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Fitness-To-Drive Screening Measure© : Constructing And Validating The Short Form, Shabnam Medhizadah 2016 The University of Western Ontario

Fitness-To-Drive Screening Measure© : Constructing And Validating The Short Form, Shabnam Medhizadah

Electronic Thesis and Dissertation Repository

The valid and reliable Fitness-to-Drive Screening Measure© (FTDS) is a free online proxy measure that screens for at-risk older drivers using 54 driving-related items. This secondary data analysis aims to construct and validate a short form FTDS, using 200 caregiver FTDS response sets and 200 older driver on-road assessment pass/fail outcomes. To construct the short form, exploratory factor analysis and classical test theory techniques were employed to determine the most interpretable factor model and the minimum number of items that might be used to predict fitness to drive. Next, receiver operating characteristics curves were generated to evaluate the concurrent ...


The Benefits Of Alternative And Augmentative Communication: A Quality Of Life Issue, Richard Dressler, Lauren Bland, Meghan Baumgartner 2016 Western Kentucky University

The Benefits Of Alternative And Augmentative Communication: A Quality Of Life Issue, Richard Dressler, Lauren Bland, Meghan Baumgartner

Internet Journal of Allied Health Sciences and Practice

This article summarizes the need for alternate forms of communication for those who are unable to use verbal speech. The importance of allied health professionals in understanding alternative communication is critical in patient care. The authors describe the various forms of augmentative and alternate communication devices that can be used to help a non-verbal individual communicate their wants, needs, and thoughts. Financial and social consequences for using these devices is discussed.


The Effect Of Exercise On Cognitive Function As Measured By Impact Protocol: Aerobic Vs. Anaerobic, John Brutvan MA, ATC, Kimberly S. Peer EdD, ATC, FNATA, Jacob E. Barkley PhD, Jay Jonas MS, ATC 2016 Kent State University

The Effect Of Exercise On Cognitive Function As Measured By Impact Protocol: Aerobic Vs. Anaerobic, John Brutvan Ma, Atc, Kimberly S. Peer Edd, Atc, Fnata, Jacob E. Barkley Phd, Jay Jonas Ms, Atc

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Background: Exercise has long played a critical role in the recovery from athletic injuries. Of recent, concussion research has escalated creating new insights into the treatment of and rehabilitation from concussion syndromes. As part of the concussion research, multiple uses of the ImPACT tool have evolved to measure cognitive function. However, combining the variables of cognitive improvement as measured by the ImPACT protocol with aerobic and anaerobic exercise has not been investigated. Purpose: The purpose of this investigation was to assess the influence of acute bouts of aerobic versus resistance exercise on cognitive function of college-aged participants as measured by ...


Puzzleart Therapy: Connecting The Pieces In Search Of Answers, Jennifer Fortuna 2016 WMU

Puzzleart Therapy: Connecting The Pieces In Search Of Answers, Jennifer Fortuna

Open Journal of Occupational Therapy: Occupation and the Artist

Alli Berman has been an artist, educator, author, and lecturer for more than 25 years. Her art can be found in private, corporate, and nonprofit collections around the world. Berman is the creator of PuzzleArt, a series of small abstract paintings that combine to form a modular puzzle. When a stroke impacted Berman’s quality of life, she turned to art for answers. Engagement in a meaningful activity, such as painting, provided her motivation and strength for continued physical and psychological healing. The PuzzleArt concept evolved from a simple exercise that helped Berman to fit all of the missing pieces ...


From Interview To Transcript To Story: Elucidating The Construction Of Journalistic Narrative As Qualitative Research, Jørgen Jeppesen 2016 The National Rehabilitation Center for Neuromuscular Disorders, Denmark

From Interview To Transcript To Story: Elucidating The Construction Of Journalistic Narrative As Qualitative Research, Jørgen Jeppesen

The Qualitative Report

There is a call to narrative investigators to be more explicit about their ways of working methodologically, in particular concerning dialogic/performative analysis. The purpose of this study was to examine how journalistic storytelling used as qualitative health research transformed, assembled and sequenced interview into transcripts, scenes, digressions, and other language products. A published story from a socio-narratological study of living with the terminal disease Amyotrophic Lateral Sclerosis was selected. Distribution and sequence of modes of transcription, versions of dialogue, transformation of observation and memory to scenes, and conversion of the researcher’s reflection to digression, were identified and calculated ...


