1,721,106 research outputs found
Revolutionizing Health Education: The Impact of Innovative practice
No full textorganiser als member of the COHEHRE BOARD
chair of the scientific committe
Revolutionizing Health Education: The Impact of Innovative practice
No full textorganiser als member of the COHEHRE BOARD
chair of the scientific committe
Metodología y Resultados del Proyecto: Enhancing Evidence practice in the academic and clinical field: a developmental evaluation:
No full texttodos los participantes
todos los jefes de educacion
los decano y subdecano
todos todos los que ayudaron
Sharona Vonck y Jochen Bergs
Prof. Dr. Salome Gordill
Metodología y Resultados del Proyecto: Enhancing Evidence practice in the academic and clinical field: a developmental evaluation:
No full texttodos los participantes
todos los jefes de educacion
los decano y subdecano
todos todos los que ayudaron
Sharona Vonck y Jochen Bergs
Prof. Dr. Salome Gordill
Interdisciplinary approach of arm-hand rehabilitation in cervical spinal cord injury: therapists' perspectives
No full textBackground
Rehabilitation improves arm-hand functioning in people with a cervical spinal cord injury (pwC-SCI), yet optimal training remains undefined in the literature. Therapists' practice-based evidence insights enhance clinical interventions.
Objectives
To explore the therapists' perspectives on the best practice of arm-hand function rehabilitation for pwC-SCI.
Methods
In this quantitative study with an exploratory approach, three focus groups were undertaken involving seven physiotherapists and seven occupational therapists, each with a minimum of two years of experience in spinal cord rehabilitation in Belgium or the Netherlands. The analysis employed an inductive thematic analysis.
Results
The study revealed six themes: person and client system, motivation, goals, analysis, training, and interdisciplinary approach. Therapists highlight the importance of a personalized rehabilitation plan, focusing on the person's diverse aspects and the role of the entire client system. Therapists emphasize the crucial role of a person's motivation in training. An ongoing analysis of the person and the client system, motivation, goals, and training is necessary to develop an individualized training. A personalized rehabilitation plan requires interdisciplinary collaboration.
Conclusion
Based on practice-based evidence, arm-hand rehabilitation should incorporate a continuously adjusted, individualized plan with a central focus on the person and his client system.
Keywords: spinal cord injury, practice-based evidence, therapist's perspective
Supporting client-centred task-oriented training by using person-centred designed technology for use in neurological rehabilitation
No full textSupporting client-centred task-oriented training by using person-centred designed technology for use in neurological rehabilitation
No full textTraining variables crucial to optimize arm/hand training in subacute cervical spinal cord injury
No full textObjectives and main message of presentation
The project aims to identify crucial training components of arm-hand training in people with cervical spinal cord injury (pwC-SCI) in order to develop an arm-hand training framework guiding therapists to improved clinical practice.
Background and aim
Motor training may enhance arm-hand functioning in pwC-SCI. While the literature recommends task-specific motor training with a certain dose, the optimal training variables, motor training strategies, and dosages remain unknown.
Method
This study presents a multi-phase approach to optimize arm/hand training for pwC-SCI by developing a framework. (1) A systematic literature review to assess motor training strategies and dosages employed in active arm-hand motor training. (2) A longitudinal observational study across three rehabilitation centers in Belgium and the Netherlands to observe motor training strategies and therapy dosages in usual active arm-hand training. (3) Three focus groups comprising experienced therapists from the aforementioned rehabilitation centers to capture practice-based evidence and identify needs to optimize arm/hand training.
Results
The systematic review revealed that enhancing arm-hand functioning at the activity level can be achieved through skill training involving at least 8 task-oriented training components and additional strength and endurance training, with a minimum training duration of 8 weeks. On the contrary, the observational study demonstrates that motor training strategies are distributed as follows: 31% skill training, 25.9% strength training, and 6.3% endurance training, with the remainder 36.8% dedicated to analytical training. Actual session length fulfills 75% of the planned duration; within arm-hand training session length 56.3% comprises active training. Patients reported a mean subjective difficulty level of 4.1/10 and a mean perceived intensity of 4/10. Focus groups ass the importance of the centrality of the person, his motivational aspects, and the client system in the rehabilitation. Therapists want to individualize the training based on the continued analysis of the person, therapy, and goals within a multidisciplinary approach. However, it is challenging for therapists to individualize therapy doses.
Discussion
Conventional arm/hand rehabilitation in pwC-SCI does not align with the literature's recommendations on motor training strategies and therapy dose. Therapists call for individualized rehabilitation programs but struggle with dosing customization. Therefore, we propose and assess a framework for arm/hand training incorporating the crucial training variables
Interdisciplinary approach of arm-hand rehabilitation in cervical spinal cord injury: therapists' perspectives
No full textBackground
Rehabilitation improves arm-hand functioning in people with a cervical spinal cord injury (pwC-SCI), yet optimal training remains undefined in the literature. Therapists' practice-based evidence insights enhance clinical interventions.
Objectives
To explore the therapists' perspectives on the best practice of arm-hand function rehabilitation for pwC-SCI.
Methods
In this quantitative study with an exploratory approach, three focus groups were undertaken involving seven physiotherapists and seven occupational therapists, each with a minimum of two years of experience in spinal cord rehabilitation in Belgium or the Netherlands. The analysis employed an inductive thematic analysis.
Results
The study revealed six themes: person and client system, motivation, goals, analysis, training, and interdisciplinary approach. Therapists highlight the importance of a personalized rehabilitation plan, focusing on the person's diverse aspects and the role of the entire client system. Therapists emphasize the crucial role of a person's motivation in training. An ongoing analysis of the person and the client system, motivation, goals, and training is necessary to develop an individualized training. A personalized rehabilitation plan requires interdisciplinary collaboration.
Conclusion
Based on practice-based evidence, arm-hand rehabilitation should incorporate a continuously adjusted, individualized plan with a central focus on the person and his client system.
Keywords: spinal cord injury, practice-based evidence, therapist's perspective
Supporting client-centred task-oriented training by using low-cost motion detection technology adapted for use in neurological rehabilitation.
No full textIntroduction:
Client-centred rehabilitation is important in people with central nervous system diseases
(PwCNS) to regain or maintain functional ability in activities of daily life (ADL). In practice,
rehabilitation services struggle to provide the optimal rehabilitation time of 6 hours per day.
As technology increases the patient’s motivation and adherence to therapy, the use of
rehabilitation technology might increase rehabilitation time without decreasing the quality
of therapy.
Objectives:
To investigate the effect of an additional technology-based client-centred training on
functional performance and ADL in PwCNS.
Method:
A single-blinded randomised controlled trial was performed in PwCNS in 4 Belgian
rehabilitation centres. The control group received conventional care. The intervention group
received conventional care and additional training with a technology-based system during 6
weeks, 3x/week, 45min/session. Assessments were performed at baseline, after 3 and 6
weeks of training, and at 6-weeks follow-up. Primary outcome measures were Wolf Motor
Function Test, Manual Ability Measure-36 (MAM-36) and Canadian Occupational
Performance Measure.
Results:
A total of 45 PwCNS (age 59.07 ± 16.42) participated. Both control and intervention group
improved over time in all primary outcome measures. Improvement was mainly found
during the 6 week training period. Significant differences between groups was found
regarding MAM-36 during training period, in favour of intervention group, and 6 weeks
follow-up period, benefitting the control group. Compliance to the intervention was 97.92%
and no adverse effects of the intervention were reported.
Conclusion:
The additional training with an adapted technology-based system supports conventional
care and can be used to increase therapy time
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