scholarly journals What is Important in E-health Interventions for Stroke Rehabilitation? A Survey Study among Patients, Informal Caregivers, and Health Professionals.

2018 ◽  
Vol 10 (1) ◽  
pp. 15-28 ◽  
Author(s):  
Manon M. Wentink ◽  
Leti Van Bodegom-Vos ◽  
Berber Brouns ◽  
Henk J. Arwert ◽  
Thea P.M. Vliet Vlieland ◽  
...  
Keyword(s):  
Health Professionals ◽  
Stroke Rehabilitation ◽  
Physical Therapists ◽  
Informal Caregivers ◽  
Occupational Therapists ◽  
Survey Study ◽  
User Requirements ◽  
Stroke Patients ◽  
The Mean ◽  
Insight Into

Incorporating user requirements in the design of e-rehabilitation interventions facilitates their implementation. However, insight into requirements for e-rehabilitation after stroke is lacking. This study investigated which user requirements for stroke e-rehabilitation are important to stroke patients, informal caregivers, and health professionals. The methodology consisted of a survey study amongst stroke patients, informal caregivers, and health professionals (physicians, physical therapists and occupational therapists). The survey consisted of statements about requirements regarding accessibility, usability and content of a comprehensive stroke e-health intervention (4-point Likert scale, 1=unimportant/4=important). The mean with standard deviation was the metric used to determine the importance of requirements. Patients (N=125), informal caregivers (N=43), and health professionals (N=105) completed the survey. The mean score of user requirements regarding accessibility, usability and content for stroke e-rehabilitation was 3.1 for patients, 3.4 for informal caregivers and 3.4 for health professionals.  Data showed that a large number of user requirements are important and should be incorporated into the design of stroke e-rehabilitation to facilitate their implementation. 

RecoverNow: A patient perspective on the delivery of mobile tablet-based stroke rehabilitation in the acute care setting

2018 ◽  
Vol 14 (2) ◽  
pp. 174-179 ◽  
Author(s):  
Karen Mallet ◽  
Rany Shamloul ◽  
Michael Pugliese ◽  
Emma Power ◽  
Dale Corbett ◽  
...  
Keyword(s):  
Acute Care ◽  
Stroke Rehabilitation ◽  
Care Setting ◽  
Hand Function ◽  
Occupational Therapists ◽  
Fine Motor ◽  
Stroke Patients ◽  
Acute Setting ◽  
Cognitive Therapies ◽  
Mobile Tablets

Background/aim We previously reported the feasibility of RecoverNow (a mobile tablet-based post-stroke communication therapy in acute care). RecoverNow has since expanded to include fine motor and cognitive therapies. Our objectives were to gain a better understanding of patient experiences and recovery goals using mobile tablets. Methods Speech-language pathologists or occupational therapists identified patients with stroke and communication, fine motor, or cognitive/perceptual deficits. Patients were provided with iPads individually programmed with applications based on assessment results, and instructed to use it at least 1 h/day. At discharge, patients completed a 19-question quantitative and open-ended engagement survey addressing intervention timing, mobile device/apps, recovery goals, and therapy duration. Results Over a six-month period, we enrolled 33 participants (three did not complete the survey). Median time from stroke to initiation of tablet-based therapy was six days. Patients engaged in therapy on average 59.6 min/day and preferred communication and hand function therapies. Most patients (63.3%) agreed that therapy was commenced at a reasonable time, although half expressed an interest in starting sooner, 66.7% reported that using the device 1 h/day was enough, 64.3% would use it after discharge, and 60.7% would use it for eight weeks. Sixty-seven percent of patients expressed a need for family/friend/caregiver to help them use it. Conclusion Our results suggest that stroke patients are interested in mobile tablet-based therapy in acute care. Patients in the acute setting prefer to focus on communication and hand therapies, are willing to begin within days of their stroke and may require assistance with the tablets.

