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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
51

An Investigation of the Prevalence of Severe Visual Impairment Among Handicapped Children: Implications for Educators

Bickford, James 01 January 1994 (has links)
Since the inception of special education legislation, the identification of severely visually impaired children has become a difficult task. Official prevalence rates for severe visual impairment currently vary from 8 per 10,000 to 120 per 10,000 school aged children. With such a large discrepancy in rates, it is difficult to plan and provide appropriate specialized services to this group of children. Given this wide variance of reporting, several questions have arisen: (1) What is the prevalence of severely impaired vision as a secondary handicap when another handicapping condition is already known and identified? (2) Is there a significant difference between the reported prevalence rates of severe visual impairment and documented prevalence? Once these questions are answered, educational implication questions arise. (1) Are students receiving services by a person trained to provide specialized assistance? (2) Is there a perception of need for such services? (3) If services are being offered, are they adequate? Such results are vitally important for visually impaired students, for the lack of vision severely restricts all areas of learning and life skills. Level of functional vision determines educational methodology, range and variety of experiences, independent travel skills, and one's ability to control the environment. Teacher training programs are running behind of current need, and should the rates of visual impairment be higher than prevailing calculations, the need for teachers and/or training could multiply several-fold. Using a cluster sampling method, 658 special education students in the Portland metropolitan area were screened for visual impairment. Eleven of the 658 had previously been identified as visually impaired, which coincided with the national rates used as comparison for this study. Upon screening, a total of 86 students were identified as severely visually impaired resulting in a prevalence rate of .130 for handicapped children, a significant difference from the numbers reported under Education of the Handicapped Act and to the American Printing House for the Blind. Perceived need for services for these children indicated a desire to have a better understanding of the implications of visual impairment. Although there was not strong evidence that each child needed a teacher of the visually impaired, respondents expressed a desire to know of curricular adaptations needed.
52

Evaluation of a Functional Treatment for Binge Eating Associated with Bulimia Nervosa

DeWeese-Giddings, Tamela Cheri 30 June 2008 (has links)
Binge-eating disorders are a common problem affecting up to 5 percent of the American population in any given 6-month period. Currently, the most widely accepted treatment is some variation of Cognitive Behavior Therapy. Although there is an abundance of research showing positive effects, the abstinence rates following this type of treatment are currently around 50%. A recent study by Bosch, Miltenberger, Gross, Knudson, and Brower-Breitwieser (2008) explored the effects of extinction on binge-eating behavior that was hypothesized to be maintained by relief from negative emotional responding. The study involved four women who engaged in binge-eating behavior, one of whom met the diagnostic criteria for Bulimia Nervosa. The treatment was successful, with three of the four participants obtaining abstinence. To date, this has been the only study examining this procedure and with only four participants. The purpose of the current study was to further evaluate extinction of binge eating maintained by automatic negative reinforcement with women who met diagnostic criteria for Bulimia Nervosa. Four young women enrolled in the study, three of whom met criteria for Bulimia Nervosa. The results showed that the treatment decreased binge eating to zero for all four women, although one dropped out of the study shortly after beginning the intervention.
53

An exploration into aging in the Muncie community using photovoice technique

Salyer, Amanda L. January 2006 (has links)
This study presented an overview of the use of Photovoice technique as an information gathering tool that is useful in the study of aging. The processes followed in this study lead to a possible method that could be helpful when assessing needs as they relate to activities of daily living as well as wellness information for individuals. The photos collected in this study along with first person accounts of the pictures enhanced the breadth and depth of information when compared to a traditional survey tool used to study activities of daily living. This study looked at the phenomenon of staying vital in ones home in the later stages of the life span from the perspective of the person living in the situation. / Fisher Institute for Wellness and Gerontology
54

Subsídios metodológicos para o desenvolvimento de repertórios de interpretação funcional para uma professora das séries iniciais

