Résultat de la recherche
3 résultat(s) recherche sur le mot-clé 'Cold temperature' 




Barriers to Wheelchair Use in the Winter / Jacquie D. Ripat in Archives of Physical Medicine and Rehabilitation, 2015/6 (2015)
![]()
[article]
Titre : Barriers to Wheelchair Use in the Winter Type de document : Article Auteurs : Jacquie D. Ripat ; Cara L. Brown ; Karen D. Ethans Article en page(s) : p. 11171122 Langues : Anglais (eng) Descripteurs : HE Vinci
Neige ; Participation sociale ; Rééducation et réadaptationMots-clés : Cold temperature Basse température Social participation Snow Wheelchairs Fauteuils roulants Résumé : Objectives
To test the hypothesis that challenges to community participation posed by winter weather are greater for individuals who use scooters, manual and power wheelchairs (wheeled mobility devices [WMDs]) than for the general ambulatory population, and to determine what WMD users identify as the most salient environmental barriers to community participation during the winter.
Design
Cross-sectional survey organized around 5 environmental domains: technological, natural, physical, social/attitudinal, and policy.
Setting
Urban community in Canada.
Participants
Convenience sample of WMD users or their proxy (N=99).
Interventions
Not applicable.
Main Outcome Measures
Not applicable.
Results
Forty-two percent identified reduced outing frequency in winter months, associated with increased age (χ3=6.4, P=.04), lack of access to family/friends for transportation (χ2=8.1, P=.04), and primary type of WMD used in the winter (scooter χ2=8.8, P=.003). Most reported tires/casters becoming stuck in the snow (95%) or slipping on the ice (91%), difficulty ascending inclines/ramps (92%), and cold hands while using controls or pushing rims (85%); fewer identified frozen wheelchair/scooter batteries, seat cushions/backrests, or electronics. Sidewalks/roads were reported to be problematic by 99%. Eighty percent reported needing additional help in the winter. Limited community access in winter led to a sense of loneliness/isolation, and fear/anxiety related to safety. Respondents identified policies that limited participation during winter.
Conclusions
People who use WMDs decrease their community participation in cold weather because of multiple environmental barriers. Clinicians, researchers, and policymakers can take a multidimensional approach to mitigate these barriers in order to enhance community participation by WMD users in winter.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=118388
in Archives of Physical Medicine and Rehabilitation > 2015/6 (2015) . - p. 11171122[article]Do Thermal Agents Affect Range of Movement and Mechanical Properties in Soft Tissues? / Chris M Bleakley in Archives of Physical Medicine and Rehabilitation, 2013/1 (2013)
![]()
[article]
Titre : Do Thermal Agents Affect Range of Movement and Mechanical Properties in Soft Tissues? : A Systematic Review Type de document : Article Auteurs : Chris M Bleakley ; Joseph T. Costello Article en page(s) : pp. 149-163 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptationMots-clés : Cold temperature Température froide Hot temperature Température chaude Range of Motion Articular Amplitude articulaire Muscle stretching exercises Exercices d'étirement musculaire Résumé : "Objectives
To examine the effect of thermal agents on the range of movement (ROM) and mechanical properties in soft tissue and to discuss their clinical relevance.
Data Sources
Electronic databases (Cochrane Central Register of Controlled Trials, MEDLINE, and EMBASE) were searched from their earliest available record up to May 2011 using Medical Subjects Headings and key words. We also undertook related articles searches and read reference lists of all incoming articles.
Study Selection
Studies involving human participants describing the effects of thermal interventions on ROM and/or mechanical properties in soft tissue. Two reviewers independently screened studies against eligibility criteria.
Data Extraction
Data were extracted independently by 2 review authors using a customized form. Methodologic quality was also assessed by 2 authors independently, using the Cochrane risk of bias tool.
Data Synthesis
Thirty-six studies, comprising a total of 1301 healthy participants, satisfied the inclusion criteria. There was a high risk of bias across all studies. Meta-analyses were not undertaken because of clinical heterogeneity; however, effect sizes were calculated. There were conflicting data on the effect of cold on joint ROM, accessory joint movement, and passive stiffness. There was limited evidence to determine whether acute cold applications enhance the effects of stretching, and further evidence is required. There was evidence that heat increases ROM, and a combination of heat and stretching is more effective than stretching alone.
Conclusions
Heat is an effective adjunct to developmental and therapeutic stretching techniques and should be the treatment of choice for enhancing ROM in a clinical or sporting setting. The effects of heat or ice on other important mechanical properties (eg, passive stiffness) remain equivocal and should be the focus of future study."Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117370
in Archives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 149-163[article]Seasonal Patterns of Community Participation and Mobility of Wheelchair Users Over an Entire Year / Jaimie F. Borisoff in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 8 (2018)
![]()
[article]
Titre : Seasonal Patterns of Community Participation and Mobility of Wheelchair Users Over an Entire Year Type de document : Article Auteurs : Jaimie F. Borisoff ; Jacquie Ripat ; Franco Chan Article en page(s) : p. 1553-1560 Langues : Anglais (eng) Descripteurs : HE Vinci
Participation socialeMots-clés : Cold temperature Basse température Geographic Information Systems Systèmes d'information géographique Social participation Wheelchairs Fauteuils roulants Résumé : Objective
To describe how people who use wheelchairs participate and move at home and in the community over an entire yearlong period, including during times of inclement weather conditions.
Design
Longitudinal mixed-methods research study.
Setting
Urban community in Canada.
Participants
People who use a wheelchair for home and community mobility (N=11).
Intervention
Not applicable.
Main Outcome Measures
Use of a global positioning system (GPS) tracker for movement in community (number of trips per day), use of accelerometer for bouts of wheeling mobility (number of bouts per day, speed, distance, and duration), prompted recall interviews to identify supports and barriers to mobility and participation.
Results
More trips per day were taken during the summer (P= .03) and on days with no snow and temperatures above 0°C. Participants reliant on public transportation demonstrated more weather-specific changes in their trip patterns. The number of daily bouts of mobility remained similar across seasons; total daily distance wheeled, duration, and speed were higher on summer days, days with no snow, and days with temperatures above 0°C. A higher proportion of outdoor wheeling bouts occurred in summer (P=.02) and with temperatures above 0°C (P=.03). Inaccessible public environments were the primary barrier to community mobility and participation; access to social supports and private transportation were the primary supports.
Conclusions
Objective support is provided for the influence of various seasonal weather conditions on community mobility and participation for people who use a wheelchair. Longitudinal data collection provided a detailed understanding of the patterns of, and influences on, wheelchair mobility and participation within wheelchair users own homes and communities.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=118874
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 8 (2018) . - p. 1553-1560[article]