published_or_final_version / Architecture / Master / Master of Architecture

published_or_final_version / Architecture / Master / Master of Architecture

TITLE Alternative rehabilitation methods in therapy of Parkinson's disease OBJECTIVE The aim of work is to assemble new findings relating the rehabilitation of people with Parkinson disease. Furthermore to elaborate these information in form of literature search to allow their use in common practice. METHODS Up till now there were accomplished many studies which dealt with less common ways of therapy, but didn't find use in common practice. In this work these studies will be presented (in form of literature search). This work will be divided into two parts, where the first will sum up the issue of Parkinson's disease and the second part will deal with the alternative methods. Into this part studies detecting effects of dance therapy, tai-chi, qigong, treadmill training and box on symptoms of Parkinson's disease were chosen. Besides that, in discussion I plan on mentioning conventional therapy (rehabilitation) in Parkinson's disease as well as some guidelines written up in the Czech Republic. KEY WORDS Parkinson's disease, rehabilitation, physiotherapy, dance, therapy, tai chi, taiji, treadmill, gait

Before the main study commenced, empirical work was conducted to establish and validate the Chinese version of the Satisfaction with the Nursing Home Instrument (SNHI-C), which was an instrument used to measure resident satisfaction in the main study. Testing was conducted on a cluster sample of 330 residents from 16 elderly residential care homes in Hong Kong. Findings demonstrated that the SNHI-C had good content validity with an index of .93. It also demonstrated high construct validity by having significant correlation with depression (r = -.42, p < .001), the physical component of health-related quality of life (r = .16, p < .05), the mental component of health-related quality of life (r = .41, p < .001), and global quality of care (r = .49, p < .001). The SNHI-C also demonstrated satisfactory internal consistency and good stability by having a Cronbach's alpha of .79 and intra-class correlation coefficient of .94, respectively. / Current study adds new knowledge to the psychosocial health benefits of Tai Chi for the residents living in elderly residential care homes. Findings were discussed in relation to previous research findings and in the context of elderly residential care setting. The present study has the strength of evaluating the health benefit of Tai Chi using a more stringent research design, in comparing with the previous studies. Limitations of this study included the use of convenience sampling, without random assigning participants into groups, and inadequacy in quantifying Tai Chi learning. The implications of the findings support incorporating Tai Chi training in routine elderly residential care. Based on the study experience, recommendations for a successful implementation of a Tai Chi program were provided. Future research is advised to further explore the most beneficial mode of a Tai Chi program particularly for the elderly residential care home residents. Evaluation of its effect over a longer period of time and using various approaches are also suggested for obtaining a more comprehensive picture of the health benefit of Tai Chi. Finally, it is also worthwhile to investigate the experience of practicing Tai Chi through a qualitative approach to complement present findings. / Like many areas in the world, Hong Kong is facing an aging population. To accommodate the increasing elderly population, particularly those who are frail and have limited family support, elderly residential care homes are growing in size and number. Despite of the escalating demand, it has been documented repeatedly that the nature of residential living can predispose the residents to a number of psychosocial challenges. Study findings highlight consistently that residents are prone to experience lowered self-esteem, poor social support, and poor health-related quality of life. Providing psychosocial support to the residents is an important dimension in elderly residential care. It is because older residents, despite of their deteriorating physical functions that cannot be cured, can still have the potential to live with optimum psychosocial well-being. Even though a number of interventions have been considered in the past to address the residents' psychosocial needs, evaluation on the effectiveness of these interventions is inconclusive. There is still a paucity of evidence suggesting a promising intervention that can promote psychosocial health for the residents. Given the general consensus that exercise is beneficial for the psychosocial health, and considering that the characteristics of Tai Chi are particularly suitable for the elderly population, Tai Chi is considered as a possible means to promote psychosocial health for the residents. This study aimed to examine the psychosocial effects of a Tai Chi program on the residents of the elderly residential care homes. / The main study adopted a non-equivalent pretest-posttest control group design to examine the psychosocial effect of Tai Chi on residents of elderly residential care homes. Residents were recruited from six elderly residential care homes in Hong Kong by convenience sampling. The experimental group (n = 66) joined a 26-week Tai Chi program three times per week with each session lasted for one hour. The control group (n = 73) continued their daily activities as usual. Outcome variables encompassing state self-esteem, the physical component of health-related quality of life, the mental component of health-related quality of life, social support network, and social support satisfaction were assessed at baseline, the 13th and 26th week of the intervention period. Doubly multivariate analysis of covariance was performed to examine the effect of the Tai Chi program. / With the confounding effect of resident satisfaction controlled, findings demonstrated that participants in the experimental group experienced greater improvement in the psychological composite outcome of state self-esteem, the physical component of health-related quality of life, and the mental component of health-related quality of life (p < .05). No significant changes were detected in any of the three individual psychological outcome variables. Non-significant result was also found regarding the social effect of Tai Chi program on the participants. / Lee Yin King. / "May 2006." / Advisers: Diana Lee; Jean Woo. / Source: Dissertation Abstracts International, Volume: 68-03, Section: B, page: 1558. / Thesis (Ph.D.)--Chinese University of Hong Kong, 2006. / Includes bibliographical references (p. 249-269). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstracts in English and Chinese. / School code: 1307.

