Library Services Current Awareness Bulletin Rehabilitation Therapies FEBRUARY 2017 Keeping you up to date with the latest developments in your area Contents Physiotherapy Occupational Therapy Speech & Language Therapy General Resources on the web Help select library stock Library Catalogue Links to the latest issues of key journals and their table of contents Trust Libraries and Staff Contact Details To go straight to any of the above Press ctrl and click on of the heading of choice. Current Awareness Bulletins provided by CWPT Library & Knowledge Service are a selection of current/recent articles and publications and are NOT intended to be exhaustive. Other Current Awareness topics are available; please see our current awareness web page: Current Awareness Bulletins. Please contact staff at any of the four Trust libraries if you would like to be added to the mailing list for any of these monthly bulletins. FREE Document Delivery Service Our Document Delivery Service is free of charge for all Trust staff. Full-text of any of the articles listed below is available upon request and can be sent directly to your Email Address or posted to your workplace. Just complete an ‘Article Request Form’ and return it to your nearest Trust Library.
Transcript
Library Services
Current Awareness Bulletin
Rehabilitation Therapies FEBRUARY 2017
Keeping you up to date with the latest developments in your area
Contents
Physiotherapy
Occupational Therapy
Speech & Language Therapy
General
Resources on the web
Help select library stock
Library Catalogue
Links to the latest issues of key journals and their table of contents
Trust Libraries and Staff Contact Details
To go straight to any of the above Press ctrl and click on of the heading of choice.
Current Awareness Bulletins provided by CWPT Library & Knowledge Service are a selection of current/recent articles and publications and are NOT intended to be
exhaustive.
Other Current Awareness topics are available; please see our current awareness web page: Current Awareness Bulletins. Please contact staff at any of the four Trust libraries if you would like to be added to the mailing list for any of these
monthly bulletins.
FREE Document Delivery Service
Our Document Delivery Service is free of charge for all Trust staff. Full-text of any of the articles listed below is available upon request and
can be sent directly to your Email Address or posted to your workplace.
Just complete an ‘Article Request Form’ and return it to your nearest Trust Library.
For news and information about the Library Services
https://www.facebook.com/ CWPTLibraries/
Up-to-date journal abstracts on newly published research
Physiotherapy Physiotherapy, and speech and language therapy intervention for patients with refractory chronic cough: a multicentre randomised control trial.
Author(s): Chamberlain Mitchell, Sarah A F; Garrod, Rachel; Clark, Lynne; Douiri, Abdel; Parker, Sean M; Ellis, Jenny; Fowler, Stephen J; Ludlow, Siobhan; Hull, James H; Chung, Kian Fan; Lee, Kai K; Bellas, H; Pandyan, Anand; Birring, Surinder S
Source: Thorax; Feb 2017; vol. 72 (no. 2); p. 129-136
Abstract: Physiotherapy, and speech and language therapy are emerging non-pharmacological treatments for refractory chronic cough. We aimed to investigate the efficacy of a physiotherapy, and speech and language therapy intervention (PSALTI) to improve health-related quality of life (HRQoL) and to reduce cough frequency in patients with refractory chronic cough. In this multicentre randomised controlled trial, patients with refractory chronic cough were randomised to four weekly 1:1 sessions of either PSALTI consisting of education, laryngeal hygiene and hydration, cough suppression techniques, breathing exercises and psychoeducational counselling or control intervention consisting of healthy lifestyle advice. We assessed the change in HRQoL at week 4 with the Leicester Cough Questionnaire (LCQ). Secondary efficacy outcomes included 24-hour objective cough frequency (Leicester Cough Monitor) and cough reflex sensitivity. The primary analysis used an analysis of covariance adjusted for baseline measurements with the intention-to-treat population. This study was registered at UK Clinical Research Network (UKCRN ID 10678). Between December 2011 and April 2014, we randomly assigned 75 participants who underwent baseline assessment (34 PSALTI and 41 controls). In the observed case analysis, HRQoL (LCQ) improved on average by 1.53 (95% CI 0.21 to 2.85) points more in PSALTI group than with control (p=0.024). Cough frequency decreased by 41% (95% CI 36% to 95%) in PSALTI group relative to control (p=0.030). The improvements within the PSALTI group were sustained up to 3 months. There was no significant difference between groups in the concentration of capsaicin causing five or more coughs. Greater improvements in HRQoL and cough frequency were observed with PSALTI intervention. Our findings support the use of PSALTI for patients with refractory chronic cough.
Database: Medline
A 10-year follow-up of tailored behavioural treatment and exercise-based physiotherapy for persistent musculoskeletal pain.
Source: Disability and rehabilitation; Feb 2017 ; p. 1-14
Abstract: PURPOSE To understand the meanings of exercise and physiotherapy for people living with a progressive cerebellar ataxia. METHOD An interpretative phenomenological analysis was undertaken with 12 participants (4 women, 8 men) recruited via their membership of a national support group. Semi structured interviews were audio recorded and transcribed. Data were analyzed using interpretivist methods. RESULTS Two main themes were constructed. Firstly, participants highly valued building collaborative and supportive long-term therapeutic relationships with expert physiotherapists and were not necessarily looking to improve ataxia-related impairments. Secondly, self-devised exercise conferred multiple psychosocial benefits that were largely absent from physiotherapist-prescribed home exercise programs. CONCLUSION People living with ataxia recounted uniquely situated and contextualized understandings of exercise and physiotherapy that may differ significantly from the meaning of these terms to physiotherapists. Special attention should be given to patients' perspectives in order to provide services that are meaningful and valued by people living with ataxia. Implications for Rehabilitation Physiotherapists should consider exploring the meaning of exercise and physiotherapy with individual patients to inform appropriate exercise prescription and advice. Poorly managed and inexpertly prescribed home exercise programs risk inadvertently disregarding the possible positive psychosocial effects of exercise participation and may prevent long-term engagement. To sustain long-term engagement prescribed exercises should be enjoyable, meaningful, satisfying and appropriately challenging. Physiotherapists should consider providing sustained, collaborative and flexible services.
Database: Medline
An observational study of Australian private practice physiotherapy consultations to explore the prescription of self-management strategies.
