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81. Preferred rehabilitation setting among stroke survivors in Nigeria and associated personal factors Full Text available with Trip Pro

rehabilitation setting data were obtained using the Modified Rankin Scale (to assess global disability) and a researcher-developed questionnaire. Associations between preferences and personal factors were explored using bivariate statistics.Sixty stroke patients whose mean age was 53.6 ± 14.8 years participated in the study. Most of the participants (38.3%) preferred an outpatient setting, 19 (31.7%) preferred rehabilitation in their homes, 14 chose inpatient rehabilitation (23.3%), while 4 (6.7%) preferred (...) Preferred rehabilitation setting among stroke survivors in Nigeria and associated personal factors Incorporating patients' preferences in the care they receive is an important component of evidence-based practice and patient-centred care.This study assessed stroke patients' preferences regarding rehabilitation settings.A cross-sectional design was used to examine preferences of stroke patients receiving physiotherapy at three hospitals in Northern Nigeria. Personal factors and preferred

2018 African journal of disability

82. Deprivation of Liberty in the Rehabilitation Setting

Deprivation of Liberty in the Rehabilitation Setting President: Professor Diane Playford | Registered charity number 293196 C/o Royal College of Physicians, 11 St Andrews Place, London NW1 4LE Tel: 01992 638 865 | Fax: 01922 638 674 | admin@bsrm.co.uk | www.bsrm.org.uk Position statement Deprivation of Liberty in the Rehabilitation Setting Definitions The European Court of Human Rights (“the Strasbourg court”) has confirmed that a deprivation of liberty for the purposes of article 5(1) has (...) that is proportionate to the risk and clinical setting and should in part be determined by clinical judgement. When a patient is constrained by the fact of their physical disability, ie, they are immobile, their restriction of movement is not imputed by the state but by their condition. So, for example a patient in MCS or VS, or other profound disability should not be subject to a DoLS, simply because they cannot move around independently or require continuous supervision. For more mobile patients, we also agree

2017 British Society of Rehabilitation Medicine

83. Part 2: The feasibility of utilising photovoice method and the World Health Organization Quality of Life instrument in evaluating the Community-Based Rehabilitation programme in Namibia: A pilot study Full Text available with Trip Pro

Part 2: The feasibility of utilising photovoice method and the World Health Organization Quality of Life instrument in evaluating the Community-Based Rehabilitation programme in Namibia: A pilot study Evaluation of Community-Based Rehabilitation (CBR) programmes in Namibia has been primarily quantitative, focusing mainly on outputs, including numbers of persons with disabilities served, referrals made and activities implemented. Little or no evidence is available on experiences and quality (...) of life of persons with disabilities, despite the CBR programme being operational for more than 20 years. The 2011 World Report on Disability recommended the use of appropriate tools to fill the research gap by integrating the experiences of persons with disabilities and their quality of life.The overall objective of the larger cohort study is to develop a monitoring and evaluation tool that can measure and integrate the experiences of persons with disabilities and their quality of life within

2018 African journal of disability

84. The effect of different ways of organising municipal rehabilitation services with respect to persons with neurological conditions

is to answer the following question: What is the effect of different ways of organising municipal habilitation- and rehabilitation services with respect to people with neurological conditions? Impairment, disability, activity, participation, quality of life, satisfaction with health care, and hospital admissions are key outcome measures. Method We have prepared a systematic review in accordance with the Norwegian Knowledge Centre for the Health Services’ methods, about the effect of different ways (...) content, but organised different from the intervention. Private rehabilitation services (or organised partly in hospital, if the service mainly is organised in the municipal health services). For example, habilitation and rehabilitation services in other localisation/setting. Other forms of organisation of multidisciplinary habilitation and rehabilitation services. Outcomes: Disability, coping skills, self-care management, quality of life, independency, participation, quality adjusted life years

