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Rehabilitation and Therapy

Western University

Theses/Dissertations

Parkinson’s disease

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The Lived Experience Of Persons With Parkinson's Disease In Non-Contact Boxing Programs, Laura Mulder Nov 2023

The Lived Experience Of Persons With Parkinson's Disease In Non-Contact Boxing Programs, Laura Mulder

Electronic Thesis and Dissertation Repository

We conducted a scoping review to identify articles examining non-contact boxing programs for persons with Parkinson’s disease (PwP). Results suggested that gait, mobility, balance, and quality-of-life were the most-studied outcomes. Many qualitative articles explored the experience within in-person boxing programs, but no articles explored experiences within virtual boxing programs. We followed this review with an interpretative phenomenological analysis aimed at addressing this research gap and interviewed six PwP who had engaged with both virtual and in-person Rock Steady Boxing programming. Results suggested that although the virtual setting improved elements of the individual experience, the physical and social aspects were better …


The Lived Experiences Of Pain And Fatigue In Persons Living With Neurological Conditions: A Phenomenological Study, Lauren L. Kane Oct 2022

The Lived Experiences Of Pain And Fatigue In Persons Living With Neurological Conditions: A Phenomenological Study, Lauren L. Kane

Electronic Thesis and Dissertation Repository

Purpose: The aim of the study was to understand the experiences and impact of pain and fatigue and to further explore the relationship between participants' descriptions of their lived experiences with these phenomena within and across multiple sclerosis, Parkinson's disease, and cerebral palsy. Methods: Semi-structured interviews were used to interview nine participants about their experiences of living with pain and fatigue in their respective conditions. A new phenomenological approach was adopted, and data was analyzed inductively using interpretive phenomenological analysis. Results: Three final themes including a lack of understanding, negative perceptions of pain and fatigue, and coping strategies used to …


Lived Experience Of Having Difficult Conversations Among Care Partners Of Individuals With Parkinson's: An Occupational Science Perspective, Helen A. Reid May 2022

Lived Experience Of Having Difficult Conversations Among Care Partners Of Individuals With Parkinson's: An Occupational Science Perspective, Helen A. Reid

Electronic Thesis and Dissertation Repository

Difficult conversations, which can be challenging co-occupations, play an important role in the lives of care partners of individuals living with Parkinson’s disease. In our first study for this integrated-article thesis, we used a critical interpretive synthesis to explore how informal caregiving had been conceptualized in occupation-focused research. We found that an occupational perspective illuminated otherwise overlooked aspects of caregiving. In our second study, we used an occupational science lens to explore how seven care partners of individuals with PD experienced having difficult conversations within the caring role. We conducted two rounds of in-depth semi-structured interviews and used an American …


Self-Management As A Means To Achieving Client-Centred Care For The Care Partnership Living With Parkinson’S Disease, Danielle M. Hudson Jul 2019

Self-Management As A Means To Achieving Client-Centred Care For The Care Partnership Living With Parkinson’S Disease, Danielle M. Hudson

Electronic Thesis and Dissertation Repository

Parkinson’s disease (PD) is a chronic condition that manifests through many changing symptoms over time. A person diagnosed with PD is typically supported by a spouse or other family member as their primary care partner, who experiences a host of biopsychosocial challenges associated with their care partner role. The best approach to supporting a care partnership, consisting of the person diagnosed with PD and the primary care partner, through their individualized journey with PD remains to be defined. The aim of this research was to identify clinical insights for providing client-centred care for both members of the PD care partnership. …


Efficacy Of Rhythmic Acquisition On Gait Performance Among Individuals With Parkinson’S Disease, Demian L. Kogutek Apr 2018

Efficacy Of Rhythmic Acquisition On Gait Performance Among Individuals With Parkinson’S Disease, Demian L. Kogutek

Electronic Thesis and Dissertation Repository

The purpose of this study was to identify the ability of individuals with Parkinson’s disease (PD) to acquire different rhythmic complexity levels through individual home-based Improvised Active Music Therapy (IAMT) sessions. The study aimed to identify whether higher acquisition of rhythmic complexity levels improved gait performance, as well as beat perception and production abilities. In this single subject multiple baseline design, the study measured the ability of four right-handed participants with PD to acquire greater density of syncopation, as a measure of rhythmic complexity levels, while playing uninterrupted improvised music on a simplified electronic drum-set. An accredited music therapist led …


The Influence Of Visual Cueing On Freezing Of Gait Among Individuals With Parkinson's Disease, L. Keltie Brigham Apr 2014

The Influence Of Visual Cueing On Freezing Of Gait Among Individuals With Parkinson's Disease, L. Keltie Brigham

Electronic Thesis and Dissertation Repository

Freezing of gait (FOG) is a distressing symptom of Parkinson’s disease with a significant impact on fall risk and quality of life. Although medication improves some of the symptoms of slowness and rigidity, it is only minimally effective in treating FOG. Therefore, a better understanding of alternative treatment strategies is needed to manage this symptom. To investigate the effectiveness of visual cueing in the management of FOG, and to determine if visual cueing is dependent upon the spatial location of cue presentation. Six individuals with Parkinson’s disease who experience FOG were asked to complete the Timed Up and Go test …


Gait Retraining In Parkinson’S Disease: A Cognitive Cueing Approach, Stephanie J. Morrison Apr 2013

Gait Retraining In Parkinson’S Disease: A Cognitive Cueing Approach, Stephanie J. Morrison

Electronic Thesis and Dissertation Repository

Parkinson’s disease (PD) is characterized by resting tremor, bradykinesia, rigidity, and postural instability. These cardinal symptoms commonly affect gait performance and therefore researchers have been investigating techniques to manage and treat gait impairment in individuals with PD. This thesis explores a progressive approach to gait rehabilitation using a novel intervention that combines traditional gait cueing techniques with motor learning approaches to facilitate self-cued gait improvement. Five participants with PD-related gait impairment completed the home-based gait training intervention. This intervention included video footage of each individual participant walking with and without verbal instructional cues, audio coaching, and practice periods. Participants were …


The Effects Of A Home Based Virtual Reality Rehabilitation Program On Balance Among Individuals With Parkinson’S Disease, Michelle L. Gu Aug 2012

The Effects Of A Home Based Virtual Reality Rehabilitation Program On Balance Among Individuals With Parkinson’S Disease, Michelle L. Gu

Electronic Thesis and Dissertation Repository

Increasingly, the Nintendo Wii gaming system has been cited as an adjunctive tool for physical rehabilitation, particularly among older adults and individuals with limited mobility. However, evidence supporting “Wii-hab” remains predominantly anecdotal. The present study evaluates the effectiveness of a 12-week home-based exercise program designed around the Wii, in improving balance of individuals with Parkinson’s disease (PD). Fifteen individuals with PD engaged in three 30-minute Wii balance-training sessions per week, for 12 weeks. Balance was assessed using a forceplate in 4 quiet standing conditions of varying difficulty at 3 testing sessions: (1) baseline; (2) 6 weeks; and (3) 12 weeks. …