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Auteur Terry P. Haines
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Abdominal Binder Improves Lung Volumes and Voice in People With Tetraplegic Spinal Cord Injury / Brooke M. Wadsworth in Archives of Physical Medicine and Rehabilitation, 2012/12 (2012)
Titre : Abdominal Binder Improves Lung Volumes and Voice in People With Tetraplegic Spinal Cord Injury Type de document : Article Auteurs : Brooke M. Wadsworth ; Terry P. Haines ; Petrea L. Cornwell ; [et al.] Année de publication : 2012 Article en page(s) : pp. 2189-2197 Langues : Anglais (eng) Descripteurs : HE Vinci
Hypotension orthostatique ; Langage oral ; Rééducation et réadaptation ; Respiration ; Tests de la fonction respiratoire ; Traumatismes de la moelle épinière
Résumé : "Objective
To investigate the effect of an elasticated abdominal binder on respiratory, voice, and blood pressure outcomes for people with a motor complete acute tetraplegia during the first year after injury.
Randomized crossover study.
Large university-affiliated referral hospital.
Consenting participants (N=14, 13 men and 1 woman) with recent, motor complete, C3-T1 spinal cord injury.
Abdominal binder on/off with participant seated in upright wheelchair, with 3 repeated measures at 6 weeks, 3 months, and 6 months after commencing daily use of an upright wheelchair.
Main Outcome Measures
Forced vital capacity, forced expiratory volume in 1 second, peak expiratory flow, maximal inspiratory pressure, and maximal expiratory pressure were measured. Mean arterial pressure, maximum sustained vowel time, and sound pressure level were also measured.
Overall, an abdominal binder resulted in a statistically significant improvement in forced vital capacity (weighted mean difference .34L [95% confidence interval (CI) .10.58], P=.005), forced expiratory volume in 1 second (.25L [95% CI −.01 to .51], P=.05), peak expiratory flow (.81L/s [95% CI .131.48], P=.02), maximal inspiratory pressure (7.40cmH2O [95% CI 1.6413.14], P=.01), and maximum sustained vowel time (3.75s [95% CI .906.60], P=.01). There was no statistically significant improvement in maximal expiratory pressure (5.37cmH2O [95% CI −1.15 to 11.90], P=.11), mean arterial pressure (4.41mmHg [95% CI −6.15 to 14.97], P=.41), or sound pressure level (1.14dB [95% CI −1.31 to 3.58], P=.36).
An individually fitted abdominal binder significantly improved forced vital capacity, forced expiratory volume in 1 second, peak expiratory flow, maximal inspiratory pressure, and maximum sustained vowel time in people with newly acquired tetraplegia. Further study is needed into the effect of the long-term use of the abdominal binder on breathing mechanics, functional residual capacity, total lung capacity, and respiratory health."
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in Archives of Physical Medicine and Rehabilitation > 2012/12 (2012) . - pp. 2189-2197[article]Self-Awareness of Falls Risk Among Elderly Patients: Characterizing Awareness Deficits and Exploring Associated Factors / Tijana Mihaljcic in Archives of Physical Medicine and Rehabilitation, 2015/12 (2015)
Titre : Self-Awareness of Falls Risk Among Elderly Patients: Characterizing Awareness Deficits and Exploring Associated Factors Type de document : Article Auteurs : Tijana Mihaljcic ; Terry P. Haines ; Jennie L. Ponsford Article en page(s) : pp. 21452152 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptation
Mots-clés : Accidental falls Chutes accidentelles Awareness Conscience immédiate Résumé : Objective
To characterize self-awareness in older adults undergoing inpatient rehabilitation and explore factors associated with reduced awareness of falls risk.
Prospective, cross-sectional design.
Older adult inpatient rehabilitation setting.
Rehabilitation inpatients (N=91; mean age, 77.97+8.04y) and their treating physiotherapist.
Main Outcome Measures
Three aspects of self-awareness (intellectual, emergent, anticipatory) were measured using the Self-Awareness of Falls Risk Measure. Demographic, medical, and cognitive (Mini-Mental State Examination) information were collected. Current ability was measured using the FIM and timed Up and Go test.
Of the patients in the sample, 31% to 63% underestimated falls risk and 3% to 10% overestimated falls risk depending on the aspect of awareness measured. Different aspects of reduced self-awareness were correlated with being a man, higher educational attainment, neurologic history, lower cognitive ability, and lower functional ability. Regression analysis indicated that sex (β=−.33, P=.004), education (β=−.30, P=.006), and neurologic history (β=−.22, P=.038) were independently associated with overall self-awareness.
The results suggest that a proportion of older adults undergoing inpatient rehabilitation underestimate personal falls risk. Further research is required to investigate the contributors to and effects of reduced self-awareness of falls risk. Greater understanding of these factors will facilitate the development of strategies to increase awareness of falls risk and increase engagement in falls prevention.
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in Archives of Physical Medicine and Rehabilitation > 2015/12 (2015) . - pp. 21452152[article]