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161. Vocational rehabilitation for enhancing return-to-work in workers with traumatic upper limb injuries. (Abstract)

Vocational rehabilitation for enhancing return-to-work in workers with traumatic upper limb injuries. Traumatic upper limb injury is a leading cause of work-related disability. After return-to-work (RTW), many survivors of injuries are able to regain a quality of life (QoL) comparable with the normal population. Since RTW plays an important role in economic productivity and regaining health-related QoL, enhancing RTW in workers with traumatic limb injuries is the primary goal of rehabilitation (...) citations met our inclusion criteria.There is currently no high-level evidence to support or refute the efficacy of vocational rehabilitation in enhancing RTW in workers with traumatic upper limb injuries. Since vocational rehabilitation has frequently been provided to injured people in occupational settings with the aim of decreasing work disability, enhancing RTW, increasing productivity, and containing the welfare cost, further high-quality RCTs assessing the efficacy of vocational rehabilitation

2013 Cochrane

162. Multidisciplinary rehabilitation after primary brain tumour treatment. (Abstract)

Multidisciplinary rehabilitation after primary brain tumour treatment. Brain tumours can cause significant disability, which may be amenable to multidisciplinary rehabilitation. However, the evidence base for this is unclear.To assess the effectiveness of multidisciplinary rehabilitation in adults after primary brain tumour treatment, especially the types of approaches that are effective (settings, intensity) and the outcomes that are affected.We searched the Cochrane Neuromuscular Disease (...) clinical trials) that compared multidisciplinary rehabilitation in primary brain tumour with either routinely available local services or lower levels of intervention, or studies that compared multidisciplinary rehabilitation in different settings or at different levels of intensity.Three review authors independently assessed study quality, extracted data and performed a 'best evidence' synthesis based on methodological quality.No randomised controlled trials (RCTs) or controlled clinical trials (CCTs

2013 Cochrane

163. Rehabilitation in multiple sclerosis

outpatient rehabilitation possibly is effective for improving disability/function (PPMS, SPMS, EDSS 4.0–8.0) (1 Class II). Motor and sensory balance training or motor balance training (3 weeks) possibly is effective for improving static and dynamic balance, and motor balance training (3 weeks) possibly is effective for improving static balance (RRMS, SPMS, PPMS) (1 Class II). Breathing-enhanced upper extremity exercises (6 weeks) possibly are effective for improving timed gait and forced expiratory (...) of Perceived Exertion ; RRMS = relapsing-remitting multiple sclerosis ; SF-36 = Short Form 36 Health Survey ; SPMS = secondary progressive multiple sclerosis ; SWP = standard weight placement ; TUG = Timed Up and Go test ; VAS = visual analog scale Multiple sclerosis (MS) affects approximately 400,000 individuals in the United States and is a leading cause of disability in young adults. , , Rehabilitation interventions are frequently used clinical strategies for improving or maintaining functional status

2015 American Academy of Neurology

164. Pulmonary Rehabilitation in the Home Versus Other Settings for Individuals With Chronic Obstructive Pulmonary Disease

-Based PR PR in Other Setting Study Outcomes Length of Follow-Up Strijbos et al, 1996 (10) Total: 45 Home PR: 15 Other PR: 15 Control: 15 Home PR: 61 (6) Other PR: 60 (8) Control: 63 (5) Stable COPD Dyspnea on exertion, limiting activities of daily living PaCO2 7.5 kPa at rest, FEV1 postbronchodilation between 600 and 1800 mL, FEV1 <65% predicted Exclusion: ischemic heart disease, musculoskeletal disorders, disabling diseases restricting rehabilitation therapy 12 weeks, 24 sessions x 30 min (...) Pulmonary Rehabilitation in the Home Versus Other Settings for Individuals With Chronic Obstructive Pulmonary Disease Pulmonary Rehabilitation in the Home Versus Other Settings for Individuals With Chronic Obstructive Pulmonary Disease (COPD): A Rapid Review. February 2015; pp. 1–23 Pulmonary Rehabilitation in the Home Versus Other Settings for Individuals With Chronic Obstructive Pulmonary Disease (COPD): A Rapid Review M Wang February 2015 Evidence Development and Standards Branch at Health

