Medicine and Health Sciences Commons^™

Critically Appraised Paper For “Efficacy Of Occupational Therapy For Patients With Parkinson's Disease: A Randomized Controlled Trial”, Amber Zadravecz, Hannah Tashjian, Emily White, Stephanie Pawek, Kitsum Li

Kitsum Li

Parkinson’s disease is a disabling, progressive condition that hinders occupational performance in daily activities and social participation. Occupational therapy supports engagement in activities that are meaningful to the patient. The purpose of this study was to explore the benefits of occupational therapy in addition to standard care for patients with Parkinson's disease.

Critically Appraised Paper For “Bobath Concept Versus Constraint-Induced Movement Therapy To Improve Arm Functional Recovery In Stroke Patients: A Randomized Controlled Trial.” Clinical Rehabilitation, Emily Garnica, Savannah Hancock, Tiffany Huang, Jessica Phung, Kitsum Li

Kitsum Li

The researchers used a Level I, single-blinded, randomized controlled trial design to compare the functional arm recovery of 22 high-functioning poststroke participants. Participants were evenly assigned to receive therapy using the Bobath concept or constraint-induced movement therapy (CIMT).

The first intervention group received therapy using the Bobath concept, a neurodevelopmental treatment focused on specific handling techniques that guide the patient’s affected arm through initiation and completion of tasks. The intervention consisted of 1 hr of training per day in an outpatient clinic and a 24-hr home program for 10 consecutive weekdays. The second intervention group received CIMT, a rehabilitation treatment …

Critically Appraised Paper For “The Effect Of Modified Constraint-Induced Movement Therapy On Spasticity And Motor Function Of The Affected Arm In Patients With Chronic Stroke.”, Jacqueline Bloom, Emily Lu, Matt Tong, Kitsum Li

Kitsum Li

This study explored the effect of modified constraint-induced movement therapy (CIMT) on the spasticity and functional use of the affected arm and hand among persons of working age who presented with spastic hemiplegia resulting from a stroke that occurred more than 6 months ago. The researchers developed a modified CIMT program for use in an outpatient rehabilitation clinic with intensive and varied exercise training aimed at targeting the negative symptoms of spastic hemiplegia. Previous research on CIMT has taken place in laboratory settings and has not specifically focused on CIMT’s effects on spasticity. The researchers used a battery of assessments …

Self-Reported Load Carriage Injuries In Australian Regular Army Soldiers, Rob Orr, Rodney Pope, Julia Coyle, Venerina Johnston

Rob Marc Orr

Access abstract in the Conference Abstract E-book, page 115

Self-Reported Load Carriage Injuries In Australian Regular Army Soldiers, Rob Orr, Rodney Pope, Julia Coyle, Venerina Johnston

Rodney P Pope

Access abstract in the Conference Abstract E-book, page 115

Profiling A Workplace Physiotherapy And Rehabilitation Program Within A Police Force, Rob Orr, M Hua, Michael Stierli

Rob Marc Orr

Access abstract in the Conference Abstract E-book, page 116

Leg Power As An Indicator For Risk Of Injury Or Illness In Police Recruits, Rob Orr, Rodney Pope, Samantha Peterson, Michael Stierli, Ben Hinton

Rob Marc Orr

Access abstract in the Conference Abstract E-book, page 123

Clinical Reasoning In The Use Of Slings For Patients With Shoulder Subluxation After Stroke: A Glimpse Of The Practice Phenomenon In California, Kitsum Li, Naoko Murai, Simon Chi

Kitsum Li

Literature reports the frequent use of shoulder slings by occupational therapists for the management of post-stroke shoulder subluxation despite the low evidence for its efficacy. To understand the clinical context that defies current research evidence, a survey was distributed among California occupational therapists. One hundred and sixty-eight participants responded to the survey, answering questions regarding the occurrences and clinical reasoning in the use of shoulder sling with patients post stroke. 81.5% of the respondents reported the use of shoulder sling. However, the actual sling prescription was limited to 28.4% of their patients. Slings were primarily prescribed for upper extremity management …

A Systematic Review Of The Impact Of Powered Mobility Devices On Older Adults’ Activity Engagement, R Formiatti, L Moir, Janet Richmond, J Millsteed

Janet E Richmond PhD

Purpose: To systematically review the impact powered mobility devices have on engagement in independent occupations for adults with acquired mobility limitations. Method: Electronic search of CINAHL Plus, Medline, PsychInfo, OT Seeker, Joanna Briggs Institute, and Physiotherapy Evidence Database. Search terms included combinations of words to encompass all terms most likely used for powered mobility. Results: Eleven studies were eligible for inclusion. One study was a true experimental design; four studies were pre-experimental, and six were nonexperimental. Studies indicated positive improvements to occupational engagement and independence while environmental barriers were identified as negatively impacting occupation and increasing risk of injury or …

