Rehabilitation and Therapy Commons^™

Processing Of Model Calling Songs By The Prothoracic An2 Neurone And Phonotaxis Are Significantly Correlated In Individual Female Gryllus Bimaculatus, Leslie Samuel, Andreas Stumpner, Gordon Atkins, John Stout

Leslie Samuel

Syllable period (SP) selective calling song processing has been demonstrated for the prothoracic, AN2 auditory neurone that correlates very well with SP-selective phonotaxis by female cricket Gryllus bimaculatus De Geer. Both SP-selective processing by the AN2 and the phonotactic behavior of the female exhibit substantial plasticity. Thus, the question remains as to whether the selective responses of the AN2 neurone and the selective behavior of the female match in an individual female. The present study is designed to answer that question. The SP-selective phonotactic behavior of individual females is evaluated, followed immediately by measuring the SP-selective responses of the same …

A Randomized Clinical Trial Comparing Pelvic Floor Muscle Training To A Pilates Exercise Program For Improving Pelvic Muscle Strength, Patrick Culligan, Janet Scherer, Keisha Dyer, Jennifer Priestley, Geri Guingon-White, Donna Delvecchio, Margi Vangeli

Jennifer L. Priestley

Introduction and hypothesis The purpose of this study is to determine whether a Pilates exercise program and a pelvic floor muscle-training (PFMT) program could provide similar improvements in pelvic muscle strength. Methods Sixty-two women with little or no pelvic floor dysfunction were randomized to Pilates or PFMT. Each group had 24 biweekly 1-h sessions with either a physical therapist or Pilates instructor. Strength was measured via perineometry (cmH2O). Two questionnaires-pelvic floor distress inventory (PFDI-20) and pelvic floor impact questionnaire (PFIQ-7)-were also collected. Results At baseline, the Pilates and PFMT groups measured 14.9±12.5 and 12.5±10.4 cmH2O, respectively (p=0.41). Both the Pilates …

Enhancing Client-Centeredness In Parkinson's Disease Care: Attending To The Psychosocial Implications Of Lived Experience, Jeffrey Holmes, Sara Lutz, Mike Ravenek, Debbie Rudman, Andrew Johnson

Andrew M. Johnson

Evidence-based practice requires that clinicians interpret the best research evidence in the context of their clinical experience, while at the same time considering client knowledge and experiences. Although clinicians are becoming increasingly skilled at the evaluation of research evidence, the evidence-based practice process often neglects client values and self-identified health issues. Ignoring these key aspects of client-centered practice may lead to interventions that fail to target the implications of a client’s disease that are important to occupational participation and quality of life (QOL). A focus on client-centeredness is particularly important in progressive neurodegenerative disorders, such as Parkinson’s disease, where there …

Vestibular Influence On Cranio-Cervical Pain: A Case Report, Frank Gargano, Wayne Hing, Caroline Cross

Wayne Hing

This case report describes a 39 year old woman with a 10 month history of right-sided temporal headaches. In addition, she experienced a ‘wobble’ feeling when rolling toward her right side and reported suboccipital pain, tinnitus and a mild visual disturbance. Objective assessment revealed she had a positional upbeat clockwise torsional nystagmus, that is, a positive Dix-Hallpike test for benign paroxysmal positional vertigo. Furthermore, manual assessment revealed right upper cervical joint dysfunction. She was treated with a four stage canalith repositioning manoeuvre for the vestibular system which abolished her ‘wobble’ symptom. Subsequently, manual therapy techniques were applied to the cervical …

Clinical Predictors Of A Positive Response To Guided Diagnostic Block Into The Subacromial Bursa, Angela Cadogan, Mark Laslett, Wayne Hing, Peter Mcnair, Stephen Taylor

Wayne Hing

Objective: To compare the accuracy of combinations of clinical examination findings for predicting a positive response to injection of local anaesthetic into the subacromial bursa.

Design: Prospective, cohort, diagnostic validity design. Subjects: Consecutive patients with shoulder pain recruited from primary care physiotherapy and general medical practices.

Methods: All subjects underwent a standardised clinical examination (index test) followed by a diagnostic injection of xylocaineTM into the subacromial bursa (reference standard test) performed under ultrasound guidance. Clinical examination variables associated with a positive anaesthetic response (≥ 80% post-injection reduction in pain intensity) were identified (p

Results: Of the 196 subjects who received …

Shoulder Pain In Primary Care: Diagnostic Accuracy Of Clinical Examination Tests For Non-Traumatic Acromioclavicular Joint Pain, Angela Cadogan, Peter Mcnair, Mark Laslett, Wayne Hing

Wayne Hing

Background: Despite numerous methodological flaws in previous study designs and the lack of validation in primary care populations, clinical tests for identifying acromioclavicular joint (ACJ) pain are widely utilised without concern for such issues. The aim of this study was to estimate the diagnostic accuracy of traditional ACJ tests and to compare their accuracy with other clinical examination features for identifying a predominant ACJ pain source in a primary care cohort. Methods: Consecutive patients with shoulder pain were recruited prospectively from primary health care clinics. Following a standardised clinical examination and diagnostic injection into the subacromial bursa, all participants received …

The Influence Of Parents And The Home Environment On Preschoolers' Physical Activity Behaviours: A Qualitative Investigation Of Childcare Providers' Perspectives, Patricia Tucker, Melissa Van Zandvoort, Shauna Burke, Jennifer Irwin

Trish Tucker

BACKGROUND: Physical activity offers numerous physiological and psychological benefits for young children; however, many preschool-aged children are not engaging in sufficient activity. The home environment, inclusive of parent role modeling, has been identified as influencing preschoolers' physical activity. This study sought to examine childcare providers' perspectives of the importance of parents and the home environment for supporting the physical activity behaviours of preschool-aged children (aged 2.5-5 years) attending childcare. METHODS: A heterogeneous sample of childcare providers (n = 84; response rate 39%) working at childcare facilities in London, Ontario participated. Thirteen semi-structured focus groups were conducted in London centres between …

Physical Activity Among Preschoolers During Indoor And Outdoor Childcare Play Periods, Leigh Vanderloo, Patricia Tucker, Andrew Johnson, Jeffrey Holmes

Trish Tucker

Preschoolers' (n = 31) physical activity (PA) levels during indoor and outdoor childcare hours were explored using accelerometers. Participants engaged in 0.54 min/h (SD = 0.59) of moderate-to-vigorous PA (MVPA) and 14.42 min/h (SD = 6.78) of total PA (TPA) indoors compared with 5.03 min/h (SD = 4.92) of MVPA and 31.68 min/h (SD = 0.83) of TPA outdoors. Boys and girls engaged in significantly more TPA outdoors; however, only boys demonstrated a significant increase in MVPA outdoors.

Research Budget Overhaul, Chiehwen Ed Hsu

Chiehwen Ed Hsu

No abstract provided.