they were informed of the study by the head athletic trainers. Athletes agreeing to participate were required to complete an injury information form and the Self-Motivation Inventory. The head athletic trainers recorded injury information, attendance to rehabilitation, and made judgments regarding each athletes' adherence to rehabilitation.Adherence was measured four different ways (i.e., attendance rates, trainer judgments, trainer rankings, and a combination of the previous three to create an overall adherence measure). The results of this study are inconclusive, due to the fact that the different adherence measures did not agree for each independent measure. The results, however, suggest that self-motivation and certain non-psychological variables (i.e., academic class, scholarship status, and injury severity) may serve as predictors of injured athletes' adherence to rehabilitation.Department of Counseling Psychology and Guidance Services
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Jung, Helen. "Physical performance and health-related quality of life post-stroke." Thesis, McGill University, 2002. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=33788.
Повний текст джерелаАнотація:
Reduced levels of health-related quality of life (HRQL) post-stroke are an important issue to address in rehabilitation. Despite improvement in function over time, HRQL remains poor for many stroke survivors. This longitudinal study is aimed at estimating the extent to which physical performance, social, and psychological functioning influence HRQL.Forty-three community-living persons with stroke were recruited to participate in a six-week intervention preceded and followed by a performance- and interview-based evaluation assessing different levels of disability and functioning. HRQL was measured by the VAS of the EQ-5D.
Regression models generated cross-sectionally demonstrated that physical performance, social, and psychological functioning explained up to 90% of the variation in HRQL. A GEE model revealed that, over time, only upper extremity functioning had a significant relationship with HRQL.
Much attention has already been focused on increasing physical performance in rehabilitation. However, clinicians should consider other components that affect HRQL directly or indirectly through physical performance. Only by treating the different components of functioning at various levels can HRQL be ultimately increased.
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Kolbjørnsen, Morten. "A Comparison of Motion-Sensing Game Technologies for use in Physical Rehabilitation." Thesis, Norges teknisk-naturvitenskapelige universitet, Institutt for datateknikk og informasjonsvitenskap, 2012. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-18419.
Повний текст джерелаАнотація:
In this thesis we evaluate the use of Wii, Kinect and Move for use in physical rehabilitation. The goal of this thesis is to evaluate the feasibility of these low-cost commercially available motion-sensing devices for rehabilitation and to explore what strengths, weaknesses and challenges exist in that use. This is guided by two perspectives, the technical feasibility and the feasibility as viewed by physical therapists, on this basis we construct some high level guidelines for the implementation of games for physical rehabilitation.This thesis uses the interpretive approach and qualitative methods, this is instantiated with the use of Research Through Design. Some qualitative methods applied were a focus group, interviews, questionnaire and prototyping. The prototype artifacts are used to provide concrete embodiments of theory and technical opportunities, these artifacts also serve as a conduit for transfer of the research. The prototypes are used to evaluate the technical feasibility of the Wii, Kinect and Move based upon specified requirements in physical rehabilitation. The author presents a set of high level quality attributes for evaluating the capabilities of the various sensors and libraries in the context of two games developed for physical rehabilitation. The Wii, Kinect and Move all have different strengths and weaknesses for the usage scenarios specified.Next, the prototypes are used as starting point for evaluation by the expert panel in a focus group, the focus group consisted of three physiotherapists. The physiotherapists found the motion-sensing technology very promising but could not determine on a general basis which device is the most suitable since each patient have very different individual requirements to his therapy depending on the level of injury. The experts also stated some of the most promising areas of this augmented rehabilitation was the motivational, social and tactile facets. The experts found some of the typical commercial games to be too focused on the fun aspect, lacking in concise direction of exercises, and, lacks the needed adjust-ability to the difficulty.Based upon the technical evaluation and the expert panels feedback, the author suggest a list of guidelines for aiding construction of serious games for rehabilitation.
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Smeets, Robert Johannes Elise Marie. "Active rehabilitation for chronic low back pain: cognitive-behavioral, physical, or both?" [Maastricht : Maastricht : Universiteit Maastricht] ; University Library, Universiteit Maastricht [host], 2006. http://arno.unimaas.nl/show.cgi?fid=5954.
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Turner, Sally. "Relationship of physical fitness, depression and mortality in a cardiac rehabilitation cohort." Thesis, University of Warwick, 2007. http://wrap.warwick.ac.uk/40001/.
