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81. The Association of Discharge Destination with 30-Day Rehospitalization Rates Among Older Adults Receiving Lumbar Spinal Fusion Surgery Full Text available with Trip Pro

The Association of Discharge Destination with 30-Day Rehospitalization Rates Among Older Adults Receiving Lumbar Spinal Fusion Surgery As defined by Medicare (United States), post-acute rehabilitation services include care provided in inpatient rehabilitation units and facilities, skilled nursing facilities, long-term acute hospitals, and by home health services.We retrospectively evaluated the use of rehabilitation-based post-acute services among Medicare beneficiaries who were hospitalized (...) for lumbar spinal fusion (ICD-9-CM procedure codes 81.04-81.08) in 2012-2014, examined the case-mix for those discharged to rehabilitation- and non-rehabilitation based services, and determined the association between these categories of discharge disposition and 30-day rehospitalization. The independent effect of rehabilitation-based discharge destination on 30-day readmissions was examined with a generalized linear mixed model, first adjusting for patient characteristics and then stratified by clusters

2018 Musculoskeletal science & practice

82. Digitally enabled aged care and neurological rehabilitation to enhance outcomes with Activity and MObility UsiNg Technology (AMOUNT) in Australia: A randomised controlled trial Full Text available with Trip Pro

, and impact on disability of common conditions requiring rehabilitation in the United States: stroke, spinal cord injury, traumatic brain injury, multiple sclerosis, osteoarthritis, rheumatoid arthritis, limb loss, and back pain. Arch Phys Med Rehabil. 2014;95(5):986–95.e1. - - Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA, Minson CT, Nigg CR, Salem GJ, et al. American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc. 2009;41(7):1510–30 (...) Digitally enabled aged care and neurological rehabilitation to enhance outcomes with Activity and MObility UsiNg Technology (AMOUNT) in Australia: A randomised controlled trial Digitally Enabled Aged Care and Neurological Rehabilitation to Enhance Outcomes With Activity and MObility UsiNg Technology (AMOUNT) in Australia: A Randomised Controlled Trial - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search

2020 EvidenceUpdates

83. Effects of an Individualized Comprehensive Rehabilitation Program on Impaired Postural Control in Women With Chronic Pelvic Pain: A Randomized Controlled Tria

Effects of an Individualized Comprehensive Rehabilitation Program on Impaired Postural Control in Women With Chronic Pelvic Pain: A Randomized Controlled Tria Effects of an Individualized Comprehensive Rehabilitation Program on Impaired Postural Control in Women With Chronic Pelvic Pain: A Randomized Controlled Trial - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced (...) ;101(8):1304-1312. doi: 10.1016/j.apmr.2020.02.019. Epub 2020 Apr 20. Effects of an Individualized Comprehensive Rehabilitation Program on Impaired Postural Control in Women With Chronic Pelvic Pain: A Randomized Controlled Trial , , , , , Affiliations Expand Affiliations 1 Department of Physical Therapy, Faculty of Health Sciences, University of Granada, Granada, Spain. 2 Department of Physical Therapy, Faculty of Health Sciences, University of Granada, Granada, Spain. Electronic address: cvalenza

2020 EvidenceUpdates

84. Addition of specific hip strengthening exercises to conventional rehabilitation therapy for low back pain: a systematic review and meta-analysis

: 10.1177/0269215520941914. Online ahead of print. Addition of specific hip strengthening exercises to conventional rehabilitation therapy for low back pain: a systematic review and meta-analysis , , , , , , , Affiliations Expand Affiliations 1 Department of Physical Therapy, Universidade Federal da Bahia, Salvador, BA, Brazil. 2 Postgraduate Program in Medicine and Health, Universidade Federal da Bahia, Salvador, BA, Brazil. 3 Trata Institute - Knee and Hip Rehabilitation/ITC Vertebral, São Paulo-SP (...) Rehabil Actions . 2020 Jul 21;269215520941914. doi: 10.1177/0269215520941914. Online ahead of print. Authors , , , , , , , Affiliations 1 Department of Physical Therapy, Universidade Federal da Bahia, Salvador, BA, Brazil. 2 Postgraduate Program in Medicine and Health, Universidade Federal da Bahia, Salvador, BA, Brazil. 3 Trata Institute - Knee and Hip Rehabilitation/ITC Vertebral, São Paulo-SP, Brazil. 4 Department of Physical Therapy, Centro Universitário São Camilo, São Paulo, SP, Brazil. 5

