View clinical trials related to Multiple Disability.
Filter by:The main purpose of this study is the evaluation of the efficacy of zoledronic acid on bone density in children with osteoporosis caused by multiple disabilities. Secondary purposes are: 1. Description of child population with osteoporosis in the context of motor impairment in Lorraine region 2. Description of osteoporosis stage (level of bone mineralization and clinical consequences) in children with multiple disabilities 3. Description of current osteoporosis preventive care 4. Description of risk factors associated to bone status (drugs) 5. Evaluation of zoledronic acid treatment on fracture numbers 6. Evaluation of zoledronic acid on phosphocalcic profile 7. Description of side effects of zoledronic acid in this indication 8. Description of treatment effects in the sub-population of children with Rett syndrome.
Appropriate assistive devices are important factors for the activity participation of the disabled. These devices should be prescribed by the specialists based on their functional needs. However, most individuals in need of assistive devices locate in the household, school, or nursing institute, in which the professional interventions are not always available on demand. Consequently most assistive devices are used without thorough evaluation, therefore do not necessarily meet the exact needs of the individual. Hence an easy-to-access and easy-to-use assistive technology device indexing system based on the functional needs of the subjects is necessary. The goals of this two-year study are twofold: assistive technology indexing system application(APP) development and promotion. First, the multidisciplinary research team, composed of specialists from assistive technology, rehabilitation, computer science, and special education fields, is going to integrate and refine the current resources and develop an assistive technology indexing system App based on the functional needs of the disabled. Second, in cooperation with the disabled community and special schools, the team is going to promote the use of the App and evaluate its usability via System Usability Scale. This App will be beneficial to the individuals in need of assistive device application. It can also be used as an assistive device manual for the specialists. The App will guide the individuals step by step to the proper assistive devices based on their functional capacities. The complete system will include details of each assistive device and link up with the related service resources. With its registering function, the statistics collected via user clicks can serve as references for further design adjustments and assistive device related policy modifications. All together this App can provide comprehensive services to the disabled in need of assistive devices.
This is a cluster randomized controlled trial in which client-centered rehabilitation of activities of daily living (CADL) will be compared to usual rehabilitation of activities of daily living (UADL) regarding participation in activities of daily living, independence in activities of daily living and life satisfaction during the first year after stroke. In addition use of health services, caregiver burden and significant others' life satisfaction will be studied. Study design, methods and power analysis are based on our previous pilot study. Participating rehabilitation centers in the counties of Stockholm, Uppsala and Gavleborg have been randomized to supply CADL or UADL. Patients are included who are: < 3 months after stroke, dependent in at least two activities of daily living, understand instructions and referred to a participating rehabilitation unit. Data are collected at baseline, 3, 6 and 12 months. For sufficient power 280 participants will be included. In addition qualitative longitudinal studies will be performed in order to describe how CADL is integrated.