Oliveira, Jurandyr de [UNESP] 24 February 2010 (has links) (PDF)
Made available in DSpace on 2014-06-11T19:28:59Z (GMT). No. of bitstreams: 0 Previous issue date: 2010-02-24Bitstream added on 2014-06-13T18:58:15Z : No. of bitstreams: 1 oliveira_j_me_bauru.pdf: 823647 bytes, checksum: aa43b296bcb60ebe028233da39c36d84 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / A literatura em Análise do Comportamento tem demonstrado aumento nos estudos sobre procedimentos metodológicos para o ensino de parte dos repertórios que definem a avaliação funcional para não-especialistas. O objetivo deste trabalho foi verificar se as condições metodológicas delineadas poderiam favorecer o ensino de repertórios de interpretação funcional para uma professora (P) da 3ª série do Ensino Fundamental para conteúdos curriculares do ensino de Ciências Naturais, bem como, averiguar possíveis alterações em suas práticas de ensino em sala de aula que poderiam estar relacionadas às atividades executadas neste estudo. O procedimento foi dividido em 3 etapas. Na Etapa 1 foi realizada uma entrevista inicial de rapport para conhecer a descrição de P sobre a turma. Em seguida foram gravados dois conjuntos de aulas lecionadas por P sobre sobre temas distintos e consecutivos (UDI e UD2. Ao final desta etapa, P foi submetida a um Roteiro de Entrevistas que continha questões acerca de suas próprias aulas. O Roteiro foi aplicado na ausência e na presença dos episódios selecionados da UD1. Durante a Etapa 2, P foi exposta aos modelos de interpretação funcional elaborados pelo pesquisador sobre os mesmos episódios selecionados da UD1, por conseguinte, a professora foi solicitada a executar suas próprias tentativas de interpretações funcionais para os episódios da UD2. A Etapa 2 foi finalizada com a exposição para P dos modelos de interpretação funcional elaborados pelo pesquisador para os episódios da UD2. Na Etapa 3 ocorreu a gravação de um novo conjunto de aulas (UD3). Nesta etapa foram editados novos episódios da UD3. Tais episódios foram exibidos a P conjuntamente ao Roteiro de Entrevistas utilizado nas etapas anteriores, ao final de cada episódio o roteiro foi reapresentado. Por fim foi solicitado... / The literature on behavior analysis has shown an increase in studies on methodological procedures for teaching the repertories that define the functional assessment for non-specialists. The goal of this study was to verify whether the outline methodological conditions could favor the functional interpretation repertoire teaching for a teacher (P) in the 3rd grade of elementary school for curriculum content of natural sciences discipline, as well as verify whether possible changes in their classroom teaching practices could be connected to activities performed in this study. The experiment had three steps. In step 1 was held an initial rapport interview to know P's description of her class. Then it were recorded two sets of lessons (UD1 and UD2) taught by P about distinct and consecutive themes. At the end of this step, P was submitted to n interview script with questions about her classes. The interview script was applied both in the absence or presence of UD1's selected episodes. During Stage 2, P was exposed to functional interpretation models developed by the researches onn the same UD1's selected episodes, then the teacher was asked to run her own functional interpretation of UD2 episodes. Step 2 ended with the exposure for P of the functional interpretation models developedby the researcher for UD2 episodes. In Step 3 a new set of classes (UD3) were recorded. In this step new episodes were then shown to P along with the interview scripts from previous steps, and at the end of each episode the script was presented again. Finally P was asked to compare UD2 and UD3. P reports about her practices proved to be different than functional interpretation proposal, forgone possible control relations between the operating properties of the provided teaching conditions and students performance in light of such practices. These characteristics were... (Complete abstract click electronic access below)
55

Subsídios metodológicos para o desenvolvimento de repertórios de interpretação funcional para uma professora das séries iniciais /