2016 Norwegian Institute of Public Health

85. Democratizing Neurorehabilitation: How Accessible are Low-Cost Mobile-Gaming Technologies for Self-Rehabilitation of Arm Disability in Stroke? Full Text available with Trip Pro

Democratizing Neurorehabilitation: How Accessible are Low-Cost Mobile-Gaming Technologies for Self-Rehabilitation of Arm Disability in Stroke? Motor-training software on tablets or smartphones (Apps) offer a low-cost, widely-available solution to supplement arm physiotherapy after stroke. We assessed the proportions of hemiplegic stroke patients who, with their plegic hand, could meaningfully engage with mobile-gaming devices using a range of standard control-methods, as well as by using (...) satisfied recruitment criteria and completed testing. The commonest reason for exclusion was cognitive impairment. Using conventional controls, the proportion of patients able to direct cursor movement was 38-48%; and to move it full-range was 55-67% (controller comparison: p>0.1). By comparison, handgrip enabled directed control in 75%, and full-range movement in 93% (controller comparison: p<0.001). This difference between controllers was most apparent amongst severely-disabled subjects, with 0

2016 PLoS ONE

86. Home-Based Versus Centre-Based Rehabilitation for Community-Dwelling Postacute Stroke Patients: An Economic Rapid Review

rehabilitation for community dwelling postacute stroke patients. Clinical Need and Target Population Rehabilitation plays an important role in reducing disability during functional recovery of stroke patients. (1) Continual improvements in activities of daily living are observed in stroke patients who continue stroke rehabilitation after completing inpatient rehabilitation. (2) Although the benefits of continuing rehabilitation are clear, there is continual debate over the appropriate location (...) , Community Stroke Rehabilitation Team Rebecca Fleck Hamilton Health Sciences Centre Regional Stroke Educator and Research Coordinator Home-Based Versus Centre-Based Rehabilitation for Community-Dwelling Postacute Stroke Patients: An Economic Rapid Review. February 2015; pp. 1–23 12 Name Affiliation(s) Appointment(s) Physiotherapy Sara McEwen Sunnybrook Research Institute, St. John's Rehab Research Scientist Stefan Pagliuso Hamilton Health Sciences Centre Regional Stroke Rehabilitation, Community and LTC

2015 Health Quality Ontario

87. Pulmonary Rehabilitation for Postacute Exacerbations of Chronic Obstructive Pulmonary Disease (COPD): A Cost-Effectiveness and Budget Impact Analysis

and education, breathing and energy conservation strategies, and psychosocial support). An examination of the literature revealed an apparently stronger positive effect on HRQOL that was achieved with longer PR programs. (6) By focusing on physical and psychological patient needs, PR addresses the chronic and disabling aspect of COPD. Pulmonary Rehabilitation for Postacute Exacerbations of Chronic Obstructive Pulmonary Disease (COPD): A Cost-Effectiveness and Budget Impact Analysis. February 2015; pp. 1-47 (...) Pulmonary Rehabilitation for Postacute Exacerbations of Chronic Obstructive Pulmonary Disease (COPD): A Cost-Effectiveness and Budget Impact Analysis Pulmonary Rehabilitation for Postacute Exacerbations of Chronic Obstructive Pulmonary Disease (COPD): A Cost-Effectiveness and Budget Impact Analysis. February 2015; pp. 1-47 Pulmonary Rehabilitation for Postacute Exacerbations of Chronic Obstructive Pulmonary Disease (COPD): A Cost-Effectiveness and Budget Impact Analysis X XIE, M WANG, A SCHAINK

