Rehabilitation and Therapy Commons^™

Methods To Improve Rehabilitation Of Patients Following Breast Cancer Surgery: A Review Of Systematic Reviews, Siew Yim Loh Assoc Prof, Aisha Nadia Ms

Siew Yim Loh

Context: Breast cancer is the most prevalent cancer amongst women but it has the highest survival rates amongst all cancer. Rehabilitation therapy of post-treatment effects from cancer and its treatment is needed to improve functioning and quality of life. This review investigated the range of methods for improving physical, psychosocial, occupational, and social wellbeing in women with breast cancer after receiving breast cancer surgery. Method: A search for articles published in English between the years 2009 and 2014 was carried out using The Cochrane Database of Systematic Reviews, the Database of Abstracts of Reviews of Effects, PubMed, and ScienceDirect. Search …

American Indians’ Response To Physical Pain: Functional Limitations And Help-Seeking Behaviors., Angelique G. Day

Angelique G Day

Seventy-five American Indians, ages 25-84, representing fourteen tribal nations participated in this study. The historical, cultural, and behavioral responses to physical pain were examined. Data was collected over a seven month period with a survey instrument which included the Universal Pain Scale, Activities of Daily Living, causes of pain, cultural beliefs and self-help seeking behaviors. Also, recommendations for Western biomedical health care professionals are offered to improve services for the American Indian population. Findings demonstrate that culture plays a crucial role in wellness and significantly impacts their help-seeking behaviors, treatment regimen, response to pain, and pain management.

Supporting Children With Disabilities At School: Implications For The Advocate Role In Professional Practice And Education, Stella Ng Phd

Stella Ng PhD

Purpose: School settings are a common practice context for rehabilitation professionals; health advocacy is a common and challenging practice role for professionals in this context. This study explored how pediatric practitioners advocate for children with disabilities at school. Specifically, we examined everyday advocacy in the context of school-based support for children with disabilities.

Method: Our theoretical framework and methodological approach were informed by institutional ethnography, which maps and makes visible hidden social coordinators of work processes with a view to improving processes and outcomes. We included families, educators, and health/rehabilitation practitioners from Ontario. Of the 37 consented informants, 27 were …

The Importance Of Work Or Productive Activity In Life Care Planning And Case Management, Christine Reid, Susan Riddick-Grisham

Christine A. Reid

INTRODUCTION: The importance of work or productive activity for the well-being, community integration, and quality of life of people living with disabilities is addressed, with implications for life care planning and case management. BACKGROUND: The role of work or productive activity in our society, and consequences of deprivation if rehabilitation services do not address vocational effects of disabilities, is explored. A continuum of productivity options is introduced; types of vocational rehabilitation assessment processes and interventions are described. PURPOSE: The role of vocational rehabilitation services in life care planning and case management is discussed, focusing on quality of life for people …

Towards Culturally Competent Professional Practice: Exploring The Concepts Of Independence And Interdependence, Wesam Darawsheh, Gill Chard

Gill Chard

Health and social care practitioners increasingly work with clients from diverse cultural backgrounds. While health and social care systems have emphasized the importance of culturally competent practice, professional practice has been influenced by values such as independence, a western notion that places value on the individual. It has been suggested that interdependence, a notion that places value on the family and/or community, can serve as an alternative to independence in culturally diverse practice. Using interviews

The Kuala Lumpur Qigong Trial For Women In The Cancer Survivorship Phase-Efficacy Of A Three-Arm Rct To Improve Qol, Siew Yim Loh Assoc Prof

Siew Yim Loh

Background: Qigong is highly favoured among Asian breast cancer survivors for enhancing health. This study examined the hypothesis that quality of life (QoL) in the Qigong group is better than the placebo (aerobic) or usual care group. Materials and Methods: A total of 197 participants were randomly assigned to either the 8-week Kuala Lumpur Qigong Trial or control groups in 2010-2011. Measurement taken at baseline and post-intervention included QoL, distress and fatigue. Analysis of covariance (ANCOVA) and Kruskal Wallis were used to examine for differences between groups in the measurements. Results : There were 95 consenting participants in this 8week …

Chui Named As Department Chair Of Physical Therapy And Human Movement Science, Kevin Chui Ed

Kevin Chui

Sacred Heart University recently named Kevin Chui chair of the department of physical therapy and human movement science.

