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Auteur Meg E. Morris |
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Aquatic Exercise Therapy for People With Parkinson Disease: A Randomized Controlled Trial / Louise M. Carroll in Archives of Physical Medicine and Rehabilitation, 2017/4 (2017)
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Titre : Aquatic Exercise Therapy for People With Parkinson Disease: A Randomized Controlled Trial Type de document : Article Auteurs : Louise M. Carroll ; Daniele Volpe ; Meg E. Morris Article en page(s) : pp. 631-638 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Hydrothérapie ; Maladie de Parkinson ; Rééducation et réadaptationMots-clés : Exercise Gait Démarche Hydrotherapy Parkinson disease Résumé : Objective
To evaluate the effects of aquatic exercise therapy on gait variability and disability compared with usual care for people with Parkinson disease (PD).
Design
Single-blind randomized controlled trial.
Setting
Community-based hydrotherapy pool.
Participants
Individuals with PD (Hoehn-Yahr stages IIII) (N=21).
Interventions
Participants were randomly assigned to either an aquatic exercise therapy group (45min, twice a week for 6wk) or a group that received usual care.
Main Outcome Measures
The primary outcome measure was gait variability as measured using a motion capture system. Secondary outcomes were quality of life measured on the Parkinson's Disease Questionnaire-39 and freezing of gait and motor disability quantified by the Unified Parkinson's Disease Rating Scale. Feasibility was evaluated by measuring safety, adverse events, and participant satisfaction.
Results
People in the aquatic therapy group and usual care group showed similar small improvements in gait variability. The aquatic therapy group showed greater improvements in disability than the usual care group (P<.01 no differences between groups or over time were identified for freezing of gait quality life. aquatic therapy sessions safe and enjoyable with adverse events.> Conclusions
Aquatic therapy appears feasible and safe for some people in the early stages of PDDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117761
in Archives of Physical Medicine and Rehabilitation > 2017/4 (2017) . - pp. 631-638[article] Aquatic Exercise Therapy for People With Parkinson Disease: A Randomized Controlled Trial [Article] / Louise M. Carroll ; Daniele Volpe ; Meg E. Morris . - pp. 631-638.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2017/4 (2017) . - pp. 631-638
Descripteurs : HE Vinci
Exercice physique ; Hydrothérapie ; Maladie de Parkinson ; Rééducation et réadaptationMots-clés : Exercise Gait Démarche Hydrotherapy Parkinson disease Résumé : Objective
To evaluate the effects of aquatic exercise therapy on gait variability and disability compared with usual care for people with Parkinson disease (PD).
Design
Single-blind randomized controlled trial.
Setting
Community-based hydrotherapy pool.
Participants
Individuals with PD (Hoehn-Yahr stages IIII) (N=21).
Interventions
Participants were randomly assigned to either an aquatic exercise therapy group (45min, twice a week for 6wk) or a group that received usual care.
Main Outcome Measures
The primary outcome measure was gait variability as measured using a motion capture system. Secondary outcomes were quality of life measured on the Parkinson's Disease Questionnaire-39 and freezing of gait and motor disability quantified by the Unified Parkinson's Disease Rating Scale. Feasibility was evaluated by measuring safety, adverse events, and participant satisfaction.
Results
People in the aquatic therapy group and usual care group showed similar small improvements in gait variability. The aquatic therapy group showed greater improvements in disability than the usual care group (P<.01 no differences between groups or over time were identified for freezing of gait quality life. aquatic therapy sessions safe and enjoyable with adverse events.> Conclusions
Aquatic therapy appears feasible and safe for some people in the early stages of PDDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117761 Attributes of physiotherapy continence clinicians / Susan C. Slade in Physiotherapy, Vol. 106, n° 1 (Mars 2020)
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[article]
Titre : Attributes of physiotherapy continence clinicians : a qualitative perspective Type de document : Article Auteurs : Susan C. Slade ; Jean E. Hay-Smith ; Sally Mastwyk ; Meg E. Morris ; Helena C. Frawley Année de publication : 2020 Article en page(s) : p. 119-127 Note générale : https://doi.org/10.1016/j.physio.2019.01.018 Langues : Anglais (eng) Descripteurs : HE Vinci
Australie ; Incontinence urinaire ; Mise en condition physique de l'homme ; Personnel de santé ; Plancher pelvien ; Recherche qualitative ; StéréotypeMots-clés : Croyances des cliniciens Résumé : Objectives
To understand the attributes of expert physiotherapy continence clinicians and how they compare to novices in relation to experience, knowledge, capability and skills in pelvic floor rehabilitation.
