Disability, CBR and Inclusive Development最新文献

{"title":"Physical Activity, Enjoyment and Quality of Life among Institutionalised Older Adults in Malaysia: A Cross-Sectional Study","authors":"N. A. M. Kutty, M. Jabbar, NG Kylie","doi":"10.5463/dcid.v31i1.828","DOIUrl":"https://doi.org/10.5463/dcid.v31i1.828","url":null,"abstract":"Purpose: In many nations across the world it has become a priority to stimulate increased physical activity (PA) among elderly persons.  This study aimed to find the association between physical activity patterns and enjoyment of physical activity and health-related quality of life (HRQoL) among institutionalised older adults in Malaysia. Method: A sample of institutionalised older adults (n=134, mean age = 73.72; SD = 8.59) was recruited from the Klang valley in Malaysia. In cross-sectional analyses, their physical activity, enjoyment of physical activity and quality of life were screened using the Physical Activity Scale for the Elderly, the 8-item Physical Activity Enjoyment Scale and the EuroQuol-5 Dimensions-5 Levels questionnaires, respectively. High levels of physical activity were associated with enjoyment of physical activity and health-related quality of life. Results: In total, 41% of the participants met the guidelines of the Physical Activity Scale for the Elderly and 53% enjoyed physical activity. A positive correlation was found between the level of physical activity and its enjoyment (rs = .355, p <.001). Significant correlations were recorded between the dimensions of health-related quality of life and the level of physical activity (p < 0.001), except for pain/discomfort and anxiety/depression. Conclusion: Providing opportunities for institutionalised older adults to engage in a variety of activities might help them to identify the kind of physical activity they enjoy and facilitate a lifelong physical activity routine.","PeriodicalId":179630,"journal":{"name":"Disability, CBR and Inclusive Development","volume":"527 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132361830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial: Rehabilitation in an uprooted world","authors":"H. Cornielje","doi":"10.5463/DCID.V31I1.992","DOIUrl":"https://doi.org/10.5463/DCID.V31I1.992","url":null,"abstract":"","PeriodicalId":179630,"journal":{"name":"Disability, CBR and Inclusive Development","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116682056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spinal Postures of Children seated on the floor in Schools in Ahmedabad District, India","authors":"Megha Sheth, Nehal Paresh Shah, Yash Ahuja, Zishan Belim Khan, Parth Parmar, Priyasingh Bhagirath Rangey","doi":"10.5463/dcid.v31i1.864","DOIUrl":"https://doi.org/10.5463/dcid.v31i1.864","url":null,"abstract":"Purpose: In some schools in India, children sit on the floor during class time due to non-availability of furniture. The present study was conducted to assess the spinal postures of school-going children when seated in various positions on the floor. Method: The cross-sectional survey included 62 children by random selection. The boys and girls were from classes 1 - 8. Photographs were taken in four positions: A-standing; B-sitting on the floor while looking at teacher or board; C-sitting on the floor and looking down while writing in books; D-sitting on the floor and copying from the blackboard. Markers were placed on anatomical points: tragus, canthus, C7 vertebra, T12 vertebra, greater trochanter and the lateral malleolus. Craniovertebral angle (CVA), gaze angle, trunk angle and sway angle in degrees were measured using Surgimap software. Differences in mean angles in various positions were compared using Kruskal-Wallis test. Post-hoc analysis was performed using Dunn-Sidak correction test. Results: Mean CVA in position A (standing) was 54.11 + 7.0 degrees; in position B it was 41.7 + 9.2 degrees; in position C it was 43.60 + 43.09 degrees; and, in position D it was 8.8 + 16.85 degrees. Mean gaze angle in position A was 20.01 + 9.18 degrees; in position B it was 26.99 + 10.15 degrees; gaze angle could not be measured in position C (when the students looked into their books); and, in position D it was 35.08 + 9.164 degrees. Mean trunk angle in position A was 147.95 + 9.6 degrees; in position B it was 132.80 + 10.11 degrees; in position C it was 132.80 + 10.69 degrees; and, in position D it was 128.64 + 10.80 degrees. Mean sway angle was 160.91 + 7.70 degrees in standing position. Statistics showed significant difference between the angles in all the different positions (p<0.001). Conclusion: In schools without appropriate furniture, sitting on the floor leads to a significant alteration in spinal postures among school-going children. Increased stress on the neck and back may predispose these children to early degenerative changes. Suitable furniture needs to be provided and good posture needs to be taught to children. Limitations: Detailed pain assessment and comparison between higher and lower classes could not be done.","PeriodicalId":179630,"journal":{"name":"Disability, CBR and Inclusive Development","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130280928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AUTEMOGAZE – Efficient Emotion and Gaze Change Identification System for Autism Spectrum Disorder","authors":"Vikas Khullar, M. Bala, H. Singh","doi":"10.5463/dcid.v31i1.736","DOIUrl":"https://doi.org/10.5463/dcid.v31i1.736","url":null,"abstract":"","PeriodicalId":179630,"journal":{"name":"Disability, CBR and Inclusive Development","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125994557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Monitoring the Internal Training Load and Surrogate Measures in a Senior Female Paralympic