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Home safety for children with autistic spectrum disorder: local authority occupational therapy intervention / Paul BOYLE in The British Journal of Occupational Therapy, Volume 77 numéro 5 (Mai 2014)
[article]
Titre : Home safety for children with autistic spectrum disorder: local authority occupational therapy intervention Type de document : texte imprimé Auteurs : Paul BOYLE, Auteur ; David HAINES, Auteur ; Linda LOVELOCK, Auteur ; Kati INNES, Auteur Année de publication : 2014 Article en page(s) : p.243 - p.250 Langues : Anglais (eng) Mots-clés : autistic spectrum disorder (ASD) safety home environment Résumé : Introduction
Health and social care agencies are encouraged to provide child-centred services that respond to needs that change over time. There is evidence that occupational therapists are concerned about how to respond to issues of harmful behaviour in the home environment whilst promoting child development. This study explored occupational therapists" experiences regarding harmful behaviour and the safety of children with Autistic Spectrum Disorder.
Method
Seven community occupational therapists, employed by a local authority and working in social care, participated in two focus groups.
Findings
An inductive thematic analysis identified five broad themes. These were: 'assessment is complex', 'chidl development and the home environment', 'importance of family-centred services', 'the need for additional services', and 'management of the disabled facilities grant'.
Conclusion
Local authority occupational therapists prioritize supporting families to keep children safe. It is necessary to adapt the home reduce hazards and for alternative interventions to be made available to address behavioural and sensory needs. Services such as sensory integration are lacking, and where they are available access is difficult. Is is common for disabled facilities gratns to fund adaptations; however, management of grants could be improved to meet the needs of these children and their families.Permalink : ./index.php?lvl=notice_display&id=33889
in The British Journal of Occupational Therapy > Volume 77 numéro 5 (Mai 2014) . - p.243 - p.250[article] Home safety for children with autistic spectrum disorder: local authority occupational therapy intervention [texte imprimé] / Paul BOYLE, Auteur ; David HAINES, Auteur ; Linda LOVELOCK, Auteur ; Kati INNES, Auteur . - 2014 . - p.243 - p.250.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Volume 77 numéro 5 (Mai 2014) . - p.243 - p.250
Mots-clés : autistic spectrum disorder (ASD) safety home environment Résumé : Introduction
Health and social care agencies are encouraged to provide child-centred services that respond to needs that change over time. There is evidence that occupational therapists are concerned about how to respond to issues of harmful behaviour in the home environment whilst promoting child development. This study explored occupational therapists" experiences regarding harmful behaviour and the safety of children with Autistic Spectrum Disorder.
Method
Seven community occupational therapists, employed by a local authority and working in social care, participated in two focus groups.
Findings
An inductive thematic analysis identified five broad themes. These were: 'assessment is complex', 'chidl development and the home environment', 'importance of family-centred services', 'the need for additional services', and 'management of the disabled facilities grant'.
Conclusion
Local authority occupational therapists prioritize supporting families to keep children safe. It is necessary to adapt the home reduce hazards and for alternative interventions to be made available to address behavioural and sensory needs. Services such as sensory integration are lacking, and where they are available access is difficult. Is is common for disabled facilities gratns to fund adaptations; however, management of grants could be improved to meet the needs of these children and their families.Permalink : ./index.php?lvl=notice_display&id=33889 Exemplaires (1)
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Exclu du prêtEffect of high-intensity exercise on cardiorespiratory fitness in stroke survivors: A systematic review and meta-analysis / Lu Luo in Annals of physical and rehabilitation medicine, Vol. 63, n°1 (Janvier 2020)
[article]
Titre : Effect of high-intensity exercise on cardiorespiratory fitness in stroke survivors: A systematic review and meta-analysis Type de document : texte imprimé Auteurs : Lu Luo ; Haining Meng ; Ziwei Wang ; Shiqiang Zhu ; Song Yuan ; Yuyang Wang ; Qiang Wang Année de publication : 2020 Article en page(s) : p. 59-68 Note générale : doi.org/10.1016/j.rehab.2019.07.006 Langues : Anglais (eng) Mots-clés : Exercise therapy Intensity Stroke Cardiorespiratory fitness Safety Meta-analysis Résumé : Background
Knowledge of the optimal protocol and safety of particularly high-intensity exercise applied to individuals with stroke is lacking.
Objective
This systematic review and meta-analysis aimed to investigate the effect of high-intensity exercise on cardiorespiratory fitness in stroke survivors.
