Publications by authors named "Kara Patterson"

Background: Rhythm-based rehabilitation interventions are gaining attention and measuring their effects is critical. With more clinical care and research being conducted online, it is important to determine the feasibility of measuring rhythm abilities online. However, some tools used to measure rhythm abilities, in particular the beat alignment test (BAT), have not been validated for online delivery.

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Background: The goal of the Integrated Access to Cancer Screening (IACS) initiative was to help reduce the disparity in cancer screening participation across Alberta by implementing an integrated mobile service delivery model for breast, cervical, and colorectal cancer screening in rural and remote communities in Northern Alberta, performed by Nurse Practitioners (NPs) that addressed barriers to access. The aim of this study was to evaluate the outcomes and impact the IACS initiative had on the communities and residents of Northern Alberta. This article describes the initiative design, implementation, outcomes, and impact of the initiative.

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Introduction: Perceptions of exercise are important in ensuring physical activity is translated into daily life. If dance is perceived as enjoyable exercise, promoting it may increase exercise engagement in people with stroke.

Objective: To examine perceptions of dance as exercise in people with chronic stroke after participating in an adapted dance program.

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Background: Many objective measures of balance control, including force plate measures of standing balance, lack sufficient validation for use in the stroke population.

Research Questions: Do force plate measures of quiet standing balance during the sub-acute stage of stroke recovery have concurrent validity (i.e.

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Article Synopsis
  • Concerns about falling in older adults, particularly those with Mild Cognitive Impairment (MCI) and dementia, increase their risk of falls, but exercise interventions can help improve balance and reduce these concerns.
  • A scoping review analyzed 2,111 articles, ultimately finding 27 relevant studies that addressed exercise interventions; however, only one study prioritized falling concerns as an outcome, with most focusing on other aspects.
  • The review suggests that while falling concerns are often overlooked, multi-modal exercise programs could effectively address these issues and improve balance, strength, and overall cognitive health in individuals with MCI and dementia.
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Background: Augmenting auditory feedback through an error-augmentation paradigm could facilitate the perception and correction of gait asymmetry in stroke survivors, but how such a paradigm should be tailored to individual asymmetry profiles remains unclear. Before implementing the paradigm in rehabilitation, we need to investigate the instantaneous effects of distorted footstep sound feedback on gait symmetry in healthy young adults.

Methods: Participants ( = 12) walked on a self-paced treadmill while listening to their footstep sounds, which were distorted unilaterally according to five conditions presented randomly: small delay; small advance; large delay; large advance; or unmodified (control).

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Introduction: Quantitative gait analysis (QGA) has the potential to support clinician decision-making. However, it is not yet widely accepted in practice. Evidence for clinical efficacy (i.

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Background: Sports are physical activities that provide physical, psychological, and social benefits for individuals with spinal cord injury/disease (SCI/D). However, most sports research has been completed on individuals with SCI/D who are aged >50 years, even though the majority of people with SCI/D are aged >50 years. Despite substantial evidence supporting sports for older adults not living with a disability, there is currently no research examining the impact of sports for adults with SCI/D aged ≥50 years.

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Background: Difficulty controlling balance is one of the major contributors to the increased risk of falls among individuals with stroke. It is important to use reliable and objective measures to improve examination of balance impairments post-stroke, and to in turn inform clinical decision-making. The main objective of this study was to examine the relative and absolute reliabilities of force plate-based balance measures in quiet standing, in the sub-acute stage of stroke recovery.

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Inequities in cancer screening were identified in Calgary, AB, by correlating low screening participation with higher material deprivation. This initiative sought to understand awareness of and barriers to breast, cervical and colorectal cancer screening to inform the co-design and implementation of an outreach strategy to increase screening awareness. Online focus groups with community members ( = 69) identified five themes, and interviews with community health workers ( = 21) identified four themes.

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Background: Quantitative gait analysis can support clinical decision-making. These analyses can be performed using wearable sensors, nonwearable sensors, or a combination of both. However, to date, they have not been widely adopted in clinical practice.

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Setting: On March 17, 2020, a state of public health emergency was declared in Alberta under the Public Health Act in response to the COVID-19 pandemic. Congregate and communal living sites were environments with a high risk of exposure to and transmission of COVID-19. Consequently, provincial efforts to prevent and manage COVID-19 were required and prioritized.

