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https://www.readbyqxmd.com/read/26356668/occupational-therapy-interventions-for-adults-with-stroke
#1
Dawn Nilsen, Glen Gillen, Marian Arbesman, Deborah Lieberman
Evidence Connection articles provide a clinical application of systematic reviews developed in conjunction with the American Occupational Therapy Association's (AOTA's) Evidence-Based Practice project. The clinical condition discussed in this inaugural Evidence Connection article is adults with stroke. Findings from the systematic reviews on this topic were published in the January/February 2015 issue of the American Journal of Occupational Therapy and in AOTA's Occupational Therapy Practice Guidelines for Adults With Stroke (Wolf & Nilsen, 2015)...
September 2015: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/25553743/effectiveness-of-interventions-to-improve-occupational-performance-of-people-with-cognitive-impairments-after-stroke-an-evidence-based-review
#2
REVIEW
Glen Gillen, Dawn M Nilsen, Jessica Attridge, Erasmia Banakos, Marie Morgan, Lauren Winterbottom, Wesley York
This evidence-based review was conducted to determine which interventions are effective in improving occupational performance after stroke. Forty-six articles met the inclusion criteria and were examined. Interventions for the following impairments were reviewed: general cognitive deficits, executive dysfunction, apraxia, memory loss, attention deficits, visual field deficits (included because of their close relationship with neglect), and unilateral neglect. Evidence is available from a variety of clinical trials to guide interventions regarding general cognition, apraxia, and neglect...
January 2015: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/25553742/effectiveness-of-interventions-to-improve-occupational-performance-of-people-with-motor-impairments-after-stroke-an-evidence-based-review
#3
REVIEW
Dawn M Nilsen, Glen Gillen, Daniel Geller, Kimberly Hreha, Ellen Osei, Ghazala T Saleem
We conducted a review to determine the effectiveness of interventions to improve occupational performance in people with motor impairments after stroke as part of the American Occupational Therapy Association's Evidence-Based Practice Project. One hundred forty-nine studies met inclusion criteria. Findings related to key outcomes from select interventions are presented. Results suggest that a variety of effective interventions are available to improve occupational performance after stroke. Evidence suggests that repetitive task practice, constraint-induced or modified constraint-induced movement therapy, strengthening and exercise, mental practice, virtual reality, mirror therapy, and action observation can improve upper-extremity function, balance and mobility, and/or activity and participation...
January 2015: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/25553740/what-is-the-evidence-for-the-effectiveness-of-interventions-to-improve-occupational-performance-after-stroke
#4
EDITORIAL
Glen Gillen
No abstract text is available yet for this article.
January 2015: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/24700299/the-frequencies-and-clinical-implications-of-mutations-in-33-kinase-related-genes-in-locally-advanced-rectal-cancer-a-pilot-study
#5
Khairun I Abdul-Jalil, Katherine M Sheehan, Sinead Toomey, Jasmin Schmid, Jochen Prehn, Anthony O'Grady, Robert Cummins, Brian O'Neill, Deborah A McNamara, Joseph Deasy, Oscar Breathnach, Liam Grogan, Ailin Rogers, Glen Doherty, Des Winter, John Ryan, Sherif El-Masry, David Gibbons, Kieran Sheahan, Peter Gillen, Elaine W Kay, Bryan T Hennessy
BACKGROUND: Locally advanced rectal cancer (LARC: T3/4 and/or node-positive) is treated with preoperative/neoadjuvant chemoradiotherapy (CRT), but responses are not uniform. The phosphatidylinositol 3-kinase (PI3K), MAP kinase (MAPK), and related pathways are implicated in rectal cancer tumorigenesis. Here, we investigated the association between genetic mutations in these pathways and LARC clinical outcomes. METHODS: We genotyped 234 potentially clinically relevant nonsynonymous mutations in 33 PI3K and MAPK pathway-related genes, including PIK3CA, PIK3R1, AKT, STK11, KRAS, BRAF, MEK, CTNNB1, EGFR, MET, and NRAS, using the Sequenom platform...
August 2014: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/24195898/a-fork-in-the-road-an-occupational-hazard
#6
Glen Gillen
No abstract text is available yet for this article.
