| 1. |
- Adolfsson, Päivi, et al.
(författare)
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How people with cognitive disabilities experience electronic planning devices
- 2015
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Ingår i: NeuroRehabilitation (Reading, MA). - 1053-8135 .- 1878-6448. ; 37:3, s. 379-392
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: People with cognitive disabilities have difficulties in accomplishing everyday tasks. Electronic planning devices (EPDs) may compensate for the gap between a person’s capacity and everyday challenges. However, the devices are not always used as intended. Despite that, cognitive assistive technology has been investigated in several studies, knowledge regarding when and what makes adults decide to use EPDs is incomplete. People with cognitive disabilities have difficulties in accomplishing everyday tasks. Electronic planning devices (EPDs) may compensate for the gap between a person’s capacity and everyday challenges. However, the devices are not always used as intended. Despite that, cognitive assistive technology has been investigated in several studies, knowledge regarding when and what makes adults decide to use EPDs is incomplete. OBJECTIVE: The aim was to explore the subjective experiences of people with cognitive disabilities in relation to the use of EPDs. The aim was to explore the subjective experiences of people with cognitive disabilities in relation to the use of EPDs. METHODS: A qualitative approach was applied with a qualitative content analysis. Twelve respondents were interviewed with support from a study specific guide. A qualitative approach was applied with a qualitative content analysis. Twelve respondents were interviewed with support from a study specific guide. RESULTS: A model representing the respondents’ experiences in the use of EPDs, comprising one theme, Possibility to master my daily life , four categories, Degree of fit to my needs, I am aware of my cognitive disability, I get help to structure my everyday life and The EPD improves my volition and ten subcategories, was developed. A model representing the respondents’ experiences in the use of EPDs, comprising one theme, Possibility to master my daily life , four categories, Degree of fit to my needs, I am aware of my cognitive disability, I get help to structure my everyday life and The EPD improves my volition and ten subcategories, was developed. CONCLUSIONS: EPDs allow people with cognitive disabilities the possibility to deal with daily challenges; those who find EPDs beneficial tend to use them. EPDs can help people with cognitive disabilities in organisation, managing time and improve volition. EPDs allow people with cognitive disabilities the possibility to deal with daily challenges; those who find EPDs beneficial tend to use them. EPDs can help people with cognitive disabilities in organisation, managing time and improve volition.
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| 2. |
- Antepohl, Wolfram, 1968-, et al.
(författare)
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Cognitive impairment in patients with chronic whiplash-associated disorder - A matched control study
- 2003
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Ingår i: NeuroRehabilitation (Reading, MA). - 1053-8135 .- 1878-6448. ; 18:4, s. 307-315
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To verify the occurrence of cognitive impairment in patients with chronic whiplash-associated disorder (WAD) and to provide a more detailed description of the impairment's character and context. Methods: Thirty (30) patients with chronic WAD and 30 matched healthy controls completed a cognitive test battery. Four computerised tests were used: a) two different types of cognitive tasks (reaction time vs. working memory) and b) two types of information processing (verbal vs. spatial). Before testing and after every randomised subtest, subjects rated their pain level on a visual analogue scale. Results: A worse overall performance among patients with WAD and, specifically, worse results concerning working memory tasks were found. Post-hoc testing revealed a statistically significant difference concerning the single variable "verbal reaction time". Pain intensity among patients increased significantly during testing. Pain intensity after the subtest for verbal mental reaction time (independent of test sequence) was significantly correlated with results in this subtest, the more pain, the more time was needed. Conclusion: Compared to healthy controls, patients performed worse overall. Concerning verbal reaction time, the impairment was correlated with pain intensity. The findings support the hypothesis that pain might be one important factor leading to cognitive impairment in patients with chronic WAD.
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| 3. |
- Appelin, Katja, et al.