2020 EvidenceUpdates

85. Interdisciplinary Cognitive-Behavioral Therapy as Part of Lumbar Spinal Fusion Surgery Rehabilitation: Experience of Patients With Chronic Low Back Pain Full Text available with Trip Pro

Interdisciplinary Cognitive-Behavioral Therapy as Part of Lumbar Spinal Fusion Surgery Rehabilitation: Experience of Patients With Chronic Low Back Pain Patients receiving lumbar spinal fusion surgery often have persisting postoperative pain negatively affecting their daily life. These patients may be helped by interdisciplinary cognitive-behavioral therapy which is recognized as an effective intervention for improving beneficial pain coping behavior, thereby facilitating the rehabilitation (...) process of patients with chronic pain.The purpose of this study was to describe the lived experience of patients recovering from lumbar spinal fusion surgery and to explore potential similarities and disparities in pain coping behavior between receivers and nonreceivers of interdisciplinary cognitive-behavioral group therapy.We conducted semistructured interviews with 10 patients; 5 receiving cognitive-behavioral therapy in connection with their lumbar spinal fusion surgery and 5 receiving usual care

2016 Orthopedic nursing

86. The Subacute Rehabilitation of Childhood Stroke, Clinical Guideline

The Subacute Rehabilitation of Childhood Stroke, Clinical Guideline The Subacute Rehabilitation of Childhood Stroke CLINICAL GUIDELINE 2019 Victorian Subacute Childhood Stroke Advisory CommitteeVictorian Subacute Childhood Stroke Guidelines 2 The guideline for the subacute management of childhood stroke has been developed with: Suggested citation: Victorian Subacute Childhood Stroke Advisory Committee. Guideline for the subacute management of childhood stroke?—?2019. Copyright information (...) training is not recommended, unless in consultation with a relevant health professional. Despite the utmost care taken in developing this document the Murdoch Children’s Research Institute cannot accept any liability, including loss or damage resulting from use of content, or for its accuracy, currency and completeness. Funded by: Endorsed by: Victorian Subacute Childhood Stroke Guidelines 3 CONTENTS 1. Quick reference guide 6 2. Introduction 7 3. Methodology 8 4. Framework for providing rehabilitation

2017 Stroke Foundation - Australia

87. Prosthetic and Amputee Rehabilitation - Standards and Guidelines (3rd Edition)

. As part of their remit, they have also led on development of policies for prescription of microprocessor knee units, multi-articulated hands and high definition silicone cosmeses. At the time of writing only the microprocessor knees policy has been approved and the CRG has merged with the complex disability and spinal services CRGs into the Rehabilitation and Disability CRG. 2.14 The Royal College of Physicians published the Future Hospital Commission report 6 in 2013. The report set out (...) quality Specialist Rehabilitation services and form the backbone of this document: • Department of Health. A First Class Service: Quality in the New NHS. London: HSC. 1998. 1 • Department of Health. The NHS Plan – A plan for investment. A plan for reform. The Stationery Office London: 2000. 2 • HSC 1998/198 – Commissioning in the New NHS. 3 • Amputee Medical Rehabilitation Society. Amputee Rehabilitation – Recommended Standards and Guidelines. London: 1992. 4 • Amputee Medical Rehabilitation Society

2018 British Society of Rehabilitation Medicine

88. Rehabilitation of Lower Limb Amputation

Rehabilitation of Lower Limb Amputation VA/DoD CLINICAL PRACTICE GUIDELINE FOR REHABILITATION OF INDIVIDUALS WITH LOWER LIMB AMPUTATION Department of Veterans Affairs Department of Defense QUALIFYING STATEMENTS The Department of Veterans Affairs and the Department of Defense guidelines are based upon the best information available at the time of publication. They are designed to provide information and assist decision making. They are not intended to define a standard of care and should (...) and/or therapeutic interventions within these guidelines does not guarantee coverage of civilian sector care. Additional information on current TRICARE benefits may be found at www.tricare.mil or by contacting your regional TRICARE Managed Care Support Contractor. Version 2.0 – 2017September 2017 Page 2 of 123 Prepared by: The Rehabilitation of Individuals with Lower Limb Amputation Work Group With support from: The Office of Quality, Safety and Value, VA, Washington, DC & Office of Evidence Based Practice, U.S