Longitudinal Evaluation Of Patient Concerns After Surgery For Head And Neck Cancer, Isabel Wozniczka 2016 The University of Western Ontario

Longitudinal Evaluation Of Patient Concerns After Surgery For Head And Neck Cancer, Isabel Wozniczka

Electronic Thesis and Dissertation Repository

The primary purpose of this study was to investigate and describe the longitudinal effects of shoulder and neck mobility, strength, and quality of life (QOL) following neck dissection (ND) surgery and identify the concerns of head and neck cancer (HNC) patients. ND is one of the standard procedures for treating HNC, which results in many complications and dysfunctions that can have an effect on a patient’s QOL.

The study had 27 eligible HNC participants who underwent ND, of which eight participated in the shoulder range of motion (ROM) and strength and 12 participated in the QOL patient-reported outcomes analysis ...


Neural Control Of Tongue Movements Across Effort Levels, Megan Rovang, Angela M. Dietsch 2016 University of Nebraska-Lincoln

Neural Control Of Tongue Movements Across Effort Levels, Megan Rovang, Angela M. Dietsch

UCARE Research Products

Background

A hallmark of Parkinson’s disease (PD) is a mismatch between the perceived effort and actual forces exerted during functional activities such as speech. Current evidence supports therapy to help reset this perception of effort, but the neurological underpinnings of such treatments are unclear. This study examined brain activity during tongue movements performed at varying levels of effort to determine (1) which brain areas are involved in each task, and (2) which areas, if any, scale in activation according to effort level. These results, considered with the neurological changes associated with PD, can be used to develop and refine ...


An Evaluation Of The Effectiveness Of A Simulated Classroom-Based Intervention On Concussion Rehabilitation Among Individuals With Persistent Post-Concussion Symptoms, Bedoor Alqenai 2016 The University of Western Ontario

An Evaluation Of The Effectiveness Of A Simulated Classroom-Based Intervention On Concussion Rehabilitation Among Individuals With Persistent Post-Concussion Symptoms, Bedoor Alqenai

Electronic Thesis and Dissertation Repository

Although recent clinical and scientific effort has focused on the development of guidelines for post-concussion return to play/work/learn, there is still relatively little literature that addresses specific treatment methods by which this can be accomplished. Accordingly, this study investigated the effect of a 7-week simulated classroom-based intervention on the self-reporting of symptom scores among 71 individuals with persistent concussion symptoms (26 men and 45 women). All participants were provided with novel strategies for reading, writing, study skills, social communication and technology use. Self-assessment of symptoms were obtained weekly, both before and after each session of the treatment program ...


Linking Insight To Behaviour Change In A Life Coaching Intervention For Women, Tracy A. Robinson 2016 The University of Western Ontario

Linking Insight To Behaviour Change In A Life Coaching Intervention For Women, Tracy A. Robinson

Electronic Thesis and Dissertation Repository

Solving a problem with insight provokes a change of mind and concomitantly, behaviour. This mixed method study examined moments of insight during life coaching to determine whether having moments of insight led to more meaningful and sustained behavior change. Moments of insight and non-insight were tracked over nine life-coaching sessions with a population of women (N=6) and their coaches (N=6). Validated measures of problem-solving ability, psychological well-being, and mindfulness were collected before and after the intervention, along with behaviour change goals, Wheel of Life® satisfaction, and a personal strength profile. At eight weeks post intervention, sustainability was assessed ...


Specialized Medical Home For Patients With Spinal Cord Injury, Mendel Kupfer MD, Marci Ruediger PT, MS, Norah V. Dixon MA 2016 Magee Rehabilitation

Specialized Medical Home For Patients With Spinal Cord Injury, Mendel Kupfer Md, Marci Ruediger Pt, Ms, Norah V. Dixon Ma

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


Using A Database Of Typical Speakers To Describe The Expository Language Skills Of Children With Language Impairment, Joanna Carol Zwerlein 2016 University of Wisconsin-Milwaukee

Using A Database Of Typical Speakers To Describe The Expository Language Skills Of Children With Language Impairment, Joanna Carol Zwerlein

Theses and Dissertations

Purpose. This study examined the expository language skills of older students with language impairment (LI) in relation to a large database of typically developing (TD) students. The purpose of the study was to investigate whether comparing language samples to the database allowed users to distinguish between adolescents with LI and those with typical language, and develop individual profiles of relative strengths and weaknesses in children with LI.

Methods. School speech-language pathologists elicited expository language samples from high school students with LI (N = 9; mean age = 16;8 [years;months]) by asking them to explain how to play their favorite game ...


