"Advances in Motor Learning and Control" surveys the latest, most important advances in... more "Advances in Motor Learning and Control" surveys the latest, most important advances in the field, surpassing the confines of debate between proponents of the information processing and dynamical systems.Zelaznik, editor of the "Journal of Motor Behavior" from 1989 to 1996, brings together a variety of perspectives. Some of the more difficult topics-such as behavioral analysis of trajectory formation and the dynamic pattern perspective of rhythmic movement-are presented in tutorial fashion. Other chapters provide a foundation for understanding increasingly specialized areas of study.
British Journal of Therapy and Rehabilitation, Dec 1, 1997
This paper describes the development of an exercise support group for people with multiple sclero... more This paper describes the development of an exercise support group for people with multiple sclerosis. The prime aim was to encourage the participants to use the group as a means of positively maintaining their physical abilities through the use of self-managed home programmes. Participants highlight encouragement to continue their home programme, peer support and access to therapists as important benefits from the group. Therapists have been able to use their time more efficiently and effectively by managing a number of people in one session and encouraging a preventative programme. The group should not be viewed as a substitute for outpatient treatment. These preliminary findings of good practice require more stringent evaluation.
ABSTRACT Purpose: This pilot feasibility study aimed to gain preliminary insight into the accepta... more ABSTRACT Purpose: This pilot feasibility study aimed to gain preliminary insight into the acceptability and usefulness of the FAB-PBS program for providing behavior support to families following acquired brain injury (ABI) in community settings. The FAB-PBS program is based on a Positive Behavior Support (PBS) framework and principles of Family-Centered Care and Family-Directed Intervention. It consists of an education phase followed by individualized sessions during which the family is supported to develop and implement a PBS plan. Methods: A mixed-methods design was utilized, with feedback obtained from family members via short questionnaires and semi-structured interviews post education phase and individualized sessions, and at three-month follow up. Results: Two family members completed the full FAB-PBS program and reported high satisfaction with the program and increased confidence in providing behavior support. Findings also suggested an increase in desired behaviors and a decrease in challenging behaviors presented by family members with ABI. Conclusions: The FAB-PBS program may be an acceptable and feasible approach to increasing the capability of family caregivers in providing behavior support following ABI. Further pilot testing is required to inform the development of a larger feasibility study.
Stroke remains a leading cause of long-term disability in society consuming between 4 – 6% of the... more Stroke remains a leading cause of long-term disability in society consuming between 4 – 6% of the total expenditure of the National Health Service in the UK [1]. Appropriate therapy management for stroke survivors is therefore a key issue for neurotherapists. The specific aim of this special issue was to explore conventional neurotherapy, which is in our view under-researched, rather than novel interventions. Whilst it is imperative that neurorehabilitation is based on sound theoretical rationale, derived from areas of science related to human motor performance [2], the clinical assumptions underlying everyday practice can also be translated into research hypotheses for scientific evaluation. This issue highlights three key themes that therapists in neurorehabilitation need to consider to drive clinical practice forward. Papers in the first theme (Demain et al., Kwakkel, van Vliet & Wulf, and Jones) explore practice in the context of recovery and training with evidence-based discussion around patterns of recovery, plateau, intensity of practice, feedback and strategies for facilitating self-management. The second theme (Hyndman et al. and Punt & Riddoch) focuses on cognitive influences, addressing the impact of dual tasking on functional performance, and the implication of motor neglect in rehabilitation. The final theme (Tyson & Selley, Lennon et al., Cramp et al., Ada et al.) comprises studies on specific aspects of physiotherapy such as the content of therapy, gait training, strength training, and the influence of spasticity on movement. The implications from these papers for clinical practice are explored in the invited commentaries provided by experts in the field of neurorehabilitation Professors Janet Carr and Roberta Shepherd, and Valerie Pomeroy. These invited papers illustrate that therapists in contemporary practice are moving away from a reliance on labelled treatment approaches towards the scientific investigation of specific aspects of therapy. This issue highlights that neurotherapists are prepared to subject their clinical practice to scrutiny by drawing upon evidence from relevant scientific fields, and tackling the challenge of evaluating the complexity of rehabilitation in the clinical setting.
