Does sitting tai chi improve balance control of community-dwelling persons with spinal cord injuries?

Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e441
Author(s):  
K.L. Gao ◽  
K.M. Chan ◽  
S. Purves ◽  
W.W.N. Tsang
Keyword(s):  
Spinal Cord ◽  
Tai Chi ◽  
Spinal Cord Injuries ◽  
Balance Control ◽  
Community Dwelling

scholarly journals Meaning of Staring and the Starer–Staree Relationship Related to Men Living With Acquired Spinal Cord Injuries

2016 ◽  
Vol 12 (2) ◽  
pp. 283-291 ◽  
Author(s):  
Rebecca Renwick ◽  
Karen Yoshida ◽  
Elizabeth Eacrett ◽  
Natalie Rose
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Secondary Analysis ◽  
Community Dwelling ◽  
Negative Consequences ◽  
Public Places ◽  
The Public ◽  
Adult Men ◽  
Cord Injury

When in public places, many individuals with physical disabilities experience staring. Although staring is typically seen as uncomplicated and something to be “ignored,” it has consequences for the person being stared and the staree. Few studies have focused on staring experienced by men following spinal cord injury (SCI). Accordingly, this study explored how adult men with SCI give meaning to the staring from others, the consequences for them, and their responses to the staring and to the starer. Principles of modified grounded theory methods were used to conduct a secondary analysis of interview data for 30 male participants from a larger study of community-dwelling individuals with SCI. Themes revealed through analysis related to context-dependent meanings of staring, negative consequences of staring for some men, and positive opportunities for self-growth and interaction with the public. These findings contribute to a more complex understanding of staring and the relationship between the starer and staree in various social circumstances which can support people living with differences in their public interactions, and improve their quality of life.

scholarly journals Examining Participation among Persons with Spinal Cord Injuries and Disorders Using Photovoice

2017 ◽  
Author(s):  
Salva Balbale ◽  
Keshonna Lones ◽  
Jennifer Hill ◽  
Sherri LaVela
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Environmental Changes ◽  
Community Dwelling ◽  
Social Aspect ◽  
Structured Interviews ◽  
Convenience Sample ◽  
Positive Effects ◽  
Cord Injury ◽  
The Mean

Participation is a significant rehabilitation outcome for individuals with spinal cord injury and/or disorder (SCI/D), yet few qualitative studies have described the social aspect of disability and community participation. We used the photovoice methodology to explore perceptions and experiences related to participation among Veterans with SCI/D. We recruited a convenience sample of individuals with SCI/D at the Hines Veterans Affairs (VA) SCI/D Unit. Participants were asked to take photographs exemplifying their experiences and activities regarding participation. Within four weeks, participants returned their photographs and completed semi-structured interviews to discuss their photographs. Interview transcripts were analyzed using an inductive coding approach to identify emerging themes. Of the 18 Veterans with SCI/D who completed the initial orientation session, 9 (50%) completed the photography phase and follow-up interviews. A majority of participants were White (67%) and the mean age was 64 years. The mean duration of injury was 21.8 years, and 75% of participants were paraplegic. Most participants (78%) were community-dwelling. All participants discussed participation as a highly relevant issue in their lives. A majority of participants (67%) described sports as an example of participation. Over half (56%) emphasized the positive effects of participation (i.e., feelings of enjoyment / accomplishment) in sports as well as engaging in faith-based activities, being outdoors, and managing business- or household-related responsibilities. Barriers to participation were mobility impairments, lack of transportation and cost. Findings from this study can be used to address environmental changes or other accommodations that influence participation, both inside and outside the health care setting.

scholarly journals Comparing Activity and Participation between Acquired Brain Injury and Spinal-Cord Injury in Community-Dwelling People with Severe Disability Using WHODAS 2.0

2020 ◽  
Vol 17 (9) ◽  
pp. 3031 ◽  
Author(s):  
Seo Yeon Yoon ◽  
Ja-Ho Leigh ◽  
Jieun Lee ◽  
Wan Ho Kim
Keyword(s):  
Risk Factors ◽  
Spinal Cord ◽  
Brain Injuries ◽  
Spinal Cord Injuries ◽  
Community Dwelling ◽  
Severe Disability ◽  
World Health ◽  
Cross Sectional ◽  
Whodas 2.0 ◽  
Cord Injury