Повний текст джерелаАнотація:
The study aimed to establish whether levels of fitness and depression, or changes in those levels, in coronary heart disease patients are associated with survival time. The cohort consisted of 2,714 coronary patients who were followed up for 13 [median 6.4] years after enrolment into a cardiac rehabilitation [CR] programme. All participants underwent fitness testing and psychological assessment at the start of Phase III CR. These tests were repeated approximately 12 weeks later. Fitness levels were categorised into low, medium and high. Depression scores were divided into none, borderline and clinical depression. Primary endpoints were all-cause mortality and cardiovascular mortality. At the end of the study period 16.6% of the cohort had died. The improvement in fitness over the 3 months of physical training was 16.8%. Fitness category improved in 33% of the cohort and deteriorated in less than 1%. Baseline fitness was predictive of all-cause and cardiovascular mortality with adjusted hazard ratios [HR] for low fitness of 2.83 [2.02,3.96] (p<0.001) and 5.40 [3.36,8.69] (p<0.001) respectively. Low fitness at the end of CR was predictive of mortality, HRs 4.23 [2.64,6.79] (p<0.001) and 6.37 [3.37,12.0] respectively (p<0.001). An increase in fitness amongst the least fit at baseline was associated with an 11 % reduction in the risk of cardiovascular mortality [0.80,0.98] for each unit increase in fitness of 1 ml/kg/min. Baseline clinical depression was 4.6%. This had reduced to 1.1% by the exit assessment. Fitness levels were related to depressions scores; the least fit participants were more likely to be depressed. The study showed an association between baseline clinical depression and all-cause and cardiovascular mortality, before adjusting for fitness, HRs 1.60 and 1.79. Initial fitness and baseline depression are associated with prognosis in coronary patients who have attended CR. These findings may help target patients at risk in order to maximise treatments.
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Jones, Nicole L. "Comparison of physical activity assessment methods among Phase III cardiac rehabilitation participants." Virtual Press, 2006. http://liblink.bsu.edu/uhtbin/catkey/1339152.
Повний текст джерелаАнотація:
Physical inactivity is a significant health concern for individuals in the United States, and is especially an issue for those with a history of coronary artery disease. Increased physical activity is encouraged for those who are participants in Phase III cardiac rehabilitation to promote a healthy lifestyle after a cardiac event. The purpose of the study was to assess and characterize the physical activity levels of Phase III cardiac patients. Other objectives of this study were to compare various forms of physical activity assessment and compare the activity levels of the cardiac rehabilitation participants with other populations. Comparisons of three physical activity devices were analyzed as well as activity levels on rehab and non-rehab days. Those who participated in home exercise vs. those who did not do home exercise were compared as well as those who were retired vs. those who were employed. Subject inclusion criteria included Phase III cardiac patients who were 40-69 years of age and who attended rehab a minimum of two days per week. The subjects were required to wear a pedometer and accelerometer for at least 12 days and complete a questionnaire following the trial. The mean ± S. D. for age, height, weight and BMI of the subjects was 59.4±8.2 years, 69.1±3.1 inches, 200.9±41.8 lbs., and 29.4±4.8 kg/m2 respectively. The Lifecorder, ActiGraph and International Physical Activity Questionnaire (IPAQ) were used to measure physical activity levels of the Phase III cardiac patients. The IPAQ did not correlate well with the Lifecorder or ActiGraph in assessing physical activity in Phase III cardiac patients (R=0.251, P=0.226-ActiGraph and R=0.280, P=0.175-Lifecorder), however, the Lifecorder and the ActiGraph had a significant correlation coefficient with one another (R=0.83, P<0.001). Rehab vs. non-rehab day data as well as rehab session and non-rehab session physical activity levels were compared among the subjects. On a rehab day, subjects took 9,770±3132 steps/day, which was significantly higher than what they took on a non-rehab day, 5,404±2843 steps/day. Those who did not exercise at home accumulated on average 8,194±2912 steps/day on a rehab day, while on a non-rehab day they accumulated 3,475±1579 steps/day (P<0.001). Those who did exercise at home, took 10,883±2856 steps/day on a rehab day, while on a non rehab day they took 6,767±2768 steps/day (P<0.001). Those who were employed were more active than those who were retired. In conclusion, Phase III cardiac rehabilitation is an effective way to increase physical activity levels of those with a history of coronary artery disease. All participants in Phase III cardiac rehabilitation should be encouraged to come into the center-based facility at least 4-5 days per week or implement a home exercise program into their weekly regimen.School of Physical Education, Sport, and Exercise Science
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Olugbade, Temitayo A. "Automatic monitoring of physical activity related affective states for chronic pain rehabilitation." Thesis, University College London (University of London), 2018. http://discovery.ucl.ac.uk/10045652/.
