The NItty Gritty: INDOT and Title VI

This presentation provides Title VI requirements for Indiana local public agencies. Ken Woodruff opens the session with the history of Title VI and why we care. Erin Hall discusses the specifics of EJ and LEP within Title VI and what they look for. Cathy Gross provides information on networks and resources for LPAs

ADA and Title VI for the Elected Official

This session provides practical steps to assist elected officials in removing barriers to accessibility and evaluating their programs for potential discrimination. Once plans and policies are in place, it can be challenging to get these programs moving, and even more challenging to sustain them over the long term. INDOT, FHWA, and the Indiana Title VI and ADA Coordinators’ Association will connect attendees to available resources for administering these programs and maintaining compliance with the Title VI and ADA requirements

Canadian Music Therapists’ Perspectives on the Current State of Music Therapy as a Profession in Canada

Although the profession of music therapy has made many advances since the Canadian Association for Music Therapy (CAMT) was established in 1974, it is still a relatively new profession and as such, faces a variety of challenges. However, it is not known how these challenges are perceived by Canadian music therapists––all of whom live in diverse urban and rural regions of a geographically large country and work within different provincial/territorial healthcare and education systems. Furthermore, it is not known how these diverse experiences impact upon Canadian music therapists’ current views of the profession. Therefore, the purpose of this study was to examine Canadian music therapists’ perspectives on the current state of music therapy as a profession in Canada. Participants (N = 87) completed an online survey that examined their perceptions of the definition of music therapy, scope of practice, professional certification, government regulation, and professional advocacy––all in relation to the profession of music therapy in Canada. Results indicated that a majority of respondents believed that both the CAMT’s definition of music therapy and the Music Therapy Association of Ontario’s (MTAO) scope of practice statement are representative of the current profession and practice of music therapy in Canada. However, respondents’ perceptions were more varied in the other areas of the survey. Potential implications for the profession as well as areas for further research are discussed. Keywords: music therapy, Canada, profession, professionalization, surve

Les perspectives des musicothérapeutes sur le statut actuel de la musicothérapie en tant que profession au Canada.

Même si la musicothérapie en tant que profession a grandement évolué depuis la fondation de l’Association de musicothérapie du Canada (AMC) en 1974, elle demeure une profession relativement jeune qui fait face à de nombreux défis. Cependant, nous ne savons pas comment ces défis sont perçus par les musicothérapeutes canadiens qui habitent les différentes régions d'un vaste pays, et comment ceux-ci travaillent au sein de divers systèmes de santé et d’éducation tant provinciaux que régionaux. De plus, nous ne savons pas comment ces expériences variées influencent les perspectives des musicothérapeutes canadiens sur la profession. Le but de cette étude vise à examiner les vues de musicothérapeutes canadiens sur le statut actuel de la musicothérapie en tant que profession au Canada. En automne 2012, les participants (N = 87] ont rempli un sondage en ligne qui révèle leurs perceptions de la définition de la musicothérapie de l'AMC, des champs d’application, de la certification professionnelle, de la règlementation gouvernementale ainsi que des associations professionnelles. Les résultats démontrent qu’une majorité de répondants croit que la définition de la musicothérapie de l'AMC ainsi que les champs d'application de l’association de musicothérapie de l'Ontario (MTAO) sont représentatifs de la profession actuelle et des champs d'application de la musicothérapie au Canada. Cependant, les perceptions des répondants ont été plus diversifiées dans d’autres sections du sondage. Des applications potentielles et des recommandations pour la progression et la continuité de la recherche sont discutées

Canadian music therapists’ perspectives on the current state of music therapy as a profession in Canada

Although the profession of music therapy has made many advances since the Canadian Association for Music Therapy (CAMT) was established in 1974, it is still a relatively new profession and, as such, faces a variety of challenges. However, it is not known how these challenges are perceived by Canadian music therapists who live in diverse regions of a geographically large country and work within different provincial and regional health care and education systems. Furthermore, it is not known how these diverse experiences impact upon Canadian music therapists' views of the profession. The purpose of this study was to examine Canadian music therapists' perspectives on the current state of music therapy as a profession in Canada. In Fall 2012, participants [N = 87) completed an online survey that examined their perceptions of the CAMT definition of music therapy, scope of practice, professional certification, government regulation, and professional advocacy. Results indicated that a majority of respondents believed that both the CAMT’s definition of music therapy and the Music Therapy Association of Ontario’s (MTAO) scope of practice statement are representative of the current profession and practice of music therapy in Canada. However, respondents’ perceptions were more varied in other areas of the survey. Potential implications and recommendations for the profession and for further research are discussed