2017 VA/DoD Clinical Practice Guidelines

89. Comprehensive Nonsurgical Treatment Versus Self-directed Care to Improve Walking Ability in Lumbar Spinal Stenosis: A Randomized Trial (Abstract)

Comprehensive Nonsurgical Treatment Versus Self-directed Care to Improve Walking Ability in Lumbar Spinal Stenosis: A Randomized Trial To compare the effectiveness of a comprehensive nonsurgical training program to a self-directed approach in improving walking ability in lumbar spinal stenosis (LSS).Randomized controlled trial.Academic hospital outpatient clinic.Participants (N=104) with neurogenic claudication and imaging confirmed LSS were randomized. The mean age was 70.6 years, 57% were (...) improvements in walking ability and can be a safe nonsurgical treatment option for patients with neurogenic claudication due to LSS.Copyright © 2018 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

2018 EvidenceUpdates

90. Integrating the perspectives of individuals with spinal cord injuries, their family caregivers and healthcare professionals from the time of rehabilitation admission to community reintegration: protocol for a scoping study on SCI needs. Full Text available with Trip Pro

Integrating the perspectives of individuals with spinal cord injuries, their family caregivers and healthcare professionals from the time of rehabilitation admission to community reintegration: protocol for a scoping study on SCI needs. There is fragmented information about the different needs following a spinal cord injury (SCI). Expressed SCI needs can be met or unmet, they change along the rehabilitation continuum (eg, acute, rehabilitation and reintegration into the community) and can (...) be different for traumatic and non traumatic SCI. The general objective of this scoping study is to evaluate and integrate the needs of individuals with traumatic and non-traumatic SCI, their family caregivers and those reported by rehabilitation professionals from the time of rehabilitation admission to community reintegration. The specific objectives are to: (A) synthesise the needs of individuals with SCI as perceived by themselves, their family caregivers and rehabilitation professionals using two

2017 BMJ open

91. Interdisciplinary rehabilitation for a patient with incomplete cervical spinal cord injury and multimorbidity: A case report. Full Text available with Trip Pro

Interdisciplinary rehabilitation for a patient with incomplete cervical spinal cord injury and multimorbidity: A case report. This report describes interdisciplinary rehabilitation for a 51-year-old male recovering from incomplete cervical spinal cord injury (SCI) and multiple comorbidities following an automobile accident.The patient was admitted to a rehabilitation specialty hospital approximately 2 months post SCI and 2 separate surgical fusion procedures (C3-C6).Clinical presentation (...) at the rehabilitation hospital included moderate to severe motor strength loss in both upper and lower extremities, a percutaneous endoscopic gastronomy tube (PEG), dysphagia, bowel/bladder incontinence, dependence on a mechanical lift and tilting wheelchair due to severe orthostatic hypotension, and pre-existing shoulder pain from bilateral joint degeneration.The interdisciplinary team formally coordinated rehabilitative care from multiple disciplines. Internal medicine managed medications, determined PEG removal

2017 Medicine

92. Spontaneous spinal epidural hematomas: One case report and rehabilitation outcome. Full Text available with Trip Pro

to intense paraplegia and anesthesia without recent medical history of trauma, infection, surgery, or drug use.A magnetic resonance imaging (MRI) scan of spinal cord was planned and a posterior epidural hematoma of the thoracic spine was observed.A posterior decompression and hematoma evacuation was performed after diagnosis immediately. Early rehabilitation program of the specific kind spinal cord injury was formulated and implemented.The patient finally can handle basic living activities (...) Spontaneous spinal epidural hematomas: One case report and rehabilitation outcome. Spontaneous spinal epidural hematoma (SSEH) is a relatively rare but potentially disabling disease, and the classical presentation of it includes an acute onset of severe, sometimes radiating back or neck pain, followed by signs and symptoms of rapidly evolving nerve root or spinal cord compression.Here, we report a 26-year-old female patient presented with weakness in bilateral lower extremities, progressing