scholarly journals Physical Therapists' Use of Functional Electrical Stimulation for Clients With Stroke: Frequency, Barriers, and Facilitators

2016 ◽  
Vol 96 (7) ◽  
pp. 995-1005 ◽  
Author(s):  
Nolan Auchstaetter ◽  
Juliana Luc ◽  
Stacey Lukye ◽  
Kaylea Lynd ◽  
Shelby Schemenauer ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Stroke Rehabilitation ◽  
Online Survey ◽  
Physical Therapists ◽  
Barriers And Facilitators ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Access To Resources ◽  
Therapeutic Goals

Abstract Background Best practice guidelines for stroke rehabilitation recommend functional electrical stimulation (FES) to improve gait and upper extremity function. Whether these guidelines have been implemented in practice is unknown. Objective The purposes of this study were: (1) to determine the frequency with which physical therapists use FES to address common therapeutic goals poststroke and (2) to identify the barriers to and facilitators of FES use. Design This was a cross-sectional, survey study. Methods A valid and reliable online survey was sent to Canadian physical therapists. Questions about demographic characteristics, FES use, knowledge of FES literature, and barriers and facilitators were posed. Closed-ended questions were analyzed with descriptive statistics and index scoring to produce summary scores. Pearson or point-biserial correlation coefficients correlated FES use with demographic variables. Open-ended questions about barriers and facilitators were analyzed by 3 researchers using a conventional content analysis. Results Two hundred ninety-eight physical therapists responded. Use of FES for clients with stroke was low for all therapeutic goals queried (improve walking, arm function, muscle strength and endurance, and sensation; prevent shoulder subluxation; and decrease spasticity). However, 52.6% of the respondents stated that they would like to increase their use of FES. More than 40% of the respondents were unsure of the strength of the evidence supporting FES for stroke care. Physical therapists with postgraduate FES training were more likely to use FES (r=.471, P<.001). A lack of access to resources, such as time, equipment, and training, was the most frequently cited barrier to FES use. Limitations As an observational study, cause-and-effect relationships for FES use cannot be identified. Conclusions Functional electrical stimulation is not widely used by physical therapists in stroke rehabilitation. Improving access to resources—in particular, continuing education—may facilitate the implementation of FES into clinical practice.

scholarly journals Results of the Belgian Sentinel Network of general practitioners on the involvement of therapists in stroke rehabilitation

2017 ◽  
Vol 8 (4) ◽  
Author(s):  
Silke Francois ◽  
Viviane Van Casteren ◽  
Katrien Vanthomme ◽  
Liesbeth Borgermans ◽  
Dirk Devroey
Keyword(s):  
Nursing Home ◽  
Stroke Rehabilitation ◽  
Occupational Therapists ◽  
Critical Event ◽  
Rehabilitation Services ◽  
Speech And Language ◽  
Language Therapy ◽  
Stroke Patients ◽  
Sentinel Network ◽  
Sentinel Practices

This study examines which therapists are involved in the rehabilitation of stroke survivors in Belgium at different points in time. A nationwide registration of stroke patients was provided by 199 and 189 family physicians working in sentinel practices for the years 2009 and 2010 respectively. 326 patients who were diagnosed with stroke were included. Patients with paralysis/paresis received significant more physiotherapy after one month (63%) compared to non-paralysed patients (38%) (P=0.005). Residing in a nursing home was associated with higher proportions of patients receiving physiotherapy, both after one (P=0.003) and six (P=0.002) months. 31% of patients with aphasia were treated by a speech and language therapist after one month, which decreased after six months to 20%. After six months, the patients in a nursing home received significant more often speech and language therapy (P=0.004), compared to patients living at home. The proportion of patients receiving stroke rehabilitation services provided by physiotherapists, speech/language therapists and occupational therapists is rather low, especially 6 months after the critical event.