Methods
We performed a systematic electronic search for articles in MedLine via PubMed, EMBASE, Web of Science, Cochrane Central Register of Controlled Trials, CINAHL, and SPORTSDiscus up to April 1, 2019. Peak oxygen consumption (VO2peak), 6-min walk test (6MWT), fastest 10-m walk test (10MWT), and adverse events were assessed. The standardized mean difference (SMD), weighted mean difference (WMD), and odds ratios (ORs) were used to compute the effect size, and subgroup analysis was conducted to test the consistency of results as well as sensitivity analysis to assess the robustness of the results. The quality of evidence was assessed with the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system.
Results
We included 17 studies (PEDro score ≥ 4) in the meta-analysis. Post-intervention, high-intensity exercise had a significant effect on peak oxygen uptake (VO2peak; SMD = 0.56, P < 0.01, I2 = 8%; WMD = 2.53 mL/kg/min; high quality of evidence) and 6MWT (SMD = 0.26, P < 0.01, I2 = 40%; WMD = 17.08 m; moderate quality of evidence) but not fastest 10MWT (SMD = 0.33, P = 0.27, I2 = 77%; WMD = 0.05 m/s; low quality of evidence). Subgroup analysis showed better effects of higher-intensity treadmill training (≥ 70% heart rate reserve/VO2peak) for a longer duration (≥ 12 weeks) on VO2peak and 6MWT in sub-acute or chronic stroke survivors. The high-intensity exercise and control groups did not differ in adverse events including falls [odds ratio (OR) 1.40, P = 0.35, I2 = 11%; low quality of evidence], pain (OR 3.34, P = 0.09, I2 = 0%; moderate quality of evidence), or skin injuries (OR 1.08, P = 0.90, I2 = 0%; low quality of evidence).
Conclusions
Our meta-analysis suggests that high-intensity exercise is beneficial for cardiorespiratory fitness in stroke survivors and might be safe as a novel intervention in cardiopulmonary rehabilitation after stroke.Permalink : ./index.php?lvl=notice_display&id=90767
in Annals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 59-68[article] Effect of high-intensity exercise on cardiorespiratory fitness in stroke survivors: A systematic review and meta-analysis [texte imprimé] / Lu Luo ; Haining Meng ; Ziwei Wang ; Shiqiang Zhu ; Song Yuan ; Yuyang Wang ; Qiang Wang . - 2020 . - p. 59-68.
doi.org/10.1016/j.rehab.2019.07.006
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 59-68
Mots-clés : Exercise therapy Intensity Stroke Cardiorespiratory fitness Safety Meta-analysis Résumé : Background
Knowledge of the optimal protocol and safety of particularly high-intensity exercise applied to individuals with stroke is lacking.
Objective
This systematic review and meta-analysis aimed to investigate the effect of high-intensity exercise on cardiorespiratory fitness in stroke survivors.
Methods
We performed a systematic electronic search for articles in MedLine via PubMed, EMBASE, Web of Science, Cochrane Central Register of Controlled Trials, CINAHL, and SPORTSDiscus up to April 1, 2019. Peak oxygen consumption (VO2peak), 6-min walk test (6MWT), fastest 10-m walk test (10MWT), and adverse events were assessed. The standardized mean difference (SMD), weighted mean difference (WMD), and odds ratios (ORs) were used to compute the effect size, and subgroup analysis was conducted to test the consistency of results as well as sensitivity analysis to assess the robustness of the results. The quality of evidence was assessed with the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system.
Results
We included 17 studies (PEDro score ≥ 4) in the meta-analysis. Post-intervention, high-intensity exercise had a significant effect on peak oxygen uptake (VO2peak; SMD = 0.56, P < 0.01, I2 = 8%; WMD = 2.53 mL/kg/min; high quality of evidence) and 6MWT (SMD = 0.26, P < 0.01, I2 = 40%; WMD = 17.08 m; moderate quality of evidence) but not fastest 10MWT (SMD = 0.33, P = 0.27, I2 = 77%; WMD = 0.05 m/s; low quality of evidence). Subgroup analysis showed better effects of higher-intensity treadmill training (≥ 70% heart rate reserve/VO2peak) for a longer duration (≥ 12 weeks) on VO2peak and 6MWT in sub-acute or chronic stroke survivors. The high-intensity exercise and control groups did not differ in adverse events including falls [odds ratio (OR) 1.40, P = 0.35, I2 = 11%; low quality of evidence], pain (OR 3.34, P = 0.09, I2 = 0%; moderate quality of evidence), or skin injuries (OR 1.08, P = 0.90, I2 = 0%; low quality of evidence).