Oliveira, Jurandyr de. January 2010 (has links)
Orientador: Jair Lopes Júnior / Banca: João dos Santos Carmo / Banca: Paulo Sergio Teixeira do Prado / Resumo: A literatura em Análise do Comportamento tem demonstrado aumento nos estudos sobre procedimentos metodológicos para o ensino de parte dos repertórios que definem a avaliação funcional para não-especialistas. O objetivo deste trabalho foi verificar se as condições metodológicas delineadas poderiam favorecer o ensino de repertórios de interpretação funcional para uma professora (P) da 3ª série do Ensino Fundamental para conteúdos curriculares do ensino de Ciências Naturais, bem como, averiguar possíveis alterações em suas práticas de ensino em sala de aula que poderiam estar relacionadas às atividades executadas neste estudo. O procedimento foi dividido em 3 etapas. Na Etapa 1 foi realizada uma entrevista inicial de "rapport" para conhecer a descrição de P sobre a turma. Em seguida foram gravados dois conjuntos de aulas lecionadas por P sobre sobre temas distintos e consecutivos (UDI e UD2. Ao final desta etapa, P foi submetida a um Roteiro de Entrevistas que continha questões acerca de suas próprias aulas. O Roteiro foi aplicado na ausência e na presença dos episódios selecionados da UD1. Durante a Etapa 2, P foi exposta aos modelos de interpretação funcional elaborados pelo pesquisador sobre os mesmos episódios selecionados da UD1, por conseguinte, a professora foi solicitada a executar suas próprias tentativas de interpretações funcionais para os episódios da UD2. A Etapa 2 foi finalizada com a exposição para P dos modelos de interpretação funcional elaborados pelo pesquisador para os episódios da UD2. Na Etapa 3 ocorreu a gravação de um novo conjunto de aulas (UD3). Nesta etapa foram editados novos episódios da UD3. Tais episódios foram exibidos a P conjuntamente ao Roteiro de Entrevistas utilizado nas etapas anteriores, ao final de cada episódio o roteiro foi reapresentado. Por fim foi solicitado... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The literature on behavior analysis has shown an increase in studies on methodological procedures for teaching the repertories that define the functional assessment for non-specialists. The goal of this study was to verify whether the outline methodological conditions could favor the functional interpretation repertoire teaching for a teacher (P) in the 3rd grade of elementary school for curriculum content of natural sciences discipline, as well as verify whether possible changes in their classroom teaching practices could be connected to activities performed in this study. The experiment had three steps. In step 1 was held an initial rapport interview to know P's description of her class. Then it were recorded two sets of lessons (UD1 and UD2) taught by P about distinct and consecutive themes. At the end of this step, P was submitted to n interview script with questions about her classes. The interview script was applied both in the absence or presence of UD1's selected episodes. During Stage 2, P was exposed to functional interpretation models developed by the researches onn the same UD1's selected episodes, then the teacher was asked to run her own functional interpretation of UD2 episodes. Step 2 ended with the exposure for P of the functional interpretation models developedby the researcher for UD2 episodes. In Step 3 a new set of classes (UD3) were recorded. In this step new episodes were then shown to P along with the interview scripts from previous steps, and at the end of each episode the script was presented again. Finally P was asked to compare UD2 and UD3. P reports about her practices proved to be different than functional interpretation proposal, forgone possible control relations between the operating properties of the provided teaching conditions and students performance in light of such practices. These characteristics were... (Complete abstract click electronic access below) / Mestre
56

Activities of daily living as a functional assessment predictor in older adults: a systematic review with focus on architecture in connected health

