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Thesis (D.PT.)--Sage Colleges, 2010. / "May 2010." "A Capstone project for PTY 768 presented to the faculty of The Department of Physical Therapy Sage Graduate School in partial fulfillment of the requirements for the degree of Doctor of Physical Therapy." Includes bibliographical references.

As embodied social agents our lives are preoccupied with the production and reproduction of bodies. Making, unmaking and remaking our embodiment are ongoing activities. Eating, exercise, washing, grooming, dressing, for example, are activities in which the body engages in routine tasks of bodily management. Such activities can be seen as everyday rehabilitation. The study explores the impact of major physical impairment on embodiment, and on the processes involved in re-embodiment after catastrophic injury or disease. The experiences of the people in this study dramatically highlight the continuous, but largely taken for granted processes involved in our embodiment. Four analytical strands are interwoven throughout the study. The first strand relates to the frailty and vulnerability of the human body, characteristics which are epitomised by the bodies of the informants in this study. The second strand engages with key aspects of the context in which re-embodiment takes place, namely a context replete with crisis, danger, fear, uncertainty and risk. The third strand projects into the future in considering the ongoing project of self. The fourth strand addresses the institutional and social impediments which may confine vulnerable bodies and limit the exploration of more expansive bodies. The study is situated within the general theoretical approach of the sociology of the body. While recognizing the powerful impact of social discourse in the production of bodies, the study focuses on the critical role of embodiment in the reconstitution of self. The people in this study have experienced profound bodily change, but although this damage has disrupted, it has not annihilated their embodied selves. The people still possess and occupy their bodies. It is the obduracy of embodiment which directs the processes involved in remaking the body.

Thesis (Ph.D.)--Edith Cowan University, 2003. / Submitted to the Faculty of Community Services, Education and Social Sciences. Includes bibliographical references.

Text in Afrikaans / Die ekologiese faktore wat bydra tot die onafhanklikheid van twintig Suid-Afrikaanse kwadruplee is vanuit 'n sistemiese perspektief beskou. ('n Selfontwerpte vraelys en onderhoud is benut). Die kriteria was dat: Hulle 'n betrekking beklee; finansieel selfonderhoudend is; tuis gaan in 'n eie woonplek; 'n voertuig besit wat aan hulle mobiliteitsvereistes voldoen; en van 'n rolstoel gebruik maak. Sekere demografiese faktore staan in 'n positewe vehouding tot onafhanklikheid. F aktore rakende die indiwidu het die meeste waarde vir die instandhouding en ontwikkeling van 'n onafhanklike lewenstyl. Faktore wat verband hou met die sosiale ondersteuningstelsel is van ietwat minder belang. Alhoewel die faktore wat verband hou met die gemeenskap nie heeltemal onbelangrik is nie, het dit deurgaans die minste waarde. Faktore wat verband hou met funksionele aanpassings (versorging; mobiliteit; loopbaanaangeleenthede en finansies; en dermkanaal- en blaasbeheer) was deurgaans van besondere belang. Die belangrikheid van tersiere opleiding; die hoeveelheid hulpmiddels in gebruik; en sport, oefening en ontspanning was minder as wat verwag is. / The ecological factors contributing to the independence of twenty South African quadriplegics were investigated from an systemic perspective. (A self compiled questionnaire and semi-structured interview were used). The criteria for inclusion is: Employment; financial self-support; living in a residences of their own; having a motor vehicle that satisfy their mobility requirements; and reliance on a wheelchair. Certain demographic factors are linked, positively to independence. The factors related to the individual appeared to be the most important factor in developing and maintaining an independent lifestyle. The social support system received a slightly lower value rating. Community factors, while not entirely unimportant, received the lowest ratings throughout the study. The factors regarding functional adaptations ( care; mobility; career issues and finances; and control over bowels and bladder) were in general of great significance. The value of tertiary education; the amount of special aids in use; and sport, exercise and recreation have been less than expected. / Social Work / M.A. (Sosiale Wetenskappe (Geestesgesondheid))