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Article Synopsis
  • Breast cancer screening is crucial for reducing mortality and improving survival rates, and understanding adherence patterns is key for effective health strategies.
  • A study involving 4,972 women in Alberta revealed that 79.3% were up-to-date with screening at enrollment, but that number dropped to 75.2% at follow-up, with various classifications of adherence identified.
  • Having a family doctor significantly increases the likelihood of regular screening, while current smokers tend to be non-regular screeners, indicating the need for awareness initiatives to boost adherence to screening recommendations.*
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Background: Gait asymmetry, which is common after stroke, is typically characterized using spatiotemporal parameters of gait that do not consider the aspect of movement coordination. In this manuscript, we examined whether an avatar-based feedback provided as a single-session intervention to improve gait symmetry also improved inter-limb coordination among people with stroke and we examined the relationship between changes in coordination and step length symmetry.

Methods: Twelve stroke participants walked on a self-paced treadmill with and without a self-avatar that replicated their locomotor movements in real time.

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Article Synopsis
  • People with traumatic brain injury (TBI) commonly struggle with mobility and cognitive impairments, which are often treated separately in rehab, despite evidence connecting the two.
  • This study aimed to explore the relationship between cognitive recovery and gait recovery in TBI patients, analyzing data from 93 participants over a 12-month period.
  • Results indicated that cognitive tests at 2 months post-injury, particularly TMT-B and DS-F, were significantly linked to gait performance and could predict mobility outcomes at 12 months, suggesting the need for rehabilitation strategies that combine cognitive and physical recovery efforts.
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Dance interventions hold promise for improving gait and balance in people with neurological conditions. It is possible that synchronization of movement to the music is one of the mechanisms through which dance bestows physical benefits. This technical note will describe a novel method using a deep learning-based 2D pose estimator: OpenPose, alongside beat analysis of music to quantify movement-music synchrony during salsa dancing.

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Objective: To investigate the potential benefits of 3 therapeutic instrumental music performance (TIMP)-based interventions in rehabilitation of the affected upper-extremity (UE) for adults with chronic poststroke hemiparesis.

Design: Randomized-controlled pilot study.

Setting: University research facility.

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Physiotherapists use observational movement analysis (OMA) to inform clinical reasoning. This study aimed to (1) determine the feasibility of characterizing eye gaze behaviour during OMA with eye-tracking technology, (2) characterize experienced neurological physiotherapists' and physiotherapy students' eye gaze behaviour during OMA, and (3) investigate differences in eye gaze behaviour during OMA between physiotherapy students and experienced physiotherapists. Eight students and eight physiotherapists wore an eye-tracking device while watching a video of a person with a history of stroke and subsequent concussion perform sit to stand.

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. Human gait is inherently rhythmical, thus walking to rhythmic auditory stimulation is a promising intervention to improve temporal gait asymmetry (TGA) following neurologic injury such as stroke. However, the degree of benefit may relate to an individual's underlying rhythmic ability.

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Background And Objectives: Temporal gait asymmetry (TGA) affects 55% of people with stroke. This study investigated the effects of augmented feedback during overground gait training, on TGA.

Methods: Eighteen people with chronic stroke were randomized to receive one of two feedback displays (A or B) and one of three feedback frequencies; no feedback (0%), after alternate walking trials (50%) or after every trial (100%).

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Article Synopsis
  • The study aimed to analyze motor learning (ML) approaches post-stroke and their impact on skill acquisition and retention, while also assessing their clinical value for rehabilitation.
  • Researchers conducted a comprehensive literature search across multiple databases between 2018 and 2020, focusing on relevant studies related to stroke and motor learning.
  • Out of 39 studies reviewed, findings highlighted that certain ML principles like practice complexity, feedback, and mental practice were beneficial, while more severe strokes and explicit information tended to hinder ML, with other factors showing less definitive effects.
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Cancer screening is an important component of a cancer control strategy. Indigenous people in Canada have higher incidence rates for many types of cancer, including those that can be detected early or prevented through organized screening programs. Increased participation and retention in cancer screening is critical to improved population health outcomes amongst Indigenous people.

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Nearly 60% of individuals with stroke walk with temporal gait asymmetry (TGA; a phase inequality between the legs during gait). About half of individuals with TGA are unable to correctly identify the presence or direction of their asymmetry. If patients are unable to perceive their gait errors, it will be harder to correct them to improve their gait pattern.

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Background: Traumatic brain injury has multiple impacts on gait including decreased speed and increased gait variability. Rhythmic auditory stimulation (RAS) gait training uses the rhythm and timing structure of music to train and ultimately improve slow and variable walking patterns.

Objective: To describe the feasibility of RAS gait training in community-dwelling adults with traumatic brain injury (TBI).

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