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101. Factors Predicting Falls and Mobility Outcomes in Patients With Stroke Returning Home After Rehabilitation Who Are at Risk of Falling Full Text available with Trip Pro

Factors Predicting Falls and Mobility Outcomes in Patients With Stroke Returning Home After Rehabilitation Who Are at Risk of Falling To identify factors predicting falls and limited mobility in people with stroke at 12 months after returning home from rehabilitation.Observational cohort study with 12-month follow-up.Community.People with stroke (N=144) and increased falls risk discharged home from rehabilitation.Not applicable.Falls were measured using monthly calendars completed (...) by participants, and mobility was assessed using gait speed over 5m (high mobility: >0.8m/s vs low mobility: ≤0.8m/s). Both measures were assessed at 12 months postdischarge. Demographics and functional measures, including balance, strength, visual or spatial deficits, disability, physical activity level, executive function, functional independence, and falls risk, were analyzed to determine factors significantly predicting falls and mobility levels after 12 months.Those assessed as being at high falls risk

2018 EvidenceUpdates

102. Addition of an educational programme for primary caregivers to rehabilitation improves self-care and mobility in children with cerebral palsy: a randomized controlled trial (Abstract)

of Disability Inventory were assessed by a blinded assessor. The clinical outcomes were obtained at the completion of treatment (12 weeks).Of the 63 patients included, 60 (mean ± SD age: 4.6 ± 2.74 years) completed the protocol. The combined education and rehabilitation, as compared with conventional rehabilitation alone, yielded significantly greater benefit in the self-care domain of the Functional Skills Scale (mean change 1.74 versus 5; P = 0.001), self-care (mean change 5.52 versus 13.99; P = 0.017 (...) ) and the mobility domain of the Caregiver Assistance Scale of Pediatric Evaluation of Disability Inventory (mean change 0.87 versus 17.88; P = 0.002).Self-care and mobility improved in children with cerebral palsy with the addition to conventional rehabilitation of an educational programme for primary caregivers.

2018 EvidenceUpdates

103. Effects of early virtual reality-based rehabilitation in patients with total knee arthroplasty: A randomized controlled trial. Full Text available with Trip Pro

total knee arthroplasty (TKA).In this randomized controlled clinical trial, 85 subjects met the inclusion criteria and were randomized 3 to 4 days after TKA to an inpatient VR-based rehabilitation and a traditional rehabilitation. Participants in both groups received 60 minutes/day sessions until discharge (around 10 days after surgery). The primary outcome was the pain intensity. The secondary outcomes were: the disability knee, the health related quality of life, the global perceived effect (...) Effects of early virtual reality-based rehabilitation in patients with total knee arthroplasty: A randomized controlled trial. Virtual reality (VR)-based rehabilitation is a promising approach for improving recovery in many conditions to optimize functional results, enhancing the clinical and social benefits of surgery.To assess the efficacy of an early rehabilitation performed by the VR-based rehabilitation versus the traditional rehabilitation provided by physical therapists after primary

2020 Medicine

104. A case report on intensive, robot-assisted rehabilitation program for brainstem radionecrosis. Full Text available with Trip Pro

the usefulness of neurorobotic intensive rehabilitation in BRN to reduce functional disability. Future studies should investigate whether an earlier, even multidisciplinary rehabilitative treatment could lead to better functional outcome in patients with BRN. (...) A case report on intensive, robot-assisted rehabilitation program for brainstem radionecrosis. Radiotherapy is a valid treatment option for nasopharyngeal carcinoma. However, complications can occur following irradiation of the closest anatomical structures, including brainstem radionecrosis (BRN). The rehabilitation is poorly described in patients with BRN, despite its usefulness in improving functional independence in patients with brain tumors. We aimed at testing the usefulness of intensive

2020 Medicine

105. The research of Tuna Huichun Gong on pulmonary function, exercise tolerance, and quality of life in patients with chronic obstructive pulmonary disease based on the concept of early pulmonary rehabilitation. Full Text available with Trip Pro

The research of Tuna Huichun Gong on pulmonary function, exercise tolerance, and quality of life in patients with chronic obstructive pulmonary disease based on the concept of early pulmonary rehabilitation. Chronic obstructive pulmonary disease (COPD) is a common high-burden and highly disabling lung disease. The quality of life and exercise endurance of patients with COPD is often low because of atrophy of the respiratory and skeletal muscles. Although recommended by the global initiative (...) for chronic obstructive lung disease guidelines, pulmonary rehabilitation (PR) has not been used widely because of its inherent limitations. Tuna-Hui-Chun-Gong (TNHCG) is a popular traditional exercise used to treat COPD in China. We aim to evaluate the safety and efficacy of TNHCG for PR of COPD.The provided protocol is for a single-blind randomized controlled trial in which 120 COPD patients will be randomly and equally divided into the experimental or control group. The control group will be treated