Design
Qualitative methods were used for thematic analysis of data collected from clinician focus groups.
Participants
Registered physiotherapists in Melbourne, Australia. Recruitment was through purposive, and snowball sampling, and continued until attainment of data adequacy.
Intervention
Audio recorded focus groups.
Results
Twenty-eight physiotherapists participated in seven focus groups. A key finding was that continence rehabilitation is an area of expert physiotherapy practice. Proficiency is often attained through postgraduate education, mentoring by experienced colleagues, clinical experience and research participation. The continence clinician as expert was identified in three main themes (i) attributes that are important for competent continence practice; (ii) research literacy and the ability to generate and translate research into practice; and (iii) patient-centred care, including managing consumer expectations. Knowledge translation was assisted by research literacy, access to evidence and the use of comprehensively reported research. Proficient clinicians prioritised evidence-informed practice, consumer engagement, peer networks and collaboration.
Conclusions
The main attributes of proficient physiotherapy continence clinicians were high levels of skill, training and experience, enabling an extended scope of practice. Research capability and research co-partnerships were also seen to support implementation of contemporary, evidence-based practice. Therapists new to this field were thought to benefit from structured mentoring, further training and clear career pathways embedded within healthcare systems. Consumer-focussed care was seen as a core skill across all levels of physiotherapy practice.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254154
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 119-127[article] Attributes of physiotherapy continence clinicians : a qualitative perspective [Article] / Susan C. Slade ; Jean E. Hay-Smith ; Sally Mastwyk ; Meg E. Morris ; Helena C. Frawley . - 2020 . - p. 119-127.
https://doi.org/10.1016/j.physio.2019.01.018
Langues : Anglais (eng)
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 119-127
Descripteurs : HE Vinci
Australie ; Incontinence urinaire ; Mise en condition physique de l'homme ; Personnel de santé ; Plancher pelvien ; Recherche qualitative ; StéréotypeMots-clés : Croyances des cliniciens Résumé : Objectives
To understand the attributes of expert physiotherapy continence clinicians and how they compare to novices in relation to experience, knowledge, capability and skills in pelvic floor rehabilitation.
Design
Qualitative methods were used for thematic analysis of data collected from clinician focus groups.
Participants
Registered physiotherapists in Melbourne, Australia. Recruitment was through purposive, and snowball sampling, and continued until attainment of data adequacy.
Intervention
Audio recorded focus groups.
Results
Twenty-eight physiotherapists participated in seven focus groups. A key finding was that continence rehabilitation is an area of expert physiotherapy practice. Proficiency is often attained through postgraduate education, mentoring by experienced colleagues, clinical experience and research participation. The continence clinician as expert was identified in three main themes (i) attributes that are important for competent continence practice; (ii) research literacy and the ability to generate and translate research into practice; and (iii) patient-centred care, including managing consumer expectations. Knowledge translation was assisted by research literacy, access to evidence and the use of comprehensively reported research. Proficient clinicians prioritised evidence-informed practice, consumer engagement, peer networks and collaboration.
