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181. Rehabilitation following lumbar fusion surgery (REFS) a randomised controlled feasibility study. Full Text available with Trip Pro

weekly group rehabilitation sessions (education, low-tech cardiovascular, limb and spine strengthening exercises, and peer support). Participants were randomised to REFS or 'usual care.' Primary feasibility outcomes included recruitment and engagement. Secondary outcomes, collected preoperatively and 3, 6, and 12  months postoperatively, comprised the Oswestry disability index, European Quality of Life 5 dimensions score, pain self-efficacy questionnaire, hospital anxiety and depression scale (...) Rehabilitation following lumbar fusion surgery (REFS) a randomised controlled feasibility study. Following lumbar fusion surgery (LFS), 40% of patients are unsure/dissatisfied with their outcome. A prospective, single-centre, randomised, controlled trial was conducted to evaluate the feasibility (including clinical and economic impact) of a theoretically informed rehabilitation programme following LFS (REFS).REFS was informed by an explicit theoretical framework and consisted of 10 consecutive

2019 European Spine Journal Controlled trial quality: predicted high

182. Treatments and rehabilitation in the acute and chronic state of traumatic brain injury. Full Text available with Trip Pro

Treatments and rehabilitation in the acute and chronic state of traumatic brain injury. Traumatic brain injury (TBI) is a major cause of acquired disability globally, and effective treatment methods are scarce. Lately, there has been increasing recognition of the devastating impact of TBI resulting from sports and other recreational activities, ranging from primarily sport-related concussions (SRC) but also more severe brain injuries requiring hospitalization. There are currently no established (...) treatments for the underlying pathophysiology in TBI and while neuro-rehabilitation efforts are promising, there are currently is a lack of consensus regarding rehabilitation following TBI of any severity. In this narrative review, we highlight short- and long-term consequences of SRCs, and how the sideline management of these patients should be performed. We also cover the basic concepts of neuro-critical care management for more severely brain-injured patients with a focus on brain oedema

2019 Journal of internal medicine

183. Association of Medicaid Expansion With Access to Rehabilitative Care in Adult Trauma Patients. Full Text available with Trip Pro

Association of Medicaid Expansion With Access to Rehabilitative Care in Adult Trauma Patients. Trauma is a leading cause of death and disability for patients of all ages, many of whom are also among the most likely to be uninsured. Passage of the Patient Protection and Affordable Care Act was intended to improve access to care through improvements in insurance. However, despite nationally reported changes in the payer mix of patients, the extent of the law's impact on insurance coverage among (...) trauma patients is unknown, as is its success in improving trauma outcomes and promoting increased access to rehabilitation.To use rigorous quasi-experimental regression techniques to assess the extent of changes in insurance coverage, outcomes, and discharge to rehabilitation among adult trauma patients before and after Medicaid expansion and implementation of the remainder of the Patient Protection and Affordable Care Act.Quasi-experimental, difference-in-difference analysis assessed adult trauma

2019 JAMA surgery

184. Rehabilitation and management outcomes of musculoskeletal injuries in a major referral hospital in Ghana. Full Text available with Trip Pro

Rehabilitation and management outcomes of musculoskeletal injuries in a major referral hospital in Ghana. The devastating impact of musculoskeletal injury (MSI) on human lives, the economy, and health services cannot be overemphasised. This has ignited discussion at international fora, as countries have been exhorted to prioritise management of MSI in order to maintain a healthy society. In the Ghanaian context, the knowledge base management of MSI is very low, which has provided the impetus (...) to explore the management of MSI and the rehabilitation systems at a tertiary hospital in Ghana.The study was a retrospective cross-sectional study, using the consecutive sampling method to recruit patients who were discharged after admission at the accident and emergency unit, as well as patients undergoing orthopaedic review, at the St. Joseph's Orthopaedic Hospital in Koforidua over a six-month period.A total of 269 musculoskeletal injury patients were recruited for the study. Half of the participants

2019 BMC Musculoskeletal Disorders

185. Early rehabilitation after lumbar disc surgery is not effective or cost-effective compared to no referral: a randomised trial and economic evaluation Full Text available with Trip Pro