Author(s): Peek, Kerry; Carey, Mariko; Mackenzie, Lisa; Sanson-Fisher, Robert
Source: Musculoskeletal care; Feb 2017
Abstract: OBJECTIVE The aim of the study was to explore the types of self-management strategies prescribed; the number of strategies and the overall length of time allocated to self-management prescription, by consultation type and by injury location, in physiotherapy consultations. METHODS A cross-sectional, observational study of 113 physiotherapist-patient consultations was undertaken. Regression analyses were used to determine whether consultation type and injury location were associated with the number of strategies prescribed and the length/fraction of time spent on self-management. RESULTS A total of 108 patients (96%) were prescribed at least one self-management strategy - commonly exercise and advice. The mean length of time spent on self-management was 5.80 min. Common injury locations were the neck (n = 40) and lower back (n = 39). No statistically significant associations were observed between consultation type or injury location for either outcome (number of strategies and the length/fraction of time allocated to self-management prescription). CONCLUSION Physiotherapists regularly spend time prescribing self-management strategies such as exercise, advice, and the use of heat or ice to patients receiving treatment linked to a range of injury locations. This suggests that self-management is considered to be an important adjunct to in-clinic physiotherapy. The practice implications of this are that clinicians should reflect on how self-management strategies can be used to maximize patient outcomes, and whether the allocation of consultation time to self-management is likely to optimize patient adherence to each strategy.
Database: Medline
Gait rehabilitation for a patient with an osseointegrated prosthesis following transfemoral amputation.
Author(s): Leijendekkers, Ruud A; van Hinte, Gerben; Nijhuis-van der Sanden, Maria Wg; Staal, J Bart
Source: Physiotherapy theory and practice; Feb 2017; vol. 33 (no. 2); p. 147-161
Abstract:In patients with a transfemoral amputation socket-related problems are associated with reduced prosthetic use, activity, and quality of life. Furthermore, gait asymmetries are present that may explain secondary complaints. Bone-anchored prostheses (BAPs) may help these patients. Two types of BAP are
available, screw and press-fit implants. Rehabilitation following surgery for a press-fit BAP is poorly described. To describe a rehabilitation program designed to minimize compensation strategies and increase activity using a case-report of an active, 70-year-old man with a traumatic transfemoral amputation who had used a socket prosthesis for 52 years and received a press-fit BAP [Endo-Exo Femoral Prosthesis - EEFP]. A 13-week physiotherapy program. Outcomes were assessed before surgery, at the end of rehabilitation, and six-month and one-year follow-ups. After rehabilitation gait had improved, the patient had more arm movement, more pelvic shift, less hip rotation during swing phase on the prosthetic side, and absence of vaulting on the sound side. Isometric hip abductor strength was 15% higher on the sound side and 16% higher on the prosthetic side, and walking distance increased from 200 m to 1500 m. At the six-month follow-up, the patient had lower back complications and reduced hip abductor strength and walking distance. At one-year follow-up, walking distance had recovered to 1000 m and gait pattern had improved again, with yielding and absence of terminal impact on the prosthetic side. The described rehabilitation program may be an effective method of improving gait in patients with an EEFP even after long-term socket usage.
Database: Medline
The scope of physiotherapy services provided in public ICUs in Greece: A pilot study.
Source: Physiotherapy theory and practice; Feb 2017; vol. 33 (no. 2); p. 138-146
Abstract: The aim of the present study was to determine the scope of physiotherapy services provided in Greek ICUs in Athens. A cross-sectional study was conducted with two postal questionnaires administered separately, one for ICU directors and one for ICU physiotherapists. Responses were received from 19 ICU directors and 103 physiotherapists employed in all the adult public mixed medical and surgical ICUs across Athens. The response rate for the survey completion was 100% for ICU directors and 68.7% for physiotherapists. The results showed a 1:50 to 1:12 range in the ratio of physiotherapists to ICU beds. Among the 19 ICUs, 15 (78.9%) employed physiotherapists on a rotational basis, while four (21.0%) retained them exclusively. On weekdays, all surveyed ICUs were covered by physiotherapists in the morning and 10/19 (52.6%) during the afternoon. On weekends, 12/19 (63.2%) of the surveyed ICUs reported physiotherapy care during the morning and 4/19 (21.0%) during both morning and afternoon. All 103 physiotherapists conducted airway clearance techniques and progressive mobilization, 92/103 (89.3%) were involved in extubating patients, 102/103 (99.0%) in passive and active range of motion exercises, and 61/103 (59.2%) in walking. In conclusion, all Greek ICUs in Athens surveyed had physiotherapy cover. The physiotherapists working in these ICUs in Athens were involved in respiratory care and mobilization.
Database: Medline
Is physiotherapy integrated virtual walking effective on pain, function, and kinesiophobia in patients with non-specific low-back pain? Randomised controlled trial.
Author(s): Yilmaz Yelvar, Gul Deniz; Çırak, Yasemin; Dalkılınç, Murat; Parlak Demir, Yasemin; Guner, Zeynep; Boydak, Ayşenur
Source: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society; Feb 2017; vol. 26 (no. 2); p. 538-545
Abstract: PURPOSE According to literature, virtual reality was found to reduce pain and kinesiophobia in patients with chronic pain. The purpose of the study was to investigate short-term effect of the virtual reality on pain, function, and kinesiophobia in patients with subacute and chronic non-specific low-back pain METHODS: This randomised controlled study in which 44 patients were randomly assigned to the traditional physiotherapy (control group, 22 subjects) or virtual walking integrated physiotherapy (experimental group, 22 subjects). Before and after treatment, Visual Analog Scale (VAS), TAMPA Kinesiophobia Scale (TKS), Oswestry Disability Index (ODI), Nottingham Health Profile (NHP), Timed-up and go Test (TUG), 6-Minute Walk Test (6MWT), and Single-Leg Balance Test were assessed. The interaction effect between group and time was assessed by using repeated-measures analysis of covariance. RESULTS After treatment, both groups showed improvement in all parameters. However, VAS, TKS, TUG, and 6MWT scores showed significant differences in favor of the experimental group. CONCLUSION Virtual walking integrated physiotherapy reduces pain and kinesiophobia, and improved function in patients with subacute and chronic non-specific low-back pain in short term.
Database: Medline
Discourses in stroke rehabilitation as they present themselves in current physiotherapy and
occupational therapy.
Author(s): Kristensen, Hanne Kaae; Præstegaard, Jeanette; Ytterberg, Charlotte
Source: Disability and rehabilitation; Feb 2017; vol. 39 (no. 3); p. 223-235
Abstract: Aim This study aims to discuss current perceptions of rehabilitation and how present rehabilitation practice is affected by dominating discourses in Danish society by exploring discourses expressed in official publications and the constructed journal notes of occupational and physiotherapists' practice of stroke rehabilitation. Method The frame of reference is Fairclough's critical discourse analysis. The analysis comprises seven official documents relevant to stroke rehabilitation provided in Danish health services in 2012-2013. Also, notes written by occupational therapists and physiotherapists in medical records of 10 patients with a stroke diagnosis admitted to hospital in 2012. The documents included were read thoroughly. The texts were analyzed deductively, focusing on discursive practice on articulated understandings of rehabilitation, health practice approaches, and social practice. Results The dominating discourses seem to be Western neoliberalism organizational, medical and ethical discourses. The macro level of discourses consisted of political documents addressing rehabilitation nationally. The meso level mainly concerned medical discourses within stroke rehabilitation whereas the micro level represented local medical and ethical discourses. Conclusion The neoliberal discourse supports the medical discourse with strong emphasis on evidence-based interventions. In contrast to ethical discourses, documentation of rehabilitation practice marked more attention being paid to facilitating the patient's independence than to enabling the regaining of meaningful activities and participation. Implications for Rehabilitation Individualized rehabilitation must be organized with flexibility as it is a complex process Critical reflectiveness among health professionals is needed to provide individualized rehabilitation of high quality A broader range of stake holders, including patient organizations, are in demand within health policy making The discourses that construct rehabilitation policy and practices are sometimes in conflict, which may impact on, and impede, the rehabilitation for the individual patient.
