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PURPOSE: To determine quality of life (QoL) of cancer patients in The Republic of Trinidad and Tobago using the European Organization for Research and Treatment of Cancer Care Quality of Life Instrument (EORTC QLQ-C30) and examine relationships between QoL and socioeconomic and medical variables. METHOD: A cross-sectional study, consisting of 480 cancer patients being managed at the National Radiotherapy Centre, was conducted. One-way, multiple analysis of variance (MANOVA) with post hoc testing was used to analyze relationships between socioeconomic and medical variables and scales on the EORTC QLQ-C30. Stepwise linear regression was used to evaluate which independent variables contributed to the global QoL and function scores. RESULTS: Participants were of mean age 64.1 ± 12.1 years (males) and 56.7 ± 16.6 years (females). Mean values for global QoL and function scales were below 75. Persons in younger age groups had significantly better physical and cognitive function scores (p < 0.05). Males had higher emotional function scores than females (p < 0.05). Persons with higher income and education had better scores on all function scales, except social, and less symptoms (p < 0.05). Persons receiving chemotherapy had more nausea/vomiting, appetite loss, and constipation (p < 0.05). CONCLUSION: Age, income, education, and cancer treatment were factors most associated with scores on the EORTC QLQ-C30. Further research is required in this population to examine these variables in more depth and explore methods to improve QoL of cancer patients in this population.

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ABSTRACT Objective: To determine physical activity levels of community dwelling persons with spinal cord injury (SCI) who received inpatient rehabilitation at the Sir John Golding Rehabilitation Centre (SJGRC). This study also explored the perceived barriers to exercise and the development of secondary health complications. Methods: A non-experimental cross-sectional analysis of relationships was done. Participants were recruited from the SJGRC discharge files. Three questionnaires (The Physical Activity and Disability Scale, Spinal Cord Injury Secondary Conditions Scale and the Barriers to Exercise and Disability Scale) were administered via a telephone interview. Results: Only 58.3% of patients were engaged in some form of exercise and of that amount only 6% engaged in vigorous exercise. The main secondary conditions affecting both persons with paraplegia and quadriplegia were spasticity, chronic, muscle and joint pain. There were no significant differences between persons having paraplegia and quadriplegia in relation to physical activity levels, development of secondary conditions or barriers to exercise. Most persons were interested in an exercise programme but the most common barriers to exercise were cost and not knowing where they could go to exercise. Conclusion: Regardless of injury level, persons with spinal cord injury living in their communities in Jamaica are not engaged in adequate levels of exercise to confer health benefits and aid with healthy ageing. Barriers like cost, availability and accessibility of facilities must be addressed if this situation is to improve.

RESUMEN Objetivo: Determinar los niveles de actividad física de las personas con lesión de la médula espinal (LME) que viven en sus comunidades -es decir, en sus casas en vez de asilos o instituciones asistenciales-y que recibieron rehabilitación hospitalaria en el Centro de Rehabilitación Sir John Golding (SJGRC, en inglés). Este estudio también exploró las barreras percibidas para hacer ejercicios, y el desarrollo de complicaciones secundarias de salud. Métodos: Se realizó un análisis transversal no experimental de las relaciones. Los participantes fueron reclutados a partir de los archivos de altas del Centro SJGRC. Se aplicaron tres cuestionarios mediante entrevista telefónica (Escala de Actividad Física y Discapacidad, Escala de Condiciones Secundarias de la Lesión Medular, y Escala de Discapacidad y Barreras al Ejercicio). Resultados: Sólo el 58.3% de los pacientes se hallaban participando en alguna forma de ejercicio, y de este número sólo el 6% practicaba ejercicios fuertes. Las condiciones secundarias principales que afectaban a ambas personas con paraplejia y cuadriplejia eran la espasticidad, y el dolor muscular y articular crónico. No había diferencias significativas entre las personas que tenían paraplejia y cuadriplejia en lo referente a los niveles de actividad física, el desarrollo de condiciones secundarias o las barreras al ejercicio. La mayoría de las personas estaban interesadas en un programa de ejercicios, pero las barreras más comunes eran el costo y el no saber dónde ir a hacerlos. Conclusión: Independientemente del nivel de la lesión, las personas con lesión medular que viven en sus comunidades en Jamaica no participan en niveles adecuados de ejercicio que brinden beneficios de salud y ayuden a un envejecimiento saludable. Las barreras como el costo, la disponibilidad y la accesibilidad de las instalaciones deben ser abordadas, si se quiere mejorar esta situación.

