Susy M Braun

Zuyd University of Applied Sciences | hszuyd · Faculty of Health

strong>Introduction : Motor learning plays a central role in neurological and geriatric rehabilitation. The wide range of motor learning strategies and increase in evidence can make it difficult to make informed decisions about the use of motor learning strategies in practice. This review’s aim was to provide a broad overview of the current state o...

Het domein Gezondheidszorg en Welzijn van Zuyd Hogeschool ziet in living labs kansen om nauwe samenwerking tussen praktijk, onderwijs en onderzoek te realiseren. In living labs komen onderwijs en praktijkleren, onderzoek en innoveren samen. Hoe je het hoger onderwijs goed geïntegreerd krijgt in living labs is het thema van dit artikel. We pr...

Background: Obesity is an epidemic affecting many citizens worldwide. Behavior change through lifestyle interventions can be effective, but success rates vary. Personalized interventions based on a systems biology approach might represent the individual variety of characteristics and underlying pathways in this target population better. Five subtyp...

As society changes rapidly, there is a need to educate professionals who contribute to innovation and complex adaptations in organizations. As part of this education, companies, governmental bodies and other stakeholders have sought collaboration on complex issues in "living labs". Living labs are recognized as educational environments to prepare s...

Introduction Intensive gait training is important for effective rehabilitation of people after stroke. “Stappy” is a sensor-feedback system that provides real-time feedback on the persons gait pattern/performance during training. The main aim of this study was to assess attitudes towards “Stappy” in people after stroke to practise walking performan...

Despite the increased use of activity trackers, little is known about how they can be used in healthcare settings such as rehabilitation centers. This study aimed to support healthcare professionals and patients with embedding an activity tracker in the daily clinical practice of a rehabilitation center and gaining knowledge about the implementatio...

Objective Clinicians may use implicit or explicit motor learning approaches to facilitate motor learning of patients with stroke. Implicit motor learning approaches have shown promising results in healthy populations. The purpose of this study was to assess whether an implicit motor learning walking intervention is more effective compared to an exp...

Purpose: The purposes of this study were, first, to (re)design the user-interface of the activity tracker known as the MOX with the help of input from elderly individuals living independently and, second, to assess the use of and experiences with the adapted Measure It Super Simple (MISS) activity tracker in daily life. Methods: The double diamon...

This paper reports the responses of nursing home residents who live in a psychogeriatric ward to the abstract interactive art installation ‘Morgendauw’, which was specifically designed for this study. All stakeholders were involved in designing and implementing Morgendauw. The artwork seems able to evoke responses in both the residents and their ca...

Purpose: The aim of this study was to assess physiotherapists’ clinical use and acceptance of a novel telemonitoring platform to facilitate the recording of measurements during rehabilitation of patients following anterior cruciate ligament reconstruction. Additionally, suggestions for platform improvement were explored. Methods: Physiotherapists f...

Purpose: To evaluate whether the implicit and explicit motor learning walking interventions for people after stroke delivered in a randomized controlled trial were performed as intended (fidelity) and to report the therapist and participant experiences with regard to feasibility. Methods: Dose delivered and content of instructions were assessed by...

Background: Therapists may use (more) implicit or (more) explicit motor learning approaches to facilitate motor skill learning of stroke patients. The use of implicit motor learning approaches has shown promising results in healthy populations. Objective: To assess whether an implicit motor learning walking intervention is more effective compared t...

Introduction: Sensor-feedback systems can be used to support people after stroke during independent practice of gait. The main aim of the study was to describe the user-centred approach to (re)design the user interface of the sensor feedback system “Stappy” for people after stroke, and share the deliverables and key observations from this process....

Objective: To evaluate the delivery, acceptance and experiences regarding a traditional and teletreatment approach to mirror therapy as delivered in a randomized controlled trial. Design: Mixed methods, prospective study. Setting: Rehabilitation centres, hospital and private practices. Subjects: Adult patients with phantom pain following lower lim...

