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"rehabilitation theories"
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Enhancing Healthcare and Rehabilitation
by
Dave J. Muller
,
Christopher M. Hayre
in
BIOMEDICALSCIENCEnetBASE
,
Elder care
,
Healthcare Management
2019
Summary Description
This book is primarily a celebration of the qualitative work undertaken internationally by a number of experienced researchers. It also focuses on developing the use of qualitative research for health and rehabilitative practitioners by recognizing its value methodologically and empirically. We find that the very nature of qualitative research offers an array of opportunities for researchers in being able to understand the social world around us. Further, through experience and discussion, this book identifies the multifaceted use of qualitative methods in the healthcare and rehabilitative setting. This book touches on the role of the researcher, the participants involved, and the research environment. In short, we see how these three central elements can affect the nature of qualitative work in attempts to offer originality. This text speaks to a number of audiences. Students who are writing undergraduate dissertations and research proposals, they may find the myriad of examples stimulating and may support the rationale for methodological decisions in their own work. For academics, practitioners, and prospective qualitative researchers this book also aims to demonstrate an array of opportunism in the field of qualitative research and how they may resonate with arguments proffered. It is anticipated that readers will find this collection of qualitative examples not only useful for informing their own research, but we also hope to enlighten new discussions and arguments regarding both methodological and empirical use of qualitative work internationally.
Features
Encompasses the importance of qualitative research and how it can be used to facilitate healthcare and rehabilitation across a wide range of health conditions.
Evaluates empirical data whilst critically applying it to contemporary practices.
Provides readers with an overview with future directions and influence policy makers in order to develop practice.
Focuses on an array of health conditions that can affect groups of the population, coincided with life issues and the care and family support received.
Offers innovative methodological insights for prospective researchers in order to add to the existing evidence base.
1. Introduction. 2. Qualitative Research in Rehabilitation. 3. Children and Young Adults. 4. Life Issues. 5. Older People. 6. Caregivers and Family Support. 7. Policymakers.
'As an introduction to qualitative work in rehabilitation settings with a focus on the perspective of healthcare professionals, this book provides sufficient information and examples of qualitative research that has been conducted by experts in their respective fields. This book is worth reading and I recommend it. The qualitative examples are useful for helping to inform readers about their own research and for demonstrating the value of qualitative research both methodologically and empirically.' - Dominique Kinnett-Hopkins , Northwestern University Feinberg School of Medicine
Dr. Hayre is currently a lecturer in diagnostic radiography at the University of Suffolk. He has published both qualitative and quantitative refereed papers in the field of diagnostic radiography. He founded the Journal of Social Science & Allied Health Professions and remains Editor in Chief. He is currently writing a book chapter surrounding sustainable practices in medical imaging and is currently a visiting lecturer at the Odisee University in Brussels.
Professor Muller is currently Editor of the CRC series with Professor Marcia Scherer on Rehabilitation Science in Practice. He was founder Editor of the Journal Aphasiology and is currently Editor in Chief of the Journal Disability and Rehabilitation. He has published over forty refereed papers and has been involved either as Series Editor, Editor or Author of over fifty books. He is a visiting Professor at the University of Suffolk, United Kingdom.
RESEARCH ON REHABILITATION ROBOT FOR UPPER LIMB FUNCTION BASED ON POSITION IMPEDANCE CONTROL
2016
There habilitation robot for upper limb function researched here is to help the rehabilitation of upper-limb hemiplegic patient. It is based on the theory of rehabilitation of hemiplegia and the physiological structure of upper limb, and also coordinated with many different subjects like bio-science, mechanical engineering and automation control. The rehabilitation robot for upper limb function we studied is strongly practical and simple in structure. It is mainly on the design of mechanical structure, the analysis based on position impedance control, as well as design of controlling-systematic hardware and software. We studies and analyses controlling theory and methods, specifically focuses on the study of controlling system based on position impedance control. We built the simulation model of controlling system through software Simulink, and analyzed the influence of controlling parameter based on position impedance on the controlling effect of rehabilitation robot for upper limb function. We can draw the result that the controlling effect of rehabilitation robot for upper limb function varies based on the controlling parameter based on position impedance. The mechanical structure of this rehabilitation robot for upper limb function is different from any other robots, it's reliable, safe and simple in structure. It mainly realized the rehabilitation training target of upper limb function.
