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Jeudi : 8h-18h30
Vendredi : 8h-16h30
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Self-Administered, Home-Based SMART (Sensorimotor Active Rehabilitation Training) Arm Training: A Single-Case Report / Kathryn S. Hayward in American Journal of Occupational Therapy, Vol. 69/4 (Juillet-Août 2015)
[article]
Titre : Self-Administered, Home-Based SMART (Sensorimotor Active Rehabilitation Training) Arm Training: A Single-Case Report Type de document : texte imprimé Auteurs : Kathryn S. Hayward, Auteur ; Bridee A. Neibling, Auteur ; Ruth N. Barker, Auteur Année de publication : 2015 Article en page(s) : 6904210020p1-6904210020p8 Langues : Anglais (eng) Mots-clés : Arm cerebrovascular accident ischemic stroke rehabilitation self administration training Résumé : This single-case, mixed-method study explored the feasibility of self-administered, home-based SMART (sensorimotor active rehabilitation training) Arm training for a 57-yr-old man with severe upper-limb disability after a right frontoparietal hemorrhagic stroke 9 mo earlier. Over 4 wk of self-administered, home-based SMART Arm training, the participant completed 2,100 repetitions unassisted. His wife provided support for equipment set-up and training progressions. Clinically meaningful improvements in arm impairment (strength), activity (arm and hand tasks), and participation (use of arm in everyday tasks) occurred after training (at 4 wk) and at follow-up (at 16 wk). Areas for refinement of SMART Arm training derived from thematic analysis of the participant’s and researchers’ journals focused on enabling independence, ensuring home and user friendliness, maintaining the motivation to persevere, progressing toward everyday tasks, and integrating practice into daily routine. These findings suggest that further investigation of self-administered, home-based SMART Arm training is warranted for people with stroke who have severe upper-limb disability. Permalink : ./index.php?lvl=notice_display&id=40414
in American Journal of Occupational Therapy > Vol. 69/4 (Juillet-Août 2015) . - 6904210020p1-6904210020p8[article] Self-Administered, Home-Based SMART (Sensorimotor Active Rehabilitation Training) Arm Training: A Single-Case Report [texte imprimé] / Kathryn S. Hayward, Auteur ; Bridee A. Neibling, Auteur ; Ruth N. Barker, Auteur . - 2015 . - 6904210020p1-6904210020p8.
Langues : Anglais (eng)
in American Journal of Occupational Therapy > Vol. 69/4 (Juillet-Août 2015) . - 6904210020p1-6904210020p8
Mots-clés : Arm cerebrovascular accident ischemic stroke rehabilitation self administration training Résumé : This single-case, mixed-method study explored the feasibility of self-administered, home-based SMART (sensorimotor active rehabilitation training) Arm training for a 57-yr-old man with severe upper-limb disability after a right frontoparietal hemorrhagic stroke 9 mo earlier. Over 4 wk of self-administered, home-based SMART Arm training, the participant completed 2,100 repetitions unassisted. His wife provided support for equipment set-up and training progressions. Clinically meaningful improvements in arm impairment (strength), activity (arm and hand tasks), and participation (use of arm in everyday tasks) occurred after training (at 4 wk) and at follow-up (at 16 wk). Areas for refinement of SMART Arm training derived from thematic analysis of the participant’s and researchers’ journals focused on enabling independence, ensuring home and user friendliness, maintaining the motivation to persevere, progressing toward everyday tasks, and integrating practice into daily routine. These findings suggest that further investigation of self-administered, home-based SMART Arm training is warranted for people with stroke who have severe upper-limb disability. Permalink : ./index.php?lvl=notice_display&id=40414 Exemplaires (1)
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Exclu du prêtThe ABILHAND Questionnaire as a Measure of Manual Ability in Chronic Stroke Patients / Massimo Penta in Stroke, Vol.32, n°7 (Juillet 2001)
[article]
Titre : The ABILHAND Questionnaire as a Measure of Manual Ability in Chronic Stroke Patients Type de document : document électronique Auteurs : Massimo Penta ; Luigi Tesio ; Carlyne Arnould ; Arturo Zancan ; Jean-Louis Thonnard Année de publication : 2001 Article en page(s) : p. 1627-1634 Langues : Anglais (eng) Mots-clés : arm disability evaluation rehabilitation stroke Résumé : Background and Purpose—Chronic hemiparetic patients often retain the ability to manage activities requiring both hands, either through the use of the affected arm or compensation with the unaffected limb. A measure of this overall ability was developed by adapting and validating the ABILHAND questionnaire through the Rasch measurement model. ABILHAND measures the patient’s perceived difficulty in performing everyday manual activities.
