Introduction: The mental health of ageing Canadians is a growing concern, particularly post-pandemic. Older adults face systemic ageism and mental health stigma as pervasive barriers to seeking needed mental health support, care and treatment within health and social care systems. These barriers are exacerbated when service providers focus on physical healthcare needs or lack the skills and confidence to talk about and/or address mental health during routine visits.
View Article and Find Full Text PDFPurpose: To understand the circumstances, causes and consequences of falls experienced by individuals with subacute SCI, and to explore their perspectives on how falls/fall risk impacted their transition to community living.
Materials And Methods: Sixty adults with subacute SCI participated. A sequential explanatory mixed methods design was adopted.
Introduction: Individuals with spinal cord injury (SCI) experience reduced participation in meaningful activities, leading to reduced social engagement and negative psychological impact. Two factors that may affect participation post-SCI are fall status (e.g.
View Article and Find Full Text PDFBackground: Individuals living with chronic spinal cord injury or disease (SCI/D) are at an increased risk of falling. However, little is known about the impact of falls and fall risk in the subacute phase of SCI/D, despite this being a time when fall prevention initiatives are delivered. Hence, we explored the impact of falls and fall risk in individuals with subacute SCI/D as they transitioned from inpatient rehabilitation to community living.
View Article and Find Full Text PDFObjective: Concussion can cause deficits in balance and gait. Much of what is known about how concussion affects balance and gait has been derived from studies involving youth, high school, and university athletes. However, investigation into the effects of concussion on balance and gait in community-dwelling young, middle-age, and older aged adults is limited.
View Article and Find Full Text PDF: To characterize balance deficits in community-dwelling adults following acute concussion. Cross-sectional observational study. Individuals with acute concussion (n=100) and healthy controls (n=20) completed the BESS (Balance Error Scoring System) and quiet standing trials on forceplates with the eyes open, closed, or during a cognitive dual task.
View Article and Find Full Text PDFBackground: Individuals with incomplete spinal cord injury (iSCI) demonstrate greater postural sway and increased dependency on vision to maintain balance compared to able-bodied individuals. Research on standing balance after iSCI has focused on the joint contribution of the lower limbs; however, inter-limb synchrony in quiet standing is a sensitive measure of individual limb contributions to standing balance control in other neurological populations. It is unknown if and how reduced inter-limb synchrony contributes to the poor standing balance of individuals with iSCI.
View Article and Find Full Text PDFObjective: To characterize recovery of balance deficits in community-dwelling adults with concussion.
Hypothesis: Balance measures will improve 2 weeks after injury and persist over 12 weeks.
Design: Prospective longitudinal observational study.
To identify impairments and recovery of balance control after moderate-severe traumatic brain injury (TBI) through spectral analyses of static balance tasks and to characterise the contributions of each limb to balance control. A retrospective analysis of longitudinal balance data from force platforms at 2, 5, and 12 months post-injury in 31 individuals with moderate to severe TBI was performed. Single-visit data from age-matched controls ( = 22) were collected for descriptive comparison.
View Article and Find Full Text PDFObjective: To characterize the prevalence of, and relationship between, self-reported balance disturbance and performance-based balance impairment in the general population with concussion.
Setting: Rehabilitation hospital outpatient concussion clinic.
Participants: One hundred six individuals with concussion (49 males, mean age = 32.
Background: Balance impairments after traumatic brain injury (TBI) are common and persist after injury. Postural asymmetries in balance have been reported, but not quantified, across recovery.
Objective: The objective of this study was to characterize balance recovery after moderate to severe TBI, with a focus on postural asymmetry.
Anticipatory balance control optimizes balance reactions to postural perturbations. Predictive control is dependent on the ability of the central nervous system to modulate gain in accordance with specific task demands. Inter-limb synchronization is a sensitive measure of individual limb contributions to balance control and may reflect the coordination of gain modulation in preparation for instability.
View Article and Find Full Text PDFRhythmic behavior in nonlinear systems can be described as limit cycles or attractors. System perturbations may result in shifts between multiple attractors. We investigated individual cycle-to-cycle leg movement kinematics of three prewalking skilled infant bouncers (10.
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