Journal Article
Psychological Health Education Based on Cognitive Linguistics
2018
In recent years, the college students who hold China's future hope have presented different degrees of psychological health problems. The psychological health education is the most direct way to improve the psychological quality of college students, so it is necessary and urgent to strengthen the psychological quality and self-regulation ability of college students and enhance the psychological health education of college students. Based on the techniques and methods of Cognitive Linguistics Rehabilitation Theory and the actual situation of college students, this paper puts forward a set of cognitive counselling program with popularity. The data analysis of cognitive experiment reveals that cognitive psychotherapy plays a positive role in guiding and improving the psychological health education of college students, and has certain reference and guiding significance to the psychological health education of college students.
Journal Article
Women with Neck Pain on Long-Term Sick Leave—Approaches Used in the Return to Work Process: A Qualitative Study
2017
Purpose
There are difficulties in the process of return to work (RTW) from long-term sick leave, both in general and regarding sick leave because of neck pain in particular. Neck pain is difficult to assess, problematic to rehabilitate, and hard to cure; and it is not always easy to decide whether the pain is work-related. The outcome of RTW could be dependent upon individuals’ approaches, defensive or offensive behaviors, and choices related to their self-efficacy. The aim of this study was to identify approaches used in the RTW process among women with neck pain on long-term sick leave from human service organizations.
Methods
This is a qualitative descriptive study based on grounded theory. A Swedish cohort of 207 women with a history of long-term sick leave with neck pain from human service organizations answered open-ended written questions at 0, 6, and 12 months, and 6 years; and 16 women were interviewed.
Results
Individuals expressed their coping approaches in terms of
fluctuating in work status over time
: either
as a strategy
or
as a consequence
. Periods of sick leave were interwoven with periods of work. The women were either
controlling the interaction
or
struggling in the interaction
with stakeholders.
Conclusions
Return to work outcomes may be improved if the fluctuating work status over time is taken into account in the design of rehabilitation efforts for women with a history of long-term sick leave and with chronical musculoskeletal conditions.
Journal Article
Using Rehabilitation Theory to Teach Medical-Surgical Nursing to Undergraduate Students
Medical‐surgical nursing has been taught at the undergraduate level using several approaches (Bocchi, Pessuto, & Dell'Aqua, 1996; Hinzman, 1996). Although a review of the literature indicates that nursing schools have had some success offering classes that focus on rehabilitation principles and theory, there is no literature about medical‐surgical nursing that is taught from a rehabilitation perspective. This article describes an undergraduate medical‐surgical nursing course that teaches students how to care for the chronically ill using rehabilitation theory and principles.
Journal Article
Understanding How Disability is Defined and Conceptualized in the Literature
2003
A goal of rehabilitation nursing is to advance the care of persons with chronic disabling conditions by minimizing disability. There are two distinct perspectives in the literature about how to conceptualize disability. Definitions and models of disability that inform rehabilitation nursing practice are based on a functionalist perspective of illness and locate disability as a problem of individual functioning. Alternatively, there are definitions and models that have evolved from the civil rights and social justice perspectives, and that locate the problem of disability within a disabling society. Recent attempts to integrate these two perspectives are based on earlier rehabilitation models and the functionalist assumptions remain. Rehabilitation nursing research and practice based on either of these two perspectives is fragmented and incomplete. To know how to define and approach disability‐related issues, it is important to understand how people living with disability perceive its influences on their lives.
Journal Article
The Use of “Literary Fiction” to Promote Mentalizing Ability
by
Pino, Maria Chiara
,
Mazza, Monica
in
Adult
,
Autism
,
Autism Spectrum Disorder - physiopathology
2016
Empathy is a multidimensional process that incorporates both mentalizing and emotional sharing dimensions. Empathic competencies are important for creating interpersonal relationships with other people and developing adequate social behaviour. The lack of these social components also leads to isolation and exclusion in healthy populations. However, few studies have investigated how to improve these social skills. In a recent study, Kidd and Castano (2013) found that reading literary fiction increases mentalizing ability and may change how people think about other people's emotions and mental states. The aim of our study was to evaluate the effects of reading literary fiction, compared to nonfiction and science fiction, on empathic abilities. Compared to previous studies, we used a larger variety of empathy measures and utilized a pre and post-test design. In all, 214 healthy participants were randomly assigned to read a book representative of one of three literary genres (literary fiction, nonfiction, science fiction). Participants were assessed before and after the reading phase using mentalizing and emotional sharing tests, according to Zaki and Ochsner' s (2012) model. Comparisons of sociodemographic, mentalizing, and emotional sharing variables across conditions were conducted using ANOVA. Our results showed that after the reading phase, the literary fiction group showed improvement in mentalizing abilities, but there was no discernible effect on emotional sharing abilities. Our study showed that the reading processes can promote mentalizing abilities. These results may set important goals for future low-cost rehabilitation protocols for several disorders in which the mentalizing deficit is considered central to the disease, such as Autism Spectrum Disorders and Schizophrenia.