(författare)
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Changes in self-perceived performance and satisfaction with performance of daily activities following interdisciplinary rehabilitation in people with late effects of polio
- 2024
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Ingår i: NeuroRehabilitation. - Amsterdam : IOS Press. - 1053-8135 .- 1878-6448. ; 54:2, s. 331-342
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: People with late effects of polio (LEoP) may need rehabilitation to manage everyday life but knowledge of the benefits of interdisciplinary rehabilitation is limited. OBJECTIVE: To evaluate changes in performance and satisfaction with performance of activities among people with LEoP following interdisciplinary rehabilitation. METHODS: A pre-post retrospective study based on data on 102 participants with LEoP from a rehabilitation clinic. Changes in performance and satisfaction with performance of daily activities before and after interdisciplinary rehabilitation were assessed with the Canadian Occupational Performance Measure (COPM). RESULTS: There were statistically significant increases in the mean performance and mean satisfaction with performance COPM scores from admission to discharge. Twenty-three percent and 19% of the participants, respectively, had improved their performance and satisfaction with performance, 25% and 26% of the participants had no changes, and 19% and 22% of the participants, respectively, rated their performance and satisfaction lower at discharge compared to admission. CONCLUSION: Interdisciplinary rehabilitation can enhance self-rated performance and satisfaction with performance of daily activities among people with LEoP. Future studies of rehabilitation for people with LEoP should use a prospective design and capture the participants’ process of change related to their rehabilitation period. © 2024 – The authors. Published by IOS Press.
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| 4. |
- Arvidsson, Patrik, et al.
(författare)
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How are the activity and participation aspects of the ICF used? : Examples from studies of people with intellectual disability
- 2015
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Ingår i: NeuroRehabilitation (Reading, MA). - : IOS Press. - 1053-8135 .- 1878-6448. ; 36:1, s. 45-49
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Forskningsöversikt (refereegranskat)abstract
- INTRODUCTION: Interdisciplinary differences regarding understanding the International Classification of Functioning, Disability and Health (ICF) concepts activity/participation may hinder its unifying purpose. In the ICF model, functioning (and disability) is described as a tripartite concept: 1) Body structures/functions, 2) Activities, and 3) Participation. Activities refer to an individual perspective on disability that does not tally with the basic structure of social models. OBJECTIVE: To review how activity and participation are actually used in studies of intellectual disability (ID). CONCLUSION: Based on 16 papers, four different usages of activity/participation were found. 1) Theoretical reference to tripartite ICF concept with attempts to use it. 2) Theoretical reference to tripartite ICF concept without actual use of activities. 3) "Atheoretical" approach with implicit focus on participation. 4) Theoretical reference to bipartite concept with corresponding use of terms. The highlighted studies have in common a focus on participation. However, the usage of the term "activity" differs both within and between studies. Such terminology will probably confuse interdisciplinary communication rather than facilitating it. Also, the use of an explicit underlying theory differs, from references to a tripartite to references to a bipartite concept of disability. This paper is focused on ID, but the discussed principles regarding the ICF and interdisciplinary disability theory are applicable to other diagnostic groups within rehabilitation practices.
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| 5. |
- Bunketorp Käll, Lina, 1975, et al.
(författare)
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Effects of horse-riding therapy and rhythm and music-based therapy on functional mobility in late phase after stroke
- 2019
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Ingår i: Neurorehabilitation. - : IOS Press. - 1053-8135 .- 1878-6448. ; 45:4, s. 483-492
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Persons with stroke commonly have residual neurological deficits that seriously OBJECTIVE: To investigate whether horse-riding therapy (H-RT) and rhythm and music-based therapy METHODS: This study is part of a randomized controlled trial in which H-RT and R-MT was provided RESULTS: 123 participants were assigned to H-RT (n = 41), R-MT (n = 41), or control (n = 41). Post- CONCLUSIONS: The present study supports the efficacy of H-RT in producing immediate gains in gait
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| 6. |
- Flansbjer, Ulla Britt, et al.
(författare)
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Predictors of changes in gait performance over four years in persons with late effects of polio
- 2017
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Ingår i: NeuroRehabilitation. - : IOS Press. - 1053-8135 .- 1878-6448. ; 41:2, s. 403-411
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Reduced gait performance is common in persons with late effects of polio. OBJECTIVE: To identify predictors of change in gait performance over four years in persons with late effects of polio. METHODS: Gait performance was assessed annually in 51 ambulatory persons (mean age 64 years, SD 6) by the Timed "Up & Go" (TUG), Comfortable and Fast Gait Speed (CGS, FGS), and 6-Minute Walk Test (6MWT). Isokinetic knee extensor and flexor muscle strength was measured with a Biodex dynamometer. Mixed Linear Models were used to analyze changes in gait performance and to identify any predictors of change among the covariates gender, age, body mass index, time with new symptoms, baseline reduction in gait performance and knee muscle strength. RESULTS: There were significant linear effects over time (reduction per year) for three gait performance tests; CGS (0.8%; p<0.05), FGS (1.7%; p<0.001), and 6MWT (0.7%; p<0.05) with significant random effects for all tests. The strongest predictor of a change in gait performance was the individual variations in the knee flexor strength (p<0.001). CONCLUSION: The small gradual reduction in gait performance over time in persons with late effects of polio is primarily determined by the individual variations in the knee flexor strength.