2014 Health Quality Ontario

165. Rehabilitation Living Lab in the Mall Community of Practice: Learning Together to Improve Rehabilitation, Participation and Social Inclusion for People Living with Disabilities Full Text available with Trip Pro

Rehabilitation Living Lab in the Mall Community of Practice: Learning Together to Improve Rehabilitation, Participation and Social Inclusion for People Living with Disabilities Communities of practice (CoP) can facilitate collaboration between people who share a common interest, but do not usually work together. A CoP was initiated and developed including stakeholders from clinical, research, community and governmental backgrounds involved in a large multidisciplinary and multi-sectorial (...) project: the Rehabilitation Living Lab in a Mall (RehabMaLL). This study aimed to evaluate the structure, process and outcomes of this CoP. A single case-study, using mixed-methods, evaluated the RehabMaLL CoP initiative after one year, based on Donabedian's conceptual evaluation model. Forty-three participants took part in the RehabMaLL CoP with 60.5% (n = 26) participating at least once on the online platform where 234 comments were posted. Four in-person meetings were held. Members expressed

2015 International journal of environmental research and public health

166. The Halliwick Concept ? water-based exercise for people with disabilities

The Halliwick Concept ? water-based exercise for people with disabilities The Halliwick Concept – water-based exercise for people with disabilities We use cookies on this website. By using this site, you agree that we may store and access cookies on your device. Swedish Agency for Health Technology Assessment and Assessment of Social Services The Halliwick Concept – water-based exercise for people with disabilities Share: Reading time approx. 1 minute The Halliwick Concept was developed (...) by the swimming instructor and engineer James MacMillan and his wife Phyl McMillan in the late 1940s and early 1950s. Students from the Halliwick School in London, a school for girls with disabilities, inspired them to find a solution so that everyone, regardless of functioning, could participate in water-based activities. Question What studies are available on examining effect of swimming pool training according to the Halliwick concept on physical, mental or social health in people with disabilities

2018 Swedish Council on Technology Assessement

167. Muscle-targeted nutritional support for rehabilitation in patients with parkinsonian syndrome. (Abstract)

Muscle-targeted nutritional support for rehabilitation in patients with parkinsonian syndrome. We evaluated the efficacy of muscle-targeted nutritional support on the functional outcomes of multidisciplinary intensive rehabilitation treatment (MIRT) in patients with Parkinson disease (PD) or parkinsonism.We conducted a pragmatic, bicentric, randomized (1:1), assessor-blind controlled trial (Protein, Leucine and Vitamin D Enhancing Rehabilitation [PRO-LEADER]; April 2017 to January 2018 (...) Disease Disability Scale, body weight, and skeletal muscle mass (SMM).Nutritional support resulted in greater increase in the distance walked during 6MWT (mean 69.6 meters [95% confidence interval (CI) 60.7-78.6]) than no support (51.8 meters [95% CI 37.0-66.7]): center-adjusted mean difference, 18.1 meters (95% CI 0.9-35.3) (p = 0.039). Further adjustment for changes in dopaminergic therapy and SMM yielded consistent results: mean difference, 18.0 meters (95% CI 0.7-35.2) (p = 0.043). A meaningful

2019 Neurology Controlled trial quality: predicted high

168. User evaluation of a novel SMS-based reminder system for supporting post-stroke rehabilitation. Full Text available with Trip Pro

User evaluation of a novel SMS-based reminder system for supporting post-stroke rehabilitation. According to WHO stroke is a growing societal challenge and the third leading cause of global disease-burden estimated using disability-adjusted life years. Rehabilitation after stroke is an area of mutual interest for health care in many countries. Within the health care sector there is a growing emphasis on ICT services to provide clients with easier access to information, self-evaluation, and self (...) -management. ICT-supported care programs possible to use in clients' home environments are also recommended when there are long distances to the health care specialists. The aim of this study was to evaluate the technical usability of a SMS-based reminder system as well as user opinions when using such a system to assist clients to remember to perform daily rehabilitation activities, to rate their performance and to allow Occupational therapists (OT's) to track and follow-up clients' results over

