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Li, Kwai-yi Josephine. "Psychosocial predictors of successful adjustment of persons with physical disability." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1998. http://hub.hku.hk/bib/B29725677.
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Hobbs, Nicola. "Disability and physical activity behaviours : an application of theoretical frameworks." Thesis, University of Stirling, 2010. http://hdl.handle.net/1893/2339.
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Background: The prevalence of disability increases with age; therefore with an aging population, interventions to reduce disability are crucial. This thesis adopts a behavioural conceptualisation of disability. The theoretical frameworks of the International Classification of Functioning, Disability and Health (ICF), the Theory of Planned Behaviour (TPB) and the integrated ICF/TPB model are applied to investigate disability and physical activity (PA) behaviours. The thesis aims to: (1) identify the factors involved in the prioritisation of patients for total joint replacement; (2) classify patient pre-operative expectations of total hip replacement (THR) and investigate the relationship between expectations and recovery after surgery, and; (3) test whether the TPB and theory-based interventions can predict and explain PA within individuals. Method: Five studies were conducted. In the first study, health professionals judged whether the items from two prioritisation tools measured each of the ICF constructs. In the second study, surgeons ranked patient vignettes, which differed by constructs from the integrated model, in order of priority for THR. In the third study, a large cohort of THR patients reported expectations of surgery pre-operatively. Health and functioning were also reported pre-operatively and 1-year post-operatively. The fourth and fifth studies were a series of experimental n-of-1 studies using diary methods assessing TPB cognitions and PA behaviours. Results: There is a lack of agreement between judges in relation to the content of many of the items from prioritisation tools. Behavioural and psychological factors can influence prioritisation for THR. The majority of patient expectations of THR addressed activities and social participation; however, the evidence for a relationship between expectations and recovery was limited. The TPB can predict PA within some individuals but the evidence in support of interventions to increase PA was limited. Discussion: The findings provide important clinical and theoretical implications for understanding disability and physical activity behaviours.
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Koech, Christopher Arap. "Factors inhibiting equalization of opportunities towards persons with physical disabilities in Uasin-Gishu County, Kenya." University of the Western Cape, 2016. http://hdl.handle.net/11394/5075.
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Magister Artium - MABackground: Persons with physical disabilities experience unfavorable conditions in health care, education, employment infrastructure and recreational facilities. Persons with physical disabilities have encountered challenges in accessing health services, accessing the inbuilt environment. Likewise they have also faced economic exclusion, religious exclusion and social/moral exclusion. Laws have been enacted globally, in Africa and in Kenya and the latest universal law being the United Nations Convention on Rights of Person with Disabilities. Aim of the study: To determine factors inhibiting equalization of opportunities with regards to the services in health, education, employment and to explore the factors inhibiting equalization of opportunities with regards to infrastructure and recreational facilities, to persons with physical disability in Uasin Gishu County, Kenya. Study area: Research was conducted at Moi Teaching and Referral Hospital and APDK Mobile Outreach Centers for Persons with disability. Research Design: Mixed method approach (concurrent) was used where the researcher integrated information at the final interpretation of the results. The study was done in quantitative and qualitative phases. Research Instruments: A self-administered questionnaire was used to collect quantitative data. The questionnaire that was in four sections was administered to 375 participants and it sought to determine the factors inhibiting equalization of opportunities to persons with physical disabilities with regards to health, education and employment. The reliability and validity of the research instrument was tested before use. Six focus group discussions using the nomination rule was conducted and it comprised of 6-8 participants. Structured interviews with four key informants were also held to explore the factors inhibiting equalization of opportunities to persons with physical disabilities in recreational facilities and infrastructure in Uasin Gishu County Kenya. Data analysis: Version 22 of the Statistical Package for Social Sciences (SPSS) was used to pinpoint the quantitative data. Descriptive statistics was used and the findings were presented in the form of frequencies and percentages. To test the relationship between the different categories of variables inferential statistics (chi-square) was used, (p<0.05). For the qualitative data, the tape recorded interviews were transcribed verbatim, field notes typed, categorizing and ordering data was done and themes were produced. To obtain themes thematic content analysis was used. Ethics: The participants were made aware of the aim of the study, confidentiality and their freedom to withdraw from the study. Approval was obtained from the University of the Western Cape Senate Research Grants and Study Leave Committee before the study commenced. Ethical clearance was also obtained from the Institutional Research and Ethics Committee of MTRH and Moi University. Informed approval was also obtained before the survey and the FGD. Results: There were statistially significant relationship between nature of disability and workplace policies (p=0.001) to employment, distance from residence (p=0.001) to health facility and attitude of health workers on access to health. There was also a significant relationship between school policies (p=0.001) and help from family members (p=0.001) in access to education. The emerging themes in the FGD were the presence of sidewalks, zebra crossing, car parks, traffic control lights, benches and rest areas, transport adaptation, building adaptation, toilets and ramps/ lifts. The discussions in the emerging themes in the FGDs showed that persons with physical disabilities are yet to fully access infrastructure and recreational facilities. Conclusion: These results therefore showed that PWDs are yet to attain equalization of opportunities with regards to health, employment, education and recreation compared to their non-disabled counterparts and is therefore recommended that the legislations/policies in place be fully implemented in line with UN convention 2006 and persons with disabilities Act 2003 (Kenya).
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Graham, Andrew J. 1964. "Physical fitness of adults with an intellectual disability : a 13 year follow-up study." Thesis, McGill University, 1996. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=35318.
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The purpose of this study was to describe the physical fitness of middle-aged adults with an intellectual disability and how their state of fitness has changed over time. Thirty-two adults with an intellectual disability served as participants: 14 were female and 18 were male. Participants had an age range from 34 to 57 years. All worked at a readaptation center in Montreal and were participants in a study of physical fitness in 1983. Using the "Canadian Standardized Test of Fitness", the participants were evaluated on tests of Cardiovascular Endurance, Muscular Strength, Muscular Endurance, Flexibility, and Body Composition. All participants were deemed physically capable of performing all the tests after a screening procedure was used. A home visit, previous to the testing session, familiarized the participants with the procedures for each test. The battery of tests took one hour per participant. Three levels of analysis were used to describe the change in physical fitness with age: First, the conversion of raw scores into percentiles highlighted individual differences within the group. Second, to assess the change in fitness over time, a 2 x 2 (group x time) repeated measures design was used. Third, effect sizes were calculated to measure the magnitude of change in fitness over the 13 year period as compared to the general population. Results indicate that, when compared to the general population, the participants had lower levels of fitness and that their fitness had changed significantly over time. Most interesting were results showing that the participants had a significantly greater magnitude of change in VO2max and percent body fat than what is expected in the general population. The findings of this study raise concerns regarding the potential health risks associated with aging and poor fitness for adults with an intellectual disability.
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Matsika, Callista Kanganwiro. "Persons with physical disabilities' experiences of rehabilitation services at community health centres in Cape Town." University of the Western Cape, 2009. http://hdl.handle.net/11394/2932.
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Magister Scientiae (Physiotherapy) - MSc(Physio)According to the United Nations, more than half a billion people (about 650 million) worldwide are disabled. Disability can have a vast impact on both the individual and the family. Rehabilitation is therefore a fundamental need for the persons with disability to achieve functional independence and have an improved quality of life. To enhance the effectiveness of rehabilitation, it is important to seek clients perspectives of the rehabilitation services and to incorporate these perspectives into the planning and delivery of rehabilitation services. In areas where rehabilitation services are available in South Africa, minimal research has been done to explore the clients experiences regarding provision of these services. The aim of this study therefore was to explore the persons with physical disabilities experiences of the rehabilitation services they received at community health centres (CHCs) in the Cape Town Metro Health District. Data was collected using a mixed methods design in the form of a sequential exploratory strategy. Qualitative data collection was done using in-depth interviews and this was followed by administration of an interview questionnaire. The questionnaire was developed using results from the in-depth interviews together with information from literature. Ten persons with physical isabilities, who had received rehabilitation services at participated in the in-depth interviews and 95 responded to the interview questionnaire. The interviews were tape-recorded and transcribed verbatim and they were analysed using predetermined themes. The SPSS version 16.0 was used to analyse the quantitative data which was presented in frequencies, medians, quartiles and percentages. The results of the study revealed that the participants experienced problems with getting transport to travel to the community health centres and getting adequate information from the service providers particularly information regarding disability and support services available for them. Experiences regarding participants involvement in their rehabilitation were generally positive. Generally, the participants reported positive experiences regarding their interaction with service providers and family support and involvement and this study recommends the staff to maintain their standards regarding these two dimensions of rehabilitation. However most of the participants were not concerned about whether the service providers gave them an opportunity to express their preferences or not. The results indicate the need to improve transport services for persons with physical disabilities and to give them more information regarding support services. The service providers should also give the clients more opportunities to get involved in their rehabilitation and educate them about the benefits of them getting involved.
