scholarly journals Experiences of Student Circus Arts Performers Undertaking a Shoulder Rehabilitation Program Via Telehealth Consultation During the COVID-19 Pandemic

2021 ◽  
Vol 36 (3) ◽  
pp. 163-175
Author(s):  
Charlotte /Ganderton ◽  
A Rayner ◽  
S Baradell ◽  
D Munro ◽  
L Watson ◽  
...  

OBJECTIVE: To explore the subjective experiences of student circus arts performers with atraumatic shoulder instability undertaking a 12-week shoulder rehabilitation program during the COVID-19 pandemic lockdown, in Melbourne, Australia. METHODS: Using a qualitative design, 14 circus arts students from the National Institute of Circus Arts (Australia) were individually interviewed via teleconsultation. All interviews were recorded, transcribed, and analysed using inductive thematic analysis. RESULTS: Five overarching themes were identified: (i) impact (physical and mental), (ii) opportunity, (iii) developing routine, (iv) client-therapist relationship, and (v) transformation. All participants reported positive physical changes to their shoulder including increases in strength, stability, range of motion, less pain, “clicking” and “clunking,” improved posture, muscle memory, as well as carry-over to functional circus activities. The pandemic’s mental impact varied across the cohort, with positive and negative experiences described in relation to cognitive, social, and affective factors. Most performers felt the pandemic provided an opportunity to focus on rehabilitation of their shoulder. The program effects were also underpinned by positive client-therapist relationships and a progressive transformation of learning where students gained knowledge of their condition, developed tools to manage their current shoulder impairment, and learned how to apply this new knowledge to future management of their condition. CONCLUSION: A shoulder exercise intervention delivered via teleconsultation during the COVID-19 pandemic resulted in subjective reports of positive physical changes to the participants’ shoulder health complaint. This was facilitated through client-physiotherapist relationships, providing structure during uncertain times, and by providing education to help in understanding their condition and its future management.

2014 ◽  
Vol 222 (3) ◽  
pp. 171-178 ◽  
Author(s):  
Mareile Hofmann ◽  
Nathalie Wrobel ◽  
Simon Kessner ◽  
Ulrike Bingel

According to experimental and clinical evidence, the experiences of previous treatments are carried over to different therapeutic approaches and impair the outcome of subsequent treatments. In this behavioral pilot study we used a change in administration route to investigate whether the effect of prior treatment experience on a subsequent treatment depends on the similarity of both treatments. We experimentally induced positive or negative experiences with a topical analgesic treatment in two groups of healthy human subjects. Subsequently, we compared responses to a second, unrelated and systemic analgesic treatment between both the positive and negative group. We found that there was no difference in the analgesic response to the second treatment between the two groups. Our data indicate that a change in administration route might reduce the influence of treatment history and therefore be a way to reduce negative carry-over effects after treatment failure. Future studies will have to validate these findings in a fully balanced design including larger, clinical samples.


2021 ◽  
Vol 35 (2) ◽  
pp. 233-243
Author(s):  
Lyn Craig ◽  
Brendan Churchill

This paper draws on data from Work and Care During COVID-19, an online survey of Australians during pandemic lockdown in May 2020 (n = 2,722). It focuses on how subsamples of lesbian, gay, and bisexual mothers and fathers in couples (n = 280) and single mothers (n = 480) subjectively experienced unpaid work and care during lockdown compared with heterosexual mothers and fathers in couples, and with partnered mothers, respectively. During the pandemic, nonheterosexual fathers’ subjective reports were less negative than those of their heterosexual counterparts, but differences between heterosexual and lesbian/bisexual mothers were more mixed. Unlike their partnered counterparts, more single mothers reported feeling satisfied than before with their balance of paid and unpaid work and how they spent their time overall during the pandemic, perhaps because they avoided partnership conflicts and particularly benefited from relaxed commuting and child care deadlines.


Author(s):  
Anne Collins McLaughlin ◽  
Jessica Ward ◽  
Bruce W. Keene

We describe a new surgical checklist for veterinary cardiologists based on the literature and the application of human factors design. The checklist was developed and iterated with subject-matter experts and was implemented for 4 months, during which use of the checklist was monitored, feedback was gathered, and a final survey was distributed to assess subjective experiences. Although developed for the cardiology team, the checklist also affected the anesthesia team by requiring information and responses to be transmitted across teams. Interviews, subjective reports, and observations pointed to the fact that the checklist engendered communication, particularly by requiring the thoughts and expectations of team members to be stated explicitly.