2019 Medical Informatics and Decision Making

169. Recovering the capability to work among patients with chronic low Back pain after a four-week, multidisciplinary biopsychosocial rehabilitation program: 18-month follow-up study. Full Text available with Trip Pro

Recovering the capability to work among patients with chronic low Back pain after a four-week, multidisciplinary biopsychosocial rehabilitation program: 18-month follow-up study. Chronic low back pain (LBP) is a leading cause of disability worldwide. Biopsychosocial rehabilitation programs have been advocated for its management, especially since the widespread acceptance of the biopsychosocial model of chronic pain. Despite extensive evidence of its short-term benefits, few studies have (...) reported on its long-term effect and more specifically on indirect outcomes such as return to work and quality of life (QoL). The present study evaluated the long-term effect of a multidisciplinary biopsychosocial rehabilitation (MBR) program for patients with chronic LBP, for which short- and intermediate-term efficacy had been established, with an emphasis on recovering work capability.This prospective cohort study enrolled 201 patients on a four-week MBR program incorporating physical

2019 BMC Musculoskeletal Disorders

170. Inter-rater reliability, sensitivity to change and responsiveness of the orthopaedic Wolf-Motor-Function-Test as functional capacity measure before and after rehabilitation in patients with proximal humeral fractures. Full Text available with Trip Pro

Inter-rater reliability, sensitivity to change and responsiveness of the orthopaedic Wolf-Motor-Function-Test as functional capacity measure before and after rehabilitation in patients with proximal humeral fractures. The incidence of proximal humeral fractures (PHF) increased by more than 30% over the last decade, which is accompanied by an increased number of operations. However, the evidence on operative vs. non-operative treatment and post-operative treatments is limited and mostly based (...) on expert opinion. It is mandatory to objectively assess functional capacity to compare different treatments. Clinical tools should be valid, reliable and sensitive to change assessing functional capacity after PHFs. This study aimed to analyse inter-rater reliability of the videotaped Wolf-Motor-Function-Test-Orthopaedic (WMFT-O) and the association between the clinical WMFT-O and the Disability of the Arm, Shoulder and Hand (DASH) and to determine the sensitivity to change of the WMFT-O and the DASH

2019 BMC Musculoskeletal Disorders

171. Never Too Old for Cardiac Rehabilitation. (Abstract)

Never Too Old for Cardiac Rehabilitation. Prevalence of cardiovascular disease (CVD) increases with age and is endemic in the burgeoning population of older adults. Older adults with CVD are susceptible not only to high mortality but also to increased likelihood of disability, dependency, functional decline, and poor quality of life. Cardiac rehabilitation (CR) is a multidimensional and comprehensive treatment program that can potentially address many of the distinctive challenges of older

2019 Clinics in Geriatric Medicine

172. Effectiveness of a tailored rehabilitation versus standard strengthening programme for patients with shoulder pain: a protocol for a feasibility randomised controlled trial (the Otago MASTER trial). Full Text available with Trip Pro

of Subacromial disorders of The shouldER (MASTER) trial, is a two-arm, patient-blinded and assessor-blinded, randomised controlled feasibility trial. Participants will be randomly allocated into one of the interventions group: tailored or standardised rehabilitation. To obtain estimates of intervention effects, we will compare changes in pain and shoulder-related disability scores between the two intervention groups using a repeated mixed-model analysis of variance, with alpha set at 0.05, and power at 80 (...) Effectiveness of a tailored rehabilitation versus standard strengthening programme for patients with shoulder pain: a protocol for a feasibility randomised controlled trial (the Otago MASTER trial). Exercise therapy is the treatment of choice for the management of patients with shoulder subacromial pain. However, we do not know whether a tailored rehabilitation programme is more effective than a standardised strengthening programme. The aim of this feasibility trial is to assess: (1

