Use of Pediatric Outcome Measures in a University Audiology Training Program

2003 ◽  
Vol 13 (2) ◽  
pp. 6-8
Author(s):  
Martha W. Paxton ◽  
Sandra Clark-Lewis
Keyword(s):  
Training Program ◽  
Outcome Measures ◽  
Audiology Training

Effects and Acceptability of an Individualized Home-Based 10-Week Training Program in Adults with Myotonic Dystrophy Type 1

2021 ◽  
Vol 8 (1) ◽  
pp. 137-149
Author(s):  
Isabelle Lessard ◽  
Sébastien Gaboury ◽  
Cynthia Gagnon ◽  
Kévin Bouchard ◽  
Kévin Chapron ◽  
...  
Keyword(s):  
Training Program ◽  
Myotonic Dystrophy ◽  
Outcome Measures ◽  
Functional Mobility ◽  
Myotonic Dystrophy Type 1 ◽  
Myotonic Dystrophy Type ◽  
Walk Test ◽  
Adult Form ◽  
Home Based

Background: Muscle weakness is a cardinal sign of myotonic dystrophy type 1, causing important functional mobility limitations and increasing the risk of falling. As a non-pharmacological, accessible and safe treatment for this population, strength training is an intervention of choice. Objective: To document the effects and acceptability of an individualized semi-supervised home-based exercise program on functional mobility, balance and lower limb strength, and to determine if an assistive training device has a significant impact on outcomes. Methods: This study used a pre-post test design and men with the adult form of DM1 were randomly assigned to the control or device group. The training program was performed three times a week for 10 weeks and included three exercises (sit-to-stand, squat, and alternated lunges). Outcome measures included maximal isometric muscle strength, 10-Meter Walk Test, Mini-BESTest, 30-Second Chair Stand Test and 6-minute walk test. Results: No outcome measures showed a significant difference, except for the strength of the knee flexors muscle group between the two assessments. All participants improved beyond the standard error of measurement in at least two outcome measures. The program and the device were well accepted and all participants reported many perceived improvements at the end of the program. Conclusions: Our results provide encouraging data on the effects and acceptability of a home-based training program for men with the adult form of DM1. These programs would reduce the financial burden on the health system while improving the clinical services offered to this population.

The Effects of Jump-Rope Training on Shoulder Isokinetic Strength in Adolescent Volleyball Players

2010 ◽  
Vol 19 (2) ◽  
pp. 184-199 ◽  
Author(s):  
Irem Duzgun ◽  
Gul Baltaci ◽  
Filiz Colakoglu ◽  
Volga Bayrakci Tunay ◽  
Derya Ozer
Keyword(s):  
Training Program ◽  
Outcome Measures ◽  
External Rotation ◽  
Peak Torque ◽  
Total Work ◽  
Significant Difference ◽  
Shoulder Strength ◽  
Group 2 ◽  
Jump Rope ◽  
Group 1

Objective:To investigate the effect of a 12-wk weighted-jump-rope training program on shoulder strength.Design:Pretest to posttest experimental design.Setting:University sports physiotherapy laboratory.Participants:24 healthy volleyball players age 13-16 y.Intervention:Group 1 took weighted-rope training (n = 9), group 2 took unweighted-rope training (n = 8), and group 3 did not train with any specific program (n = 7).Main Outcome Measures:Players’ strength determined with an isokinetic dynamometer (Isomed 2000) at 180 and 60°/s on external and internal rotators, supraspinatus peak torque, and total work of the dominant shoulder. Kruskal–Wallis and Mann–Whitney U tests were used to determine the difference among the groups.Results:At pretraining evaluation, there were no significant differences in the test scores of the isokinetic test of full can and empty can between the groups at 60 and 180°/s. There was no statistically significant difference for 60 and 180°/s between pretraining and posttraining assessment (P > .05) except that total eccentric work increased in groups 1 and 3 but decreased in group 2 at 180°/s during the full can (P < .05). There was no significant difference among the groups between the pretraining and posttraining testing at both 180 and 60°/s for the empty can (P > .05). Internal-rotation values at 60 and 180°/s decreased for both peak torque and total work for all groups. External-rotation peak torque and total work at 60°/s increased for group 1. External-rotation peak torque and total work at 180°/s increased for all groups.Conclusions:The results indicate that a jump-rope training program is a good conditioning method for overhead athletes because of its potential benefits to shoulder strength.

