Optimizing stroke systems of care by enhancing transitions across care environments.

Stroke affects many aspects of the lives of stroke survivors and their family caregivers. Supporting long-term recovery and rehabilitation are necessary to help stroke survivors adapt to living with the effects of stroke and to help family members adapt to the caregiving role. During recovery and rehabilitation, many elements of the health care continuum are utilized, including emergency response, acute care, inpatient and outpatient rehabilitation, and community and long-term care.

Practitioner and organizational barriers to evidence-based practice of physical therapists for people with stroke.

Background And Purpose: The purpose of this study was to identify practitioner barriers (education, attitudes and beliefs, interest and perceived role, and self-efficacy) and organizational barriers (perceived support and resources) to physical therapists' implementation of evidence-based practice (EBP) for people with stroke.

Subjects: The participants were 270 physical therapists providing services to people with stroke in Ontario, Canada.

Methods: A cross-sectional mail survey was conducted.

Developmental coordination disorder: exploration of a cerebellar hypothesis.

This study explored the hypothesis of a specific cerebellar dysfunction in children with developmental coordination disorder (DCD): motor adaptation. The performance of a group of children with DCD (3 girls and 6 boys) was compared to that of a control group (5 girls and 6 boys) on a measure of motor adaptation, the prism adaptation test (PAT). Children were between 6 years 11 months and 11 years 10 months of age.

Acute exacerbations of COPD in subjects completing pulmonary rehabilitation.

Background: Improvements in health status following pulmonary rehabilitation (PR) diminish with time. Acute exacerbations of COPD (AECOPDs) negatively impact adherence after PR and likely accelerate this diminution of benefit. This study was designed to characterize the pre-AECOPD status of patients with moderate or severe COPD who had completed PR, and then to measure the impact of AECOPDs on health-related quality of life (HRQL) and functional exercise capacity.

Development of an integrated-care delivery model for post-fracture care in Ontario, Canada.

Introduction: The purpose of this study was to develop an integrated-care model for patients at highest risk for osteoporosis, those with a low-trauma fracture. Specific objectives were to describe the current processes and patterns of post-fracture care in hospitals in Ontario; to examine health-care professional and patient awareness of osteoporosis and the roles and responsibilities of various organizations and health care professionals; and to identify barriers and facilitators and obtain feedback on the model.

Methods: In 2002, questionnaires were completed for 178 eligible hospitals.

The transition to increased automaticity during finger sequence learning in adult males who stutter.

Unlabelled: The present study compared the automaticity levels of persons who stutter (PWS) and persons who do not stutter (PNS) on a practiced finger sequencing task under dual task conditions. Automaticity was defined as the amount of attention required for task performance. Twelve PWS and 12 control subjects practiced finger tapping sequences under single and then dual task conditions.