Database: Medline
Occupational Therapy Supporting the Loewenstein occupational therapy cognitive assessment using distributed user interfaces.
Author(s): Tesoriero, Ricardo; Gallud Lazaro, Jose A; Altalhi, Abdulrahman H
Source: Disability and rehabilitation; Feb 2017; vol. 39 (no. 4); p. 389-397
Abstract: Improve the quantity and quality of information obtained from traditional Loewenstein Occupational Therapy Cognitive Assessment Battery systems to monitor the evolution of patients' rehabilitation process as well as to compare different rehabilitation therapies. The system replaces traditional artefacts with virtual versions of them to take advantage of cutting edge interaction technology. The system is defined as a Distributed User Interface (DUI) supported by a display ecosystem, including mobile devices as well as multi-touch surfaces. Due to the heterogeneity of the devices involved in the system, the software technology is based on a client-server architecture using the Web as the software platform. The system provides therapists with information that is not available (or it is very difficult to gather) using traditional technologies (i.e. response time measurements, object tracking, information storage and retrieval facilities, etc.). The use of DUIs allows therapists to gather information that is unavailable using traditional assessment methods as well as adapt the system to patients' profile to increase the range of patients that are able to take this assessment. Implications for Rehabilitation Using a Distributed User Interface environment to carry out LOTCAs improves the quality of the information gathered during the rehabilitation assessment. This system captures physical data regarding patient's interaction during the assessment to improve the rehabilitation process analysis. Allows professionals to adapt the assessment procedure to create different versions according to patients' profile. Improves the availability of patients' profile information to therapists to adapt the assessment procedure.
Database: Medline
Movement repetitions in physical and occupational therapy during spinal cord injury rehabilitation.
Author(s): Zbogar, D; Eng, J J; Miller, W C; Krassioukov, A V; Verrier, M C
Source: Spinal cord; Feb 2017; vol. 55 (no. 2); p. 172-179
Abstract: STUDY DESIGN Longitudinal observational study.OBJECTIVE To quantify the amount of upper- and lower-extremity movement repetitions (that is, voluntary movements as part of a functional task or specific motion) occurring during inpatient spinal cord injury (SCI), physical (PT) and occupational therapy
(OT), and examine changes over the inpatient rehabilitation stay. SETTING Two stand-alone inpatient SCI rehabilitation centers. METHODS Participants: A total of 103 patients were recruited through consecutive admissions to SCI rehabilitation. INTERVENTIONS Trained assistants observed therapy sessions and obtained clinical outcome measures in the second week following admission and in the second to last week before discharge. MAIN OUTCOME MEASURES PT and OT time, upper- and lower-extremity repetitions and changes in these outcomes over the course of rehabilitation stay. RESULTS We observed 561 PT and 347 OT sessions. Therapeutic time comprised two-thirds of total therapy time. Summed over PT and OT, the median upper-extremity repetitions in patients with paraplegia were 7 repetitions and in patients with tetraplegia, 42 repetitions. Lower-extremity repetitions and steps primarily occurred in ambulatory patients and amounted to 218 and 115, respectively (summed over PT and OT sessions at discharge). Wilcoxon-signed rank tests revealed that most repetition variables did not change significantly over the inpatient rehabilitation stay. In contrast, clinical outcomes for the arm and leg improved over this time period. CONCLUSIONS Repetitions of upper- and lower-extremity movements are markedly low during PT and OT sessions. Despite improvements in clinical outcomes, there was no significant increase in movement repetitions over the course of inpatient rehabilitation stay.
Source: The clinical teacher; Feb 2017; vol. 14 (no. 1); p. 55-59
Abstract: There are few studies in occupational therapy that compare the perceptions of supervisors and students regarding quality clinical placement programmes, and those that exist indicate substantial differences in the perceptions held by each group.This pilot study was conducted using a cross-sectional descriptive design, with a single questionnaire distributed to occupational therapy students and clinical supervisors. A total of 40 questionnaires were returned: 17 from students and 23 from clinical supervisors. Differences were found between the perceptions of occupational therapy students and clinical supervisors in response to four topics: preparation from the university for their placements; consistency across placement sites; instances of supervisors seeking feedback from students; and the burden associated with the placement-related workload for clinicians. Differences were found between the perceptions of occupational therapy students and clinical supervisors in response to four topics DISCUSSION: Different perceptions around preparation from universities and consistency across placement sites relate to the existing roles of each group: students are more aware of university preparation and clinical supervisors are more aware of organisational inconsistencies in their respective usual work environments. The discrepancy in the perceived seeking of feedback from students has also been reported in student debriefing sessions. The burdens perceived by clinical supervisors appear to be influenced by a belief that clinical education is an additional duty rather than a core role.
Database: Medline
Neuroimaging and Occupational Therapy: Bridging the Gap to Advance Rehabilitation in Developmental Coordination Disorder.
Author(s): Brown-Lum, Meisan; Zwicker, Jill G
Source: Journal of motor behavior; Feb 2017 ; p. 1-13
Abstract: Developmental coordination disorder (DCD) is a neurodevelopmental disorder characterized by poor motor skills that interfere with a child's ability to perform everyday activities. Little is known about the neural mechanisms that implicate DCD, making it difficult to understand why children with DCD struggle to learn motor skills and selecting the best intervention to optimize function. Neuroimaging studies that utilize magnetic resonance imaging techniques have the capacity to play a critical role in helping to guide clinicians to optimize functional outcomes of children with DCD using evidence-based rehabilitation interventions. The authors' goal is to describe how neuroimaging research can be applied to occupational therapy and rehabilitation sciences by highlighting projects that are at the forefront of the field and elucidate future directions.
Database: Medline
Promoting Translational Research Among Movement Science, Occupational Science, and Occupational Therapy.