2020 Medicine

106. Evaluation of rehabilitation effect of five-step exercises on patients with radiculopathy of cervical vertebra. Full Text available with Trip Pro

of elementary nursing measures. The rehabilitation effect of five-step exercises on CSR patients was evaluated by Neck Disability Index (NDI), Visual Analogue Scale (VAS), and Cervical range of motion measured (CROM) before and after intervention.The results of this trial will be published on the website of China Clinical Trial Registration Center (http://www.chictr.org.cn/searchproj.aspx) and in peer-reviewed journals or academic conferences.This study will examine the feasibility and preliminary effects (...) Evaluation of rehabilitation effect of five-step exercises on patients with radiculopathy of cervical vertebra. Among all types of cervical spondylitis, cervical spondylitis radiculopathy (CSR) has the highest incidence. The incidence of CSR increases year by year and is generally younger, which has seriously threatened people's quality of life and affected their work and life. This study proposes to improve the recovery rate of patients with CSR, delay the recurrence, improve the symptoms

2020 Medicine

107. Current Concepts in Rehabilitation Protocols to Optimize Patient Function Following Musculoskeletal Trauma. Full Text available with Trip Pro

Current Concepts in Rehabilitation Protocols to Optimize Patient Function Following Musculoskeletal Trauma. Musculoskeletal (MSK) trauma is a major cause of disability and pain worldwide. Despite surgical advances following MSK injuries, poor functional outcomes following surgery remain a major public health concern. Traditional methods of rehabilitation involving bed rest and immobilization led to muscle weakness, joint stiffness, and an inability to return to previous levels of activity (...) . Recent research has provided evidence that early rehabilitation with a multidisciplinary team can prevent these negative outcomes and improve functional outcomes following MSK trauma. In order to continue to optimize recovery, standardized rehabilitation protocols and technological advances are required.Copyright © 2020. Published by Elsevier Ltd.

2020 Injury

108. Functional outcomes of spasticity-reducing surgery and rehabilitation at 1-year follow-up in 30 patients. (Abstract)

. Hand surgery combined with early and comprehensive rehabilitation improves function, activity and patients' satisfaction in patients with disabling spasticity with improvement lasting for at least 1 year. Level of evidence: II. (...) Functional outcomes of spasticity-reducing surgery and rehabilitation at 1-year follow-up in 30 patients. The effects of spasticity-reducing surgery in the upper extremity were assessed in a prospective observational study of 30 consecutive patients with stroke (n = 13), incomplete spinal cord injury (n = 9), traumatic brain injury (n = 5), cerebral palsy (n = 2), and degenerative central nervous system disease (n = 1). Surgery, which included lengthening of tendons and release of muscles

2020 Journal of Hand Surgery - European

109. Belrai suite of instruments: an exploratory study on applicability for individual care planning and budget allocation in rehabilitation care

FOR ASSESSING THE REHABILITATION NEEDS OF THE INDIVIDUAL PATIENT? 8 3.1.1. Use of the interRAI/BelRAI suite in the specialised rehabilitation services (Sp services) 8 3.1.2. Use of the interRAI/BelRAI suite in the Centres for Ambulatory Rehabilitation (CARs) 8 3.1.3. InterRAI suite in relation to the International Classification of Functioning, Disability and Health (ICF) and Functional Independence Measurement (FIM) 8 3.2. CAN THE INTERRAI/BELRAI SUITE ALSO BE USED TO ALLOCATE BUDGETS FOR REHABILITATION (...) of Functioning, Disability and Health (ICF) and Functional Independence Measurement (FIM) The Belgian clinicians and the working group of Zorgnet Vlaanderen (Zorgnet Vlaanderen, 2012) find the ICF (International Classification of Functioning, Disability and Health) to be a suitable conceptual framework for assessing the functioning and needs of patients in musculoskeletal and neurological rehabilitation. The two comparative studies that we found (Berg et al., 2009;Prodinger et al., 2015) confirm

2016 Belgian Health Care Knowledge Centre

110. Learning disabilities and behaviour that challenges: service design and delivery

, or a learning disability specialism within a community forensic team. Recommendations for service pr Recommendations for service providers, including for oviders, including forensic services ensic services 1.4.13 When forensic community learning disability services are supporting children, young people and adults with a learning disability (for example, if they are subject to a forensic community rehabilitation order or a community treatment order), they should enable them to live in the community, as close (...) of their treatment or rehabilitation order. 1.4.16 Forensic learning disability services, mental health, specialist voluntary sector organisations, learning disability services and social care services should establish care pathways and close links with each other to help them refer people quickly between these services to get the right support and effectively manage risk. Learning disabilities and behaviour that challenges: service design and delivery (NG93) © NICE 2019. All rights reserved. Subject to Notice

