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Articles 1 - 18 of 18
Full-Text Articles in Medicine and Health Sciences
Predictive Validity Of The Updrs Postural Stability Score And The Functional Reach Test, When Compared With Ecologically Valid Reaching Tasks, M. E. Jenkins, Andrew M. Johnson, J. D. Holmes, F. F. Stephenson, S. J. Spaulding
Predictive Validity Of The Updrs Postural Stability Score And The Functional Reach Test, When Compared With Ecologically Valid Reaching Tasks, M. E. Jenkins, Andrew M. Johnson, J. D. Holmes, F. F. Stephenson, S. J. Spaulding
Andrew M. Johnson
Balance problems and falls are a common concern among individuals with Parkinson's disease (PD). Falls frequently occur during daily activities such as reaching into cupboards in the kitchen or bathroom. This study compared the correlation among two standard postural stability tests - the postural stability score on the Unified Parkinson's Disease Rating Scale (UPDRS) and the Functional Reach Test (FRT) - and ecologically valid reaching tasks that correspond to reaching at different cupboard heights among 20 individuals with PD and 20 age-matched controls. Both the FRT and the UPDRS postural stability tests are quick measures that can be performed during …
Beyond Traditional Notions Of Validity: Selecting Appropriate Measures For Occupational Therapy Practice., Andrew Johnson, Briana Zur, Eric Roy, Debbie Laliberte-Rudman, Jennie Wells
Beyond Traditional Notions Of Validity: Selecting Appropriate Measures For Occupational Therapy Practice., Andrew Johnson, Briana Zur, Eric Roy, Debbie Laliberte-Rudman, Jennie Wells
Andrew M. Johnson
Increasingly, tied to factors such as increased emphasis on accountability and health care spending restraints, occupational therapists are required to implement evidence-based practice. When implementing evidence-based assessment, it is critical that occupational therapists examine and challenge some of the assumptions underlying the current use of measures, as well as the conclusions being drawn from their use. In order to most effectively judge the appropriateness of measures informing their assessments, interventions and recommendations, occupational therapists must draw upon measurement theory and concepts. To date, occupational therapy literature has predominantly emphasized a narrow conceptualization of validity that focuses on empirical evidence. The …
A Prospective Study Of Physician-Observed Concussion During A Varsity University Hockey Season: Incidence And Neuropsychological Changes, Paul Echlin, Elaine Skopelja, Rachel Worsley, Shiroy Dadanchanji, Rob Lloyd-Smith, Jack Taunton, Lorie Forwell, Andrew Johnson
A Prospective Study Of Physician-Observed Concussion During A Varsity University Hockey Season: Incidence And Neuropsychological Changes, Paul Echlin, Elaine Skopelja, Rachel Worsley, Shiroy Dadanchanji, Rob Lloyd-Smith, Jack Taunton, Lorie Forwell, Andrew Johnson
Andrew M. Johnson
Object. The primary objective of this study was to measure the incidence of concussion according to a relative number of athlete exposures among 25 male and 20 female varsity ice hockey players. The secondary objective was to present neuropsychological test results between preseason and postseason play and at 72 hours, 2 weeks, and 2 months after concussion. Methods. Every player underwent baseline assessments using the Sport Concussion Assessment Tool-2 (SCAT2), Immediate Post-Concussion Assessment and Cognitive Test (ImPACT), and MRI. Each regular season and postseason game was observed by 2 independent observers (a physician and a nonphysician observer). Players with a …
A Prospective Study Of Physician-Observed Concussion During A Varsity University Hockey Season: Metabolic Changes In Ice Hockey Players., Emilie Chamard, Hugo Theoret, Elaine Skopelja, Lorie Forwell, Andrew Johnson, Paul Echlin
A Prospective Study Of Physician-Observed Concussion During A Varsity University Hockey Season: Metabolic Changes In Ice Hockey Players., Emilie Chamard, Hugo Theoret, Elaine Skopelja, Lorie Forwell, Andrew Johnson, Paul Echlin
Andrew M. Johnson