Повний текст джерелаАнотація:
Chronic pain is a prevalent disorder that affects engagement in valued activities. This is a consequence of cognitive and affective barriers, particularly low self-efficacy and emotional distress (i.e. fear/anxiety and depressed mood), to physical functioning. Although clinicians intervene to reduce these barriers, their support is limited to clinical settings and its effects do not easily transfer to everyday functioning which is key to self-management for the person with pain. Analysis carried out in parallel with this thesis points to untapped opportunities for technology to support pain self-management or improved function in everyday activity settings. With this long-term goal for technology in mind, this thesis investigates the possibility of building systems that can automatically detect relevant psychological states from movement behaviour, making three main contributions. First, extension of the annotation of an existing dataset of participants with and without chronic pain performing physical exercises is used to develop a new model of chronic disabling pain where anxiety acts as mediator between pain and self-efficacy, emotional distress, and movement behaviour. Unlike previous models, which are largely theoretical and draw from broad measures of these variables, the proposed model uses event-specific data that better characterise the influence of pain and related states on engagement in physical activities. The model further shows that the relationship between these states and guarding during movement (the behaviour specified in the pain behaviour literature) is complex and behaviour descriptions of a lower level of granularity are needed for automatic classification of the states. The model also suggests that some of the states may be expressed via other movement behaviour types. Second, addressing this using the aforementioned dataset with the additional labels, and through an in-depth analysis of movement, this thesis provides an extended taxonomy of bodily cues for the automatic classification of pain, self-efficacy and emotional distress. In particular, the thesis provides understanding of novel cues of these states and deeper understanding of known cues of pain and emotional distress. Using machine learning algorithms, average F1 scores (mean across movement types) of 0.90, 0.87, and 0.86 were obtained for automatic detection of three levels of pain and self-efficacy and of two levels of emotional distress respectively, based on the bodily cues described and thus supporting the discriminative value of the proposed taxonomy. Third, based on this, the thesis acquired a new dataset of both functional and exercise movements of people with chronic pain based on low-cost wearable sensors designed for this thesis and informed by the previous studies. The modelling results of average F1 score of 0.78 for two-level detection of both pain and self-efficacy point to the possibility of automatic monitoring of these states in everyday functioning. With these contributions, the thesis provides understanding and tools necessary to advance the area of pain-related affective computing and groundbreaking insight that is critical to the understanding of chronic pain. Finally, the contributions lay the groundwork for physical rehabilitation technology to facilitate everyday functioning of people with chronic pain.
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Hassanien, Shehabeldin. "A Framework for Physical Rehabilitation Using Natural User Interface with Electromyography Biofeedback." University of Akron / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=akron1354205753.
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Halahdina, A. A. "Physical rehabilitation in a treatment of inflammatory processes of the maxillofacial area." Thesis, БДМУ, 2021. http://dspace.bsmu.edu.ua:8080/xmlui/handle/123456789/19120.
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Сірик, Антоніна Євгенівна, Антонина Евгеньевна Серик, Antonina Yevhenivna Siryk, Оксана Робертівна Гладченко, Оксана Робертовна Гладченко, and Oksana Robertivna Hladchenko. "The modelling of health activities during students' training in physical rehabilitation groups." Thesis, Sumy State University, 2015. http://essuir.sumdu.edu.ua/handle/123456789/48625.
Повний текст джерелаАнотація:
In terms of social, economic and political instability students’ health requires detailed attention and studying. The analysis of the recent research and publications shows that about 61 % of young people aged 16–19 years has the average or low level of physical health, and for students aged 20–29 years this figure is 67,2 %.
The organization of the physical education teaching process at high school shows that the process of teaching students with disabilities in health requires both scientific, methodological and legal regulations. Obviously, according to the severity of the problem scientific and methodical study should be continued and the model of health education sessions in groups of physical rehabilitation should be improved.
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Pike, Victoria. "Factors associated with quality of life in long-term rehabilitation." Thesis, Bangor University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.367359.
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Auais, Mohammad. "Hip fracture rehabilitation: where are we now and where are we going?" Thesis, McGill University, 2013. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=114481.