Alani, Adeshina 03 December 2019 (has links)
Background: Functional Assessment (FA) in older adults is an important measure of their health status. FA using Activities of Daily Living (ADL) is a strong predictor of health outcomes, especially as we age. With the development of increasingly-connected health, we have a new opportunity for more robust and improved FA. Objective: The objective of this thesis is to collate and discuss published evidence on FA predictors and how the FA predictors can be collected using the paradigm of Connected Health (CH) architectures through an industrial case study in CHAPTER 5: INDUSTRIAL CASE STUDY. Methods: The method is to do two Systematic Literature Reviews (SLRs). The two SLRs were undertaken with Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement (PRISMA) and Parsifal, an online tool for SLR. This thesis catalogs various FA and state-of-the-art Software Engineering Architectural Tactics and Styles (SEATS) used within Connected Health (CH) that focus on ADL. The results of the cataloged information were used in the industrial case study where some of the FA predictors were automated. Articles obtained from the data source during the SLRs were filtered based on the titles, abstracts, full-text provision, English language literature, including age, which must be sixty-five years and above. Another reviewer was also included in this study, while all the defined inclusion and exclusion criteria detailed in this thesis were applied. Information about FA via ADL were extracted from the articles with further extraction on the SEATS used for computer-supported FA during the industrial case study. Data Source: During the SLRs processes, database searched included PubMed, EBSCOhost, Engineering Village, IEEE Xplore Digital Library, and ScienceDirect. The conducted search contains both controlled terms called Medical Subject Headings(MeSH) such as activities of daily living and search strings such as functional assessment, older adults, geriatrics, seniors, elderly care, and aging. Results: From four hundred and ninety-five initial abstracts and titles, nineteen full-text journal articles were included in the final review for the SLR on FA predictors. Six full-text journal articles were obtained from the SLR on CH architectures after reading its 449 titles and abstracts. In the SLR on FA predictors, predictor metrics for FA via ADL were extracted from each of the articles. Gait speed, sleep quality, and movement activities were assessed as ADL predictor metrics for FA in older adults. Other FA predictors published involved self-reported metric scale measurement using Barthel-20 scale and performance-based scale through Timed-UP and Go test. This thesis reviewed each metric for sleep quality and movement activities. In the SLR on CH architectures, quick response of ADL and resource efficiency such as sensors were some of the major tactics related to performance in Software Engineering (SE) quality in CH, while confidentiality and integrity of FA measures related to security in SE quality in CH was another major concern. Conclusion: Having conducted the two SLRs, a wide range of measures were used for FA in older adults, including consideration on the SEATS used for computer-supported FA. Overall, these FA measures and SEATS provide inexpensive and easy-to-implement FA. The diversity of the FA measures and SEATS contributes towards the development of computer-supported FA. However, future work is needed to consider the result of this study as an open-source computer-supported FA tool, and such tool should also be evaluated and verified through direct examination with older adults. / Graduate
57

Effects of a Parent Training Workshop on Parent Perceptions of Children with Developmental Disabilities

Call, Stephanie Priscilla 13 July 2011 (has links) (PDF)
Children with developmental disabilities often exhibit problem behaviors, such as physical aggression, tantrums, and self-injury. These behaviors can detrimentally affect the family's lifestyle. Research has shown that such families should take an active role in developing and implementing a behavior plan. However, families need support to promote effective changes in their child's behavior. This study investigated how a positive behavior support workshop that used the Family HOPE program affected behavior problems and parent/child relationships in families with children with developmental disabilities. Parents of eight children with disabilities and challenging behaviors participated in this research. A Project Director and Principal Investigator taught the six systematic steps to changing behavior. They were assisted by graduate students who provided behavioral education to families, helped families complete a Functional Behavioral Assessment, appropriate interventions, and analyze intervention data. The Parent-Child Relationship Inventory (PCRI) and Scales of Independent Behavior-Revised (SIB-R) were given to the families to study the effects of parent trainings on parents' perceptions of limit setting, parental support, and the frequency and severity of problem behaviors. Results showed a significant difference in the pre- and post-intervention data on limit setting and parental support. There were no significant differences in the frequency and severity of problem behaviors on the SIB-R. Implications for further research are suggested concerning teaching parents Positive Behavior Support principles in a workshop setting.
58

The Utility of the Child and Adolescent Functional Assessment Scale (CAFAS) in Identifying Outcomes of Students with Emotional Disturbance Served in a Day Treatment Program

Moisio, Mitchell D. 23 September 2009 (has links)
No description available.
59

SCHOOL PERSONNEL ESTABLISHING FUNCTIONAL COMMUNICATION TRAINING BASED ON A FUNCTIONAL ANALYSIS WITH AUTISTIC STUDENTS IN A PUBLIC SCHOOL SETTING TO REDUCE PROBLEM BEHAVIORS

