scholarly journals Evaluating a Therapeutic Powered Mobility Camp for Children with Severe Cerebral Palsy

2021 ◽  
pp. 000841742110349
Author(s):  
Lori Rosenberg ◽  
Adina Maeir ◽  
Yafit Gilboa
Keyword(s):  
Cerebral Palsy ◽  
Summer Camp ◽  
Descriptive Analysis ◽  
Functional Mobility ◽  
Repeated Measure ◽  
Independent Mobility ◽  
Measure Design ◽  
Quasi Experimental ◽  
Mobility Skills

Background. Children and youth with severe cerebral palsy (CP) have limited independent mobility, which affects opportunities for overall development. Purpose. To examine the effectiveness of Power Fun, a therapeutic powered mobility summer camp. Methods. A quasi-experimental, repeated-measure design was used, with participants acting as their own control. Twenty-four participants with severe CP (aged 7–20 years) attended Power Fun for three weeks, five days/week. Assessments of powered mobility skills and functional mobility goals were conducted three weeks before the camp (T1), at baseline (T2), postintervention (T3), and at three-week follow-up (T4). Findings. An analysis of variance results indicated significant improvements in powered mobility skills ( F(1,22) = 56.61, p < 0.001, η2p = 0.74) and functional mobility goals ( F(1,58) = 80.17, p < 0.001, η2p = 0.74), with 70% of goals achieved postintervention. A descriptive analysis revealed three learning profiles. Implications. This study provides initial evidence supporting the effectiveness of Power Fun as an intervention promoting powered mobility for children with severe CP, across a range of abilities.

The effectiveness of mindfulness on quality of life of women with premature menopause: a quasi-experimental study

2020 ◽  
Author(s):  
Fatemeh Pyri ◽  
Parvin Abedi ◽  
Elham Maraghi ◽  
Maryam Gholamzadeh Jashreh
Keyword(s):  
Quality Of Life ◽  
Experimental Study ◽  
Hot Flashes ◽  
Repeated Measure ◽  
Control Group ◽  
Premature Menopause ◽  
Chi Square ◽  
Quasi Experimental

Abstract Background: Premature menopause may impair the quality of life and expose women to disorders such as cardiovascular disease, osteoporosis, and depression. This study aimed to evaluate the effectiveness of mindfulness on the quality of life of women with premature menopause. Methods: This was a quasi-experimental study in which 62 women were recruited and randomly allocated in two groups of mindfulness and control. The mindfulness group received eight sessions of training. A demographic questionnaire, Menopause-Specific Quality of Life (MENQOL) and a checklist (for assessing frequency and intensity of hot flashes) were used to collect data. The quality of life, frequency, and intensity of hot flashes measured at baseline, after eight weeks and in three months follow-up. The Independent t-test, the chi-square test, and the repeated measure test were used for analyzing data. Results: The score of quality of life was significantly improved after the intervention and in three months follow-up in the mindfulness group compared to the control group (p<0.001). The scores of vasomotor, psychological, physical, and sexual domains also improved significantly in the mindfulness group compared to the control group. The severity and the frequency of hot flashes were significantly reduced in the mindfulness group in comparison to the control group. Conclusion: The results of this study showed that eight weeks of mindfulness training could significantly improve the quality of life and also could reduce the frequency and intensity of hot flashes in women with premature menopause. Using mindfulness for women with premature menopause is recommended.

scholarly journals Minimally Invasive SPML Surgery for Children with Cerebral Palsy: Program Development

2020 ◽  
Vol 2020 ◽  
pp. 1-13
Author(s):  
Dana L. Wild ◽  
Caroline W. Stegink-Jansen ◽  
Christine P. Baker ◽  
Kelly D. Carmichael ◽  
David A. Yngve
Keyword(s):  
Cerebral Palsy ◽  
Minimally Invasive ◽  
Phase 1 ◽  
Case Series ◽  
Functional Mobility ◽  
Phase 2 ◽  
Ankle Motion ◽  
Case Series Study ◽  
Reoperation Rates