Central-nervous-system (CNS) injuries constitute a significant cause of morbidity (often resulting in long-term disability) and mortality. This cross-sectional study compared the activity and participation of community-dwelling people with severe disability from acquired brain injuries (ABI) (n = 322) and spinal-cord injuries (SCI) (n = 183) to identify risk factors related to disability. Data were collected through a questionnaire survey of community-dwelling people with severe disability attending 65 healthcare centers. The survey included the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) and sociodemographic factors. We categorized a registered grade of disability of 1 or 2 as severe disability. WHODAS 2.0 domain and summary scores were compared between the ABI and SCI groups, and risk factors associated with disability were identified through regression analysis. ABI participants had significantly higher disability in cognition and relationships, whereas patients with SCI had higher disability in mobility (p < 0.05). Onset duration was negatively correlated with cognition, relationships, participation, and summary scores in ABI participants (p < 0.05). Neither group’s socioeconomic factors were associated with WHODA 2.0 scores. Understanding the different patterns of disability between SCI and ABI in community-dwelling people with severe disability helps establish future plans for the management of health resources.

scholarly journals Sitting Tai Chi Improves the Balance Control and Muscle Strength of Community-Dwelling Persons with Spinal Cord Injuries: A Pilot Study

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
William W. N. Tsang ◽  
Kelly L. Gao ◽  
K. M. Chan ◽  
Sheila Purves ◽  
Duncan J. Macfarlane ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Tai Chi ◽  
Spinal Cord Injuries ◽  
Balance Control ◽  
Handgrip Strength ◽  
Limits Of Stability ◽  
Sitting Balance ◽  
Weight Shifting ◽  
Dynamic Sitting

Objective. To investigate the effects of sitting Tai Chi on muscle strength, balance control, and quality of life (QOL) among survivors with spinal cord injuries (SCI).Methods. Eleven SCI survivors participated in the sitting Tai Chi training (90 minutes/session, 2 times/week for 12 weeks) and eight SCI survivors acted as controls. Dynamic sitting balance was evaluated using limits of stability test and a sequential weight shifting test in sitting. Handgrip strength was also tested using a hand-held dynamometer. QOL was measured using the World Health Organization’s Quality of Life Scale.Results. Tai Chi practitioners achieved significant improvements in their reaction time (P=0.042); maximum excursion (P=0.016); and directional control (P=0.025) in the limits of stability test after training. In the sequential weight shifting test, they significantly improved their total time to sequentially hit the 12 targets (P=0.035). Significant improvement in handgrip strength was also found among the Tai Chi practitioners (P=0.049). However, no significant within and between-group differences were found in the QOL outcomes (P>0.05).Conclusions. Twelve weeks of sitting Tai Chi training could improve the dynamic sitting balance and handgrip strength, but not QOL, of the SCI survivors.

Impairment Rating and Spinal Cord Injuries: Revisiting the Guides

2010 ◽  
Vol 15 (3) ◽  
pp. 1-7
Author(s):  
Richard T. Katz
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Functional Independence ◽  
Outcome Data ◽  
Multiple Organ ◽  
Loss Of Function ◽  
Sixth Edition ◽  
Organ Systems ◽  
Cord Injury ◽  
Impairment Ratings

Abstract This article addresses some criticisms of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) by comparing previously published outcome data from a group of complete spinal cord injury (SCI) persons with impairment ratings for a corresponding level of injury calculated using the AMA Guides, Sixth Edition. Results of the comparison show that impairment ratings using the sixth edition scale poorly with the level of impairments of activities of daily living (ADL) in SCI patients as assessed by the Functional Independence Measure (FIM) motor scale and the extended FIM motor scale. Because of the combinations of multiple impairments, the AMA Guides potentially overrates the impairment of paraplegics compared with that of quadriplegics. The use and applicability of the Combined Values formula should be further investigated, and complete loss of function of two upper extremities seems consistent with levels of quadriplegia using the SCI model. Some aspects of the AMA Guides contain inconsistencies. The concept of diminishing impairment values is not easily translated between specific losses of function per organ system and “overall” loss of ADLs involving multiple organ systems, and the notion of “catastrophic thresholds” involving multiple organ systems may support the understanding that variations in rating may exist in higher rating cases such as those that involve an SCI.

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