Object. Despite negative neuroimaging findings using traditional neuroimaging methods such as MRI and CT, sports-related concussions have been shown to cause neurometabolic changes in both the acute and subacute phases of head injury. However, no prospective clinical study has used an independent physician-observer design in the monitoring of these changes. The objective of this study was to evaluate the effects of repetitive concussive and subconcussive head impacts on neurometabolic concentrations in a prospective study of two Canadian Interuniversity Sports (CIS) ice hockey teams using MR spectroscopy (MRS). Methods. Forty-five ice hockey players (25 men and 20 women) participated in this …
A Prospective Study Of Physician-Observed Concussion During A Varsity University Hockey Season: White Matter Integrity In Ice Hockey Players, Inga Koerte, David Kaufmann, Elisabeth Hartl, Sylvain Bouix, Ofer Pasternak, Marek Kubicki, Alexander Rauscher, David Li, Shiroy Dadachanji, Jack Taunton, Lorie Forwell, Andrew Johnson, Paul Echlin, Martha Shenton
A Prospective Study Of Physician-Observed Concussion During A Varsity University Hockey Season: White Matter Integrity In Ice Hockey Players, Inga Koerte, David Kaufmann, Elisabeth Hartl, Sylvain Bouix, Ofer Pasternak, Marek Kubicki, Alexander Rauscher, David Li, Shiroy Dadachanji, Jack Taunton, Lorie Forwell, Andrew Johnson, Paul Echlin, Martha Shenton
Andrew M. Johnson
Object. The aim of this study was to investigate the effect of repetitive head impacts on white matter integrity that were sustained during 1 Canadian Interuniversity Sports (CIS) ice hockey season, using advanced diffusion tensor imaging (DTI). Methods. Twenty-five male ice hockey players between 20 and 26 years of age (mean age 22.24 ± 1.59 years) participated in this study. Participants underwent pre- and postseason 3-T MRI, including DTI. Group analyses were performed using paired-group tract-based spatial statistics to test for differences between preseason and postseason changes. Results. Tract-based spatial statistics revealed an increase in trace, radial diffusivity (RD), and …
Identification And Management Of Impulse Control Disorders Among Individuals With Parkinson’S Disease, Andrew Johnson, H. Hyson, Kaitlyn Roland
Identification And Management Of Impulse Control Disorders Among Individuals With Parkinson’S Disease, Andrew Johnson, H. Hyson, Kaitlyn Roland
Andrew M. Johnson
Although Parkinson’s disease is primarily considered to be a motor disorder, it has inarguable effects on cognition and personality. The cluster of neuropsychiatric sequelae known as impulse-control disorders has been of particular interest in recent years, perhaps owing to the potentially disastrous effects that such behaviors can have on individuals and families. Research has suggested that impulse control disorders are significantly more prevalent among individuals with Parkinson’s disease, particularly with regards to pathological gambling and hypersexuality, and has further suggested that these disorders are significantly and substantively affected by the use of dopamine agonists. Treatment options for impulse control disorders …
Predictive Validity Of The Updrs Postural Stability Score And The Functional Reach Test, When Compared With Ecologically Valid Reaching Tasks, M. Jenkins, Andrew Johnson, J. Holmes, F. Stephenson, S. Spaulding
Predictive Validity Of The Updrs Postural Stability Score And The Functional Reach Test, When Compared With Ecologically Valid Reaching Tasks, M. Jenkins, Andrew Johnson, J. Holmes, F. Stephenson, S. Spaulding
Andrew M. Johnson
Balance problems and falls are a common concern among individuals with Parkinson's disease (PD). Falls frequently occur during daily activities such as reaching into cupboards in the kitchen or bathroom. This study compared the correlation among two standard postural stability tests - the postural stability score on the Unified Parkinson's Disease Rating Scale (UPDRS) and the Functional Reach Test (FRT) - and ecologically valid reaching tasks that correspond to reaching at different cupboard heights among 20 individuals with PD and 20 age-matched controls. Both the FRT and the UPDRS postural stability tests are quick measures that can be performed during …
Dual-Task Interference: The Effects Of Verbal Cognitive Tasks On Upright Postural Stability In Parkinson's Disease, J. Holmes, M. Jenkins, Andrew Johnson, S. Adams, S. Spaulding