Improvements in surgical and rehabilitation care are critical to lessen the burden of cerebral palsy (CP), the most common cause of severe physical disability in childhood. The selective percutaneous myofascial lengthening (SPML) surgical procedure is a minimally invasive method designed to improve ambulation by lengthening contracted musculoskeletal tissues. Information on surgical procedures, efficacy, and safety of SPML for children with CP is lacking. Phase 1 of our research is a “proof-of-principle” study for multisite SPML to improve functional mobility of children with CP, and Phase 2 assesses safety, reoperation rates, and efficacy over time in subsequent patient series. Phase 1 was a repeated measurement case series study of 17 children (mean age 7.6 years). One physical therapist, blinded to the surgeon’s measurements, measured bilateral knee and ankle motion before and after SPML procedures, using video recordings of a standardized gait path. Functional Mobility Scale (FMS) 5, 50, and 500 outcomes were taken pre- and postoperatively and via telephone follow-up. In Phase 2, multisite SPLM surgeries were implemented in larger successive cohorts from 2006 to 2017. Complications, reoperation rates, and efficacy were retrospectively analyzed. Phase 1 results showed improvement in the children’s knee and ankle motion while ambulating and improved FMS 5, 50, and 500 outcomes postoperatively (mean, 6.3 months). At second follow-up (mean 33.3 months), FMS 500 scores continued improvement, while FMS 5 and FMS 50 scores maintained. During Phase 2, the complication rate was 2.4%, and reoperation rates (including reoperations due to maturation) were between 8% and 13%. Improvements to correct ankle equinus were recorded in 498 cases. In conclusion, in a specialized center, single-event, multilevel SPML surgeries of children with CP safely improved ambulatory knee and ankle angle motion and daily mobility outcomes. Future educational studies of training needs for surgeons new to the approach are needed.

scholarly journals The effectiveness of forgiveness therapy for wives of alcoholics

2017 ◽  
Vol 7 (12) ◽  
pp. 72
Author(s):  
Hee kyung Kim ◽  
Kunsook Bernstein
Keyword(s):  
Emotional Abuse ◽  
Intervention Program ◽  
Repeated Measure ◽  
Control Group ◽  
Post Test ◽  
Quasi Experimental ◽  
Forgiveness Therapy ◽  
Emotionally Abused ◽  
Experimental Group

Purpose: The purpose of this study was to examine the effectiveness of forgiveness therapy for wives of alcoholics in South Korea suffering from emotional abuse by their spouses.Methods: Non-randomized quasi-experimental research was conducted with 2-hour weekly forgiveness therapy sessions for 12 weeks, and pre-test, post-test, and a 12-week follow-up test. A total number of 28 subjects were divided into two groups: 15 in the experimental group and 13 in the control group. The data were analyzed by descriptive statistics, t-test, χ2 test, and repeated measure ANOVA, using SPSS 20.0.Results: The experimental group showed a significantly higher score on the forgiveness scale than did the control group (t = 0.312, p < .010) and the 12-week follow-up test (F = 4.43, p = .039). In the subcategories of the forgiveness scale, affect and cognition scores were significantly increased but there was no significant change on the behavior score.Conclusions: These findings suggest that forgiveness therapy may be an effective intervention program to improve forgiveness for the emotionally abused wives of alcoholics.

Interventionist applied conversation analysis

2016 ◽  
Vol 7 (1) ◽  
pp. 30-56
Author(s):  
William A. Tuccio ◽  
David A. Esser ◽  
Gillian Driscoll ◽  
Ian R. McAndrew ◽  
MaryJo O. Smith
Keyword(s):  
Conversation Analysis ◽  
The United States ◽  
Repeated Measure ◽  
Transportation Safety ◽  
Pragmatic Language ◽  
Repeated Measure Design ◽  
Independent Research ◽  
Language Competence ◽  
Measure Design ◽  
Quasi Experimental

Pragmatic language competence plays a central role in how aviation flight crews perform crew resource management (CRM); this competence significantly affects aviation safety. This paper contributes to existing literature on interventionist applications of conversation analysis (CA) by defining and evaluating a novel collaborative transcription and repair based learning (CTRBL) method for aviation CRM learning. CTRBL was evaluated using a quantitative quasi-­experimental repeated-measure design with 42 novice, university pilots. Results support that CTRBL is an effective, low-resource CRM learning method that will benefit from exploratory applications and further study in pragmatics, aviation, and other sociotechnical domains. The views in this article were the result of independent research of the authors. Views herein do not necessarily represent the views of the National Transportation Safety Board (NTSB) or the United States.

scholarly journals What is the functional mobility and quality of life in patients with cerebral palsy following single-event multilevel surgery?