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OBJECTIVE: Research in regions outside of the Caribbean shows that high school and college students' knowledge of physical therapy is lacking. There is no data reported to date for students in the Caribbean region. This study sought to evaluate Trinidadian secondary school students' knowledge of physical therapy, identify sources of knowledge and examine the relationship between knowledge and selected factors. METHODS: A non-experimental cross-sectional analysis of relationships was conducted with 1427 students attending schools that were randomly selected from rural and urban locations in Trinidad. A questionnaire which required the students to identify selected tasks performed by physical therapists, grade the skill level associated with each task and identify sources of information was utilized. RESULTS: A total of 1353 questionnaires were returned, of which 1236 were eligible for analysis. The mean number of correct responses regarding knowledge of tasks conducted by a physical therapist was 6.47 ± 2.05 out of a total of 11. More than 50% of the respondents had incorrect responses for questions related to the skill level associated with each task. Seniors and students who were interested in health careers had significantly higher scores for knowledge of tasks performed by physical therapists (6.72 ± 1.94; 6.7 ± 1.81) than juniors and those who were interested in non-health careers (6.4 ± 2.07; 6.52 ± 1.99). The two most common sources of information from all categories of respondents were television (74.8%) followed by internet (54.6%). CONCLUSION: Students attending secondary schools in Trinidad are not well informed about physical therapy and strategies must be developed to address this.

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OBJECTIVE: This study sought to determine the level of caregiver burden present in Jamaican stroke caregivers and to investigate the relationship between caregiver burden and selected sociodemographic variables. METHOD: The Bakas Caregiving Outcomes Scale and a demographic sheet were administered to the caregivers. The stroke survivors completed the Barthel Index and the Geriatric Depression Scale. Interview administration was used for all tools. RESULTS: A total of 48 caregivers with their stroke survivors participated in this study. Preliminary findings showed that caregivers of stroke survivors in Jamaica are experiencing some level of burden with scores ranging from 21 to 62 (mean = 43.64 ± 8.73). Lower burden scores indicate greater burden. Caregivers of female stroke survivors had significantly greater levels of burden (43.5 ± 8.87) than those caring for male survivors [44.4 ± 8.3] (p = 0.03). There were no significant correlations between caregiver burden and age of the stroke survivor; however, a low correlation was found between depression and caregiver burden (r = -0.33, p = 0.02). Female survivors were found to have significantly higher levels of depression than males (16.72 ± 6.21 vs 11.34 ± 7.31, p < 0.01) and caregivers of survivors who had higher depression scores experienced more burden. CONCLUSION: Preliminary findings point to depressive symptoms and functional status in the stroke survivor as being a significant contributor to caregiver burden; however, further data collection and analysis need to be completed before more definitive conclusions can be made.

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OBJECTIVES: To explore the possibility of using the Nintendo Wii™ as a rehabilitation tool for children with cerebral palsy (CP) in a developing country, and determine whether there is potential for an impact on their gross motor function. DESIGN: Pilot study with a pre-post-test design. SETTING: Sir John Golding Rehabilitation Center, Jamaica, West Indies. PARTICIPANTS: Seven children, aged 6 to 12 years, with dyskinetic CP were recruited for the study. One child dropped out at week 4. INTERVENTION: Training with the Nintendo Wii was conducted twice weekly for 6 weeks. The games used were Wii Sports Boxing, Baseball and Tennis. MAIN OUTCOME MEASURES: Percentage attendance over the 6-week period, percentage of sessions for which the full duration of training was completed, and changes in gross motor function using the Gross Motor Function Measure (GMFM). RESULTS: All six participants who completed the study had 100% attendance, and all were able to complete the full 45 minutes of training at every session. Those who were wheelchair bound participated in two games, whilst those who were ambulant played three games. The mean GMFM score increased from 62.83 [standard deviation (SD) 24.86] to 70.17 (SD 23.67). CONCLUSION: The Nintendo Wii has the potential for use as a rehabilitation tool in the management of children with CP. Clinical trials should be conducted in this area to determine whether this could be an effective tool for improving gross motor function.