From The Outside Looking In: A Response To The Hijacking Of Recreational Therapy, Daniel L. Dustin, Kelly S. Bricker, Keri A. Schwab

Keri Schwab

Where does Dr. Austin want his line of thought to lead and what does he expect from the larger field of parks and recreation in return? Is he after reassurance that recreational therapy is valued by the rest of us? Does he want recreation therapists to be acknowledged as the closest thing we have in our midst to medical doctors? Or does he want recreational therapy to disassociate itself from the field of parks and recreation altogether? If recreation therapists want to be viewed as distinct and different from the rest of us, if it is autonomy they are after, …

C.A.R.E.S. (Canine Arthritis, Rehabilitation, Exercise, And Sports Medicine) Newsletter, Darryl L. Millis

Darryl L. Millis

No abstract provided.

2012 Año Europeo Del Envejecimiento Activo Y La Solidaridad Intergeneracional Una Mirada Multidimensional A Un Fenómeno Global, Diego A. Bernardini

Diego Bernardini MD, PhD

No abstract provided.

Als [Sic] Well That Ends Well, Yvette Blanchard

Yvette Blanchard

Yvette Blanchard explains how she decided to become a physical therapist in the "This is Why" column of PT in Motion.

Grip Strength Is Associated With Marksmanship And Defensive Tactics, But Not Injuries, In Police Recruits, Mike Steele

Mike Steele

No abstract provided.

Professor Yvette Blanchard Receives Fulbright Award, Yvette Blanchard

Yvette Blanchard

No abstract provided.

Shu Launches Life And Sport Analysis Clinic, Brendan J. Rickert

Brendan J. Rickert

The clinic works with clients and patients using contemporary-based research to investigate each individual’s goals and needs.

Advancing Occupational Therapy In Workplace Health And Wellbeing: A Scoping Review, Lynn Shaw Dr., Amanda Kollee, Helen Ren, Kayla Lofgren, Savannah Saarloos, Kirsten Slaven, Ann Bossers

Lynn Shaw

Advancing Occupational Therapy in Workplace Health and Well-being: A Scoping Review Amanda Kollee, Helen Ren, Kayla Lofgren, Savannah Saarloos, Kirsten Slaven, Ann Bossers & Lynn Shaw Background: Workplace health continues to be a goal that workers and employers desire. For instance, organizations want to adapt and find ways to accommodate the changing needs of workers as they grow older and develop chronic health conditions. Preventative strategies are required to maintain health and limit the burden on both organizations and individual workers. Occupational therapists can support workplaces to foster the personal health and well-being of workers and to develop workplace environments …

Effectiveness Of A Patient Self- Management Program For Breast Cancer As A Chronic Illness: A Non- Randomised Controlled Clinical Trial, Siew Yim Loh Assoc Prof, Tanya Packer Prof, Karunthan Chinna Assoc Prof, Kia Fatt Quek Assoc Prof

Siew Yim Loh

Purpose Patient self-management enables living with a chronic disease effectively. This study examines the effectiveness of a 4-week self-management programme to enable self-management of the numerous after-effects and with breast cancer as a chronic disease. Methods Upon ethical approval, 147 multiethnic survivors (stages I–III breast cancer) received either a 4-week self-management intervention (n=68) or usual care (n=78) on a controlled clinical trial in a medical centre. The facilitator led group intervention provides self-management support and skills for managing the medical, emotional and role tasks. Survivors completed the pre- and post-intervention measures on quality of life, distress and participation inventory. Results …

Master Thesis: Fibromyalgie, Douleur Et Fasciathérapie, Cyril Dupuis

Cyril Dupuis

Résumé Ce travail porte sur la fasciathérapie appliquée aux douleurs de la fibromyalgie, et tente de répondre à la question « quels sont les effets de la fasciathérapie sur la douleur et ses consé- quences, ainsi que sur le vécu des patients qui souffrent de fibromyalgie ? » Pour cela, j’ai présenté le champ théorique des douleurs chroniques et du syndrome fibromyalgique, ainsi que celui des thérapies s’adressant aux fascias et notamment la fasciathérapie méthode Danis Bois. J’ai abordé cette recherche avec une posture double pour tenter d’appréhender la complexité de la douleur. La première, qualitative, est basée sur des …

Improving Cancer Survivorships: Targeting Physical Activity And Inactivity At Teachable Moments, Siew Yim Loh Assoc Prof

