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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 Mar 2012

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 …


Predicting Residential Treatment Outcomes For Emotionally And Behaviorally Disordered Youth: The Role Of Pretreatment Factors, Wendy Den Dunnen, Jeff St. Pierre, Shannon Stewart, Andrew Johnson, Steven Cook, Alan Leschied Jan 2012

Predicting Residential Treatment Outcomes For Emotionally And Behaviorally Disordered Youth: The Role Of Pretreatment Factors, Wendy Den Dunnen, Jeff St. Pierre, Shannon Stewart, Andrew Johnson, Steven Cook, Alan Leschied

Andrew M. Johnson

This study examined outcomes with 170 children and youth admitted to residential treatment with complex mental health problems. Overall, outcomes at 2 years post-treatment was predicted by children and youth's behavioral pretreatment status reflected in lower internalizing and externalizing behavior at admission. These findings recognize a cluster of variables upon admission that are differentially predictive of specific outcomes. Higher school participation/achievement and an absence of witnessing interparental abuse predicted educational status. Family status was predicted at admission by higher family functioning, being younger in the family, and children and youth who had poor community behavior. The results are discussed as …


Beyond Traditional Notions Of Validity: Selecting Appropriate Measures For Occupational Therapy Practice., Andrew Johnson, Briana Zur, Eric Roy, Debbie Laliberte-Rudman, Jennie Wells Dec 2011

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 …


Validity Of The Nintendo Wii® Balance Board For The Assessment Of Standing Balance In Parkinson’S Disease, Jeffrey Holmes, Mary Jenkins, Andrew Johnson, Michael Hunt, Ross Clark Dec 2011

Validity Of The Nintendo Wii® Balance Board For The Assessment Of Standing Balance In Parkinson’S Disease, Jeffrey Holmes, Mary Jenkins, Andrew Johnson, Michael Hunt, Ross Clark

Andrew M. Johnson

Background: Impaired postural stability places individuals with Parkinson’s at an increased risk for falls. Given the high incidence of fall-related injuries within this population, ongoing assessment of postural stability is important. Objective: To evaluate the validity of the Nintendo Wii® balance board as a measurement tool for the assessment of postural stability in individuals with Parkinson’s. Subjects: Twenty individuals with Parkinson’s participated. Intervention: Subjects completed testing on two balance tasks with eyes open and closed on a Wii® balance board and biomechanical force platform. Main Measures: Bland–Altman plots and a two-way, random-effects, single measure intraclass correlation coefficient model were used …


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 Dec 2011

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 Dec 2011

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 Dec 2011

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 …


The Effects Of Word Length, Articulation, Oral-Motor Movement, And Lexicality On Gait: A Pilot Study, K. Davie, Janis Cardy, J. Holmes, M. Gagnon, A. Hyde, M. Jenkins, Andrew Johnson Dec 2011

The Effects Of Word Length, Articulation, Oral-Motor Movement, And Lexicality On Gait: A Pilot Study, K. Davie, Janis Cardy, J. Holmes, M. Gagnon, A. Hyde, M. Jenkins, Andrew Johnson

Andrew M. Johnson

Previous research has suggested that articulatory demands are important predictors of the impact of dual-task interference on spatial-temporal parameters of gait. In this study, we evaluated the effects of word length, oral-motor movement, articulation, and lexicality, within a verbal task, on a continuous gait task. Fifteen healthy young women participated in a study in which two word lengths (monosyllabic and bisyllabic) were crossed with four levels of secondary task complexity (no dual-task, non-speech movement, spoken non-word, and spoken word). Spatial and temporal parameters of gait were measured using a 23' instrumented carpet. Results indicated a significant multivariate main effect for …