Introdução: A hemiplegia ou hemiparesia é uma sequela decorrente de afecções cerebrais que resultam em limitações funcionais contralaterais ao hemisfério lesado. Esta afecção pode causar alterações de tônus, de coordenação e de equilíbrio podendo resultar em desuso do membro acometido e restrição na participação social de crianças. A Terapia de Movimento Induzido por Restrição (CIMT) é uma técnica que objetiva melhora na função motora dos membros superiores com consequente diminuição das limitações funcionais. Essa técnica possui três componentes fundamentais: treino intensivo de terapia orientada à tarefa, conjunto de métodos comportamentais e uso de restrição no membro superior não afetado pela hemiparesia. Objetivo: Partindo do princípio de que a terapia é mais eficiente quando iniciada em idade precoce, o objetivo deste estudo é investigar os efeitos do protocolo adaptado da CIMT em lactentes com hemiparesia ou assimetria de membros superiores. Método: Participaram do estudo 5 lactentes com idade entre 6 e 24 meses que apresentaram hemiparesia ou assimetria dos membros superiores. Os instrumentos utilizados para avaliar a função motora foram Pediatric Motor Activity Log (PMAL) e Avaliação da Função Manual (AMIGO). O Inventário de Avaliação Pediátrica de Incapacidade (PEDI) foi aplicado aos cuidadores afim de avaliar a percepção dos mesmos sobre a participação funcional do lactente em tarefas de vida diária. Todas as avaliações ocorreram antes, imediatamente após a intervenção, e após 4 meses da aplicação do protocolo para registro de follow-up. Os dados foram analisados descritivamente e por meio de análise utilizando o método Jacobson-Truax. Resultados: Os resultados demonstraram aumento quantitativo e qualitativo na utilização do membro lesado, bem como, na função unimanual e bimanual. / Introduction: The hemiplegia or hemiparesis is a sequel caused by cerebral conditions resulting in contralateral functional limitations to the damaged hemisphere. Such conditions may cause tonus, coordination, and equilibrium alterations, which may result in disuse of committed limb and a restriction in social living of the affected infants. The Constraint-Induced Movement Therapy (CIMT) is a technique aiming the improvement of superior limb motor function and consequent decrease of functional limitations. This technique presents three fundamental components: task-oriented intensive training, a set of behavioral methods, and the use of restraining in the limb not affected by hemiplegia. Objective: Assuming that the therapy is more efficient when initiated in early years, the objective of this study is to investigate the effects of CIMT in nursing children presenting hemiparesis or superior limbs asymmetry. Method: Five infants with ages between 6 and 24 months presenting hemiparesis or superior limb asymmetry were selected. Pediatric Motor Activity Log (PMAL) and Avaliação da Função Manual (AMIGO) were used to evaluate the motor function. The Pediatric Evaluation of Disability Inventory (PEDI) was filled by the caretakers to evaluate their perception about the functional participation of the infant on dairy tasks. All evaluations were performed prior, during, and after the CIMT. Additionally the infants were re-evaluated after 4 months of MIRT to keep the follow-up register. All data were analyzed descriptively and by analysis for Jacobson-Truax method. Results: The results present a quantitative and qualitative increase in the use of affected member, as well as in the unimanual and bimanual function.

<p>This thesis presents hormonal, emotional, physical and visual status changes in female fibromyalgia (FMS) patients after treatment with the Creative Art therapy; dance/movement therapy, compared to controls. FMS is a syndrome of chronic pain involving musculoskeletal aches, stiffness and pain where perturbations in the stress-axis and high scores on somatic anxiety and muscular tension also have been found. The study comprises thirty-six female FMS patients divided in treatment- and control group. Serum concentrations of the hormones prolactin, dehydroepiandrosterone sulphate (DHEA-S), cortisol and neuropeptide Y (NPY) in plasma and cortisol in saliva were analysed. Different verbal self-rating scales concerning well-being, pain, personality and life events among other things have been used. Assessments of the condition of the FMS patients affected by video-viewing were evaluated together with interviews about the self-perception phenomenon of video viewing (a phenomenological hermeneutic method). </p><p>The results of the study show that six months of dance/movement therapy appears sufficient to improve both psychological and physical function, as indicated by the visual analyses. The video interpretation technique (VIT) and self-figure drawings captured treatment effects that were not evident from verbal scales or reflected in hormone levels. The biological markers probably need a longer treatment period to activate the HPA axis and its inter-related hormones and peptides. </p><p>The use of different assessment techniques most likely has affected the treatment outcome. Difficulties perceiving information through verbal/cognitive modalities as well as alexithymia are factors discussed. The VIT may be useful for early identification of maladaptive movement patterns and as a mirror of facial and bodily expressions of emotions. In conclusion, this study indicates that both the dance/movement therapy and the VIT have had great influence on the FMS patient’s well-being, self-perception and perception of pain. </p>

