Bakgrund Femoroacetabulär impingement (FAI) syndrom är en allt vanligare rörelserelaterad funktionsnedsättning i höften, relaterat till en prematur kontakt mellan proximalafemur och acetabulum. Fysioterapi har visat god effekt vid behandlingen av FAI men aktuell forskning är begränsad och konsensus kring bästa behandlingsmetod saknas. Syfte Identifiera och kategorisera vilka fysioterapeutiska interventioner som används vid behandlingen av femoroacetabulär impingement (FAI), hur interventionerna utvärderas och presentera effekten av dessa interventioner. Metod Kartläggande litteraturöversikt. I februari 2022 genomfördes en elektronisk sökning efter vetenskapliga originalstudier från 2012, i databaserna PubMed, CINAHL och PEDRO. Totalt 1672 studier granskades varav 23 inkluderades. Huvudtyper av interventioner identifieras och kategoriserades med stöd av ICF-ramverket utifrån avsett syfte. Resultat Ur 23 inkluderade studier identifierades 36 huvudtyper av interventioner. Av dessaka tegoriseras 25 interventioner under ICF komponenten kroppsfunktioner. Hälften av interventionerna kategoriseras under neuromuskuloskeletala och rörelserelaterade funktioner. Av totalt 33 olika patientrapporterade utfallsmått (PROM) utgjorde iHOT-33, mHHS och NAHS de tre vanligast förekommande. Minst ett av de rekommenderade utfallsmåtten iHOT-12/-33, HAGOS och HOS användes i 70% av studierna. Alla inkluderade randomiserade kontrollerade studier visar signifikanta förbättringar vid användandet av fysioterapeutiska interventioner för FAI avseende PROM vid uppföljning jämfört baslinjen. Slutsats Utformningen av fysioterapeutiska interventioner vid FAI varierar, även om majoriteten syftar till att påverka neuromuskuloskeletala och rörelserelaterade funktioner. Det är möjligt att utifrån interventionens syfte klassificera interventioner vid FAI enligt ICF-ramverket. Rekommenderade diagnosspecifika PROM används i relativt hög utsträckning, till skillnad från de rekommenderade livskvalitetsmåtten. Studien belyser i likhet med tidigare forskning, bristen på konsensus gällande den fysioterapeutiska behandlingen vid FAI. / Background Femoroacetabular impingement (FAI) syndrome is an increasingly prevalent movement related disability in the hip, related to premature contact between the femur and acetabulum. Physiotherapy has shown efficacy in treating FAI, but research is limited and shows a lack of consensus regarding best conservative care. Purpose This study aims to identify and categorize the type of physiotherapeutic interventions used in treating FAI, present the effects of these interventions and to map the use of outcome measures. Methods Scoping review. In February 2022 an electronic search was conducted across the databases PubMed, CINAHL and PEDRO. A total of 1672 studies were identified of which 23 met eligibility. Main types of interventions were identified and classified based on aim using the ICF-framework. Results A total of 36 main types of interventions were identified. Out of these, 25 could be categorized under the ICF-component body functions and 18 under neuromusculoskeletal and movement-related functions. Out of 33 total PROMs, iHOT-33, mHHS and NAHS saw most use. At least one of the recommended PROMs was used in 70% of the studies. Included RCT: s show significant improvement on a variety of outcome scores. Conclusion Interventions treating FAI varies, with most targeting neuromusculoskeletal and movement-related functions. Categorization based on the aim of interventions is possible using the ICF-framework. Recommended hip-specific outcome measures are used to a greater extent compared to the more general quality of life measures. This study, in accordance with earlier research, illustrates the lack of consensus regarding the physiotherapeutic care of FAI.

Home environment should be accesible, barrier free and safe for people with disabilities. There is one possibility how to achieve these conditions the possibility is to let an occupational therapist to assess your home environment. The main parts of occupational therapy are: evaluation of home environment, suggesting of reconstrucitons needed and recommendations about helping aids. Environment is according to the International Classification of Functioning, Disability and Health one of the factors which are very important. The main goal of this diploma thesis was to design new evaluation of home environment of people with acquired brain injury made according to the International Classification of Functioning, Disability and Health. Partial goals were: to identify barriers of home environment, to determine facilitators which are already existing and to suggest helping aids and reconstructions if it is necessary. All for achieving the best quality of self-sufficiency of client. Theoretical part is about acquired brain injury, International Classification of Functioning, Disability and Health, issues of evaluation of home environment and assessments which are already existing. Practical part describes the proces of creation of evaluation and intervetions in home environment. Both described by case...