Author(s): Sainburg, Robert L; Liew, Sook-Lei; Frey, Scott H; Clark, Florence
Source: Journal of motor behavior; Feb 2017 ; p. 1-7
Abstract: Integration of research in the fields of neural control of movement and biomechanics (collectively
referred to as movement science) with the field of human occupation directly benefits both areas of study. Specifically, incorporating many of the quantitative scientific methods and analyses employed in movement science can help accelerate the development of rehabilitation-relevant research in occupational therapy (OT) and occupational science (OS). Reciprocally, OT and OS, which focus on the performance of everyday activities (occupations) to promote health and well-being, provide theoretical frameworks to guide research on the performance of actions in the context of social, psychological, and environmental factors. Given both fields' mutual interest in the study of movement as it relates to health and disease, the authors posit that combining OS and OT theories and principles with the theories and methods in movement science may lead to new, impactful, and clinically relevant knowledge. The first step is to ensure that individuals with OS or OT backgrounds are academically prepared to pursue advanced study in movement science. In this article, the authors propose 2 strategies to address this need.
Database: Medline
Filling the Gaps: Occupational Therapy Services in Community Mental Health.
Abstract: The Vineland Adaptive Behavior Scales use parental report to examine communication and social skills in children with typical and atypical development, and exhibit high reliability when compared against overall direct testing. However, findings are mixed comparing Vineland communication/language scores with experimenter-administered tests of language. The current study breaks new ground in comparing Vineland reports with direct observation of children’s speech by (a) individual items and (b) level of child functioning, focusing on usage of wh-questions, verb tenses, negation, pronouns and noun-verb combinations. Both ‘high-verbal’ (HV) and ‘middle-verbal’ (MV) children with ASD are included, as well as a language-matched TD group. The results revealed that parent report on the Vineland varies in accuracy of capturing the production of grammatical items by young children with ASD and TD children. While parents’ assessment of their child’s production of noun-verb combinations and ‘who/why’ was highly accurate, children’s production of pronouns was under-rated by parents. Additionally, parents of HV children also under-rated their child’s production of past regular verbs. Underestimation of these grammatical elements could lead to mistaken conclusions about their development in ASD or in individual children.
https://www.sciencedirect.com/science/article/pii/S0891422216302803?dgcid=raven_sd_via_email Hypertext comprehension of deaf and hard-of-hearing students and students with specific language impairment
Citation: Research in Developmental Disabilities Feb 2017 Vol 61 Pages 127-137
Author(s) Helen Blom, Eliane Segers, Daan Hermans, Harry Knoors, Ludo Verhoeven
Abstract: This paper provides insight into the reading comprehension of hierarchically structured hypertexts within D/HH students and students with SLI. To our knowledge, it is the first study on hypertext comprehension in D/HH students and students with SLI, and it also considers the role of working memory. We compared hypertext versus linear text comprehension in D/HH students and students with SLI versus younger students without language problems who had a similar level of decoding and vocabulary. The results demonstrated no difference in text comprehension between the hierarchically structured hypertext and the linear text. Text comprehension of D/HH students and students with SLI was comparable to that of the students without language problems. In addition, there was a similar positive predictive value of visuospatial and not verbal working memory on hypertext comprehension for all three groups. The findings implicate that educational settings can make use of hierarchically structured hypertexts as well as linear texts and that children can navigate in the digital world from young age on, even if language or working memory problems are present.
Abstract: The present study examined the relationship between gap detection threshold and speech error consistency in children with speech sound disorder. The participants were children five to six years of age who were categorized into three groups of typical speech, consistent speech disorder (CSD) and inconsistent speech disorder (ISD).The phonetic gap detection threshold test was used for this study, which is a valid test comprised six syllables with inter-stimulus intervals between 20–300 ms. The participants were asked to listen to the recorded stimuli three times and indicate whether they heard one or two sounds. There was no significant difference between the typical and CSD groups (p = 0.55), but there were significant differences in performance between the ISD and CSD groups and the ISD and typical groups (p = 0.00). The ISD group discriminated between speech sounds at a higher threshold. Children with inconsistent speech errors could not distinguish speech sounds during time-limited phonetic discrimination. It is suggested that inconsistency in speech is a representation of inconsistency in auditory perception, which causes by high gap detection threshold.
Inhibitory control and the speech patterns of second language users.
Author(s): Korko, Malgorzata; Williams, Simon A.
Source: British Journal of Psychology; Feb 2017; vol. 108 (no. 1); p. 43-72
Available in full text at British Journal of Psychology - from John Wiley and Sons
Database: CINAHL
Phonological and syntactic competition effects in spoken word recognition: evidence from corpus-based statistics.
Author(s): Zhuang, Jie; Devereux, Barry J
Source: Language, cognition and neuroscience; Feb 2017; vol. 32 (no. 2); p. 221-235
Abstract: As spoken language unfolds over time the speech input transiently activates multiple candidates at different levels of the system - phonological, lexical, and syntactic - which in turn leads to short-lived between-candidate competition. In an fMRI study, we investigated how different kinds of linguistic competition may be modulated by the presence or absence of a prior context (Tyler 1984; Tyler et al. 2008). We found significant effects of lexico-phonological competition for isolated words, but not for words in short phrases, with high competition yielding greater activation in left inferior frontal gyrus (LIFG) and posterior temporal regions. This suggests that phrasal contexts reduce lexico-phonological competition by eliminating form-class inconsistent cohort candidates. A corpus-derived measure of lexico-syntactic competition was associated with greater activation in LIFG for verbs in phrases, but not for isolated verbs, indicating that lexico-syntactic information is boosted by the phrasal context. Together, these findings indicate that LIFG plays a general role in resolving different kinds of linguistic competition.
Database: Medline
Dense home-based recordings reveal typical and atypical development of tense/aspect in a child with delayed language development.
Author(s): Chin, Iris; Goodwin, Matthew S; Vosoughi, Soroush; Roy, Deb; Naigles, Letitia R
Source: Journal of child language; Feb 2017 ; p. 1-34
Abstract: Studies investigating the development of tense/aspect in children with developmental disorders have focused on production frequency and/or relied on short spontaneous speech samples. How children with developmental disorders use future forms/constructions is also unknown. The current study expands this literature by examining frequency, consistency, and productivity of past, present, and future usage, using the Speechome Recorder, which enables collection of dense, longitudinal audio-video recordings of children's speech. Samples were collected longitudinally in a child who was previously diagnosed with autism spectrum disorder, but at the time of the study exhibited only language delay [Audrey], and a typically developing child [Cleo]. While Audrey was comparable to Cleo in frequency and productivity of tense/aspect use, she was atypical in her consistency and production of an unattested future form. Examining additional measures of densely collected speech samples may reveal subtle atypicalities that are missed when relying on only few typical measures of acquisition.
Database: Medline
Prior History of Feeding-Swallowing Difficulties in Children With Language Impairment.