2015 Health Quality Ontario

88. Home-Based Versus Centre-Based Rehabilitation for Community- Dwelling Postacute Stroke Patients

cerebrovascular diseases are the third leading cause of death. Stroke is also the leading cause of disability in adults, with nearly 300,000 Canadians affected. Rehabilitation is a pivotal component of comprehensive stroke care, as it enables impaired patients to reach their optimal physical, cognitive, emotional, and/or functional level. (1) Ideally, postacute community-dwelling stroke patients should receive rehabilitation services that are flexible and appropriate for their specific needs. (2 (...) specify where the optimal setting to receive rehabilitation is. It is therefore important to review current evidence to determine whether a patient should receive rehabilitation at a centre or at home. This will enable Ontario service providers to ensure that patients are receiving rehabilitation that is appropriate for their specific needs to better facilitate recovery and reduce disability. As legislated in Ontario’s Excellent Care for All Act, Health Quality Ontario’s mandate includes the provision

2015 Health Quality Ontario

89. Parent Advisors in Pediatric Rehabilitation

Parent Advisors in Pediatric Rehabilitation TITLE: Parent Advisors in Pediatric Rehabilitation: Clinical Effectiveness and Guidelines DATE: 19 December 2014 RESEARCH QUESTIONS 1. What is the evidence for the clinical effectiveness of parent advisors for families with a child undergoing physical rehabilitation? 2. What are the evidence-based guidelines regarding the implementation of parent advisors for families with a child undergoing physical rehabilitation? KEY FINDINGS No literature (...) was identified regarding the use of parent advisors in pediatric rehabilitation. References of potential interest are provided in the appendix. METHODS A limited literature search was conducted on key resources including Medline, PubMed, The Cochrane Library (2014, Issue 12), University of York Centre for Reviews and Dissemination (CRD) databases, Canadian and major international health technology agencies, as well as a focused Internet search. No filters were applied to limit the retrieval by study type

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

90. Post-Discharge Therapeutic Recreation Services for Pediatric Rehabilitation

Post-Discharge Therapeutic Recreation Services for Pediatric Rehabilitation Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid responses should (...) for Pediatric Rehabilitation: Clinical Effectiveness DATE: 18 June 2015 RESEARCH QUESTION What is the clinical effectiveness of outreach or community therapeutic recreation services for pediatric patients following discharge from hospital? KEY FINDINGS Four systematic reviews were identified regarding the clinical effectiveness of outreach or community therapeutic recreation services for pediatric patients following discharge from hospital. METHODS A limited literature search was conducted on key resources

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

91. Commercial Fitness Monitors for the Evaluation of Heart Rate in Patients in Hospital or Rehabilitation Settings

Commercial Fitness Monitors for the Evaluation of Heart Rate in Patients in Hospital or Rehabilitation Settings Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time (...) Monitors for the Evaluation of Heart Rate in Patients in Hospital or Rehabilitation Settings: Diagnostic Accuracy, Clinical Effectiveness, and Guidelines DATE: 21 May 2015 RESEARCH QUESTIONS 1. What is the validity and reliability of commercial fitness monitors compared to electrocardiography for evaluating heart rate in patients with pre-existing medical conditions in the hospital or rehabilitation setting? 2. What is the diagnostic accuracy of commercial fitness monitors compared

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

92. Therapeutic Alliance in a Single Versus Group Rehabilitative Setting After Breast Cancer Surgery: Psychological Profile and Performance Rehabilitation. Full Text available with Trip Pro

). All patients underwent the same rehabilitation treatment, but the setting differed between single and group rehabilitative training, which included four to five patients each and evaluated using Minnesota Multiphasic Personality Inventory (MMPI-2), Working Alliance Inventory Patient form (WAIP), Disabilities of Arm, Shoulder and Hand Questionnaire (DASH), and visual analog scale (VAS). Two patients dropped out in the single treatment group. In the within-group analysis at the three evaluation (...) Therapeutic Alliance in a Single Versus Group Rehabilitative Setting After Breast Cancer Surgery: Psychological Profile and Performance Rehabilitation. The survival rate of women after breast cancer has improved significantly worldwide. More attention should be paid to the rehabilitation intervention after surgery. Cancer rehabilitation helps breast cancer survivors maintain the highest possible physical, social, psychological, and vocational function in the limits that are imposed