Повний текст джерелаАнотація:
Hip fracture is a major public health problem in many developed nations. An estimated 30,000 hip fractures occur each year in Canada. To initiate adequate preventive measures, a thorough understanding of hip fracture patients' characteristics and the healthcare services they receive over the continuum of care is warranted. The global objective of this thesis is to contribute to our knowledge base concerning current and future needs, gaps, and solutions to provide optimal care for people with hip fractures.The first part describes the recovery process of patients with hip fractures and its definition. A post acute cohort was followed up to a one year after fracture and the patients' course of recovery was characterized using two methods to define recovery. This study demonstrated that the degree and time course of functional recovery after hip fracture varied on the basis of definition and the pre-fracture functional status. Despite the initial improvement, the functional status of the patients declined following cessation of rehabilitation services.Studying hip fracture patients' care and recovery at a single site over a limited time led to investigating the characteristics of the broader hip fracture population in the province of Quebec. What do we know about hip fracture trends, changes in health profile, and what might this information mean for the future? This guided the author to use an administrative database (Med-Echo) to answer these questions. The results confirmed the hypothesis that the hip fracture population is becoming frailer, which will increase the resources needed, and that the population's health profile differed on the basis of age and sex.The inside-hospital mortality rate and the proportion of patients who are discharged to rehabilitation after fracture are declining over time; consequently, increases the demand on community services. Finding the gaps and describing the needs is the first step to improve the quality of care, but this is not adequate. Therefore, the last part proposes potential solutions. A systematic review aimed at finding solutions to the previously identified gaps, specifically, the fact that hip fracture patients' functional status deteriorates following cessation of rehabilitation and that the need for community rehabilitation services will increase. Therefore, the reported effect in the literature of an extended exercise rehabilitation program was reviewed and quantified. This meta-analysis is the first to show that a clinically significant functional improvement can be gained later than is usually believed with elderly hip fracture patients. Such an improvement suggests that there is no 'plateau' for recovery. Finally, the methodology to evaluate and create a comprehensive program to serve hip fracture patients over the continuum of care is discussed and a simulated multidisciplinary program is proposed as a model.La fracture de la hanche est un problème de santé publique majeur dans de nombreux pays développés. Environ 30 000 fractures de la hanche surviennent chaque année au Canada. Afin d'initier des mesures préventives adéquates, il est nécessaire d'avoir une compréhension approfondie des caractéristiques des cas de fracture de la hanche et des services que les patients reçoivent dans le continuum des soins. L'objectif global de cette thèse est de contribuer à la base de connaissances des besoins actuels et futurs, des lacunes, et des solutions permettant d'offrir des soins optimaux aux personnes ayant souffert de fracture de la hanche. La première partie définit et décrit le processus de rétablissement des patients ayant subit une fracture de la hanche. Une cohorte post soins aiguës a été suivie pendant un an suivant la fracture et le processus de guérison du patient a été étudié en utilisant deux différentes façons de définir le rétablissement. Cette étude a démontré que le degré et le temps de récupération fonctionnelle après fracture de la hanche varient sur la base de la définition du rétablissement choisie et de l'état fonctionnel avant la fracture. Malgré l'amélioration initiale, l'état fonctionnel des patients a diminué suivant l'arrêt des soins de réadaptation. L'étude des soins et du rétablissement des patients ayant une fracture de la hanche dans un seul site pendant un temps limité a mené à examen des caractéristiques de la population souffrant d'une fracture de la hanche dans la province de Québec. Que savons-nous sur les tendances des fractures de la hanche, sur les changements dans le profil de la santé, et qu'est-ce que cette information pourrait signifier pour l'avenir? Ceci a conduit l'auteur à utiliser une base de données administrative (Med-Echo) pour répondre à ces questions. Les résultats ont confirmé l'hypothèse selon laquelle la population de patients ayant une fracture de la hanche devient de plus en plus fragile, ce qui nécessitera une augmentation des ressources. De plus, le profil de santé de cette population comparée à celle la population générale diffère sur les critères de l'âge et du sexe.Le taux de mortalité pendant l'hospitalisation suivant une fracture de hanche est en déclin ainsi que la proportion des patients envoyés en réadaptation à leur congé. Cela a comme conséquence d'augmenter de la demande de services en communauté. Rechercher les lacunes et décrire les besoins constituent une première étape vers l'amélioration de la qualité des soins, mais elle demeure insuffisante. Le but de la dernière partie est de proposer des solutions potentielles. Un examen systématique de la littérature a été mené dans le but de trouver des solutions aux lacunes identifiées précédemment, en particulier, le fait que l'état fonctionnel des patients ayant subit une fracture de la hanche se détériore après l'arrêt de la réadaptation et la nécessité d'augmenter les services de réadaptation communautaires. L'effet rapporté dans la littérature d'un programme d'exercices de réadaptation prolongée a été examiné et quantifié. Cette méta-analyse est la première à démontrer qu'une amélioration cliniquement significative du fonctionnement peut être acquise plus tard qu'on ne le croyait chez les personnes âgées ayant souffert d'une fracture de la hanche. Une telle amélioration suggère qu'il n'y a pas de «plateau» pour la récupération. Enfin, la méthodologie pour évaluer et créer un programme complet visant à servir les patients suivant une fracture de la hanche au cours du continuum des soins est discutée et un programme de simulation multidisciplinaire est proposé en tant que modèle.
