Independent Mobility and Physical ACtivity Training (IMPACT) on a Stroke Rehabilitation Unit: A Pilot Study

2014 ◽  
Vol 95 (10) ◽  
pp. e31
Author(s):  
Vincent DePaul ◽  
Wieslaw Jan Oczkowski ◽  
Michaela Ferguson ◽  
Laurie Wishart
2017 ◽  
Vol 4 ◽  
pp. 205566831772568 ◽  
Author(s):  
David Yachnin ◽  
Georges Gharib ◽  
Jeffrey Jutai ◽  
Hillel Finestone

Background and Purpose Dependence on assistance for toileting is a widespread problem for persons receiving healthcare. Technology-assisted toilets, which hygienically wash and dry the perineal region, are devices that could improve toileting independence in a variety of patients. The objective was to investigate whether technology-assisted toilets improve toileting independence, quality of life, and whether technology-assisted toilets can provide sufficient toileting hygiene in stroke rehabilitation. Methods This pilot study was carried out in a stroke rehabilitation unit. Thirty participants were recruited. Participants had a bowel movement and cleaned themselves using the technology-assisted toilet on one to three occasions. Participants rated their toileting before using the technology-assisted toilet and after each technology-assisted toilet use with the Psychosocial Impact of Assistive Devices Scale (PIADS). After each session, participants were rated for cleanliness. Results PIADS scores were analyzed from eight individual participants, five of whom completed the full protocol. PIADS scores were significantly higher with the technology-assisted toilet than with the participants’ regular toileting routine (p < 0.05). Technology-assisted toilets cleaned effectively in 73% of cases (16/22, p < 0.05). Conclusion Technology-assisted toilets improved stroke patients’ psychosocial outcomes compared to standard toileting and completely cleaned participants in the majority of cases. A larger study should confirm technology-assisted toilet’s benefit in stroke rehabilitation through improved independence and hygiene.


Author(s):  
Megha Tyagi ◽  
Gaurav Raheja

Children’s independent mobility (CIM) is associated with improved physical activity and social competence among children. Despite such benefits, there is a worldwide decline in overall CIM levels, owing to the multi-factors of the insufficient supportive built environment, traffic and negative parental perception. This paper attempts to make a unique case of relooking children’s everyday mobility experiences by adopting a universal design (UD) approach. The key objectives are to (i) discuss the global evolution of CIM in comparison to UD from an Indian narrative, (ii) understand CIM though parental concerns and children’s perspective, and (iii) develop a shared connection between UD goals and CIM. These objectives were achieved by a desk-based literature review followed by a qualitative pilot study within an urban neighbourhood of Delhi. Focus group discussion with twenty children in the age group of 7–12 years and personal interview sessions with fifteen parents were conducted, which were analysed using content analysis method. The literature suggests that to date, CIM has been majorly looked upon from the two-point perspective of urban planning and health. Whereas UD provides an opportunity for bringing in the dimension of ‘culture’ into the discussion. Especially in a culturally diverse country like India, where children and parental discussions reveal concerns of safety, familiarity and proximity to child-specific destinations as a precursor for CIM levels. Overall, this study emphasises that both CIM and UD form a complementary process overarching the aim of empowering children to move freely, promoting their health, social participation and inclusion.


2010 ◽  
Vol 2010 ◽  
pp. 1-6 ◽  
Author(s):  
Kathryn Zalewski ◽  
Julie Kerk ◽  
Kristina Laundre ◽  
Amber Wacek ◽  
Melissa Wiedmeyer

Background and Purpose. Inpatient rehabilitation in countries other than the United States (US) has been described as a time where patients are often not engaged in intensive physical activity. The purpose of this case report is to explore the amount and intensity of physical activity provided in inpatient rehabilitation after stroke in the US.Methods. This study presents a case report of a person admitted to an inpatient rehabilitation unit after sustaining a first stroke. A customized data collection tracked type of activity, activity intensity and social interaction every 5 minutes during the rehabilitation day.Results. 74 percent of the day was spent in low intensity, often seated, physical activity; 14% of the day was spent resting or sleeping. Only 2.91% the day was spent in moderate or high intensity activity with a mobility focus.Conclusions. Consistent with other studies, this case report suggests a relatively low physical demand to rehabilitation delivered in inpatient stroke rehabilitation. This case begins to raise questions about optimized rehabilitation parameters for acute stroke rehabilitation.