Conclusions
The main attributes of proficient physiotherapy continence clinicians were high levels of skill, training and experience, enabling an extended scope of practice. Research capability and research co-partnerships were also seen to support implementation of contemporary, evidence-based practice. Therapists new to this field were thought to benefit from structured mentoring, further training and clear career pathways embedded within healthcare systems. Consumer-focussed care was seen as a core skill across all levels of physiotherapy practice.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254154 Construct validity of the 9-Hole Peg Test and Purdue Pegboard Test in people with mild to moderately severe Parkinsons disease / Elizabeth L. Proud in Physiotherapy, Vol. 107 (2020)
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Titre : Construct validity of the 9-Hole Peg Test and Purdue Pegboard Test in people with mild to moderately severe Parkinsons disease Type de document : Article Auteurs : Elizabeth L. Proud ; Kimberly J. Miller ; Belinda Bilney ; Meg E. Morris ; Jennifer L. McGinley Année de publication : 2020 Article en page(s) : p. 2020-208 Note générale : https://doi.org/10.1016/j.physio.2019.12.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Ergothérapie ; Évaluation des résultats des patients ; Kinésithérapie (spécialité) ; Main ; Maladie de ParkinsonRésumé : Objectives
To evaluate the construct validity of two dexterity measures, the 9-Hole Peg Test (9HPT) and Purdue Pegboard Test (PPT) in people with Parkinsons disease (PD).
Design
Cross-sectional observational study.
Setting
Testing was conducted at the university or in participants homes.
Participants
Thirty community dwelling people with mild to moderately severe PD and no major upper limb comorbidities or cognitive impairments.
Interventions
Pegboard tests were administered in the on and end-of-dose phases of participants PD medication cycles. Participants rated hand function with two self-report questionnaires the Manual Ability Measure-36 (MAM-36) and a subset of upper limb items from the MDS-UPDRS. To explore construct validity, we compared on phase pegboard scores with normative values for unimpaired men and women and investigated relationships between pegboard scores and hand function questionnaires.
Results
In the on phase, pegboard scores were poorer than normative values. Differences in individual subtest scores ranged between 10 and 41%. Correlations between self-reported hand function and pegboard scores were weak to moderately strong in the on phase (r = 0.210.51), and weak at end-of-dose (r = 0.130.22). Higher correlation coefficients were observed between hand function and PPT subtest scores than with hand function and 9HPT scores. Most participants reported difficulty with daily hand tasks.
Conclusions
We found evidence for construct validity supporting the use of the 9HPT and PPT to evaluate people with mild to moderately severe PD when on, but not at the end-of-dose. Results also suggest that the PPT may be more sensitive to PD-related changes in dexterity than the 9HPT.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259218
in Physiotherapy > Vol. 107 (2020) . - p. 2020-208[article] Construct validity of the 9-Hole Peg Test and Purdue Pegboard Test in people with mild to moderately severe Parkinsons disease [Article] / Elizabeth L. Proud ; Kimberly J. Miller ; Belinda Bilney ; Meg E. Morris ; Jennifer L. McGinley . - 2020 . - p. 2020-208.
https://doi.org/10.1016/j.physio.2019.12.002
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 2020-208
Descripteurs : HE Vinci
Activités de la vie quotidienne ; Ergothérapie ; Évaluation des résultats des patients ; Kinésithérapie (spécialité) ; Main ; Maladie de ParkinsonRésumé : Objectives
To evaluate the construct validity of two dexterity measures, the 9-Hole Peg Test (9HPT) and Purdue Pegboard Test (PPT) in people with Parkinsons disease (PD).
Design
Cross-sectional observational study.
Setting
Testing was conducted at the university or in participants homes.
Participants
Thirty community dwelling people with mild to moderately severe PD and no major upper limb comorbidities or cognitive impairments.
Interventions
Pegboard tests were administered in the on and end-of-dose phases of participants PD medication cycles. Participants rated hand function with two self-report questionnaires the Manual Ability Measure-36 (MAM-36) and a subset of upper limb items from the MDS-UPDRS. To explore construct validity, we compared on phase pegboard scores with normative values for unimpaired men and women and investigated relationships between pegboard scores and hand function questionnaires.
Results
In the on phase, pegboard scores were poorer than normative values. Differences in individual subtest scores ranged between 10 and 41%. Correlations between self-reported hand function and pegboard scores were weak to moderately strong in the on phase (r = 0.210.51), and weak at end-of-dose (r = 0.130.22). Higher correlation coefficients were observed between hand function and PPT subtest scores than with hand function and 9HPT scores. Most participants reported difficulty with daily hand tasks.