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Shaab, Kathryn R. "Predicting success| A study of admission processes and passing the national physical therapy examination for physical therapist assistants." Thesis, Capella University, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3590559.
Повний текст джерелаАнотація:
In order to practice physical therapy, physical therapist assistants (PTAs) must graduate from an accredited academic program and pass the National Physical Therapy Examination for Physical Therapist Assistants (PTA-NPTE). The primary objective of academic programs is to prepare students to successfully complete these two milestones to become competent, entry-level practitioners. The ability of an academic program to achieve this goal begins with the admission of students most likely to complete the academic training and pass the PTA-NPTE. Although previous research has examined the relationships between certain programmatic and PTA student characteristics and the PTA-NPTE, research had yet to explore the relationships between admission processes and criteria and student achievement. The purpose of this study was to examine the existence of a relationship between the admission processes and criteria used by PTA programs and student achievement. An online survey was used to gather data from a convenience sample of 85 PTA program directors across the United States. Data collected included the process and criteria used to admit students into the technical phase of training from 2008 through 2010 and the corresponding student achievement outcomes. Statistically significant differences were identified between selective admission and open enrollment programs for both completion rates and PTA-NPTE pass rates. With regard to completion rates, statistically significant differences were identified between schools that considered completion of prior college credit and experience in the field of physical therapy during the admission process and those programs that did not. No statistically significant differences were revealed in PTA-NPTE pass rates based on the admission criteria examined. The study concluded that PTA programs that use a selective admission process would have higher completion and PTA-NPTE pass rates than those that use an open enrollment process. Within the selective admission process, consideration should be given to completion of prior college credits as well as experience in the field of physical therapy. Despite these findings, further research is needed to clearly identify the specific admission criteria correlated to both student achievement outcomes.
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Hall, Courtney D. "Vestibular Rehabilitation and Dizziness in Older Community-Dwelling Adults." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/569.
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Kammerlind, Ann-Sofi. "Vestibular rehabilitation therapy in dizziness and disequilibrium /." Linköping : Univ, 2005. http://www.bibl.liu.se/liupubl/disp/disp2005/med914s.pdf.
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Herdman, Susan J., Courtney D. Hall, Brian Maloney, Sara Knight, Marti Ebert, and Jessica Lowe. "Variables Associated with Outcome in Patients with Bilateral Vestibular Hypofunction: Preliminary Study." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/556.
Повний текст джерелаАнотація:
BACKGROUND: Vestibular rehabilitation (VR) improves symptoms and function in some but not all patients with bilateral vestibular hypofunction (BVH). OBJECTIVE: The purpose of this retrospective study was to examine change following vestibular rehabilitation and to identify factors associated with rehabilitation outcome in patients with BVH. METHODS: Data from 69 patients with BVH were analyzed. Factors studied included patient characteristics, subjective complaints and physical function. Outcome measures included symptom intensity, balance confidence, quality of life, gait speed, fall risk, and dynamic visual acuity. Bivariate correlations were used to examine relationships of patient characteristics and baseline measures with outcome measures. One-way ANOVAs were used to compare outcomes in patients with BVH versus unilateral vestibular hypofunction (UVH). RESULTS: As a group, patients with BVH improved in all outcome measures except disability following a course of vestibular rehabilitation (VR); however, only 38-86% demonstrated a meaningful improvement, depending on the specific outcome measure examined. Several factors measured at baseline - age, DGI score, gait speed and perceived dysequilibrium - were associated with outcomes. For example, greater age was related to higher DVA scores at discharge; lower initial DGI scores were related to higher Disability scores at discharge. Compared to patients with UVH, reported previously [9], a smaller percentage of patients with BVH improve and to a lesser extent. CONCLUSION: Consideration of baseline factors may provide guidance for setting patient goals. Further research is needed determine what factors predict outcome and to develop more effective treatment strategies for those patients who do not improve.