Aim: The aim of this study was to describe the experience with commercially available activity trackers embedded in the physiotherapy treatment of patients with a chronic disease. Methods: In a qualitative study, 29 participants with a chronic disease participated. They wore an activity tracker for two to eight weeks. Data were collected using 23 i...

Objectives:: To investigate immediate changes in walking performance associated with three implicit motor learning strategies and to explore patient experiences of each strategy. Design:: Participants were randomly allocated to one of three implicit motor learning strategies. Within-group comparisons of spatiotemporal parameters at baseline and...

Purpose The purpose of this paper is to describe whether and how groups of nursing home residents respond to the interactive device “the CRDL”. The CRDL can translate touches between people into sounds. It recognises the type of touch and adjusts the produced sound accordingly. Design/methodology/approach This was as an observational explorative s...

Objective: To compare the effects of traditional mirror therapy (MT), a patient-centred teletreatment (PACT) and sensomotor exercises without a mirror on phantom limb pain (PLP). Design: Three-arm multicentre randomized controlled trial. Setting: Rehabilitation centres, hospital and private practices. Subjects: Adult patients with unilateral lower...

Dieser Praxisleitfaden für die Anwendung der Spiegeltherapie bei Patienten mit Phantomschmerzen nach Amputationen wurde im Rahmen des PACT (PAtient Centered Telerehabilitation)-Projekts entwickelt. In diesem Projekt wird ein eHealth-Applikation entwickelt, die Patienten darin unterstützen soll, selbstständig Ihre Phantomschmerzen zu reduzieren. Ein...

Learning motor skills is an essential part of most rehabilitation processes. Facilitating and supporting motor learning is particularly challenging in neurological rehabilitation: patients who suffer from neurological diseases experience both physical limitations and difficulties of cognition and communication that affect and/or complicate the moto...

Background: A significant part of neurological rehabilitation focuses on facilitating the learning of motor skills. Training can adopt either (more) explicit or (more) implicit forms of motor learning. Gait is one of the most practiced motor skills within rehabilitation in people after stroke because it is an important criterion for discharge and r...

Background: Measuring physical activity with commercially available activity trackers is gaining popularity. People with a chronic disease can especially benefit from knowledge about their physical activity pattern in everyday life since sufficient physical activity can contribute to wellbeing and quality of life. However, no validity data are avai...

Viele Physiotherapeuten kennen die Problematik, dass ein großer Teil der Patienten nach einem Kreuzbandriss trotz eines intensiven Rehabilitationsprozesses nicht mehr das alte Leistungsniveau erreicht. Um den Patienten aktiv in den Rehabilitationsprozess miteinzubeziehen und ihm Einsichten in seinen aktuellen Leistungsstand sowie eine maßgeschneide...

Background For older people and people with a chronic disease, physical activity provides health benefits. Patients and healthcare professionals can use commercially available activity trackers to objectively monitor (alterations in) activity levels and patterns and to support physical activity. However, insight in the validity, reliability, and fe...

Introduction: Interactive art installations might engage nursing home residents with dementia. The main aim of this article was to describe the challenging design process of an interactive artwork for nursing home residents, in co-creation with all stakeholders and to share the used methods and lessons learned. This process is illustrated by the d...

The main aim of this systematic review was to describe responses of participants to physical, open-ended interactive digital artworks. Although human-to-artwork and human-to-human responses were found in the 22 identified artworks, more human-to-artwork responses were reported. Both types of responses were further categorised into physical, verbal,...

This paper describes a co-design method for creating art installations that potentially generate meaningful experiences for residents of nursing homes, especially elderly suffering from dementia. The co-design method originated from the development of VENSTER and Morgendauw, two interactive art installations specifically created for this target pop...

The goal of this study was (1) to determine whether and how nursing home residents with dementia respond to the interactive art installation in general and (2) to identify whether responses change when the content type and, therefore, the nature of the interaction with the artwork changes. The interactive art installation 'VENSTER' evokes responses...