2019 BMJ open Controlled trial quality: uncertain

173. Patient characteristics related to the need for peer support in rehabilitation after acquired brain injury: a prospective cohort study in the Netherlands. Full Text available with Trip Pro

Patient characteristics related to the need for peer support in rehabilitation after acquired brain injury: a prospective cohort study in the Netherlands. Peer support facilitates patients and caregivers in adjusting to long-term disabilities. This study aimed to determine which patient characteristics are related to need for peer support during rehabilitation after acquired brain injury (ABI) and investigate factors that explain whether peer support is perceived as meaningful or not.A (...) prospective cohort study over a period of 17 months following patients with ABI during inpatient rehabilitation in the Netherlands. Multivariable logistic modelling was applied to identify patient and intervention characteristics that were related to (1) need for peer support and (2) whether or not peer support was perceived as meaningful. Additional information on duration and subjects of conversation was reported.Peer support was provided during inpatient rehabilitation.120 patients with ABI ≥18 years

2019 BMJ open

174. Impact of inpatient cardiac rehabilitation on Barthel Index score and prognosis in patients with acute decompensated heart failure. (Abstract)

Impact of inpatient cardiac rehabilitation on Barthel Index score and prognosis in patients with acute decompensated heart failure. Although cardiac rehabilitation (CR) can improve exercise capacity and quality of life in patients with chronic heart failure (HF), the long-term prognostic influence of inpatient CR on patients with acute decompensated HF (ADHF) is not well established. We examined the impact of inpatient CR on disability and prognosis in patients with ADHF.A total of 171 patients (...) admitted for ADHF underwent CR that included resistance training and aerobic exercise. Patient disability was evaluated using Barthel Index (BI) scores at pre- (BIpre) and post- (BIpost) rehabilitation. All-cause mortality was retrospectively recorded after discharge.In the study cohort (median age: 76 years), 46 patients experienced all-cause mortality during a median of 478 days of follow-up. Impaired BIpost (i.e., BI < 60) was significantly correlated with older age and lower albumin, hemoglobin

2019 International journal of cardiology

175. The lay health worker-patient relationship in promoting pulmonary rehabilitation (PR) in COPD: What makes it work? Full Text available with Trip Pro

The lay health worker-patient relationship in promoting pulmonary rehabilitation (PR) in COPD: What makes it work? Lay health workers (LHWs) can improve access to services and adherence to treatment, as well as promoting self-care and prevention. Their effect in promoting uptake and adherence in pulmonary rehabilitation (PR) for chronic obstructive pulmonary disease (COPD) has not been tested. PR is the most effective treatment for the symptoms and disability of COPD, but this effectiveness

2019 Chronic respiratory disease

176. Association of psychological flexibility with engagement in pulmonary rehabilitation following an acute exacerbation of chronic obstructive pulmonary disease. Full Text available with Trip Pro

. An AAQ-II score of 11 translated to a 60 (37-82)% probability of accepting a referral to pulmonary rehabilitation and an ELS score of 73 was associated with a 68 (46-91)% probability of accepting. Four themes were extracted from interviews: (1) family values, (2) self as abnormal, (3) 'can't do anything' versus 'I do what I can' and (4) disability, and related emotions, as barriers to action. Randomised clinical trials are needed to evaluate interventions designed to increase psychological (...) Association of psychological flexibility with engagement in pulmonary rehabilitation following an acute exacerbation of chronic obstructive pulmonary disease. This study aimed to investigate (a) the association between psychological flexibility and engagement in pulmonary rehabilitation within 8 weeks following hospitalisation for an acute exacerbation of chronic obstructive pulmonary disease (AECOPD) and (b) how psychological (in)flexibility presents in this context. A mixed-methods study

2019 Chronic respiratory disease

177. Mobile health and supervised rehabilitation versus mobile health alone in breast cancer survivors: Randomized controlled trial. (Abstract)

