Publications by authors named "Michal S Atkins"

Purpose: The aim of this article is to identify overarching principles that explain how daily lifestyle considerations affect pressure ulcer development as perceived by adults with spinal cord injury (SCI).

Method: Qualitative in-depth interviews over an 18-month period with 20 adults with spinal injury and a history of pressure ulcers were conducted using narrative and thematic analyses.

Results: Eight complexly interrelated daily lifestyle principles that explain pressure ulcer development were identified: perpetual danger; change/disruption of routine; decay of prevention behaviors; lifestyle risk ratio; individualization; simultaneous presence of prevention awareness and motivation; lifestyle trade-off; and access to needed care, services and supports.

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Article Synopsis
  • Purpose
  • : The study aimed to gather insights from therapists on how mobile arm support (MAS) can help individuals with C4-C5 tetraplegia perform tasks they cannot do independently, while also exploring barriers to use, design issues, and training needs.
  • Methods and Participants
  • : An e-mail survey using a modified Delphi approach was conducted with 18 experienced occupational therapists from rehabilitation centers who specialize in spinal cord injury (SCI) treatment.
  • Findings
  • : Key findings revealed that minimal muscle strength in the deltoids and biceps is necessary for using MAS effectively, with all therapists’ clients being able to perform at least one activity with the device, such as eating and using electronic devices
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Objective: To examine the daily-lifestyle influences on the development of pressure ulcers in adults with spinal cord injury (SCI).

Design: Qualitative investigation using in-depth interviewing and participant observation.

Setting: Participants were studied in their homes and other naturalistic contexts.

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