November 2013: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/23597695/ensuring-that-education-certification-and-practice-are-evidence-based
#7
REVIEW
Rita P Fleming-Castaldy, Glen Gillen
The occupational therapy profession has put forth a vision for evidence-based practice. Although many practitioners express a commitment to the provision of services informed by evidence, the reality that tradition still determines much of our education, certification, and practice cannot be ignored. In this article, we highlight the disconnect between the profession's aspirations and actual practices using neurophysiological models as an example. We describe actions to actualize the shift from traditional interventions to evidence-based approaches...
May 2013: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/22549597/effect-of-imagery-perspective-on-occupational-performance-after-stroke-a-randomized-controlled-trial
#8
RANDOMIZED CONTROLLED TRIAL
Dawn M Nilsen, Glen Gillen, Theresa DiRusso, Andrew M Gordon
OBJECTIVE: This preliminary study sought to determine whether the imagery perspective used during mental practice (MP) differentially influenced performance outcomes after stroke. METHOD: Nineteen participants with unilateral subacute stroke (9 men and 10 women, ages 28-77) were randomly allocated to one of three groups. All groups received 30-min occupational therapy sessions 2×/wk for 6 wk. Experimental groups received MP training in functional tasks using either an internal or an external perspective; the control group received relaxation imagery training...
May 2012: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/22275627/a-pilot-study-of-robotic-assisted-exercise-for-hand-weakness-after-stroke
#9
Joel Stein, Joel Bishop, Glen Gillen, Raimund Helbok
Upper limb paresis is a major source of disability in stroke survivors, and robotic aided exercise therapy is a promising approach to enhance motor abilities. Few devices have been available to provide robotic therapy to the fingers and hand. We report an open-label pilot study of 12 individuals with chronic moderate hemiparesis after stroke who underwent a six-week training program using a hand robotic device. Participants received a total of 18 hours of robotic therapy. Improvements were found in multiple measures of motor performance, including the Upper Extremity Fugl-Meyer, the Motor Activity Log, the Manual Ability Measure-36, and the Jebsen Hand Function Test...
2011: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
https://www.readbyqxmd.com/read/21952215/robot-assisted-exercise-for-hand-weakness-after-stroke-a-pilot-study
#10
Joel Stein, Lauri Bishop, Glen Gillen, Raimund Helbok
OBJECTIVE: Upper-limb paresis is a major source of disability in stroke survivors, and robotic device-aided exercise therapy is a promising approach to enhance motor abilities. Few robotic devices have been available to provide therapy to the fingers and hand. This study was designed to test a new robotic device for hand rehabilitation in stroke survivors. DESIGN: This is an open-label pilot study of 12 individuals with chronic moderate hemiparesis after stroke...
November 2011: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/21073100/use-of-mental-practice-to-improve-upper-limb-recovery-after-stroke-a-systematic-review
#11
REVIEW
Dawn M Nilsen, Glen Gillen, Andrew M Gordon
OBJECTIVE: We sought to determine whether mental practice is an effective intervention to improve upper-limb recovery after stroke. METHOD: We conducted a systematic review of the literature, searching electronic databases for the years 1985 to February 2009. We selected studies according to specified criteria, rated each study for level of evidence, and summarized study elements. RESULTS: Studies differed with respect to design, patient characteristics, intervention protocols, and outcome measures...
September 2010: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/20437922/rehabilitation-research-focused-on-neurorehabilitation
#12
Glen Gillen
No abstract text is available yet for this article.
March 2010: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/20389417/analytical-beam-propagation-model-for-clipped-focused-gaussian-beams-using-vector-diffraction-theory
#13
Glen D Gillen, Christopher M Seck, Shekhar Guha
Vector diffraction theory is applied to the case of focused TEM(00) Gaussian beams passing through a spatially limiting aperture in order to investigate the propagation of these clipped focused-Gaussian beams. Beam distributions at different axial distances show that a traditional M(2) propagation model cannot be used for the propagation of clipped focus-Gaussian beams. Using Luneberg's vector diffraction theory and Fresnel approximations, an analytical model for the on-axis transverse and longitudinal electric fields and intensity distributions is presented including predictions of the maximum obtainable intensity...
March 1, 2010: Optics Express
https://www.readbyqxmd.com/read/19495019/description-of-light-propagation-through-a-circular-aperture-using-nonparaxial-vector-diffraction-theory
#14
Shekhar Guha, Glen Gillen
Using nonparaxial vector diffraction theory derived using the Hertz vector formalism, integral expressions for the electric and magnetic field components of light within and beyond an apertured plane are obtained for an incident plane wave. For linearly polarized light incident on a circular aperture, the integrals for the field components and for the Poynting vector are numerically evaluated. By further two-dimensional integration of a Poynting vector component, the total transmission of a circular aperture is determined as a function of the aperture radius to wavelength ratio...
