Hipoterapia w usprawnianiu dziecka z mózgowym porażeniem dziecięcym

2018 ◽  
Vol 21 (2A) ◽  
Author(s):  
Bartek Czokało ◽  
Joanna Chojnowska ◽  
Wioletta Pogroszewska
Keyword(s):  
Upper Limb ◽  
Mental State ◽  
Lower Limb ◽  
Rehabilitation Process ◽  
Self Confidence ◽  
Horse Riding ◽  
Time Stage ◽  
Block Test ◽  
The Impact

Introduction. Hippotherapy is diversified therapeutic treatment using a horse. Horse riding is a final and at the same time one of the most stretched in time stage of improving athleticism. It is a replenishment of the rehabilitation process and it gives an opportunity to acquire new skills. Aim. 1. Evaluating the impact of hippotherapy on prehensile functions of an upper limb. 2. Evaluating the impact of hippotherapy on lower limb range of motion. 3. Evaluating the impact of hippotherapy on a mental state of a child with CP. Material and methods. The author of the thesis conducted a study of a 6-year-old child with CP based on: a questionnaire, Lovett’s test, Box and Block Test and the measurement of the limbs circuits. Results. The exercises conducted improved the balance and attentiveness. Marginally the quality of the exercises was improved, as well. Conclusions. Hippotherapy gives an opportunity to overcome the discouragement and the lack of self-confidence in personal movement capabilities. It has an impact on a cognitive and emotional sphere of a child.

Effects of use of an eHealth platform e-Vita for COPD patients on disease specific quality of life domains

2020 ◽  
Keyword(s):  
Quality Of Life ◽  
Functional State ◽  
Mental State ◽  
Self Management ◽  
Copd Patients ◽  
Before And After ◽  
Ehealth Intervention ◽  
The Impact ◽  
Disease Specific

Background: Integrated disease management with self-management for Chronic Obstructive Pulmonary Disease (COPD) is effective to improve clinical outcomes. eHealth can improve patients’ involvement to be able to accept and maintain a healthier lifestyle. Eventhough there is mixed evidence of the impact of eHealth on quality of life (QoL) in different settings. Aim: The primary aim of the e-Vita-COPD-study was to investigate the effect of use of eHealth patient platforms on disease specific QoL of COPD patients. Methods: We evaluated the impact of an eHealth platform on disease specific QoL measured with the clinical COPD questionnaire (CCQ), including subscales of symptoms, functional state and mental state. Interrupted time series (ITS) design was used to collect CCQ data at multiple time points. Multilevel linear regression modelling was used to compare trends in CCQ before and after the eHealth intervention. Results: Of 742 invited COPD patients, 244 signed informed consent. For the analyses, we only included patients who actually used the eHealth platform (n = 123). The decrease of CCQ-symptoms was 0,20% before the intervention and 0,27% after the intervention; this difference was statistically significant (P=0.027). The decrease of CCQ-mental was 0,97% before the intervention and after the intervention there was an increase of 0,017%; this difference was statistically significant (P=0,01). No significant difference was found in the slopes of CCQ (P=0,12) and CCQ-function (P=0,11) before and after the intervention. Conclusion: The e-Vita eHealth platform had a potential beneficial impact on the CCQ-symptoms of COPD patients, but not on functional state. The CCQ-mental state remained stable after the intervention, but this was a deterioration compared to the improving situation before the start of the eHealth platform. In conclusion, this study shows that after the introduction of the COPD platform, patients experienced fewer symptoms, but their mental state deteriorated slightly at the same time. Therefore, health care providers should be aware that, although symptoms improve, there might be a slight increase in anxiety and depression after introducing an eHealth intervention to support self-management.

scholarly journals Biomedical Variables and Adaptation to Disease and Health-Related Quality of Life in Polish Patients with MS

2018 ◽  
Vol 15 (12) ◽  
pp. 2678 ◽  
Author(s):  
Joanna Dymecka ◽  
Mariola Bidzan
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Mood Disorders ◽  
Upper Limb ◽  
Lower Limb ◽  
Health Related Quality ◽  
Neurological Disability ◽  
Related Quality ◽  
Health Related

The aim of this research was to assess the level of adaptation to multiple sclerosis (Sclerosis multiplex; MS) and health-related quality of life (HRQoL) of the study population as well as to determine the relationship between biomedical factors related to the course of multiple sclerosis, adaptation to the disease, and HRQoL. Analysis of medical records, clinical and psychological interviews, the Extended Disability Status Scale (EDSS), Guy’s Neurological Disability Scale (GNDS), the Acceptance of Illness Scale (AIS), and the Multiple Sclerosis Impact Scale 29 (MSIS-29) were collected from 137 patients with MS. It was found that there was a relation between motor impairment, neurological disability, adaptation to illness, and HRQoL; it was also found that there were negative correlations between adaptation to illness and the severity of lower-limb disability, fatigue, mood disorders, other problems related to MS, and upper-limb disability. Of all the symptoms, lower-limb disability, fatigue, and mood disorders had the strongest relation with adaptation. All of the analysed symptoms were found to correlate with HRQoL. Of all the symptoms, HRQoL was most affected by lower- and upper-limb disability, fatigue, other MS problems, and mood disorders.