Cette thèse se décompose en deux parties : i) l’étude du creusement d'un canal dans un plasma sous-dense (0.1nc<n<nc, nc étant la densité critique) de plusieurs centaines de microns par une impulsion laser de durée 1-10 ps et d'intensité 10^18 à 10^20 W/cm² ; ii) les mécanismes de saturation de la diffusion Raman arrière stimulée d'une impulsion laser de durée ps et d'intensité 10^14 à 10^16 W/cm². Le creusement d’un canal plasma par un laser très intense a fait l’objet d’une étude paramétrique à l’aide d’un code PIC (Particle In Cell) 2D. On obtient différents types de canaux en fonction des paramètres du laser et du plasma, reproduisant ainsi et élargissant des résultats précédent. De plus, la vitesse de creusement du canal a été mesurée, et des lois d’échelle ont été établies pour les plasmas homogènes. Elles sont ensuite appliquées à des plasmas inhomogènes, du type de ceux rencontrés lors de la fusion par confinement inertiel (FCI). Cela permet de prévoir l’énergie nécessaire pour creuser un canal jusqu’à la densité critique, étape importante de la FCI par allumage rapide. La saturation du Raman a été étudiée d'un point de vue numérique, pour déterminer si la cause de la saturation était due au déphasage ou à la croissance d'une onde satellite (« sideband »), en utilisant diverses approches. La première est de regarder les résultats de simulations Raman (donc électromagnétiques) à partir de codes cinétiques PIC et Vlasov. La deuxième, consiste à regarder ce qui se passe lorsque l'on initialise un plasma avec une fonction de distribution issue de la théorie adiabatique à l'aide d'un code Vlasov (donc dans une version purement électrostatique). Dans ce cas, on observe bien la croissance d'une onde satellite, dont le nombre d'onde dominant, ainsi que le taux de croissance sont en bon accord avec ce que l'on observe dans les simulations cinétiques. Au final, la saturation de l’onde plasma peut être causée par les deux mécanismes de saturation. / This thesis is divided in two parts : i) the laser channeling in hundreds of microns long under-dense plasmas (0.1nc<n<nc, nc being the critical density) of a laser pulse of intensity 10^18 to 10^20 W/cm² and duration 1-10 ps; ii) the saturation mechanisms of stimulated Raman back-scattering of a laser pulse of intensity 10^14 to 10^16 W/cm² and duration of about 1 ps. A parametric study was performed to study the channeling of a very intense laser pulse, using a 2D PIC (Particle In Cell) code. Various kinds of channels were obtained depending on the laser and plasma parameters, thereby reproducing and enlarging previous studies. Moreover, the channeling velocity was measured and scaling laws were established for homogeneous plasmas. They are then applied to inhomogeneous plasmas, similar to those encountered in inertial confinement fusion (ICF). It is then possible to estimate the energy necessary to channel to the critical density, an important step for the fast ignition scheme of ICF. Raman saturation was studied using numerical simulations, in order to determine if it is due to dephasing or to the growth of sidebands, using different approaches. The first is to study Raman simulations (electromagnetic) performed with kinetic PIC and Vlasov codes. The second, is to study the evolution of a plasma initialized with a distribution function after the adiabatic theory, using a Vlasov code (electrostatic). In this case, we observe the growth of a sideband, with dominant wavenumber and growth rate in good agreement with kinetic simulations. The saturation of the plasma wave can be caused by both saturation mechanisms.

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The purpose of this project is to determine inclusion of the ICF-CY in CLP training curricula for SLPs. Survey research was conducted with course instructors across the nation. Results describe the application of the ICF-CY in CLP courses at the graduate level. Recommendations for including the ICF-CY framework are made.

The purpose of this project is to describe a proposed model for the assessment of children with cleft palate within the framework of the ICF-CY (WHO, 2007). Suggestions for clinical application and cleft palate curricula are made, and future research needs are identified.

The purpose of this presentation is to describe the application of The International Classification of Functioning, Disability and Health-Children and Youth Version (ICF-CY) (WHO, 2007) as a framework for international collaboration with the aim of translating an outcomes measure and to field test the clinical applicability and cultural validity thereof.