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

111. Using concept mapping to develop a human rights based indicator framework to assess country efforts to strengthen rehabilitation provision and policy: the Rehabilitation System Diagnosis and Dialogue framework (RESYST) Full Text available with Trip Pro

health coverage and meet the central imperative of "leaving no one behind" countries must be able to assess key aspects of rehabilitation policy and provision and monitor how they have discharged their human rights responsibilities towards those most disadvantaged, including people with disability. This article describes the process of developing an expert guided indicator framework to assess governments' efforts and progress in strengthening rehabilitation in line with the Convention on the Rights (...) Using concept mapping to develop a human rights based indicator framework to assess country efforts to strengthen rehabilitation provision and policy: the Rehabilitation System Diagnosis and Dialogue framework (RESYST) Rehabilitation is crucial for the realization of the right to health and a proper concern of global health. Yet, reliable information to guide rehabilitation service planning is unavailable in many countries in part due to the lack of appropriate indicators. To ensure universal

2018 Globalization and health

112. Rehabilitation pharmacotherapy: A combination of rehabilitation and pharmacotherapy Full Text available with Trip Pro

Rehabilitation pharmacotherapy: A combination of rehabilitation and pharmacotherapy Sarcopenia, malnutrition, and polypharmacy are major causes of frailty in older people. Some frail older people become disabled through stroke, pneumonia, hip fracture, and other diseases. Sarcopenia, malnutrition, and polypharmacy tend to worsen disability in older people. Rehabilitation pharmacotherapy and rehabilitation nutrition are important to improve frailty and disability in older people under

2018 Journal of General and Family Medicine

113. Rehabilitation following rotator cuff repair: A work of the Commission Rehabilitation of the German Society of Shoulder and Elbow Surgery e. V. (DVSE) in collaboration with the German Association for Physiotherapy (ZVK) e. V., the Association Physical Full Text available with Trip Pro

Rehabilitation following rotator cuff repair: A work of the Commission Rehabilitation of the German Society of Shoulder and Elbow Surgery e. V. (DVSE) in collaboration with the German Association for Physiotherapy (ZVK) e. V., the Association Physical Tears and lesions of the rotator cuff are a frequent cause of shoulder pain and disability. Surgical repair of the rotator cuff is a valuable procedure to improve shoulder function and decrease pain. However, there is no consensus concerning (...) the rehabilitation protocol following surgery.To review and evaluate current rehabilitation contents and protocols after rotator cuff repair by reviewing the existing scientific literature and providing an overview of the clinical practice of selected German Society of Shoulder and Elbow Surgery e. V. (DVSE) shoulder experts.A literature search for the years 2004-2014 was conducted in relevant databases and bibliographies including the Guidelines International Network, National Guidelines, PubMed, Cochrane

2018 Obere Extremitat

114. Combining the Pulmonary Rehabilitation Decisional Score with the Bode Index and Clinical Opinion in Assigning Priority for Pulmonary Rehabilitation. (Abstract)

Combining the Pulmonary Rehabilitation Decisional Score with the Bode Index and Clinical Opinion in Assigning Priority for Pulmonary Rehabilitation. Combining objective tools with clinical decision (CD) may help clinicians identify the priority for pulmonary rehabilitation (PR) in patients with COPD. We aimed to assess the specificity, sensitivity and efficiency of a new tool, the Pulmonary Rehabilitation Decisional Score (PRDS), and its correlation with the BODE index (BI) and CD in assigning (...) aspects such as disability and fragility. PRDS and BI are nonetheless equally efficient at detecting discrepancies versus CD alone, especially when the priority for PR is defined as low or very high.

2018 COPD

115. Feasibility & Effect of a Tele-rehabilitation Program for Chronic Obstructive Pulmonary Disease vs. Standard Rehabilitation

in the Helsinki Declaration II. Condition or disease Intervention/treatment Phase COPD Combination Product: Tele Rehab Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 54 participants Allocation: Randomized Intervention Model: Parallel Assignment Intervention Model Description: The study is a prospective randomized controlled trial comparing the effects of tele-rehabilitation and conventional rehabilitation in patients (...) in real time. Combination Product: Tele Rehab The intervention group will obtain telerehabilitation Active Comparator: Control COPD patients in the control group will undergo the conventional standardized rehabilitation program as implemented at the Department of Respiratory Medicine and Allergy, Aarhus University Hospital. The program is an 8 weeks program consisting of 2 weekly group training sessions at the hospital with instruction by a physiotherapists and 6 hours of education about COPD and its