Background: Phantom limb pain is a frequent and persistent problem following amputation. Achieving sustainable favorable effects on phantom limb pain requires therapeutic interventions such as mirror therapy that target maladaptive neuroplastic changes in the central nervous system. Unfortunately, patients’ adherence to unsupervised exercises is ge...

Purpose: The goal of this study was to examine which motor learning options are applied by experienced physiotherapists in neurological rehabilitation, and how they choose between the different options. Methods: A descriptive qualitative approach was used. A purposive sample of five expert physiotherapists from the neurological ward of a rehabil...

Background/Aims Analogy learning is a motor learning strategy that uses biomechanical metaphors to chunk together explicit rules of a to-be-learned motor skill. This proof-of-concept study establishes the feasibility and potential benefits of analogy learning in enhancing stride length regulation in people with Parkinson's disease. Methods Walking...

Background: A variety of options and techniques for causing implicit and explicit motor learning have been described in the literature. The aim of the current paper was to provide clearer guidance for practitioners on how to apply motor learning in practice by exploring experts' opinions and experiences, using the distinction between implicit and...

Objectives: Research shows that nursing home residents are largely inactive. This inactivity negatively influences physical fitness, and participation in daily activities is known to have a positive influence on physical function and quality of life. Existing research does not provide sufficient insight into the daily activities in which nursing h...

To describe the development and content of a clinical framework for mirror therapy (MT) in patients with phantom limb pain (PLP) following amputation. Based on an a priori formulated theoretical model, 3 sources of data collection were used to develop the clinical framework. First, a review of the literature took place on important clinical aspects...

Offering physical activities matching with the preferences of residents in long-term care facilities could increase compliance and contribute to client-centered care. A measure to investigate meaningful activities by using a photo-interview has been developed ("MIBBO"). In two pilot studies including 133 residents living on different wards in long-...

Introduction Non-pharmacological interventions such as mirror therapy are gaining increased recognition in the treatment of phantom limb pain; however, the evidence in people with phantom limb pain is still weak. In addition, compliance to self-delivered exercises is generally low. The aim of this randomised controlled study is to investigate the e...

Background Motor learning is central to domains such as sports and rehabilitation; however, often terminologies are insufficiently uniform to allow effective sharing of experience or translation of knowledge. A study using a Delphi technique was conducted to ascertain level of agreement between experts from different motor learning domains (i.e., t...

Individuals who have experienced a stroke need to (re)learn motor skills. Analogy learning has been shown to facilitate motor learning in sports and may also be an attractive alternative to traditional approaches in therapy. The aim of this study was to assess the feasibility and utility of analogies to improve the walking performance in long-term...

Abstract Purpose: The aims of this study were to determine whether and how psychogeriatric nursing home residents would respond to the interactive surfaces on the floor without receiving instructions and to determine how long residents would be physically active. Methods: The "interactive surfaces" technology includes different graphic shapes that...

Objective: To investigate the beneficial and adverse effects of a mental practice intervention on activities, cognition, and emotion in patients after stroke, patients with Parkinson's disease or multiple sclerosis. Methods: Electronic databases PubMed/Medline, PEDro, Science Direct, Cochrane Library, PsycINFO, Rehadat, Embase, and Picarta were sea...

Preface The main reason to develop a practice-based protocol was because mirror therapy is still inconsistently used in clinical situations and many physical and occupational therapists expressed a strong need for some form of guidance to structure therapy and support imple-mentation of mirror therapy in routine care. As in most protocols, evidence...

BACKGROUND: Facilitating motor learning in patients during clinical practice is complex, especially in people with cognitive impairments. General principles of motor learning are available for therapists to use in their practice. However, the translation of evidence from the different fields of motor learning for use in clinical practice is proble...

