Improving patients experience in a neuro-rehabilitation unit using tablet computers

2016 ◽  
Vol 4 (2) ◽  
pp. 289 ◽  
Author(s):  
Pria Suchak ◽  
Khalid Ameer ◽  
Jane Gaylard ◽  
Julie Newman ◽  
Khalid Ali
Keyword(s):  
Interactive Video ◽  
Speech Therapy ◽  
Video Gaming ◽  
Tablet Computers ◽  
Rehabilitation Team ◽  
Meaningful Activity ◽  
Therapeutic Uses ◽  
Before And After ◽  
Patients Experience ◽  
E Mail

Rationale, aims and objectives: Patients in stroke rehabilitation units spend considerable time unengaged in therapeutic or meaningful activity, feeling bored with suboptimal engagement in rehabilitation. Systematic reviews have shown that novel interventions such as interactive video gaming result in improved motor function and cognitive performance. The objective of this study was to evaluate the feasibility of introducing “tablet computers - iPads” in hospital rehabilitation programmes and their impact on patients’ boredom and overall satisfaction. In addition, acceptance and familiarity of the multidisciplinary members of the neuro-rehabilitation team with iPads were explored.Methods: A £10,000 fund was secured from Health Education England, UK to buy 10 iPads. A loan scheme was implemented to regulate iPad use. Information technology and governance issues were agreed with the hospital trust to ensure safety, accountability and confidentiality. Members of the multidisciplinary team offered training and education to patients on iPad use. Questionnaires were used before iPad use to assess patients and staff views on iPads. After iPad use patients and staff completed another questionnaire and were interviewed about which specific applications were used, boredom levels before and after use, and overall satisfaction.Results: Nine patients (7 males) used the iPads (8 strokes and 1 traumatic brain injury), with an average age of 59 (19-79) years. Staff used several applications in physiotherapy and speech therapy and found some applications such as memory games and puzzles particularly helpful. In addition to therapeutic uses, patients used iPads for internet searches, e-mail, Facebook, Skype and games. Eighty-nine percent of patients were satisfied with the iPad experience and 100% reported less boredom or between better and the same boredom compared to baseline.Conclusions: iPad use is feasible and beneficial to patients and welcomed by staff in neuro-rehabilitation units.

scholarly journals Video Game Rehabilitation of Velopharyngeal Dysfunction: A Case Series

2017 ◽  
Vol 60 (6S) ◽  
pp. 1800-1809 ◽  
Author(s):  
Gabriel J. Cler ◽  
Talia Mittelman ◽  
Maia N. Braden ◽  
Geralyn Harvey Woodnorth ◽  
Cara E. Stepp
Keyword(s):  
Video Games ◽  
Real Time ◽  
Video Game ◽  
Interactive Video ◽  
Speech Therapy ◽  
Case Series ◽  
Speech Disorders ◽  
Aural Rehabilitation ◽  
Before And After ◽  
At Home

Purpose Video games provide a promising platform for rehabilitation of speech disorders. Although video games have been used to train speech perception in foreign language learners and have been proposed for aural rehabilitation, their use in speech therapy has been limited thus far. We present feasibility results from at-home use in a case series of children with velopharyngeal dysfunction (VPD) using an interactive video game that provided real-time biofeedback to facilitate appropriate nasalization. Method Five participants were recruited across a range of ages, VPD severities, and VPD etiologies. Participants completed multiple weeks of individual game play with a video game that provides feedback on nasalization measured via nasal accelerometry. Nasalization was assessed before and after training by using nasometry, aerodynamic measures, and expert perceptual judgments. Results Four participants used the game at home or school, with the remaining participant unwilling to have the nasal accelerometer secured to his nasal skin, perhaps due to his young age. The remaining participants showed a tendency toward decreased nasalization after training, particularly for the words explicitly trained in the video game. Conclusion Results suggest that video game–based systems may provide a useful rehabilitation platform for providing real-time feedback of speech nasalization in VPD. Supplemental Material https://doi.org/10.23641/asha.5116828

Cirugía de feminización de voz con técnica glotoplastia de Wendler en Barranquilla, Colombia. Voice feminization surgery with Wendler glottoplasty technique in Barranquilla, Colombia.

