chiroaurora2

Purpose: Rehabilitation is increasingly recognized as an important therapeutic intervention for people with cancer. The main objective of this study was to explore the current practice pattern and provision of oncology rehabilitation in Canada. Methods: A descriptive cross-sectional online survey was administered to Canadian facilities offering cancer treatment and/or listed as offering rehabilitation services during or after cancer treatment (cancer centres, rehabilitation hospitals, community centres, and private clinics). Results: Of the 116 sites contacted, 62 completed the questionnaire, 20 of which reported having an oncology rehabilitation programme. The majority of respondents indicated that they are not meeting their clients' rehabilitation needs. Rehabilitation programmes were provided by multidisciplinary health care teams, the majority of which included a physiotherapist. Funding and availability of resources were identified as the main barriers to the development of oncology rehabilitation programmes. Conclusions: Formal oncology rehabilitation programmes appear to be scarce, despite growing evidence that rehabilitation offers benefits across the cancer survivorship continuum.

Content Type Journal Article
Category Advance Online Article
Pages 1-13
DOI 10.3138/ptc.2011-53
Authors
- Alyssa Canestraro, Department of Physical Therapy, University of Toronto
- Anthony Nakhle, Department of Physical Therapy, University of Toronto
- Malissa Stack, Department of Physical Therapy, University of Toronto
- Kelly Strong, Department of Physical Therapy, University of Toronto
- Ashley Wright, Department of Physical Therapy, University of Toronto
- Marla Beauchamp, Department of Physical Therapy, University of Toronto
- Katherine Berg, Department of Physical Therapy, University of Toronto
- Dina Brooks, Department of Physical Therapy, University of Toronto

Journal Physiotherapy Canada
Online ISSN 1708-8313
Print ISSN 0300-0508

Source: http://www.metapress.com/content/yxt5gl3l551m64l5/

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Linggo, Oktubre 28, 2012

Movement Kinematics During a Drinking Task Are Associated With the Activity Capacity Level After Stroke

Background. Kinematic analysis is a powerful method for an objective assessment of movements and is increasingly used as an outcome measure after stroke. Little is known about how the actual movement performance measured with kinematics is related to the common traditional assessment scales. The aim of this study was to determine the relationships between movement kinematics from a drinking task and the impairment or activity limitation level after stroke. Methods. Kinematic analysis of movement performance in a drinking task was used to measure movement time, smoothness, and angular velocity of elbow and trunk displacement (TD) in 30 individuals with stroke. Sensorimotor impairment was assessed with the Fugl-Meyer Assessment (FMA), activity capacity limitation with the Action Research Arm Test (ARAT), and self-perceived activity difficulties with the ABILHAND questionnaire. Results. Backward multiple regression revealed that the movement smoothness (similarly to movement time) and TD together explain 67% of the total variance in ARAT. Both variables uniquely contributed 37% and 11%, respectively. The TD alone explained 20% of the variance in the FMA, and movement smoothness explained 6% of the variance in the ABILHAND. Conclusions. The kinematic movement performance measures obtained during a drinking task are more strongly associated with activity capacity than with impairment. The movement smoothness and time, possibly together with compensatory movement of the trunk, are valid measures of activity capacity and can be considered as key variables in the evaluation of upper-extremity function after stroke. This increased knowledge is of great value for better interpretation and application of kinematic data in clinical studies.

Source: http://nnr.sagepub.com/cgi/content/abstract/26/9/1106?rss=1

Diagnosing and Managing Osteoporosis in Younger Adults.

Author: Hoffmeister, Ellen

Page: 109-111

Source: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=N&PAGE=fulltext&LSLINK=80&D=ovft&AN=01300517-201211000-00001&SOURCE=rss.ctoc&SYNTAX=N

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