Effect of Whole-Body-Vibration Training on Trunk-Muscle Strength and Physical Performance in Healthy Adults: Preliminary Results of a Randomized Controlled Trial

2016 ◽  
Vol 25 (4) ◽  
pp. 357-363 ◽  
Author(s):  
Noriaki Maeda ◽  
Yukio Urabe ◽  
Junpei Sasadai ◽  
Akira Miyamoto ◽  
Masahito Murakami ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Training Program ◽  
Outcome Measures ◽  
Whole Body Vibration ◽  
Trunk Muscle ◽  
Isometric Strength ◽  
Muscle Performance ◽  
Whole Body ◽  
Muscle Training ◽  
Body Vibration

Context:Whole-body-vibration (WBV) stimulus equipment has been used as a new training method for health promotion. Its use in the clinic has expanded to the field of sports and rehabilitation for disabled patients. WBV training is rapidly gaining popularity in health and fitness centers as an alternative method for improving muscle performance. Acute positive effects of WBV have been shown on lower-extremity muscle power and vertical-jump ability; however, there have not been any studies focusing on the long-term effects of WBV for trunk muscle and dynamic balance.Objective:To investigate the effects of an 8-wk program of WBV in combination with trunk-muscle training on muscle performance in healthy, untrained adults.Design:Laboratory-based, repeated-measures study.Setting:University laboratory.Participants:20 healthy university men.Intervention:Participants were randomly assigned to a WBV or non-WBV group. The WBV group performed a trunk-muscle-training program in combination with WBV; the non-WBV group performed the same muscle-training program without WBV for 8 wk.Main Outcome Measures:In the pre- and posttraining period, the participants were evaluated using the Functional Movement Screen (FMS), Y Balance Test (Y-test) (anterior, posteromedial, and posterolateral reach), trunk-muscle isometric strength (flexor, extensor, and flexor:extensor ratio), squat jump, and countermovement jump.Results:The WBV group had greater improvement than the non-WBV group in both trunk-flexor muscle strength (P = .02) and the Y-test (anterior reach) (P = .004) between pre- and posttraining.Conclusion:Adding WBV to a trunk-muscle-strengthening program may improve trunk-flexor isometric strength and anterior reach during the Y-test more than training without WBV. The WBV protocol used in this study had no significant impact on FMS scores, squat jumping, countermovement jumping, trunk-extensor isometric strength, or trunk flexor:extensor ratio.

Long-Lasting Effects of a New Memory Self-efficacy Training for Stroke Patients

2013 ◽  
Vol 28 (3) ◽  
pp. 199-206 ◽  
Author(s):  
Laurien Aben ◽  
Majanka H. Heijenbrok-Kal ◽  
Rudolf W. H. M. Ponds ◽  
Jan J. V. Busschbach ◽  
Gerard M. Ribbers
Keyword(s):  
Quality Of Life ◽  
Training Program ◽  
Outcome Measures ◽  
Self Efficacy ◽  
Depression Scale ◽  
Control Group ◽  
Stroke Patients ◽  
Experimental Group ◽  
Psychological Quality Of Life

Background and purpose. This study aims to determine the long-term effects of a new Memory Self-efficacy (MSE) training program for stroke patients on MSE, depression, and quality of life. Methods. In a randomized controlled trial, patients were allocated to a MSE training or a peer support group. Outcome measures were MSE, depression, and quality of life, measured with the Metamemory-In-Adulthood questionnaire, Center for Epidemiological Studies–Depression Scale (CES-D), and the Who-Qol Bref questionnaire, respectively. We used linear mixed models to compare the outcomes of both groups immediately after training, after 6 months, and after 12 months, adjusted for baseline. Results. In total, 153 former inpatients from 2 rehabilitation centers were randomized—77 to the experimental and 76 to the control group. MSE increased significantly more in the experimental group and remained significantly higher than in the control group after 6 and 12 months (B = 0.42; P = .010). Psychological quality of life also increased more in the experimental group but not significantly (B = 0.09; P = .077). However, in the younger subgroup of patients (<65 years old), psychological quality of life significantly improved in the experimental group compared to the control group and remained significantly higher over time (B = 0.14; P = .030). Other outcome measures were not significantly different between both groups. Conclusions. An MSE training program improved MSE and psychological quality of life in stroke patients aged <65 years. These effects persisted during 12 months of follow-up.

