20,405 research outputs found

    An exploration of sports rehabilitators and athletic rehabilitation therapists' views on fear of re-injury following Anterior Cruciate Ligament reconstruction.

    Get PDF
    Date of Acceptance: 08/12/2014 The article appears here in its accepted, peer-reviewed form, as it was provided by the submitting author. It has not been copyedited, proofed, or formatted by the publisherAim: The aim of the study was to gain a greater understanding of the views of sports rehabilitators and athletic rehabilitation therapists on recognition of fear of re-injury in clients following anterior cruciate ligament reconstruction (ACLR). Background: Research involving long term follow up of patients following successful ALCR rehabilitation has shown return to sport rates are not as good as would be expected despite many patients having normal functional knee scores. The psychological component, specifically fear of re-injury plays a critical role in determining patients returning to play, and is frequently underestimated. Little is known about the recognition and intervention from the therapists’ perspective.Peer reviewe

    Eye quietness and quiet eye in expert and novice golf performance: an electrooculographic analysis

    Get PDF
    Quiet eye (QE) is the final ocular fixation on the target of an action (e.g., the ball in golf putting). Camerabased eye-tracking studies have consistently found longer QE durations in experts than novices; however, mechanisms underlying QE are not known. To offer a new perspective we examined the feasibility of measuring the QE using electrooculography (EOG) and developed an index to assess ocular activity across time: eye quietness (EQ). Ten expert and ten novice golfers putted 60 balls to a 2.4 m distant hole. Horizontal EOG (2ms resolution) was recorded from two electrodes placed on the outer sides of the eyes. QE duration was measured using a EOG voltage threshold and comprised the sum of the pre-movement and post-movement initiation components. EQ was computed as the standard deviation of the EOG in 0.5 s bins from –4 to +2 s, relative to backswing initiation: lower values indicate less movement of the eyes, hence greater quietness. Finally, we measured club-ball address and swing durations. T-tests showed that total QE did not differ between groups (p = .31); however, experts had marginally shorter pre-movement QE (p = .08) and longer post-movement QE (p < .001) than novices. A group × time ANOVA revealed that experts had less EQ before backswing initiation and greater EQ after backswing initiation (p = .002). QE durations were inversely correlated with EQ from –1.5 to 1 s (rs = –.48 - –.90, ps = .03 - .001). Experts had longer swing durations than novices (p = .01) and, importantly, swing durations correlated positively with post-movement QE (r = .52, p = .02) and negatively with EQ from 0.5 to 1s (r = –.63, p = .003). This study demonstrates the feasibility of measuring ocular activity using EOG and validates EQ as an index of ocular activity. Its findings challenge the dominant perspective on QE and provide new evidence that expert-novice differences in ocular activity may reflect differences in the kinematics of how experts and novices execute skills

    Evaluation of a Simple Intervention to Increase Self- Efficacy for Independent Exercise in Cardiac Rehabilitation Participants

    Get PDF
    Purpose: While benefits of exercise after a cardiac event are well documented, participation in and adherence to cardiac rehabilitation (CR) programs is often low. The purpose of this study was to test the effectiveness of a self- efficacy coaching intervention (SCI): a simple theory-based behavioral intervention to increase self-efficacy for independent exercise as well as independent exercise behavior in CR patients. It was hypothesized that persons receiving the SCI treatment (T) would have higher levels of self-efficacy for exercise and greater participation in independent exercise than participants in an attention control (C) group. Methods: People referred to a hospitalbased CR program by their physician were invited to participate in the study (N = 65). Participants were assigned to either T or C groups which had been randomly designated by class time. The SCI was administered approximately every two weeks by CR staff as a supplement to standard CR care. Patients in the T group received coaching about independent exercise, patients in the C group received coaching matched for time and technique but covering information about healthy eating. Self-efficacy for independent exercise was assessed at the beginning and end of the supervised CR program with an Exercise Self-Efficacy (ESE) scale and a Barriers Self-Efficacy (BARSE) scale. Participation in independent exercise was determined by self- report with activity logs. Outcome differences between T and C groups were analyzed through one-way ANOVA. Results: Mean change scores for the T group were larger than those seen in the C group, but differences between groups were not statistically significant (p \u3e .10). Significant difference between change scores for ESE, BARSE and independent exercise were noted when interaction effects between SCI treatment and previous exercise were considered. Conclusions: This study adds to the limited body of knowledge about theory-based interventions in cardiac rehabilitation programs and takes an important step in translating self-efficacy theory into a simple, practical application that will promote maintenance of lifestyle changes in this population