Athlete with Spinal Cord Injury: A Case Study","authors":"Mirna Clemente, M. Miguel, Darlan França Ciesielki Junior, Tabea Epp Kuster Alves, T. V. Braz, Louryana Padilha Campos, L. Gibbert, S. Bonatto, L. Fernandes, Larissa Junqueira Gatto, C. B. Schonhofen, O. Miguel","doi":"10.5463/dcid.v31i1.877","DOIUrl":"https://doi.org/10.5463/dcid.v31i1.877","url":null,"abstract":"Purpose: Paralympic Games were started originally for therapeutic reasons; nowadays they demonstrate the characteristics of high-performance sports. The surrogate measures (e.g., sleeping habits) and the internal training load (ITL) measures are strongly associated and are used to monitor performance in sport. This study aimed to understand whether the relationship between internal training load and surrogate measures, observed over a 16-week period, would be beneficial or otherwise in the case of a senior female Paralympic athlete with spinal cord injury, who was training to compete in table tennis at the Parapan American Games in Lima.  Method: This case study evaluated the surrogate measures through the Heart Rate Variability measure, the Wisconsin Upper Respiratory Symptom Survey and the Pittsburgh Sleep Quality Index and assessed their relationship with the internal training load. Results: The data demonstrated that during the monitoring period the athlete presented minimal fluctuations in the Heart Rate Variability measure, the Wisconsin Upper Respiratory Symptom Survey and the Pittsburgh Sleep Index. Significance was considered at p< 0.05. Conclusion and Implication: Contrary to the athlete`s age and physical condition , the data demonstrated some gains towards her success in the sporting competition. A new approach in monitoring internal training load associated with surrogate measures is necessary. It could prove to be a good strategy for implementation in competition training routines for Paralympic athletes to reach their individual goals.","PeriodicalId":179630,"journal":{"name":"Disability, CBR and Inclusive Development","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125394232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accessing Healthcare in Ghana: Challenges Encountered and Strategies Adopted by Persons with Disabilities in Accra","authors":"R. Abrokwah, Efua Esaaba Mantey Agyire-Tettey, Augustina Naami","doi":"10.5463/dcid.v31i1.888","DOIUrl":"https://doi.org/10.5463/dcid.v31i1.888","url":null,"abstract":"Purpose: Access to quality and timely healthcare is essential to the health and wellbeing of all individuals. Unfortunately, the more vulnerable populations, such as persons with disabilities, encounter a number of barriers in accessing healthcare services. This study focusses on barriers that persons with disabilities face in accessing healthcare in the Accra metropolis, and the strategies they adopt when they are ill. Method: A phenomenological approach was employed to achieve a deeper and holistic understanding of the challenges encountered when accessing healthcare. Purposive sampling technique was used to recruit 21 persons with disabilities, between 18 and 64 years of age, from the organisations of persons with disabilities in Accra. Results: The study revealed that physical, financial, communication, transportation, and attitudinal barriers, as well as healthcare professionals’ lack of knowledge about disability issues, limited access of persons with disabilities to healthcare. The majority of persons with disabilities preferred to stay at home and self-medicate or depend on herbal medicine, rather than seek help from healthcare professionals. Conclusion: Healthcare for all is a right that every human being is entitled to, irrespective of disability. The removal of barriers restricting access to healthcare for persons with disabilities is a necessity to achieve Goal 3 of the Sustainable Development Goals (SDG) Agenda 2030.","PeriodicalId":179630,"journal":{"name":"Disability, CBR and Inclusive Development","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124095633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of Undergraduate Community-Based Rehabilitation Programmes in the Philippines: A Cross-Sectional Survey","authors":"Pocholo B Trinidad, L. Shibu, Napoleon R Caballero, E. Rajab","doi":"10.5463/dcid.v31i1.849","DOIUrl":"https://doi.org/10.5463/dcid.v31i1.849","url":null,"abstract":"Purpose: The survey aimed to identify common strengths and weaknesses regarding the characteristics, management and implementation of Community-Based Rehabilitation (CBR) training in the undergraduate curriculum of Schools of Physical Therapy in the Philippines, and make recommendations for improvement. Method: A survey was conducted with the academic heads of CBR departments in 10 Physical Therapy schools. The institutions were selected through cluster sampling according to regional location. Nine of these were private institutions. Data was collected through a 24-item self-assessment survey distributed to the heads of the participating colleges /departments. Results: A number of strengths and weaknesses were identified. The strengths were:  all schools had a 1 to 2-month clinical CBR course integrated into their undergraduate curriculum; CBR courses were supported by a course syllabus, learning outcomes, student assessment and clinical training manual; 80% of institutions had implementing policies and guidelines governing management of the CBR programme(s); at least one physiotherapist was involved in the management of the CBR programme(s); and, CBR activities were delivered in coordination with key stakeholders management, with emphasis on delivery of physical therapy services, disability prevention, health education, participation of persons with disabilities and community awareness. The weaknesses were: no head/programme coordinator for 30% of CBR programmes; 40% did not have clinical coordinators as designated management positions in the CBR programme; only 50% of academic staff received formal CBR training, of which 80% was provided through CBR summits and professional interaction with other physical therapists; and, only 50% of schools adopted a multidisciplinary approach to service delivery which was focused on the Health domain of the CBR Matrix. Conclusion:  The CBR component of the undergraduate physical therapy curriculum in the Philippines can be improved. A shift in the teaching to transdisciplinary care and inter-professional learning is recommended. Regular review of the CBR indicators should be done by the schools, including the key stakeholders.  