Cohen Friedenthal, Donielle January 2008 (has links)
Autism is subset of the special education population that seems to be growing at an alarming rate. According to the American Psychiatric Association (2000), one of the three main deficits found in someone diagnosed with autism is a "qualitative impairment in communication". However, language skills are very difficult for autistic children to learn and are often associated with disruptive behaviors. Research has shown a strong correlation between problem behaviors and difficulties with communication. This study uses techniques (i.e. functional analysis and functional assessment) to determine the function of these problem behaviors and their communicative intent. This study also demonstrates that an experimental approach such as a functional analysis can be done in a public school setting by public school personnel. Once the function is determined, treatments incorporating Functional Communication Training (FCT) can be applied to reduce these problem behaviors while increasing communication. Research has shown that FCT that replaces each function of a problem behavior will reduce problem behaviors in autistic children. Therefore, functional analysis results allow for the reduction of problem behaviors while identifying optimal situations/settings to teach language. Three male autistic students, attending a public school, were involved in the study. All subjects exhibited one or more problem behaviors that interfered with their everyday functioning at school. Initially, functional assessment data were collected via a descriptive analysis using Antecedent-Behavior-Consequence (A-B-C) data. The A-B-C data were taken throughout each subject's school day in various environments. The data for each subject were graphed and analyzed by a school psychologist. Based on the results, the school psychologist developed a hypothesis for each subject regarding the function of his problem behavior. Subjects were exposed to various functional analysis conditions using a single subject multielement manipulation design based on the A-B-C data. These functional analysis sessions were conducted in each student's current public school placement. Functional analysis conditions were implemented until stable levels of problem behaviors were obtained or a clear pattern provided evidence as to the function of the problem behavior. Data from all sessions were graphed in a multiple baseline across subjects and visually assessed. Based on the data from the functional analysis, the function of the student's problem behavior was hypothesized. The experimenter, who was also a school psychologist, designed and implemented a function based treatment package to successfully reduce each student's problem behaviors. The treatment for each subject was individually designed based on that subject's functional analysis. Each treatment also incorporated a FCT component. As a result, problem behaviors were successfully reduced for each subject using functional assessment methodology by a school psychologist in a public school setting. / School Psychology
60