, and signs of nerve root compression corresponding to the herniation level.Early rehabilitation (exercise therapy) for 6 to 8 weeks, versus no referral, immediately after discharge.In line with the recommended core outcome set, the co-primary outcomes were: functional status (Oswestry Disability Index); leg and back pain (numerical rating scale 0 to 10); global perceived recovery (7-point Likert scale); and general physical and mental health (SF12), assessed 3, 6, 9, 12 and 26 weeks after surgery (...) Early rehabilitation after lumbar disc surgery is not effective or cost-effective compared to no referral: a randomised trial and economic evaluation Is referral for early rehabilitation after lumbar disc surgery effective and cost-effective compared to no referral?Multicentre, randomised, controlled trial, and economic evaluation with concealed allocation and intention-to-treat-analysis.Adults who underwent discectomy for a herniated lumbar disc, confirmed by magnetic resonance imaging

2017 EvidenceUpdates

186. Early active rehabilitation after arthroscopic rotator cuff repair: a prospective randomized pilot study (Abstract)

Early active rehabilitation after arthroscopic rotator cuff repair: a prospective randomized pilot study To compare two different rehabilitation strategies, primary passive motion versus early isometric loading of the rotator cuff.Prospective randomized controlled observer-blinded pilot study.Institute of Physical Medicine and Rehabilitation.Thirty patients after rotator cuff surgery.All participants were randomly assigned to one of the two outpatient treatment groups: primary passive motion (...) versus early isometric loading of the rotator cuff. Both groups were treated for 12 weeks and performed additionally a home exercise program.The primary outcome measure for functional assessment was the Constant Murley score. The secondary outcome measures were the Disabilities of the Arm, Shoulder and Hand score (DASH), active range of motion, pain level and strength. Patients were assessed before, 6, 12 and 24 weeks after surgery.Repeatedly measured metric variables were compared by the Quade rank

2017 EvidenceUpdates

187. Total disc replacement versus multidisciplinary rehabilitation in patients with chronic low back pain and degenerative discs: 8-year follow-up of a randomized controlled multicenter trial Full Text available with Trip Pro

Total disc replacement versus multidisciplinary rehabilitation in patients with chronic low back pain and degenerative discs: 8-year follow-up of a randomized controlled multicenter trial Lumbar total disc replacement (TDR) is a treatment option for selected patients with chronic low back pain (LBP) that is non-responsive to conservative treatment. The long-term results of disc replacement compared with multidisciplinary rehabilitation (MDR) have not been reported previously.We aimed to assess (...) the long-term relative efficacy of lumbar TDR compared with MDR.We undertook a multicenter randomized controlled trial at five university hospitals in Norway.The sample consisted of 173 patients aged 25-55 years with chronic LBP and localized degenerative changes in the lumbar intervertebral discs.The primary outcome was self-reported physical function (Oswestry Disability Index [ODI]) at 8-year follow-up in the intention-to-treat population. Secondary outcomes included self-reported LBP (visual

2017 EvidenceUpdates

188. Addition of a Sagittal Cervical Posture Corrective Orthotic Device to a Multimodal Rehabilitation Program Improves Short- and Long-Term Outcomes in Patients With Discogenic Cervical Radiculopathy (Abstract)

Addition of a Sagittal Cervical Posture Corrective Orthotic Device to a Multimodal Rehabilitation Program Improves Short- and Long-Term Outcomes in Patients With Discogenic Cervical Radiculopathy To investigate the immediate and 1-year effects of a multimodal program, with cervical lordosis and anterior head translation (AHT) rehabilitation, on the intensity of pain, disability, and peripheral and central nervous system function in patients with discogenic cervical radiculopathy (CR (...) pain intensity, and disability (Neck Disability Index [NDI]), dermatomal somatosensory evoked potentials (DSSEPs), and central somatosensory conduction time (N13-N20). Measures were assessed at 3 time intervals: baseline, 10 weeks, and 1-year follow-up.After 10 weeks of treatment, between-group analysis showed equal improvement in arm pain intensity (P=.40), neck pain intensity (P=.60), and latency of DSSEPs (P=.60) in both intervention and control groups. However, also at 10 weeks, there were

