Patient perceptions after the operative and nonoperative treatment of shoulder instability:A qualitative focus group study

Background: Little evidence is available regarding patient perceptions of the treatment of shoulder instability. The aim of this study is to investigate patient perceptions regarding the operative and nonoperative treatment of anterior shoulder instability. Methods: Patients who presented to the emergency department or outpatient clinic between 2016 and 2020 were retrospectively selected using diagnosis and procedure codes. Online focus groups and semistructured interviews were conducted, systematically recorded and subsequently transcribed to MaxQDA 2007 for qualitative analysis. Coded transcripts of all focus groups were subjected to a grounded theory–based analysis. Results: Six focus groups and two semistructured interviews were hosted with 35 included patients. The mean age of included patients was 34.1 years (±11.5). Eight patients were female (23%), and 27 patients were male (77%). Fear of (recurrent) dislocation, preoperative counseling, communication between surgeon and physiotherapists and need for a consistent postoperative rehab protocol turned out to be important patient perceptions. The most crucial factor for discontent was a lack of communication from the surgeon. Discussion: This patient-centered focus group study revealed that fear of (recurrent) dislocation, preoperative counseling, communication between surgeons and physiotherapists and the need for a consistent postoperative rehabilitation protocol was the most frequently discussed themes.</p

鼠毒証

Information and communications technology (ICT) has the potential to contribute to the quality of life of older adults. The aim of this study was to analyze the use of a broad array of ICT devices and services among Dutch older adults and to determine whether demographics and health outcomes are associated with this use. A questionnaire was dispensed among a group of Dutch older adults (≥65 years). A univariate analysis of covariance was used to analyse results. Two hundred ninety-one subjects filled out the questionnaire. Reported use of newer technologies was lower compared with older technologies. Increased age (p = 0.048, Confidence Interval [CI]: -0.73: -0.004), lower degree of education (p = 0.008, CI: -59.64: -5.59), birthplace outside of Europe (p = 0.024, CI: -21.99: -0.73), lower income (p = 0.005, CI: -46.44:25.38), less arthrosis of the hands (p = 0.042, CI: -1.38:21.11), and a lower physical functioning (p = 0.008, CI: 1.43:9.41) resulted in a lower ICT use score with an adjusted R2 of 0.311. Older adults are slower to adapt to newer technologies. It appears it is not the degree of physical restrictions, but rather the degree of adaptability to these restrictions that influence the use of ICT.status: publishe

Technology use by older adults in the Netherlands and its associations with demographics and health outcomes

Information and communications technology (ICT) has the potential to contribute to the quality of life of older adults. The aim of this study was to analyze the use of a broad array of ICT devices and services among Dutch older adults and to determine whether demographics and health outcomes are associated with this use. A questionnaire was dispensed among a group of Dutch older adults (≥65 years). A univariate analysis of covariance was used to analyse results. Two hundred ninety-one subjects filled out the questionnaire. Reported use of newer technologies was lower compared with older technologies. Increased age (p = 0.048, Confidence Interval [CI]: -0.73: -0.004), lower degree of education (p = 0.008, CI: -59.64: -5.59), birthplace outside of Europe (p = 0.024, CI: -21.99: -0.73), lower income (p = 0.005, CI: -46.44:25.38), less arthrosis of the hands (p = 0.042, CI: -1.38:21.11), and a lower physical functioning (p = 0.008, CI: 1.43:9.41) resulted in a lower ICT use score with an adjusted R2 of 0.311. Older adults are slower to adapt to newer technologies. It appears it is not the degree of physical restrictions, but rather the degree of adaptability to these restrictions that influence the use of ICT

Ouderen meer laten bewegen met behulp van technologie én elkaar

IKan het stimuleren van bewegen ook eenzaamheid verminderen onder alleenstaande ouderen met één of meerdere beperkingen? In het project ‘Meer bewegen met behulp van technologie en elkaar’ is gezocht naar antwoord op deze vraag

Enhancement of the mobility and social connectedness in older people with a chronic disorder by using an activity tracker and social interactions gatherings

The purpose of the project was to increase the daily activities and exercises of single-living older people with one or more limitations in functioning after a period of rehabilitation

Use of an online survey to detect reasons for low physical activity in COPD patients

We developed an online survey for COPD patients to investigate which reasons patients themselves list for being less active. In addition, this survey provides information on whether the internet proves to be a usable platform to administer surveys in COPD patients

Perceptions of Patients With Chronic Obstructive Pulmonary Disease and Their Physiotherapists Regarding the Use of an eHealth Intervention

If eHealth interventions are not used (properly), their potential benefits cannot be fulfilled. User perceptions of eHealth are an important determinant of its successful implementation. This study examined how patients with chronic obstructive pulmonary disease (COPD) and their physiotherapists (PHTs) value an eHealth self-management intervention following a period of use.status: publishe

A Mobile Phone App to Stimulate Daily Physical Activity in Patients with Chronic Obstructive Pulmonary Disease: Development, Feasibility, and Pilot Studies

Patients with chronic obstructive pulmonary disease (COPD) demonstrate reduced levels of daily physical activity (DPA) compared to healthy controls. This results in a higher risk of hospital admission and shorter survival. Performing regular DPA reduces these risks.status: publishe

Comparison of wheelchair wheels in terms of vibration and spasticity in people with spinal cord injury

A wheelchair undergoes vibrations while traveling over obstacles and uneven surfaces, resulting in whole body vibration of the person sitting in the wheelchair. According to clinicians, people with spinal cord injury (SCI) report that vibration evokes spasticity. The relatively new Spinergy wheelchair wheels (Spinergy, Inc; San Diego, California) are claimed to absorb more road shock then conventional steel-spoked wheelchair wheels. If this claim is true, this wheel might also reduce spasticity in people with SCI. We hypothesized that Spinergy wheels would absorb vibration, reduce perceived spasticity, and improve comfort in individuals with SCI more than standard steel-spoked wheels. To test this hypothesis, 22 nondisabled subjects performed a passive ramp test so that we could more closely examine the dampening characteristics of the Spinergy versus traditional wheels. Furthermore, 13 subjects with SCI performed an obstacle test with both wheel types. Vibrations were measured with accelerometers, and spasticity and comfort were assessed with subject-reported visual analog scales. The results of the study showed that, within the current experimental setup, the Spinergy wheels neither reduced vibration or perceived spasticity nor improved comfort in people with SCI more than the conventional steel-spoked wheels