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OBJECTIVE: Plyometric training is widely used in conditioning, power training and in prevention and rehabilitation of injuries in some sports. This study sought to investigate the effect of a three-week plyometric training programme on jump performance and agility in Jamaican national netball players. METHOD: Eighteen national netballers participated in a Plyometric training programme. Subjects were evaluated using the Vertical Jump Test, the Broad Jump Test and the Illinois Agility Test prior to the start of the programme and at week 3. DATA ANALYSIS: The data were analysed using SPSS version 12 for Windows. A One-Sample Kolmogorov-Smirnov Test showed normal distribution of data and a paired samples t-test was used to determine whether the mean change in jump performance and agility was significant. RESULTS: All eighteen subjects completed the three weeks of training. Three subjects were shown to be outliers at week 3 and this resulted in data from 15 subjects being analysed. At the end of the three weeks, there were significant improvements in Vertical Jump Scores (p = 0.023), Broad Jump Scores (p = 0.002) and Agility scores (p = 0.045). CONCLUSION: Three weeks of Plyometric training can lead to significant improvements in jump performance and agility and should be integrated into the national training programme at intervals yet to be determined.

OBJETIVO: El entrenamiento pliométrico se usa ampliamente para el acondicionamiento, y entrenamiento de fuerza, así como para la prevención y rehabilitación de lesiones en algunos deportes. Este estudio buscó investigar el efecto de un programa de entrenamiento pliométrico de tres semanas sobre el rendimiento en salto alto y la agilidad de las jugadoras del Equipo Nacional de Netball de Jamaica. MÉTODO: Dieciocho jugadoras nacionales de netball participaron en un programa de entrenamiento pliométrico. Las sujetos fueron evaluadas usando la prueba de salto vertical, la prueba de salto largo y la prueba de agilidad de Illinois, antes del comienzo del programa y a la semana 3. ANÁLISIS DE DATOS: Los datos fueron analizados usando la versión 12 de SPSS para Windows. La Prueba de Kolmogorov-Smirnov para una muestra mostró una distribución normal de los datos y una prueba t de muestras pareadas fue usada para determinar si el cambio promedio en el rendimiento del salto y la agilidad fue significativo. RESULTADOS: Las dieciocho sujetos completaron las tres semanas de entrenamiento. Tres sujetos mostraron tener valores atípicos en la semana 3, y esto trajo por resultado que se analizaran datos de 15 sujetos. Al final de las tres semanas, se produjeron mejoras significativas en las puntuaciones del salto vertical (p = 0.023), las puntuaciones del salto largo (p = 0.002) y las puntuaciones de la agilidad (p = 0.045). CONCLUSIÓN: Tres semanas de entrenamiento pliométrico pueden llevar a mejoras significativas en el rendimiento y agilidad, y deben integrarse en el programa de entrenamiento nacional a intervalos aún por determinar.

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OBJECTIVE: Plyometric training is widely used in conditioning, power training and in prevention and rehabilitation of injuries in some sports. This study sought to investigate the effect of a three-week plyometric training programme on jump performance and agility in Jamaican national netball players. METHOD: Eighteen national netballers participated in a Plyometric training programme. Subjects were evaluated using the Vertical Jump Test, the Broad Jump Test and the Illinois Agility Test prior to the start of the programme and at week 3. DATA ANALYSIS: The data were analysed using SPSS version 12 for Windows. A One-Sample Kolmogorov-Smirnov Test showed normal distribution of data and a paired samples t-test was used to determine whether the mean change in jump performance and agility was significant. RESULTS: All eighteen subjects completed the three weeks of training. Three subjects were shown to be outliers at week 3 and this resulted in data from 15 subjects being analysed. At the end of the three weeks, there were significant improvements in Vertical Jump Scores (p = 0.023), Broad Jump Scores (p = 0.002) and Agility scores (p = 0.045). CONCLUSION: Three weeks of Plyometric training can lead to significant improvements in jump performance and agility and should be integrated into the national training programme at intervals yet to be determined.

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