Author(s): Malas, Kathy; Trudeau, Natacha; Giroux, Marie-Claude; Gauthier, Lisanne; Poulin, Simone; McFarland, David H
Source: American journal of speech-language pathology; Feb 2017 ; p. 1-8
Available in full text at American Journal of Speech-Language Pathology - from EBSCOhost
Abstract: Purpose This study updated and extended our previous investigation (Malas et al., 2015) of feeding-swallowing difficulties and concerns (FSCs) in children with language impairments (LI) by using more stringent inclusion criteria and targeting children earlier in the care delivery pathway. Method Retrospective analyses were performed on the clinical files of 29 children (average age: 60 months, SD = 9.0) diagnosed as having LI using standardized testing, nonstandardized testing and final speech-language pathologist judgment. The files of children born prematurely or with a history of anatomical, structural, neurodevelopmental, cognitive, sensory, motor, or speech disorders were excluded. Literature-based indicators were used to determine the prevalence of difficulties in sucking, food transition, food selectivity, and salivary control. Values were compared with the general population estimate of Lindberg et al. (1992). Results A significantly higher percentage of histories of FSCs (48%) were found in the files of children with LI when compared with the population estimate (χ2 = 13.741, df = 1, p < .001). Difficulties in food transition (31%) and food selectivity (14%) were the most frequent. Data confirm and extend our previous findings and
suggest that a previous history of FSCs may characterize children with LI early in their care delivery pathway.
Database: Medline
Representation of speech variability.
Author(s): Bent, Tessa; Holt, Rachael F
Source: Wiley interdisciplinary reviews. Cognitive science; Feb 2017
Abstract: Speech signals provide both linguistic information (e.g., words and sentences) as well as information about the speaker who produced the message (i.e., social-indexical information). Listeners store highly detailed representations of these speech signals, which are simultaneously indexed with linguistic and social category membership. A variety of methodologies-forced-choice categorization, rating, and free classification-have shed light on listeners' cognitive-perceptual representations of the social-indexical information present in the speech signal. Specifically, listeners can accurately identify some talker characteristics, including native language status, approximate age, sex, and gender. Additionally, listeners have sensitivity to other speaker characteristics-such as sexual orientation, regional dialect, native language for non-native speakers, race, and ethnicity-but listeners tend to be less accurate or more variable at categorizing or rating speakers based on these constructs. However, studies have not necessarily incorporated more recent conceptions of these constructs (e.g., separating listeners' perceptions of race vs ethnicity) or speakers who do not fit squarely into specific categories (e.g., for sex perception, intersex individuals; for gender perception, genderqueer speakers; for race perception, multiracial speakers). Additional research on how the intersections of social-indexical categories influence speech perception is also needed. As the field moves forward, scholars from a variety of disciplines should be incorporated into investigations of how listeners' extract and represent facets of personal identity from speech. Further, the impact of these representations on our interactions with one another in contexts outside of the laboratory should continue to be explored. For further resources related to this article, please visit the WIREs website.
Database: Medline
Ambient intelligence framework for real-time speech-to-sign translation.
Author(s): Otoom, Mwaffaq; Alzubaidi, Mohammad A
Source: Assistive technology : the official journal of RESNA; Feb 2017 ; p. 1-14
Abstract: Sign language can be used to facilitate communication with and between deaf or hard of hearing (Deaf/HH). With the advent of video streaming applications in smart TVs and mobile devices, it is now possible to use sign language to communicate over worldwide networks. In this article, we develop a prototype assistive device for real-time speech-to-sign translation. The proposed device aims at enabling Deaf/HH people to access and understand materials delivered in mobile streaming videos through the applications of pipelined and parallel processing for real-time translation, and the application of eye-tracking based user-satisfaction detection to support dynamic learning to improve speech-to-signing translation. We conduct two experiments to evaluate the performance and usability of the proposed assistive device. Nine deaf people participated in these experiments. Our real-time performance evaluation shows the addition of viewer's attention-based feedback reduced translation error rates by 16% (per the sign error rate [SER] metric) and increased translation accuracy by 5.4% (per the bilingual evaluation understudy [BLEU] metric) when compared to a non-real-time baseline system without these features. The usability study results indicate that our assistive device was also pleasant and satisfying to deaf users, and it may contribute to greater engagement of deaf people in day-to-day activities.
Database: Medline
An automated technique to generate phone-to-articulatory label mapping
Author(s): Abraham, Basil; Umesh, S.
Source: Speech Communication; Feb 2017; vol. 86 ; p. 107-120
Abstract: Recent studies have shown that in the case of under-resourced languages, use of articulatory features (AF) emerging from an articulatory model results in improved automatic speech recognition (ASR) compared to conventional mel frequency cepstral coefficient (MFCC) features. Articulatory features are more robust to noise and pronunciation variability compared to conventional acoustic features. To extract articulatory features, one method is to take conventional acoustic features like MFCC and build an articulatory classifier that would output articulatory features (known as pseudo-AF). However, these classifiers require a mapping from phone to different articulatory labels (AL) (e.g., place of articulation and manner of articulation), which is not readily available for many of the under-resourced languages. In this article, we have proposed an automated technique to generate phone-to-articulatory label (phone-to-AL)
mapping for a new target language based on the knowledge of phone-to-AL mapping of a well-resourced language. The proposed mapping technique is based on the center-phone capturing property of interpolation vectors emerging from the recently proposed phone cluster adaptive training (Phone-CAT) method. Phone-CAT is an acoustic modeling technique that belongs to the broad category of canonical state models (CSM) that includes subspace Gaussian mixture model (SGMM). In Phone-CAT, the interpolation vector belonging to a particular context-dependent state has maximum weight for the center-phone in case of monophone clusters or by the AL of the center-phone in case of AL clusters. These relationships from the various context-dependent states are used to generate a phone-to-AL mapping. The Phone-CAT technique makes use of all the speech data belonging to a particular context-dependent state. Therefore, multiple segments of speech are used to generate the mapping, which makes it more robust to noise and other variations. In this study, we have obtained a phone-to-AL mapping for three under-resourced Indian languages namely Assamese, Hindi and Tamil based on the phone-to-AL mapping available for English. With the generated mappings, articulatory features are extracted for these languages using varying amounts of data in order to build an articulatory classifier. Experiments were also performed in a cross-lingual scenario assuming a small training data set (≈ 2 h) from each of the Indian languages with articulatory classifiers built using a lot of training data (≈ 22 h) from other languages including English (Switchboard task). Interestingly, cross-lingual performance is comparable to that of an articulatory classifier built with large amounts of native training data. Using articulatory features, more than 30% relative improvement was observed over the conventional MFCC features for all the three languages in a DNN framework.
