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Use of provisional K wires instead of Poller screws for treatment of diametaphyseal fractures of the distal femur and proximal and distal tibia / Oguz Poyanli in Acta Orthopaedica Belgica, Vol.82/3 (Septembre 2016)
[article]
Titre : Use of provisional K wires instead of Poller screws for treatment of diametaphyseal fractures of the distal femur and proximal and distal tibia Type de document : texte imprimé Auteurs : Oguz Poyanli ; Mehmet S. Soylemez ; Afsar T. Ozkut ; [et al...] Année de publication : 2016 Article en page(s) : p. 579-585 Langues : Anglais (eng) Mots-clés : fracture fémur tibia chirurgie Résumé : There are several important technical points that need to be observed when using an intramedullary nail to fix diametaphyseal fractures of femur and tibia. We aimed to describe a technique using 3.0-mm K wires, which act like Poller screws, in conjunction with intramedullary nails to obtain alignment of diametaphyseal fractures of the femur and tibia, and present our results. 7 distal femoral, 2 proximal tibial, and 4 distal tibial diametaphyseal fractures who were treated with this technique were identified. There was no case of nonunion at the last follow-up. In all, 12 of the 13 patients had postoperative fracture angulation that was less than 5Åã degrees in the coronal and sagittal planes. K wires function essentially as a Poller screw for centralization of the nail and help to ensure reduction. Locking the nail in different directions, appropriate reduction can be maintained until the bone heals and there is no need for additional fixation material. Permalink : ./index.php?lvl=notice_display&id=47187
in Acta Orthopaedica Belgica > Vol.82/3 (Septembre 2016) . - p. 579-585[article] Use of provisional K wires instead of Poller screws for treatment of diametaphyseal fractures of the distal femur and proximal and distal tibia [texte imprimé] / Oguz Poyanli ; Mehmet S. Soylemez ; Afsar T. Ozkut ; [et al...] . - 2016 . - p. 579-585.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.82/3 (Septembre 2016) . - p. 579-585
Mots-clés : fracture fémur tibia chirurgie Résumé : There are several important technical points that need to be observed when using an intramedullary nail to fix diametaphyseal fractures of femur and tibia. We aimed to describe a technique using 3.0-mm K wires, which act like Poller screws, in conjunction with intramedullary nails to obtain alignment of diametaphyseal fractures of the femur and tibia, and present our results. 7 distal femoral, 2 proximal tibial, and 4 distal tibial diametaphyseal fractures who were treated with this technique were identified. There was no case of nonunion at the last follow-up. In all, 12 of the 13 patients had postoperative fracture angulation that was less than 5Åã degrees in the coronal and sagittal planes. K wires function essentially as a Poller screw for centralization of the nail and help to ensure reduction. Locking the nail in different directions, appropriate reduction can be maintained until the bone heals and there is no need for additional fixation material. Permalink : ./index.php?lvl=notice_display&id=47187 Exemplaires (1)
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Exclu du prêtUsing an innovative model of service delivery to identify children who are struggling in school / Cheryl Missiuna in The British Journal of Occupational Therapy, Vol.80 Issue 3 (March 2017)
[article]
Titre : Using an innovative model of service delivery to identify children who are struggling in school Type de document : texte imprimé Auteurs : Cheryl Missiuna ; Nancy Pollock ; Wenonah Campbell ; [et al...] Année de publication : 2017 Article en page(s) : p. 145-154 Langues : Anglais (eng) Mots-clés : enfant handicap école ergothérapie Résumé :
Using an innovative model of service delivery to identify children who are struggling in school
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Cheryl Missiuna, Nancy Pollock, Wenonah Campbell, Cindy DeCola, Cathy Hecimovich, Sandra Sahagian Whalen, Jennifer Siemon, Kaiwen Song, Robin Gaines, Sheila Bennett, Dayle McCauley, Debra Stewart, John Cairney, Leah Dix, Chantal Camden
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Abstract
Introduction
School-age children with motor coordination challenges typically require formal referral for occupational therapy services and often experience lengthy wait times for one-to-one intervention. In a new service delivery model called Partnering for Change, therapists work collaboratively with educators in classrooms to observe, identify, and support children. This study describes children identified through a traditional referral process and compares them with children identified by occupational therapists through classroom observation and dynamic performance analysis.
