ORCID Profile
0000-0003-3809-2126
Current Organisation
Macquarie University
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Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 11-2014
Publisher: Elsevier BV
Date: 04-2015
DOI: 10.1016/J.JPHYS.2015.02.017
Abstract: In adults undergoing inpatient rehabilitation, does additional after-hours rehabilitation decrease length of stay and improve functional outcome, activities of daily living performance and physical activity? Systematic review with meta-analysis of randomised trials. Adults participating in an inpatient rehabilitation program. Additional rehabilitation provided after hours (evening or weekend). Function was measured with tests such as the Motor Assessment Scale, 10-m walk test, the Timed Up and Go test, and Berg Balance Scale. Performance on activities of daily living was measured with the Barthel index or the Functional Independence Measure. Length of stay was measured in days. Physical activity levels were measured as number of steps or time spent upright. Standardised mean differences (SMD) or mean differences (MD) were used to combine these outcomes. Adverse events were summarised using relative risks (RR). Study quality was assessed using PEDro scores. Seven trials were included in the review. All trials had strong methodological quality, scoring 8/10 on the PEDro scale. Among the measures of function, only balance showed a significant effect: the MD was 14 points better (95% CI 5 to 23) with additional after-hours rehabilitation on a 0-to-56-point scale. The improvement in activities of daily living performance with additional after-hours rehabilitation was of borderline statistical significance (SMD 0.10, 95% CI 0.00 to 0.21). Hospital length of stay did not differ significantly (MD -1.8 days, 95% CI -5.1 to 1.6). Those receiving additional rehabilitation had significantly higher step counts and spent significantly more time upright. Overall, the risk of adverse events was not increased by the provision of after-hours or weekend rehabilitation (RR 0.87, 95% CI 0.70 to 1.10). Additional after-hours rehabilitation can increase physical activity and may improve activities of daily living, but does not seem to affect the hospital length of stay. PROSPERO CRD42014007648. [Scrivener K, Jones T, Schurr K, Graham PL, Dean CM (2015) After-hours or weekend rehabilitation improves outcomes and increases physical activity but does not affect length of stay: a systematic review.Journal of Physiotherapy61: 61-67].
Publisher: SAGE Publications
Date: 02-2007
Abstract: Objective: To determine the prevalence and characteristics of shoulder pain in people with traumatic brain injury participating in inpatient rehabilitation and to compare the clinical presentation with that of people with stroke. Design: A prospective comparative study. Setting: Six metropolitan rehabilitation units. Subjects: Eighty-seven people with traumatic brain injury and 52 people with stroke took part in the study. Main measures: Assessment of shoulder pain, range of motion, strength and function was conducted on admission and, for the subjects with traumatic brain injury, at discharge if rehabilitation exceeded two weeks. Results: The prevalence of shoulder pain in people with traumatic brain injury was 62%, which was comparable with the 69% of subjects with stroke that experienced shoulder pain (odds ratio 0.72, 95% confidence interval 0.34 -1.5). Fracture in the shoulder complex and passive shoulder external rotation range of motion were the best predictors for shoulder pain after traumatic brain injury. This was different from the subjects with stroke for which the best predictors were passive shoulder flexion range of motion and length of acute hospital stay. Conclusion: There is a relatively high prevalence of shoulder pain after traumatic brain injury. Trauma to the shoulder complex contributes to shoulder pain after traumatic brain injury, making clinical presentation different from people with stroke. The findings support the need for greater attention in the management of shoulder pain after traumatic brain injury.