South Africa
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Larsson, Lund Maria. "Living with physical disability : experiences of the rehabilitation process, occupations and participation in everyday life." Doctoral thesis, Umeå : Univ, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-317.
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Ozturk, Mehmet Ata. "The current status of goal orientations and factors predicting disability sports participation in persons with physical disabilities." [Bloomington, Ind.] : Indiana University, 2007. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3297079.
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Thesis (Ph.D.)--Indiana University, School of Health, Physical Education and Recreation, 2007.Title from dissertation home page (viewed Sept. 24, 2008). Source: Dissertation Abstracts International, Volume: 69-02, Section: A, page: 0550. Adviser: Francis M. Kozub.
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Klingler, Ashley. "Compliant vs convenient: is the Kansas State University campus truly user-friendly for persons with a physical disability?" Thesis, Kansas State University, 2014. http://hdl.handle.net/2097/17577.
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Master of Regional and Community PlanningDepartment of Landscape Architecture/Regional and Community Planning
John Keller
The purpose of this thesis is to discover whether disability access regulations are being met and whether the regulations fulfill their intended purpose. Is Kansas State University Campus in Manhattan, Kansas ADA compliant (follows the current law) and convenient (user-friendly)? This inquiry can be split into two research questions: (1) Do the main entrances (entry experience being the sidewalk, ramp, and door) to buildings on the Kansas State University campus comply with current ADA guidelines? (2) Do students on campus find the access to these buildings user-friendly? This study has two main questions, and therefore multiple research methodologies: a focus group, audit, and guided activity. The focus group was made up of physically disabled students at KSU who are therefore familiar with access on the campus. The second method involved a yes-no checklist to test whether the buildings meet code. The third involved disabled and non-disabled students using a wheelchair for a day, with post-event survey to test public opinion of access on campus. My hypothesis anticipated that Kansas State University is code compliant, but not user-friendly. The conclusion is that no structure is fully sidewalk/ramp/door compliant, but two structures’ doors are fully compliant. According to the audit: ramps are mostly not needed (only 35 percent of structures need a ramp), sidewalks are 66 percent compliant, and doors are 63 percent compliant. According to the survey: doors are in the best condition, with ramps next, and sidewalks last. When comparing the checklist (compliance) and survey (convenience) results, sidewalk results were different, the ramp results were non-conclusive, and the door results were similar. This means that sidewalks meet code, but people do not find them accessible. Because ramps are not always needed, it made the checklist and survey difficult to compare. The analysis did not result in a clear “Similar” or “Different” result, therefore the comparison was non-conclusive. Doors were in the best condition on the checklist, and most people felt they were in good conditions. The application of this project allows other universities and communities to test whether their structures adequately provide access to students with a disability in a way that is user-friendly.
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Rafael, Carla Beatriz da Silva. "Representações sociais sobre Educação Física e atividade física na perspectiva de pessoas com deficiência física congênita: um estudo autobiográfico." Universidade Federal de Juiz de Fora, 2013. https://repositorio.ufjf.br/jspui/handle/ufjf/1457.
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Este estudo pretende identificar e investigar, junto ao público com deficiência física congênita, no município de Juiz de Fora, MG, as representações pessoais e sociais sobre Educação Física na infância e adolescência e quanto à atividade física na vida adulta. Procura, também, estudar e refletir, à luz da literatura contemporânea, a Teoria das Representações Sociais e as relações das pessoas com deficiência, bem como a prática ou não da atividade física no decorrer de suas vidas. Buscou-se recorrer aos conhecimentos de autores que estudam o tema deficiência e Educação Física, entre eles, Morgado et al (2013); Duarte et al. (2013); Denari (2001, 2012); Cambruzzi (2012); Ferreira, Guimarães (2003); Ferreira (2003); Mazzotta (2002); Glat (1995), entre outros. Optou-se pela abordagem qualitativa e descritiva, de natureza exploratória por meio da investigação de relatos autobiográficos. Entre alguns estudos que embasam esta metodologia, podem ser citados Mattos, Rosseto Júnior e Blecker (2008), Ferreira (2007) e Bruner (1997). O estudo foi realizado em duas fases complementares. A primeira buscou rastrear as pessoas com deficiência física da cidade de Juiz de Fora, MG. Na fase 1 foram cadastradas 91 pessoas sendo 50 pessoas com deficiência física e 41 pessoas com deficiência física congênita, tendo como intenção, em uma segunda fase, selecionar por conveniência e entrevistar pessoas com deficiência física congênita. Foi determinada uma amostra de 10 pessoas, com respaldo na técnica de saturação. Os dados foram analisados a partir da Análise de Conteúdo de Laurence Bardin (2011). Neste estudo foram encontradas três grandes categorias, representações sociais e pessoais sobre a deficiência, representações sobre educação física e adolescência e representações sobre atividade física na vida adulta. Concluiu-se que as pessoas pesquisadas passaram por um processo exaustivo de aceitação e de superação da deficiência que sempre as acompanhou, desde o nascimento. Se, por um lado, a deficiência física congênita vem acompanhada de angústias, incertezas e dificuldades de diversas ordens, por outro, essas circunstâncias levaram essas pessoas a relatarem a representação social e pessoal da deficiência como uma lente pela qual este indivíduo é visto e pela qual ele próprio enxerga seu mundo. Percebeu-se, com clareza, que muito temos a aprender com as pessoas com deficiência física congênita, que aprenderam a viver e enfrentar os desafios que a vida lhes apresenta sem medo de serem felizes.
This study aims to identify and investigate people with congenital disabilities in the city of Juiz de Fora, MG, Brazil, as regards representations of physical education in childhood and adolescence and the amount of physical activity in adulthood. Ir also seeks to study and reflect, in the light of contemporary literature, the theory of social representations and relationships of people with disabilities and whether they practice physical activities throughout their lives. The work draws on the expertise of authors who focus the subject of disability and physical education such as Morgado (2013); Duarte (2013); Duarte et al. (2013); Denari (2001, 2012); Cambruzzi (2012); Ferreira, Guimarães (2003); Ferreira (2003); Mazzotta (2002); Glat (1995), A qualitative and descriptive approach is used, along with exploratory research through autobiographical accounts. The main studies supporting this methodology are Mattos, Rosseto Júnior e Blecker, (2008), Ferreira (2007), and Bruner (1997). The study was conducted in two complementary phases. The first one sought to track people with disabilities in the city of Juiz de Fora so that, on a second phase, some people with congenital disabilities could be selected and interviewed. The sample consisted of 10 people, with technical support in saturation. Data were analyzed using the content analysis of Laurence Bardin (2011), and it was concluded that the subject went through an exhaustive process of acceptance to overcome disabilities which they have had since birth. On the one hand, the congenital disability is accompanied by anxieties, uncertainties and difficulties of various kinds, on the other hand, these circumstances led these people to report social and personal representation of disability as a lens through which these individuals are seen and see their world. It became clear that there is much to learn from these people with congenital disabilities, who have learned to live and face the challenges that life presents to them without fear of being happy.
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Bardo, Anthony R. "Age-Period-Cohort Trends in Subjective Well-Being and Happy Life Expectancy among Those with and Those without Physical Disability." Miami University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=miami1430417040.
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Rogers, Richard. "A critical analysis of the tax concessions relating to medical expenses, with particular emphasis on persons with a physical impairment or disability." Thesis, Rhodes University, 2016. http://hdl.handle.net/10962/4144.