March 7, 2005: Optics Express
https://www.readbyqxmd.com/read/19188977/application-of-hertz-vector-diffraction-theory-to-the-diffraction-of-focused-gaussian-beams-and-calculations-of-focal-parameters
#15
Glen D Gillen, Kendra Baughman, Shekhar Guha
Hertz vector diffraction theory is applied to a focused TEM00 Gaussian light field passing through a circular aperture. The resulting theoretical vector field model reproduces plane-wave diffractive behavior for severely clipped beams, expected Gaussian beam behavior for unperturbed focused Gaussian beams as well as unique diffracted-Gaussian behavior between the two regimes. The maximum intensity obtainable and the width of the beam in the focal plane are investigated as a function of the clipping ratio between the aperture radius and the beam width in the aperture plane...
February 2, 2009: Optics Express
https://www.readbyqxmd.com/read/18188197/temperature-dependent-refractive-index-measurements-of-wafer-shaped-inas-and-insb
#16
Glen D Gillen, Chris Dirocco, Peter Powers, Shekhar Guha
An experimental method is introduced to measure the refractive index and its temperature dependence for wafer-shaped infrared materials over a continuous temperature range. Using a combination of Michelson interferometry, Fabry-Perot interferometry, and a temperature-controlled cryostat in a laser micrometer, refractive index values and their temperature coefficients can be measured for any specific temperature within a desired temperature range. Measurements are reported for InAs and InSb for a laser wavelength of 10...
January 10, 2008: Applied Optics
https://www.readbyqxmd.com/read/17566426/trunk-posture-affects-upper-extremity-function-of-adults
#17
Glen Gillen, Chanie Boiangiu, Michelle Neuman, Rachel Reinstein, Yona Schaap
This study examined the effects of various seated trunk postures on upper extremity function. 59 adults were tested using the Jebsen Taylor Hand Function Test while in three different trunk postures. Significant mean differences between the neutral versus the flexed and laterally flexed trunk postures were noted during selected tasks. Specifically, dominant hand performance during the tasks of feeding and lifting heavy cans was significantly slower while the trunk was flexed and laterally flexed than when performed in the neutral trunk position...
April 2007: Perceptual and Motor Skills
https://www.readbyqxmd.com/read/16614557/the-multistate-learning-collaborative-states-as-laboratories-informing-the-national-public-health-accreditation-dialogue
#18
Leslie M Beitsch, Lee Thielen, Glen Mays, Russell A Brewer, Joe Kimbrell, Carol Chang, Sarah Gillen, Liza Corso, Laura B Landrum
The Multistate Learning Collaborative on Performance and Capacity Assessment or Accreditation of Public Health Departments (MLC) is an initiative undertaken with the Exploring Accreditation Project (EAP). The EAP is jointly funded by the Robert Wood Johnson Foundation (RWJF) and the Centers for Disease Control and Prevention (CDC), and staffed collaboratively by the Association of State and Territorial Health Officials (ASTHO) and the National Association of County and City Health Officials (NACCHO) to explore the implications and feasibility of a national public health accreditation system...
May 2006: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/16596917/coping-during-inpatient-stroke-rehabilitation-an-exploratory-study
#19
Glen Gillen
The emotional impact of surviving a stroke has not received the same attention as physical aspects. This is particularly true regarding how stroke survivors cope during inpatient rehabilitation. This study examined the coping strategies used by stroke survivors undergoing inpatient rehabilitation and the relationships between demographic or clinical variables and coping behaviors. This case series examined 16 acute stroke survivors via standardized assessments and a medical records review completed during the first week of inpatient rehabilitation...
March 2006: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/15969282/positive-consequences-of-surviving-a-stroke
#20
Glen Gillen
This exploratory study focused on gaining insight into the psychological experience of stroke survivors undergoing inpatient rehabilitation. Specifically it investigated whether stroke survivors undergoing inpatient rehabilitation were able to identify any positive consequence of their stroke. This phenomenon, also know as benefit finding or positive reframing, has recently received more attention in the coping literature examining reactions to severe illness. Using a case series methodology and qualitative analytic techniques, 16 stroke survivors were interviewed using standardized open-ended questions related to identification of positive consequences attributed to surviving a stroke...
May 2005: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
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