1997 ◽  
Vol 13 (3) ◽  
pp. 195-205 ◽  
Author(s):  
Marit Sorensen

Adherence to lifestyle changes - beginning to exercise, for example - is assumed to be mediated by self-referent thoughts. This paper describes a pilot study and three studies conducted to develop and validate a questionnaire for adults to determine their self-perceptions related to health-oriented exercise. The pilot study identified items pertinent to the domains considered important in this context, and began the process of selecting items. Study 2 examined the factor structure, reduced the number of items, determined the internal consistency of the factors, and explored the discriminative validity of the questionnaire as to physical activity level and gender. Four factors with a total of 24 items were accepted, measuring mastery of exercise, body perception, social comfort/discomfort in the exercise setting, and perception of fitness. All subscales had acceptable internal consistencies. Preliminary validity was demonstrated by confirming hypothesized differences in scores as to gender, age, and physical activity level. The third study examined and demonstrated convergent validity with similar existing subscales. The fourth study examined an English-language version of the questionnaire, confirming the existence of the factors and providing preliminary psychometric evidence of the viability of the questionnaire.


2021 ◽  
Vol 3 (5) ◽  
Author(s):  
Paulo Menezes ◽  
Rui P. Rocha

Abstract Societies in the most developed countries have witnessed a significant ageing of the population in recent decades, which increases the demand for healthcare services and caregivers. The development of technologies to help the elderly, so that they can remain active and independent for a longer time, helps to mitigate the sustainability problem posed in care services. This article follows this new trend, proposing a multi-agent system composed of a smart camera network, centralised planning agent, a virtual coach, and robotic exercise buddy, designed to promote regular physical activity habits among the elderly. The proposed system not only persuades the users to perform exercise routines, but also guides and accompanies them during exercises in order to provide effective training and engagement to the user. The different agents are combined in the system to exploit their complementary features in the quest for an effective and engaging training system. Three variants of the system, involving either a partial set of those agents or the full proposed system, were evaluated and compared through a pilot study conducted with 12 elderly users. The results demonstrate that all variants are able to guide the user in an exercise routine, but the most complete system that includes a robotic exercise buddy was the best scored by the participants. Article Highlights Proposal of a multi-agent system to help elderly adopting regular physical activity habits. A virtual coach and a robotic exercise buddy provide both guidance and companionship during the exercise. A pilot study conducted with 12 elderly users demonstrated an effective and engaging training system.


2021 ◽  
pp. 089826432110209
Author(s):  
Guilherme M. Balbim ◽  
Susan Aguiñaga ◽  
Olusola A. Ajilore ◽  
Eduardo E. Bustamante ◽  
Kirk I. Erickson ◽  
...  

Objective: To investigate the effects of the BAILAMOSTM dance program on physical activity (PA), cardiorespiratory, and cognitive health. Methods: A parallel, two-armed pilot study was conducted with 57 older Latinos randomized to the BAILAMOSTM dance program ( n = 28) or health education (HE) ( n = 29). We conducted two- and three-way repeated-measures ANOVAs. Results: BAILAMOSTM participants increased participation in leisure moderate-to-vigorous PA (LMVPA) ( F[1,53] = 3.17, p = .048, η2 G = .01) and performance in global cognition relative to HE participants ( F[1,52] = 4.19, p = .045, η2 G = .01). Attendance moderated increases in moderate PA, MVPA, LMVPA, and total PA ( p < .05). Participants of both groups with ≥75% attendance increased participation in PA. Among participants with <75% attendance, BAILAMOSTM participants increased PA relative to HE. Discussion: BAILAMOSTM positively impacted self-reported PA and global cognition in older Latinos. Even smaller doses of dance appear to impact self-reported PA levels.


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