Methods
Participants included 246 children enrolled in a 2-year evaluative study of the Partnering for Change service delivery. Parents completed a demographic questionnaire, the Developmental Coordination Disorder Questionnaire, and the Strengths and Difficulties Questionnaire. Children’s educators completed the Strengths and Difficulties Questionnaire and the School Function Assessment. Children completed the Movement Assessment Battery for Children.
Results
Children identified were significantly younger and more likely to be girls than those referred under the traditional model. Using observation and dynamic performance analysis, occupational therapists identified children who had equally marked difficulties as those who came from the waitlist. In the Partnering for Change model, waitlists for service were eliminated for all children.
Conclusions
Occupational therapists can identify children who are experiencing significant challenges participating at school without the need for standardized assessment, formal referrals, and waitlists.Permalink : ./index.php?lvl=notice_display&id=48268
in The British Journal of Occupational Therapy > Vol.80 Issue 3 (March 2017) . - p. 145-154[article] Using an innovative model of service delivery to identify children who are struggling in school [texte imprimé] / Cheryl Missiuna ; Nancy Pollock ; Wenonah Campbell ; [et al...] . - 2017 . - p. 145-154.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.80 Issue 3 (March 2017) . - p. 145-154
Mots-clés : enfant handicap école ergothérapie Résumé :
Using an innovative model of service delivery to identify children who are struggling in school
Show all authors
Cheryl Missiuna, Nancy Pollock, Wenonah Campbell, Cindy DeCola, Cathy Hecimovich, Sandra Sahagian Whalen, Jennifer Siemon, Kaiwen Song, Robin Gaines, Sheila Bennett, Dayle McCauley, Debra Stewart, John Cairney, Leah Dix, Chantal Camden
PDF download for Using an innovative model of service delivery to identify children who are struggling in school Article Information
No Access
Please click here for full access options
Abstract
Introduction
School-age children with motor coordination challenges typically require formal referral for occupational therapy services and often experience lengthy wait times for one-to-one intervention. In a new service delivery model called Partnering for Change, therapists work collaboratively with educators in classrooms to observe, identify, and support children. This study describes children identified through a traditional referral process and compares them with children identified by occupational therapists through classroom observation and dynamic performance analysis.
Methods
Participants included 246 children enrolled in a 2-year evaluative study of the Partnering for Change service delivery. Parents completed a demographic questionnaire, the Developmental Coordination Disorder Questionnaire, and the Strengths and Difficulties Questionnaire. Children’s educators completed the Strengths and Difficulties Questionnaire and the School Function Assessment. Children completed the Movement Assessment Battery for Children.
Results
Children identified were significantly younger and more likely to be girls than those referred under the traditional model. Using observation and dynamic performance analysis, occupational therapists identified children who had equally marked difficulties as those who came from the waitlist. In the Partnering for Change model, waitlists for service were eliminated for all children.
Conclusions
Occupational therapists can identify children who are experiencing significant challenges participating at school without the need for standardized assessment, formal referrals, and waitlists.Permalink : ./index.php?lvl=notice_display&id=48268 Exemplaires (1)
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Exclu du prêtUsing robots to assess problem-solving skills / Kim Adams in The British Journal of Occupational Therapy, Vol.81 Issue 3 (March 2018)
[article]
Titre : Using robots to assess problem-solving skills Type de document : texte imprimé Auteurs : Kim Adams ; Liliana Alvarez ; Lina M. Becerra Puyo ; [et al...] Année de publication : 2018 Article en page(s) : p. 171-176 Langues : Anglais (eng) Mots-clés : ergothérapie enfant robot assistance technologique handicap physique Résumé : Introduction
Assistive robots may allow children with physical disabilities to manipulate objects and provide a means to participate in cognitive assessments of problem-solving skills. This study aimed to test the problem-solving skills of typically developing children when using a LEGO® robot to solve a reverse sequencing task. Additionally, the study aimed to determine the chronological ages at which typically developing children can effectively solve the levels of difficulty.
Method
An experimental crossover study was conducted, where 30 typically developing children aged from 3 to 7 years old were randomly assigned to a first condition (either robot or direct hand manipulation using a toy truck).
Results
This pilot study demonstrated that older children outperformed younger children when they used both the truck and the robot, and that the robot was best suited for children over the age of five.