Mobile health and supervised rehabilitation versus mobile health alone in breast cancer survivors: Randomized controlled trial. Survival rates in cancer are increasing exponentially, with a corresponding increase/influence in disability-adjusted life-years. Efforts should be made to explore the optimal balance between unsupervised/distance-based and supervised/onsite approaches to cancer care.This study aimed to compare the clinical efficacy of the BENECA mobile Health (mHealth) lifestyle (...) application combined with a supervised rehabilitation program (BENECA and supervised rehabilitation) versus the BENECA mHealth lifestyle application alone on quality of life (QoL) and functional outcomes of breast cancer survivors.This randomized controlled trial included 80 survivors of breast cancer diagnosed at stage I-IIIA, who completed adjuvant therapy and were overweight or obese at diagnosis. Participants were randomly allocated (ratio 1:1, 3 waves) to BENECA mHealth and rehabilitation for 2months

2019 Annals of physical and rehabilitation medicine Controlled trial quality: predicted high

178. Multidisciplinary rehabilitation for adults with neuromyelitis optica spectrum disorders: A pilot study. Full Text available with Trip Pro

/week for 4 weeks in a hospital, and the patients were guided to continue community- or home-based rehabilitation for 3 months. The control group did not receive any specific rehabilitation intervention. Disability was assessed using the Extended Disability Status Scale (EDSS) and Functional Systems (FS) scores after 4 weeks of rehabilitation and 3 months of follow-up.The mean EDSS score was 7.5 at admission for both groups. Improvements (p<0.05) in the EDSS score and domains of bowel, bladder (...) Multidisciplinary rehabilitation for adults with neuromyelitis optica spectrum disorders: A pilot study. To provide detailed data on the effects of multidisciplinary rehabilitation for patients with neuromyelitis optica spectrum disorder with moderate to severe disability.A pilot randomized control study.A total of 39 patients with neuromyelitis optica spectrum disorder were randomized into intervention or control groups.The intervention group received multidisciplinary rehabilitation 5 times

2019 Journal of Rehabilitation Medicine Controlled trial quality: uncertain

179. Vestibular-Balance Rehabilitation in Patients with Whiplash-Associated Disorders. Full Text available with Trip Pro

groups after rehabilitation exercises.Vestibular-balance rehabilitation exercises can be an effective treatment for dizziness and improving the quality of life of a person suffering from whiplash-associated disorder, followed by the reduction in dizziness caused by disability. (...) Vestibular-Balance Rehabilitation in Patients with Whiplash-Associated Disorders. Whiplash associated syndrome is one of the neck disorders that is accompanied by several chronic symptoms. Balancing problems arising from common disorders and dizziness are considered as manifestations that are time-consuming to evaluate and treat. The present study aims to investigate the effect of vestibular-balance rehabilitation using a test that can be used for differential diagnosis of these lesions

2019 The international tinnitus journal Controlled trial quality: uncertain

180. Exercise Intensity Matters in Chronic Nonspecific Low Back Pain Rehabilitation. (Abstract)

Exercise Intensity Matters in Chronic Nonspecific Low Back Pain Rehabilitation. Exercise therapy (ET) is advocated as a treatment for chronic nonspecific low back pain (CNSLBP). However, therapy effect sizes remain low. In other chronic disorders, training at higher intensity has resulted in greater improvements on both general health related and disease specific outcomes compared to lower-intensity ET. Possibly, high-intensity training also improves effect sizes in CNSLBP.To compare (...) the effects of a high-intensity ET program with a similar moderate-intensity ET program on disability, pain, function, exercise capacity, and abdominal/back muscle strength in persons with CNSLBP.In a randomized controlled trial, persons with CNSLBP performed a 12-wk ET program (24 sessions, 1.5 h per session, twice per week) at high-intensity training (HIT) or moderate-intensity training (MIT). Questionnaires to assess disability (Modified Oswestry Index [MODI]), pain intensity (Numeric Pain Rating Scale

2019 Medicine and science in sports and exercise Controlled trial quality: uncertain

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