This thesis presents hormonal, emotional, physical and visual status changes in female fibromyalgia (FMS) patients after treatment with the Creative Art therapy; dance/movement therapy, compared to controls. FMS is a syndrome of chronic pain involving musculoskeletal aches, stiffness and pain where perturbations in the stress-axis and high scores on somatic anxiety and muscular tension also have been found. The study comprises thirty-six female FMS patients divided in treatment- and control group. Serum concentrations of the hormones prolactin, dehydroepiandrosterone sulphate (DHEA-S), cortisol and neuropeptide Y (NPY) in plasma and cortisol in saliva were analysed. Different verbal self-rating scales concerning well-being, pain, personality and life events among other things have been used. Assessments of the condition of the FMS patients affected by video-viewing were evaluated together with interviews about the self-perception phenomenon of video viewing (a phenomenological hermeneutic method). The results of the study show that six months of dance/movement therapy appears sufficient to improve both psychological and physical function, as indicated by the visual analyses. The video interpretation technique (VIT) and self-figure drawings captured treatment effects that were not evident from verbal scales or reflected in hormone levels. The biological markers probably need a longer treatment period to activate the HPA axis and its inter-related hormones and peptides. The use of different assessment techniques most likely has affected the treatment outcome. Difficulties perceiving information through verbal/cognitive modalities as well as alexithymia are factors discussed. The VIT may be useful for early identification of maladaptive movement patterns and as a mirror of facial and bodily expressions of emotions. In conclusion, this study indicates that both the dance/movement therapy and the VIT have had great influence on the FMS patient’s well-being, self-perception and perception of pain.

Tyrėjai E.Taub, S.Wolf, S.Page ir kt. pasiūlė daug žadantį treniravimo būdą, kuris pagerina paveiktos rankos judesius po insulto. Terapija vadinama „Judesių suvaržymo terapija“ (JST, angl. Constraint–induced movement therapy). Tyrimo hipotezė – manome, kad judesių suvaržymo terapijos taikymas ūmiu laikotarpiu po galvos smegenų insulto yra efektyvesnis metodas, siekiant atgauti paveiktos rankos funkciją, nei įprastų fizinių pratimų taikymas. Tyrimo tikslas – įvertinti judesių suvaržymo terapijos poveikį atgaunant paveiktos rankos judesius ūmiu laikotarpiu po galvos smegenų insulto. Tyrimo uždaviniai: 1. Nustatyti ligonių, sergančių galvos smegenų insultu, paveiktos rankos funkciją prieš ir po įprastų fizinių pratimų taikymo. 2. Ištirti ligonių, sergančių galvos smegenų insultu, paveiktos rankos funkciją prieš ir po judesių suvaržymo terapijos. 3. Palyginti judesių suvaržymo terapijos ir fizinių pratimų poveikį paveiktos rankos funkcijos atgavimui. Tyrimas buvo atliktas VŠĮ Šiaulių apskrities ligoninėje, neurologijos skyriuje, 2006-2007m. Tyrime dalyvavo 30 pacientų: 16 vyrų ir 14 moterų, sergančių galvos smegenų insultu. Tiriamieji suskirstyti į dvi grupes. Tiriamajai grupei buvo taikyta judesių suvaržymo terapija. Taikant šią terapiją, sveikos rankos judesiai suvaržomi specialia rankos pirštine. Šią pirštinę ligoniai turėjo mūvėti 6 valandas per dieną ne miego... [toliau žr. visą tekstą] / E.Taub, S.Wolf, S.Page and other researchers lately presented fast-track exercise method that improves impacted hand’s movements after stroke. This is a “constraint-induced movement therapy”(CIMT). Key words: constraint-induced movement therapy, impacted hand, stroke, acute period. Hypothesis of this study: we think that in recovery of impacted hand function the application of CIMT in acute period after stroke is more effective method than application of common physical exercises. Purpose of this study: to evaluate the effect of the CIMT to the impacted hand movements in acute period after stroke. Goals of this study: To evaluate impacted hand function before and after application of physical exercises for the subjects who had strokes. To evaluate impacted hand function before and after application of CIMT for the subjects who had strokes. To compare the effect of CIMT and physical exercises for recovery of impacted hand function. This study took place in neurological department of Siauliai hospital in 2006-2007. 30 subjects who had stroke participated in this study: 16 men and 14 women. The subjects were assigned in two groups. Control group subjects received CIMT. Applying this therapy not impaired hand’s movements are inhibited with a special glove. Subjects had to wear this glove 6 hours a day except the sleep time. Every hour they had breaks for 10 minutes. The treatment course lasted 10 days. There was an agreement about cases when the subject could take of the... [to full text]