Aplicación de la cinemática articular a la valoración funcional del hombro

Cáceres Cáceres, Magda Liliana 07 January 2020 (has links)
[ES] El hombro es una articulación compleja en la que interaccionan múltiples estructuras, lo que permite la realización de movimientos de gran amplitud. Debido a esta característica, puede ser fácilmente alterada si alguno de los componentes falla. Las patologías del hombro son variadas, así como diversa es la sintomatología y el nivel de alteración funcional. El grado de afectación funcional puede ser valorado ya sea mediante escalas clínicas, o con pruebas biomecánicas basadas en el análisis cinemático, que añaden objetividad a los resultados. No obstante, los modelos cinemáticos disponibles en la actualidad no ofrecen una representación realista del movimiento articular, lo que supone una importante limitación a la hora de desarrollar sistemas de valoración funcional. El objetivo principal de esta tesis fue describir el movimiento del hombro mediante técnicas cinemáticas avanzadas que incluyeran el uso de variables funcionales asociadas a la posición, velocidad y aceleración, así como la descripción de la trayectoria del eje instantáneo de rotación, con la finalidad de desarrollar un nuevo enfoque en las técnicas de valoración funcional del hombro. La muestra de estudio estuvo compuesta por 41 sujetos sanos y 15 sujetos con patología de hombro. Se analizaron los movimientos de abducción en el plano frontal y escapular, sin peso y con una maza de 1kg. Se utilizó la escala EVA (Escala Visual Analógica), para determinar el nivel de dolor percibido y la escala DASH (Disabilities of the arm, shoulder and hand), para definir el grado funcional. Se realizó un análisis de variables numéricas, variables funcionales, reproducibilidad y armonía del movimiento y descripción de la trayectoria del eje instantáneo de rotación (EIR). Como resultado, se ha demostrado la alta fiabilidad del procedimiento. Las diferencias encontradas entre los sujetos sanos y patológicos, solo eran evidentes a nivel de grupos, además la dispersión de la muestra era considerable. Los valores de reproducibilidad y armonía fueron similares para los dos grupos. En promedio, los sujetos patológicos tenían menor ángulo, velocidad y aceleración, pérdida que se producía de forma continua a lo largo del ciclo, como se observa en el análisis de las funciones del movimiento. Se encontró que la escala DASH guardaba una relación con las variables cinemáticas funcionales, si bien, era moderada. Por otra parte, al aumentar el nivel de afectación, se observaba una clara disminución de la velocidad angular, y un cambio en el patrón de movimiento. Con respecto al efecto de la carga, no se encontraron diferencias claras en la población de estudio. Finalmente, la trayectoria del EIR describía una ruta de inicio por debajo del acromion, seguido de un desplazamiento vertical y medio-lateral, con un patrón que aunque era similar entre los grupos, se veía afectado de forma diferente por el dolor o el nivel de afectación funcional en la muestra de patológicos. En conclusión, los resultados indican que las variables funcionales son más sensibles a los cambios que las variables numéricas clásicas basadas en rangos o valores máximos. Por otra parte, las diferencias encontradas entre los sujetos patológicos y los sanos, solo son claras a nivel de conjunto, pero no separan de forma nítida a los individuos de cada grupo, pudiendo ser solo evidentes en caso de afectaciones muy severas, pero no con niveles moderados o bajos. El estudio del EIR es novedoso y proporciona información acerca de la coordinación del movimiento, aspecto de especial relevancia dada la composición del complejo articular del hombro. Finalmente, de los resultados se extrae el interés del uso de medidas repetidas usando el sujeto como factor y utilizando las escalas de valoración funcional, ya que el uso solo de datos biomecánicos no parece ser suficiente. / [CA] El muscle és una articulació complexa en la qual interaccionen múltiples estructures, la qual cosa permet la realització de moviments de gran amplitud. A causa d'aquesta característica, pot ser facilment alterada si algun dels components falla. Les patologies del muscle són variades, així com diversa és la simptomatologia i el nivell d'alteració funcional. El grau d'afectació funcional pot ser valorat ja siga mitjanvant escales clíniques, o amb proves biomecaniques basades en l'analisi cinematica, que afigen objectivitat als resultats. No obstant aixo, els models cinematics disponibles en l'actualitat no ofereixen una representació realista del moviment articular, la qual cosa suposa una important limitació a l'hora de desenvolupar sistemes de valoració funcional. L'objectiu principal d'aquesta tesi va ser descriure el moviment del muscle mitjanvant tecniques cinematiques avanvades que inclogueren l'ús de variables funcionals associades a la posició, velocitat i acceleració, així com la descripció de la trajectoria de l'eix instantani de rotació, amb la finalitat de desenvolupar un nou enfocament en les tecniques de valoració funcional del muscle. La mostra d'estudi va estar composta per 41 subjectes sans i 15 subjectes amb patología de muscle. Es van analitzar els moviments d'abducció en el pla frontal i en el pla escapular, amb pes d'1 quilogram i sense pes. Es va utilitzar l'escala EVA (escala visual analogica), per a determinar el nivell de dolor percebut i l'escala DASH (Disabilities of the arm, shoulder and hand), per