scholarly journals Clinical Use of Surface Electromyography to Track Acute Upper Extremity Muscle Recovery after Stroke: A Descriptive Case Study of a Single Patient

2021 ◽  
Vol 4 (2) ◽  
pp. 32
Author(s):  
Heather A. Feldner ◽  
Christina Papazian ◽  
Keshia M. Peters ◽  
Claire J. Creutzfeldt ◽  
Katherine M. Steele

Arm recovery varies greatly among stroke survivors. Wearable surface electromyography (sEMG) sensors have been used to track recovery in research; however, sEMG is rarely used within acute and subacute clinical settings. The purpose of this case study was to describe the use of wireless sEMG sensors to examine changes in muscle activity during acute and subacute phases of stroke recovery, and understand the participant’s perceptions of sEMG monitoring. Beginning three days post-stroke, one stroke survivor wore five wireless sEMG sensors on his involved arm for three to four hours, every one to three days. Muscle activity was tracked during routine care in the acute setting through discharge from inpatient rehabilitation. Three- and eight-month follow-up sessions were completed in the community. Activity logs were completed each session, and a semi-structured interview occurred at the final session. The longitudinal monitoring of muscle and movement recovery in the clinic and community was feasible using sEMG sensors. The participant and medical team felt monitoring was unobtrusive, interesting, and motivating for recovery, but desired greater in-session feedback to inform rehabilitation. While barriers in equipment and signal quality still exist, capitalizing on wearable sensing technology in the clinic holds promise for enabling personalized stroke recovery.

2017 ◽  
Vol 4 (1) ◽  
pp. 26
Author(s):  
Alfina Taswirul Fanni ◽  
Ari Prasetyo

This research purpose is to knowing the conformation of Mudharabah Agreement in the financing mechanism in Syariah Bank Surabaya based on the DSN MUI Decision NO: 07/DSN-MUI/IV/2000Bank Jatim Branch Syariah Darmo Surabaya. This research uses qualitative method with descriptive case study and purposive sampling technique. The data which is used in this research is obtained by semi-structured interview and the data analysis is using descriptive analysis modelThis research indicates that “Bank Jatim Syariah Branch Darmo Surabaya” in performing Mudharabah mechanism are acting in approriate with DSN MUI Decision NO: 07/DSN-MUI/IV/2000 properly. It is indicated with the implementation SOP product with Mudharabah Aggrement which conducted by the regulation of Fatwa DSN MUI NO: 07/DSN-MUI/IV/2000. It starts with the general provisions of Mudharabah Aggrement, pillars and conditions of Mudharabah Aggrement, and law financing of Mudharabah Aggrement. The implementation of this concept has been contributing much benefit to every parties involved.


2019 ◽  
Vol 60 (4) ◽  
pp. 776-786 ◽  
Author(s):  
Cassandra Leighton ◽  
Beth Fields ◽  
Juleen L Rodakowski ◽  
Connie Feiler ◽  
Mary Hawk ◽  
...  

Abstract Background and Objectives The Commonwealth of Pennsylvania passed the Caregiver Advise, Record, Enable (CARE) Act on April 20, 2016. We designed a study to explore early implementation at a large, integrated delivery financing system. Our goal was to assess the effects of system-level decisions on unit implementation and the incorporation of the CARE Act’s three components into routine care delivery. Research Design and Methods We conducted a multisite, ethnographic case study at three different hospitals’ medical–surgical units. We conducted observations and semi-structured interview to understand the implementation process and the approach to caregiver identification, notification, and education. We used thematic analysis to code interviews and observations and linked findings to the Promoting Action on Research Implementation in Health Services framework. Results Organizational context and electronic health record capability were instrumental to the CARE Act implementation and integration into workflow. The implementation team used a decentralized strategy and a variety of communication modes, relying on local hospital units to train staff and make the changes. We found that the system facilitated the CARE Act implementation by placing emphasis on the documentation and charting to demonstrate compliance with the legal requirements. Discussion and Implications General acute hospitals will be making or have made similar decisions on how to operationalize the regulatory components and demonstrate compliance with the CARE Act. This study can help to inform others as they design and improve their compliance and implementation strategies.