2017 EvidenceUpdates

189. Family-led rehabilitation after stroke in India (ATTEND): a randomised controlled trial. Full Text available with Trip Pro

Family-led rehabilitation after stroke in India (ATTEND): a randomised controlled trial. Most people with stroke in India have no access to organised rehabilitation services. The effectiveness of training family members to provide stroke rehabilitation is uncertain. Our primary objective was to determine whether family-led stroke rehabilitation, initiated in hospital and continued at home, would be superior to usual care in a low-resource setting.The Family-led Rehabilitation after Stroke (...) in India (ATTEND) trial was a prospectively randomised open trial with blinded endpoint done across 14 hospitals in India. Patients aged 18 years or older who had had a stroke within the past month, had residual disability and reasonable expectation of survival, and who had an informal family-nominated caregiver were randomly assigned to intervention or usual care by site coordinators using a secure web-based system with minimisation by site and stroke severity. The family members of participants

2017 Lancet Controlled trial quality: predicted high

190. Individualized funding interventions to improve health and social care outcomes for people with a disability: A mixed?methods systematic review

Individualized funding interventions to improve health and social care outcomes for people with a disability: A mixed?methods systematic review Individualized funding interventions to improve health and social care outcomes for people with a disability: A mixed‐methods systematic review - Fleming - 2019 - Campbell Systematic Reviews - Wiley Online Library By continuing to browse this site, you agree to its use of cookies as described in our . Search within Search term Search term SYSTEMATIC (...) REVIEW Open Access Individualized funding interventions to improve health and social care outcomes for people with a disability: A mixed‐methods systematic review Corresponding Author E-mail address: Department of Psychology, Centre for Mental Health and Community Research, John Hume Building, National University of Ireland Maynooth, Maynooth, Co. Kildare, Ireland Correspondence Pádraic Fleming, Centre for Mental Health and Community Research, Maynooth University Department of Psychology, John Hume

2019 Campbell Collaboration

191. Optimal Onset-to-Admission Interval for Inpatient Stroke Rehabilitation

of daily living independent prior to admission, and rehabilitation length of stay. g Logistic regression analysis on OAI adjusted for disability severity (FIM score) or age. Variables individually entered in the logistic regression model and 95% CIs of OR calculated. No adjustment of significance level was made to account for multiple comparisons. h The 3 OAI groups differed significantly in percentage of dropouts with 17.8% of dropouts in the short OAI group compared with 6.67% in the medium OAI group (...) patients. J Chin Med Assoc. 2009;72(5):257-64. (17) Salter K, Jutai J, Hartley M, Foley N, Bhogal S, Bayona N et al. Impact of early vs delayed admission to rehabilitation on functional outcomes in persons with stroke. J Rehabil Med. 2006 Mar;38(2):113-7. (18) Maulden SA, Gassaway J, Horn SD, Smout RJ, DeJong G. Timing of initiation of rehabilitation after stroke. Arch Phys Med Rehab. 2005;86(12 Suppl):S34-S40. (19) Musicco M, Emberti L, Nappi G, Caltagirone C. Early and long-term outcome

2013 Health Quality Ontario

192. Effectiveness of Increased Intensity of Rehabilitation in Post-Stroke Patients

Population Stroke is a leading cause of disability, and patients who have had a stroke often have long-term difficulties in performing activities of daily living such as personal care, sitting, or getting out of a chair. Rehabilitation helps stroke survivors regain skills that are lost when part of the brain is affected. It is a major part of patient care and can help to maximize physical function and independence. In June 2012, the Expert Panel on Episode of Care for Stroke suggested that the Evidence (...) ) Baseline: EUR = 8 (6–13); control = 9 (6–14); P = 0.7 3 months: EUR = 17 (8–19); control = 17 (10–19); P = 0.96 6 months: EUR: 18 (11–20);control: 17 (14–18); P = 0.28 Effectiveness of Increased Intensity Post-Stroke Rehabilitation: A Rapid Review. Updated March 2013; pp. 1–24. 11 Study, Year Study design Focus Sample size, N Sample Comparison Groups Scale scores (Barthel or FIM) Mean (SD) Kwakkel et al, 2002 (13) RCT 101 Severely disabled patients during the first 2 weeks after stroke admitted