Conclusion
Children were able to use the robot to manipulate objects and perform the problem-solving task. A robot may be an alternative assessment tool to identify problem-solving skills for children with disabilities. A larger sample size is required to build a database of results when typically developing children use robots, to gauge the level of understanding of children with disabilities.Permalink : ./index.php?lvl=notice_display&id=57847
in The British Journal of Occupational Therapy > Vol.81 Issue 3 (March 2018) . - p. 171-176[article] Using robots to assess problem-solving skills [texte imprimé] / Kim Adams ; Liliana Alvarez ; Lina M. Becerra Puyo ; [et al...] . - 2018 . - p. 171-176.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.81 Issue 3 (March 2018) . - p. 171-176
Mots-clés : ergothérapie enfant robot assistance technologique handicap physique Résumé : Introduction
Assistive robots may allow children with physical disabilities to manipulate objects and provide a means to participate in cognitive assessments of problem-solving skills. This study aimed to test the problem-solving skills of typically developing children when using a LEGO® robot to solve a reverse sequencing task. Additionally, the study aimed to determine the chronological ages at which typically developing children can effectively solve the levels of difficulty.
Method
An experimental crossover study was conducted, where 30 typically developing children aged from 3 to 7 years old were randomly assigned to a first condition (either robot or direct hand manipulation using a toy truck).
Results
This pilot study demonstrated that older children outperformed younger children when they used both the truck and the robot, and that the robot was best suited for children over the age of five.
Conclusion
Children were able to use the robot to manipulate objects and perform the problem-solving task. A robot may be an alternative assessment tool to identify problem-solving skills for children with disabilities. A larger sample size is required to build a database of results when typically developing children use robots, to gauge the level of understanding of children with disabilities.Permalink : ./index.php?lvl=notice_display&id=57847 Exemplaires (1)
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Exclu du prêtUtilisation d'une technique mixte (hybride) dans le traitement du pied bot varus équin / Yannaël Gorce in Kinésithérapie scientifique, 582 (Décembre 2016)
[article]
Titre : Utilisation d'une technique mixte (hybride) dans le traitement du pied bot varus équin Type de document : texte imprimé Auteurs : Yannaël Gorce ; Guillemette Moreau-Pernet ; Mounira Mansour ; [et al...] Année de publication : 2016 Article en page(s) : p. 5-14 Langues : Français (fre) Mots-clés : Pied bot varus équin congénital Ponsenti méthode hybride méthode fonctionnelle Permalink : ./index.php?lvl=notice_display&id=46728
in Kinésithérapie scientifique > 582 (Décembre 2016) . - p. 5-14[article] Utilisation d'une technique mixte (hybride) dans le traitement du pied bot varus équin [texte imprimé] / Yannaël Gorce ; Guillemette Moreau-Pernet ; Mounira Mansour ; [et al...] . - 2016 . - p. 5-14.
Langues : Français (fre)
in Kinésithérapie scientifique > 582 (Décembre 2016) . - p. 5-14
Mots-clés : Pied bot varus équin congénital Ponsenti méthode hybride méthode fonctionnelle Permalink : ./index.php?lvl=notice_display&id=46728 Exemplaires (1)
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Exclu du prêtValidation of a novel activity monitor in impaired, slow-walking, crutch-supported patients / Simon N. van Laarhoven in Annals of physical and rehabilitation medicine, Vol. 59, n°5-6 (December 2016)
[article]
Titre : Validation of a novel activity monitor in impaired, slow-walking, crutch-supported patients Type de document : texte imprimé Auteurs : Simon N. van Laarhoven ; Matthijs Lipperts ; Stijn A.A.N. Bolink ; [et al...] Année de publication : 2016 Article en page(s) : p. 308-313 Langues : Français (fre) Mots-clés : Outcome assessment Activity monitor Physical activity Arthroplasty Rehabilitation Résumé : Background
A growing need in clinical practice of rehabilitation and orthopaedic medicine is for objective outcome tools to estimate physical activity. Current techniques show limited validity or are too demanding for routine clinical use. Accelerometer-based activity monitors (AMs) have shown promise for measuring physical activity in healthy people but lack validity in impaired patients.
Objectives
This study aimed to validate an accelerometer-based AM in impaired, slow-walking, crutch-supported patients after total joint arthroplasty (TJA).