Dual-Task Interference: The Effects Of Verbal Cognitive Tasks On Upright Postural Stability In Parkinson's Disease, J. Holmes, M. Jenkins, Andrew Johnson, S. Adams, S. Spaulding
Andrew M. Johnson
Although dual-task interference has previously been demonstrated to have a significant effect on postural control among individuals with Parkinson's disease, the impact of speech complexity on postural control has not been demonstrated using quantitative biomechanical measures. The postural stability of twelve participants with idiopathic Parkinson's disease and twelve healthy age-matched controls was evaluated under three conditions: (1) without a secondary task, (2) performing a rote repetition task and (3) generating a monologue. Results suggested a significant effect of cognitive load on biomechanical parameters of postural stability. Although both groups increased their postural excursion, individuals with Parkinson's disease demonstrated significantly reduced …
An Exploration Of The Burden Experienced By Spousal Caregivers Of Individuals With Parkinson's Disease, Kaitlyn Roland, Mary Jenkins, Andrew Johnson
An Exploration Of The Burden Experienced By Spousal Caregivers Of Individuals With Parkinson's Disease, Kaitlyn Roland, Mary Jenkins, Andrew Johnson
Andrew M. Johnson
Although previous research has attempted to identify the needs of caregivers for individuals with Parkinson's disease (PD), most has focused on the demands associated with the physical needs of the patient, and not on "mental burden." This study used the repertory grid method to capture the full range of caregivers' subjective experience, quantify their perceptions, and to acquire information that might be useful in directing remediation attempts. Within this sample, caregivers reported far greater burden from "mental stress" (e.g., worrying about individual's safety) than from "physical stress" (e.g., lifting individual into bed). Specifically, caregivers were primarily concerned about spousal safety, …
A Prospective Study Of Physician-Observed Concussion During Junior Ice Hockey: Implications For Incidence Rates, Paul Echlin, Charles Tator, Michael Cusimano, Robert Cantu, Jack Taunton, Ross Upshur, Craig Hall, Andrew Johnson, Lorie Forwell, Elaine Skopelja
A Prospective Study Of Physician-Observed Concussion During Junior Ice Hockey: Implications For Incidence Rates, Paul Echlin, Charles Tator, Michael Cusimano, Robert Cantu, Jack Taunton, Ross Upshur, Craig Hall, Andrew Johnson, Lorie Forwell, Elaine Skopelja
Andrew M. Johnson
No abstract provided.
Return To Play After An Initial Or Recurrent Concussion In A Prospective Study Of Physician-Observed Junior Ice Hockey Concussions: Implications For Return To Play After A Concussion, Paul Echlin, Charles Tator, Michael Cusimano, Robert Cantu, Jack Taunton, Ross Upshur, Michael Czarnota, Craig Hall, Andrew Johnson, Lorie Forwell, Molly Driediger, Elaine Skopelja
Return To Play After An Initial Or Recurrent Concussion In A Prospective Study Of Physician-Observed Junior Ice Hockey Concussions: Implications For Return To Play After A Concussion, Paul Echlin, Charles Tator, Michael Cusimano, Robert Cantu, Jack Taunton, Ross Upshur, Michael Czarnota, Craig Hall, Andrew Johnson, Lorie Forwell, Molly Driediger, Elaine Skopelja
Andrew M. Johnson
Object. The authors investigated return-to-play duration for initial and recurrent concussion in the same season in 2 teams of junior (16–21-year-old) ice hockey players during a regular season. Methods. The authors conducted a prospective cohort study during 1 junior regular season (2009–2010) of 67 male fourth- tier ice hockey players (mean age
A Prospective Study Of Concussion Education In 2 Junior Ice Hockey Teams: Implications For Sports Concussion Education, Paul Echlin, Andrew Johnson, Suzanne Riverin, Charles Tator, Robert Cantu, Michael Cusimano, Jack Taunton, Ross Upshur, Craig Hall, Lorie Forwell, Elaine Skopelja
A Prospective Study Of Concussion Education In 2 Junior Ice Hockey Teams: Implications For Sports Concussion Education, Paul Echlin, Andrew Johnson, Suzanne Riverin, Charles Tator, Robert Cantu, Michael Cusimano, Jack Taunton, Ross Upshur, Craig Hall, Lorie Forwell, Elaine Skopelja
Andrew M. Johnson
No abstract provided.