2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Mandi Broodryk ◽  
Chrisma Pretorius

Background: There seems to be a paucity of research on the initial subjective experiences of family caregivers of survivors of a traumatic brain injury (TBI). Objective: To explore the challenges that family caregivers face during the initial stages of recovery of a relative who has sustained a TBI. Methods: Thematic analysis was used to explore the findings from semi-structured interviews that were conducted with 12 female family caregivers of relatives who had sustained a TBI. Results: Family caregivers recalled their initial experiences of the shock at hearing the news about their relative’s TBI, negative experiences in hospital and frustrating interactions with healthcare professionals as particularly challenging. Conclusion: The findings of this study emphasise caregivers’ need for support, information and psycho-education, especially from healthcare professionals, from the very beginning stages of recovery from a TBI. Practical and physical needs with regard to admission to and care in the hospital were also highlighted. This research will hopefully contribute to creating awareness amongst healthcare professionals on how they can contribute to improvement of the services provided by the healthcare system based on the experiences of the caregivers who participated in this study.


2021 ◽  
pp. 260-280
Author(s):  
Olga N. Chernysheva

Relevance. People are increasingly involved in mastering new types of work. It involves rebuilding the skills developed for a variety of occupations, both mental and motor. While the problem of forming new skills is sufficiently well-developed, the problem of their restructuring has attracted significantly less attention, although, judging by the experiences of participants, it sometimes leads to a slowdown, and in some cases to the rejection of innovation process. The purpose of this study was to identify the causes of negative effects that female employees experienced when the spatial parameters of their workplaces were rationally changed. Methods and sampling. The study was based on the analysis of the activities of 25 seamstresses (one team) in the familiar and the rationalized subject environment. It included two additional research methods: (1)vector-coordinate method of job evaluation; (2) graphic and verbal fixation of the dynamics of how the employees subjectively assessed their psychosomatic experiences in the process of changes. Results. The rationalization of the spatial parameters of seamstresses’ workplaces was meant for optimizing their main working posture without affecting the semantic component of their activity. Nevertheless, it led to certain changes in their skill of performing stereotypical movements for grinding the parts of target production. This restructuring resulted in the appearance of long-term negative experiences of somatic discomfort (from 5 to 10 days) in the process of performing labor actions. But these experiences did not correspond to the experience of somatic comfort in the main working posture taken before starting work. Conclusion. Despite the objective improvement of the psychosomatic state of female workers, the discrepancy in the experiences of psychosomatic state in statics and dynamics is naturally and well explained from the standpoint of the Bernstein model of movement construction. It is caused by the need to change the levels of motion control and the resulting need to restructure the previously established sensory synthesis. Such a result indicates the need for psychological support of the innovation process until the end of the negative experiences associated with it


2019 ◽  
Vol 2019 ◽  
pp. 1-13 ◽  
Author(s):  
Chelsey Lai Kwan ◽  
Yacine Mahdid ◽  
Rossio Motta Ochoa ◽  
Keven Lee ◽  
Melissa Park ◽  
...  

The detection of significant moments can support the care of individuals with dementia by making visible what is most meaningful to them and maintaining a sense of interpersonal connection. We present a novel intelligent assistive technology (IAT) for the detection of significant moments based on patterns of physiological signal changes in individuals with dementia and their caregivers. The parameters of the IAT are tailored to each individual’s idiosyncratic physiological response patterns through an iterative process of incorporating subjective feedback on videos extracted from candidate significant moments identified through the IAT algorithm. The IAT was tested on three dyads (individual with dementia and their primary caregiver) during an eight-week movement program. Upon completion of the program, the IAT identified distinct, personal characteristics of physiological responsiveness in each participant. Tailored algorithms could detect moments of significance experienced by either member of the dyad with an agreement with subjective reports of 70%. These moments were constituted by both physical and emotional significances (e.g., experiences of pain or anxiety) and interpersonal significance (e.g., moments of heighted connection). We provide a freely available MATLAB toolbox with the IAT software in hopes that the assistive technology community can benefit from and contribute to these tools for understanding the subjective experiences of individuals with dementia.


Author(s):  
Helena Roennfeldt ◽  
Marianne Wyder ◽  
Louise Byrne ◽  
Nicole Hill ◽  
Rory Randall ◽  
...  

Mental health presentations to the emergency department (ED) have increased, and the emergency department has become the initial contact point for people in a mental health crisis. However, there is mounting evidence that the ED is not appropriate nor effective in responding to people in mental health crises. Insufficient attention has been paid to the subjective experience of people seeking support during a mental health crisis. This review aims to describe the qualitative literature involving the subjective experiences of people presenting to the ED during a mental health crisis. The method was guided by Arksey and O’Malley’s framework for scoping studies and included keyword searches of PsycINFO, CINAHL, Medline and Embase. A narrative analysis, drawing on the visual tool of journey mapping, was applied to summarise the findings. Twenty-three studies were included. The findings represent the experience of accessing EDs, through to the impact of treatment. The review found points of opportunity that improve people’s experiences and characteristics associated with negative experiences. The findings highlight the predominance and impact of negative experiences of the ED and the incongruence between the expectations of people presenting to the ED and the experience of treatment.


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