a definir el grau funcional. Es va realitzar una analisi de variables numeriques, variables funcionals, reproducibilitat i harmonia del moviment i descripció de la trajectoria de l'eix instantani de rotació. Com a resultat, s'ha demostrat l'alta fiabilitat del procediment. Les diferencies oposades entre els subjectes sans i patologics, només eren evidents a nivell de grups, a més la dispersió de la mostra era considerable. Els valors de reproducibilitat i harmonia van ser similars per als dos grups. En mitjana, els subjectes patologics tenien menor angle, velocitat i acceleració, perdua que es produia de forma contínua al llarg del cicle, com s'observa en l'analisi de les funcions del moviment. Es va trobar que l'escala DASH guardava una relació con les variables cinematiques funcionals, si bé, era moderada. D'altra banda, en augmentar el nivell d'afectació, s'observava una clara disminució de la velocitat angular, i un canvi en el patró de moviment. Respecte a l'efecte de la carrega, no es van trobar diferencies clares en la població d'estudi. Finalment, la trajectoria del EIR descrivia una ruta d'inici per davall de l'acromi, seguit d'un desplavament vertical i mig-lateral, amb un patró que encara que era similar entre els grups, es veia afectat de forma diferent pel dolor o el nivell d'afectació funcional en la mostra de patologics. En conclusió, els resultats indiquen que les variables funcionals són més sensibles als canvis que les variables numeriques classiques basades en rangs o valors maxims. D'altra banda, les diferencies oposades entre els subjectes patologics i els sans, només són clares a nivell de conjunt, pero no separen de forma nítida als individus de cada grup, podent ser només evidents en cas d'afectacions molt severes, pero no amb nivells moderats o baixos. L'estudi del EIR és nou i proporciona informació sobre la coordinació del moviment, aspecte d'especial rellevancia donada la composició del complex articular del muscle. Finalment, dels resultats s'extrau l'interés de l'ús de mesures repetides usant el subjecte com a factor i utilitzant les escales de valoració funcional, ja que l'ús sol de dades biomecanics no sembla ser suficient. / [EN] The shoulder complex is a structure of joints with the largest range of motion. Consequently, it is susceptible to injury. Shoulder pathologies involve different levels of functional impairment that can be assessed either by clinical scales or by objective methods such as kinematic analysis. However, currently available kinematic models do not offer a realistic representation of joint movement, which is an important limitation when developing functional assessment systems. The main goal of current dissertation is to describe the movement of the shoulder, using advanced kinematic techniques that include the use of position, velocity and acceleration variables, as well as the use of the instantaneous helical axis, in order to develop new techniques of functional assessment. This study included 41 healthy subjects and 15 subjects with shoulder pathology. Subjects performed humeral elevation in 2 planes (frontal and scapular) and 2 conditions (loaded and unloaded). The VAS (visual analog scale) was used to determine the level of perceived pain and the DASH scale (Disabilities of the arm, shoulder and hand) to define the functional impairment. An analysis of numerical variables, functional variables, reproducibility and harmony of the movement and description of the trajectory of the instantaneous helical axis (IHA) was carried out. As a result, the high reliability of the procedure has been demostrated. Significative differences were found between healthy and pathological subjects. However, it was only evident about groups, in addition the dispersion was considerable. Reproducibility and harmony values were similar for both. The functional analysis showed that the pathological group had lower angle, velocity and acceleration throughout the entire cycle. It was found that the DASH scale had a moderate relation with the functional kinematic variables. On the other hand, when increasing the level of affectation, an obvious decrease of the angular velocity, and a change in the movement pattern was observed. Regarding the effect of loading, no clear differences were found in the study population. Finally, the IHA described a vertical and mid-lateral displacement, with an initial point below the acromion. The pattern was similar in both groups, however it was affected by the level of pain and functional impairment. In conclusion, these findings suggest that functional variables are more sensitive to changes than classical numerical variables. On the other hand, differences between healthy and pathological subjects are only evident at group level. It seems that it is only evident in highly affected patients, not in those with a mild or intermediate impairment. Moreover, the study of the IHA is novel and provides relevant information about the shoulder joint coordination. Finally, we concluded that the use of repeated measurements using the subject as a factor along with the use of scales of functional assessment provides a better description of the movement since the exclusive use of biomechanical data, does not seem to be sufficient. / Cáceres Cáceres, ML. (2019). Aplicación de la cinemática articular a la valoración funcional del hombro [Tesis doctoral]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/133994

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