Parental Adherence to Home Activities in Early Intervention for Young Children With Delayed Motor Development

2021 ◽  
Author(s):  
Afnan S Gmmash ◽  
Susan K Effgen ◽  
Camille Skubik-Peplaski ◽  
Justin D Lane
Keyword(s):  
Early Intervention ◽  
Young Children ◽  
Support Groups ◽  
Motor Development ◽  
Online Survey ◽  
Physical Therapists ◽  
Occupational Therapists ◽  
The United States ◽  
Survey Study ◽  
Parent Support Groups

Abstract Objective The purpose of this study was to investigate the relationship between characteristics of home activities and coaching practices with the adherence of parents of children with motor delays to home activities provided by physical therapists and occupational therapists in early intervention. Methods An online survey study was developed and distributed to physical therapists and occupational therapists across the United States. A survey flier was posted online on parent support groups, physical and occupational therapy groups, newsletters and organizations supporting parents of children with disabilities. Results A total of 720 respondents participated in the survey. Four hundred forty-six participants from 49 states met the inclusion criteria and were included in the analysis. Parents indicated that physical therapists and OTs apply the five coaching practices (joint planning, observation, practice, reflection, feedback). However, parents (63%) reported more time was needed on coaching. Parents’ stated that therapists’ modeling the activities was the most helpful teaching technique that enhanced their adherence to home activities. Coaching practices, appropriateness of the home activities to daily routines and home environment, provision of home activities enjoyed by the child, and parent self-efficacy were all significantly associated (P < 0.5) with adherence to home activities. Conclusions Parent’s adherence to home activities is affected not only by the type of coaching used by the therapists but also by the characteristics of the home activities provided for young children with delayed motor development. Impact statement The results of this study provide additional evidence supporting individualization of home activities to promote the parent’s continuous provision of learning opportunities to promote their children’s development. There was also support of the therapists’ use of the five coaching practices in EI to support the parent’s application of home activities when the therapists are not present.

scholarly journals Surface Electromyography of the Longissimus and Gluteus Medius Muscles in Greyhounds Walking and Trotting on Ground Flat, Up, and Downhill

Animals ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. 968
Author(s):  
Francisco Miró ◽  
Alfonso M. Galisteo ◽  
Juan L. Garrido-Castro ◽  
Joaquín Vivo
Keyword(s):  
Surface Electromyography ◽  
Physical Therapists ◽  
Gluteus Medius ◽  
Maximum Activity ◽  
Electromyographic Activity ◽  
Veterinary Surgeons ◽  
Therapeutic Value ◽  
Therapeutic Exercises ◽  
The Mean ◽  
Insight Into

In the field of canine rehabilitation, knowledge of muscle function in the therapeutic exercises prescribed is needed by physical therapists and veterinary surgeons. To gain insight into the function of longissimus dorsi (LD) and gluteus medius (GM) muscles in dogs, five Greyhounds performing leash walking and trotting on the ground flat, up (+7%), and downhill (−7%) were studied by surface electromyography, and the mean and maximum activity was compared. For the same incline, the surface electromyography (sEMG) of LD was higher (p < 0.05) at the trot than at the walk. In LD muscle, trotting uphill showed significantly higher maximum activity than any other exercise. A change of +7% incline or −7% decline affected (increased or decreased, respectively) the mean sEMG of the LD and GM muscles of dogs walking or trotting on the ground. When combined, the influence of gait and incline on electromyographic activity was analyzed, and walking at certain inclines showed no difference with trotting at certain inclines. Walking and trotting up and downhill added separate therapeutic value to flat motion. The results of the present study might contribute to a better understanding of the function of LD and GM muscles in dogs, this being especially useful for the field of canine rehabilitation.

scholarly journals Review of Hand Surgery

2006 ◽  
Vol 86 (1) ◽  
pp. 147-147
Author(s):  
Janet Palmatier
Keyword(s):  
Upper Extremity ◽  
Surgical Management ◽  
Patient Population ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Occupational Therapists ◽  
Hand Surgery ◽  
Therapeutic Management ◽  
Specific Information ◽  
Insight Into

