Abstract Background. Physical therapists report inconsistent use of valid and reliable measures of walking post-stroke. Objective. To describe the methods physical therapists use to evaluate walking, reasons for selecting these methods, and the use of the evaluation results in clinical practice along the continuum of an organized system of stroke care. Methods. A qualitative descriptive study involving semi-structured telephone interviews of physical therapists in Ontario was conducted. A thematic analysis was performed. Results. Participants (n=28) used both standardized and non-standardized methods to assess walking. A hierarchy of factors influencing use of both methods was observed. Assessment results were commonly used for communication with other healthcare professionals or education of the patient. Conclusions. A variety of factors influence physical therapists to use standardized assessment tools. Future knowledge translation interventions should focus on these factors to improve the standardized assessment of walking post-stroke.

Abstract Background. Physical therapists report inconsistent use of valid and reliable measures of walking post-stroke. Objective. To describe the methods physical therapists use to evaluate walking, reasons for selecting these methods, and the use of the evaluation results in clinical practice along the continuum of an organized system of stroke care. Methods. A qualitative descriptive study involving semi-structured telephone interviews of physical therapists in Ontario was conducted. A thematic analysis was performed. Results. Participants (n=28) used both standardized and non-standardized methods to assess walking. A hierarchy of factors influencing use of both methods was observed. Assessment results were commonly used for communication with other healthcare professionals or education of the patient. Conclusions. A variety of factors influence physical therapists to use standardized assessment tools. Future knowledge translation interventions should focus on these factors to improve the standardized assessment of walking post-stroke.

This research seeks to understand the relationship between arts-based assessments and perception of self through exploration of participants’ interpretations of their own animal drawings. Subjects’ experiences with projective tests, personality assessments and tools, and art assessments were also examined for contextual understanding and comparison. To conduct this mixed methods pilot study, a survey was administered to alumni of the Loyola Marymount University Marital and Family Therapy Department. The findings suggest evidence of self- projection within arts-based assessment interpretation by way of metaphor, and highlight the potential for interpretation bias in therapeutic assessment, both in administration and perception. This pilot study has provided foundational information for future research, and suggests the following to be considered for continued exploration: styles of interpretation, framework of questions, usefulness of assessments, consistency of assessment interpretation, and how demographics plays a role in each of these elements.

The purpose of this essay has been to answer the question of whether or not administrators of economic support perceive that their professional status is ranked lower than that of their coworkers in other fields of the social services. We set out to study whether or not their comparative status differed depending on their use of standardized assessment instruments and if their experience with regards to professional status differed depending on the size of the municipality they worked in. We also wanted to determine in what way (if any) the comparative status manifests itself and what factors influences it. We’ve utilized method triangulation in order to answer the questions posed in our purpose. The quantitative study was conducted using a questionnaire and the qualitative with three interviews. Both studies were conducted in the county of Värmland, Sweden. The three municipalities, in which the interviews was conducted, varied in size which was a part of our selection process due to the fact that we believed that the size would affect the views regarding professional status. The result of our study shows that how administrators view their comparative ranking differs depending on the size of their respective municipalities. Administrators in the larger municipalities perceive their status to be low in comparison to other fields while administrators in smaller municipalities doesn’t perceive any noticeable difference. The administrators don’t feel that their status is dependent on the lack of standardized assessment instruments within their field but rather the way economic support is taught at the Swedish universities. Within this study we conclude that administrators working in the field of economic support in municipalities with more than 10 000 inhabitants perceive that their field is ranked lower when compared to other fields within the social services.

The purpose of this nonexperimental, quantitative study was to determine if there is a significant correlation among teacher-assigned grades (TAG), district checkpoint scores (CP), and student scale-scores on TNReady tests. The focus was on 1,445 seventh and eighth grade students who were enrolled at a middle school in northeast Tennessee during the academic years of 2017-2018 and 2018-2019, specifically for the content areas of English Language Arts and mathematics. The second purpose of this study was to examine any moderating effects of the categorical variable, students with disabilities (SWD) status, on the correlations among the district and state assessments and students’ final teacher-assigned grades in math and English Language Arts. Sixteen research questions served as the framework of the study. Data were analyzed using Pearson’s correlation coefficients. Results of the analysis revealed that there were significant correlations among teacher-assigned grades, district checkpoint scores, and student-scale scores on TNReady tests for both math and English Language Arts for seventh and eighth grade students at this middle school during the 2017-2018 and 2018-2019 school years. These correlations were all positive and strong for the general population for both years and both content areas with the values of r ranging between .61 and .89. In general, the results suggest that high scores in any area are associated with high scores in the other two areas. These positive high correlations for the overall population acknowledge the efforts of the school and district to align its teaching practices and district assessments with one another along with the state assessments. The study also concluded that there were not significant effects of the categorical variable of students with disabilities status (SWD) on the correlations.