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Mohammed, Khair Ro'aa Mohammed Jafar Mohammed. "Comparative in vitro study of selected physical properties of activa, cention n and vitremer." University of the Western Cape, 2021. http://hdl.handle.net/11394/8138.
Повний текст джерелаАнотація:
Magister Theologiae - MThThis study aimed to determine the association between dimensional change and surface roughness (Ra) of Vitremer, Activa and Cention N after immersing them into two different media: acidic and artificial saliva media for the period of a year. Measurements were made at 10 time intervals during the observation period.
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Banala, Sai Kumar. "Lower extremity exoskeletons for gait rehabilitation of motor-impaired patients." Access to citation, abstract and download form provided by ProQuest Information and Learning Company; downloadable PDF file, 204 p, 2008. http://proquest.umi.com/pqdweb?did=1456297091&sid=5&Fmt=2&clientId=8331&RQT=309&VName=PQD.
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Arvinen-Barrow, Monna. "Psychological rehabilitation from sport injury : issues in training and development of chartered physiotherapists." Thesis, University of Northampton, 2009. http://nectar.northampton.ac.uk/2456/.
Повний текст джерелаАнотація:
Despite growing interest into the role of physiotherapists in providing psychological rehabilitation to athletes during sport injury, very little research exists outside North America, Australia, and New Zealand (e.g., Hemmings & Povey, 2002). Thus, the main purpose of this research was to explore the role of UK chartered physiotherapists in the process of psychological rehabilitation from sport injuries. This thesis consists of four studies. With the intention to gain further insights into the physiotherapists’ views on the psychological aspects of their work, study one used the Physiotherapists and Sport Psychology Questionnaire (PSPQ; Hemmings & Povey, 2002) in a national survey with 361 UK chartered physiotherapists working in sport medicine. The results from the survey provided useful insights into the ways in which psychological interventions are currently employed in rehabilitation physiotherapy. In study two, these findings were explored further, by developing a questionnaire survey to explore chartered physiotherapists’ (N = 22) preferred method of sport psychology intervention training. With the purpose of gaining an insight into the physiotherapists’ personal experiences in using psychological interventions with injured athletes, study three adopted a qualitative approach, in which semi-structured interviews were conducted with seven UK chartered physiotherapists. The findings from the Interpretative Phenomenological Analysis (IPA; Smith, 1996) provided deeper understanding on physiotherapists current knowledge on, and their past experiences and opinions on using range of psychological interventions in their work with injured athletes. Similarly study four used semi-structured interviews and IPA with ten athletes who had previously encountered moderate or severe sport injuries requiring physiotherapy treatment. The findings revealed useful information on the physiotherapists’ role in providing psychological support and using psychological interventions in their work with injured athletes. In conclusion, the research presented in this thesis makes a contribution to knowledge by: (a) providing an insight into the views of chartered physiotherapists in the UK on psychological content of their practice, (b) making preliminary suggestions into how further training in sport psychology for chartered physiotherapists could be delivered, (c) enabling deeper understanding of physiotherapists current practices and past experiences in utilising selected psychological interventions in their work, and (d) giving a voice to injured athletes with regard to the role of physiotherapists in providing psychological support during sport injury rehabilitation.
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Self, Megan. "Identifying the Physical Activity Needs of Outpatients with a Traumatic Brain Injury." Thesis, University of North Texas, 2011. https://digital.library.unt.edu/ark:/67531/metadc84274/.