2013 Health Quality Ontario

193. Community Versus Inpatient Rehabilitation in Hip Fracture Pateints

. Multidisciplinary rehabilitation for older people with hip fractures. Cochrane database of systematic reviews (Online). 2009;(4):CD007125. (11) Toussant EM, Kohia M. A critical review of literature regarding the effectiveness of physical therapy management of hip fracture in elderly persons. Journals of Gerontology Series A - Biological Sciences and Medical Sciences. 2005;60(10):1285-91. (12) van der Putten JJ, Hobart JC, Freeman JA, Thompson AJ. Measuring change in disability after inpatient rehabilitation (...) K. Long-term effects of home rehabilitation after hip fracture - 1- year follow-up of functioning, balance confidence, and health-related quality of life in elderly people. Disability and rehabilitation. 2010;32(1):18-32. (15) Shah S, Vanclay F, Cooper B. Improving the sensitivity of the Barthel Index for stroke rehabilitation. J Clin Epidemiol. 1989;42(8):703-9. (16) Crotty M, Whitehead C, Miller M, Gray S. Patient and caregiver outcomes 12 months after home- based therapy for hip fracture

2013 Health Quality Ontario

194. Inpatient rehabilitation services for the frail elderly

homes and mortality. Rehabilitation was defined as inpatient multidisciplinary programmes with active physiotherapy, occupational therapy or both (WHO international classification of functioning, disability and health framework). The review included 17 RCTs (4780 patients) half of which assessed general geriatric rehabilitation programmes, the rest assessed hip fracture specific geriatric rehabilitation programmes. No trials of stroke rehabilitation met the inclusion criteria. The review found (...) Inpatient rehabilitation services for the frail elderly Inpatient rehabilitation services for the frail elderly • Vale of York CCG and City of York Council are looking to work with York Hospitals NHS Foundation Trust to improve inpatient rehabilitation care for the frail elderly. • There is a reasonable body of evidence to suggest that specialist inpatient rehabilitation services have the potential to improve patient outcomes compared to general care in a hospital setting. • A number of key

2013 Evidence briefings

195. Quality of life and disability: can they be improved by active postoperative rehabilitation after spinal fusion surgery in patients with spondylolisthesis? A randomised controlled trial with 12-month follow-up. Full Text available with Trip Pro

Quality of life and disability: can they be improved by active postoperative rehabilitation after spinal fusion surgery in patients with spondylolisthesis? A randomised controlled trial with 12-month follow-up. The aim of the study was to investigate the effectiveness of the postoperative 12-month exercise program compared to usual care on disability and health-related quality of life (HRQoL) in patients after lumbar spine fusion surgery (LSF).Altogether, 98 patients with isthmic (31 (...) ) or degenerative (67) spondylolisthesis were randomised to exercise therapy group (EG) (n = 48) or usual care group (UCG) (n = 50) 3 months after LSF. EG patients had home-based progressive strength and aerobic training program for 12 months. UCG patients received only oral and written instructions of exercises. Oswestry Disability Index (ODI) and HRQoL (RAND-36) were evaluated at the time of randomization, at the end of the intervention and 1 year after intervention.The mean ODI score decreased from 24 (12

2016 European Spine Journal Controlled trial quality: uncertain

196. The 2015 Nepal Earthquake(s): Lessons Learned From the Disability and Rehabilitation Sector's Preparation for, and Response to, Natural Disasters. Full Text available with Trip Pro

The 2015 Nepal Earthquake(s): Lessons Learned From the Disability and Rehabilitation Sector's Preparation for, and Response to, Natural Disasters. The frequency of natural disasters appears to be mounting at an alarming rate, and the degree to which people are surviving such traumatic events also is increasing. Postdisaster survival often triggers increases in population and individual disability-related outcomes in the form of impairments, activity limitations, and participation restrictions (...) , all of which have an important impact on the individual, his or her family, and their community. The increase in postdisaster disability-related outcomes has provided a rationale for the increased role of the disability and rehabilitation sector's involvement in emergency response, including physical therapists. A recent major earthquake that has drawn the world's attention occurred in the spring of 2015 in Nepal. The response of the local and international communities was large and significant