2019 BioResearch open access Controlled trial quality: uncertain

93. Post-stroke rehabilitation: Factors predicting discharge to acute versus subacute rehabilitation facilities. Full Text available with Trip Pro

Post-stroke rehabilitation: Factors predicting discharge to acute versus subacute rehabilitation facilities. The aim of this study was to examine predictors of discharge of hospitalized stroke patients to either an acute inpatient rehabilitation facility (IRF) or subacute skilled nursing facility (SNF).A retrospective cohort study was done in a large multicampus urban academic medical center of individuals hospitalized for stroke between January 1, 2015 and December 31, 2015 and who were (...) discharged to either an IRF (n = 84) or SNF (n = 59). A set of characteristics and scales were collected on each patient and assessed using univariate and multivariate regression analyses.Although univariate analyses revealed multiple measures were associated with discharge destination, the most predictive multivariate logistic regression model for discharge to SNF incorporated age (odds ratio [OR] = 1.09, 95% confidence interval [CI], 1.05-1.13), premorbid physical disability (OR 7.52, 95% CI 1.66-34.14

2019 Medicine

94. Is a government-regulated rehabilitation guideline more effective than general practitioner education or preferred-provider rehabilitation in promoting recovery from acute whiplash-associated disorders? A pragmatic randomised controlled trial. Full Text available with Trip Pro

Is a government-regulated rehabilitation guideline more effective than general practitioner education or preferred-provider rehabilitation in promoting recovery from acute whiplash-associated disorders? A pragmatic randomised controlled trial. To evaluate the effectiveness of a government-regulated rehabilitation guideline compared with education and activation by general practitioners, and to a preferred-provider insurance-based rehabilitation programme on self-reported global recovery from (...) acute whiplash-associated disorders (WAD) grade I-II.Pragmatic randomised clinical trial with blinded outcome assessment.Multidisciplinary rehabilitation clinics and general practitioners in Ontario, Canada.340 participants with acute WAD grade I and II. Potential participants were sampled from a large automobile insurer when reporting a traffic injury.Participants were randomised to receive one of three protocols: government-regulated rehabilitation guideline, education and activation by general

2019 BMJ open Controlled trial quality: predicted high

95. Protocol for a Randomized Controlled Trial of CI Therapy for Rehabilitation of Upper Extremity Motor Deficit: The Bringing Rehabilitation to American Veterans Everywhere Project. (Abstract)

Protocol for a Randomized Controlled Trial of CI Therapy for Rehabilitation of Upper Extremity Motor Deficit: The Bringing Rehabilitation to American Veterans Everywhere Project. Constraint-induced movement therapy (CI therapy) has been shown to reduce disability for individuals with upper extremity (UE) hemiparesis following different neurologic injuries. This article describes the study design and methodological considerations of the Bringing Rehabilitation to American Veterans Everywhere

2019 The Journal of head trauma rehabilitation Controlled trial quality: uncertain

96. Can propensity score matching be applied to cross-sectional data to evaluate Community-Based Rehabilitation? Results of a survey implementing the WHO's Community-Based Rehabilitation indicators in Vietnam. Full Text available with Trip Pro

Can propensity score matching be applied to cross-sectional data to evaluate Community-Based Rehabilitation? Results of a survey implementing the WHO's Community-Based Rehabilitation indicators in Vietnam. Community-Based Rehabilitation (CBR) is a multi-sectoral approach working to equalise opportunities and include people with disabilities in all aspects of life. The complexity of CBR and often limited resources lead to challenges when attempting to quantify its effectiveness