Methods—One hundred three chronic (>6 months) stroke outpatients (62% men; mean age, 63 years) were assessed (74 in Belgium, 29 in Italy). They lived at home and walked independently and were screened for the absence of major cognitive deficits (dementia, aphasia, hemineglect). The patients were administered the ABILHAND questionnaire, the Brunnström upper limb motricity test, the box-and-block manual dexterity test, the Semmes-Weinstein tactile sensation test, and the Geriatric Depression Scale. The brain lesion type and site were recorded. ABILHAND results were analyzed with the use of Winsteps Rasch software.
Results—The Rasch refinement of ABILHAND led to a change from the original unimanual and bimanual 56-item, 4-level scale to a bimanual 23-item, 3-level scale. The resulting ability scale had sufficient sensitivity to be clinically useful. Rasch reliability was 0.90, and the item-difficulty hierarchy was stable across demographic and clinical subgroups. Grip strength, motricity, dexterity, and depression were significantly correlated with the ABILHAND measures.
Conclusions—The ABILHAND questionnaire results in a valid person-centered measure of manual ability in everyday activities. The stability of the item-difficulty hierarchy across different patient classes further supports the clinical application of the scale.En ligne : https://www.ahajournals.org/doi/epub/10.1161/01.STR.32.7.1627 Permalink : ./index.php?lvl=notice_display&id=84536
in Stroke > Vol.32, n°7 (Juillet 2001) . - p. 1627-1634[article] The ABILHAND Questionnaire as a Measure of Manual Ability in Chronic Stroke Patients [document électronique] / Massimo Penta ; Luigi Tesio ; Carlyne Arnould ; Arturo Zancan ; Jean-Louis Thonnard . - 2001 . - p. 1627-1634.
Langues : Anglais (eng)
in Stroke > Vol.32, n°7 (Juillet 2001) . - p. 1627-1634
Mots-clés : arm disability evaluation rehabilitation stroke Résumé : Background and Purpose—Chronic hemiparetic patients often retain the ability to manage activities requiring both hands, either through the use of the affected arm or compensation with the unaffected limb. A measure of this overall ability was developed by adapting and validating the ABILHAND questionnaire through the Rasch measurement model. ABILHAND measures the patient’s perceived difficulty in performing everyday manual activities.
Methods—One hundred three chronic (>6 months) stroke outpatients (62% men; mean age, 63 years) were assessed (74 in Belgium, 29 in Italy). They lived at home and walked independently and were screened for the absence of major cognitive deficits (dementia, aphasia, hemineglect). The patients were administered the ABILHAND questionnaire, the Brunnström upper limb motricity test, the box-and-block manual dexterity test, the Semmes-Weinstein tactile sensation test, and the Geriatric Depression Scale. The brain lesion type and site were recorded. ABILHAND results were analyzed with the use of Winsteps Rasch software.
Results—The Rasch refinement of ABILHAND led to a change from the original unimanual and bimanual 56-item, 4-level scale to a bimanual 23-item, 3-level scale. The resulting ability scale had sufficient sensitivity to be clinically useful. Rasch reliability was 0.90, and the item-difficulty hierarchy was stable across demographic and clinical subgroups. Grip strength, motricity, dexterity, and depression were significantly correlated with the ABILHAND measures.
Conclusions—The ABILHAND questionnaire results in a valid person-centered measure of manual ability in everyday activities. The stability of the item-difficulty hierarchy across different patient classes further supports the clinical application of the scale.En ligne : https://www.ahajournals.org/doi/epub/10.1161/01.STR.32.7.1627 Permalink : ./index.php?lvl=notice_display&id=84536 Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Exploring Occupational Therapists’ Perceptions of the Usefulness of Musculoskeletal Sonography in Upper-Extremity Rehabilitationf / Shawn C. ROLL in American Journal of Occupational Therapy, Vol. 69/4 (Juillet-Août 2015)
[article]
Titre : Exploring Occupational Therapists’ Perceptions of the Usefulness of Musculoskeletal Sonography in Upper-Extremity Rehabilitationf Type de document : texte imprimé Auteurs : Shawn C. ROLL, Auteur ; Julie McLaughlin Gray, Auteur ; Gelya Frank, Auteur Année de publication : 2015 Article en page(s) : 6904350020p1-6904350020p6 Langues : Anglais (eng) Mots-clés : Arm clients rehabilitation ultrasonography occupational therapist diagnostic imaging pathology perception Résumé : OBJECTIVE. To identify the potential utility of musculoskeletal sonographic imaging in upper-extremity rehabilitation.