Siew Yim Loh

This article presents a brief overview on the importance of adopting healthy behavior during and after the completion of primary cancer treatment. Increasing evidences are advocating physical activity engagement in cancer survivors due to its convincing beneficial outcomes. Today, outcomes from numerous trials confirmed the need to examine beyond physical activity engagement, into physical inactivity as an independent factor for cancer recurrences. Reducing cancer-risk related behaviors via increase physical activity and reduce inactivity is now receiving much attention in the field of cancer survivorship. Both realms of activity and inactivity are now acknowledged as influential independent factors contributing to better …

Barriers To Participation In A Randomized Controlled Trial Of, Siew Yim Loh Assoc Prof

Siew Yim Loh

range from patient-related, through institutional-related to staff-related factors. This paper highlights the low response rate and the recruitment barriers faced in our Qigong exercises trial. Materials and Method: The Qigong trial is a three-arm trial with a priori power size of 114 patients for 80% power. The University Malaya Medical Centre database showed a total of 1,933 patients from 2006-2010 and 751 patients met our inclusion criteria. These patients were approached via telephone interview. 131 out of 197 patients attended the trial and the final response rate was 48% (n=95/197). Results: Multiple barriers were identified, and were regrouped as patientrelated, …

The Effectiveness Of Secondary Prevention Lifestyle Interventions Designed To Change Lifestyle Behavior Following Stroke: Summary Of A Systematic Review, Maggie Lawrence, Susan Kerr, Caroline Mcvey, John Godwin

Dr. Maggie Lawrence

Background A feature of stroke is that it recurs (25% within

five-years). Risk factors for stroke and recurrent stroke

include smoking, alcohol consumption, poor diet, and physical

inactivity.

Aim To evaluate the effectiveness of secondary prevention

lifestyle interventions designed to change lifestyle behavior

following stroke. This short paper presents a summary of the

systematic review process and findings.

Methods Ten major databases were searched using subject

headings and key words. Papers were screened using

review-specific criteria. Critical appraisal and data extraction

were conducted independently by two reviewers. Data were

pooled in statistical meta-analysis; where this was not possible

findings were …

Tobacco And Alcohol-Related Interventions For People With Mild-Moderate Intellectual Disabilities: A Systematic Review Of The Literature., Susan Kerr, Maggie Lawrence, Chris Darbyshire, Alan Middleton, Lorna Fitzsimmons

Dr. Maggie Lawrence

Background The behavioural determinants of health among people with mild/moderate intellectual disabilities are of increasing concern (ID). With the closure of long stay institutions, more people with ID are living in the community. As they lead more ordinary and less restricted lives, people with ID may be exposed to social and environmental pressures that encourage them to adopt behaviours that impact negatively on their health. Levels of smoking and alcohol consumption in this client group are of particular concern. Methods We undertook a mixed method review of the literature, aiming to assess the Feasibility, Appropriateness, Meaningfulness and Effectiveness (FAME) of …

Defining And Measuring Patient-Centred Care: An Example From A Mixed Methods Systematic Review Of The Stroke Literature., Maggie Lawrence, Sue Kinn

Dr. Maggie Lawrence

Background

Involving patients in the determination of their care is increasingly important, and healthcare professionals worldwide have recognised a need for clinical outcome measures and interventions that facilitate patient-centred care delivery in a range of settings.

Aim

A mixed-methods review was conducted, which aimed to identify stroke-specific patient-centred outcome measures, patient-centred interventions, and family-centred interventions.

Search strategy

Databases searched included MEDLINE and PsycINFO; search strings were based on MeSH terms and keywords associated with the terms ‘stroke’ and ‘patient-centred’.

Data extraction and analysis

Descriptive statistics were used to report quantitative data; papers included in the review were also underwent thematic …

Pirandello’S Analogy: A Source For A Better Understanding Of The Social Impact Of Stroke, M.A.C. Van Haaren, Maggie Lawrence, P.H. Goossens, B. Van Den Bossche, M.J.H. Wermer, A.A. Kaptein

Dr. Maggie Lawrence

Background: Suffering a stroke has major implications for the patient. To understand human suffering, one should understand society. Pirandello described society as a higher entity than the individual, thereby justifying human adaptability to society. We explore a qualitative finding that suggests that social trends may influence how stroke patients prioritize aspects of their rehabilitation. Methods: We compare a contemporary patient’s experience of stroke recovery with that of a fictional character from the works of Luigi Pirandello. Both patients had two main residual symptoms: hemiparesis and aphasia. Results: The rehabilitation priorities of the two patients differed, and appeared to reflect the …

Determining The Needs, Priorities, And Desired Rehabilitation Outcomes Of Young Adults Who Have Had A Stroke, Maggie Lawrence, Sue Kinn

Dr. Maggie Lawrence

Background: Guidelines state that young adults’ rehabilitation needs and priorities following stroke are different from older adults’. However, there is a lack of evidence regarding young adults’ perspectives of their needs and priorities.