Database: PsycINFO
An online model for vowel imitation learning
Author(s): Rasilo, Heikki; Räsänen, Okko
Source: Speech Communication; Feb 2017; vol. 86 ; p. 1-23
Abstract: When infants learn to pronounce speech sounds of their native language, they face the so-called correspondence problem—how to know which articulatory gestures lead to acoustic sounds that are recognized as native speech sounds by other speakers? Previous research suggests that infants might not learn to imitate their parents via autonomous babbling because direct evaluation of the acoustic similarity between the speech sounds of the two is not possible due to different spectral characteristics of the voices caused by differing vocal tract morphologies. We present a novel robust model of infant vowel imitation learning, following a hypothesis that an infant learns to match their productions to their caregiver's speech sounds when the caregiver imitates the infant's babbles. Adapting a cross-situational associative learning technique, evidently present in infant word learning, our simulated language learner can cope with ambiguity in caregiver's responses to babbling as well as with the imprecision of the articulatory gestures of the infant itself. Our fully online learning model also combines vocal exploration and imitative interaction into a single process. Learning performance is evaluated in experiments using Finnish adults as caregivers for a virtual infant, responding to the infant's babbles with lexical words and, after a learning stage, evaluating the quality of the vowels produced by the learner. After 1000 babble-response pairs, our virtual infant is seen to reach a satisfying vowel imitation accuracy of 70–80%.
Database: PsycINFO
When does speech sound disorder matter for literacy? The role of disordered speech errors, co-occurring language impairment and family risk of dyslexia
Author(s): Hayiou-Thomas, Marianna E.; Carroll, Julia M.; Leavett, Ruth; Hulme, Charles; Snowling, Margaret J.
Source: Journal of Child Psychology and Psychiatry; Feb 2017; vol. 58 (no. 2); p. 197-205
Abstract: Background: This study considers the role of early speech difficulties in literacy development, in the context of additional risk factors. Method: Children were identified with speech sound disorder (SSD) at the age of 3½ years, on the basis of performance on the Diagnostic Evaluation of Articulation and Phonology. Their literacy skills were assessed at the start of formal reading instruction (age 5½), using measures of phoneme awareness, word-level reading and spelling; and 3 years later (age 8), using measures of word-level reading, spelling and reading comprehension. Results: The presence of early SSD conferred a small but significant risk of poor phonemic skills and spelling at the age of 5½ and of poor word reading at the age of 8. Furthermore, within the group with SSD, the persistence of speech difficulties to the point of school entry was associated with poorer emergent literacy skills, and children with ‘disordered’ speech errors had poorer word reading skills than children whose speech errors indicated ‘delay’. In contrast, the initial severity of SSD was not a significant predictor of reading development. Beyond the domain of speech, the presence of a co-occurring language impairment was strongly predictive of literacy
skills and having a family risk of dyslexia predicted additional variance in literacy at both time-points. Conclusions: Early SSD alone has only modest effects on literacy development but when additional risk factors are present, these can have serious negative consequences, consistent with the view that multiple risks accumulate to predict reading disorders.
Database: PsycINFO
General Physiotherapy, and speech and language therapy intervention for patients with refractory chronic cough: a multicentre randomised control trial.
Author(s): Chamberlain Mitchell, Sarah A F; Garrod, Rachel; Clark, Lynne; Douiri, Abdel; Parker, Sean M; Ellis, Jenny; Fowler, Stephen J; Ludlow, Siobhan; Hull, James H; Chung, Kian Fan; Lee, Kai K; Bellas, H; Pandyan, Anand; Birring, Surinder S
Source: Thorax; Feb 2017; vol. 72 (no. 2); p. 129-136
Abstract: Physiotherapy, and speech and language therapy are emerging non-pharmacological treatments for refractory chronic cough. We aimed to investigate the efficacy of a physiotherapy, and speech and language therapy intervention (PSALTI) to improve health-related quality of life (HRQoL) and to reduce cough frequency in patients with refractory chronic cough. In this multicentre randomised controlled trial, patients with refractory chronic cough were randomised to four weekly 1:1 sessions of either PSALTI consisting of education, laryngeal hygiene and hydration, cough suppression techniques, breathing exercises and psychoeducational counselling or control intervention consisting of healthy lifestyle advice. We assessed the change in HRQoL at week 4 with the Leicester Cough Questionnaire (LCQ). Secondary efficacy outcomes included 24-hour objective cough frequency (Leicester Cough Monitor) and cough reflex sensitivity. The primary analysis used an analysis of covariance adjusted for baseline measurements with the intention-to-treat population. This study was registered at UK Clinical Research Network (UKCRN ID 10678). Between December 2011 and April 2014, we randomly assigned 75 participants who underwent baseline assessment (34 PSALTI and 41 controls). In the observed case analysis, HRQoL (LCQ) improved on average by 1.53 (95% CI 0.21 to 2.85) points more in PSALTI group than with control (p=0.024). Cough frequency decreased by 41% (95% CI 36% to 95%) in PSALTI group relative to control (p=0.030). The improvements within the PSALTI group were sustained up to 3 months. There was no significant difference between groups in the concentration of capsaicin causing five or more coughs. Greater improvements in HRQoL and cough frequency were observed with PSALTI intervention. Our findings support the use of PSALTI for patients with refractory chronic cough.
Database: Medline
Active music therapy approach for stroke patients in the post-acute rehabilitation
Abstract: Guidelines in stroke rehabilitation recommend the use of a multidisciplinary approach. Different approaches and techniques with music are used in the stroke rehabilitation to improve motor and cognitive functions but also psychological outcomes. In this randomized controlled pilot trial, relational active music therapy approaches were tested in the post-acute phase of disease. Thirty-eight hospitalized patients with ischemic and hemorrhagic stroke were recruited and allocated in two groups. The experimental group underwent the standard of care (physiotherapy and occupational therapy daily sessions) and relational active music therapy treatments. The control group underwent the standard of care only. Motor functions and psychological aspects were assessed before and after treatments. Music therapy process was also evaluated using a specific rating scale. All groups showed a positive trend in quality of life, functional and disability levels, and gross mobility. The experimental group showed a decrease of anxiety and, in particular, of depression (p = 0.016). In addition, the strength of non-dominant hand (grip) significantly increased in the experimental group (p = 0.041). Music therapy assessment showed a significant improvement over time of non-verbal and sonorous-music relationships. Future studies, including a greater number of patients and follow-up evaluations, are needed to confirm promising results of this study.
Database: PsycINFO
Occupational therapy for our military: Challenges and roles
Author(s): Maisano, Kristen Leigh; Beder, Joan
Source: Caring for the military: A guide for helping professionals; 2017 ; p. 202-458
Abstract: This chapter will explore the history of occupational therapy (OT) and describe the many ways
that occupational therapists (OTs) work with our military. The goal of the chapter is to inform practitioners of the breadth of services that OTs can perform in the goal of supporting our military as they transition to civilian life. In light of the "drastic changes in daily living skills and habits needed to successfully navigate the civilian world after surviving several months in a war zone", the role of the OT has assumed even greater importance in recent years.
Database: PsycINFO
From ancient Greece to the cognitive revolution: A comprehensive view of physical rehabilitation sciences.