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| 7. |
- Hägg, Mary K D, et al.
(författare)
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Effects on facial dysfunction and swallowing capacity of intraoral stimulation early and late after stroke
- 2015
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Ingår i: NeuroRehabilitation. - : IOS Press. - 1878-6448 .- 1053-8135. ; 36:1, s. 101-106
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Most patients with post-stroke dysphagia are also affected by facial dysfunction in all four facial quadrants. Intraoral stimulation can successfully treat post-stroke dysphagia, but its effect on post-stroke facial dysfunction remains unknown.OBJECTIVE: This study aimed to investigate whether intraoral stimulation after stroke has simultaneous effects on facial dysfunction in the contralateral lower facial quadrant and in the other three facial quadrants, on lip force, and on dysphagia.METHODS: Thirty-one stroke patients were treated with intraoral stimulation and assessed with a facial activity test, lip force test, and swallowing capacity test at three time-points: before treatment, at the end of treatment, and at late follow-up (over one year after the end of treatment).RESULTS: Facial activity, lip force, and swallowing capacity scores were all improved between baseline and the end of treatment (P < 0.001 for each), with these improvements remaining at late follow-up. Baseline and treatment data did not significantly differ between patients treated short and late after stroke.CONCLUSIONS: Treatment with intraoral stimulation significantly improved post-stroke dysfunction in all four facial quadrants, swallowing capacity, and lip force even in cases of long-standing post-stroke dysfunction. Furthermore, such improvement remained for over one year after the end of treatment.
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| 8. |
- Johansson, Birgitta, 1957, et al.
(författare)
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Novel computer tests for identification of mental fatigue after traumatic brain injury
- 2015
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Ingår i: Neurorehabilitation. - : IOS Press. - 1053-8135 .- 1878-6448. ; 36:2, s. 195-202
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Mental fatigue is one of the most significant post-traumatic brain injury symptoms. It is currently not possible to objectively identify. OBJECTIVE: This study investigated whether a complex computer cognitive test with load on endurance, processing speed and attention were more demanding for participants suffering from mental fatigue after brain injury compared with a control group. METHOD: Seventy-six subjects of mild traumatic brain injury (mTBI) and 45 healthy controls were included in the study. All subjects with mTBI had been suffering from mental fatigue for six months or more. Mental fatigue was screened using the Mental Fatigue Scale (MFS). Cognitive function was measured for information processing speed and working memory, and with a novel computer test. RESULTS: The mTBI group rated MFS significantly higher than the control group. The results revealed a significantly slower information processing speed for the mTBI subjects and a poorer performance on the working memory test. The computer test revealed a less efficient performance over time for the TBI subjects compared to the control group. CONCLUSIONS: The results indicate a less efficient performance over time in complex and demanding cognitive tasks for individuals experiencing from mental fatigue after brain injury.
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| 9. |
- Lindqvist, Eva, et al.
(författare)
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Experienced usability of assistive technology for cognitive support with respect to user goals
- 2015
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Ingår i: NeuroRehabilitation (Reading, MA). - 1053-8135 .- 1878-6448. ; 36:1, s. 135-149
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Tidskriftsartikel (refereegranskat)abstract
- Studies have shown that Assistive Technology (AT) for cognitive support can support users in everyday activities. However, whether the AT actually supports the user to achieve their individual goals must further be examined. The study objective was to examine the experienced usability of features in AT for cognitive support for users with cognitive impairment. A content analysis was applied on data from interviews and field notes collected during two six-month interventions in which persons with cognitive impairment tested AT for cognitive support. Features, included in the AT support that enhanced the user's sense of control, were identified as promotional for the achievement of user goals, and some features, such as reminders, were more sensitive to the specific user's perceptions and motives. Also, features related to how the AT was maintained and communicated with other technology were very influential. The results show that easily maintained AT that fits in to the context of use increases the user's sense of control of the AT and thereby promotes the goal achievement and usability of the AT. Further, the usability of the AT is very influenced by contextual factors such as the ordinary mobile network, the Internet, and the operators.
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| 10. |
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