Pilot Study of Novel Test Instrumentation to Evaluate Therapeutic Horseback Riding

1984 ◽  
Vol 1 (1) ◽  
pp. 30-36 ◽  
Author(s):  
V. Marie Fox ◽  
Valorie A. Lawlor ◽  
Marvin W. Luttges

A novel test instrument was designed to objectively quantify the progress of persons who participated in therapeutic horseback riding programs. Nineteen handicapped children, ages 7 to 14 years, with heterogeneous impairments were evaluated before and after riding. For measures of sitting balance and coordination, and hand, hip, knee, and ankle strength, marked improvements were noted for most children. Clinical impressions of therapists and parents suggested concomitant progress in characteristics such as self-confidence and interaction with others. Results from this pilot study appeared to support the use of the apparatus in that field setting.

2021 ◽  
Author(s):  
Victoria m.f Mank ◽  
Zhaohui Arter ◽  
Jeffrey Mank ◽  
Ki Suk Eum ◽  
Jefferson Roberts

ABSTRACT Introduction Military medical providers are a unique population that encounter different environments across the world. From hospital clinics to war zones, these providers must perform procedures and rely on their training and skill to help their patients. This pilot study aimed to assess the self-confidence of military medical providers performing joint aspiration and injection before and after a simulation workshop in both clinical and austere settings. Methods In 2016, 25 military physicians from various military facilities participated in a 1-hour knee arthrocentesis and injection and shoulder injection workshop. Education was provided on the knee and shoulder anatomy and various approaches to performing the procedures before the hands-on portion of the workshop. Surveys assessing self-reported confidence levels by performing the procedures in the clinic and austere settings were completed before and after simulation training. Results The results were analyzed and grouped based on the provider experience level, simulation environment, and specific procedure performed. There was a statistical significance seen in the shoulder arthrocentesis group, which included all participating providers, with a P-value of <.01 in the clinic setting and a P-value of <.001 in the austere setting. In the knee aspiration simulation, there were also improvements in the provider confidence, but it was not statistically significant with P-values of .36 and .14 in the clinical and austere settings, respectively. Conclusion Simulation training can lead to increased medical provider self-confidence in performing musculoskeletal joint aspirations and injections in both clinic and austere settings. The military medicine demographics have had little research in joint injections and provider confidence to date. This pilot study was one of the first to evaluate this unique population. The methods used in this study, and the positive data collected on provider confidence, can be used in larger studies, encompassing other medical providers to increase the confidence of providers throughout various fields of medicine.


2014 ◽  
Vol 13 (1) ◽  
pp. 39-46 ◽  
Author(s):  
Fabiana Moraes Flores ◽  
Luana Santos Sousa ◽  
Karla Mendonça Menezes ◽  
Fernando Copetti ◽  
Cláudia Morais Trevisan

Introduction: Multiple Sclerosis (MS) is a disease that causes interferences in the quality of life (QoL) of affected individuals; for this reason, for this reason, programs of activities that can improve quality of life are crucial. Objective: Investigate whether therapeutic horseback riding (THR) included in the routine activities of people with MS promotes changes in perceived QoL. Methods: Fourteen individuals with MS were divided into intervention group and control group and assessed for perceived QoL by means of the Functional Assessment of Multiple Sclerosis (FAMS) instrument, before and after an interval of four months. Results: No significant changes in the QoL of MS subjects were observed, either in intragroup or intergroup assessments. Conclusion: The intervention with THR included in the routine therapeutic activities of individuals with MS was not helpful to promote changes in the perceived QoL of the individuals studied.


Author(s):  
Nurul Iman Ahmad Bukhari ◽  
Suhaida Omar ◽  
Atirah Izzah Che Abas ◽  
Bazilah Raihan Mat Shawal ◽  
Wan Suzanna Aafanii Adeeba Wan Ibrahim ◽  
...  

This paper describes the pilot study in implementing a public speaking module for a primary school level. The module development was structured according to ASSURE Model with the Communicative Language Teaching (CLT) as the basis used in designing the module activities.  One group of Year 4 students from an Islamic integrated school was selected and the research method employed was the quasi-experimental research with pre and post-tests as well as interviews with the English teachers on the students’ performance and self-confidence.  Students were also interviewed to identify their self confidence level before and after the implementation of the public speaking module. This research project is hoped to increase students’ oral proficiency along with increasing self-confidence in public speaking at a young age, and to propose the implementation of this module as reference in primary education.Keywords: public speaking, primary school, oral proficiency, self-confidence, CLT


2014 ◽  
Vol 20 (8) ◽  
pp. 623-629 ◽  
Author(s):  
Claudia Cerulli ◽  
Carlo Minganti ◽  
Chiara De Santis ◽  
Eliana Tranchita ◽  
Federico Quaranta ◽  
...  