Author(s): Martínez-Pernía, David; González-Castán, Óscar; Huepe, David
Source: Physiotherapy theory and practice; Feb 2017; vol. 33 (no. 2); p. 89-102
Abstract: The development of rehabilitation has traditionally focused on measurements of motor disorders and measurements of the improvements produced during the therapeutic process; however, physical rehabilitation sciences have not focused on understanding the philosophical and scientific principles in clinical intervention and how they are interrelated. The main aim of this paper is to explain the foundation stones of the disciplines of physical therapy, occupational therapy, and speech/language therapy in recovery from motor disorder. To reach our goals, the mechanistic view and how it is integrated into physical rehabilitation will first be explained. Next, a classification into mechanistic therapy based on an old version (automaton model) and a technological version (cyborg model) will be shown. Then, it will be shown how physical rehabilitation sciences found a new perspective in motor recovery, which is based on functionalism, during the cognitive revolution in the 1960s. Through this cognitive theory, physical rehabilitation incorporated into motor recovery of those therapeutic strategies that solicit the activation of the brain and/or symbolic processing; aspects that were not taken into account in mechanistic therapy. In addition, a classification into functionalist rehabilitation based on a computational therapy and a brain therapy will be shown. At the end of the article, the methodological principles in physical rehabilitation sciences will be explained. It will allow us to go deeper into the differences and similarities between therapeutic mechanism and therapeutic functionalism.
Database: Medline
Investigating the relationship between reduced self-awareness of falls risk, rehabilitation engagement and falls in older adults.
Source: Archives of gerontology and geriatrics; 2017; vol. 69 ; p. 38-44
Abstract: The present study aimed to investigate whether self-awareness of falls risk is associated with rehabilitation engagement, motivation for rehabilitation, and number of falls after hospital discharge. The sample comprised 91 older adults (Mage=77.97, SD=8.04) undergoing inpatient rehabilitation. The Self-Awareness of Falls Risk Measure (SAFRM) was used to measure different aspects of self-awareness. The treating physiotherapist and occupational therapist rated the patient's engagement in rehabilitation and the patient reported his/her motivation for treatment. Falls information was collected from the patient and significant other once a month for three months following hospital discharge. Significant correlations were found between physiotherapist-rated engagement and intellectual (rs=-0.22, p<0.05) and anticipatory awareness (rs=-0.24, p<0.05). Occupational therapist-rated engagement and patient-reported motivation for rehabilitation was correlated with emergent awareness (rs=-0.38 and -0.31, p<0.05, respectively) and overall self-awareness (rs=-0.31 and -0.26, p<0.05, respectively). Regression analyses indicated that overall self-awareness provided a unique contribution to occupational therapist-rated engagement when controlling for age, gender, cognition and functional ability. Falls were reported by 29.9% of participants, however, self-awareness did not differ significantly between fallers and non-fallers. The findings suggest that self-awareness of falls risk is associated with rehabilitation engagement and motivation. Therefore, improving patient self-awareness of falls risk may increase engagement in therapy leading to better patient outcomes.
Database: Medline
‘Well, if the kids can do it, I can do it’: Older rehabilitation patients' experiences of telerehabilitation
Author(s): Shulver, Wendy; Killington, Maggie; Morris, Claire; Crotty, Maria
Source: Health Expectations: An International Journal of Public Participation in Health Care & Health Policy; Feb 2017; vol. 20 (no. 1); p. 120-129
Abstract: Background and objective: Although trials continue to emerge supporting the role of
telerehabilitation, implementation has been slow. Key users include older people living with disabilities who are frequent users of hospital rehabilitation services but whose voices are rarely heard. It is unclear whether the use of technologies and reduced face-to-face contact is acceptable to these people. We report on a qualitative study of community dwelling participants who had received a home telerehabilitation programme as an alternative to conventional rehabilitation. Design: Thirteen older participants, three spouses and one carer were interviewed. All had participated in an individualized therapy programme, using a combination of face-to-face and video consults with therapists. The programme used ‘off-the-shelf’ technologies including iPads for videoconferencing and electronic FitBit R devices. Interviews were recorded, transcribed verbatim and analysed using NVivo software. Results: Thematic analysis resulted in five emergent themes: (i) telerehabilitation is convenient; (ii) telerehabilitation promotes motivation and self-awareness; (iii) telerehabilitation fosters positive therapeutic relationships; (iv) mastering technologies used by younger relatives is a valued aspect of telerehabilitation; and (v) Telerehabilitation does not replace traditional face-to-face rehabilitation therapies. Conclusions: Participants found telerehabilitation convenient and motivating, coped well with the technology and developed positive therapeutic relationships. The learning and practice aspects sat well in the context of a rehabilitation programme. The use of commercially available technologies may have contributed to respondents' high levels of acceptability. The perception of telerehabilitation as complementary to in-person care and the expectation of technological support have implications for the implementation and delivery of telerehabilitation services to older people.
Database: PsycINFO
The meanings of physiotherapy and exercise for people living with progressive cerebellar ataxia: an interpretative phenomenological analysis.
Source: Disability and rehabilitation; Feb 2017 ; p. 1-14
Abstract: PURPOSE To understand the meanings of exercise and physiotherapy for people living with a progressive cerebellar ataxia. METHOD An interpretative phenomenological analysis was undertaken with 12 participants (4 women, 8 men) recruited via their membership of a national support group. Semistructured interviews were audiorecorded and transcribed. Data were analyzed using interpretivist methods. RESULTS Two main themes were constructed. Firstly, participants highly valued building collaborative and supportive long-term therapeutic relationships with expert physiotherapists and were not necessarily looking to improve ataxia-related impairments. Secondly, self-devised exercise conferred multiple psychosocial benefits that were largely absent from physiotherapist-prescribed home exercise programs. CONCLUSION People living with ataxia recounted uniquely situated and contextualized understandings of exercise and physiotherapy that may differ significantly from the meaning of these terms to physiotherapists. Special attention should be given to patients' perspectives in order to provide services that are meaningful and valued by people living with ataxia. Implications for Rehabilitation Physiotherapists should consider exploring the meaning of exercise and physiotherapy with individual patients to inform appropriate exercise prescription and advice. Poorly managed and inexpertly prescribed home exercise programs risk inadvertently disregarding the possible positive psychosocial effects of exercise participation and may prevent long-term engagement. To sustain long-term engagement prescribed exercises should be enjoyable, meaningful, satisfying and appropriately challenging. Physiotherapists should consider providing sustained, collaborative and flexible services.
Database: Medline
Movement repetitions in physical and occupational therapy during spinal cord injury rehabilitation.
