Publications by authors named "A M Chappell"

Introduction: The transition from pediatric to adult healthcare is challenging for adolescents and young adults (AYA) with pediatric-onset chronic health conditions. Although barriers faced by AYA during transition are well-documented, previous studies have not considered how migration and settlement impact patient and family experiences.

Objectives: To fill this gap, we conducted a qualitative descriptive study to explore the recommendations for policy and practice from the perspectives of immigrant and refugee AYA living with chronic health conditions in Canada as they transition from pediatric to adult healthcare.

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Background: This study examined the experiences of Indigenous youth and young adults with pediatric onset chronic health conditions who had or were about to transition from pediatric to adult healthcare services. Transition is the process by which youth develop the knowledge and self-management skills needed to manage their health condition, ideally beginning around age 12-13 and continuing until the mid-20s. There is a growing body of literature on healthcare transition, but there is an absence of literature on Indigenous youth, who face additional barriers to accessing healthcare relative to non-Indigenous Canadians.

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Background: While leg stiffness during running has been shown to be lower in children with cerebral palsy compared to their typically developing peers, no studies have examined leg stiffness during running in adults with traumatic brain injury. The aim of this study was to compare leg stiffness during running in adults with traumatic brain injury to healthy controls.

Methods: Sixty-one adults with traumatic brain injury and 20 healthy controls were included.

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Background: For children and adolescents with cerebral palsy (CP) who are independently ambulant (Gross Motor Function Classification System (GMFCS) I or II), running is a fundamental movement skill that enables them to play and engage in school and community activities. A running intervention which resulted in good running goal attainment should logically have improved running kinematics, however, this has not yet been established.

Research Question: Does a low-load plyometric running intervention improve joint kinematics during running in children with CP?

Methods: Three-dimensional gait analysis was undertaken before and after a 12-week intervention.

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