Challenges for CBR implementation were recruitment of community volunteers as CBR workers, availability of indigenous resources and finances to support CBR activities, and family participation in the rehabilitation of a relative with a disability. Each school should determine whether current human resources and training are adequate. Schools must be encouraged to jointly identify common problems in CBR education and share solutions.","PeriodicalId":179630,"journal":{"name":"Disability, CBR and Inclusive Development","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133553643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Guest Editorial - DCID: A New Era","authors":"Steven Berdenis van Berlekom","doi":"10.5463/dcid.v31i1.997","DOIUrl":"https://doi.org/10.5463/dcid.v31i1.997","url":null,"abstract":"","PeriodicalId":179630,"journal":{"name":"Disability, CBR and Inclusive Development","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128259290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and Facilitators to Community Ambulation in Maharashtra, India:\u0000 Perception of Individuals with Stroke","authors":"Atiya A. Shaikh, J. Atre","doi":"10.5463/dcid.v30i4.832","DOIUrl":"https://doi.org/10.5463/dcid.v30i4.832","url":null,"abstract":"Purpose: The study aimed to understand the self-perceived environmental barriers/ facilitators to community ambulation among stroke survivors in Maharashtra State, India. Method: The Facilitators and Barriers Survey /Mobility Questionnaire (FABS/M) was used to collect information from a convenience sample of 50 individuals with stroke. Data was analysed using descriptive statistics in Statistical Package for Social Sciences (SPSS) 22.00. Results: Curbs, gravel surfaces, rain, noise, and crowd were marked as barriers by 56%, 58%, 52%, 36% and 50% of the participants, respectively. Ramps, elevators, and flat surfaces were reported as facilitators by 42%, 70% and 82% of the participants, respectively. Participants also mentioned the absence of automatic doors and escalators in community areas (92% and 88%), specialised exercise equipment, handrails and specialised bathroom equipment at home (92%, 50% and 52%), and inaccessibility to public places (50%), as barriers to easy mobility.  Conclusions: To enhance community mobility of individuals with stroke, environmental barriers should be reduced and facilitators should be enhanced. The marked absence of facilitators in the environment should be rectified and appropriate steps should be taken to enhance ambulation.  Limitations of the study are the small sample size. Factors like balance, economic status, physical activity of the stroke individuals and severity of stroke were also not considered.","PeriodicalId":179630,"journal":{"name":"Disability, CBR and Inclusive Development","volume":"128 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128149780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introduction of Indian Sign Language in Inclusive Education","authors":"S. Goswami, Anita Ravindra Ggr, Kanchan Sharma","doi":"10.5463/dcid.v30i4.796","DOIUrl":"https://doi.org/10.5463/dcid.v30i4.796","url":null,"abstract":"Purpose:  The predominant mode of human communication is speech, and whenever it is hindered, humans resort to the tactile-kinaesthetic mode.  Use of sign language by persons with speech-hearing impairments is a classic example of such adaptation. The Demonstration School at the Regional Institute of Education in Mysuru, South India, undertook training of typically-developing students in Indian Sign Language (ISL), so as to facilitate communication and instruction of students with hearing impairment who are in mainstream learning environments.  Method: Training in ISL was imparted to140 typically-developing students in higher primary classes. Twenty-four 40-minute sessions were conducted over a month. After theoretical orientation in logical bases of manual communication, practical training commenced with elementary manual alphabets, progressed through essential daily-life vocabulary necessary to construct simple sentences and carry out general conversations, and culminated in signing the Indian National Anthem. Results: Typically-developing students gained primary benefits such as improved awareness about non-verbal communication modes, mastery of basic skills in ISL, and positive attitudes towards sign languages. Conclusion: The UNCRPD 2006 authorises sign language as the linguistic identity of the Deaf, and encourages the use of sign language in learning environments. Future research should add to the findings on secondary benefits in the form of scholastic and sociometric advantages derived by students with hearing impairments who receive instructions in sign language in mainstream learning environments.","PeriodicalId":179630,"journal":{"name":"Disability, CBR and Inclusive Development","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114894355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}