METHOD. Two occupational therapists in an outpatient hand rehabilitation clinic were recruited by convenience, were trained in the use of sonography, and implemented sonographic imaging in their clinical practice. Qualitative data were obtained during and after the implementation period by means of questionnaires and interviews. Data collection, analysis, and interpretation were completed in an iterative process that culminated in a thematic analysis of the therapists’ perceptions.
RESULTS. The data indicate four potential areas of utility for musculoskeletal sonography in upper-extremity rehabilitation: (1) mastering anatomy and pathology, (2) augmenting clinical reasoning, (3) supplementing intervention, and (4) building evidence.
CONCLUSION. Numerous potential uses were identified that would benefit both therapist and client. Further exploration of complexities and efficacy for increasing patient outcomes is recommended to determine best practices for the use of musculoskeletal sonography in upper-extremity rehabilitation.Permalink : ./index.php?lvl=notice_display&id=40424
in American Journal of Occupational Therapy > Vol. 69/4 (Juillet-Août 2015) . - 6904350020p1-6904350020p6[article] Exploring Occupational Therapists’ Perceptions of the Usefulness of Musculoskeletal Sonography in Upper-Extremity Rehabilitationf [texte imprimé] / Shawn C. ROLL, Auteur ; Julie McLaughlin Gray, Auteur ; Gelya Frank, Auteur . - 2015 . - 6904350020p1-6904350020p6.
Langues : Anglais (eng)
in American Journal of Occupational Therapy > Vol. 69/4 (Juillet-Août 2015) . - 6904350020p1-6904350020p6
Mots-clés : Arm clients rehabilitation ultrasonography occupational therapist diagnostic imaging pathology perception Résumé : OBJECTIVE. To identify the potential utility of musculoskeletal sonographic imaging in upper-extremity rehabilitation.
METHOD. Two occupational therapists in an outpatient hand rehabilitation clinic were recruited by convenience, were trained in the use of sonography, and implemented sonographic imaging in their clinical practice. Qualitative data were obtained during and after the implementation period by means of questionnaires and interviews. Data collection, analysis, and interpretation were completed in an iterative process that culminated in a thematic analysis of the therapists’ perceptions.
RESULTS. The data indicate four potential areas of utility for musculoskeletal sonography in upper-extremity rehabilitation: (1) mastering anatomy and pathology, (2) augmenting clinical reasoning, (3) supplementing intervention, and (4) building evidence.
CONCLUSION. Numerous potential uses were identified that would benefit both therapist and client. Further exploration of complexities and efficacy for increasing patient outcomes is recommended to determine best practices for the use of musculoskeletal sonography in upper-extremity rehabilitation.Permalink : ./index.php?lvl=notice_display&id=40424 Exemplaires (1)
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Exclu du prêtOccupational Therapy Interventions for Adults With Stroke / Dawn M. NILSEN in American Journal of Occupational Therapy, Vol. 69/5 (Septembre-Octobre 2015)
[article]
Titre : Occupational Therapy Interventions for Adults With Stroke Type de document : texte imprimé Auteurs : Dawn M. NILSEN, Auteur ; Glen Gillen, Auteur ; Marian Arbesman, Auteur Année de publication : 2015 Article en page(s) : p.6905395010p1-6905395010p3 Langues : Anglais (eng) Mots-clés : Adult cerebrovascular accident ischemic stroke arm Résumé : Evidence Connection articles provide a clinical application of systematic reviews developed in conjunction with the American Occupational Therapy Association's (AOTA's) Evidence-Based Practice project. The clinical condition discussed in this inaugural Evidence Connection article is adults with stroke. Findings from the systematic reviews on this topic were published in the January/February 2015 issue of the American Journal of Occupational Therapy and in AOTA’s Occupational Therapy Practice Guidelines for Adults With Stroke (Wolf & Nilsen, 2015). Each article in this series will summarize the evidence from the published reviews on a given topic and presents an application of the evidence to a related clinical case. Evidence Connection articles illustrate how the research evidence from the reviews can be used to inform and guide clinical decision making. Permalink : ./index.php?lvl=notice_display&id=40877
in American Journal of Occupational Therapy > Vol. 69/5 (Septembre-Octobre 2015) . - p.6905395010p1-6905395010p3[article] Occupational Therapy Interventions for Adults With Stroke [texte imprimé] / Dawn M. NILSEN, Auteur ; Glen Gillen, Auteur ; Marian Arbesman, Auteur . - 2015 . - p.6905395010p1-6905395010p3.