Home-based training to improve manual dexterity in patients with multiple sclerosis: A randomized controlled trial

2015 ◽  
Vol 21 (12) ◽  
pp. 1546-1556 ◽  
Author(s):  
Christian P Kamm ◽  
Heinrich P Mattle ◽  
René M Müri ◽  
Mirjam R Heldner ◽  
Verena Blatter ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Training Program ◽  
Outcome Measures ◽  
Controlled Trial ◽  
Manual Dexterity ◽  
Secondary Outcome ◽  
Home Based ◽  
Almost All ◽  
Nine Hole Peg Test

Background: Impaired manual dexterity is frequent and disabling in patients with multiple sclerosis (MS), affecting activities of daily living (ADL) and quality of life. Objective: We aimed to evaluate the effectiveness of a standardized, home-based training program to improve manual dexterity and dexterity-related ADL in MS patients. Methods: This was a randomized, rater-blinded controlled trial. Thirty-nine MS patients acknowledging impaired manual dexterity and having a pathological Coin Rotation Task (CRT), Nine Hole Peg Test (9HPT) or both were randomized 1:1 into two standardized training programs, the dexterity training program and the theraband training program. Patients trained five days per week in both programs over a period of 4 weeks. Primary outcome measures performed at baseline and after 4 weeks were the CRT, 9HPT and a dexterous-related ADL questionnaire. Secondary outcome measures were the Chedoke Arm and Hand Activity Inventory (CAHAI-8) and the JAMAR test. Results: The dexterity training program resulted in significant improvements in almost all outcome measures at study end compared with baseline. The theraband training program resulted in mostly non-significant improvements. Conclusion: The home-based dexterity training program significantly improved manual dexterity and dexterity-related ADL in moderately disabled MS patients. Trial Registration NCT01507636.

Improvement in Dynamic Balance and Core Endurance After a 6-Week Core-Stability-Training Program in High School Track and Field Athletes

2013 ◽  
Vol 22 (4) ◽  
pp. 264-271 ◽  
Author(s):  
Michelle A. Sandrey ◽  
Jonathan G. Mitzel
Keyword(s):  
High School ◽  
Training Program ◽  
Outcome Measures ◽  
Dynamic Balance ◽  
Core Stability ◽  
Track And Field ◽  
Minimal Detectable Change ◽  
Balance Test ◽  
Core Stabilization ◽  
The Right

Context:Core training specifically for track and field athletes is vague, and it is not clear how it affects dynamic balance and core-endurance measures.Objective:To determine the effects of a 6-week core-stabilization-training program for high school track and field athletes on dynamic balance and core endurance.Design:Test–retest.Setting:High school in north central West Virginia.Participants:Thirteen healthy high school student athletes from 1 track and field team volunteered for the study.Interventions:Subjects completed pretesting 1 wk before data collection. They completed a 6-wk core-stabilization program designed specifically for track and field athletes. The program consisted of 3 levels with 6 exercises per level and lasted for 30 min each session 3 times per week. Subjects progressed to the next level at 2-wk intervals. After 6 wk, posttesting was conductedMain Outcome Measures:The subjects were evaluated using the Star Excursion Balance Test (SEBT) for posteromedial (PM), medial (M), and anteromedial (AM) directions; abdominal-fatigue test (AFT); back-extensor test (BET); and side-bridge test (SBT) for the right and left sides.Results:Posttest results significantly improved for all 3 directions of the SEBT (PM, M, and AM), AFT, BET, right SBT, and left SBT. Effect size was large for all variables except for PM and AM, where a moderate effect was noted. Minimal-detectable-change scores exceeded the error of the measurements for all dependent variables.Conclusion:After the 6-wk core-stabilization-training program, measures of the SEBT, AFT, BET, and SBT improved, thus advocating the use of this core-stabilization-training program for track and field athletes.