Author(s): Zbogar, D; Eng, J J; Miller, W C; Krassioukov, A V; Verrier, M C
Source: Spinal cord; Feb 2017; vol. 55 (no. 2); p. 172-179
Abstract: STUDY DESIGN Longitudinal observational study. OBJECTIVE To quantify the amount of upper- and lower-extremity movement repetitions (that is, voluntary movements as part of a functional task or specific motion) occurring during inpatient spinal cord injury (SCI), physical (PT) and occupational therapy (OT), and examine changes over the inpatient rehabilitation stay. SETTING Two stand-alone inpatient SCI rehabilitation centers. METHODS Participants: A total of 103 patients were recruited through consecutive admissions to SCI rehabilitation. INTERVENTIONS Trained assistants observed therapy sessions and obtained clinical outcome measures in the second week following admission and in the second to last week before discharge. MAIN OUTCOME MEASURES PT and OT time, upper- and lower-extremity repetitions and changes in these outcomes over the course of rehabilitation stay. RESULTS We observed 561 PT and 347 OT sessions. Therapeutic time comprised two-thirds of total therapy time. Summed over PT and OT, the median upper-extremity repetitions in patients with paraplegia were 7 repetitions and in patients with tetraplegia, 42 repetitions. Lower-extremity repetitions and steps primarily
occurred in ambulatory patients and amounted to 218 and 115, respectively (summed over PT and OT sessions at discharge). Wilcoxon-signed rank tests revealed that most repetition variables did not change significantly over the inpatient rehabilitation stay. In contrast, clinical outcomes for the arm and leg improved over this time period. CONCLUSIONS Repetitions of upper- and lower-extremity movements are markedly low during PT and OT sessions. Despite improvements in clinical outcomes, there was no significant increase in movement repetitions over the course of inpatient rehabilitation stay.
Database: Medline
Computer-based cognitive rehabilitation: the CoRe system.
Source: Disability and rehabilitation; Feb 2017; vol. 39 (no. 4); p. 407-417
Abstract: This work aims at providing a tool for supporting cognitive rehabilitation. This is a wide field, that includes a variety of diseases and related clinical pictures; for this reason the need arises to have a tool available that overcomes the difficulties entailed by what currently is the most common approach, that is, the so-called pen and paper rehabilitation. We first organized a big number of stimuli in an ontology that represents concepts, attributes and a set of relationships among concepts. Stimuli may be words, sounds, 2D and 3D images. Then, we developed an engine that automatically generates exercises by exploiting that ontology. The design of exercises has been carried on in synergy with neuropsychologists and speech therapists. Solutions have been devised aimed at personalizing the exercises according to both patients' preferences and performance. Exercises addressed to rehabilitation of executive functions and aphasia-related diseases have been implemented. The system has been tested on both healthy volunteers (n = 38) and patients (n = 9), obtaining a favourable rating and suggestions for improvements. We created a tool able to automate the execution of cognitive rehabilitation tasks. We hope the variety and personalization of exercises will allow to increase compliance, particularly from elderly people, usually neither familiar with technology nor particularly willing to rely on it. The next step involves the creation of a telerehabilitation tool, to allow therapy sessions to be undergone from home, thus guaranteeing continuity of care and advantages in terms of time and costs for the patients and the National Healthcare System (NHS). Implications for rehabilitation Cognitive impairments can greatly impact an individual's existence, appreciably reducing his abilities and autonomy, as well as sensibly lowering his quality of life. Cognitive rehabilitation can be used to restore lost brain function or slow down degenerative diseases. Computerization of rehabilitation entails many advantages, but patients - especially elderly people - might be less prone to the use of technology and consequently reluctant towards this innovative therapeutic approach. Our software system, CoRe, supports a therapist during the administration of rehabilitation sessions: exercises can be generated dynamically, thus reducing repetitivity, and patients' performance trends automatically analysed to facilitate the assessment of their progress. Tests performed on both healthy subjects and patients provided useful information that allowed us to define an implementation strategy able to reduce patients' resistance to computerized rehabilitation as much as possible.
Database: Medline
Time and relativity in therapeutic rehabilitation
Author(s): Green, Dido
Source: Developmental Medicine & Child Neurology; Feb 2017; vol. 59 (no. 2)
Abstract: This editorial discusses time and relativity in therapeutic rehabilitation. Albert Einstein revealed the relativity of time and space, in which a physical reality of the ‘now’ is indistinguishable with concepts of happening and becoming. Time is often discussed as a function to be monitored or even manipulated in therapy programs, demarcated in units such as minutes to hours, days to months. The recent focus on intensive treatment protocols has raised attention to the intensity and duration of an intervention. A narrow focus on time as a consistent non-relativistic construct fails to capture salient differences between ‘how much’, ‘what type’, and ‘when’ – let alone ‘meaningingfulness’. On a microscopic level, neuroplastic cellular learning of time has been represented as a temporal function of speed or tempo,2 although with some considerable inter-individual differences. The behavioral aspects corresponding to learning over time may not necessarily reflect a rhythmic consistency. An argument is put forward to incorporate a more Einstein-like approach to describing time within rehabilitation, to consider time as a multifactorial relativistic construct. Importantly, these various functions of time – doing, thinking, playing, dreaming, reflecting, learning, being – take on different qualities depending on individual contexts and motivational dimensions.
Database: PsycINFO
Allied health professions into action: using AHPs to transform health, care and wellbeing
This document is a vision of how, with collective action, our nation would be different if all AHPs were used effectively. Aimed at leaders and decision makers, to help them understand the transformative potential and role of AHPs within the health, social and wider care system. The document provides examples of innovative AHP practice and a framework to help develop local delivery plans.
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NHS Evidence is a service that enables access to authoritative clinical and non-clinical evidence and best practice through a web-based portal. It helps people from across the NHS, public health and social care
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Journals Advances in Physiotherapy CINAHL with Full Text
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Archives of Physical Medicine and Rehabilitation Contact Library Staff
Australian Occupational Therapy Journal CINAHL with Full Text Fulltext starts 01/Mar/1998 and ends 12 months ago
British Journal of Occupational Therapy Contact Library Staff
Clinical Linguistics and Phonetics CINAHL with Full Text Fulltext starts 01/Jan/1999 and ends 18 months ago
Clinical Rehabilitation Psychology and Behavioral Sciences Collection Athens password required
Disability and Rehabilitation Psychology and Behavioral Sciences Collection Fulltext starts 01/Jun/1998 and ends 18 months ago
International Journal of Audiology CINAHL with Full Text Fulltext starts 01/Jan/2002 and ends 18 months ago
Journal of Geriatric Physical Therapy Contact Library Staff
Journal of Orthopaedic and Sports Physical Therapy
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Manual Therapy Contact Library Staff
Nursing Standard Contact Library Staff
Nursing Times Contact Library Staff
Occupational Therapy in Mental Health
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Occupational Therapy International CINAHL with Full Text Fulltext starts 01/Mar/2000 and ends 12 months ago