"Advances in Motor Learning and Control" surveys the latest, most important advances in... more "Advances in Motor Learning and Control" surveys the latest, most important advances in the field, surpassing the confines of debate between proponents of the information processing and dynamical systems.Zelaznik, editor of the "Journal of Motor Behavior" from 1989 to 1996, brings together a variety of perspectives. Some of the more difficult topics-such as behavioral analysis of trajectory formation and the dynamic pattern perspective of rhythmic movement-are presented in tutorial fashion. Other chapters provide a foundation for understanding increasingly specialized areas of study.
British Journal of Therapy and Rehabilitation, Dec 1, 1997
This paper describes the development of an exercise support group for people with multiple sclero... more This paper describes the development of an exercise support group for people with multiple sclerosis. The prime aim was to encourage the participants to use the group as a means of positively maintaining their physical abilities through the use of self-managed home programmes. Participants highlight encouragement to continue their home programme, peer support and access to therapists as important benefits from the group. Therapists have been able to use their time more efficiently and effectively by managing a number of people in one session and encouraging a preventative programme. The group should not be viewed as a substitute for outpatient treatment. These preliminary findings of good practice require more stringent evaluation.
ABSTRACT Purpose: This pilot feasibility study aimed to gain preliminary insight into the accepta... more ABSTRACT Purpose: This pilot feasibility study aimed to gain preliminary insight into the acceptability and usefulness of the FAB-PBS program for providing behavior support to families following acquired brain injury (ABI) in community settings. The FAB-PBS program is based on a Positive Behavior Support (PBS) framework and principles of Family-Centered Care and Family-Directed Intervention. It consists of an education phase followed by individualized sessions during which the family is supported to develop and implement a PBS plan. Methods: A mixed-methods design was utilized, with feedback obtained from family members via short questionnaires and semi-structured interviews post education phase and individualized sessions, and at three-month follow up. Results: Two family members completed the full FAB-PBS program and reported high satisfaction with the program and increased confidence in providing behavior support. Findings also suggested an increase in desired behaviors and a decrease in challenging behaviors presented by family members with ABI. Conclusions: The FAB-PBS program may be an acceptable and feasible approach to increasing the capability of family caregivers in providing behavior support following ABI. Further pilot testing is required to inform the development of a larger feasibility study.
Stroke remains a leading cause of long-term disability in society consuming between 4 – 6% of the... more Stroke remains a leading cause of long-term disability in society consuming between 4 – 6% of the total expenditure of the National Health Service in the UK [1]. Appropriate therapy management for stroke survivors is therefore a key issue for neurotherapists. The specific aim of this special issue was to explore conventional neurotherapy, which is in our view under-researched, rather than novel interventions. Whilst it is imperative that neurorehabilitation is based on sound theoretical rationale, derived from areas of science related to human motor performance [2], the clinical assumptions underlying everyday practice can also be translated into research hypotheses for scientific evaluation. This issue highlights three key themes that therapists in neurorehabilitation need to consider to drive clinical practice forward. Papers in the first theme (Demain et al., Kwakkel, van Vliet & Wulf, and Jones) explore practice in the context of recovery and training with evidence-based discussion around patterns of recovery, plateau, intensity of practice, feedback and strategies for facilitating self-management. The second theme (Hyndman et al. and Punt & Riddoch) focuses on cognitive influences, addressing the impact of dual tasking on functional performance, and the implication of motor neglect in rehabilitation. The final theme (Tyson & Selley, Lennon et al., Cramp et al., Ada et al.) comprises studies on specific aspects of physiotherapy such as the content of therapy, gait training, strength training, and the influence of spasticity on movement. The implications from these papers for clinical practice are explored in the invited commentaries provided by experts in the field of neurorehabilitation Professors Janet Carr and Roberta Shepherd, and Valerie Pomeroy. These invited papers illustrate that therapists in contemporary practice are moving away from a reliance on labelled treatment approaches towards the scientific investigation of specific aspects of therapy. This issue highlights that neurotherapists are prepared to subject their clinical practice to scrutiny by drawing upon evidence from relevant scientific fields, and tackling the challenge of evaluating the complexity of rehabilitation in the clinical setting.
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Papers by Sheila Lennon