scholarly journals Student Quality Evaluation amongst Tahfiz Science Schools in Malaysia

2018 ◽  
pp. 319-324
Keyword(s):  
Self Efficacy ◽  
Labour Force ◽  
Science Students ◽  
Leadership Qualities ◽  
Self Confidence ◽  
Different Types ◽  
Science School ◽  
Education Model ◽  
The Impact

At present, there are three streams of Tahfiz Science School (TSS) in Malaysia, namely TSS wholly owned by the federal government, private, and private-state. Therefore, each TSS provider will implement its own Islamic education model. The objective of the study was to assess the impact of TSS education on students’ self-efficacy, self-confidence, and leadership qualities. Overall, the findings of the survey carried out revealed that students have high self-efficacy, self-confidence, and leadership. Nevertheless, there is a difference in self-efficacy among the different types of TSS. Such differences in the quality of students are partly due to differences in quality of teachers, curriculum, financial resources, and facilities and infrastructure of the TSS. These differences also reflect that there is no uniform tahfiz science education (including curricula). Therefore, a uniform education policy of TSS is necessary to sustain the quality of tahfiz science students and provide Islamic technocrats for the labour force.

scholarly journals Perception of effort and the allocation of physical resources: a generalization to upper-limb motor tasks

2021 ◽  
Author(s):  
Marie Payen de la Garanderie ◽  
Aymeric Courtay ◽  
Camille Féral-Basin ◽  
Pierre Rainville ◽  
Jérémie Gaveau ◽  
...  
Keyword(s):  
Upper Limb ◽  
Task Difficulty ◽  
Muscle Activation ◽  
Exercise Prescription ◽  
Motor Tasks ◽  
Perception Of Effort ◽  
Exercise Induced ◽  
Block Test ◽  
The Cost ◽  
The Impact

PURPOSE: The perception of effort (PE) is widely used to prescribe and monitor exercise during locomotor and resistance tasks. The present study examines the validity of PE to prescribe and monitor exercise during upper-limb motor tasks under various loads and speed requirements.METHODS: Forty participants volunteered in two experiments. In experiment 1, we used four PE intensities to prescribe exercise on a modified version of the box and block test (BBT) and a pointing task. We investigated the possibility of monitoring the exercise intensity by tracking changes in PE rating in response to three different tempos or additional weights. Experiment 2 replicated the possibility of prescribing the exercise with the PE intensity during the BBT and explored the impact of additional weights on performance and PE during the standardized version of the BBT. Muscle activation, heart rate and respiratory frequencies were recorded.RESULTS: In experiment 1, increasing the PE intensity to prescribe exercise induced an increased performance between each intensity. Increasing task difficulty with faster movement tempo and adding weight on the forearm increased the rating of PE. Experiment 2 replicated the possibility to use PE intensity for exercise prescription during the BBT. When completing the BBT with an additional weight on the forearm, participants maintained performance at the cost of a higher PE. In both experiments, changes in PE are associated with changes in muscle activation. CONCLUSION: Our results suggest that PE is a valid tool to prescribe and monitor exercise during upper-limb motor tasks.

scholarly journals STUDY PROTOCOL The effect of a telerehabilitation virtual reality intervention on functional upper limb activities in people with multiple sclerosis: A study protocol for the TEAMS pilot randomized controlled trial

2020 ◽  
Author(s):  
Alon Kalron ◽  
Anat Achiron ◽  
Massimiliano Pau ◽  
Eleonora Cocco
Keyword(s):  
Multiple Sclerosis ◽  
Virtual Reality ◽  
Study Protocol ◽  
Upper Limb ◽  
Conventional Therapy ◽  
Home Based ◽  
Custom Made ◽  
The Impact