Background: Facilitating motor learning in patients during clinical practice is complex, especially in people with cognitive impairments. General principles of motor learning are available for therapists to use in their practice. However, the translation of evidence from the different fields of motor learning for use in clinical practice is proble...

Due to the ageing population, the number of nursing home residents with cognitive impairments is substantially increasing. Treatment and instruction of elderly with cognitive impairments by care professionals (e.g. physio- or occupational therapists) is difficult, since not only motor performance may be impaired, but also the understanding of verba...

Objective: Reinvestment is a phenomenon in which conscious control of movements that are best controlled automatically disrupts performance. The propensity for reinvestment may therefore play an important role in the movement rehabilitation process. The Movement-Specific Reinvestment Scale measures an individual's propensity for reinvestment. The...

Since the beginning of the new millennium, the use of mental practice and movement imagery within several medical professions in rehabilitation and therapy has received an increased attention. Before this introduction in healthcare, the use of movement imagery was mainly researched in sports science. Mental practice is a complex intervention. When...

The objective of this study was to evaluate the clinical aspects of mirror therapy (MT) interventions after stroke, phantom limb pain and complex regional pain syndrome. A systematic literature search of the Cochrane Database of controlled trials, PubMed/MEDLINE, CINAHL, EMBASE, PsycINFO, PEDro, RehabTrials and Rehadat, was made by two investigator...

Is mental practice embedded in standard physiotherapy compared with relaxation embedded in standard physiotherapy more effective at improving mobility tasks in people with Parkinson's disease in the community? Does disease severity influence the treatment effect? A multicentre randomised controlled trial. People with Parkinson's disease. During a s...

Systematic reviews suggest that mental practice as an additional therapy for people with stroke might be effective and suggest that more trials with better defined interventions are needed. This study investigated whether imagining the skilled movement systematically can contribute to a quicker and/or better recovery of stroke patients in long term...

Within a multi-centre randomised controlled trial in three nursing homes, a process evaluation of a mental practice intervention was conducted. The main aims were to determine if the intervention was performed according to the framework and to describe the therapists' and participants' experiences with and opinions on the intervention. The six week...

In dit hoofdstuk wordt ingegaan op de vraag of mentale training gebruikt zou kunnen worden voor het veranderen van motoriek, emoties en cognities bij patiënten met een verworven centraal neurologische aandoening. Als theoretische basis wordt een werkmodel uit de sport geschetst, waarin deze effecten van mentale training gepresenteerd worden. Voor h...

Movement imagery en mental practice krijgen als additionele interventie steeds meer aandacht in de revalidatie van verschillende groepen patiënten. Het lijkt erop dat het systematisch voorstellen van bewegingen kan bijdragen tot een beter motorisch herstel. In dit hoofdstuk wordt beschreven hoe mentale training in de sport gebruikt wordt en hoe de...

Motor imagery and mental practice are getting increased attention in neurological rehabilitation. Several different mental practice intervention protocols have been used in studies on its effect on recovery in stroke rehabilitation. The content of the intervention protocols itself is rarely discussed or questioned. To give a practical framework of...

To determine the feasibility of the Structural Dimension Analysis of Motor Memory (SDA-M), a method derived from sports psychology, in establishing the mental representations of complex movements in patients after stroke. Case series of patients, with age-matched healthy controls. A rehabilitation nursing home. Sixteen patients 3-26 weeks after the...

Mental practice as an additional cognitive therapy is getting increased attention in stroke rehabilitation. A systematic review shows some evidence that several techniques in which movements are rehearsed mentally might be effective but not enough to be certain. This trial investigates whether mental practice can contribute to a quicker and/or bett...

To assess the effects of a mental practice intervention on recovery in stroke patients. A systematic literature search of the Cochrane Database of Systematic Reviews, PubMed/Medline, PsycINFO, Pedro, Rehadat, and RehabTrials was performed by 2 researchers independently. Eligible studies published through August 2005 were selected. Four randomized c...