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No description available.

No description available.

A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, in partial fulfilment of the requirements for the degree of Master of Science in Occupational Therapy. 2012 / This study investigated the effects of a five-day “block” of intensive NDT on the gross motor function and occupational performance of 34 children with CP from an under resourced rural area of South Africa, functioning at GMFCS Levels I-V. The repeated measures research design used two preintervention (baseline of change) and two post-intervention (immediate and sustained change) assessments. The GMFM–66 and PEDI–Modified Functional Skills Scale (MFSS) were used to assess change in motor skills and occupational performance in self-care, mobility and social function over a 21 week period. The intervention included individual NDT therapy, caregiver training and provision of adapted equipment. Participants showed significant positive improvement in scores postintervention compared with the pre-intervention period, in: GMFM-66 total score (p=0.050); PEDI-MFSS: self-care skills (p=0.001), mobility (p=0.002) and social (p=0.000). The greatest gains were made in the self-care domain. In this sample, positive change was effected by a five-day intensive NDT programme.

A Dissertation submitted to the Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, in fulfillment of the requirements for the degree of Master of Science (Physiotherapy). Johannesburg 2017 / Aim: The aim of this study was to evaluate the applicability of an existing behavioural observation tool and assess whether it could be used to quantify and define physiotherapeutic actions (PA) as implemented during treatment sessions of children between the ages of one and 16 years with a diagnosis of Cerebral Palsy (CP). If the tool was found to be unsuitable a more appropriate measure would need to be developed. Method: This study consisted of three phases and was exploratory in nature with one phase leading to the next. Phase 1: A panel of experts evaluated the Original Observation Protocol (OOP) by implementing it on treatment videos of children from different Gross Motor Function Classification System (GMFCS) levels, thereby testing its usefulness in a different context to its original intended purpose. Phase 2: The OOP’s content validity was evaluated with the help of the same panel of experts. The recommended adaptations were based on the feedback collected during a series of modified Nominal Group Technique (NGT) sessions. Phase 3: The Adapted Observation Protocol (AOP) was piloted on five treatment videos, each with different GMFCS levels, by a sample group of six experienced physiotherapists (PT’s). Inter-rater and intra-rater reliability were determined to start unpacking some of the psychometric properties of the AOP. Results: Phase 1: The mutual exclusivity of the OOP was found to be unsatisfactory and hence unsuitable for use with older children within the South African context where adaptation was deemed necessary. Phase 2: Content validity for an adapted version was established by achieving 80% agreement between the experts for the inclusion and adaptation of items from the OOP. The AOP consisting out of three sections was developed as the end result of this phase. Phase 3: Some of the preliminary results of the psychometric properties of the AOP looked promising. In Section 3 a high to very high positive correlation were found when looking at both inter- and intra-rater reliability for relative duration of the therapeutic activities across all videos. The ICC values ranged from α= 0.68 to α=0.94 for the inter-rater reliability and α=0.65 to α=0.99 for the intra-rater reliability with a confidence level of 95%. In contrast, the incidence of therapeutic activities scored in Section 3 had slightly lower correlation, ICC ranging from α=0.43 to 0.76. In Sections 1 and 2 a negligible to moderately positive level of correlation was predominantly observed. This might be ascribed to a lack of training amongst other reasons. Conclusion: Further research is needed to develop the psychometric properties of the AOP. However, it does have the potential to be a tool that defines and quantifies therapeutic input in children with CP and an invaluable free resource that can be implemented across a variety of practice settings within South Africa. / MT2017

No description available.

Thesis (Ed.D.)--Boston University.

Thesis (M. Med. Sc.)--University of Hong Kong, 2001. / Includes bibliographical references (leaves 43-47).

Diss. Linköping : Univ., 2001.

Thesis (M.S.)--University of Wisconsin--Madison, 1975. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.