2017 Medicine

93. Evolution of traumatic spinal cord injury in patients with ankylosing spondylitis, in a Romanian rehabilitation clinic Full Text available with Trip Pro

Evolution of traumatic spinal cord injury in patients with ankylosing spondylitis, in a Romanian rehabilitation clinic The ankylosing spondylitis (AS) is a systemic, multi-factorial, chronic rheumatic disease. Patients are highly susceptible to vertebral fractures with or without spinal cord injury (AS-SCI), even after a minor trauma. The study is a retrospective descriptive survey of post-acute, traumatic AS-SCI patients, transferred from the neurosurgical department and admitted in a Romanian (...) Neurorehabilitation Clinic, during 2010-2014. There were 11 males associating AS-SCI (0.90% of all consecutive SCI admitted cases), with an average age of 54.6 years (median 56, limits 42-73 years). The average duration between the medically diagnosed AS and the actual associated spinal fracture(-s) moment was 21.4 years (median 23; limits 10-34 years). Low-energy trauma was incriminated in 54.5% cases. The spinal level of fracture was: cervical (four cases), thoracic (three), lumbar (four), assessed at admission

2016 Spinal cord series and cases

94. Inpatient rehabilitation following operative spontaneous spinal epidural hematoma mimicking stroke: a case report Full Text available with Trip Pro

Inpatient rehabilitation following operative spontaneous spinal epidural hematoma mimicking stroke: a case report Spontaneous spinal epidural hematoma (SSEH) is a rare cause of spinal cord compression. Symptoms may include sudden-onset axial pain followed by neurologic involvement including weakness, numbness and incontinence. Here we report the case of a patient followed prospectively after surgical intervention following SSEH and recovery following inpatient rehabilitation. This patient (...) presented with right hemiplegia, neurogenic bladder and bowel with autonomic dysfunction. the patient with significant gains in Functional Independence Measure scale that improved from 15 on admission to 35 1 month following surgery. This case suggests that treating this type of patients requires hospitals specialized in spinal cord injury.

2016 Spinal cord series and cases

95. The growing threat of carbapenem resistant enterobacteriaceae (CRE) within in-patient spinal rehabilitation units Full Text available with Trip Pro

The growing threat of carbapenem resistant enterobacteriaceae (CRE) within in-patient spinal rehabilitation units This case report highlights the present threat and challenges with treatment and transmission of infections caused by carbepenem-resistant enterobacteriaceae (CRE) within in-patient spinal rehabilitation units. The setting is within the Spinal Cord Injury Unit, Royal North Shore Hospital, Sydney, Australia. We report the case of a 45-year-old female with T9 complete paraplegia who (...) developed CRE urinary tract infection (UTI) and sepsis 1 month post injury while in an in-patient spinal rehabilitation unit. We describe the challenges in treatment with colistin, the implications of infection on her rehabilitation and challenges in containing the spread of CRE to other patients in the unit. We present our experience with the management of CRE bactaeraemia in a spinal rehabilitation unit and the enhanced importance of infection control and surveillance strategies required

2016 Spinal cord series and cases

96. Malignant Spinal Cord Compression-Adapting Conventional Rehabilitation Approaches Full Text available with Trip Pro

Malignant Spinal Cord Compression-Adapting Conventional Rehabilitation Approaches Spinal tumors are classically grouped into 3 categories: extradural, intradural extramedullary, and intradural intramedullary. Spinal tumors may cause spinal cord compression and vascular compromise resulting in pain or neurologic compromise. They may also alter the architecture of the spinal column, resulting in spinal instability. Oncologic management of spinal tumors varies according to the stability (...) of the spine, neurologic status, and presence of pain. Treatment options include surgical intervention, radiation therapy, chemotherapy, and hormonal manipulation. When combined with this management, rehabilitation can serve to relieve symptoms, improve quality of life, enhance functional independence, and prevent further complications in patients.Copyright © 2016 Elsevier Inc. All rights reserved.