Biofeedback ◽  
2010 ◽  
Vol 38 (4) ◽  
pp. 155-157
Author(s):  
Thomas R Caffrey ◽  
Robert Clasby

Abstract This case study reports on the use of surface electromyography (SEMG) evaluation in a work environment, including production, to show a relationship between muscle dysfunction and specific job tasks and their injury potential. The results show that SEMG can help identify discordant muscle activity as part of an ergonomic evaluation. Such an evaluation leads to improvement in muscle function through SEMG-guided worker/workplace retraining.


2021 ◽  
Vol 6 (1) ◽  
pp. 189
Author(s):  
Rudi Suherman

A name given to someone may represent his ethnic background. Therefore, it is likely used by most people in recognizing where someone comes from. This study is aimed at examining the possible correlation between children�s name given by their Sundanese parents with their ethnic background in maintaining the Sundanese language in local region in Bandung, the Capital city of West java. 17 Sundanese family are involved in this descriptive case study. Both parents, representing by 17 fathers and 17 mothers, originally come from different region in west java province and have resided in Bandung for more than a decade. The data, embracing the characteristic of survey, are gained from a set of questionnaires and semi -structured interview consisting of questions related to family�s background, the name given, as well as the reason that drives them giving the names. This study has revealed the current trend on naming tradition in Bandung in which there is a shift from Sundanese, to other language particularly Arabic. This may be happened because most of the participants in this study are Muslims. Hence, Arabic as the language of Islam predominantly influence the naming tradition in Sundanese family.


2017 ◽  
Vol 4 (12) ◽  
pp. 968
Author(s):  
Faiz Alan Fahmi ◽  
A.Syifa’ul Qulub

The purpose of this research is to knowing the role of asset management in an attempt to managing financial independence and optimizing economic activities in Masjid Al-Akbar Surabaya. This research uses qualitative method with descriptive case study, while collecting the data uses purposive technique to specify the informan. The data used in this research isobtained by semi-structured interview, observation, and documentation. This research also uses triangulation techinique in checking the data validation. Triangulation is an examination technique which enables to use one or two another sources for validation or verification. The result of this research showing that asset management of Masjid Al-Akbar has been operated in accordance with asset management’s functions which is including planning, organizing, implementing, and controling which then result in financial indepedence of Masjid Al-Akbar Surabaya.


Author(s):  
Jaime Ribeiro ◽  
Ana Carolina Noversa ◽  
Soares Soares ◽  
Joana Azevedo ◽  
Patrícia Gomes ◽  
...  

Involvement in research is increasingly playing a crucial role in the training of higher education students, however, there isn’t much found on the literature on this particular subject. The present study aims to gauge the participants’ perception of pedagogical and scientific contributions in the development of research projects, specifically in the elaboration of a Cognitive Stimulation Program. Procedures followed a qualitative approach trough an exploratory descriptive case study research. For data collection, a semi-structured interview, a focus group, with key informants, and a questionnaire, were used for a set of participants (students and a professor) of the third year of Occupational Therapy Degree of the Polytechnic of Leiria. Data was processed resorting to content analysis according to Bardin and supported by WebQDA software. There was evidence of the pedagogical contributions, with perceived effective learning and scientific advancement, namely in the area of cognitive stimulation, particularly in the development of clinical reasoning. The students’ practical involvement in research projects enhanced learning and knowledge acquisition, as well the advancement of research practice.