Gender Differences In Load Carriage Injuries Of Australian Army Soldiers, Rob Marc Orr Dr, Rodney Pope Dr

Rob Marc Orr

Gender Differences In Load Carriage Injuries Of Australian Army Soldiers, Rob Marc Orr Dr, Rodney Pope Dr

Rodney P Pope

Understanding Atp-Mediated Vasodilatation In Humans, Anne R. Crecelius, Frank A. Dinenno

Anne R. Crecelius

Negative results, cynicism, the piecing together of puzzles and integrating physiology with experimental approaches are all part of the inspiring and meandering journey on the path to understand ATP-mediated vasodilatation. While it is satisfying to be "right" as scientists, we know sometimes the most important progress occurs when data are surprising or contrary to our original hypothesis. The pursuit of explanations for unexpected findings often leads to the best advancements. The story of how our laboratory came to investigate the underlying vasodilatator pathways of adenosine triphosphate (ATP) is an example of such a path to our current understanding.

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 …

For Patients With Acute Cerebral Vascular Accident, Is Virtual Reality Gaming More Effective Than Standard Recreational Therapy For The Improvement Of Hand Function?, Amy Marie Sequeira Boeschen, Elizabeth Jeanne Szoboszlay, Martha Welderufael, Kitsum Li

Kitsum Li

To evaluate the safety, feasibility, and efficacy of VR gaming using the Nintendo Wii vs. standard recreational therapy for the improvement of UE function in patients who have experienced a stroke.

University Campus Accessibility Measure, Lea E. Klinger

Lisa Klinger

No abstract provided.

Physical Accessibility Measure For Schools, Lea E. Klinger

Lisa Klinger

No abstract provided.

Do People With Aphasia Want Written Information? A Verbal Survey Exploring Preferences For When And How To Provide Stroke And Aphasia Information, Tanya Rose, Linda Worrall, Louise Hickson, Tammy Hoffmann

Tammy Hoffmann

Purpose: Written health information can be better comprehended by people with aphasia if it is provided in an aphasiafriendly format. However, before pursuing research in the area of text-formatting for people with aphasia, it must be determined whether people with aphasia consider it helpful to receive health information in the written media. This study, therefore, aimed to determine the following: whether people with aphasia consider it important to receive written stroke and aphasia information; when people with aphasia prefer to receive this information; and what their preferences are for health information media.

Method: Surveys were administered in a face-to-face interview …

Evaluation Of The Effect Of Patient Education On Rates Of Falls In Older Hospital Patients: Description Of A Randomised Controlled Trial, Anne-Marie Hill, Keith Hill, Sandra Brauer, David Oliver, Tammy Hoffmann, Christopher Beer, Steven Mcphail, Terry P. Haines

Tammy Hoffmann

Background: Accidental falls by older patients in hospital are one of the most commonly reported adverse events. Falls after discharge are also common. These falls have enormous physical, psychological and social consequences for older patients, including serious physical injury and reduced quality of life, and are also a source of substantial cost to health systems worldwide. There have been a limited number of randomised controlled trials, mainly using multifactorial interventions, aiming to prevent older people falling whilst inpatients. Trials to date have produced conflicting results and recent meta-analyses highlight that there is still insufficient evidence to clearly identify which interventions …

What Education Do Stroke Patients Receive In Australian Hospitals?, Tammy Hoffmann, Tammy Cochrane

Tammy Hoffmann

Objective: This study evaluated the educational practices of staff working in acute stroke wards in Australian hospitals, including the coordination and methods of patient education provision, postdischarge education and support services available, and the education and support services that health professionals would like to provide.

Methods: Health professionals who worked in acute stroke wards in Australian hospitals were surveyed about the stroke education practices of staff in their ward. Thirty-four hospitals returned a completed questionnaire via email or fax.

Results: Verbal communication and written materials were the most frequently used methods of information provision. Twenty-three (67.6%) wards developed their own …

Interventions For Stroke Rehabilitation: Analysis Of The Research Contained In The Otseeker Evidence Database, Tammy Hoffmann, Sally Bennett, Kryss Mckenna, Julie Green-Hill, Annie Mccluskey, Leigh Tooth

Tammy Hoffmann

Purpose: To analyse the stroke content in OTseeker in terms of the quantity of the research evidence, the quality of the randomised controlled trials (RCTs), and the types of interventions and outcome measures used.

Method: A survey of stroke-related content in the OTseeker database was conducted in 2007. The year of publication and intervention categories used in each stroke-related RCT and systematic review (SR) were recorded. The internal validity of RCTs using the PEDro scale (partitioned) and the outcome measures used were also recorded.

Results: Of the 4,369 articles indexed on OTseeker, 452 (10.3%) related to stroke were conducted between …