Повний текст джерелаАнотація:
Traumatic brain injury (TBI) is a significant public health issue due to the incidence, complexity, and cost associated with treatment – emphasizing the need for effective rehabilitation programs. One mode of rehabilitation that has been demonstrated to improve health and reduce healthcare costs is health promotion programs (HPPs) that incorporate physical activity (PA). However, PA is not currently incorporated into the standard of care post-TBI. The purpose of this study was to conduct group interviews among individuals with a TBI undergoing outpatient rehabilitation to determine PA knowledge, attitudes, intentions, and barriers. Results will be used to develop a HPP that focuses on facilitating PA participation as part of the rehabilitation process. Seventeen participants completed a series of group interviews (2-3 people/group) regarding their PA needs. A qualitative research design was adopted and trustworthiness was established through triangulation of data (i.e., theoretical underpinning; multiple researchers and data-coders). A cross-case analysis was completed to identify themes and conceptual patterns. The main themes identified were (1) an inability to differentiate between PA and physical therapy, (2) a limited knowledge of PA health benefits and the relationship to rehabilitation, and (3) an interest in participating in a PA HPP as part of their rehabilitation. HPPs for outpatients with a TBI should educate individuals about PA, the associated health benefits, and the role PA plays in the rehabilitation process. A well designed HPP may increase the likelihood that individuals adopt and maintain PA as part of the rehabilitation process, thus reducing the risk of morbidity and mortality.
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Schneiberg, Dias Sheila. "Rehabilitation strategies to improve upper limb movement quality in children with cerebral palsy." Thesis, McGill University, 2009. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=66702.
Повний текст джерелаАнотація:
Children with CP are extremely heterogeneous in terms of etiology and clinical features. The diversity of symptoms among CP syndromes is a challenge for different branches of health research. Despite the efforts of many studies in examining rehabilitation strategies to improve upper limb (UL) function in children with CP, the confidence in the validity of these studies' evidence is still moderate to low. One limitation suggested is related to the type of outcomes used to measure improvement. Many are not sensitive enough to detect change (lack of responsiveness), are not age-related, and do not describe the movement quality. Movement quality concerns about movement performance or how well an activity is performed taking into reference normative data from typical populations. The assessment of movement quality in UL activities refers to the measurement of range of motion, hand trajectories, interjoint and intersegment coordination, muscle contraction patterns, and postural adjustments. The objective assessment of movement quality can be made by kinematic and kinetic analyses. The description of movement quality is important, because early brain injuries are more susceptible to 'maladaptative' plasticity, which might result in abnormal movement behaviors. The primary objective of this prospective single subject research design study was to determine the effect of two rehabilitation strategies in UL movement quality: arm constraint and trunk restraint, in the context of a modified constraint induced therapy (mCIT) and a task-oriented intervention, respectively. The UL movement quality was measured by kinematic analysis of a functional reaching task: a self-feeding simulation. Overall, the kinematic variables investigated are related to hand trajectories, arm angles and trunk forward displacement. Two clinical outcomes measuring UL movement quality were also used, the QUEST for the mCIT study, and the MelbouLes enfants avec paralysie cérébrale (PC) constituent un groupe clinique fortement hétérogène, tant au point de vue de l'étiologie que des caractéristiques cliniques. Malgré les efforts de recherche qui ont été déployés dans plusieurs études pour examiner les stratégies de réadaptation visant l'amélioration de la fonction du membre supérieur chez les enfants avec PC, il demeure que la confiance démontrée envers la validité de ces résultats est encore de modérée à faible. Une des limites notées dans la littérature est reliée au type de variables qui sont mesurées : ces variables ne seraient pas assez sensibles pour détecter des changements ou ces études ne décriraient pas la qualité du mouvement. Cette évaluation objective de la qualité de mouvement peut être réalisée par l'intermédiaire d'analyses cinématiques ou cinétiques. La description de la qualité du mouvement est considérée primordiale, puisque des lésions cérébrales en bas âge sont plus susceptibles d'amener une plasticité « maladaptative » et donc d'engendrer des mouvements anormaux.Le premier objectif de cette recherche prospective à protocoles individuels est de déterminer les effets de 2 stratégies de réadaptation visant la qualité du mouvement du membre supérieur: la contrainte du bras et la restriction du tronc, réalisées respectivement dans le contexte d'une intervention par contrainte modifiée (mCIT) et d'une intervention orientée vers la tâche. Globalement, les variables cinématiques mesurées dans ces protocoles comprennent les trajectoires de la main, les angles articulaires du bras et le déplacement du tronc vers l'avant. Deux échelles de mesure cliniques reliées à la qualité du mouvement du bras ont aussi été utilisées : le QUEST (étude mCIT) et le Melboune assessment (intervention orientée vers la tâche). Étant donné l'observation d'une grande variabilité au