2019 ◽  
Vol 11 (1) ◽  
pp. 20-25
Author(s):  
Rusna Tahir ◽  
Dhea Sry Ayu Imalia ◽  
Siti Muhsinah

Backgorund: Pulmonary tuberculosis is an infection disease with the highest prevalence in the world and being the third largest in Indonesia with 1.02 million cases. The core problem of pulmonary tuberculosis patient is ineffective airway clearance characterized by dyspnea, ronchi, excessive sputum, ineffective cough. Nursing intervention to manage the problem is chest physiotherapy and effective coughing. Objective: This study aims to obtain an overview of the application of chest physiotherapy and effective coughing as ineffective airway clearance management on pulmonary tuberculosis patient. Method: Method used descriptive case study with structured interview, studies document and observations. Participants in this study is pulmonary tuberculosis patient which is given three days and twice a day session of chest physiotherapy and effective coughing. Results: Patency of the airway is improve after chest physiotherapy and effective coughing which characterized by normal respiratory frequencies, normal respiratory rythms, no ronchi and able to remove sputum from airway. Conclusion: Chest physiotherapy and effective coughing is applicable as ineffective airway clearance management on pulmonary tuberculosis patient.


2019 ◽  
Vol 21 (2) ◽  
Author(s):  
Joan C Cheruiyot ◽  
Petra Brysiewicz

This study explores and describes caring and uncaring nursing encounters from the perspective of the patients admitted to inpatient rehabilitation settings in South Africa. The researchers used an exploratory descriptive design. A semi-structured interview guide was used to collect data through individual interviews with 17 rehabilitation patients. Content analysis allowed for the analysis of textual data. Five categories of nursing encounters emerged from the analysis: noticing and acting, and being there for you emerged as categories of caring nursing encounters, and being ignored, being a burden, and deliberate punishment emerged as categories of uncaring nursing encounters. Caring nursing encounters make patients feel important and that they are not alone in the rehabilitation journey, while uncaring nursing encounters makes the patients feel unimportant and troublesome to the nurses. Caring nursing encounters give nurses an opportunity to notice and acknowledge the existence of vulnerability in the patients and encourage them to be present at that moment, leading to empowerment. Uncaring nursing encounters result in patients feeling devalued and depersonalised, leading to discouragement. It is recommended that nurses strive to develop personal relationships that promote successful nursing encounters. Further, nurses must strive to minimise the patients’ feelings of guilt and suffering, and to make use of tools, for example the self-perceived scale, to measure this. Nurses must also perform role plays on how to handle difficult patients such as confused, demanding and rude patients in the rehabilitation settings.


2020 ◽  
Author(s):  
Kate Lawler ◽  
Caroline Earley ◽  
Ladislav Timulak ◽  
Angel Enrique ◽  
Derek Richards

BACKGROUND Treatment dropout continues to be reported from iCBT interventions and lower completion rates are generally associated with lower treatment effect sizes. However, evidence is emerging to suggest that completion of a pre-defined number of modules is not always necessary for clinical benefit nor considerate of the needs of each individual patient. OBJECTIVE The study aimed to carry out a qualitative analysis of patients’ experiences of an iCBT intervention in a routine care setting in order to achieve a deeper insight into the phenomenon of dropout. METHODS Fifteen purposively sampled participants (8 female) from a larger parent RCT were interviewed via telephone using a semi-structured interview schedule that was developed from the existing literature and research on dropout in iCBT. Data was analysed using the descriptive-interpretive approach. RESULTS The experience of treatment leading to dropout can be understood in terms of ten domains: Relationship to Technology, Motivation to Start, Background Knowledge and Attitudes towards iCBT, Perceived Change in Motivation, Usage of the Programme, Changes due to the Intervention, Engagement with Content, Experience Interacting with the Supporter, Experience of Online Communication and Termination of the Supported Period. CONCLUSIONS Patients who drop out of treatment can be distinguished in terms of their change in motivation: those who felt ready to leave treatment early and those who had negative reasons for dropping out. These two groups of participants have different treatment experiences, revealing potential attributes and non-attributes of dropout. The reported between group differences should be examined further to consider those attributes that are strongly descriptive of the experience and regarded with less importance those that have become loosely affiliated.


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