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This thesis provides a critical analysis of the tax concessions granted in respect of medical costs, with particular reference to persons with a physical impairment or “disability” in the South African context. The primary method of collecting information for this research was through an extensive analysis of the South African legislation that is specifically applicable to a person who has a physical impairment or a “disability”. The analysis placed particular emphasis on the qualifying diagnosis criteria for a “disability” as defined for tax purposes as well as on the qualifying expenditure incurred in consequence of a person’s physical impairment or “disability”. A further goal of the research was to analyse the specific provisions of the Income Tax Act that are applicable to a special trust created for the benefit of a person with a physical impairment or “disability”. This research also includes a brief evaluation of the extent to which medical schemes provide coverage for non-discretionary expenditure items incurred in consequence of a person’s “disability” and whether this differs from the qualifying expenditure in terms of the Income Tax Act. It is important to conduct research of this nature in order to identify areas where the legislation could be improved. Accordingly, the thesis also recommends possible amendments to the current provisions of the legislation that are specifically applicable to persons with a physical impairment or “disability”.
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Santos, Cátia Rodrigues dos. "O espaço da deficiência e a cidade deficiente: análise da apropriação do espaço público pela pessoa com deficiência física em Trindade – GO." Universidade Federal de Goiás, 2017. http://repositorio.bc.ufg.br/tede/handle/tede/8085.
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This work is linked to the master's research in order to analyze the accessibility of public spaces of Trindade – GO for the use of person with physical disability. Trindade is presented as cultural heritage and built its historical formation process, economic and municipal territory through the traditions of Catholic origins and country music. The emergence of the locality is directly linked to the religious factors that have occurred over several years, dialoguing directly with factors of reception of the person with disability. Trindade is also known for hosting one of the largest institutions in the country that cares and welcomes people with disabilities (Vila São José Bento Cottolengo) and then come the questions: Trindade is designed and planned to receive this population in order to guarantee equal access? How the conflicts between the city's public spaces and disabled people? Is it possible to determine how the appropriation of these public spaces occurs by the person with a disability? In this sense, we seek to understand the historical memory of the city of Trindade (historical documents), the materialization of the space itself from the perspective of people with disabilities who experience this space, in order to understand the socio-spatial relationship of the city's constitution under the aspect of accessibility. Therefore, this study is characterized as a qualitative and quantitative descriptive and exploratory research. Qualitative qualitative research deals with the universe of meanings, motives, aspirations, beliefs, values and attitudes associated with a numerical translation. To collect the analysis data, field observations were made through photographs of the public spaces of the city of Trindade to confront the standards of accessibility, collection of data about the place of residence of the disabled population in the city (through the IBGE - Brazilian Institute of Geography and Statistics, and also of specific organs such as the Association of the Physically Disabled of Trindade - (ADEFITRIN) and Vila São José Bento Cottolengo), data on accessibility and urban mobility policy (City Posture Code and the Organic Law of the municipality). In addition to a bibliographical research about public space, disability (disabled physical people), public policies for people with disabilities, urban mobility and accessibility as an element of support for practical activities. The conclusion of this research that Trindade is a city that has a non-viability of accessibility, compromising not only people with disabilities, but the population as a whole, and planning measures, urban redevelopment need to be effected to receive in an egalitarian way all those who pass through it.
Este trabalho está vinculado à pesquisa de mestrado com a finalidade de analisar a acessibilidade dos espaços públicos da cidade de Trindade- GO para o uso da pessoa com deficiência física. Trindade se apresenta como patrimônio cultural e construiu o seu processo de formação histórica, econômica e território municipal através das tradições de origens católicas e raízes sertanejas. O despontar da localidade está diretamente vinculado aos fatores religiosos que ocorreram ao longo de vários anos, dialogando diretamente com fatores de acolhimento da pessoa com deficiência. Trindade também é conhecida por abrigar uma das maiores Instituição do país que cuida e acolhe pessoas com deficiência (Vila São José Bento Cottolengo), e daí surge os questionamentos: Trindade é pensada e planejada para receber essa população de forma a garantir a igualdade de acesso? Como se apresentam os conflitos existentes entre os espaços públicos da cidade e a pessoa com deficiência? É possível determinar como ocorre apropriação desses espaços públicos pela pessoa com deficiência? Nesse sentido, buscamos, com essa forma de análise, entender a memória histórica da cidade de Trindade (documentos históricos), pela materialização do próprio espaço a partir da perspectiva de pessoas com deficiência que vivenciam esse espaço, de modo a compreender a relação sócio-espacial da constituição da cidade sob o aspecto da acessibilidade. Por isso, o presente estudo caracteriza-se como uma pesquisa qualiquantitativa de cunho descritivo e exploratório. A pesquisa qualiquantitativa ocupa-se do universo de significados, motivos, aspirações, crenças, valores e atitudes associada a uma tradução numérica. Para coleta dos dados de análise foram realizadas observações de campo através de fotografias dos espaços públicos da cidade de Trindade para o confronto com as normas de acessibilidade; coleta de dados sobre o local de residência da população com deficiência na cidade (através do IBGEInstituto Brasileiro de Geografia e estatística, e também de órgãos específicos como a Associação dos deficientes físicos de Trindade – (ADEFITRIN), e da Vila São José Bento Cottolengo); dados sobre a política de acessibilidade e mobilidade urbana (Código de postura da cidade e Lei Orgânica do município). Além de uma pesquisa bibliográfica sobre espaço público, deficiência (pessoa com deficiência física), políticas publicas para a pessoa com deficiência, mobilidade urbana e acessibilidade como elemento de suporte para as atividades práticas. Concluiu-se com esta pesquisa que Trindade é uma cidade que apresenta uma inviabilidade de acessibilidade, que compromete não só as pessoas com deficiência física, mas a população como um todo, e que medidas de planejamento, reordenamento urbano precisam ser efetivadas para receber de modo igualitário todos que ali transitam.
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Díaz, Suarez José Edgard, and Vargas Christian Ricardo Morales. "Desarrollo de una interfaz mediante señales EOG para el manejo de la computadora por parte de una persona con discapacidad en los miembros superiores." Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2019. http://hdl.handle.net/10757/652754.
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La presente tesis propone el diseño de un sistema que trabaja con señales electro oculográficas para luego procesarlas e interpretarlas con la finalidad de que el usuario pueda realizar trabajos con el ordenador usando únicamente el músculo ocular. El problema que se resuelve tiene una inclinación técnico ingenieril, ya que busca subsanar las debilidades y cubrir los aspectos no tocados por el estado del arte presente, para finalmente diseñar un equipo electrónico que permita la interacción de un usuario con un computador bajo las necesidades de una persona con discapacidad en los miembros superiores. El dispositivo diseñado está compuesto por un circuito capaz de adquirir por medio de electrodos la señal EOG de una persona, procesarla y analizarla para conocer la forma de onda y posteriormente interpretarla y enviar un carácter de reconocimiento de forma de onda usando un bluetooth a una computadora con la que se debe aparear con anterioridad. Esta computadora constará de un software que se diseñó en la presente tesis el será capaz de interpretar los caracteres recibidos y realizar funciones de movimiento y pulsación de un mouse, además de escritura usando un teclado virtual. Para validar el dispositivo diseñado se hicieron pruebas con 16 personas, de las cuales 14 fueron personas sin discapacidad en los miembros superiores y 2 de ellas sí. No se trabajaron con pacientes de un centro de salud específico, se realizaron pruebas con personas contactadas por médicos y fisioterapeutas entre los cuales se encuentran algunos que trabajan para la UPC los cuales brindaron su incondicional apoyo para la validación y pruebas con los pacientes a su cargo. Los resultados obtenidos en las pruebas realizadas muestran que de un grupo de 16 personas la eficiencia en el reconocimiento de la forma de onda de un doble parpadeo es del 92.9%, del parpadeo – mirada arriba y parpadeo – mirada abajo 88.4% y del parpadeo prolongado 93%. El valor trazado como objetivo fue 80% a más, por lo que se logra cumplir con ello.The present thesis proposes the design of a system that works with electro-occupational signals and then processes and interprets them so that the user can work with the computer using only the ocular muscle. The problem that is solved has a technical engineering inclination, since it seeks to correct the weaknesses and cover the aspects not touched by the present state of the art, to finally design an electronic equipment that allows the interaction of a user with a computer under the needs of a person with a disability in the upper limbs. The designed device is composed of a circuit capable of acquiring through electrodes the EOG signal of a person, processing and analyzing it to know the waveform and then interpret it and send a waveform recognition character using a bluetooth to a computer with which it must be paired in advance. This computer will consist of software that was designed in the present thesis and will be able to interpret the received characters and perform functions of moving and pressing a mouse, as well as writing using a virtual keyboard. In order to validate the designed device, tests were made with 16 people, of which 14 were people without disabilities in the upper limbs and 2 of them were. We did not work with patients from a specific health centre, but tested with people contacted by doctors and physiotherapists, including some who work for the UPC, who provided their unconditional support for validation and testing with the patients in their care. The results obtained in the tests carried out show that out of a group of 16 people the efficiency in the recognition of the waveform of a double blink is 92.9%, of the blink - look up and blink - look down 88.4% and of the prolonged blink 93%. The target value was 80% to more, so it is achieved.
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Engqvist, Carin, and Sara Nilsson. "Att ha personlig assistans i familjen : En litteraturöversikt." Thesis, Högskolan Dalarna, Institutionen för hälsa och välfärd, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:du-36442.
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Ungefär 15 % av världens befolkning har en funktionsnedsättning, en del av dessa är i behov av stöd i sin vardag. För att ge ett gott stöd behövs insikt i individernas upplevelser. Syftet med studien är att beskriva kunskapsläget inom befintlig forskning gällande upplevelser av att leva i ett hushåll där en person till följd av fysisk funktionsnedsättning har personlig assistans, samt hur detta kan förstås utifrån person- och familjecentrering. En litteraturstudie har genomförts med sökning i 2 vetenskapliga databaser där 17 kvalitativa studier identifierats. Tematisk analys användes i bearbetandet av materialet. 3 huvudteman och 8 subteman togs fram. Dessa teman handlar om roller och relationer, hur assistansen kan bidra till en normal tillvaro samt att assistansen ibland kan bli till ett hinder. Resultatet visar att person- och familjecentrering kan öka tillfredsställelsen med assistansen.About 15% of the population in the world have a disability, some of whom need support in their daily lives. To provide good support, insight into the individuals' experiences is needed. The purpose of the study is to describe the state of knowledge in existing research regarding experiences of living in a household where a person due to physical disability requires personal assistance, and how this can be understood based on person- and family centering. A literature review was conducted with a search in 2 scientific databases. 17 qualitative studies were identified. Thematic analysis was used in the processing of the material. 3 main themes and 8 sub-themes were developed. These themes involve roles and relationships, how assistance can contribute to a normal life and that assistance can become an obstacle. The results show that person- and family centering can increase satisfaction with the assistance.
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Chevan, Julia. "Determinants of Care Seeking for Persons with Low Back and Neck Pain Treated By Physicians, Chiropractors or Physical Therapists." VCU Scholars Compass, 2006. http://hdl.handle.net/10156/1469.
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Costa, Letícia Gomes. "Fatores associados à piora do grau de incapacidade física durante o tratamento de hanseníase no Brasil." Universidade Federal de Mato Grosso, 2014. http://ri.ufmt.br/handle/1/469.
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Hanseníase constitui relevante problema de saúde pública, devido a sua magnitude, e seu alto potencial incapacitante. Objetivo: Analisar os fatores associados à piora das incapacidades físicas durante o tratamento dos casos novos de hanseníase diagnosticados no Brasil em 2009. Método: Estudo de corte transversal sobre os fatores associados à piora do grau de incapacidade física durante o tratamento de coortes de casos de hanseníase PB e MB. Os dados foram provenientes do Sistema de Informação de Agravos de Notificação Nacional (SINAN). Realizou-se análise descritiva das variáveis e comparação das proporções de piora e não piora do grau de incapacidade por meio do teste qui-quadrado ao nível de 5%. Para analisar as variáveis associadas à piora do grau do GIF foi utilizada regressão logística para verificar a razão de chances (odds ratio), com intervalo de confiança de 95%. Resultados: Dentre as regiões brasileiras, os pacientes da região Sul foram os que apresentaram a maior chance de piora do grau de incapacidade física (ORaj = 2,19; IC: 1,85 – 2,58), em seguida estão os casos da região Sudeste com 1,53 vezes a chanceaj de piora (IC: 1,36 – 1,73), ambos comparados aos da região Norte. Também apresentaram chance de piora, os casos multibacilares de 3,09 vezes (IC: 2,82 – 3,39) o sexo masculino de 1,27 vezes (IC: 1,17 – 1,37). Os idosos e adultos quando comparados às crianças apresentaram 2,67 e 1,95 vezes a chanceaj de piora (IC: 2,13 – 3,34; 1,58 – 2,40 respectivamente), e os casos que apresentaram episódios reacionais tiveram 2,42 vezes maior chance de piora (IC: 2,22 – 2,64). Conclusão: Os fatores associados à piora do grau de incapacidade física durante o tratamento é composto pelos pacientes residentes nas regiões Sul e Sudeste, os casos do sexo masculino, os multibacilares, os que apresentaram episódios reacionais, idosos e adultos, os casos irregulares, bem como aqueles com baixa escolaridade.
Leprosy is a relevant public health problem due to its magnitude, and high disabling potential. Objective: To analyze factors associated with worsening physical disability grade during treatment of newly diagnosed cases of leprosy in Brazil in 2009. Methods: Cross-sectional study about associated factors of worsening physical disability grade during the treatment of PB and MB cohort leprosy cases. Data were collected from the National Reportable Diseases Database (SINAN). It was applied descriptive analysis of the variables and chi–square test at 5% level to compare proportions of worsening and not worsening of the disability grade. To analyze the variables associated with the worsening disability grade, logistic regression was used to determine the odds ratio (OR), with a confidence interval of 95%. Results: Among the Brazilian regions, patients in the Southern region were those with the greatest odds of worsening the physical disability grade (OR = 2.19; CI: 1.85 - 2.58), following were the Southeast cases with odds of 1.53 (CI: 1.36 to 1.73 ), both compared to the North region patients. Multibacillary presented odds ratioadj of 3.09 (CI: 2.83 - 3.40) and male cases of 1.27 (CI: 1.17 - 1,37) to worse. Seniors and adults compared to children had odds of 2.67 and 1.95 of worsening (CI: 2.13-3.34; 1.58-2.40 respectively), and the reactional cases had odds of 2.35 to worse (CI: 2.15 - 2:56). Conclusion: The factors associated with worsening physical disability grade during the treatment are composed by the patients residents in the South and Southeast regions, male cases, multibacillary, those that presented reactional episodes, seniors and adults, irregular cases as well as those with low scholarity.
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Cleaver, Shaun Robert. "Physical mobility and aging in intellectual disability." Thesis, Kingston, Ont. : [s.n.], 2007. http://hdl.handle.net/1974/673.
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McGrath, Eimir. "Beyond integration : reformulating physical disability in dance." Thesis, University of Bedfordshire, 2013. http://hdl.handle.net/10547/323750.
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Dance performance that is inclusive of dancers with differing corporealities has the potential to generate positive societal change with regard to perceptions of physical difference. Dance is a valuable site for exploring the placement of the physically disabled body in contemporary society, and for disrupting existing perceptions of disability as transgressive. This can come about through the embodied presence of both dancer and viewer, entering into a relationship grounded in intersubjectivity, without having to rely on symbolic signification. This thesis examines the placement of disabled bodies in dance performance from the intersecting perspectives of Critical Disability Studies, Performance Studies and Interpersonal Neurobiology in order to formulate a framework for theorizing perceptions of disability, the act of viewing dance and the impact of choreographic intent on viewers’ perceptions of physical difference. In the first section, the sociopolitical placing of disabled bodies in western society is interrogated and a historiological study of both disability identity and the emergence of integrated dance is critically analysed. The second section provides detailed analyses of three dance performances that are inclusive of dancers with physical disabilities: GIMP (2009), Heidi Latsky, Diagnosis of a Faun (2009) Tamar Rogoff, and water burns sun (2009) Petra Kuppers. Each represents a specific understanding of disability, creating an evolutionary framework for conceptualizing different perceptions of disabled bodies as either monstrous freak, heroic victim or corporeally diverse. The third section creates connections between new knowledge in interpersonal neurobiology and viewers' perceptions of disability that are activated through viewing dance performance, thus providing an understanding of the mechanisms of discrimination and marginalization of people who embody difference, as well as uncovering mechanisms that have the potential to be reparative. The application of neuroscientific knowledge to Performance Studies can be modulated and expanded by considering the interpersonal communicative dimension of dance performance that is inclusive of differing corporealities. A theoretical approach that encompasses the neuroscientific conceptualization of intersubjectivity in creating empathic attunement between viewer and dancer, can offer a means of understanding the innate potential of dance performance to bring about societal change.
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Bregaglio, Lazarte Renata, Caycho Renato Constantino, Vidal Saulo Galicia, and González Erick Beyá. "Disability, incapacity for work and tongue-twister: can a person with disability work and receive an incapacity pension?" Pontificia Universidad Católica del Perú, 2016. http://repositorio.pucp.edu.pe/index/handle/123456789/116397.
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The article focuses on a new problem that requires an adequate legal answer that respects the rights of the persons with disabilities: are all persons with disabilities incapacitated for work? This question tries to make a critical assessment of the traditional systems of social security that assumed that any disability led to the end of the productive life. However, that differs completely from the view of the social model of disability that states that disability comes from the social barriers and not from the persons. If disability is not the same as incapacity to work, how and when should this latter figure be applied? The existence of both figures requires us to differentiate them. The hypothesis is that these figures are different but may coexist at the same time.El presente artículo intentará enfocarse en una problemática que comienza a presentarse en la realidad y que requiere una respuesta jurídica adecuada y respetuosa de los derechos de las personas con discapacidad: ¿todas las personas con discapacidad tienen incapacidad para el trabajo? Esta pregunta busca realizar una valoración crítica de los tradicionales sistemas de seguridad social que entendieron que toda discapacidad llevaba al fin de la vida productiva. No obstante, esto confronta directamente los postulados del modelo social de la discapacidad que proclaman que las imposibilidades de las personas con discapacidad provienen de barreras sociales y no de las personas. Si la discapacidad no equivale a la incapacidad, ¿cómo debe entenderse y aplicarse dicha figura? La existencia de ambas figuras nos reta a plantear cuáles son las diferencias y similitudes entre ambas. Esta investigación se guía bajo la hipótesis de que ambos términos denotan situaciones distintas aunque estas pueden presentarse de manera simultánea.
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Cappe, Shauna. "Social Barriers to Physical Activity for Individuals with Physical Disabilities." Thèse, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/23339.
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The purpose of this thesis was to explore socially constructed discursive barriers to physical activity for people with physical disabilities. This research was informed by a critical disability studies framework. Eight interviews were conducted, split between end-users and stakeholders. The end-user article discusses their perspectives with regard to their own PA participation, their use of PA resources, and their views of how disability is constructed. The stakeholder article deals with their views with regard to Canada’s progress in creating inclusive PA guidelines, the research process as it effects people with physical disabilities, and how disability is constructed. The results showed awareness among both groups of the social model of disability, but that the medical model is still firmly rooted. Work is needed to create inclusive promotional materials and disseminate them effectively. An effective advocacy and lobbying effort was suggested as one avenue towards a possible solution to this issue.
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Lee, Shwu-Ling. "Technology for people with physical disability at work." Thesis, University of Bristol, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.390997.
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Haskell, Rachael A. "Evaluating Social Work Students’ Attitudes Toward Physical Disability." Scholar Commons, 2010. https://scholarcommons.usf.edu/etd/1655.
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Given the social work profession's commitment to serving individuals with disabilities and cultural competence, the promotion of favorable attitudes toward persons with disabilities within social work education is critical. This study examined the question: "what are the attitudes of undergraduate social work students at three universities toward individuals with physical disabilities as measured by responses on the Attitudes Toward Disabled Persons Scale Form B (ATDP-Form B; Yuker et al., 1960, 1966) and Interactions with Disabled Persons Scale (Gething, 1991)?" It explored the following hypotheses, that participants who: 1) have had prior positive contact with persons with physical disabilities; 2) have higher perceived levels of knowledge about issues affecting persons with physical disabilities; and 3) have had more social work classes will respond with more positive attitudes than other participants.
Sociodemographic data about gender, ethnicity, country of origin, religion, and university affiliation was also collected to measure the possible impact of these characteristics on student attitudes. The primary aim is to learn more about the way undergraduate social work students generally view individuals with physical disabilities and feel about interactions with this population.
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Huntt, Douglas C. "Living with physical disability in the Amish community /." The Ohio State University, 2001. http://rave.ohiolink.edu/etdc/view?acc_num=osu1486398195326588.
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Renton, Amy Jane Victoria. "Physical disability, disabled veterans and the American Revolution." Thesis, University of Cambridge, 2013. https://www.repository.cam.ac.uk/handle/1810/265610.
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Using a combination of public institutional records and private personal records, this thesis explores how a newly emerging America constructed its ideas of physical disability in the era of the War for Independence. In the colonies, physical disability never stood alone as an independent category of difference, but was anchored in discourses of poverty and morality. However, the tumultuous events that occurred during the period 177 5 to 1818 forced this developing nation to confront physical disability to an extent that had not previously been required. The result was a conceptual and legislative shift, which caused the understanding of physical disability to be fundamentally redefined and become something identifiable in its own right. To analyse how, and why, this happened, this thesis looks at the public, cultural discourse of disability through this period, and examines the legal developments and the lived experiences that were occurring alongside it. By considering how disability was used in public commentaries to allegorise the split with Britain, it highlights the complicated environment and conceptual tumult which faced disabled Revolutionary War veterans on their return. Analysis of the trajectory of disability pension legislation suggests an infant nation testing the waters with early welfare programmes, often with limited success. However, these early initiatives were the progenitors of the first. national pension program. These developments created a distinct legal construction of disability that was seemingly at odds with the negative representation of disability in the public arena and, through medical and legal classifications, created a more formal platform for the conceptualisation of disability to emerge. To complement the institutional perspective, this thesis explores the lives of 523 disabled Revolutionary War veterans, using information they gave in their applications for a disability pension. This experiential approach expounds the ways in which disability was managed, how it shaped - and was shaped by - pre-existing expectations of gender roles, and how these experiences were often determined by class. Pertinent topics include family life, work life, and the ways in which veterans understood and employed their identities as disabled pensioners. Unlike the post-Civil War period a Revolutionary War disability never became the symbol of patriotism and bravery that the empty sleeve of the Civil War amputee did. Using the experiences of disabled former Revolutionary servicemen and contrasting this with the public discourse and national memory of the war, this thesis presents the reasons why this was the case.
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Bailey, Carol. "Perspectives on the care of the person with a learning disability and dementia." Thesis, University of Southampton, 2010. https://eprints.soton.ac.uk/171981/.
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This study was undertaken with people who have a learning disability and dementia and their carers. The overall aim of this research was to gain insight into the perspective of the person with a learning disability who had developed dementia, alongside that of their carer, with the anticipation that this would influence the development of practice and service delivery accordingly. People with a learning disability are two to three times more likely to develop dementia than the general population, but historically, dementia care policy has rarely made specific reference to this group of people. In order to ensure that the needs of people with a learning disability and dementia are met, their voices need to be heard regarding their views and perceptions on what their needs are and what health and social care support services are required in order to meet those needs. Very few studies relating to this group of people can be found, one of the main reasons appearing to be the ethical and methodological challenges involved in carrying out research with people who have a learning disability. This qualitative study involved 11 people who had a learning disability and dementia, along side a nominated carer participant for each person. Semi-structured interviews were used and the transcriptions were analysed using Interpretative Phenomenological Analysis, whereby themes were identified. The findings illustrated that services experienced difficulties in providing person centred care, particularly the poor communication between service providers working with each individual, and the general lack of person centred approaches to care. The data indicated that people with a learning disability and dementia wanted improved communication between service providers; improved understanding of dementia by those with the illness, and by family, paid and professional carers; to stay as well as possible; continue living in their home; and to have good access to a range of activities, services and support as deemed necessary. In conclusion, this research goes someway to exploring and overcoming the barriers to including people with a learning disability and dementia in research studies. It found ways of listening to and interpreting the views of people with a learning disability and dementia about their lives and circumstances and has made it possible to produce recommendations in relation to practice and policy development. These include ways of ensuring person centred approaches to care, and suggestions on the effective implementation of policy documents key to this group of people.
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Khan, Tasrina. "Staff and Family Perspectives Regarding Person Centered Care for Adults With Intellectual Disability." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6593.
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Individuals with intellectual disabilities often require additional support in performing daily activities as compared to individuals without intellectual disabilities. New York's Office for Developmental Disabilities developed the eight hallmarks of person centered planning to help individuals with intellectual disabilities understand the options available to them regarding care and support and to advocate for themselves and their rights. Researchers have yet to articulate how guardians and professional care providers of individuals with intellectual disabilities experience person centered planning in day habilitation. Thus, using a qualitative phenomenological approach, 5 direct care staff and 5 guardians of individuals with intellectual disabilities were interviewed to understand their perspectives on the 8 hallmarks of person centered planning. The conceptual framework of this study was Piaget's theory of constructivism and Bandura's theory of social learning. I used the Colaizzi method for phenomenological analysis. Following that I used the NVivo 11 qualitative data analysis software package for finding common themes. The results of this study showed that guardians and professional care providers desired more communication and training about the 8 hallmarks of person centered planning to provide the greatest benefit to individuals with intellectual disabilities. Implications for further training of staff and families, and tracking the outcomes of the eight hallmarks of person centered planning for quality of life in clients could result in policy changes for the frame of care offered to people with intellectual disability.
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Millard, Christopher James. "The authenticity of person centred planning for people who use learning disability services." Thesis, University of Exeter, 2015. http://hdl.handle.net/10871/22646.
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This thesis describes an interpretative, qualitative study of one person centred planning, circle of support. The eight people in the circle support a person with a learning disability, to help plan the life the person would like, utilising person centred planning techniques and tools. This study uses an ontological foundation of phenomenology, existentialism, and social psychology to examine the authenticity of the process of person centred planning for the circle of support members, and the person they have all chosen to support (focused person). A variety of data collection methods are employed, particularly those utilising ethnographic characteristics, and participatory approaches. These include video of a circle of support meeting, informal interviews using a video elicitation technique with circle members, and the use of photographs of the person’s plan. The data analysis is interpretative, and uses a two stage thematic analysis. Findings focus on the key concepts of individual agency, social inclusion, rights, choice and social emancipation. In addition the study attempts to examine the individual’s “truth” of current service experiences, and of person centred planning as a method of life planning, for people with learning disabilities. This study adds to understandings of learning disability, and disability generally, by providing new insights into how people should be supported in the future. It emphasises recognising the importance of individual experience both as participants in circles of support, but also as people involved in, or using learning disability services in the United Kingdom. This includes appreciating that human experience is shaped not only by what can be observed and measured, but that individual agency, imagination, feelings and thought are just as important in how individuals view and experience their world.
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Corner, Lynne. "Developing approaches to person-centred outcome measures for older people in rehabilitation settings." Thesis, University of Newcastle Upon Tyne, 1999. http://hdl.handle.net/10443/629.
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The rationale for this study was the need to bring a social science perspective to developing approaches for person-centred outcome measures in rehabilitation settings for older people. To date this field has largely been dominated by clinicians and the biomedical model of impairment, disability and handicap. Qualitative methods (findings from focus group discussions informed later focus interviews with individuals) were used to establish and explore the views of older people about a range of issues linked to conceptualising outcome, including participating in decisions regarding their health, to examine how older people made judgements, what they valued and prioritised, what their expectations were, how care was experienced and how changes are sustained over time. Symbolic interactionism and grounded theory provided the overall theoretical approach to the methods used. A distinction is made between older people's 'public' and 'private views'. This analytical distindon provides the framework within which the accounts are explored and presented in the thesis. The public accounts focus on the social and moral obligations associated with the experience of being an older citizen. The thesis explores the role of reciprocity, justice and conscience in these accounts. The private accounts reveal the wide range and diversity of opinion and experiences that exist. Three groups of people were identified: empowered, reluctant collaborators; and dominated. It is argued that future best practice for outcome evaluation in health and social care professionals will need to explore the private views of older people in greater depth. Institutionalised ageism and structured dependency are major barriers to empowering older people to participate in identifying outcomes. Until these issues are recognised and resolved, more meaningful participation in the identification and method of assessment of outcomes is unlikely. The findings should be of relevance to researchers, to users of health services and to clinicians working in rehabilitation settings for older people.
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Speers, Peter David. "Physical fitness and intellectual disability : a grounded research study." Thesis, University of British Columbia, 2013. http://hdl.handle.net/2429/44675.
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This study set out to discover what social processes effect the physical fitness choices of people with intellectual disabilities. Within a constructionist grounded theory framework, I explored participants’ experiences with physical fitness and exercise activities. I was interested in how the participants learned about fitness and health related behaviors, who participated in these activities, and what their experiences meant to them. I also wanted to learn what barriers they met in participating in their chosen activities. Twenty-six individuals with intellectual disabilities living in Victoria, British Columbia participated in this research. The participants lived in a variety of community settings ranging from independent to semi-independent, home share and group homes. They ranged in age from 20 to 67 years. The data revealed how fitness and exercise choices were interwoven with the participants lived experience as a whole. The influence of personal relationships in the fitness choices and activity levels of participants was a dominant theme. Personal relationships played a key role in the micro or proximal social processes that effected fitness choices of the participants. On the micro level the results produced three models of social interaction that captured the main influences on participant choices of fitness activities. A macro analysis accompanies the interpretation of data. This second tier of analysis extends the research to take into account the larger socio-cultural forces at play. Here I combine Foucault’s notion of the governmentality of difficult populations with a critical look at neoliberal social and political philosophy to paint the back drop into which the micro relationships and social processes depicted in the three models are set. Throughout I kept the words of study s uppermost in my mind. The findings are discussed in relation to existing empirical literature on physical fitness and intellectual disabilities. The findings suggest that success in engaging people with intellectual disabilities in fitness activities requires an understanding of their fitness histories and involvement of people in their close social networks. (Key words: physical fitness, developmental disability/ intellectual disability; mental retardation and physical well-being; developmental disability/intellectual disability/mental retardation.).
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Chapman, G. Keith. "Procurement of 'smart homes' for people with physical disability." Thesis, University of Portsmouth, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.496002.
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Few Smart Homes for severely physical disabled persons have been constructed in the UK except for those developed in the late 1990s, which were constructed as demonstration or exhibition projects and not for permanent residence. This study acknowledges the resulting dearth of user consultation data as one of the gaps and addresses it through utilising a wide user consultation exercise to direct and inform the research and development of Smart Homes. Users stress that the role of technology is to complement and enhance existing living arrangements and cannot act as a substitute to the care and support received from other people, either informally from family and friends or formally from service providers. A technology and design review informed design exercises culminating in the design of smart homes capable of being constructed for disabled persons and those requiring lifetime homes. Internal and external doors, locks and all windows are motorised and a system of sensors and devices share data in order to act, react and interact in an appropriate way. Post-occupancy studies identified that radio frequency remote controllers appear to have performed better than infrared alternatives and that motorised doors are the most frequently used elements in the system, particularly front doors, doors to the garden, and kitchen doors. There have been difficulties experiences in the successful implementation of Smart Homes research and in the successful provision of Smart Homes when using some methods of procurement. These issues are addressed through a survey of the actual procurement methods utilised and their impact on the success of a number of smart home projects across the UK. It was found that the majority of survey respondents would select a Traditional procurement method if involved in a future Smart Home project.
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Turner, Margo. "Physical activity levels among young children with ASN/disability." Thesis, University of Strathclyde, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.502315.
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The aim of this study was to investigate the opportunities available for participation in physical activity for children with Additional Support Needs and or disabilities in a sample of mainstream primary schools in Glasgow. Despite the voluminous amount of research that has been published in the field of physical activity there remains a paucity of information on activity patterns in exercise for children with Additional Support Needs. The research has been prompted by concerns and anecdotal stories about low levels of participation in physical activity by young children with ASN in a mainstream setting. As part of the Standards Scotland Schools Act 2000 (section 15) schools, across Scotland, will offer mainstream education to all children, including those with physical and educational special needs, other than in exceptionally circumstances. The specific aim of f 'Research was to highlight barriers against children with ASN participating in physical activity sessions to the same extent as their able bodied peers.
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McBride, Kathryn. "Identifying person preference in individuals with a profound learning disability and high support needs." Thesis, University of Hull, 2003. http://hydra.hull.ac.uk/resources/hull:5485.
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This research attempts to answer the demands from previous literature to extend the use of systematic preference testing, and to enable people to make choices by enhancing the modes of communication of preference. It looks at the viability of systematic preference testing, embedded observations of preference, and the use of staff opinion to predict the person preference of people with a profound learning disability and high support needs. The data collected from 17 adults with a profound learning disability and high support needs was analysed using the city block metric to permit informal statements about the trends within the data. More formal statistical testing was invalid due to difficulties during the data collection phase. The results suggest that the use of systematic preference testing without previous training has limited application within this population. There is a tentative suggestion that embedded preference observations may be more widely accessible for this population. However, there is not a measurement of embedded observations validity within this study. Also, the accuracy of staff opinion of preference seemed to depend on the relationship between the participant and the staff member. Caution is advised in generalising the results of this study due to the difficulties in recruiting staff to be involved.
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Saunders, David H. "Physical fitness training for people with stroke." Thesis, University of Edinburgh, 2009. http://hdl.handle.net/1842/4224.
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INTRODUCTION: Impaired physical fitness may contribute to functional limitations and disability after stroke. Physical fitness (including cardiorespiratory fitness and muscle strength/power) can be improved by appropriate fitness training; this is of benefit to healthy people and patient groups but whether it is of benefit for people after stroke is unclear. The aim of this thesis was to determine whether physical fitness training is beneficial after stroke. OBJECTIVES: (1) Develop a rationale for fitness training by determining whether physical fitness after stroke is a) impaired, and b) associated with functional limitations and disability. (2) Develop and evaluate randomized controlled trial (RCT) evidence by a) determining the feasibility of a definitive RCT, and b) evaluating the benefits of fitness training after stroke. METHODS: (1) Systematic review of observational data and multiple linear regression of exploratory RCT baseline data determined the nature of fitness impairments and any associations with functional limitation and disability. (2) Systematic review and meta-analysis of RCTs established the effects of fitness training on disability, death and dependence. An exploratory RCT (‘STARTER’) compared the effects of a fitness training programme (cardiorespiratory plus strength training 3 days/week for 12 weeks) with an attention control (relaxation) on fitness, function, disability, mood and quality of life in 66 ambulatory people with stroke. RESULTS: (1) Systematic review of observational data showed cardiorespiratory fitness (peak oxygen uptake and economy of walking) and muscle strength were low after stroke; the impairments predicted functional limitation but links to disability were unclear. STARTER baseline data showed little impairment in economy of walking but lower limb extensor power was impaired (42-54% of values expected in healthy age and gender matched people) and this predicted functional limitation and disability. (2) The systematic review identified 12 RCTs (n=289) in 2003, and 24 RCTs (n=1147) when updated in 2007. The systematic reviews showed death was uncommon, and effects on dependence and disability were unclear. However training did improve fitness and cardiorespiratory training during rehabilitation improved ambulation. Most benefits resulted from task-related training. The STARTER fitness training intervention was feasible, with good attendance (>90%) and good compliance with intervention content (94-99%). At the end of the fitness training intervention there were small improvements in some cardiorespiratory fitness, physical function and quality of life outcomes compared with the control group, but these differences had diminished four months later. CONCLUSIONS: (1) Cardiorespiratory fitness, muscle strength and power are impaired after stroke, so there is scope to increase fitness, and there are plausible benefits. (2) Physical fitness training after stroke is feasible, it improves fitness and has some functional benefits, in particular for walking ability. Effects on disability, death and dependence are not known. Further research is required to determine the timing, mode, duration, frequency and intensity of fitness training for optimum benefits, and investigate how benefits can be retained in the long-term.
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Winges-Yanez, Nick. "A Foucaultian Discourse Analysis of Person-Centered Practice Using a Genealogical Framework of Intellectual Disability." PDXScholar, 2018. https://pdxscholar.library.pdx.edu/open_access_etds/4505.
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A genealogical framework highlights the important role sexuality has played in constructing the current label of intellectual disability (ID). The genealogical framework is meant to replace the social, medical, and/or rights-based model(s) that have dominated social work and social services working in the disability field. With this framework, or perspective, I use a Foucaultian discourse analysis to read through seminal texts regarding person-centered practice.
Person-centered practice is the foremost intervention used in social work, and other disciplines, to work with people labeled with intellectual disability. My research questions focus on what is revealed about ID in PCP through a genealogical framework and what implications do these discoveries hold for sexuality education and social services, including social workers?
Predetermined concepts taken from the genealogical framework are used in the Foucaultian discourse analysis. These concepts (subject, government, biopower, and normalization) provide insight into how ID has been constructed and maintained through the practice of person-centered processes. Paradoxes emerge throughout the analysis, providing space for productive resistance by professionals working in sexuality education and social services to improve equity for people labeled with intellectual disability, specifically regarding their sexuality and healthy expression of it.
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Young, Nancy Lynn. "Evaluation of paediatric physical disability and exploration of contributing factors." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/nq28096.pdf.
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Davis, Aileen M. "Measuring physical disability following limb preservation for lower extremity sarcoma." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp02/NQ27905.pdf.
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Wozencroft, Isabel G. "Gender, Physical Disability and Perceived Social Support in the Workplace." Scholarship @ Claremont, 2016. http://scholarship.claremont.edu/scripps_theses/749.
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Based on previous research, there is reason to believe that both a person’s gender and whether or not they have a physical disability both have the ability to moderate one’s perceived social support levels in the workplace. This study proposes to explore how a person's gender, and whether or not they have a physical disability, affects their rating of overall perceived social support, as well as different types of perceived social support, on their best and worst social relationships in the workplace .The study will be conducted through a Survey Monkey Survey which firstly asks the participant to answer questions based on a 20 item Likert scale, which is based on modified items of the Interpersonal Support Evaluation List (ISEL). This is followed by questions about the participant's gender and whether or not they identify as having a physical disability, in order to reduce order effects. A two way, between groups ANOVA test will be run in order to see the interactions between gender and ability status, in regards to overall perceived social support and different types of perceived social support. It is hypothesized that in general, physically disabled individuals will perceive themselves as receiving less social support from their their social relationships, and able bodied individuals will perceive themselves as receiving the most social support from their social relationships. Gender, however, will moderate which type of perceived social support is experienced the most and the least by the participant.
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MacMillan, Pamela Jo. "Vulnerability to disability following traumatic brain injury." W&M ScholarWorks, 1999. https://scholarworks.wm.edu/etd/1550154124.
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Jere, Victor Makhubalo. "The right to equality in the work place for persons with physical disablities in Malawi : does the Convention on the Rights of Persons with Disabilites offer any hope?" Diss., University of Pretoria, 2008. http://hdl.handle.net/2263/8059.
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The study is critically analysing the current legal framework in Malawi in so far as the right to equality and
non-discrimination in the work place and the right to work for people with physical disabilities (PWPDs) is concerned. The paper will assess whether Malawi’s legal framework effectively protects the right to equality and non-discrimination in the work place for PWPDs in conformity with international standards. Finally, the paper will, in the event that Malawi’s legal framework does not conform to international standards, offer suggestions on how it can
be reformed to comply with international standards, especially the Convention on the Rights of People With DisabilitiesThesis (LLM (Human Rights and Democratisation in Africa)) -- University of Pretoria, 2008.
A Dissertation submitted to the Faculty of Law University of Pretoria, in partial fulfilment of the requirements for the degree Masters of Law (LLM in Human Rights and Democratisation in Africa). Prepared under the supervision of Prof Michelo Hansungule of the Centre of Human Rights, Faculty of Law, University of Pretoria
http://www.chr.up.ac.za/
Centre for Human Rights
LLM
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Tillett, William. "Work disability in psoriatic arthritis." Thesis, University of Bath, 2014. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.629672.
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Psoriatic arthritis is an inflammatory arthritis affecting a fifth of patients with skin psoriasis. Inflammation of the joints and tendons causes pain, stiffness, reduced function and disability. Work disability is increasingly recognised as an important, patient centred, functional measure of disease yet little is known about work disability in psoriatic arthritis. The overall aim of my thesis is to examine patient reported work disability in psoriatic arthritis by undertaking the following; • A systematic review of the relevant literature • Classification of a cohort of patients to study • Validation of a commonly used work outcome measure used in other rheumatic diseases • Selection of a suitable measure of structural damage to inflamed joints for investigating the associations of work disability in longitudinal observational studies. The results of the systematic review identified limited data reporting high levels of work disability associated with a wide variety of disease and non-disease related factors. The review also identified the lack of a validated outcome measure for use in psoriatic arthritis. I report the classification of a large single centre longitudinal cohort of patients with psoriatic arthritis and evidence supporting the retrospective application of a psoriatic arthritis classification criterion. Subsequently I report a preliminary validation study of the work productivity and activity impairment questionnaire to measure work disability in psoriatic arthritis and a further study comparing the existing measures of structural damage in psoriatic arthritis. Finally I developed and supervised a multicentre observational study to examine the associations of work disability in psoriatic arthritis. The study identified reduced work effectiveness to be associated with measures of disease activity, whereas unemployment was associated with recent disease onset, greater age and worse physical function. The study will provide a valuable cohort for prospective study of work disability and the effect of medical treatment and will form part of my planned post-doctoral studies.
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Graham, Jacqueline. "Inter-professional collaboration in the special school." Thesis, University College London (University of London), 1995. http://discovery.ucl.ac.uk/10019147/.
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This research explored inter-professional collaboration amongst professionals involved in meeting the special needs of pupils with physical impairment in special schools. The principle of adopting a multi-professional approach for assessing and meeting special needs is enshrined in much recent social and educational legislation. However, its implementation has been acknowledged as presenting a challenge to professionals who each have their own professional culture, values and expertise; and who are employed by different agencies with their own priorities, funding, and organisation. Services offered to 'clients' by this multi-professional team are the outcome of the interaction between both social and psychological factors which exist amongst professionals in particular social contexts. Three social psychological theories were used to develop a framework which offered possible explanations of inter-professional behaviour in the special school context. The three approaches were Realistic Conflict Theory(R.C.T.) developed by Sherif(1966), Social Identity Theory(S.I.T.) developed by Tajfel(1978) and the Contact Hypothesis based on the work of Gordon Allport(1954). Both qualitative and quantitative techniques were adopted for data collection. In the first phase of the research an interprofessional collaboration scale was developed. It was validatd by members of seven professional groups identified as being involved, to varying degrees, with pupils with physical impairment. The collaboration scale was incorporated into a postal questionnaire in the second phase of the research. The questionnaire sought professional views relating to professional identification, perceived goal conflict, in-group favouritism and differentiation against out-groups and involvement in collaborative activities. Data were gathered from 263 members of seven different professional groups, working in 53 special schools. Finally qualitative data were gathered, using semi-structured interviews, from 12 respondents, 6 teachers and 6 physiotherapists, working in 3 special schools. The research resulted in the validation of an interprofessional collaboration scale which was shown to have high internal reliability. Professionals perceived themselves as being involved in the activities described in the scale, and indicated that collaboration was both desirable and beneficial. The identification scale, used to measure professional identification, was shown to have high internal reliability in accordance with the findings of previous studies in which it had been used. It revealed that respondents identified positively with their professional group, but this identification was not associated with inter-group differentiation as predicted by social identity theory. Multi-variate analyses identified contact to be the best predictor of in-group favouritism and differentiation. This was in contrast to the findings of previous studies in which conflict and identification had been identified as the best predictors of inter-group differentiation. Contact was also shown in this study to be the best predictor of collaboration. Interview data added to these quantitative findings revealing the purposes of contact and sources of conflict to be linked to involvement in collaborative activities. A link between identification and self-esteem, as predicted by social identity theory, was also in evidence in the interview data. Professional perceptions of parents' views relating to collaboration indicated little progress towards partnership with parents. It was concluded that future research should investigate in greater detail the relationships between inter-professional contact, conflict and collaboration, and develop the use of social identity theory in a professional context. Finally it was concluded that investigating the relative value of a collaborative approach as opposed to other multi-professional approaches, may be beneficial in informing the planning and organisation of special provision for pupils with physical impairment.
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Gale, Evelyn. "The use of touch in learning disability nursing." Thesis, Keele University, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.311733.
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Cole, Amanda Elizabeth. "Experiences of Postsecondary Students with Physical Disabilities with Online Learning." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6985.
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Over one tenth of students in postsecondary education have a documented disability as defined by the Americans with Disability Act. However, faculty and course designers often lack understanding of these students' experiences, which leads to insufficient accommodations. The purpose of this basic qualitative study was to explore the experiences of students with physical disabilities (SWD) in online courses. The research was grounded in self-determination theory, which posits 3 basic needs for self-actualization: autonomy, competence, and relatedness. This theory in combination with universal design for learning provided a lens for exploring these experiences. Data collection included 8 interviews with postsecondary students with a physical disability. Data were coded using a combination of value codes and organized thematically. Major findings showed that SWD experience barriers in self-regulation, minimizing of their disabilities, pressure to overachieve, specific knowledge of available resources, isolation, and miscommunication. However, through proper online learning, SWD experience benefits in self-regulation, self-pacing, an increasing sense of confidence and pride, stamina, connection to peers, positive discussions, and advocacy for themselves and others. This research has implications for social change as an evidentiary tool for advocacy when exploring the benefits of taking online courses for SWD and as an awareness tool for teachers and other stakeholders in online education who wish to adapt to best practices.
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Conway, Madeline Ruth. "Representing difference : a study of physical disability in contemporary Spanish cinema." Thesis, Birkbeck (University of London), 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.368909.
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Rosenberg, Shirit Chaia-Rivka. "Disability, physical activity, health, health status and chronic diseases in adults." Thesis, Teachers College, Columbia University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3704483.
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There is a great deal of concern regarding the levels of physical inactivity in people with disability, which is more prevalent than in the general population. Inactivity in individuals with disabilities can lead to higher rates of chronic diseases and obesity and vice versa. Moreover, disability is increasing in middle-aged adults while decreasing among older adults. This purpose of this dissertation was to: 1) evaluate the prevalence of disability across the lifespan, 2) to examine the relationships between disability (DA), physical activity (PA), and factors associated with them, and 3) to look at the trends in these factors to understand the patterns occurring in middle-aged adults compared with older adults.
Data analyzed for this dissertation were collected as part of the Behavioral Risk Factor Surveillance Survey (BRFSS) conducted between 2003 and 2011. Measures included DA, PA, chronic diseases, sociodemographics, health risk behaviors, and health status.
In our first study, we found that respondents categorized as disabled or functionally limited reported less PA, more chronic diseases, and poorer health behaviors than those categorized as able bodied. There was a higher prevalence of DA in the middle-aged and older adults compared to younger adults. Individuals with lower incomes and those with chronic diseases were more likely to be classified as having a disability compared to individuals with higher incomes and individuals without chronic disease. Our second study showed that middle-aged people were less likely to meet physical activity recommendations compared with older adults. Having a DA and being in poor health were strongly associated with not meeting the PA recommendations. In our third study, we found all the age groups showed an increase in functional limitation and DA over time. Further, among all age groups there was an increase in meeting aerobic recommendations over time. Our studies showed that DA and functional limitation are strongly associated with unhealthy behaviors and chronic diseases and poorer health. Moreover, middle-aged and older adults showed similar results in DA and PA recommendations. Given that physical inactivity has the potential to reduce disability, prevent chronic disease and enhance health, greater public health attention to what is warranted.
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Lau, Wai-yee Kelly. "Marital adjustment in couples with one partner having physical disability/illness." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2000. http://hub.hku.hk/bib/B29727170.
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Ebrahim, Shaheen Brian John. "Physical disability, health, depressed mood and use of services after stroke." Thesis, University of Nottingham, 1985. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.293216.
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Hovda, Theodore James. "Lower extremity strength and its association with physical function and disability." Electronic thesis, 2002. http://dspace.zsr.wfu.edu/jspui/handle/10339/208.
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Branfield, Fran. "Not quite human : an exploration of power resistance and disability." Thesis, University of York, 1997. http://etheses.whiterose.ac.uk/2509/.
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Spartali, Ioanna. "Facilitators to integration in Greek physical activity settings." Thesis, University of Exeter, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.367959.
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