2018 ◽  
Vol 45 (4) ◽  
pp. 247-253 ◽  
Author(s):  
Antonio J. Ballestas ◽  
Samir A. Ballestas ◽  
Rocio Cuello
Keyword(s):  
Fundamental Frequency ◽  
Speech Therapy ◽  
Vocal Cords ◽  
Maximum Phonation Time ◽  
Study Materials ◽  
Before And After ◽  
Upper Face ◽  
Expert Surgeon ◽  
Frequency Maximum ◽  
Male To Female

Introducción: La glotoplastia de Wendler es la técnica que en la actualidad ofrece mejores resultados entre los diferentes tipos de cirugías para la feminización de la voz. Objetivo: Describir nuestra experiencia con la Glotoplastia de Wendler durante el proceso de feminización de la voz de mujeres transgénero. Diseño: Pseudoexperimental (antes-después) Materiales y Métodos: 36 pacientes transexuales en proceso de transformación de hombre a mujer se sometieron a cirugía y rehabilitación con terapias de voz con el equipo de VOICEFEM - Voice Feminization Colombia. La técnica utilizada consiste en la creación de una sinequia de las cuerdas vocales (CCVV) previa desepitelización de la cara interna del tercio anterior de las mismas, 2 puntos de sutura con Vicryl 4/0 y vaporización con electrocauterio en la región lateral de la cara superior de las CCVV y utilización de goma biológica en la sinequia creada. La medición de la frecuencia fundamental, el tiempo máximo de fonación, y la realización del cuestionario TSEQ, se llevaron a cabo antes y después de la cirugía. Resultados: Se obtuvo un aumento de la Frecuencia fundamental promedio de 112Hz(P<0.05) a los 6 meses posteriores al procedimiento quirúrgico y una disminución de cerca de 30 puntos en los resultados del cuestionario TSEQ. Conclusión: La glotoplastia de Wendler, llevada a cabo por cirujanos con experiencia en este campo, ofrece resultados favorables con aumentos significativos de la frecuencia fundamental a mediano plazo y debe estar necesariamente asociada al manejo postquirúrgico con terapias de voz, para obtener el desenlace óptimo esperado.Introduction: Wendler’s Glottoplasty is the technique that offers the best resultsamong the different types of voice feminization surgeries. Male to Female Transgender patients have in this technique the last step for their successful transformation. Objective: To describe our experience in carrying out Wendler’s glottoplasty during the process of feminization of the voice of transgender women. Design: Pseudoexperimental (before-after) study. Materials and methods: In 36 Male to Female Transgender patients, Wendler’s glottoplasty was conducted by VOICEFEM - Voice Feminization Colombia’s team, with further speech therapy rehabilitation. This technique consists of the creation of a synechia of the vocal cords which is carried out after the de-epithelization of the vocal cords on the inner face of its anterior third, 2 stitches with Vicryl 4/0 and vaporization with electrocautery in the lateral region of vocal cords upper face, and the use of biological glue in the created synechia. The measurement of the Fundamental Frequency, Maximum Phonation time, and the completion of the TSEQ questionnaire were carried out before and after the surgery. Results: There was an increase of 112 Hz in the average of Fundamental Frequency(P<0.05) 6 months after the surgery, and a decrease of approximately 30 points in the TSEQ questionnaire results. Conclusion: Wendler’s Glottoplasty conducted by an expert surgeon, provides positive results with a significant increase for fundamental frequency in the medium term, and it is imperative to do also voice therapy rehabilitation posterior to the procedure in order to obtain the expected optimal outcome.

Spouse Caregivers' Perceptions of Influence of Dementia on Marriage

2002 ◽  
Vol 14 (1) ◽  
pp. 47-58 ◽  
Author(s):  
Ulla Eloniemi-Sulkava ◽  
Irma-Leena Notkola ◽  
Kaija Hämäläinen ◽  
Terhi Rahkonen ◽  
Petteri Viramo ◽  
...  
Keyword(s):  
Behavioral Change ◽  
Intervention Study ◽  
Negative Impact ◽  
Behavioral Changes ◽  
Telephone Interviews ◽  
Before And After ◽  
Spouse Caregivers ◽  
Dementing Illness ◽  
Male Patients ◽  
Patients Experience