2014 ◽  
Vol 23 (3-4) ◽  
pp. 113-125 ◽  
Author(s):  
Boris Blumenstein ◽  
Iris Orbach

AbstractSuccessful football referees should have an excellent ability to cope with competitive stress. Therefore, psychological preparation is a necessary component for improving referees’ professionalism and optimal performance. This paper focuses on two main objectives: (1) Developing a Psychological Preparation Program specifically for football referees; (2) Evaluating referees’ behavior in precompetitive routine and during a football match before and after exposure to the Psychological Preparation Program. Thirty football referees participated in a newly developed Psychological Preparation Program which included three parts: Educational (i.e., lectures and self-evaluation), Acquisition (i.e., individual meetings and development of preperformance routine), and Evaluation (i.e., self-evaluation and assessing referee’s activities during a match). As a result of the program and based on referees’ self-evaluation, it can be concluded that our Psychological Preparation Program has a positive impact on the self-confidence of referees and their ability to cope with competitive stress. Future directions and suggested topics are discussed.


2020 ◽  
pp. 19-29
Author(s):  
Patricia Diaz Ortega ◽  
Manuel García Manero

Introduction: Symptomatic uterine fibroids can cause symptoms that can be disabling. There are many treatments, including ulipristal acetate, whose role in reducing symptoms and decreasing the size of the fibroid is well known. With this preliminary study, we also try to evaluate the correlation between myoma vascularization measured by ultrasound (Power Doppler 2D) and serum VEGF levels, before and after treatment with ulipristal acetate; in patients diagnosed with symptomatic uterine fibroids. Materials and Methods: A preliminary, prospective observational pilot study was designed. Twenty-four premenopausal women, diagnosed with symptomatic uterine fibroids, were included and all of them completed the study. Four cycles of ulipristal acetate were administered according to the dose and indications specified in the data sheet. In order to assess the influence of this treatment on the angiogenesis process of the fibroids, measurements of VEGF serum levels were made and their vascularization was assessed by means of 2D power doppler ultrasound; at the beginning and the end of treatment. In addition, several determinations of the same parameters were made throughout the successive visits. Endpoints were defined as the decrease in VEGF levels from previous levels, the decrease in myoma vascularization on ultrasound, and the reduction in myoma size. Result: 24 patients who met the inclusion criteria were enrolled (n=24). The average size of myomas was reduced from 45,08 ? 24,02mm to 29?16,96mm after treatment. The average VEGF serum level significantly decreased after the first treatment cycle (from 147,17 ? 153,51 pg/ml to 102,04 ? 186,08pg/ml). Vascularization of myomas after treatment with ulipristal acetate was analyzed, and a significantly decrease was achieved in 83,3% of cases. Conclusion: There is a correlation between myoma vascularization and treatment with Ulipristal acetate. SPRMs may provide effective treatment for women with symptomatic fibroids by two ways: supports selective progesterone receptor modulators and reduced angiogenesis. Keywords: Angiogenesis; Ulipristal Acetate; Uterine fibroids; VEGF


2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 566.1-566
Author(s):  
S. Afilal ◽  
H. Rkain ◽  
B. Berchane ◽  
J. Moulay Berkchi ◽  
S. Fellous ◽  
...  

Background:Methotrexate is a gold standard for treatment of RA. In our context, RA patients prefer to be injected by paramedics rather than self-injecting. This can be explained by patients’ bad perceptions of self-injection or lack of information. Appropriate self-injection education can therefore be an important element in overcoming these obstacles and improving disease self-management.Objectives:Compare the RA patients’ perceptions on methotrexate self-injection before and after a patient education session.Methods:Prospective pilot study that included 27 consecutive patients (81.5% female, mean age 44.4 years, illiteracy rate 40.7%) with RA (median duration of progression of 4 years, mean delay in referral for specialist of 6 months, median duration of methotrexate use of 1 year). The patients benefited from an individual patient education session to learn how to self-inject with methotrexate subcutaneously. The patient education session was supervised by a nurse and a rheumatologist with a control a week later. Perceptions of the reluctance to self-inject and the difficulties encountered by patients were assessed before the patient education session, after the 1st and 2nd self-injection of methotrexate using a 10 mm visual analog scale. Patients also reported their level of satisfaction (10 mm VAS) after the 1st and 2nd self-injection.Results:The mean duration of patient education session is 13 min.Table I compares the evolution of the degrees of reluctance to self-injection, the difficulties encountered, and the satisfaction experienced by the patients.Table 1.Evolution of RA patients’ perceptions on the methotrexate self-injection. (N = 27)BeforeAfter the 1stself-injectionAfter the 2end self-injectionpVAS reluctance (0-10mm)6,5 ± 3,62,2 ± 2,91,0 ± 2,3<0,0001VAS difficulty (0-10mm)7,5 ± 2,62,5 ± 2,71,0 ± 1,9<0,0001VAS satisfaction (0-10mm)-8,9 ± 1,89,5 ± 1,50,002Conclusion:This study suggests the effectiveness of a methotrexate self-injection patient education session in RA patients. It also highlights the value of patient education in rheumatologic care. A large-scale study is necessary to better interpret and complete these preliminary results from this pilot study.Disclosure of Interests:None declared


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