Perspectives Of Stuttering Treatment: Parents, Children, And Adolescents, Heather Darlene Salvo 2016 University of Wisconsin-Milwaukee

Perspectives Of Stuttering Treatment: Parents, Children, And Adolescents, Heather Darlene Salvo

Theses and Dissertations

ABSTRACT

Perspectives of Stuttering Treatment:

Parents, Children, and Adolescents

By Heather D. Salvo

The University of Wisconsin-Milwaukee August 2016

Under the Supervision of Carol H. Seery

Department of Communication Sciences and Disorders

Purpose. The main purpose of this study was to investigate whether age affects the perspectives of children (ages 8-12), adolescents (ages 13-17), and parents related to stuttering treatment experiences and outcomes. A secondary purpose of this study was to investigate whether the perspectives of children and adolescents regarding stuttering treatment experiences and outcome preferences differed from the perspective of their parents.

Participants. Participants required internet access and minors ...


The Effects Of Plyometric Training On Spinal And Supraspinal Motor Control, Jeffrey R. Doeringer 2016 Nova Southeastern University

The Effects Of Plyometric Training On Spinal And Supraspinal Motor Control, Jeffrey R. Doeringer

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to determine the effects of plyometric training on spinal and supraspinal motor control in healthy active females. Methods: A 2 (Group) x 2 (Session) x 2 (Stance) mixed model design was used for homosynaptic depression (HD) and recurrent inhibition (RI) data. A 2 (Group) x 2 (Session) mixed model design was used for H:M ratios and V-waves (V:M ratios) data. Thirty-one participants were recruited to participate in the study. Participants participated in either the training or control group for 6-weeks. All participants were measured pre- and post-intervention on H:M ratios ...


Can Gait Signatures Provide Quantitative Measures For Aiding Clinical Decision-Making? A Systematic Meta-Analysis Of Gait Variability Behavior In Patients With Parkinson’S Disease, Niklas König Ignasiak 2016 Chapman University

Can Gait Signatures Provide Quantitative Measures For Aiding Clinical Decision-Making? A Systematic Meta-Analysis Of Gait Variability Behavior In Patients With Parkinson’S Disease, Niklas König Ignasiak

Physical Therapy Faculty Articles and Research

A disturbed, inconsistent walking pattern is a common feature of patients with Parkinson's disease (PwPD). Such extreme variability in both temporal and spatial parameters of gait has been associated with unstable walking and an elevated prevalence of falls. However, despite their ability to discretise healthy from pathological function, normative variability values for key gait parameters are still missing. Furthermore, an understanding of each parameter's response to pathology, as well as the inter-parameter relationships, has received little attention. The aim of this systematic literature review and meta-analysis was therefore to define threshold levels for pathological gait variability as well ...


1st Place Research Paper: The Effectiveness Of Yoga Therapy On An Adult, Post-Stroke Population: A Systematic Review, Baylor E. Hogan 2016 Chapman University

1st Place Research Paper: The Effectiveness Of Yoga Therapy On An Adult, Post-Stroke Population: A Systematic Review, Baylor E. Hogan

Kevin and Tam Ross Undergraduate Research Prize

Objectives: The objectives of this paper are to (1) give a brief overview of stroke pathophysiology (2) outline yoga as a therapeutic strategy (3) present the current research on yoga rehabilitation for stroke (4) discuss the efficacy of yoga for chronic stroke.

Methods: Relevant terms were searched in PubMed, Web of Science, Academic OneFile, ScienceDirect, and Google Scholar electronic databases. Studies were excluded if they contained pediatric stroke, non-stroke neurological diseases, or subjects with comorbidities. Statistically significant data was extracted for the primary measures of nine trials.

Results: Four studies measured statistically significant outcomes (p<0.05). These included improvements in balance, independence, endurance, trait anxiety, fear of falling, self-efficacy, pain, strength, range of motion (ROM), activity, participation, and quality of life (QoL). Discussion: Lack of statistical significance in post-stroke depression (PSD) measures may be due to inadequate intervention length or a psychosocial cause of depression. Improvements in balance, flexibility, and strength from yoga participation permitted progress in disability and functionality. Finally, overall health-related quality of life (HRQL) is affected by the severity of mental disorders and physical disability. Yoga can have a positive effect in both domains and therefore, may improve HRQL.

Conclusion: Preliminary evidence suggests the ...