Plantar Cutaneous Sensory Stimulation Improves Single-Limb Support Time, And Emg Activation Patterns Among Individuals With Parkinson's Disease, M. Jenkins, Q. Almeida, S. Spaulding, R. Van Oostveen, J. Holmes, Andrew Johnson, S. Perry
Plantar Cutaneous Sensory Stimulation Improves Single-Limb Support Time, And Emg Activation Patterns Among Individuals With Parkinson's Disease, M. Jenkins, Q. Almeida, S. Spaulding, R. Van Oostveen, J. Holmes, Andrew Johnson, S. Perry
Andrew M. Johnson
Parkinson's disease is a chronic neurological disorder that results in gait and posture impairment. There is increasing evidence that these motor impairments may be partially due to deficits within the sensory system. In this study, the effects of a facilitatory insole that provides increased plantar sensory stimulation, was evaluated during gait, in a group of individuals with Parkinson's disease in comparison with healthy age-matched controls. Spatial-temporal parameters of gait were evaluated using an instrumented carpet, and muscle activation patterns were evaluated using surface EMG. All participants were tested with both a facilitatory (ribbed) insole and a conventional (flat) insole while …
Dual Task Performance In A Healthy Young Adult Population: Results From A Symmetric Manipulation Of Task Complexity And Articulation, Albert Armieri, Jeffrey Holmes, Sandi Spaulding, Mary Jenkins, Andrew Johnson
Dual Task Performance In A Healthy Young Adult Population: Results From A Symmetric Manipulation Of Task Complexity And Articulation, Albert Armieri, Jeffrey Holmes, Sandi Spaulding, Mary Jenkins, Andrew Johnson
Andrew M. Johnson
The ability to execute and maintain gait while performing simultaneous cognitive, verbal, or motor tasks ('dual-tasking') is beneficial in many ways. It is well-documented, however, that dual-tasking can result in cognitive or motoric interference that results in diminished gait performance, and impaired secondary task performance. When manipulating cognitive load, it is common to have participants respond verbally to stimuli. While this is an ecologically valid way to measure the effects of cognitive load on gait, it ignores the additional demands inherent in the verbal aspect of the task. In the present study, we manipulated complexity and articulation within a single …
Brain Nerve Conduction Velocity Is A Valid And Useful Construct For Studying Human Cognitive Abilities: A Reply To Saint-Amour Et Al, Andrew Johnson, T. Reed, Philip Vernon
Brain Nerve Conduction Velocity Is A Valid And Useful Construct For Studying Human Cognitive Abilities: A Reply To Saint-Amour Et Al, Andrew Johnson, T. Reed, Philip Vernon
Andrew M. Johnson
No abstract provided.
Visual Inspection Time In Parkinson's Disease: Deficits In Early Stages Of Cognitive Processing, Andrew Johnson, Quincy Almeida, Con Stough, James Thompson, Rene Singarayer, Mandar Jog
Visual Inspection Time In Parkinson's Disease: Deficits In Early Stages Of Cognitive Processing, Andrew Johnson, Quincy Almeida, Con Stough, James Thompson, Rene Singarayer, Mandar Jog
Andrew M. Johnson
Inspection time (IT) is a simple information processing paradigm dependent on a participant's ability to identify physical properties of a stimulus presented for a specified time interval. In contrast with reaction time (RT) studies, the dependent variable of interest in IT is not related to the motoric speed with which the individual is able to respond, but rather the minimum presentation time necessary for participants to reliably identify physical properties of the stimulus. It is well documented that individuals with Parkinson's disease (PD) experience significant impairment on tests of simple RT, but it is unclear whether such deficits can be …
A Role Of The Basal Ganglia In Movement: The Effect Of Precues On Discrete Bi-Directional Movements In Parkinson's Disease, Andrew Johnson, Philip Vernon, Quincy Almeida, Linda Grantier, Mandar Jog
A Role Of The Basal Ganglia In Movement: The Effect Of Precues On Discrete Bi-Directional Movements In Parkinson's Disease, Andrew Johnson, Philip Vernon, Quincy Almeida, Linda Grantier, Mandar Jog
Andrew M. Johnson
The effect of a precue on improving movement initiation (i.e., reaction time; RT) is well understood, whereas its influence on movement execution (i.e., movement time; MT) has rarely been examined. The current study investigated the influence of a directional precue (i.e., left vs. right) on the RT and MT of simple and discrete bi-directional movements in a large sample of Parkinson's disease patients and healthy control participants. Both patients and controls were tested twice, with testing sessions separated by 2 hours. Patients were tested first following an overnight levodopa withdrawal and again after they had taken their medication. Both patients …
Age And Neuropsychological Status Following Exposure To Violent Nonimpact Acceleration Forces In Mvas, James Sweeney, Andrew Johnson
Age And Neuropsychological Status Following Exposure To Violent Nonimpact Acceleration Forces In Mvas, James Sweeney, Andrew Johnson
Andrew M. Johnson
Performance on the Halstead-ReitanNeuropsychological Test Battery (HRB) was analyzed for 33 ind viduals, aged 20 to 69, who had been subjected to violent aceeleration forces in motor vehicle accidents . Age was considered as a continuous variable and correlated with single and compos ite HRB measures. With the one exception of the Left Neuropsychological Deficit Scale (NDS) score, agere lated de cline was consistently demonstrated by com positeHRB scores (i.e., Gen eralNDS, Right NDS, Level of Performance NDS, Pathognomonic SignNDS, Pattern NDS, Right-Left Differ enceNDS, and Halstead Impairment Index). In contrast, most single non-composite HRB measures did not refleet a …