2016 Physical therapy

197. Cost-efficiency of specialist inpatient rehabilitation for working-aged adults with complex neurological disabilities: a multicentre cohort analysis of a national clinical data set. Full Text available with Trip Pro

Cost-efficiency of specialist inpatient rehabilitation for working-aged adults with complex neurological disabilities: a multicentre cohort analysis of a national clinical data set. To evaluate functional outcomes, care needs and cost-efficiency of specialist rehabilitation for a multicentre cohort of inpatients with complex neurological disability, comparing different diagnostic groups across 3 levels of dependency.A multicentre cohort analysis of prospectively collected clinical data from (...) the UK Rehabilitation Outcomes Collaborative (UKROC) national clinical database, 2010-2015.All 62 specialist (levels 1 and 2) rehabilitation services in England.Working-aged adults (16-65 years) with complex neurological disability.all episodes with length of stay (LOS) 8-400 days and complete outcome measures recorded on admission and discharge. Total N=5739: acquired brain injury n=4182 (73%); spinal cord injury n=506 (9%); peripheral neurological conditions n=282 (5%); progressive conditions n=769

2016 BMJ open

198. A randomized controlled trial of the computer-based cognitive rehabilitation program for children (CoTras-C) to examine cognitive function and visual perception in children with developmental disabilities. Full Text available with Trip Pro

A randomized controlled trial of the computer-based cognitive rehabilitation program for children (CoTras-C) to examine cognitive function and visual perception in children with developmental disabilities. [Purpose] This study aimed to investigate the effects of a computer-based cognitive rehabilitation program for children with developmental disabilities. [Subjects] Subjects included 29 children with developmental disabilities. [Methods] The subjects were randomly allocated to either (...) . [Results] Both groups showed statistically significant improvement in their scores after intervention. Additionally, there were significant differences in the scores between the two groups. [Conclusion] The computer-based cognitive rehabilitation with CoTras-C may be helpful in improving the recovery of cognitive function and visual perception in children with developmental disabilities.

2016 Journal of physical therapy science Controlled trial quality: uncertain

199. Stakeholders’ perceptions of rehabilitation services for individuals living with disability: a survey study Full Text available with Trip Pro

Stakeholders’ perceptions of rehabilitation services for individuals living with disability: a survey study The World Health Organization (WHO) was tasked with developing health system guidelines for the implementation of rehabilitation services. Stakeholders' perceptions are an essential factor to take into account in the guideline development process. The aim of this study was to assess stakeholders' perceived feasibility and acceptability of eighteen rehabilitation services and the values (...) they attach to ten rehabilitation outcomes.We disseminated an online self-administered questionnaire through a number of international and regional organizations from the different WHO regions. Eligible individuals included persons with disability, caregivers of persons with disability, health professionals, administrators and policy makers. The answer options consisted of a 9-point Likert scale.Two hundred fifty three stakeholders participated. The majority of participants were health professional (64

2016 Health and quality of life outcomes

200. Barriers to the Implementation of the Health and Rehabilitation Articles of the United Nations Convention on the Rights of Persons with Disabilities in South Africa Full Text available with Trip Pro

Barriers to the Implementation of the Health and Rehabilitation Articles of the United Nations Convention on the Rights of Persons with Disabilities in South Africa The United Nations (UN) Convention on the Rights of Persons with Disabilities (CRPD) is a milestone in the recognition of the human rights of persons with disabilities, including the right to health and rehabilitation. South Africa has signed and ratified the CRPD but still has a long way to go in reforming policies and systems (...) in order to be in compliance with the convention. This paper seeks to fill a gap in the literature by exploring what the barriers to the implementation of the health and rehabilitation articles of the CRPD are, as identified by representatives of the disability community.This investigation used a qualitative, exploratory methodology. 10 semi-structured interviews of a purposive sample of representatives of disabled persons organizations (DPOs), non-governmental organizations (NGOs), and service

2016 International journal of health policy and management

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