Abstract This book's major focus is on surgical management of the hand and distal upper extremity. This book is intended to serve as a primary resource for hand surgery fellows and as a test preparation for orthopedic and plastic surgery residents (ie, boards, certificate for added qualifications, and residency examinations). In addition, it is intended to serve as a reference for hand surgeons, physical therapists, and occupational therapists involved in the care of patients with hand and distal upper-extremity disorders. For the physical therapist, the text provides insight into the medical and surgical management of the patient with a hand disorder, and, in turn, helps to provide a better understanding and rationale for therapeutic management of this patient population. However, keeping within the scope of hand surgery, this work provides very little substance for the physical therapist looking for specific information on the therapeutic management and rehabilitation of this particular patient population.

Roller Massage: A Descriptive Survey of Allied Health Professionals

2019 ◽  
Vol 28 (6) ◽  
pp. 640-649 ◽  
Author(s):  
Scott W. Cheatham
Keyword(s):  
Health Professionals ◽  
Sports Medicine ◽  
Allied Health ◽  
Physical Therapists ◽  
The United States ◽  
Survey Study ◽  
Allied Health Professionals ◽  
Cross Sectional ◽  
Patient Reported ◽  
Descriptive Survey

Background: In sports medicine, the interprofessional care of athletes has become a frequent practice. This type of care often involves different interventions used among professionals. One common intervention prescribed is roller massage (RM) or self-myofascial release. The trends in the use of RM among allied health professionals are nonexistent. The surveillance of such responses has not been documented. Purpose: To survey and document responses in the knowledge, clinical application, and use of RM devices among allied health professionals in the United States. Design: Cross-sectional descriptive survey study. Methods: A 20-question survey was sent to allied health professionals including physical therapists, athletic trainers, and fitness professionals. The survey covered topics such as demographics, beliefs about RM, preferred devices, exercise prescription, and client education. Results: One thousand and forty-two professionals (N = 1042) completed the survey. Most respondents believed that RM decreases pain (82%) and increases mobility (76%). A high percentage use a foam roller in their practice (81%), recommend a full-size foam roller (49%), and believe the medium density (48%) is the most effective. A high proportion of respondents prescribe RM for injury treatment (69%) and for preexercise and postexercise (61%). They also recommend rolling daily for 30 seconds to 2 minutes per muscle group (33%) at a self-paced cadence (46%). A high percentage of respondents use patient-reported outcomes (74%), joint range of motion (49%), and movement-based testing (48%) to measure effects of RM. Eighty-seven percent use live instruction to educate clients, and 88% believe there is a gap in the research. Conclusion: The results of this survey document responses in the use of RM among allied health professionals. The reported responses provide insight into how professionals are using RM as an intervention and the potential gaps between the research and professional practice. Future studies are needed to further validate these findings.

KNOWLEDGE, ATTITUDE AND PRACTICES OF CARETAKERS AND HEALTH PROFESSIONALS TOWARD TEETHING IN INFANTS

2011 ◽  
pp. 52-59
Author(s):  
Binh Bao Son Bui
Keyword(s):  
Sleep Disturbance ◽  
Key Words ◽  
Breast Feeding ◽  
Health Professionals ◽  
Feeding Problems ◽  
Central Hospital ◽  
Pediatric Department ◽  
Correct Knowledge ◽  
The Mean

Objective and methods: a prospective questionnaire based study on 71 parents (caretakers) of consecutive children treated at the Pediatric Department, Hue Central Hospital and on 47 health professionals at the department was conducted from September until December 2009 to investigate the knowledge, attitude and practices of the caretakers, nurses and postgraduated doctors toward teething in infants. Results: Most responders believed that teething causes fever, irritability, feeding problems, drooling, biting, sleep disturbance, swollen gums, crying, lose of appetite for solids; and fever over 38oC was also believed to be associated with teething. The mean eruption time of the first tooth was from 6 months. Most caretakers had normal attitude to manifestations ascribed to teething (54.9%). The most common management to symptoms attributed to teething included increased breast-feeding, oral paracetamol, increased fluid supplying and physician consulting. Conclusion: Correct knowledge to teething in infants need to be educated for parents (caretakers) and even for health professionals. Key words: knowledge, attitude, practices, teething, infants.