Objectives: To investigate what kind of changes spouse caregivers of demented patients experience after the onset of dementia (a) in the general atmosphere, happiness, and relations of marriage and (b) in the sexual side of marriage. Design: Semistructured telephone interviews of spouse caregivers of demented patients. Setting: Community-living demented patients and their spouse caregivers in eastern Finland. Participants: The spouse caregivers of 42 demented patients recruited from a previous intervention study. Measures: The questionnaire covered different areas of marriage from the time before and after the onset of dementia. Results: A statistically significant decline had occured in extent of happiness (p = .012), in equal relations (p = .001), and in patients' expressions of sexual needs (p < .001) when compared the time before and after dementia. Twenty-five (60%) of the caregivers reported that the demented patient had shown at least one negative sexual behavioral change during the course of dementia. Seven male patients (24%) had shown the behavioral symptom of constantly expressing need for making love. One in 10 caregivers had experienced positive sexual behavioral changes. In one third of the patients, the expressions of tenderness towards the caregiver had increased. Dementia did not affect significantly the general atmosphere of the marriage. Out of those still in home care, at 3 years from the onset of dementia, 19 couples (46%) continued to practice intercourse, at 5 years the number was 15 couples (41%), and at 7 years it had declined to 7 couples (28%). Conclusions: Dementing illness has a major negative impact on many dimensions of marriage. However, there are also positive changes and preserved aspects of marriage. Dementia seems to have a surprisingly little impact on whether the couple continues to have intercourse when compared with the general aging population.

scholarly journals Pengaruh Konseling Kesehatan Terhadap Penurunan Tingkat Kecemasan Pasien TBC Paru Di Puskesmas Campurejo Kota Kediri

2017 ◽  
Vol 4 (1) ◽  
pp. 87
Author(s):  
Hengki Irawan
Keyword(s):  
Patient Experience ◽  
Sampling Method ◽  
Anxiety Level ◽  
High Anxiety ◽  
Health Counseling ◽  
Lung Tuberculosis ◽  
Before And After ◽  
Directly Observed Treatment ◽  
The Government ◽  
Patients Experience

Lung Tuberculosis germ. The treatment and supporting facilities have been available. The Government effort to overcome this disease by Directly Observed Treatment Shortcourse (DOTS). The old treatment and expensive cost caused the patient feels anxiety. The Nurse’s role is to overcome the anxiety through health counseling. It is a kind of method used to solve the patient’s problem. The research aims to know the influence of health counseling toward the reduction of anxiety  level in lung TBC of the patient in Puskesmas Campurejo Kediri city. This research is called Pre-Experimental with One Group Pretest- Posttest design. The samples consists of 25 respondents, taken with Non Probability Sampling by type Pusposive Sampling Method, which new lung TBC patient’s. Variable Tuberculosis (TBC) is contagious disease caused by Mycobacterium measured in this research are patient’s anxiety level before and after given the health counseling. The result shows that before given the health counseling, 32% patient experience in low, middle, and high anxiety level, while 4% patient experience in panic. After given health counseling, the result shows that 44% patients experience in middle anxiety level, 36% patients experience in low anxiety level, 28% patients experience in high anxiety level. These data indicate that 28% respondents show the alteration in reduction of anxiety level, 72% do not show the alteration in reduction of anxiety level. The result shows that 80% respondents experience the alteration in reduction of anxiety level while 20% respondents do not experience this. Based on the results of Wilcoxon (α=5%), the level anxiety in health counseling of towards the reduction of anxiety level in Lung TBC of the patients. For the next research hope to make a contact and therapeuticall communication with patients.; Key words: Lung TBC, anxiety level, health counseling

Cannabis and Its Different Strains

2021 ◽  
pp. 1-10
Author(s):  
Anna Muro ◽  
Ramon Cladellas ◽  
Judit Castellà
Keyword(s):  
Control Group ◽  
Temporal Perception ◽  
Self Medication ◽  
Therapeutic Uses ◽  
Before And After ◽  
Cannabis Consumption ◽  
Short And Long Term ◽  
Different Strains ◽  
Main Effects

Abstract. Previous studies show how time perception can be altered by cannabis consumption, but it is not clear yet whether cannabis produces temporal underproductions or overproductions after acute cannabis intoxication. The present study aimed to analyze a sample of 50 regular cannabis users controlling for cannabis strain (sativa, indica, and hybrid) and to compare their scores in a temporal production task before and after consuming cannabis with a control group of 49 nonusers. Results showed that cannabis intake leads to overproductions, suggesting that regular users’ internal tempo slows down after acute intoxication. However, the analyses of main effects showed that indica users, both at baseline levels and after consuming, reported significant underproductions compared to controls, sativa, and hybrid users, and the cannabis-induced effects had a higher magnitude after smoking in the indica-strain group. Results highlight the relevance of including the type of strain consumed in cannabis studies, and they are discussed in terms of short- and long-term alterations in temporal perception under the light of the self-medication theory and the therapeutic uses of cannabis.

scholarly journals Intensive simulation training on urological mini-invasive procedures using Thiel-embalmed cadavers: The IAMSurgery experience