2018 Clinical Trials

116. Evidence and gap map of studies assessing the effectiveness of interventions for people with disabilities in low?and middle?income countries

Evidence and gap map of studies assessing the effectiveness of interventions for people with disabilities in low?and middle?income countries The evidence for disability interventions is unevenly distributed by sector and geography, and much of it is of poor quality What is the aim of this evidence and gap map (EGM)? The aim of this EGM is to show all the available evidence from systematic reviews and impact evaluations of interventions to improve the welfare of people with disabilities (...) and their families in low- and middle-income countries (LMICs). There is a considerable body of evidence related to interventions for people with disabilities and their families in low- and middle-income countries (LMICs), but it is unevenly distributed by sector and geography, and much of it is of low quality. What is this evidence and gap map about? There are approximately one billion people in the world with some form of disability – about 15% of the world’s population. The majority of people

2020 Campbell Collaboration

117. Covid-19: Alert Level 3 guidance for disability community residential care providers

does Alert Level 3 mean for people under the High and Complex Framework? • For people living in residential or hospital level services under Intellectual Disability (Compulsory Care & Rehabilitation) Act 2003, the guidance will be the same as for mainstream residential services in relation to Alert Level 3 requirements for managing transmission risk. However, as individuals in High and Complex Framework services, assessment of any risks will also be required in relation to visitors at any time (...) . • For people who are subject to the Intellectual Disability (Compulsory Care & Rehabilitation) Act 2003, leave will be required for visits into the community including visits with family as part of limited social contact. For care recipients, leave will be approved by Care Managers. For Special Care Recipients leave approvals need to come through the Ministry as per usual process. More information We hope this information has been useful. Please get in touch with your portfolio manager if you have any

2020 Covid-19 Ad hoc guidelines

118. Qualitative exploration of the benefits of group-based memory rehabilitation for people with neurological disabilities: implications for rehabilitation delivery and evaluation. Full Text available with Trip Pro

Qualitative exploration of the benefits of group-based memory rehabilitation for people with neurological disabilities: implications for rehabilitation delivery and evaluation. To identify patient-perceived benefits of memory rehabilitation and draw transferrable lessons for the delivery and evaluation of similar interventions for people with neurological disabilities.A qualitative study was conducted as part of a pragmatic randomised controlled trial comparing 2 memory rehabilitation (...) approaches with a self-help control group. Postintervention interviews were conducted with 20 participants with a diagnosis of traumatic brain injury, multiple sclerosis or stroke. Data were analysed using a qualitative content analysis approach.Participants receiving memory rehabilitation reported that the sessions responded to previously unmet needs for information on brain injury and memory function and developed their insight along with a sense of self-efficacy and control over the management

2016 BMJ open Controlled trial quality: uncertain

119. Stroke rehabilitation: maximizing arm and hand function after stroke

Stroke rehabilitation: maximizing arm and hand function after stroke Stroke rehabilitation: maximizing arm and hand function after stroke - Evidently Cochrane Search and hit Go By June 28, 2016 // In the third guest blog of our new series Evidence for Everyday Allied Health (#EEAHP), occupational therapist Danny Minkow looks at evidence on interventions to improve upper limb function after stroke. Stroke is the leading cause of disability in developed countries. The effects of stroke (...) healthcare providers a succinct overview of the typical interventions for stroke to rehabilitate the upper limb. So what did they find? Good news and bad news. The bad news is they found that: “There is no high quality evidence for any interventions that are currently routine practice, and evidence is insufficient to enable comparison of the relative effectiveness of interventions.” In other words, the evidence is insufficient to show which of the interventions are the most effective for improving upper

2016 Evidently Cochrane

120. National survey of availability of physical rehabilitation services in Iran: A mixed methods study Full Text available with Trip Pro

National survey of availability of physical rehabilitation services in Iran: A mixed methods study The prevalence of disability in Iran has increased due to ageing of the population and the presence of chronic diseases. However, little is known about the availability of rehabilitation services in Iran.To study the availability of physical rehabilitation services in Iran.This was a mixed method study. In the first phase, a qualitative design was conducted for designing an instrument with focus (...) groups based on Service Availability and Readiness Assessment (SARA) instrument (developed by World Health Organization). Content analysis was used for data analysis. Then, in the second phase, a cross-sectional study was performed to collect the data with census method in Iran. This study was formed from June to October 2015, and samples consisted of all governmental, public non-governmental and private facilities established for rehabilitation centers affiliated with the Ministry of Health

2017 Electronic physician

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