Purposeful Interventions for Older Adults Post-Joint Replacement Surgery: An Evidence-Based Project

The overall focus of each of case scenarios are related to assessment or interventions that are related to Choosing Wisely Campaign items 1, 2, 3, 5, 8, 10. Case scenarios were developed related to each initiative with clientele and conditions across the lifespan in various practice settings. Practice settings included school district, outpatient pediatric, primary care, skilled nursing facility, work rehabilitation, and acute care

Magnitude, impact, and stability of primary headache subtypes: 30 year prospective Swiss cohort study

Objective To determine the prevalence, impact, and stability of different subtypes of headache in a 30 year prospective follow-up study of a general population sample

Transition to forefoot strike reduces load rates more effectively than altered cadence

Background Excessive vertical impacts at landing are associated with common running injuries. Two primary gait-retraining interventions aimed at reducing impact forces are transition to forefoot strike (FFS) and increasing cadence (CAD). The objective of this study was to compare the short- and long-term effects of 2 gait-retraining interventions aimed at reducing landing impacts. Methods A total of 39 healthy recreational runners using a rearfoot strike and a CAD of ≤170 steps/min were randomized into CAD or FFS groups. All participants performed 4 weeks of strengthening followed by 8 sessions of gait-retraining using auditory feedback. Vertical average load rates (VALR) and vertical instantaneous load rates were calculated from the vertical ground reaction force curve. Both CAD and foot strike angle were measured using 3-dimensional motion analysis and an instrumented treadmill at baseline and at 1 week, 1 month, and 6 months after retraining. Results Analysis of variance revealed that the FFS group had significant reductions in VALR (49.7%) and vertical instantaneous load rates (41.7%), and changes were maintained long term. Foot strike angle in the FFS group changed from 14.2° dorsiflexion at baseline to 3.4° plantarflexion, with changes maintained long term. The CAD group exhibited significant reduction only in VALR (16%) and only at 6 months. Both groups had significant and similar increases in CAD at all follow-ups (CAD, +7.2% to 173 steps/min; and FFS, +6.1% to 172 steps/min). Conclusion FFS gait-retraining resulted in significantly greater reductions in VALR and similar increases in CAD compared to CAD gait-retraining in the short and long term. CAD gait-retraining resulted in small reductions in VALR at only the 6-month follow-up

Pilot study shows skin-to-skin care with parents improves heart rate variability in preterm infants in the neonatal intensive care unit

BackgroundSkin-to-skin care in the newborn intensive care unit typically lasts for short periods of time and enhances breastfeeding, attachment, and parental self-esteem. Heart rate variability (HRV) increases with gestational age and is a measure of maturation of parasympathetic vs. sympathetic autonomic nervous system activity. HRV measurements may be useful in capturing changes in autonomic regulation in response to skin-to-skin care.ObjectiveTo analyze the effects of skin-to-skin care on HRV in preterm infants receiving respiratory support. We hypothesized that skin-to-skin care would result in a more mature pattern of parasympathetic activity.MethodsIn this prospective crossover study, infants <30 weeks' gestation and 1–6 weeks postnatal age had HRV recorded for 30 min before, during, and after skin-to-skin care sessions. HRV characteristics analyzed included the standard deviation of the normal-to-normal interval (SDNN), the root mean squared of successive differences of normal-to-normal intervals (RMSSD), and the standard deviation of decelerations (SDDec).Results10 infants between 25 5/7–29 6/7 weeks gestational age and 7–41 days postnatal age completed 22 sessions while receiving respiratory support (positive pressure ventilation or nasal cannula oxygen). Two measures of HRV (SDNN and RMSSD) were significantly decreased by the end of the skin-to-skin sessions, compared to pre-session values. SDNN decreased from a median of 10.44 ms before the session to 6.70 ms after being placed back in bed (p < 0.05), with RMSSD decreasing from a median of 6.80 ms before the session to 4.32 ms while being held at the end of 30 min (p < 0.05).DiscussionSkin-to-skin care with a parent resulted in a more mature autonomic nervous system pattern in preterm infants receiving respiratory support, suggesting physiologic benefit for the infant. No adverse events were seen during any session