Purpose: To get insight into personal meaning of a person involved in a physical therapy intervention. Methods: Mrs. A, a 76-year-old woman is referred to a physical therapist (PT) for assessment of functioning and training before total hip arthroplasty (THA). The patient, her daughter, and PT were asked to write a story about their daily life. Stories were analyzed according to the narrative scheme based on a method to find meaning in daily life, which consists of four phases: 1. Motivation; 2. Competences; 3. Performance; and 4. Evaluation. Results: Mrs. A was mainly motivated by her will to do enjoyable social activities and stay independent. Although she tried her best to undertake activities (performance) that made her proud (evaluation), her pain and physical limitations were anti-competences that motivated her to attend healthcare. Although the PT seemed to be aware of personal participation goals, her main motivation was to improve and evaluate functions and activities. The daughter was motivated by good relationships and did not see herself as informal caregiver.
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There is ongoing discussion about whether preoperative obesity is negatively associated with inpatient outcomes of total hip arthroplasty (THA). The aim was to investigate the interaction between obesity and muscle strength and the association with postoperative inpatient recovery after THA. Preoperative obesity (body mass index (BMI)>30 kg/m2) and muscle weakness (hand grip strength <20 kg for woman and <30 kg for men) were measured about 6 weeks before THA. Patients with a BMI<18.5 kg/m2 were excluded. Outcomes were delayed inpatient recovery of activities (>2 days to reach independence of walking) and prolonged length of hospital stay (LOS, >4 days and/or discharge to extended rehabilitation). Univariate and multivariable regression analyses with the independent variables muscle weakness and obesity, and the interaction between obesity and muscle weakness, were performed and corrected for possible confounders.
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Toe-eigening versterkt de leefbaarheid van de buurt. De woonstraten van Amsterdam Nieuw-West bieden door de open verkavelingsstructuren en dichte plinten minder vanzelfsprekende aanknopingspunten voor toe-eigening. Op basis van ons tweejarig empirisch veldonderzoek staat in MIJN STRAAT de rijkdom aan ontwerpoplossingen die in Nieuw-West besloten liggen, centraal. Hiermee beogen we bij te dragen aan het debat over de stedelijke vernieuwing en de opgave van de woonstraat in Nieuw-West. Juist op dit schaalniveau wordt dagelijks de sociale stad gemaakt.Het boek is een handboek met ontwerpoplossingen op de schaalniveaus van het bouwblok, de straat en de subtiele overgangszones tussen het private en publiek domein. De beelden zijn ook inzetbaar voor de workshopmethode van MIJN STRAAT waarin bewoners als buurtexperts bij de planvorming betrokken worden. We hopen dat in de hedendaagse nieuwe ronde van stedelijke vernieuwing de woonstraat de aandacht krijgt die het verdient. En dat in de planvorming gebruik wordt gemaakt van de rijke reeks van beproefde en gerijpte ontwerpoplossingen die dikwijls al om de hoek van het plangebied te vinden zijn.
