Women Living In Group Homes Need To Learn To Make Decisions About Leisure Time To Enrich Their Lives
Most people don't think twice about the ability to choose the movie they want to watch, the book they want to read or with whom they will have coffee. But what if you didn't have the choice, or were never taught how to make decisions regarding leisure activities? That's the reality for some women living in group homes according to a new study from the University of Alberta. Brenda Rossow-Kimball, who did post-graduate research with Donna Goodwin, in the Faculty of Physical Education and Recreation, investigated the leisure experiences of five women with intellectual disabilities in two group homes. They found major differences in how leisure was experienced in each group home.
Report Shows Constraint-Induced Movement Therapy May Improve Arm Use In Children With Hemiplegic Cerebral Palsy
Constraint-induced movement therapy (CIMT) is a potentially effective form of intervention for children with hemiplegic cerebral palsy, but more research is needed, according to a new systematic review published in the November issue of Physical Therapy (PTJ), the scientific journal of the American Physical Therapy Association (APTA). The review, which analyzed 21 intervention studies and 2 systematic reviews, concluded that further research should focus on the frequency, duration, and type of constraint used to treat the affected limb. Similar gains may be achieved when both arms are used together during therapy, but there have not as yet been sufficient studies that compare these two types of physical therapy.
The shoes in which we encase our feet in almost all circumstances may be partly to blame for some of the foot pathologies we experience. The unstable ground surfaces we now encounter much less often were the normal environment for the feet to evolve, gripping the ground and stressing the foot's small muscles. Now most of our surfaces are flat and smooth and with the foot in a shoe with a flat smooth sole, the foot has a much less varied and challenging job to do of coping with what is underfoot. As the foot has been deprived of its natural environment its muscles, the foot intrinsics, weaken. With the increasing weakness of the intrinsic muscles of the foot comes a reduction in the function of the foot arches and the toes, which find themselves unable to grip the ground effectively.
I had the bad luck to tear one of the tendons in my left rotator cuff a few months back. It was very easy to do. I was helping a friend put up a timber garage and when the wind caught one of the pieces I instinctively reached out to grab it and stop it falling. That was my first mistake, the second was not to let go again. I felt a pop in my shoulder and that was it, job done! Or should I say shoulder done. It turned out that the pop I heard at the time was my supraspinatus getting torn. It was only a small tear but it caused the tendon to become inflamed and the inflammation meant that I ended up with a shoulder impingement. The swollen tendon was getting caught on a piece of bone and gradually getting worn away.
The expansion of the flat upper end of the tibia which makes up the distal half of the knee joint is known as the tibial plateau. The plateau is an essential part of the weight bearing function of the knee joint and if compromised can severely affect the movement, stability and alignment of the knee, interfering with gait. The fracture should be recognised early and treated accordingly so that the chances of post-traumatic knee arthritis and disability are minimised. Over half the patients in this category are in their fifties or older. A large group which suffer this type of fracture is older women who already have some degrees of osteoporotic change in the area.
Physiotherapy examination starts with the therapist assessing the posture of the patient, often before they have taken any of their clothes off. A rounded or slumped shoulder posture and a poking forward neck and head stretch the neck and shoulder blade muscles and may make this syndrome more likely to occur. Active range of movements of the neck will be examined and any restrictions noted. The neck may be placed in combined positions involving two or more pure movements plus downward pressure in an attempt to bring on symptoms. Range of motion of the shoulders is also assessed. Examination of the nerves and the blood supply to the arm will normally be performed, with the greatest effects on the nerves and muscles supplied by the lower roots of the brachial plexus.