Language-Mixing In Discourse In Bilingual Individuals With Non-Fluent Aphasia, Avanthi Paplikar 2016 Graduate Center, City University of New York

Language-Mixing In Discourse In Bilingual Individuals With Non-Fluent Aphasia, Avanthi Paplikar

All Dissertations, Theses, and Capstone Projects

Language-mixing (LM) as defined by Chengappa (2009, p. 417) is an “intra-sentential phenomenon referred to as the mixing of various linguistic units (morphemes, words, modifiers, phrases, etc.), primarily from two participating grammatical systems”. LM is influenced by grammatical, environmental, and social constraints (e.g., Milroy & Wei, 1995; Bhat & Chengappa, 2005). Researchers have suggested that LM in patients with aphasia is a communicative strategy used to achieve successful exchanges between speakers; the effectiveness of this mixing, however, had yet to be demonstrated quantitatively.

In the current study we investigated whether LM is present in bilingual speakers with aphasia, and if so, at which linguistic level(s) (morphological, lexical, pragmatic, and phrase) LM is found. Once these questions were addressed, we asked whether the LM patterns ...


Expressive Writing As A Coping Mechanism For Caregivers Of People With Parkinson's Disease, Sarah Beck 2016 Union College - Schenectady, NY

Expressive Writing As A Coping Mechanism For Caregivers Of People With Parkinson's Disease, Sarah Beck

Honors Theses

Caregivers face challenges that take a tremendous toll both mentally and physically, while also having to experience their changing relationship with a loved one who continuously deteriorates. (Ornstein, Gaugler, Devanand, Scarmeas, Zhu, & Stern, 2013). The purpose of my study will be to examine if utilizing expressive writing (EW) can benefit caregivers of loved ones with Parkinson’s disease. I hypothesized that EW would help alleviate caregiver burden, and decrease negative mood and healthier coping means, while caregivers who write within a positive framework will experience the greatest alleviation of burden, better reported mood, and coping means. In this study the ...


Revealing The Quality Of Movement: A Meta-Analysis Review To Quantify The Thresholds To Pathological Variability During Standing And Walking, Niklas König Ignasiak 2016 Chapman University

Revealing The Quality Of Movement: A Meta-Analysis Review To Quantify The Thresholds To Pathological Variability During Standing And Walking, Niklas König Ignasiak

Physical Therapy Faculty Articles and Research

Neuromotor processes are inherently noisy, which results in variability during movement and fluctu-ations in motor control. Although controversial, low levels of variability are traditionally considered healthy, while increased levels are thought to be pathological. This systematic review and meta-analysisof the literature investigates the thresholds between healthy and pathological task variability.

After examining 13,195 publications, 109 studies were included. Results from over 3000 healthy sub-jects and 2775 patients revealed an overall positive effect size of pathology on variability of 0.59 forwalking and 0.80 for sway. For the coefficient of variation of stride time (ST) and sway area (SA ...


Trunk-Pelvis Coordination During Turning: A Cross Sectional Study Of Young Adults With And Without A History Of Low Back Pain, Jo Armour Smith, Kornelia Kulig 2016 Chapman University

Trunk-Pelvis Coordination During Turning: A Cross Sectional Study Of Young Adults With And Without A History Of Low Back Pain, Jo Armour Smith, Kornelia Kulig

Physical Therapy Faculty Articles and Research

Background

During steady-state locomotion, symptomatic individuals with low back pain demonstrate reduced ability to modulate coordination between the trunk and the pelvis in the axial plane. It is unclear if this is also true during functional locomotor perturbations such as changing direction, or if this change in coordination adaptability persists between symptomatic episodes. The purpose of this study was to compare trunk-pelvis coordination during walking turns in healthy individuals and asymptomatic individuals with a history of low back pain.

Methods

Participants performed multiple ipsilateral turns. Axial plane inter-segmental coordination and stride-to-stride coordination variability were quantified using the vector coding technique ...


Home-Based Multidisciplinary Rehabilitation Following Hip Fracture Surgery: What Is The Evidence?, Kathleen Donohue, Richelle Hoevenaars, Jocelyn McEachern, Erica Zeman, Saurabh Mehta 2016 Marshall University

Home-Based Multidisciplinary Rehabilitation Following Hip Fracture Surgery: What Is The Evidence?, Kathleen Donohue, Richelle Hoevenaars, Jocelyn Mceachern, Erica Zeman, Saurabh Mehta

Saurabh Mehta

Objective. To determine the effects of multidisciplinary home rehabilitation (MHR) on functional and quality of life (QOL) outcomes following hip fracture surgery.

Methods. Systematic review methodology suggested by Cochrane Collaboration was adopted. Reviewers independently searched the literature, selected the studies, extracted data, and performed critical appraisal of studies. Summary of the results of included studies was provided.

Results. Five studies were included. Over the short-term, functional status and lower extremity strength were better in the MHR group compared to the no treatment group (NT). Over the long-term, the MHR group showed greater improvements in balance confidence, functional status, and lower ...


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