Straipsnyje aptariama šokio ir judesio terapija kaip socialinė paslauga šeimoms, auginančioms neįgalų vaiką. Šia socialine paslauga siekiama pagerinti šeimų socialinę situaciją, padėti sėkmingai integruotis, patirti teigiamų emocijų. Atliekant šokio ir judesio terapijos, kaip socialinės paslaugos poreikio tyrimą, buvo atliktas kombinuotas tyrimas. Buvo atlikta anketinė apklausa, kurioje dalyvavo 64 šeimos, auginančios neįgalų vaiką. Paaiškėjo, jog šeimoms trūksta įvairių socialinių paslaugų, tarp jų ir šokio ir judesio terapijos paslaugos. Taip pat tyrimo metu buvo atliktas pusiau struktūruotas interviu su Lietuvos šokio ir judesio terapijos asociacijos vadove – eksperte A. Laurinaityte. Tyrimas atskleidė informacijos trūkumą apie šią socialinę paslaugą, taip pat buvo nustatytas neįgalų vaiką auginančių šeimų poreikis užsiimti šia veikla kaip socialinės situacijos gerinimo galimybe. / This paper discusses the dance and movement therapy as a social service to the person with disability and his family. The social service aims to improve the social situation of families, to help successfully integrate, to experience positive emotions. The dance and movement therapy as a social services needs assessment study was carried out in combination. It was carried out a survey, which included 64 families with a disabled child. It revealed the lack of various social services, including dance and movement therapy services. Also the study was carried out semi-structured interview with Lithuanian Dance and Movement Therapy Association Guide - expert A. Laurinaitytė. The study revealed a lack of information about the social service has also been established families with disabled children need to engage in this activity as a social situation improvement.

abstract: This thesis paper, Something about Self: Moving the Creative Flow Within, explores the progression of the author's abilities as a facilitator in a creative context through her project presentation SELF(ish): grow(tru)thOUGHT. Along with the subjective assessment of creative facilitation, the underpinnings of the author's creative process and artistic vision are exposed through relevant literature, significant inspirations, personal insight, process comparisons, and imaginative metaphors. The author/artist offers a unique perspective on personal interests collected over the course of her graduate studies. Waugh expounds upon pertinent content such as intuition in creativity, the emotional link to the mind-body connection, dance movement therapy and its effects on states of being, self-realization and self-transcendence. Each of these contextual elements contributed to the creation of exercises for movement generation used in a performative dance work. Ultimately, this paper elucidates a transparent, versatile creative practice and the evolution of a unique, passionate artistry that is based on a balance between structure and flow. / Dissertation/Thesis / M.F.A. Dance 2012

Constraint induced movement therapy is one of many neurorehabilitation methods, based on principle of overcoming the learned non-use phenomenon by a specific therapeutic protocol including some behavioral techniques. A classification of currently available studies on the topic have been made on the model of literature review, with an in-depth focus on using Constraint induced movement therapy in occupational therapy for adult patients after stroke who have upper limb motor disorders. The present study is structured into two sections: a theoretical part and an analytic-descriptive one. In theoretical part history of the method is presented together at Basic method principles and detail contents of a therapeutic protocol. The analytical and descriptive section is aimed to analyse international studies important and relevant with respect to an occupational therapy practice. In this second section are also proposed many possible activities of shaping and task practice techniques which can be used by occupational therapists. Translation of the most widely used test (Motor Activity Log and Wolf Motor Function Test) into Czech language is included. Keywords: constraint induced movement therapy, stroke, upper extremity, occupational therapy

