Investigating Effects of High-intensity Gait Training on Gait Function, Balance and Depression Following Stroke and the Impact of Social Determinants of Health and Depression on Patients' Adherence to Physical Therapy
The purpose of this research is to study the improvements from walking practice that is vigorous enough to keep participants' heart rate over a certain target level during their physical therapy sessions. The investigators want to know about improvements in participants' walking function and mental health after 20 interventions. The study also aims to evaluate if participants' mental health, social support, and health literacy affect their attendance at physical therapy sessions.
Comparing Effects of Conventional Neurorehabilitation With Exoskeleton With High-intensity Gait Training on Gait, Balance, and Depression Following Stroke and the Impact of Social Determinants of Health and Depression on Patients' Adherence to Physical Therapy
The purpose of this research is to compare improvements between the rehab intervention with walking practice using the robotic exoskeleton versus walking practice that is vigorous enough to keep participants' heart rate over a certain target level during physical therapy sessions. Investigators want to compare improvements in your walking function and mental health that occur after 20 interventions. The study also aims to evaluate if participants' mental health, social support, and health literacy affect attendance at physical therapy sessions.
The Effects of Open Chain Versus Closed Chain Strengthening on Dynamic Valgus During a Step Down Test
The goal of this clinical trial is to compare the effects of different exercises programs in individuals with abnormal knee motion. The main question it aims to answer are: * In individuals with abnormal knee motion and without knee pain, does a weight-bearing exercise program reduce abnormal knee motion during a step-down test better than a non weight-bearing exercise program? Participants will * Perform a stepdown test while undergoing motion analysis and electromyograph (EMG) recording. * Participants will then be placed either into a weight-bearing or non weight-bearing exercise group. Exercises will be performed 3 times per week for 6 weeks. * Further motion analysis and EMG data will be collected to test for differences. Researchers will compare individual results before and after exercise, and between-group results before and after exercise to see if one exercise program helps improved abnormal knee motion more than the other.
Erratum to “Cardiac screening findings and referral patterns in male African-American basketball players: Analysis of the HeartBytes Registry”[The American Journal of Cardiology 243 (2025) 73-80]
作者: Shah, Vacha ; Corsi, Douglas ; O'Malley, Blaise ; Osler, Brian ; Masood, Imran ; Shipon, David ; Lanstaff, Renee ; Qiu, Grace ; Hajduczok, Alexander G ; Johnson, Drew ; Doyle, Maggie ; Saraiya, Avinash
2025-08-01·JOURNAL OF NURSING EDUCATION
Developing and Implementing a Service-Learning Course in Prelicensure Nursing Education
Article
作者: Keperling, Heather
Background:
Incorporating social determinants of health (SDOH) into nursing education is essential for addressing health challenges faced by underserved populations. This article describes a service-learning course to integrate SDOH through community partnerships with local shelters.
Method:
An exploratory method for creating the service-learning course involved a needs assessment to identify challenges for vulnerable populations. Key components included conducting needs assessments, aligning course objectives with nursing competencies, and fostering collaboration among stakeholders. Structured reflections facilitated critical thinking among students.
Results:
Students enhanced their advocacy skills and gained hands-on experience with underserved populations, leading to a better understanding of the social, economic, and physical factors affecting health and mental health. Reflections deepened students' awareness of the effects of their work on SDOH.
Conclusion:
Integrating service-learning into nursing education prepares students to address health disparities and advocate effectively for vulnerable populations, ultimately contributing to improved health outcomes in their future practice.
2025-07-01·Journal of Hand Therapy
Hand function and quality of life with a 3D-printed prosthesis: A case report
Article
作者: Chown, Gregory ; Rossi, Regina
BACKGROUND:
People throughout the world have amputations but cannot obtain prosthetic devices. 3D-printing can be a cost-effective tool to create prostheses.
PURPOSE:
The study's purpose is to examine the impact that a 3D-printed prosthetic hand has on function and quality of life.
STUDY DESIGN:
This case report collected data from a single subject.
METHODS:
For function and quality of life, the Orthotics Prosthetics Users Surveys (OPUS) Upper Extremity Functional Status (UEFS) and the OPUS Health-Related Quality of Life Index (HRQOL) were completed before and after receiving a 3D-printed prosthetic hand.
RESULTS:
The UEFS pre-test score was 31, while post-test was 50. This 19-point difference exceeds the minimal detectable change (MDC) of 14.8, denoting a positive change. The HRQOL pre-test score was 58 and the post-test was 61. Since the MDC for this survey is 7.4, there is no substantial improvement.
CONCLUSIONS:
Function improved for this participant by nearly two standard deviations, while quality of life was maintained. 3D-printing is a viable, adaptable, and cost-effective alternative that aided the participant's function. This technology in the clinic can meet unique client needs when considering financial limitations or multiple prostheses for growing children.