Conclusions
We found evidence for construct validity supporting the use of the 9HPT and PPT to evaluate people with mild to moderately severe PD when on, but not at the end-of-dose. Results also suggest that the PPT may be more sensitive to PD-related changes in dexterity than the 9HPT.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259218 Dance for People With Parkinson Disease: What Is the Evidence Telling Us? / Joanne Shanahan in Archives of Physical Medicine and Rehabilitation, 2015/1 (2015)
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[article]
Titre : Dance for People With Parkinson Disease: What Is the Evidence Telling Us? Type de document : Article Auteurs : Joanne Shanahan ; Meg E. Morris ; Orfhlaith Ni Bhriain Article en page(s) : p. 141-153 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Maladie de Parkinson ; Rééducation et réadaptation ; Thérapie par la danseMots-clés : Dance therapy Exercise Parkinson disease Résumé : Objectives
(1) To appraise and synthesize the literature on dance interventions for individuals with Parkinson disease (PD); (2) to provide information regarding the frequency, intensity, duration, and type of dance used in these programs; and (3) to inform the development of future studies evaluating dance interventions in this population.
Data Sources
Eight databases (MEDLINE, Cumulative Index to Nursing and Allied Health Literature [CINAHL], the Allied and Complementary Medicine Database [AMED], SPORTDiscus, PubMed, PubMed Central, Sage, and ScienceDirect) were electronically searched in April 2014. The references lists from the included articles were also searched.
Study Selection
Studies retrieved during the literature search were reviewed by 2 reviewers independently. Suitable articles were identified by applying inclusion criteria.
Data Extraction
Data regarding participants and the frequency, intensity, duration, and type of dance form used were extracted. The effect that each dance program had on defined outcomes and the feasibility of each program were also reviewed.
Data Synthesis
Thirteen articles were identified. The quality of studies varied, and methodological limitations were evident in some. The evidence evaluated suggests that two 1-hour dance classes per week over 10 to 13 weeks may have beneficial effects on endurance, motor impairment, and balance.
Conclusions
Dance may be helpful for some people with PD. This article provides preliminary information to aid clinicians when implementing dance programs for people with PD. Higher-quality multicenter studies are needed to determine the effect of other dance genres and the optimal therapy volume and intensity.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118628
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 141-153[article] Dance for People With Parkinson Disease: What Is the Evidence Telling Us? [Article] / Joanne Shanahan ; Meg E. Morris ; Orfhlaith Ni Bhriain . - p. 141-153.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2015/1 (2015) . - p. 141-153
Descripteurs : HE Vinci
Exercice physique ; Maladie de Parkinson ; Rééducation et réadaptation ; Thérapie par la danseMots-clés : Dance therapy Exercise Parkinson disease Résumé : Objectives
(1) To appraise and synthesize the literature on dance interventions for individuals with Parkinson disease (PD); (2) to provide information regarding the frequency, intensity, duration, and type of dance used in these programs; and (3) to inform the development of future studies evaluating dance interventions in this population.
Data Sources
Eight databases (MEDLINE, Cumulative Index to Nursing and Allied Health Literature [CINAHL], the Allied and Complementary Medicine Database [AMED], SPORTDiscus, PubMed, PubMed Central, Sage, and ScienceDirect) were electronically searched in April 2014. The references lists from the included articles were also searched.
Study Selection
Studies retrieved during the literature search were reviewed by 2 reviewers independently. Suitable articles were identified by applying inclusion criteria.
Data Extraction
Data regarding participants and the frequency, intensity, duration, and type of dance form used were extracted. The effect that each dance program had on defined outcomes and the feasibility of each program were also reviewed.
Data Synthesis
Thirteen articles were identified. The quality of studies varied, and methodological limitations were evident in some. The evidence evaluated suggests that two 1-hour dance classes per week over 10 to 13 weeks may have beneficial effects on endurance, motor impairment, and balance.