Syftet med denna studie var att undersöka psykologers och legitimerade psykoterapeuters erfarenhet av att arbeta med dans- och rörelseterapi. Data samlades in genom semistrukturerade intervjuer med fyra legitimerade psykoterapeuter och en psykolog, varav samtliga var utbildade dansterapeuter. Data analyserades därmed med tematisk analys. Resultaten sammanfattades i två huvudteman; terapeuters användning av DMT &amp; sig själva samt hjälpsamt &amp; icke hjälpsamt med DMT. Studien bidrar med information om förmånliga sätt att använda DMT på, för- och nackdelar med metoden samt den etiska aspekten av användandet av DMT som psykolog och legitimerad psykoterapeut då det är en icke-evidensbaserad metod. / The purpose of this study was to examine psychologists and licensed psychotherapists’ experience of working with dance- and movement therapy. Data was collected through semi-structured interviews with four licensed psychotherapists and one psychologist, all of whom were trained dance- and movement therapists. Data was thus analyzed with thematic analysis. The results were summarized in two main themes; therapists’ use of DMT &amp; themselves as well as helpful &amp; not helpful with DMT. This was further discussed based on strengths and weaknesses with the method as well as the ethical aspect with the practice of it. The study provides information on beneficial ways to use DMT, the pros and cons of the method and the ethical aspect of using DMT as a psychologist and licensed psychotherapist as it is a non-evidence-based method.

Syfte: Syftet med studien var att beskriva arbetsterapeuters erfarenheter av att använda sig av CI-terapi som intervention för barn med hemiplegisk cerebral pares. Metod: En kvalitativ ansats valdes för att beskriva arbetsterapeuternas subjektiva upplevelser. Åtta semistrukturerade intervjuer genomfördes med arbetsterapeuter som arbetade på barn- och ungdomshabiliteringar i landet och analyserades därefter utifrån kvalitativ innehållsanalys. Resultat: Den insamlade datan resulterade i fyra kategorier: Arbetsterapeutens stöd; Nätverkets betydelse; Anpassning av interventionen samt Organisatoriska strukturer. Resultatet visade att interventionen bör utgå från barnets motivation och lek i samverkan med barnets nätverk samt att interventionen mestadels bidrog till att barnet fick en utökad aktivitetsrepertoar. Vidare beskrevs att interventionen utfördes endast av några arbetsterapeuter runt om i landet då den är tidskrävande, kräver resurser och en tydlig struktur. Det framkom även att kollegialt stöd bland arbetsterapeuterna främjar genomförandet av CI-terapi. Slutsats: I studien framkommer att barnets aktivitetsrepertoar mestadels förbättrades med CI-terapi men kunde inte påvisas med nuvarande bedömningsinstrument. / Purpose: The aim of this study was to describe occupational therapists’ experience of using Constraint Induced Movement Therapy for children with hemiplegic cerebral palsy. Methods: A qualitative method was chosen to describe the subjective experiences of the occupational therapists. Eight semi structured interviews were conducted with occupational therapists that were working at different centres for child and adolescent rehabilitation in this country, thereafter the collected data was analysed using qualitative content analysis. Result: The results were divided into four categories: The occupational therapist’s support, The importance of the network, Adaptation of the intervention and The organisational structures. The result indicate that the intervention should be centred on the child’s motivation and play in collaboration with the child’s social network and the intervention usually leads to an extended activity repertoire for the child. Furthermore, the result indicates the intervention to be time consuming, demanding extensive structure and resources, which led to the intervention was performed by only a few occupational therapists. It also appeared that collegial support among occupational therapists promotes the implementation of Constraint Induced Movement Therapy. Conclusion: The study show that the child’s range of activities often were improved when using Constraint Induced Movement Therapy, but this could not be proven with today’s assessment instrument.

The purpose of this integrative review was to examine the effects of music therapy, a complementary intervention, on individuals with dementia. Peer-reviewed journals were retrieved from MEDLINE, CINAHL, CINAHL Plus with Full Text, Cochrane Central Register of Controlled Trials, Music Index to evaluate their relevance to music therapy use in people diagnosed with dementia. English and Spanish-language research articles published from 2000-2017 were included for the review (n=15). The literature indicates the use of music therapy as an adjuvant therapy for the treatment of dementia in older adults may be beneficial in decreasing symptoms of aggression, anxiety, agitation and depression. Music therapy is used in varying settings, but more specifically in long term care facilities. This complementary therapy enhances the quality of life in persons with dementia and facilitates empathetic relationships between residents and the staff.The literature indicates that music therapy, involving singing, listening to music, music and movement, when performed by a certified music therapist can have beneficial effects for people with dementia, especially when pharmacological treatments alone do manage symptoms associated with this disorder. Implications for nursing practice, education, policy and research are discussed along with study limitations.