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Biomedical subjects

S Jarvis

Publications and source records attributed to S Jarvis.

46 records · Page 3Linked to original sources

The gross motor function measure: a means to evaluate the effects of physical therapy.

This paper reports the results of a study to validate a measure of gross motor function in detecting change in the motor function of disabled children. Physiotherapists used this instrument to assess 111 patients with cerebral palsy, 25 with head injury and 34 non-disabled preschool children on two occasions, the second after an interval of four to six months. Parents and therapists independently rated the children's function within two weeks of each assessment, and a sample of paired assessments was videotaped for 'blind' evaluation by therapists. Correlations between scores for change on this measure and the judgments of change by parents, therapists and 'blind' evaluators supported the hypothesis that the instrument would be responsive to both negative and positive changes.

Adolescent↗

Cot deaths, stillbirths, and the probation service: a potentially recognisable at risk group.

Families of clients under the care of the probation service are at significantly higher risk of experiencing a cot death or a stillbirth than the general public. Pregnant women in the immediate families of clients under the care of the probation service should be identified to health service personnel involved in their antenatal and postnatal care in an effort to avert unnecessary deaths.

England↗

Congenital heart disease: functional abilities in young adults.

Muscular endurance, motor abilities, childhood activities, school experiences, work plans, and social behaviors of 188 young adults aged 16 to 23 years with congenital heart disease were examined. The subjects had isolated aortic stenosis, pulmonary stenosis, or tetralogy of Fallot. Overall, physical function scores were slightly below average. Childhood activities had been affected in about 30% of the cases, but seriously disrupted in only 17%. School experiences had been positive, and 68% of the students in school planned to continue on to college or university or were already there. Normal social behavior was much more common than antisocial behavior. Subjects had few specific health worries, although many wanted more information about lifestyle implications of their heart disease.

Adolescent↗

The use of an inertial dynamometer to explore the design of children's wheelchairs.

In an attempt to provide information for improvements in the design of wheelchairs for children a simulated wheelchair rig has been developed incorporating an original form of dynamometer to examine propulsion factors. 54 children who were experienced users of hand-propelled wheelchairs and 32 able-bodied controls were individually fitted with seats on this test rig and each performed a series of up to fifty subtests. The principal conclusions are that nearly all children who use wheelchairs, even those proficient users with apparently normal arms, are actually weaker than their able-bodied peers; that evidence for changes in wheelchair propulsion design based on the performance of able-bodied subjects or on isometric tests of strength are likely to be misleading; that an improvement of up to 30% in propulsion performance can be obtained by optimal positioning of conventional wheelrims relative to the user; and that this positioning is most crucial for the weaker children, particularly those with cerebral palsy.

Child↗

A qualitative study of the physical, social and attitudinal environments influencing the participation of children with cerebral palsy in northeast England.

PURPOSE: The social model of disability considers participation to be determined by the social, attitudinal and physical environments experienced by an individual. This study aims to ascertain from families of children with cerebral palsy the features of such environments which facilitate or restrict participation. METHOD: Thirteen in-depth interviews using a topic guide were conducted with the parents of children with cerebral palsy. Interviews were tape-recorded, transcribed and analysed with NVivo software. RESULTS: The main themes emerging from the interviews were the importance of mobility, transport, support by and to parents and attitudes of individuals and institutions towards children. Most parents did not raise the policies and legislation determining participation barriers, although these are also likely to be influential. CONCLUSIONS: This study confirms the importance of the environment for the participation of children with cerebral palsy. Statutory agencies need to attend the attitudes and policies in their organization in order to plan the inclusive environments which parents report will facilitate their child's participation. This study also contributes to the development of a tool to quantify the environment to allow the development of models to determine the environments which maximize children's participation.

Activities of Daily Living↗