Aims: To gain an understanding of young adults’ experience of stroke and associated rehabilitation needs, priorities and desired outcomes.

Methods: Longitudinal data were gathered using unstructured interviews and analysed using phenomenological reduction.

Results: Ten young adults took part in up to four interviews over two years. An overarching theme, Embodied Disorientation, and three sub-themes: Mortal Body, Situated Body, and Embodied Perception of Difference, described the young adults’ …

Fibromyalgie, Douleur Et Fasciathérapie, Cyril Dupuis, Danis Bois

Danis Bois

Ce travail porte sur la fasciathérapie appliquée aux douleurs de la fibromyalgie, et tente de répondre à la question « quels sont les effets de la fasciathérapie sur la douleur et ses consé- quences, ainsi que sur le vécu des patients qui souffrent de fibromyalgie ? » Pour cela, j’ai présenté le champ théorique des douleurs chroniques et du syndrome fibromyalgique, ainsi que celui des thérapies s’adressant aux fascias et notamment la fasciathérapie méthode Danis Bois. J’ai abordé cette recherche avec une posture double pour tenter d’appréhender la complexité de la douleur. La première, qualitative, est basée sur des entretiens …

Are We Ready To Address The New Expectations Of Work And Workers In The Transforming World Of Work?, Lynn Shaw Dr.

Lynn Shaw

This sounding board article focuses on the transformative world of work and the need to prevent occupational injustice for future workers and work places.

Work Transition Tips For Workers, Lynn Shaw Dr.

Lynn Shaw

No abstract provided.

Getting The Message Across: Principles For Developing Brief-Knowledge Transfer (B-Kt) Communiqués, Lynn Shaw Dr.

Lynn Shaw

Objective: This feature article on knowledge transfer presents principles and strategies to support the development of short communiqués to end-users. Participants: Formal and informal knowledge brokers are the targeted users of the strategies. Methods: Research studies and conceptual literature in knowledge transfer informed the development of brief-Knowledge Transfer (b-KT) principles. Principles are explained and a sample of how they informed the development of KIT-Tip Sheets is offered to promote ways to use principles in knowledge dissemination. Results: b-KT principles can be used as a framework to guide the development of short communiqués by knowledge brokers in work practice but also …

The Lisbeth Hockey Community Nursing Research Training Fellowship 2008. Final Report, Maggie Lawrence, Susan Kerr, Caroline Mcvey, Dorothy Ferguson

Dr. Maggie Lawrence

Background Stroke is the most common cause of adult disability in the UK; the incidence is particularly high in Scotland, with more than 12,000 new cases per year. Stroke recurs in approximately 25% of patients and may result in death or an increased risk of disability or institutionalisation. Stroke is associated with a disadvantaged socio-economic profile and lifestyle behaviours which include smoking, unhealthy diet, excessive alcohol consumption and lack of exercise. Crucially, these factors are amenable to change by means of pharmacotherapy and/or the delivery of lifestyle interventions. While the provision of lifestyle interventions has the potential to improve health …

Interventions For Post-Stroke Disturbances Of Mood And Emotional Behaviour: Recommendations From Sign 118, David Gillespie, Sara Joice, Maggie Lawrence, Janice Whittick

Dr. Maggie Lawrence

Stroke is a leading cause of death and disability. A high proportion of those who survive participate in programmes of rehabilitation. Clinical practice guidelines have come to play an increasingly important role in stroke rehabilitation, providing accessible summaries of the evidence for the management of specific consequences of the condition. Among the most common – and disabling – consequences of stroke are disorders of mood and emotional behaviour. This article reports the development of clinical practice recommendations for poststroke emotional disturbance for the Scottish Intercollegiate Guidelines Network (SIGN). SIGN 118 Management of Patients with Stroke: Rehabilitation, Prevention and Management of …