Publisher: Springer Science and Business Media LLC
Date: 19-04-2015
Publisher: Elsevier BV
Date: 2021
Publisher: Informa UK Limited
Date: 18-02-2019
Publisher: Springer Science and Business Media LLC
Date: 21-04-2014
Publisher: Elsevier BV
Date: 06-2012
Publisher: Informa UK Limited
Date: 19-04-2023
Publisher: Elsevier BV
Date: 10-2015
Publisher: Elsevier BV
Date: 2016
DOI: 10.1016/J.DHJO.2015.08.004
Abstract: In iduals with acquired brain injury (ABI) are more likely to be physically inactive and experience barriers to accessing services to address inactivity. This study was designed to guide the development of an internet-delivered self-management program to increase physical activity after ABI. The aims of this study were to examine the current physical activity status of community-dwelling Australian adults with ABI, the barriers to physical activity they experience and to explore interest an internet-delivered self-management program aimed at increasing physical activity. An online survey of Australian adults with ABI was used to collect information about demographic characteristics general health emotional well-being mobility and physical activity status, and satisfaction barriers to physical activity confidence in overcoming barriers, and interest in an internet self-management program. Data were analyzed descriptively and correlational analyses examined relationships between variables. Data were analyzed from 59 respondents. Over half were not satisfied with their current physical activity status. The most frequently reported barriers were pain/discomfort, fatigue and fear, and confidence to overcome these barriers was very low. Interest in an internet-delivered self-management program was high (74%) and not related to the amount of physical activity, satisfaction with physical activity and mobility status or total number of barriers. Australian adults with ABI are not satisfied with their activity levels and experience barriers in maintaining their physical activity levels. Participants were interested in accessing an internet-delivered self-management program aimed at improving physical activity levels. Therefore such a program warrants development and evaluation.
Publisher: Mark Allen Group
Date: 12-2013
DOI: 10.12968/IJTR.2013.20.12.597
Abstract: Action for Rehabilitation in Neurological Injury (ARNI) is a novel community-based training programme that promotes functional independence and physical fitness in stroke survivors after formal rehabilitation. We investigated the experiences of 22 stroke survivors enrolled in the 12-week programme, through their additional participation in one of four focus groups. Guidance topics informed the discussions, which were audio-recorded and transcribed. Thematic analysis was conducted by two independent researchers and consensus reached on the overarching themes. The programme was described as overwhelmingly positive, with ascribed benefits in physical, functional and social activities, leading to a reported increase in active participation in life. Key contextual factors were discussed as being critical to develop these benefits including: the balance of group and 1:1 training, the nature of challenge in the activities and the de-medicalisation of both the environment and the intervention itself. Group-based ARNI was reported as having a positive impact on function and participation in life post-stroke. This study indicates a need for further examination of the objective impact of the ARNI programme.
Publisher: American Academy of Pediatrics (AAP)
Date: 07-2014
Abstract: Gross motor (GM) deficits are often reported in children with prenatal alcohol exposure (PAE), but their prevalence and the domains affected are not clear. The objective of this review was to characterize GM impairment in children with a diagnosis of fetal alcohol spectrum disorder (FASD) or “moderate” to “heavy” maternal alcohol intake. A systematic review with meta-analysis was conducted. Medline, Embase, Allied and Complementary Medicine Database, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, PEDro, and Google Scholar databases were searched. Published observational studies including children aged 0 to ≤18 years with (1) an FASD diagnosis or moderate to heavy PAE, or a mother with confirmed alcohol dependency or binge drinking during pregnancy, and (2) GM outcomes obtained by using a standardized assessment tool. Data were extracted regarding participants, exposure, diagnosis, and outcomes by using a standardized protocol. Methodological quality was evaluated by using Strengthening the Reporting of Observational Studies in Epidemiology guidelines. The search recovered 2881 articles of which 14 met the systematic review inclusion criteria. The subjects’ mean age ranged from 3 days to 13 years. Study limitations included failure to report cutoffs for impairment, nonstandardized reporting of PAE, and small s le sizes. The meta-analysis pooled results (n = 10) revealed a significant association between a diagnosis of FASD or moderate to heavy PAE and GM impairment (odds ratio: 2.9 95% confidence interval: 2.1–4.0). GM deficits were found in balance, coordination, and ball skills. There was insufficient data to determine prevalence. The significant results suggest evaluation of GM proficiency should be a standard component of multidisciplinary FASD diagnostic services.
No related grants have been discovered for Taryn Jones.