The Effect of Plyometric Training on Peroneal Latency

2010 ◽  
Vol 19 (3) ◽  
pp. 288-300 ◽  
Author(s):  
Benjamin Henry ◽  
Todd McLoda ◽  
Carrie L. Docherty ◽  
John Schrader
Keyword(s):  
Reaction Time ◽  
Training Program ◽  
Outcome Measures ◽  
Repeated Measures ◽  
Training Group ◽  
Plyometric Training ◽  
Significant Group ◽  
Peroneus Longus ◽  
Longus Muscle ◽  
Custom Made

Context:Peroneal reaction to sudden inversion has been determined to be too slow to overcome the joint motion. A focused plyometric training program may decrease the muscle's reaction time.Objective:To determine the effect of a 6-wk plyometric training program on peroneus longus reaction time.Design:Repeated measures.Setting:University research laboratory.Participants:48 healthy volunteers (age 20.0 ± 1.2 y, height 176.1 ± 16.9 cm, weight 74.5 ± 27.9 kg) from a large Midwestern university. Subjects were randomly assigned to either a training group or a control group.Interventions:Independent variables were group at 2 levels (training and no training) and time at 2 levels (pretest and posttest). The dependent variable was peroneal latency measured with surface electromyography. A custom-made trapdoor device capable of inverting the ankle to 30° was also used. Latency data were obtained from the time the trapdoor dropped until the peroneus longus muscle activated. Peroneal latency was measured before and after the 6-wk training period. The no-training group was instructed to maintain current activities. The training group performed a 6-wk plyometric protocol 3 times weekly. Data were examined with a repeated-measures ANOVA with 1 within-subject factor (time at 2 levels) and 1 between-subjects factor (group at 2 levels). A priori alpha level was set at P < .05.Main Outcome Measures:Pretest and posttest latency measurements (ms) were recorded for the peroneus longus muscle.Results:The study found no significant group-by-time interaction (F1,46 = 0.03, P = .87). In addition, there was no difference between the pretest and posttest values (pretest = 61.76 ± 14.81 ms, posttest = 59.24 ± 12.28 ms; P = .18) and no difference between the training and no-training groups (training group = 59.10 ± 12.18 ms, no-training group = 61.79 ± 15.18 ms; P = .43).Conclusions:Although latency measurements were consistent with previous studies, the plyometric training program did not cause significant change in the peroneus longus reaction time.

The OMERACT First-time Participant (“Newbie”) Program: Initial Assessment and Lessons Learned

2015 ◽  
Vol 42 (10) ◽  
pp. 1976-1981 ◽  
Author(s):  
Victor S. Sloan ◽  
Shawna Grosskleg ◽  
Christoph Pohl ◽  
George A. Wells ◽  
Jasvinder A. Singh
Keyword(s):  
Training Program ◽  
Outcome Measures ◽  
Lessons Learned ◽  
Comfort Level ◽  
Initial Assessment ◽  
Different Types ◽  
Introductory Session ◽  
First Time

Objective.To describe the experience of a first-time participant (“newbie”) training program at the Outcome Measures in Rheumatology 12 meeting in 2014.Methods.We conducted newbie sessions at OMERACT 12, including a 2-hour introductory session on Day 1, followed by 1-h evening followup sessions on days 1–4 of OMERACT 12. Pre- and postmeeting surveys assessed participants’ level of comfort with the principles of the OMERACT Filters 1.0 (truth, discrimination, feasibility), and Filter 2.0 (the essential tools for OMERACT methodology), the different types of OMERACT sessions, and whether participants felt welcome.Results.In all, 25 new attendees participated in the introductory session and 10–16 attended followup sessions. Fewer participants reported being somewhat or extremely uncomfortable with the meeting, comparing Day 1 (preintroductory session) to days 1–4 (post): (1) with different OMERACT sessions: 56% (pre) versus 6%, 0%, 8%, and 6% (post days 1–4, respectively); and (2) with principles of the OMERACT filter, 64% (pre) versus 7%, 0%, 8%, and 0% (post), respectively. Most reported feeling welcome (100%) and that they were able to contribute substantively to breakout sessions (87%) on Day 1 evening; results were sustained on days 2–4.Conclusion.First-time participant training sessions increased the comfort level of the participants with the OMERACT meeting structure and filter, and increased the ability of the new attendees to feel they could contribute to the OMERACT process.