Langues : Anglais (eng)
in American Journal of Occupational Therapy > Vol. 69/5 (Septembre-Octobre 2015) . - p.6905395010p1-6905395010p3
Mots-clés : Adult cerebrovascular accident ischemic stroke arm Résumé : Evidence Connection articles provide a clinical application of systematic reviews developed in conjunction with the American Occupational Therapy Association's (AOTA's) Evidence-Based Practice project. The clinical condition discussed in this inaugural Evidence Connection article is adults with stroke. Findings from the systematic reviews on this topic were published in the January/February 2015 issue of the American Journal of Occupational Therapy and in AOTA’s Occupational Therapy Practice Guidelines for Adults With Stroke (Wolf & Nilsen, 2015). Each article in this series will summarize the evidence from the published reviews on a given topic and presents an application of the evidence to a related clinical case. Evidence Connection articles illustrate how the research evidence from the reviews can be used to inform and guide clinical decision making. Permalink : ./index.php?lvl=notice_display&id=40877 Exemplaires (1)
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Exclu du prêtRetrospective Analysis of Motor Development in Infants at High and Low Risk for Autism Spectrum Disorder / Jill C. Heathcock in American Journal of Occupational Therapy, Vol. 69/5 (Septembre-Octobre 2015)
[article]
Titre : Retrospective Analysis of Motor Development in Infants at High and Low Risk for Autism Spectrum Disorder Type de document : texte imprimé Auteurs : Jill C. Heathcock, Auteur ; Kelly TANNER, Auteur ; Danielle Robson, Auteur Année de publication : 2015 Article en page(s) : p.6905185070p1-6905185070p9 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder infant arm motor development Résumé : OBJECTIVE: To measure upper-extremity and gross motor skill development in infants with and without risk factors for autism spectrum disorder (ASD).
METHOD: Data were coded retrospectively from 39 infants who participated in longitudinal structured early developmental assessments. Twenty-five infants were at high risk for ASD, and the remaining 14 infants were classified as low risk. Upper-extremity and motor skill development were coded at ages 2, 4, and 6 mo. Five infants went on to receive an ASD diagnosis at age 2–4 yr.
RESULTS: Infants at high risk for ASD demonstrated fewer midline behaviors with the upper extremities and delayed motor skill development than the low-risk group. Differences in motor skills were most apparent at age 4 mo.
CONCLUSION: Early monitoring for motor delay in infants at high risk for ASD is warranted. Midline control and play with the upper extremities and overall motor skill development are possible assessment and therapeutic targets.Permalink : ./index.php?lvl=notice_display&id=40870
in American Journal of Occupational Therapy > Vol. 69/5 (Septembre-Octobre 2015) . - p.6905185070p1-6905185070p9[article] Retrospective Analysis of Motor Development in Infants at High and Low Risk for Autism Spectrum Disorder [texte imprimé] / Jill C. Heathcock, Auteur ; Kelly TANNER, Auteur ; Danielle Robson, Auteur . - 2015 . - p.6905185070p1-6905185070p9.
Langues : Anglais (eng)
in American Journal of Occupational Therapy > Vol. 69/5 (Septembre-Octobre 2015) . - p.6905185070p1-6905185070p9
Mots-clés : Autism spectrum disorder infant arm motor development Résumé : OBJECTIVE: To measure upper-extremity and gross motor skill development in infants with and without risk factors for autism spectrum disorder (ASD).
METHOD: Data were coded retrospectively from 39 infants who participated in longitudinal structured early developmental assessments. Twenty-five infants were at high risk for ASD, and the remaining 14 infants were classified as low risk. Upper-extremity and motor skill development were coded at ages 2, 4, and 6 mo. Five infants went on to receive an ASD diagnosis at age 2–4 yr.
RESULTS: Infants at high risk for ASD demonstrated fewer midline behaviors with the upper extremities and delayed motor skill development than the low-risk group. Differences in motor skills were most apparent at age 4 mo.
CONCLUSION: Early monitoring for motor delay in infants at high risk for ASD is warranted. Midline control and play with the upper extremities and overall motor skill development are possible assessment and therapeutic targets.Permalink : ./index.php?lvl=notice_display&id=40870 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 prêtUpper-Limb Rehabilitation With Adaptive Video Games for Preschool Children With Developmental Disabilities / Hsieh-Chun Hsieh in American Journal of Occupational Therapy, Vol. 69/4 (Juillet-Août 2015)
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