2020 ◽  
Vol 14 (2) ◽  
pp. 139-144 ◽  
Author(s):  
Tomos Aled Edwards ◽  
Robin John Prescott ◽  
Julie Stebbins ◽  
James Wright ◽  
Tim Theologis
Keyword(s):  
Quality Of Life ◽  
Cerebral Palsy ◽  
Functional Mobility ◽  
Single Event ◽  
School Work ◽  
Multilevel Surgery ◽  
Long Term Follow Up

Purpose To report functional mobility in patients with diplegic cerebral palsy (CP) at long-term follow-up after single-event multilevel surgery (SEMLS). The secondary aim was to assess the relationship between functional mobility and quality of life (QoL) in patients previously treated with SEMLS. Methods A total of 61 patients with diplegic CP, mean age at surgery 11 years, eight months (sd 2 years, 5 months), were included. A mean of eight years (sd 3 years, 10 months) after SEMLS, patients were contacted and asked to complete the Functional Mobility Scale (FMS) questionnaire over the telephone and given a weblink to complete an online version of the CP QOL Teen. FMS was recorded for all patients and CP QOL Teen for 23 patients (38%). Results Of patients graded Gross Motor Function Classification System (GMFCS) I and II preoperatively, at long-term follow-up the proportion walking independently at home, school/work and in the community was 71% (20/28), 57% (16/28) and 57% (16/28), respectively. Of patients graded GMFCS III preoperatively, at long-term follow-up 82% (27/33) and 76% (25/33) were walking either independently or with an assistive device at home and school/work, respectively, while over community distances 61% (20/33) required a wheelchair. The only significant association between QoL and functional mobility was better ‘feelings about function’ in patients with better home FMS scores (r = 0.55; 95% confidence interval 0.15 to 0.79; p = 0.01). Conclusion The majority of children maintained their preoperative level of functional mobility at long-term follow-up after SEMLS. Level of Evidence IV

Establishing dental recall interval for Pakistani children: a longitudinal study

2021 ◽  
pp. 1-13
Author(s):  
Muhammad Taqi ◽  
Jaffar Abbas Zaidi ◽  
Hafeez Shaikh ◽  
Adnan Sukkurwalla
Keyword(s):  
Longitudinal Study ◽  
Response Rate ◽  
Descriptive Analysis ◽  
Repeated Measure ◽  
Progression Rate ◽  
Prospective Longitudinal Study ◽  
Recall Interval ◽  
Caries Increment ◽  
Prospective Longitudinal

Abstract Objective: This study aims to determine the caries increment rate in children of 12 years of age after 6, 12 and18 months to establish appropriate dental recall interval. Subjects and Methods: Prospective longitudinal study of 18 months duration was conducted from May 2016 to October 2017 in the Bhakkar city of Punjab, Pakistan. School children of 12-years-old were selected in this study using convenience sampling. The caries progression rate was measured using Modified Beck’s method or adjusted caries increment. Descriptive analysis was conducted to estimate the response rate at baseline and at each follow-up, to estimate the number of children who attended the examinations, mean DMFT/DMFS scores and mean caries increments. Repeated measure ANOVA with post hoc test using Bonferroni correction was used to compare baseline mean caries increment with caries increment on 6, 12 and 18 months. Results: In the last follow-up, 183 children were present, giving a response rate of 81%. Significantly high caries increment among cavitated lesions was observed at 6 months (0.49±1.45, p=0.0001), 12 months (0.66±2.35, p=0.0001), and 18 months (0.86±2.39, p=0.0001) when compared with baseline caries increment.  Continuous...  

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