Conclusions
Dance may be helpful for some people with PD. This article provides preliminary information to aid clinicians when implementing dance programs for people with PD. Higher-quality multicenter studies are needed to determine the effect of other dance genres and the optimal therapy volume and intensity.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118628 Dancing for Parkinson Disease: A Randomized Trial of Irish Set Dancing Compared With Usual Care / Joanne Shanahan in Archives of Physical Medicine and Rehabilitation, 2017/9 (2017)
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[article]
Titre : Dancing for Parkinson Disease: A Randomized Trial of Irish Set Dancing Compared With Usual Care Type de document : Article Auteurs : Joanne Shanahan ; Meg E. Morris ; Orfhlaith Ni Bhriain Article en page(s) : p. 17441751 Langues : Anglais (eng) Descripteurs : HE Vinci
Danse ; Exercice physique ; Maladie de Parkinson ; Rééducation et réadaptationMots-clés : Dancing Exercise Parkinson disease Résumé : Objective
To examine the feasibility of a randomized controlled study design and to explore the benefits of a set dancing intervention compared with usual care.
Design
Randomized controlled design, with participants randomized to Irish set dance classes or a usual care group.
Setting
Community based.
Participants
Individuals with idiopathic Parkinson disease (PD) (N=90).
Interventions
The dance group attended a 1.5-hour dancing class each week for 10 weeks and undertook a home dance program for 20 minutes, 3 times per week. The usual care group continued with their usual care and daily activities.
Main Outcome Measures
The primary outcome was feasibility, determined by recruitment rates, success of randomization and allocation procedures, attrition, adherence, safety, willingness of participants to be randomized, resource availability, and cost. Secondary outcomes were motor function (motor section of the Unified Parkinson's Disease Rating Scale), quality of life (Parkinson's Disease Questionnaire-39), functional endurance (6-min walk test), and balance (mini-BESTest).
Results
Ninety participants were randomized (45 per group). There were no adverse effects or resource constraints. Although adherence to the dancing program was 93.5%, there was >40% attrition in each group. Postintervention, the dance group had greater nonsignificant gains in quality of life than the usual care group. There was a meaningful deterioration in endurance in the usual care group. There were no meaningful changes in other outcomes. The exit questionnaire showed participants enjoyed the classes and would like to continue participation.
Conclusions
For people with mild to moderately severe PD, set dancing is feasible and enjoyable and may improve quality of life.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118270
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 17441751[article] Dancing for Parkinson Disease: A Randomized Trial of Irish Set Dancing Compared With Usual Care [Article] / Joanne Shanahan ; Meg E. Morris ; Orfhlaith Ni Bhriain . - p. 17441751.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 17441751
Descripteurs : HE Vinci
Danse ; Exercice physique ; Maladie de Parkinson ; Rééducation et réadaptationMots-clés : Dancing Exercise Parkinson disease Résumé : Objective
To examine the feasibility of a randomized controlled study design and to explore the benefits of a set dancing intervention compared with usual care.
Design
Randomized controlled design, with participants randomized to Irish set dance classes or a usual care group.
Setting
Community based.
Participants
Individuals with idiopathic Parkinson disease (PD) (N=90).
Interventions
The dance group attended a 1.5-hour dancing class each week for 10 weeks and undertook a home dance program for 20 minutes, 3 times per week. The usual care group continued with their usual care and daily activities.
Main Outcome Measures
The primary outcome was feasibility, determined by recruitment rates, success of randomization and allocation procedures, attrition, adherence, safety, willingness of participants to be randomized, resource availability, and cost. Secondary outcomes were motor function (motor section of the Unified Parkinson's Disease Rating Scale), quality of life (Parkinson's Disease Questionnaire-39), functional endurance (6-min walk test), and balance (mini-BESTest).
Results
Ninety participants were randomized (45 per group). There were no adverse effects or resource constraints. Although adherence to the dancing program was 93.5%, there was >40% attrition in each group. Postintervention, the dance group had greater nonsignificant gains in quality of life than the usual care group. There was a meaningful deterioration in endurance in the usual care group. There were no meaningful changes in other outcomes. The exit questionnaire showed participants enjoyed the classes and would like to continue participation.
Conclusions
For people with mild to moderately severe PD, set dancing is feasible and enjoyable and may improve quality of life.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118270 Is Irish set dancing feasible for people with Parkinson's disease in Ireland? / Joanne Shanahan in Complementary Therapies in Clinical Practice, Vol. 18 (February 2015)
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