Text in Afrikaans / Die ekologiese faktore wat bydra tot die onafhanklikheid van twintig Suid-Afrikaanse kwadruplee is vanuit 'n sistemiese perspektief beskou. ('n Selfontwerpte vraelys en onderhoud is benut). Die kriteria was dat: Hulle 'n betrekking beklee; finansieel selfonderhoudend is; tuis gaan in 'n eie woonplek; 'n voertuig besit wat aan hulle mobiliteitsvereistes voldoen; en van 'n rolstoel gebruik maak. Sekere demografiese faktore staan in 'n positewe vehouding tot onafhanklikheid. F aktore rakende die indiwidu het die meeste waarde vir die instandhouding en ontwikkeling van 'n onafhanklike lewenstyl. Faktore wat verband hou met die sosiale ondersteuningstelsel is van ietwat minder belang. Alhoewel die faktore wat verband hou met die gemeenskap nie heeltemal onbelangrik is nie, het dit deurgaans die minste waarde. Faktore wat verband hou met funksionele aanpassings (versorging; mobiliteit; loopbaanaangeleenthede en finansies; en dermkanaal- en blaasbeheer) was deurgaans van besondere belang. Die belangrikheid van tersiere opleiding; die hoeveelheid hulpmiddels in gebruik; en sport, oefening en ontspanning was minder as wat verwag is. / The ecological factors contributing to the independence of twenty South African quadriplegics were investigated from an systemic perspective. (A self compiled questionnaire and semi-structured interview were used). The criteria for inclusion is: Employment; financial self-support; living in a residences of their own; having a motor vehicle that satisfy their mobility requirements; and reliance on a wheelchair. Certain demographic factors are linked, positively to independence. The factors related to the individual appeared to be the most important factor in developing and maintaining an independent lifestyle. The social support system received a slightly lower value rating. Community factors, while not entirely unimportant, received the lowest ratings throughout the study. The factors regarding functional adaptations ( care; mobility; career issues and finances; and control over bowels and bladder) were in general of great significance. The value of tertiary education; the amount of special aids in use; and sport, exercise and recreation have been less than expected. / Social Work / M.A. (Sosiale Wetenskappe (Geestesgesondheid))

Ten caucasian male quadriplegics were compared with eight sedentary caucasian male controls in regards to left ventricular dimensions and mass obtained from echocardiograrns. The interventricular septum (IVS), left ventricular posterior wall (LVPW) and left ventricular internal diameter (LVII) were within normal limits for both groups. However, the INS in the SCI were significantly thicker than controls (p <0.05). Myocardial thickness was larger in SCI subjects (p <0.05). Absolute left ventricular mass (LVM) and total left ventricular volume was not different ( p > 0.05), but SCI subjects had significantly greater LVM to lean body mass ratios. Echocardiographically, SCI patients demonstrate concentric hypertrophy. This suggests adaptive response to chronic increase in afterload pressure secondary to their daily activities and muscle spasticity.

The diploma thesis deals with the field of the care after quadriplegics in the Czech Republic and the United Kingdom. The aim of the diploma thesis is to describe positive and negative aspects of the care provided to quadriplegics both in Great Britain and the Czech Republic from the point of view of the care users, and subsequently to propose possibilities of improvement of the care in the Czech Republic. The theoretical part explains quadriplegia and outline social and health systems for quadriplegics in the Czech Republic as well as in the United Kingdom. This part includes the description of compensatory aids available for clients, conditions of health and social insurance, rehabilitation care options and financial support in both countries. In the research part, based on data interpretation of the data collected by qualitative research technique (interviews that were implemented with quadriplegics living the Czech Republic and United Kingdom), I analyze the situation of the clients of both social and health systems. These interviews revealed several areas of positive and negative evaluation of the existing situation and highlight possibilities of potential future improvement of the care in the Czech Republic.