2019 BMJ open

97. Preserved brain functional plasticity after upper limb task-oriented rehabilitation in progressive multiple sclerosis. (Abstract)

measures were detected.Progressive multiple sclerosis patients with mild UL dysfunction benefit from task-oriented UL rehabilitation, which seems to be more efficient than simple passive mobilization. Despite a high burden of disability and brain damage, functional adaptive capacities seem to be preserved, thus providing a rationale for the use of rehabilitative treatments in late PMS.© 2019 European Academy of Neurology. (...) Preserved brain functional plasticity after upper limb task-oriented rehabilitation in progressive multiple sclerosis. Limited research has been dedicated to upper limb (UL) rehabilitation in progressive multiple sclerosis (PMS). The objective in this pilot study was to investigate the effect of task-oriented UL rehabilitation in PMS and to perform explorative analyses of the magnetic resonance imaging (MRI) correlates of changes in motor performance.Twenty-six PMS patients with mild UL

2020 European Journal of Neurology Controlled trial quality: uncertain

98. Do individual and work-related factors differentiate work participation trajectories before and after vocational rehabilitation? Full Text available with Trip Pro

to full disability retirement or unemployment. Among the "Medium-Resumed" (25.5%) and "Longstanding Negligible" (18.3%) groups, work disability and unemployment were common before rehabilitation, but afterwards those assigned to the former group often returned to full or partial duties. Overall, older age, male gender, living in areas with lower employment rates, having lower education, being employed in the private sector, and having mental diagnoses were associated with the other three trajectories (...) Do individual and work-related factors differentiate work participation trajectories before and after vocational rehabilitation? Understanding diverse labor market trajectories around vocational rehabilitation provides important insight into potential effectiveness of rehabilitation efforts. We examined factors associated with work participation trajectories before and after vocational rehabilitation.Using nationwide Finnish register data of 7180 vocational rehabilitees, we constructed latent

2019 PLoS ONE

99. Anodal Transcranial Direct-Current Stimulation to Enhance Rehabilitation in Individuals With Rotator Cuff Tendinopathy: A Triple-Blind Randomized Controlled Trial (Abstract)

Anodal Transcranial Direct-Current Stimulation to Enhance Rehabilitation in Individuals With Rotator Cuff Tendinopathy: A Triple-Blind Randomized Controlled Trial Background Anodal transcranial direct-current stimulation (a-tDCS) has been shown to enhance the effects of sensorimotor training in neurological populations. Sensorimotor training leads to reduced pain and increased function in the treatment of rotator cuff tendinopathy. The addition of a-tDCS during a rehabilitation program centered (...) on sensorimotor training may improve treatment outcomes in individuals with rotator cuff tendinopathy. Objective To compare 2 groups of individuals with rotator cuff tendinopathy, one receiving a rehabilitation program centered on sensorimotor training with a-tDCS and the other receiving the same rehabilitation program with sham a-tDCS. Methods In this triple-blind, parallel-group randomized controlled trial, 40 adults with rotator cuff tendinopathy participated in a 6-week rehabilitation program (8

2018 EvidenceUpdates

100. Motivational Interviewing Improves Sustainable Return to Work in Injured Workers After Rehabilitation: A Cluster Randomized Controlled Trial (Abstract)

Motivational Interviewing Improves Sustainable Return to Work in Injured Workers After Rehabilitation: A Cluster Randomized Controlled Trial To examine whether motivational interviewing (MI) leads to more sustainable return-to-work outcomes for injured workers undergoing rehabilitation.Cluster randomized controlled trial.Workers' compensation rehabilitation facility.Claimants (N=728) undergoing rehabilitation for musculoskeletal conditions, who were predominantly employed (529, 72.7%) men (460 (...) , 63.2%) with chronic conditions (mean duration, 234d).MI is a goal-oriented, client-centered counseling approach that facilitates behavioral change through identifying and resolving ambivalence. Treating clinicians at the facility were randomized into 2 groups. One group included 6 clinicians who were trained to conduct MI interventions during rehabilitation, while the control group included 6 clinicians who continued standard procedures.Outcomes included compensation outcomes over 1 year after

2018 EvidenceUpdates

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