Abstract Background: Approximately 60% of people with multiple sclerosis (PwMS) suffer from upper limb dysfunction. Our primary goal is to implement a single-blind, randomized control trial (RCT) designed to compare the effectiveness of an 8-week home-based telerehab virtual reality (VR) program with conventional therapy in PwMS with manual dexterity difficulties. Secondary aims include: a) evaluating the impact of the programs on quality of life after the intervention and a follow up 1 month later; and b) evaluating the impact of the programs on adherence and satisfaction. Methods: Twenty-four PwMS will be recruited to the study which will be conducted at two established MS centers: (1) The Regional Center for Diagnosis and Treatment of Multiple Sclerosis, Binaghi Hospital, Cagliari, Italy; (2) The Multiple Sclerosis Center, Sheba Medical Center, Tel-Hashomer, Israel. Participants will complete a total of three assessments focusing on upper limb functions. Both groups will receive 16 training sessions focusing on functional upper limb activities. The home-based telerehab VR intervention will comprise a custom-made software program running on a private computer or laptop. PwMS will perform several activities of daily living (ADL) functions associated with self-care, dressing and meal preparation. Conventional therapy will focus on task-related upper-limb treatments while in a sitting position, indicative of the standard care in MS. Following 8-weeks of training, participants will complete a further outcome assessment. The same tests will be conducted 1 month (as a follow-up) after completion of the intervention. Discussion: The outcomes of this study have tremendous potential to improve the quality of evidence and informed decisions of functional upper limb activities in PwMS. If comparable results are found between the treatments in improving upper limb outcomes, this would suggest that PwMS can choose the program that best meets their personal needs, e.g., financial concerns, transportation or accessibility issues. Secondly, this information can be used by healthcare providers and medical professionals in developing upper limb exercise programs that will most likely succeed in PwMS. Trial registration: ClinicalTrials.gov NCT04032431. Registered on 19 July 2019.

scholarly journals “Not Just an Apartment Building”: Residents’ Quality of Life in a Social Housing Co-operative

2010 ◽  
Vol 1 (1) ◽  
Author(s):  
Luc Theriault ◽  
Andre Leclerc ◽  
Angela Eileen Wisniewski ◽  
Omer Chouinard ◽  
Gilles Martin
Keyword(s):  
Quality Of Life ◽  
Affordable Housing ◽  
Social Housing ◽  
Qualité De Vie ◽  
Structured Interviews ◽  
Self Confidence ◽  
Data Collection Strategy ◽  
Court Intervention ◽  
The Impact

ABSTRACT The objective of this study was to examine the impact that two social housing complexes have had on their residents' quality of life. These two complexes, known as Tannery Court Co-operative Ltd., target a specific segment of the affordable housing market: non-elderly singles. A mixed-methods approach was used to assess the quality of life of residents. The data collection strategy used semi-structured interviews conducted with the help of a questionnaire. A total of 43 interviews were completed at the two building sites. Analysis of interview and questionnaire data identified six areas of improvement in residents' quality of life. These are life in general (an overarching dimension), housing (the focus of the Tannery Court intervention), neighbourhood (including safety and appearance), food, self-confidence (an enabling dimension for future development of projects and goals among the residents), and financial situation (a key dimension because of its multiple impacts on other aspects of life).   RÉSUMÉ L'objectif de cette recherche était d'évaluer l'impact des deux complexes de logements coopératifs Tannery Court sur la qualité de vie des résidants. Ces complexes ciblent un segment particulier du marché du logement social, les célibataires d'âge actif et vivant en deçà du seuil de la pauvreté. Cette étude utilise une méthodologie mixte pour évaluer la situation et la qualité de vie des résidants. La stratégie de cueillette de données s'appuie sur des entrevues semi-dirigées effectuées à l'aide d'un questionnaire. Au total, nous avons complété 43 entrevues. Six aspects de la qualité de vie se sont améliorés de façon significative. Il s'agit de la vie en général (une dimension globale), le logement (l'objectif premier visé par l'équipe de Tannery Court), le quartier de résidence (dimensions importantes de la localisation d'un complexe comme la sécurité et l'apparence) la confiance en soi (une dimension clé pour le développement futur de projets et d'objectifs pour les résidants), la nourriture (en raison de l'accès à des électroménagers) et la situation financière (une dimension majeure étant donné son impact sur les autres composantes de la vie).

scholarly journals Training in Integrative Therapies Increases Self-Efficacy in Providing Nondrug Therapies and Self-Confidence in Offering Compassionate Care

2017 ◽  
Vol 22 (4) ◽  
pp. 618-623 ◽  
Author(s):  
Kathi J. Kemper ◽  
Ellie Hill
Keyword(s):  
Self Efficacy ◽  
Professional Training ◽  
Sense Of Self ◽  
Compassionate Care ◽  
Self Confidence ◽  
Workforce Engagement ◽  
Integrative Therapies ◽  
The Impact

Background. Patient demand and clinician interest have driven professional training in integrative therapies, but few rigorous evaluations have been published. Methods. This project evaluated the proof of concept of training in acupressure, guided imagery, massage, and Reiki on clinicians’ sense of self-efficacy in providing nondrug therapies, self-confidence in providing compassionate care, and engagement with work. Results. Three out of 4 topics met minimum enrollment numbers; 22 of 24 participants completed follow-up as well as pretraining surveys. All would recommend the training to others and planned changes in personal and professional care. There were significant improvements in self-efficacy in using nondrug therapies, confidence in providing compassionate care, and unplanned absenteeism ( P < .05 for each). Conclusion. Training in integrative therapies is feasible and associated with significant improvements in clinicians’ sense of self-efficacy, confidence in providing compassionate care, and engagement with work. Additional studies are needed to determine the impact on quality of care and long-term workforce engagement.

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