Conclusions
Our meta-analysis suggests that high-intensity exercise is beneficial for cardiorespiratory fitness in stroke survivors and might be safe as a novel intervention in cardiopulmonary rehabilitation after stroke.Permalink : ./index.php?lvl=notice_display&id=90767 Exemplaires (1)
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Exclu du prêtOutpatient total hip arthroplasty : the future? / Solange de Wouters in Acta Orthopaedica Belgica, Vol.87/2 (Juin 2021)
[article]
Titre : Outpatient total hip arthroplasty : the future? Type de document : texte imprimé Auteurs : Solange de Wouters ; Steven Petronilia ; Daniel Paulet ; Tom De Baere ; Etienne Willemart ; Olivier Cornu Année de publication : 2021 Article en page(s) : p. 313-319 Note générale : https://doi.org/10.52628/87.2.16 Langues : Anglais (eng) Mots-clés : total hip arthroplasty outpatient ambulatory safety Résumé : With advancements in minimally invasive surgical technique, pain management and rehabilitation proto- cols, and prevention of post-operative complications, outpatient total hip arthroplasty became a realistic goal. This study reports our experience of performing outpatient total hip arthroplasty assessing its feasi- bility and safety.
Between December 2015 and January 2018, 52 outpatient total hip arthroplasties were performed. We implemented a peri-operative management proto- col that included education, improved analgesia and rapid rehabilitation. Patients were asked about any complications they had experienced after surgery and about the perception of their experience as outpatient. Any early post-operative emergency department visits, acute office appointments or hospital re-ad- missions were registered.
Fifty-one of 52 patients (98,1%) enrolled in the study met the discharge criteria and achieved their goal of going home on the day of surgery, and only one patient (1,9%) required an overnight stay. There were two visits to the emergency room, with one hospital re-admission (1,9%) on the night of the surgery. There were no major post-discharge complications in the short-term follow-up (minimum of three months). Only one patient (1,9%) reported a significantly negative experience.
With this first Belgian experience reporting on out- patient primary total hip arthroplasty, our data demonstrate that early discharge does not result in excessive re-admissions or other post-discharge complications due to an early discharge. This study suggests that total hip arthroplasty can be performed safely and successfully in appropriately selected patients and that patients who experienced that ambulatory protocol declared themselves highly satisfied.Permalink : ./index.php?lvl=notice_display&id=96666
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 313-319[article] Outpatient total hip arthroplasty : the future? [texte imprimé] / Solange de Wouters ; Steven Petronilia ; Daniel Paulet ; Tom De Baere ; Etienne Willemart ; Olivier Cornu . - 2021 . - p. 313-319.
https://doi.org/10.52628/87.2.16
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 313-319
Mots-clés : total hip arthroplasty outpatient ambulatory safety Résumé : With advancements in minimally invasive surgical technique, pain management and rehabilitation proto- cols, and prevention of post-operative complications, outpatient total hip arthroplasty became a realistic goal. This study reports our experience of performing outpatient total hip arthroplasty assessing its feasi- bility and safety.
Between December 2015 and January 2018, 52 outpatient total hip arthroplasties were performed. We implemented a peri-operative management proto- col that included education, improved analgesia and rapid rehabilitation. Patients were asked about any complications they had experienced after surgery and about the perception of their experience as outpatient. Any early post-operative emergency department visits, acute office appointments or hospital re-ad- missions were registered.
Fifty-one of 52 patients (98,1%) enrolled in the study met the discharge criteria and achieved their goal of going home on the day of surgery, and only one patient (1,9%) required an overnight stay. There were two visits to the emergency room, with one hospital re-admission (1,9%) on the night of the surgery. There were no major post-discharge complications in the short-term follow-up (minimum of three months). Only one patient (1,9%) reported a significantly negative experience.
With this first Belgian experience reporting on out- patient primary total hip arthroplasty, our data demonstrate that early discharge does not result in excessive re-admissions or other post-discharge complications due to an early discharge. This study suggests that total hip arthroplasty can be performed safely and successfully in appropriately selected patients and that patients who experienced that ambulatory protocol declared themselves highly satisfied.Permalink : ./index.php?lvl=notice_display&id=96666 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêt