Project page: Research Centre for Quick and Optimal Recovery

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1 Project page: Research Centre for Quick and Optimal Recovery CVA project at Syntein High-quality stroke care should be properly organised and provided by experienced, multidisciplinary teams. In the acute phase, this will be at the hospital s stroke unit. In the sub-acute phase, if necessary the patient will transition to rehabilitation in the community or in outpatient or inpatient rehabilitation facilities (where applicable geriatric rehabilitation facilities). The chronic phase might require community care. The quality of care standards for stroke patients has been defined for stroke services in the Netherlands (Zorgstandaard CVA, 2012). Syntein s community care facilities are part of the stroke services that are provided by Pantein/Syntein in partnership. They asked the Research Centre for Quick and Optimal Recovery to evaluate their stroke care services in terms of the prescribed quality of care aspects and to advise the stroke facility on future developments to improve stroke care services. Contact: Associate Professor of Neurorehabilitation Dr Esther Steultjens Contact details: e esther.steultjens@han.nl t

2 Embedded research project: motor learning and motor control Information about the quantity and quality of movements helps understand the extent to which movements are controlled. This information is necessary to indicate client-specific interventions. Physiotherapists have access to valid instruments for assessing quantity. However, suitable methods for measuring quality are lacking. HAN University of Applied Sciences and Radboud UMC will work together to remedy this shortcoming by using the draft version of Radboud UMC s Observable Movement Quality scale (OMQ scale) to develop an end product for the professional practice and education. The focus will be on psychometric properties of the OMQ scale for children and young adults and on methods for implementation. Contact: lecturer/researcher Lieke Dekkers, MSc Contact details: e lieke.dekkers@han.nl t

3 Nutrition project of ZZG Herstelhotel The first study at the ZZG Herstelhotel rehabilitation home was conducted between September 2013 and January 2014, in partnership between the Department of Nutrition in Relation to Sports and Health (HAN) and the ZZG Herstelhotel. The study investigated the effects of protein-enriched foods on the protein intake of elderly patients in the rehabilitation home. The partnership will be continued and future research topics and protocols are currently being explored. Contact: Senior Researcher Dr Elke Naumann Contact details: e e.naumann@han.nl t

4 Project: Activity Balancer app of Meander Medical Centre Meander Medical Centre in Amersfoort, in partnership with HAN University of Applied Sciences, has developed an app for people suffering from aches, pains and fatigue that make it difficult to plan their daily activities. The app offers a practical and user-friendly tool to help rehabilitating patients better spread their energy across the day and week. The Activity Balancer (Activiteitenweger) is a method developed by occupational therapists Greke Hulstein and Karin ten Hove at the Meander Medical Centre to manage energy exertion. Greke Hulstein explains, Many patients at our Rehabilitation Care outpatient clinic who are recovering from sickness or a disorder have trouble knowing how active they should be on a daily basis without over or under exerting themselves. The Activity Balancer helps them regain control of their own daily schedules. It is based on the level of energy the patient perceives they need for their daily activities. The patients work together with occupational therapists to determine their base levels, balance their activities and organise their days. Patients can use the app to plan their activities on their smartphone or tablet. This offers numerous advantages over activity cards, daily or weekly schedules or day planners. Karin ten Hove explains, This means patients always have their schedule with them. The occupational therapist can also be granted remote viewing rights. This can optimise the efficiency of the care. Adjusting the schedule is easy, and it can be displayed by day, week or month. Patients also receive a warning if they exceed the base level. Contact: Associate Professor of Neurorehabilitation Dr Esther Steultjens Contact details: e esther.steultjens@han.nl t

5 Project: development and validation of the Dutch dysarthria assessment Purpose Speech-language therapists (SLTs) in the Netherlands use a number of dysarthria assessment techniques. However, until now a complete, reliable and valid dysarthria assessment has been lacking. The aim of this study was to develop and validate the Dutch Dysarthria Assessment for Adults (DDA-A*) to diagnose the type and severity of the dysarthria. Method The development and validation of the DDA-A comprises seven steps. Step 1: formation of a project group of seven highly experienced speech-language pathologists. Step 2: critical evaluation, comparison with international standards and adaptation by the project group of the Nijmegen Dysarthria Assessment into the draft version of the DDA-A, i.e. the speech tasks (spontaneous speech, reading, maximum repetition rate, maximum phonation duration, fundamental frequency range, maximum phonation volume), assessment form and test manual. Step 3: online Delphi round to obtain feedback from colleagues in the Netherlands and Belgium (Flanders). Step 4: discussion of all comments in the project group and drafting of the next version. Step 5: factor analysis of the pre-final version and assessment of 55 patients with the pre-final DDA-A to judge dysarthria type and severity. In addition, two questionnaires (ROMP; Kalf et al. 2011, SHI; Van der Steen et al. 2012), an intelligibility assessment (NSVO-Z; Martens et al. 2010) and a fluency task were used for validation measurements. Step 6: Consensus between three independent experts about the new version of the tutorial and the assessment form. Step 7: final version and publication of the DDA-A. Result The final version of the DDA-A will be available at the end of May Contact: Professor of Neurorehabilitation Dr Bert de Swart Contact details: e bert.deswart@han.nl t

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