The purpose of the study was twofold. The first purpose of the study was to determine if a correlation existed between the Standardized Test for the Assessment of Reading (STAR), created and distributed by Renaissance, and the Tennessee Comprehensive Assessment Program (TCAP) Achievement Test in Math and Reading for grade 3, grade 4, and grade 5. The second purpose of this study was to evaluate the relationship between the percentile category of the STAR test and the TCAP test. The factor variable, identified as the percentile category, included three levels: Urgent Intervention, Intervention, and At/Beyond Benchmark. The dependent variable was the TCAP score. The study included 3rd-grade, 4th-grade, and 5th-grade students during the 2016-2017 school year who had taken the STAR reading and STAR math assessments and had taken the TCAP reading and TCAP math assessment. Based on the findings of this study, a strong correlational relationship does exist between the STAR and TCAP assessments. Overall, the strong correlation between the STAR and the TCAP were consistent across Math and Reading in 3rd, 4th, and 5th grades. Since the ANOVA was significant, a post hoc multiple comparisons was conducted to evaluate pairwise difference among the means of the three groups. Overall, the At/Beyond Benchmark group was significantly higher than both the Urgent Intervention group and the Intervention group in Math and Reading for 3rd grade, 4th grade, and 5th grade. There was not a significant difference between the Urgent Intervention group and the Intervention group, the exception was 5th grade math.

In Miranda v. Arizona (1966), the Supreme Court of the United States required that custodial arrestees be informed of their constitutional and continuous rights to silence and to legal counsel. Moreover, the ruling mandated that waivers be considered valid only if they were made knowingly, intelligently, and voluntarily. However, in the decades that followed, evidence from both caselaw and empirical scholarship clarified that, for many vulnerable populations, these rights are in jeopardy. Among these vulnerable populations, those with limited cognitive capacities (LCCs) have been functionally excluded from research which primarily focused on persons with intellectual disabilities. This thesis offers a novel exploration of the role of specific cognitive impairments on Miranda comprehension and reasoning, with a focus on verbal intelligence (VIQ). Using a large archival sample of pretrial defendants (N = 820), current results suggest that defendants struggled with Miranda abilities regardless of other, individual characteristics. However, verbal intelligence emerged as a very strong predictor of Miranda comprehension such that those with lower VIQ were considerably more vulnerable to impaired comprehension. More so, data suggest that several compounded vulnerabilities (i.e., minoritized racial/ethnic identity status, limited academic achievement, illiteracy) are essential to understanding the extent of vulnerability in the criminal legal system in addition to the negative impacts of cognitive impairments. Several crucial implications for clinical practice and legal decision-making are explored. Finally, essential areas for future research are presented.

This diploma thesis deals with the problematics of sensory processing with premature children. The aim of the thesis is to show the important role of an occupational therapist taking care of infants with perinatal risks already at NICU. Another aim of the thesis is to create an unofficial Czech translation of the standardized Toddler Sensory Profile 2 Test and use it to evaluate the quality of sensory processing with premature children and compare the results with those of children born in term. In the theoretical part, the classification of new- borns is described for better understanding and orientation, together with the risks premature birth brings and the role of an occupational therapist taking care of such children. In the thesis, the approach of Sensory Integration and a classification of Sensory Processing Disorders (SPD) are described. At the end of the theoretical part, the Sensory Profile 2 Test is further described, especially its part dedicated to toddlers (TSP2). The practical part is made of a quantitative research. In the research, the total number of 70 two-year-old toddlers were assessed using TSP2, out of which 44 were born premature and 26 in term. The group of premature toddlers was further divided into 15 late preterm, 17 very preterm and 17 extreme preterm children. The...