2017 Physical Medicine And Rehabilitation Clinics Of North America

97. Patients’ views on their decision making during inpatient rehabilitation after newly acquired spinal cord injury—A qualitative interview‐based study Full Text available with Trip Pro

Patients’ views on their decision making during inpatient rehabilitation after newly acquired spinal cord injury—A qualitative interview‐based study Involving patients in decision making is a legal requirement in many countries, associated with better rehabilitation outcomes, but not easily accomplished during initial inpatient rehabilitation after severe trauma. Providing medical treatment according to the principles of shared decision making is challenging as a point in case for persons (...) with spinal cord injury (SCI).The aim of this study was to retrospectively explore the patients' views on their participation in decision making during their first inpatient rehabilitation after onset of SCI, in order to optimize treatment concepts.A total of 22 participants with SCI were interviewed in-depth using a semi-structured interview scheme between 6 months and 35 years post-onset. Interviews were transcribed verbatim and analysed with the Mayring method for qualitative content

2017 Health expectations : an international journal of public participation in health care and health policy

98. Rehabilitation of hand function after spinal cord injury using a novel handgrip device: a pilot study Full Text available with Trip Pro

Rehabilitation of hand function after spinal cord injury using a novel handgrip device: a pilot study Activity-based therapy (ABT) for patients with spinal cord injury (SCI), which consists of repetitive use of muscles above and below the spinal lesion, improves locomotion and arm strength. Less data has been published regarding its effects on hand function. We sought to evaluate the effects of a weekly hand-focused therapy program using a novel handgrip device on grip strength and hand (...) function in a SCI cohort.Patients with SCI were enrolled in a weekly program that involved activities with the MediSens (Los Angeles, CA) handgrip. These included maximum voluntary contraction (MVC) and a tracking task that required each subject to adjust his/her grip strength according to a pattern displayed on a computer screen. For the latter, performance was measured as mean absolute accuracy (MAA). The Spinal Cord Independence Measure (SCIM) was used to measure each subject's independence prior

2017 Journal of neuroengineering and rehabilitation

99. Spinal cord injury rehabilitation patient and physical therapist perspective: a pilot study Full Text available with Trip Pro

Spinal cord injury rehabilitation patient and physical therapist perspective: a pilot study The objectives of this retrospective observational study were to explore physical therapists' perceived involvement of patients with SCI in physical therapy (PT) rehabilitation, second to explore individuals with SCI perceived involvement in PT rehabilitation, third to compare how patients and physical therapists perceive involvement in PT rehabilitation and last to explore patients' perceived (...) followed during the course of this research. The results indicated that both physical therapists and patients were overall in agreement that patients were involved in their PT rehabilitation on most items. The two items that received the lowest Likert scores by the therapists and patients were friends and family involvement in therapy and gender-related issues. The item, individualized patient goals, received the largest discrepancy between therapists and patients. The sample size was too small

2016 Spinal cord series and cases

100. Impact of Therapy on Recovery during Rehabilitation in Patients with Traumatic Spinal Cord Injury Full Text available with Trip Pro

Impact of Therapy on Recovery during Rehabilitation in Patients with Traumatic Spinal Cord Injury Evidence-based planning of rehabilitation interventions is important to improving cost efficiency while maintaining patient and system outcomes. This article aims to explore the relationship between rehabilitation therapy, functional outcome, bed utilization, and care costs after traumatic spinal cord injury (tSCI). A retrospective review of 262 persons with tSCI admitted to an inpatient (...) by injury as: C1-4 American Spinal Injury Association (ASIA) Impairment Scale (AIS) A,B,C; C5-8 AIS A,B,C; T1-S5 AIS A,B,C; and AIS D. The sample was 85% male, mean age 45.9, median LOS 102 days, and mean therapy intensity 5.7 h/week. Motor FIM change was positively associated with total hours of therapy (β = 0.40, p < 0.0001) up to a certain time point, adjusted for age, gender, injury, complications, and rehabilitation onset. Hypothetically increasing therapy intensity by 50% and 100% resulted

2017 Journal of neurotrauma

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