Greater and More Natural Use of the Upper Limbs During Everyday Life by Former Amputees Versus Prosthesis Users

2022 ◽  
pp. 154596832110628
Author(s):  
Scott Frey ◽  
Binal Motawar ◽  
Kelli Buchanan ◽  
Christina Kaufman ◽  
Phil Stevens ◽  
...  

Hand loss profoundly impacts daily functioning. Reversal of amputation through hand replantation or transplantation offers an alternative to prosthetics for some. Whether recipients exhibit more extensive and natural limb use during everyday life than prosthesis users is, however, unknown. We asked unilateral, below-elbow amputees (N = 22), hand graft recipients (transplants N = 4; replants N = 2), and healthy matched controls (N = 20) to wear wireless accelerometers distally on their forearms/prostheses and proximally on their upper arms. These units captured limb activity over 3 days within participants’ natural environments. Graft recipients exhibited heavier reliance on their affected hands compared to amputees’ reliance on their prostheses, P < .001. Likewise, reliance on the injured side upper arm was also greater for hand graft recipients than amputees, regardless of whether they were wearing their prostheses, P < .05 in both cases. Hand graft recipients, like healthy controls, also relied more on forearm vs upper arm movements when controlling their limbs, P < .001. Compared with conventional prosthesis users, graft recipients exhibited more extensive and natural functioning of the upper limbs during everyday activities. This information is an important addition to other considerations when evaluating risk-benefit of these treatment alternatives.

Author(s):  
Tjaša Filipčič ◽  
Špela Bogataj ◽  
Jernej Pajek ◽  
Maja Pajek

Hemodialysis (HD) patients have lower functional abilities compared to healthy people, and this is associated with lower physical activity in everyday life. This may affect their quality of life, but research on this topic is limited. Therefore, the present study aimed to determine the relationship between habitual physical activity and quality of life in HD patients and healthy controls. Ninety-three HD patients and 140 controls participated in the study. Quality of life was assessed using a 36-item medical outcomes study short-form health survey (SF-36). Human Activity Profile (HAP) was used to assess habitual physical activity. The adjusted activity score (AAS) from HAP, age, gender, fat tissue index (FTI), lean tissue index (LTI), and Davies comorbidity score were analyzed as possible predictors of the Physical Component Summary (PCS) of the SF-36. Three sequential linear models were used to model PCS. In Model 1, PCS was regressed by gender and age; in Model 2 the LTI, FTI, and Davies comorbidity scores were added. Model 3 also included AAS. After controlling for age and gender (ModelHD 1: p = 0.056), LTI, FTI, and Davies comorbidity score effects (ModelHD 2: p = 0.181), the AAS accounted for 32% of the variation in PCS of HD patients (ModelHD 3: p < 0.001). Consequently, the PCS of HD patients would increase by 0.431 points if the AAS increased by one point. However, in healthy controls, AAS had a lower impact than in the HD sample (B = 0.359 vs. 0.431), while the corresponding effects of age and gender (ModelH 1: p < 0.001), LTI, FTI, and Davies comorbidity score (ModelH 2: p < 0.001) were adjusted for. The proportion of variation in PCS attributed to AAS was 14.9% (ModelH 3: p < 0.001). The current study results showed that physical activity in everyday life as measured by the HAP questionnaire is associated to a higher degree with the quality of life of HD patients than in healthy subjects. Routine physical activity programs are therefore highly justified, and the nephrology community should play a leading role in this effort.


2015 ◽  
Vol 87 (2 suppl) ◽  
pp. 1461-1473 ◽  
Author(s):  
Michelle L. Garcez ◽  
Ana Carolina B. Falchetti ◽  
Francielle Mina ◽  
Josiane Budni

Alzheimer's disease (AD) is the most common cause of dementia and has become a severe public health issue. It is estimated that globally, 35.6% of people have some form of dementia. This number is expected to double by 2030, and possibly even triple by 2050. The disease is associated with deficits in cognition/memory and a reduced ability in coping with everyday life. Moreover, patients can experience behavioral alterations such as mood swings, depression and hallucinations. Therefore, it is common to find the presence of neuropsychiatric comorbidities such as depression, schizophrenia and bipolar disorder during the course or development of AD. These disorders can become severe enough to interfere with the patients daily functioning, and can worsen the course of the disease. However, little is known about the causal relationship between psychiatric comorbidities and AD, or the reasons for the predisposition of some individuals to such disorders. Therefore, the purpose of this review is to clarify the causal relationship between depression, schizophrenia and bipolar disorder with AD.


Author(s):  
Åsa Trulsson

Contemporary spiritualties are often portrayed as a turn to a subjective and individualized form of religion, consisting of individually held truth claims or private peak experiences that are generated sporadically at retreats and workshops. The portrayal is ultimately related to a perception of everyday life in contemporary Euro-America as mundane, rationalized, and secular, but also the exclusion of practices centered on the body, the home and the everyday from what is deemed properly religious. This article explores the sacred technologies of the everyday among women in England who identify as Goddess worshippers. The purpose is to further the understanding of religion and the everyday, as well as the conceptualization of contemporary Goddess-worship as lived religion. Through examining narratives on the intersection between religion and everyday activities, the technologies of imbuing everyday life with a sacred dimension become visible. The sacred technologies imply skills that enable both imagining and relating to the sacred. The women consciously and diligently work to cultivate skills that would allow them to sense and make sense of the sacred, in other words, to foster a sense of withness through the means of a host of practices. I argue that the women actively endeavor to establish an everyday world that is experienced as inherently different from the secular and religious fields in their surroundings; hence it is not from disenchantment or an endeavor with no social consequences. The women’s everyday is indeed infused with different strategies where the body, different practices, and material objects are central in cultivating a specific religious disposition that ultimately will change the way the women engage with and orient themselves in the world.