    Segregated prisoners: nature imagery project in prisons as a program option

    Get PDF
    Master's Project (M.A.) University of Alaska Fairbanks, 2018Solitary confinement can be summarized as the state of being alone in a prison cell for 22 to 24 hours a day with minimal human interaction, little to no natural light, property restrictions, visitation constraints, and the inability to participate in group activities and communal meals. Solitary confinement can go by many names; it can be referred to as lockdown, Security or Special Housing Units (SHU), Special Management Units (SMU), administrative segregation, disciplinary or punitive segregation, restrictive housing, or "the hole". Solitary confinement is utilized for many purposes, primarily for the health and safety of themselves and others. It was first intended as a means of rehabilitation. However, instead, it has contributed to negative psychological and physiological effects on prisoners. There is argument for and against the use of solitary confinement and reformation efforts are being made to reduce solitary confinement. In an attempt to provide programming to segregated prisoners and reduce the amount of time that prisoners are in their cells, various correctional institutions have implemented nature imagery programs to reduce violent behavior and physiological states. Nature Imagery in Prisons Project (NIPP) was the first program of its kind and has laid the groundwork for other correctional institutions to follow. Programs such as this are designed for segregated prisoners and are used as a means of rehabilitation for these individuals as they prepare for their return to the community or to general prison population

    A study of the possible preventive effects of muscular exercises and intermittent venous occlusion on the cardiovascular deconditioning observed after 10 days bed recumbency - Experimental design

    Get PDF
    Experiment designed to study preventive effects of muscular exercises on intermittent venous occlusion on cardiovascular deconditioning observed after 10 days bed recumbenc

    Cardiac rehabilitation and psychological well-being

    Get PDF
    The aim of this chapter is to address psychological issues associated with effective multidimensional cardiac rehabilitation programmes. Cardiac rehabilitation is defined as: “the sum of activities required to influence favourably the underlying cause of the disease, as well as the best possible, physical, mental and social conditions, so that they (people) may, by their own efforts preserve or resume when lost, as normal a place as possible in the community. Rehabilitation cannot be regarded as an isolated form or stage of therapy but must be integrated within secondary prevention services of which it forms only one facet” (World Health Organisation, 1993). The chapter will: discuss the impact of CHD in the UK, provide an overview of the Government strategy for reducing the burden of cardiac disease and disability, and review quantitative evidence discussing the effectiveness of cardiac rehabilitation on the mental health and well-being of cardiac patients, with particular reference to anxiety and depression states. The final part of this chapter presents results of a qualitative study, previously reported in Hudson, Board, and, Lavallee (2001) that examined the psychosocial impact of cardiac disease and rehabilitation for patients attending one cardiac rehabilitation scheme in England

    A multifactorial approach for understanding fall risk in older people

    Get PDF
    OBJECTIVE: To identify the interrelationships and discriminatory value of a broad range of objectively measured explanatory risk factors for falls. DESIGN: Prospective cohort study with 12-month follow-up period. SETTING: Community sample. PARTICIPANTS: Five hundred community-dwelling people aged 70 to 90. MEASUREMENTS: All participants underwent assessments on medical, disability, physical, cognitive, and psychological measures. Fallers were defined as people who had at least one injurious fall or at least two noninjurious falls during a 12-month follow-up period. RESULTS: Univariate regression analyses identified the following fall risk factors: disability, poor performance on physical tests, depressive symptoms, poor executive function, concern about falling, and previous falls. Classification and regression tree analysis revealed that balance-related impairments were critical predictors of falls. In those with good balance, disability and exercise levels influenced future fall risk-people in the lowest and the highest exercise tertiles were at greater risk. In those with impaired balance, different risk factors predicted greater fall risk-poor executive function, poor dynamic balance, and low exercise levels. Absolute risks for falls ranged from 11% in those with no risk factors to 54% in the highest-risk group. CONCLUSIONS: A classification and regression tree approach highlighted interrelationships and discriminatory value of important explanatory fall risk factors. The information may prove useful in clinical settings to assist in tailoring interventions to maximize the potential benefit of falls prevention strategies
    corecore