Association Between Awareness of Informal Caregivers and Falls in Elderly Patients with Uncontrolled Diabetes Mellitus

2020 ◽  
Vol 13 (1) ◽  
pp. 658-666
Author(s):  
Tossapon Chamnankit ◽  
Parichat Ong-artborirak ◽  
Jukkrit Wangrath
Keyword(s):  
Diabetes Mellitus ◽  
Elderly Patients ◽  
Elderly People ◽  
Informal Caregivers ◽  
Multivariable Analysis ◽  
P Value ◽  
Uncontrolled Diabetes ◽  
Risk Of Falls ◽  
The Mean ◽  
Falls In Elderly

Background: Elderly people with uncontrolled diabetes mellitus (DM) are at risk of falls, which can lead to injury and disability. Not much is known of informal caregivers’ awareness of falls in elderly patients with DM. Objective: This study aims to identify an association between caregiver’s awareness and falls in elderly patients with DM. Methods: A total of 136 pairs of DM patients and their respective family caregivers were recruited from a clinical service center at Chiang Mai University, Thailand. The questionnaire regarding the caregiver’s awareness of the risk of falls in elderly patients was given via a face-to-face interview. Each elderly patient was asked about their history of falls in the prior year, and the risk of falls was assessed by Time Up & Go (TUG) test. Logistic regression analysis was performed to determine association. Results: The mean age of the DM patients was 65.7 years. Sixty-two patients (45.6%) had fallen at least once in the prior year. The mean TUG test result was 12.67±1.83 second. Most caregivers demonstrated a high level of awareness regarding the risk of falls in elderly patients. The results of the multivariable analysis showed that three variables – balance problems, risk of falls assessed by TUG test, and scores of caregiver’s awareness of risk of falls – were significantly related to falls in the previous year among elderly patients with DM (p-value<0.05). Conclusion: The caregivers’ awareness of fall risk may influence fall occurrence among older adults with DM. An intervention program to improve awareness among informal caregivers should be considered for fall prevention in elderly people.

Some Explicit Results for the Mean Spherical Approximation for Mixtures of Yukawa Fluids

2008 ◽  
Vol 73 (3) ◽  
pp. 424-438 ◽  
Author(s):  
Douglas J. Henderson ◽  
Osvaldo H. Scalise
Keyword(s):  
Integral Equation ◽  
Spherical Approximation ◽  
Mean Spherical Approximation ◽  
Inverse Temperature ◽  
Temperature Expansion ◽  
Yukawa Fluid ◽  
The Mean ◽  
Full Solution ◽  
Insight Into ◽  
Reasonable Model

The mean spherical approximation (MSA) is of interest because it produces an integral equation that yields useful analytical results for a number of fluids. One such case is the Yukawa fluid, which is a reasonable model for a simple fluid. The original MSA solution for this fluid, due to Waisman, is analytic but not explicit. Ginoza has simplified this solution. However, Ginoza's result is not quite explicit. Some years ago, Henderson, Blum, and Noworyta obtained explicit results for the thermodynamic functions of a single-component Yukawa fluid that have proven useful. They expanded Ginoza's result in an inverse-temperature expansion. Even when this expansion is truncated at fifth, or even lower, order, this expansion is nearly as accurate as the full solution and provides insight into the form of the higher-order coefficients in this expansion. In this paper Ginoza's implicit result for the case of a rather special mixture of Yukawa fluids is considered. Explicit results are obtained, again using an inverse-temperature expansion. Numerical results are given for the coefficients in this expansion. Some thoughts concerning the generalization of these results to a general mixture of Yukawa fluids are presented.

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