Chan, Wai Kiu. / Thesis (Ph.D.)--Chinese University of Hong Kong, 2011. / Includes bibliographical references (leaves 233-256). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstract and appendix also in Chinese.

A queda em idosos é um problema significativo em saúde pública, já que este tipo de acidente pode resultar em fraturas, diminuição da mobilidade e aumento da mortalidade. Neste contexto, o Tai Chi Chuan (TCC) pode ser visto como uma prática corporal promissora na Atenção Primária à Saúde (APS). Nesta dissertação, foram produzidos dois artigos. No primeiro, avaliamos a relação entre a prática de TCC, como atividade de grupo em uma Unidade de Saúde, no equilíbrio estático e dinâmico de idosos. Para isto, 80 idosos da comunidade (≥ 60 anos) foram convidados a realizar entrevista e avaliação de equilíbrio e a participar de um grupo de TCC (amostra por conveniência). Os participantes foram avaliados antes e seis meses após o treinamento da “Sequência Simplificada de TCC de 24 Movimentos” (baseada no estilo Yang), 1x/semana. As 19 pessoas que frequentaram ≥8 aulas foram consideradas praticantes. Foram realizadas 26 aulas durante o estudo, com uma média de 18 participantes. Ocorreu uma melhora de aproximadamente dois pontos na Escala de Equilíbrio Funcional de Berg (p<0,001) no grupo de praticantes sendo que 100% destes, ou melhoraram ou mantiveram os escores anteriores. Tratase de uma das primeiras avaliações da prática de TCC realizada no âmbito da APS, no Brasil. No segundo artigo, (um relato de experiência) descrevemos as condições necessárias para a prática do TCC e o programa de treinamento de forma detalhada. Concluindo, o TCC é uma prática corporal utilizada para a promoção da saúde. Acreditamos ser possível sua inserção na APS trazendo, desta forma, benefícios na melhora do equilíbrio de idosos da comunidade. / Falls in the elderly is a significant problem in public health, since this type of accident can result in fractures, decreased mobility and increased mortality. In this context, the Tai Chi Chuan (TCC) can be seen as a promising body practice in Primary Health Care (PHC). In this dissertation, two articles have been produced. In the first article, we evaluated the relationship between the practice of TCC, as a group activity in a Health Unit in static and dynamic balance in elderly people. In order for this to happen, 80 community elderly (≥ 60 years) were invited to participate in interviews and evaluations of balance and as well as in a TCC group (convenience sample). Participants were evaluated before and six months after the training of “24 simplified TCC forms” (based on Yang style), 1x/week. The 19 people who attended ≥ 8 classes were considered practitioners. During the study, 26 lessons were conducted, with an average of 18 participants. There was an improvement of approximately two points on the Berg scale of balance performance (p <0.001) in the group of practitioners and 100% of these, either maintained or improved their previous scores. This is one of the first evaluations of the practice of TCC within the PHC, in Brazil. In the second article (an experience report) we described the necessary conditions for the practice of TCC and the training program in detail. In conclusion, TCC is a body practice that is used to promote health. We believe it is possible its insertion into the PHC bringing thus benefits in improving balance of older adults.

Hong Wai Lin. / "July 2004." / Thesis (Ph.D.)--Chinese University of Hong Kong, 2004. / Includes bibliographical references (p. 181-211) / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Mode of access: World Wide Web. / Abstracts in English and Chinese.

published_or_final_version / Architecture / Master / Master of Landscape Architecture

published_or_final_version / Architecture / Master / Master of Landscape Architecture

published_or_final_version / Architecture / Master / Master of Architecture