The purpose of this project is to determine inclusion of the ICF-CY in Cleft Lip and Palate (CLP) training curricula for Speech-Language Pathologists (SLPs). Survey research was conducted with CLP course instructors across the nation. Results describe the application of the ICF-CY in CLP courses at the graduate level. Recommendations for including the ICF-CY framework are made. Cleft Lip and Palate, one of the most prevalent birth defects in the US, affects 7,090 infants per year with an incidence of approximately 1 in 600 births (Center for Disease Control, 2006). SLPs require skills and competencies in assessing and treating CLP, however the academic and clinical preparation of SLPs regarding CLP remains a topic of concern. Training issues in CLP have been researched since the 1960’s (Vallino et al., 2008). Sharp and O’Gara (2014) suggested discussing training programs regarding the core learning outcomes for entry-level preparation in resonance disorders. The International Classification of Functioning, Disability, and Health for Children and Youth (ICF-CY) (WHO, 2007) provides an important, holistic framework for children with CLP. The ICF-CY’s interrelated components emphasize the factors influencing the activities and participation of children with CLP. Despite research recommending incorporation of the ICF-CY into SLP training curricula, the inclusion of the ICF-CY in CLP courses has not been explored to date as far as could be determined. The current study aimed to survey CLP graduate course instructors to describe the content of curricula and to determine the extent to which the ICF-CY is being included and applied in teaching assessment and intervention of CLP. A 35-item questionnaire was constructed to obtain information regarding academic and clinical training in the area of CLP in US graduate programs. Survey questions targeted demographic information regarding the program, course, and instructor. Survey questions also examined the inclusion of the ICF-CY framework into course content regarding assessment and intervention. The survey was administered via an online academic survey tool. The survey was distributed to the department chairs of ASHA accredited SLP graduate programs to be completed by training programs’ faculty who teach the CLP (or related) course. 61 fully completed surveys were eligible 2016 Appalachian Student Research Forum Page 101 for analysis. An item-by-item analysis was performed to describe survey results. Results showed only 23% of respondents reported teaching a course exclusively related to CLP, which confirms concerns related to Vallino et al. (2008) and other researchers. The ICF-CY does not yet appear to be fully integrated into CLP coursework and in response to the question posed by the researchers, does not appear to be alive and well in US CLP curricula. A case is made for the ICF-CY framework to be incorporated into CLP curricula to provide future SLPs a holistic perspective of children with CLP and to extend their thinking about the impact of speech impairment associated with CLP. Including the ICF-CY framework in training will facilitate collaborative inter-professional care of children with CLP. Finally, the inclusion of the ICF components and their interaction into ASHA’s most recent draft of the Scope of Practice in SpeechLanguage Pathology emphasizes the necessity of ICF inclusion in course curriculum to support provision of high-quality services.

Learner Outcomes: Acknowledge the application value of the ICF to individuals with CLP. Integrate the ICF framework into the assessment of individuals with CLP. Formulate intervention goals that go beyond speech production skills to include functional communication outcomes in a variety of life situations. Include improvement and changes in communication participation in everyday functioning in assessment and progress reports.

<p>AIM OF THE STUDY</p><p>The aim of this study was to explore if ICF-CY can support teachers in elementary schools in their work in promoting children’s health, development and learning. A further aim was to bring forward what teachers experience as benefits and disadvantages in using the classification.</p><p> </p><p>METHOD</p><p>After an introduction to ICF-CY, six elementary school teachers filled in questionnaires based on ICF-CY for 94 children. In conjunction with this, the teachers were interviewed about their experiences and perceptions of the work.</p><p> </p><p>RESULTS</p><p>The results show that through their work with the ICF-CY questionnaires the teachers experienced an active process of reflection and learning. They obtained new perspectives which gave them a more holistic picture of children’s situations than they had before. The teachers found the ICF-CY to be a useful instrument to support work within the school environment towards individualized education, based on the children’s possibilities. They also felt that the importance of cooperation between the persons around each child became clearer by using ICF-CY because no single individual is in possession of all the necessary information about the child’s situation, but by combining different perspectives it is possible to establish a common ground on which education and intervention can be based. At the same time, however, the teachers found the classification somewhat overly comprehensive and in some ways complicated. Therefore they felt that an introduction to the ICF-CY is essential before adopting it.</p><p> </p><p>CONCLUSIONS</p><p>The teachers’ experience of seeing each child’s situation more clearly after conducting a classification by using the ICF-CY questionnaires indicates that ICF-CY should be introduced to parents, teachers and other professionals working with education and intervention for children. The way in which assessment carried out with ICF-CY as an instrument affects the process of education and intervention remains to be examined.</p> / CHILD