Journal Article
Electromyography (EMG)-triggered transcutaneous spinal cord and hip stimulation for gait rehabilitation in persons with chronic stroke: a randomized, controlled trial
by
Yamaguchi, Tomofumi
,
Hori, Masaaki
,
Takahashi, Yoko
in
Adult
,
Aged
,
Biomedical and Life Sciences
2025
Background
Transcutaneous spinal stimulation has been applied to gait rehabilitation for persons with neurological diseases. The authors developed electromyography-triggered transcutaneous spinal cord and hip stimulation for gait rehabilitation and called this system FAST walk. This study aimed to assess the effect of FAST walk in a randomized, controlled trial.
Methods
All participants were randomly allocated to three groups: FAST walk combined with treadmill gait training (FAST walk); spinal stimulation combined with treadmill gait training (spinal stim); and treadmill gait training (treadmill). Participants performed two sets of 15-min treadmill gait training with 5-min intervals in the FAST walk, spinal stim, and treadmill groups. Gait training was performed twice weekly for a total of 10 sessions. The primary outcome was 10-m walking time. The secondary outcomes were the time symmetry index (TSI) with gait analysis and spinal reciprocal inhibition on the conditioned-test H reflex study.
Results
Twenty persons with chronic stroke participated in this study, and 17 persons completed this study. For the primary outcome, there was no significant interaction between time and intervention in 10-m walking time on two-way analysis of covariance (ANCOVA) (
P
= 0.382, η
2
= 0.064). For the FAST walk group, 10-m walking time improved significantly at post and post-4w (
P
= 0.024 and 0.022, respectively). In the other groups, no significant improvements in 10-m walking time were seen at post and post-4w compared with before. There was also no significant between-group difference in the 10-m walking time.
Conclusions
The newly developed electromyography-triggered transcutaneous spinal cord and hip stimulation, FAST walk, is safe and may improve the gait speed of persons with chronic stroke. We did not, however, find a significant between-group difference among the FAST walk, spinal stim, and treadmill gait groups.
Trial registration
: Japan Registry of Clinical Trial (JRCT registration ID: jRCTs032180289).
Journal Article
Qualitative, grounded theory exploration of patients’ experience of early mobilisation, rehabilitation and recovery after critical illness
2019
RationalePhysical rehabilitation (encompassing early mobilisation) of the critically ill patient is recognised best practice; however, further work is needed to explore the patients’ experience of rehabilitation qualitatively; a better understanding may facilitate implementation of early rehabilitation and elucidate the journey of survivorship.ObjectivesTo explore patient experience of physical rehabilitation from critical illness during and after a stay on intensive care unit (ICU).DesignExploratory grounded theory study using semistructured interviews.SettingAdult medical/surgical ICU of a London teaching hospital.ParticipantsA purposive sample of ICU survivors with intensive care unit acquired weakness (ICUAW) and an ICU length of stay of >72 hours.AnalysisData analysis followed a four-stage constant comparison technique: open coding, axial coding, selective coding and model development, with the aim of reaching thematic saturation. Peer debriefing and triangulation through a patient support group were carried out to ensure credibility.Main resultsFifteen people were interviewed (with four relatives in attendance). The early rehabilitation period was characterised by episodic memory loss, hallucinations, weakness and fatigue, making early rehabilitation arduous and difficult to recall. Participants craved a paternalised approach to care in the early days of ICU.The central idea that emerged from this study was recalibration of the self. This is driven by a lost sense of self, with loss of autonomy and competence; dehumanised elements of care may contribute to this. Participants described a fractured life narrative due to episodic memory loss, meaning that patients were shocked on awakening from sedation by the discrepancy between their physical form and cognitive representation of themselves.ConclusionsRecovery from ICUAW is a complex process that often begins with survivors exploring and adapting to a new body, followed by a period of recovering autonomy. Rehabilitation plays a key role in this recalibration period, helping survivors to reconstruct a desirable future.
Journal Article