|
|
New research topic
|
Logged in as: Guest
|
|
Users viewing this topic:
none
|
|
Login  | |
|
New research topic - October 1, 2000 12:18:00 PM
|
|
|
jma
Posts: 2405
Joined: August 24, 2000
From: NY
Status: offline
|
Hello, I previously stated that I was interested in doing a study involving foreign PT's. That has now been changed thank to the faculty at my school. I am now persuing to compare the effects of a personalized home exercise progam on video versus patient teaching in the clinics for patients with Parkinson's disease. Basically, the video would incorporate the patient being instructed and the exercises performed with the PT. The patient would then view the video at home to help do the exercise. The other group of patients would be instructed at the clinic and then take home sheets of specific exercises to do. Hopefully, we could see a difference in a change of impairment status after the treatment sessions were completed, which would probably take a couple of weeks. I am currently looking for articles to form the literature review. These include articles on exercises for patients with Parkinson's disease. They would also include the effects of different education media on therapy. This is hard to find because there is not that much on video media and the effects on therapy. There would be articles on compliance with home exercise programs. There are not a lot of articles directly related to Parkinson's patients but on other pathologies. I would like to know if there are other areas I need to explore so that further research articles can be collected. There is a Parkinson's clinic in my campus and a faculty member that is willing to help us gather subjects. Advice and suggestions on how to further investigate this topic would be greatly appreciated and well received.
|
|
|
|
|
Re: New research topic - October 1, 2000 5:35:00 PM
|
|
|
Bobcat
Posts: 493
Joined: July 13, 1999
Status: offline
|
Before I start, I just want to say that if they broadcast another Olympics highlight during football I will scream.
Anyway -- jma, you've undertaken a task that could be easy or it could be hard. If you go the easy route, my impression is the results will be vague and inconsequential, like much of PT population statistics-based research with n=<20. If you go the hard route, you are in for a wild ride. I say this because in choosing clients afflicted by Parkinson's disease, you will be observing individuals at various stages and states of impairment lumped under a relatively non-selective or non-specific classification as it relates to functional capabilities and gross control-of-movement skills. Neurology's percept of the client is different from PT's. Neurology tends to analyze the client into abnormal movements but often does not attempt to recombine what available movement or control exists to allow whatever function is possible. PT looks at this latter aspect but there does not seem to be a formal classification system with quantitative support. This relates to your research objective in the manner that if you attempt to measure "effect of exercise", you may find it hard to first distinguish which clients should be grouped together, if at all; then, which movement impairments or capabilities to observe as they relate to critical functional levels; and finally, how to distinguish apparent improvement or loss of function as compared with say variation in drug absorption or spontanous improvement. There is no real verifiable cause effect relationship that can be substantiated between physical therapy intervention and functional improvement in clients with Parkinson's disease (as a fuzzy category), much less to go as far as PT-on-video, which is even less direct. You might do better to look at clients with one specific movement impairment that has a control systems angle to it, such as ataxis or dyskinesia, then focus on a specific task that attacks the single movement skill. If you cast a wide net and look at just "general exercise" which is probably effective in some degree (perhaps (maybe (possibly) ), this might be acceptable clinical practice, but in terms of finding validity in a research study, it would be HARD -- you may wind up with air-guitar. Looks good but makes no sound or fury. If however, the client tends to overshoot on swing phase during gait, you might look at a single exercise, such as a pnf-ish dynamic rhythmic stabilization activity on only persons with this problem, and see if the single task presented decreases error in foot placement relative to some lines drawn on the client's floor at home as a matter of inches or time delay in reaching the target, and the path of the trajectory, etc.
|
|
|
|
 New Messages |
 No New Messages |
 Hot Topic w/ New Messages |
 Hot Topic w/o New Messages |
 Locked w/ New Messages |
 Locked w/o New Messages |
|
 Post New Thread
 Reply to Message
Post New Poll
Submit Vote
Delete My Own Post
Delete My Own Thread
Rate Posts |
|
0.078
|
Printable Version
All Forums >> [RehabEdge Forum] >> Open Forum >> New research topic 