Methods
Shortly after TJA, patients who were safely mobilized with 2 crutches and 8 healthy participants completed a trial of different activities while wearing the AM on the lateral upper leg and being videotaped. Outcome variables (e.g., time walking, number of gait cycles, sit-stand-sit transfers) were compared to video recordings, and sensitivity, predictive value and mean percentage difference (MPD) values were calculated.
Results
We included 40 patients (mean age: 65±9 years; mean BMI: 30±6kg/m2; male:female ratio: 18:22) and 8 healthy participants (mean age: 49±20 years; mean BMI: 23±0.7kg/m2; male:female ratio: 5:3). The AM showed excellent sensitivity (>95%) and predictive value (>95%) in identifying activities (e.g., walking, sitting, resting) and detecting the number of gait cycles and sit-stand-sit transfers (mean percentage difference: ±2%). Detection of number of steps ascending and descending stairs and cadence was more difficult but still showed good results (mean percentage difference: ±7%).
Conclusions
This is the first validation study to assess physical activity with an AM in impaired, slow-walking, crutch-supported patients. The AM was a valid tool for measuring physical activity in these patients. The tool may help in evaluating and optimizing rehabilitation programs for patients after TJA, those recovering from stroke or chronic impaired patients.Permalink : ./index.php?lvl=notice_display&id=47164
in Annals of physical and rehabilitation medicine > Vol. 59, n°5-6 (December 2016) . - p. 308-313[article] Validation of a novel activity monitor in impaired, slow-walking, crutch-supported patients [texte imprimé] / Simon N. van Laarhoven ; Matthijs Lipperts ; Stijn A.A.N. Bolink ; [et al...] . - 2016 . - p. 308-313.
Langues : Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 59, n°5-6 (December 2016) . - p. 308-313
Mots-clés : Outcome assessment Activity monitor Physical activity Arthroplasty Rehabilitation Résumé : Background
A growing need in clinical practice of rehabilitation and orthopaedic medicine is for objective outcome tools to estimate physical activity. Current techniques show limited validity or are too demanding for routine clinical use. Accelerometer-based activity monitors (AMs) have shown promise for measuring physical activity in healthy people but lack validity in impaired patients.
Objectives
This study aimed to validate an accelerometer-based AM in impaired, slow-walking, crutch-supported patients after total joint arthroplasty (TJA).
Methods
Shortly after TJA, patients who were safely mobilized with 2 crutches and 8 healthy participants completed a trial of different activities while wearing the AM on the lateral upper leg and being videotaped. Outcome variables (e.g., time walking, number of gait cycles, sit-stand-sit transfers) were compared to video recordings, and sensitivity, predictive value and mean percentage difference (MPD) values were calculated.
Results
We included 40 patients (mean age: 65±9 years; mean BMI: 30±6kg/m2; male:female ratio: 18:22) and 8 healthy participants (mean age: 49±20 years; mean BMI: 23±0.7kg/m2; male:female ratio: 5:3). The AM showed excellent sensitivity (>95%) and predictive value (>95%) in identifying activities (e.g., walking, sitting, resting) and detecting the number of gait cycles and sit-stand-sit transfers (mean percentage difference: ±2%). Detection of number of steps ascending and descending stairs and cadence was more difficult but still showed good results (mean percentage difference: ±7%).
Conclusions
This is the first validation study to assess physical activity with an AM in impaired, slow-walking, crutch-supported patients. The AM was a valid tool for measuring physical activity in these patients. The tool may help in evaluating and optimizing rehabilitation programs for patients after TJA, those recovering from stroke or chronic impaired patients.Permalink : ./index.php?lvl=notice_display&id=47164 Exemplaires (1)
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Exclu du prêtVirtually home: Exploring the potential of virtual reality to support patient discharge after stroke / Kate Threapleton in The British Journal of Occupational Therapy, Vol.80 Issue 2 (Février 2017)
PermalinkVitamin D deficiency related to physical capacity during cardiac rehabilitation / Olivier Ucay in Annals of physical and rehabilitation medicine, Vol. 60, n°1 (January 2017)
PermalinkWhole-body strength training with Huber Motion Lab and traditional strength training in cardiac rehabilitation: A randomized controlled study / Thibaut Guiraud in Annals of physical and rehabilitation medicine, Vol. 60, n°1 (January 2017)
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