Background: The main objective of this study was to investigate older people’s physical activity, their participation in various life situations, and their perceptions of their own health. This included an exploration of potential influences of urban versus rural residency on these outcomes, an evaluation of the measurement properties of a balance confidence scale, and an examination of the proposed usefulness of the International Classification of Functioning, Disability and Health (ICF) as a conceptual framework to facilitate analysis and understanding of selected outcomes. Methods: The study design was cross-sectional, population-based, with random selection from the national register of one urban and two rural municipalities in Northern Iceland. There were 186 participants, all community-dwelling, aged 65 to 88 years (mean = 73.8), and 48% of the group were women. The participation rate was 79%. Data was collected in 2004, in face-to-face interviews and through various standardized assessments. The main outcomes were total physical activity; leisure-time, household, and work-related physical activity; participation frequency and perceived participation restrictions; and self-rated health. Other assessments represented aspects of the ICF body functions, activities, environmental factors and personal factors. Moreover, Rasch analysis methods were applied to examine and modify the Activities-specific Balance Confidence (ABC) scale and the ICF used as a conceptual framework throughout the study. Results: The total physical activity score was the same for urban and rural people and the largest proportion of the total physical activity behavior was derived from the household domain. Rural females received the highest scores of all in household physical activity and rural males were more physically active than the others in the work-related domain. However, leisure-time physical activity was more common in urban than rural communities. A physically active lifestyle, urban living, a higher level of cognition, younger age, and fewer depressive symptoms were all associated with more frequent participation. Rural living and depressive symptoms were associated with perceived participation restrictions. Moreover, perceived participation restrictions were associated with not being employed and limitations in advanced lower extremity capacity. Both fewer depressive symptoms and advanced lower extremity capacity also increased the likelihood of better self-rated health, as did capacity in upper extremities, older age, and household physical activity. Rasch rating scale analysis indicated a need to modify the ABC to improve its psychometric properties. The modified ABC was then used to measure balance confidence which, however, was found not to play a major role in explaining participation or self-rated health. Finally, the ICF was useful as a conceptual framework for mapping various components of functioning and health and to facilitate analyses of their relationships. Conclusions: The results highlighted the commonalities and differences in factors associated with participation frequency, perceived participation restrictions, and self-rated health in old age. Some of these factors, such as advanced lower extremity capacity, depressive symptoms, and physical activity pattern should be of particular interest for geriatric physical therapy due to their potential for interventions. While the associations between depressive symptoms, participation, and self-rated health are well known, research is needed on the effects of advanced lower extremity capacity on participation and self-rated health in old age. The environment (urban versus rural) also presented itself as an important contextual variable to be aware of when working with older people’s participation and physically active life-style. Greater emphasis should be placed on using Rasch measurement methods for improving the availability of quality scientific measures to evaluate various aspects of functioning and health among older adults. Finally, a coordinated implementation of a conceptual framework such as ICF may further advance interdisciplinary and international studies on aging, functioning, and health.

Des troubles moteurs ont été décrits dans les Troubles du Spectre Autistiques (TSA), toutefois tous les enfants atteints de TSA ne montrent pas de diminution des performances motrices. La nature et l'origine des perturbations motrices dans les TSA ne sont pas claires. Les processus neuro-développementaux, en lien avec la maturation du système nerveux central, sont peu explorés dans les TSA, or ces processus sous-tendent les performances motrices. Peu d'études portent sur l'analyse fine de la sémiologie des fonctions neuro-psychomotrices dans les TSA et l'existence d'une trajectoire neuro-développementale de ces fonctions n'est pas connue chez les enfants avec TSA. L'objectif de cette étude est de mettre en évidence la sémiologie des troubles psychomoteurs auprès d'enfants avec TSA, à l'aide d'une batterie standardisée Française d'évaluation développementale des fonctions neuro-psychomotrices de l'enfant (NP-MOT) (Vaivre-Douret, 2006). L'évaluation neuro-psychomotrice complète les évaluations de premières instances (psychiatrique; psychologique; compréhension; psychomotrice). L'identification d'un profil clinique neuro-psychomoteur, l'identification de troubles ou décalages par rapport à une norme de référence, la mise en évidence de fonctions cérébrales éventuellement touchées dans les TSA devraient permettre de mieux comprendre l'origine et la nature des troubles observés dans les TSA. Les résultats de plus en plus nombreux concernant la motricité chez ces enfants doivent pouvoir également être analysés au regard des évaluations cognitives et neuro-cognitives, afin d'affiner le profil de développement et permettre ainsi de mieux comprendre la nature des troubles autistiques parmi une comorbidité d'éventuels autres dysfonctionnements. / Motor disorders have been described in the Autistic Spectrum Disorders (ASD), however all children with ASD show no decrease in motor performances. The nature and origin of motor disturbances in ASD are unclear. Neurodevelopmental processes linked to the maturation of the central nervous system, are not really explored in ASD, but these processes underlie motor performances. Few studies trat of an acute semiology of motor abnormalities in ASD and the existence of a neuro-developmental trajectory of neuro-psychomotor functions is not known in children with ASD. The aim of this study is to highlight the semiology of psychomotor disorders among children with ASD, using a French standardized neurodevelopmental assessment tool (NP-MOT) (Vaivre-Douret, 2006). Evaluations of the first instances (psychiatric; psychological; understanding; psychomotor) were supplemented by a standardized assessment battery of neuro-developmental psychomotor functions (NP-MOT). The identification of a neuro-psychomotor clinical profile, identification of problems or discrepancies compared to a standard reference, the identification of potentially affected brain functions in ASD should provide a better understanding of the origin and nature the observed disorders in ASD. The results, more and more numerous concerning motor skills in these children, should be able to be analyzed in light of cognitive or neuro-cognitive assessments and should allow to refine the profile of development and thereby enable a better understanding of the nature of autism among a comorbidity other possible malfunctions.