scholarly journals Boxing Training for Patients With Parkinson Disease: A Case Series

2011 ◽  
Vol 91 (1) ◽  
pp. 132-142 ◽  
Author(s):  
Stephanie A. Combs ◽  
M. Dyer Diehl ◽  
William H. Staples ◽  
Lindsay Conn ◽  
Kendra Davis ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Activities Of Daily Living ◽  
Parkinson Disease ◽  
Training Program ◽  
Outcome Measures ◽  
Daily Living ◽  
Case Series ◽  
Short Term

Background and PurposeA nontraditional form of exercise recently applied for patients with Parkinson disease (PD) is boxing training. The primary purpose of this case series is to describe the effects of disease severity and duration of boxing training (short term and long term) on changes in balance, mobility, and quality of life for patients with mild or moderate to severe PD. The feasibility and safety of the boxing training program also were assessed.Case DescriptionsSix patients with idiopathic PD attended 24 to 36 boxing training sessions for 12 weeks, with the option of continuing the training for an additional 24 weeks (a seventh patient attended sessions for only 4 weeks). The 90-minute sessions included boxing drills and traditional stretching, strengthening, and endurance exercises. Outcomes were tested at the baseline and after 12, 24, and 36 weeks of boxing sessions (12-, 24-, and 36-week tests). The outcome measures were the Functional Reach Test, Berg Balance Scale, Activities-specific Balance Confidence Scale, Timed “Up & Go” Test, Six-Minute Walk Test, gait speed, cadence, stride length, step width, activities of daily living and motor examination subscales of the Unified Parkinson Disease Rating Scale, and Parkinson Disease Quality of Life Scale.OutcomesSix patients completed all phases of the case series, showed improvements on at least 5 of the 12 outcome measures over the baseline at the 12-week test, and showed continued improvements at the 24- and 36-week tests. Patients with mild PD typically showed improvements earlier than those with moderate to severe PD.DiscussionDespite the progressive nature of PD, the patients in this case series showed short-term and long-term improvements in balance, gait, activities of daily living, and quality of life after the boxing training program. A longer duration of training was necessary for patients with moderate to severe PD to show maximal training outcomes. The boxing training program was feasible and safe for these patients with PD.

scholarly journals Effectiveness of a Training Program to Enhance Clinical Supervision of State Vocational Rehabilitation Personnel

2017 ◽  
Vol 62 (1) ◽  
pp. 3-17 ◽  
Author(s):  
James T. Herbert ◽  
Jared C. Schultz ◽  
Puiwa Lei ◽  
Deniz Aydemir-Döke
Keyword(s):  
Vocational Rehabilitation ◽  
Training Program ◽  
Outcome Measures ◽  
Clinical Supervision ◽  
Training Model ◽  
Group Supervision ◽  
Control Group ◽  
Individual Supervision ◽  
Behavior Frequency ◽  
Performance Results

A training program to improve clinical supervision behavior, knowledge, self-efficacy, and working alliance among state vocational rehabilitation supervisors (SVRS) was studied. SVRS ( n = 180) were randomly assigned to either the control or experimental group. To further validate training effectiveness, counselors ( n = 350) who were assigned to both groups of supervisors also completed parallel outcome measures evaluating their supervisors’ performance. Results indicate differential impact when comparing changes across baseline, Posttest 1 (approximately 6 weeks after baseline), and Posttest 2 data collection (approximately 6 months after baseline) between both supervisory groups. Specifically, in comparison with the control group, supervisors who received the training reported greater changes at Posttest 1 regarding time spent in individual supervision, frequency, and time devoted to group supervision as well as perceived value in providing clinical supervision. Posttest 2 evaluation between groups noted differences in clinical supervision knowledge and behavior, frequency of individual supervision sessions, and time spent in group supervision. In contrast, counselors assigned to one of the supervisory groups reported few differences in parallel outcome measures. Although the intervention provided some support for its effectiveness for supervisors, further modifications are needed before a valid training model exists for rehabilitation counseling.

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