2016 ◽  
Vol 113 (36) ◽  
pp. 10043-10048 ◽  
Author(s):  
Pamela K. Smith ◽  
Wilhelm Hofmann

How does power manifest itself in everyday life? Using experience-sampling methodology, we investigated the prevalence, sources, and correlates of power in people’s natural environments. Participants experienced power-relevant situations regularly, though not frequently. High power was not restricted to a limited few: almost half of the sample reported experiencing high-power positions. Positional power and subjective feelings of power were strongly related but had unique relations with several individual difference measures and independent effects on participants’ affect, cognition, and interpersonal relations. Subjective feelings of power resulted more from within-participant situational fluctuation, such as the social roles participants held at different times, than from stable differences between people. Our data supported some theoretical predictions about power’s effects on affect, cognition, and interpersonal relations, but qualified others, particularly highlighting the role of responsibility in power’s effects. Although the power literature has focused on high power, we found stronger effects of low power than high power.


SAGE Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. 215824401882237 ◽  
Author(s):  
Vilma Hänninen ◽  
Jukka Valkonen

Despite increased interest and research into personal accounts of depression, it has seldom been studied specifically from the point of view everyday life. Our aim is to highlight how depression progresses in relation to everyday activities, and to interpret the process using a theory of everyday life. Semi-structured interviews were conducted with 55 persons (31 women, 24 men) in their 40s who self-identified as having been depressed. Depression typically progressed as follows: It originated in a difficult life situation, which was coped with by trying to manage or by escaping to drinking. Eventually, it was not possible to carry out everyday duties. Seeking treatment and sick leave signified a disconnection from everyday obligations. Leisure activities as well as support from close people helped in coping, and gradually a new, more meaningful and enjoyable everyday life developed. Disconnection, rest, reflection, reorientation, and reorganization of life seemed to build a pathway out of depression. Thus, a depressive episode could be interpreted as a process in which the person first disengaged from the unreflected everyday and then reflectively re-engaged to it.


Author(s):  
Louise Barkhuus

This chapter introduces a qualitative study of the use of mobile text messaging (SMS) and re?ects on how SMS in?uences social interaction. It describes how this new communication technology is used to maintain social relations and how it generally assists users in their everyday activities. Three issues are highlighted: how users use SMS to overcome shyness, how they use it for micro-grooming, and how they are able to control messages to their advantage. It is argued that SMS facilitates users in their everyday life through the ways it supports awareness and accountability. These characteristics make the communication channel a “social translucent” technology, contributing to its popularity. It is suggested that simple information and communication technologies such as SMS can provide powerful tools in new designs of information and communication technologies.


In the Field ◽  
2018 ◽  
pp. 120-141
Author(s):  
George Gmelch ◽  
Sharon Bohn Gmelch

For professional anthropologists, thinking anthropologically is part of everyday life, not just something they do while engaged in field work. This is demonstrated on two occasions when the authors, as visiting faculty at a Japanese university, can’t help doing research. For Sharon it is among Japanese mothers and at the yochien or kindergarten their son Morgan attends, while George turns his anthropological lens on the college basketball team that he joins years later. For both, everyday activities reveal essential characteristics of Japanese culture.


2015 ◽  
Vol 37 (5) ◽  
pp. 498-506 ◽  
Author(s):  
Ingeborg Megård Leinan ◽  
Inger-Lise Aamot ◽  
Asbjørn Støylen ◽  
Trine Karlsen ◽  
Ulrik Wisløff

2017 ◽  
Vol 29 (1) ◽  
pp. 43-62 ◽  
Author(s):  
Renata Galatolo ◽  
Letizia Caronia

Since Garfinkel brought our attention to the moral order implied in everyday activities, studies on social interaction have described the practices through which members constitute the moral dimensions of everyday life. Drawing on Duranti’s notion of the ‘sense of the Other’, this article illustrates how mundane morality is presupposed and (re)constructed in the micro-order of everyday life. Examples of video-recorded family dinner interactions are discussed, adopting a conversation analytic approach. The analysis illustrates how the sense of the Other is made relevant by parents as an organizing principle of ongoing activities and ‘talked into being’ to manage ordinary tasks (e.g. pursuing synchronicity and distributing food). The analysis reveals that parents use siblings as a resource to embody the ‘generalized other’ and socialize children to take the other’s perspective. Our study contributes to demonstrating the relevance of looking at ordinary practices as powerful means through which members orient to a moral version of the world and treat it as a natural one.


2001 ◽  
Vol 25 (4) ◽  
pp. 392-399 ◽  
Author(s):  
Petra L. Klumb

The operation of self-efficacy beliefs was investigated in a group of 81 participants between 73 and 97 years of age with intensive time samples including activities carried out at the moment a signal was received, their subjective difficulty, and concurrent mood in everyday life. In a two-level approach, occasion-level and person-level effects could be modelled simultaneously. Within individuals, productive activities were perceived more difficult, on average, than nonproductive ones. Furthermore, perceived difficulty was lower the more positive concurrent mood was rated. Variance in these intra-individual slopes was partially explained by inter-individual differences in self-belief of efficacy regarding everyday activities.


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