NICE guideline on older people with social care needs and multiple long-term conditions
MSK Foot & Ankle – 15 & 16 January 2016 (Trulife, Sheffield)
The British Association of Prosthetists and Orthotists (BAPO) was established to encourage high standards of prosthetic and orthotic practice. It is committed to Continued Professional Development and education to enhance standards of prosthetic and orthotic care. BAPO is the only UK body that represents the interests of prosthetic and orthotic professionals and associate members to their employers, BAPO enjoys the support of a high majority of the profession as members.
Elastic ankle foot orthoses improve energy efficiency (dorsiflexor paresis).
Dorsal ankle foot orthoses improve energy efficiency and comfortable walking speed (plantarflexor paresis both with and without a dorsiflexor paresis).
Circular- and elastic ankle foot orthoses are more suitable for dorsiflexor paresis.
Dorsal ankle foot orthoses are more suitable for plantarflexor paresis both with and without a dorsiflexor paresis.
People with floppy ankle muscles paresis use ankle foot orthoses to improve their walking ability. Ankle foot orthoses also limit ankle range of motion thereby introducing additional problems. Insight in effects of ankle foot orthoses on body functions and activities in people with floppy paretic ankle muscles aids in clinical decision making and may improve adherence.
Studies published before October 27th 2014 were searched in Pubmed, Embase, Cinahl, and Cochrane Library. Studies evaluating effects of ankle foot orthoses on body functions and/or activities in people with floppy paretic ankle muscles were included. Studies solely focusing on people with spastic paretic ankle muscles were excluded. Study quality was assessed using a custom made scale. Body functions and activities were defined according to the International Classification of Functioning, Disability and Health.
Twenty-four studies were included, evaluating 394 participants. Participants were grouped according to paresis type (i) dorsiflexor paresis, (ii) plantar flexor paresis, (iii) both dorsiflexor- and plantar flexor paresis. Dorsal- circular- and elastic ankle foot orthoses increased dorsiflexion during swing (by 4-6°, group i). Physical comfort with dorsal ankle foot orthoses was lower than that with circular ankle foot orthoses (groups i&iii). Dorsal ankle foot orthoses increased push-off moment (by 0.2-0.5 Nm/kg), increased walking efficiency, and decreased ankle range of motion (by 12-30°, groups ii&iii).
People with dorsiflexor paresis benefit more from circular- and elastic ankle foot orthoses while people with plantar flexor paresis (and dorsiflexor paresis) benefit more from dorsal ankle foot orthoses.
Source: http://www.sciencedirect.com/science/article/pii/S0268003315002545
Professional body urges increase in provision of music therapy for dementia
David's story - 'I feel more alive and happy after each session'
Music Therapy Week 22 - 28 June - highlights
81-year-old David Jacques was diagnosed with both vascular dementia and Alzheimer's disease four years ago. He has progressive short-term memory loss, experiences difficulty organizing his time and sometimes gets lost.
'David came to his first music therapy session armed with books of folk songs and opera,' recalls Pemma Spencer-Chapman, a music therapist at the Guideposts Trust Music Therapy Service in Oxfordshire. 'This was unusual,' she says, 'as most clients don't have any musical training. If I played or sang the melody, David could hold the tune. He sang the melodies increasingly from memory and marveled at his brain's ability to remember them'. The brain remembers emotional experiences more easily than facts, and the emotional nature of music helps these memories come to the fore.
But it wasn't until Pemma suggested to David to improvise with his voice while she accompanied him that a real breakthrough was made, 'to my surprise, David sang not just a melody but words as well. Words and melody have come to him hand in hand,' Pemma says. 'He is surprised, pleased and empowered and I feel his identity has been strengthened in a different way, by being at the heart of the improvisation.'
'I feel more alive and happy after each session', David.
David's wife, Penny, says music therapy is now the high spot of David's week. 'I wish that this form of therapy could be available on the NHS for everyone with dementia as it is clearly so beneficial.'
Prof. Martin Green OBE, Chief Executive of Care England – the leading representative body for independent care services in England, states, 'Music therapy is intrinsic to enriching the quality of life for those with dementia. Recent research demonstrates the significant role it has to play in supporting a better quality of life, and that is because music taps into the resources that people with dementia still have, enabling them to maintain connections with loved ones and the world around them. But, the impact is wider reaching. Carers also see the impact that music therapy can have and thus helps them to better understand the people they are caring for, providing a higher quality of care.'
Over 800,000 people live with dementia in Britain and this is expected to increase to 2 million by 2050. Currently, provision of music therapy for people with dementia is uneven across the UK and those diagnosed are often not able to access it when they need to. Pemma is one of over 800 HCPC state registered music therapists who use the unique non-verbal properties of music to support people at all stages of their lives – from helping new born babies develop healthy bonds with their parents, to offering vital, sensitive and compassionate palliative care at the end of life.
Donald Wetherick, Chair of Trustees, says, 'The British Association for Music Therapy is committed to ensuring that music therapy is available to all those who can benefit. This Music Therapy Week we are focusing on people with dementia and their families. Dementia care is a growing healthcare need – it is also an area where music therapist's skills are being shown to be effective and valued. We want to see the enormous potential for music therapy in this field being realized, for the benefit of all those affected by dementia.'
Events for Music Therapy Week are taking place throughout the week from Shetland down to Truro including a parliamentary roundtable discussion sponsored by MPs Tracey Crouch and Debbie Abrahams, taster music therapy sessions, open days, exhibitions, and live improvisational gatherings.
Highlights include:
Find out more about what's happening during Music Therapy Week 2015, view our MTW2015 Events Map.
To find out how you can get involved, please visit www.bamt.org and support the campaign online at Facebook and Twitter using @musictherapyuk #MTW2015 #musictherapyuk
For supplementary information please click below:
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For further information, please contact:
Grace Watts,
British Association for Music Therapy
M: 07989 355337
E: pr@bamt.org
Are you an Orthotist working with MS. Do you want to demonstrate your role in the treatment of MS? The QuDoS awards is now live www.qudos-ms.com. Details of the various categories and how to enter is on the website.