2020 ◽  
Vol 92 (2) ◽  
Author(s):  
Guglielmo Mantica ◽  
Giovannalberto Pini ◽  
Davide De Marchi ◽  
Irene Paraboschi ◽  
Francesco Esperto ◽  
...  
Keyword(s):  
Training Methods ◽  
Simulation Tools ◽  
Training Course ◽  
Before And After ◽  
Training Courses ◽  
The University ◽  
E Mail ◽  
Previous Training ◽  
Cadaveric Model ◽  
Better Than

Introduction: The objective of the study was to evaluate the benefits perceived by the use of cadaver models by IAMSurgery attendees and to define indications to standardize future similar training camps. Materials and methods: A 25-item survey was distributed via e-mail to all the participants of previous training courses named as “Urological Advanced Course on Laparoscopic Cadaver Lab" held at the anatomy department of the University of Malta, for anonymous reply. Participants were asked to rate the training course, the Thiel’s cadaveric model, and make comparison with other previously experienced simulation tools. Results: The survey link was sent to 84 attendees, with a response rate of 47.6% (40 replies). There was improvement in the median self-rating of the laparoscopic skills before and after the training camp with a mean difference of 0.55/5 points in the post-training skills compared to the basal (p < 0.0001). The 72.2% of the urologists interviewed considered Thiel's HCM better than other training methods previously tried, while five urologists (27.8%) considered it equal (p = 0.00077). Globally, 77.5% (31) of attendees found the training course useful, and 82.5% (33) would advise it to colleagues. Conclusions: Thiel’s fixed human cadaveric models seem to be ideal for training purposes, and their use within properly structured training camps could significantly improve the surgical skills of the trainees. An important future step could be standardization of the training courses using cadavers, and their introduction into the standardized European curriculum.

scholarly journals Cortical Reorganization after Rehabilitation in a Patient with Conduction Aphasia Using High-Density EEG

2020 ◽  
Vol 10 (15) ◽  
pp. 5281
Author(s):  
Caterina Formica ◽  
Simona De Salvo ◽  
Katia Micchìa ◽  
Fabio La Foresta ◽  
Serena Dattola ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Speech Therapy ◽  
Language Disorder ◽  
High Density ◽  
Cortical Reorganization ◽  
Rehabilitative Treatment ◽  
Left Brain ◽  
Cortical Responses ◽  
Before And After ◽  
Conduction Aphasia

Conduction aphasia is a language disorder occurred after a left-brain injury. It is characterized by fluent speech production, reading, writing and normal comprehension, while speech repetition is impaired. The aim of this study is to investigate the cortical responses, induced by language activities, in a sub-acute stroke patient affected by conduction aphasia before and after an intensive speech therapy training. The patient was examined by using High-Density Electroencephalogram (HD-EEG) examination, while was performing language tasks. the patient was evaluated at baseline and after two months after rehabilitative treatment. Our results showed that an intensive rehabilitative process, in sub-acute stroke, could be useful for a good outcome of language deficits. HD-EEG results showed that left parieto-temporol-frontal areas were more activated after 2 months of rehabilitation training compared with baseline. Our results provided evidence that an intensive rehabilitation process could contribute to an inter- and intra-hemispheric reorganization.

scholarly journals Management of Ankyloglossia and Breastfeeding Difficulties in the Newborn: Breastfeeding Sessions, Myofunctional Therapy, and Frenotomy

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Elvira Ferrés-Amat ◽  
Tomasa Pastor-Vera ◽  
Paula Rodríguez-Alessi ◽  
Eduard Ferrés-Amat ◽  
Javier Mareque-Bueno ◽  
...  
Keyword(s):  
Weight Gain ◽  
Speech Therapy ◽  
Surgical Intervention ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Myofunctional Therapy ◽  
Before And After ◽  
The Subject ◽  
Poor Weight Gain ◽  
Stimulation Of

The problems of suction in newborns give rise to multiple consequences for both the mother and the newborn. The objective of this paper is to present a case of ankyloglossia (“tongue-tie”) and the suction problems that were treated by a multidisciplinary team. The subject is a 17-day-old male patient, with ankyloglossia and suction problems during breastfeeding (pain in the breastfeeding mother, poor weight gain, and long breastfeeds). The patient followed the circuit established in our centre between the services of Oral and Maxillofacial Surgery and Breastfeeding and Speech Therapy and Orofacial Rehabilitation (CELERE). The evolution following the breastfeeding sessions, the myofunctional stimulation, and the lingual frenotomy was very favourable, thereby solving the suction problems that the newborn presented. All our patients receive breastfeeding sessions and myofunctional therapy as treatment. We know that a frenotomy is not always necessary and we believe that the stimulation of sucking before and after the surgical intervention is important in order to improve the final result.

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