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Acta Medica Portuguesa 1997The field of action for rehabilitation is that of making use of the patient's maximum functional capacity with the purpose of adapting to life in relation to the...
The field of action for rehabilitation is that of making use of the patient's maximum functional capacity with the purpose of adapting to life in relation to the environment. Rehabilitation must commence immediately, although it may be in different forms from the acute phase to sequelae. It is considered appropriate to call the physiatrist as soon as the neurologic condition has stabilised. A list is made of the measures to be taken for rehabilitation in the acute phase and sequelae, and the composition of the rehabilitation team is described. In what concerns location, where to rehabilitate the patient? The group of ambulatory patients should have their rehabilitation as outpatients. Our experience with house calls is briefly described. The group of patients who cannot walk, those that present an eminently motor condition, with the possibility of being able to walk, should be with their families, with transport provided to health and rehabilitation centres. The second group, with the capacity of walking within a reasonable time, especially if with multiple associated problems such as impaired communication, should be hospitalised in a rehabilitation department. The third group consists of severely handicapped patients, for whom a solution must be found that provides life with a minimum of dignity in centres or homes. From among the measures to be introduced, we point out following: acquisition of transport for patients who must travel, as outpatients, to the department; providing family doctors with complete freedom to refer their patients to rehabilitation centres.
Topics: Cerebrovascular Disorders; Combined Modality Therapy; Female; Hospitalization; Humans; Male; Patient Care Team; Patient Discharge; Prognosis; Rehabilitation; Time Factors
PubMed: 9446473
DOI: No ID Found -
The Journal of Orthopaedic and Sports... Jun 1993Rehabilitation following an injury to the elbow joint complex is common in physical therapy practice. The unique anatomical considerations of the elbow joint provide a...
Rehabilitation following an injury to the elbow joint complex is common in physical therapy practice. The unique anatomical considerations of the elbow joint provide a significant challenge to the therapist in rehabilitating elbow injuries. The purpose of this paper is to describe the rehabilitation process for various elbow pathologies and provide a rationale for their treatment. The rehabilitation process for the injured elbow presented in this paper will emphasize phases that are progressive, sequential, and based on clinical and scientific research.
Topics: Athletic Injuries; Contracture; Elbow Joint; Exercise Therapy; Humans; Physical Therapy Modalities; Range of Motion, Articular; Ultrasonic Therapy; Elbow Injuries
PubMed: 8343790
DOI: 10.2519/jospt.1993.17.6.305 -
European Journal of Physical and... Mar 2010Since 2007 we focused our attention as EJPRM to the best available clinical evidence offered by the Cochrane Collaboration. Due to the absence of a specific... (Review)
Review
BACKGROUND
Since 2007 we focused our attention as EJPRM to the best available clinical evidence offered by the Cochrane Collaboration. Due to the absence of a specific Rehabilitation Group (only a field exists), reviews of PRM interest are in different groups and not easy to find. Consequently, the EJPRM lists and presents all these reviews systematically.
AIM
The aim of the present paper is to systematically review all the new rehabilitation papers published in the Cochrane Library 4th Issue 2009 in order to provide to physicians involved in the field a summary of the best evidence nowadays available.
METHODS
The author systematically searched all the new papers of rehabilitative interest in the Cochrane Library 4th Issue 2009. The retrieved papers have been divided in subgroups on the base of the topic and the Cochrane Groups.
RESULTS
The number of included papers was 19: 11 were new reviews. Three new reviews deal with neurological rehabilitation, 6 with musculoskeletal disorders, 3 with pain management. Moreover, 8 reviews have been updated: 4 related to musculoskeletal disorders, 2 to neurological disorders, and 1 to respiratory rehabilitation. All these are listed at the end of the paper.
CONCLUSION
The Cochrane Collaboration and its product, the Cochrane Library, are really relevant instruments to improve EBM in medical practice and thus also in the Rehabilitation Field. The present paper can help Rehabilitation Specialists to easily retrieve the conclusions of the most relevant and updated reviews in order to change their clinical practice in a more rapid and effective way.
Topics: Humans; Musculoskeletal Diseases; Nervous System Diseases; Pain Management; Rehabilitation; Review Literature as Topic
PubMed: 20332733
DOI: No ID Found -
Actas Urologicas Espanolas Nov 2018Hypopressive abdominal gymnastics has been proposed as a new paradigm in rehabilitating the pelvic floor. Its claims contraindicate the recommendation for pelvic floor...
BACKGROUND
Hypopressive abdominal gymnastics has been proposed as a new paradigm in rehabilitating the pelvic floor. Its claims contraindicate the recommendation for pelvic floor muscle training during the postpartum period.
OBJECTIVE
To determine whether hypopressive abdominal gymnastics is more effective than pelvic floor muscle training or other alternative conservative treatments for rehabilitating the pelvic floor.
METHODS
We consulted the databases of the Cumulative Index to Nursing and Allied Health Literature (CINAHL), the Cochrane Library, Latin American and Caribbean Health Sciences Literature (LILACS), Physiotherapy Evidence Database (PEDro), PubMed, Scopus, Trip Database and Web of Science. We selected systematic reviews, clinical trials and analytical studies that assessed the efficacy of hypopressive abdominal gymnastics in women. The measured outcomes were the strengthening of the pelvic floor muscles, the incidence of urine incontinence or prolapse and symptom remission. We included 4 clinical trials, whose quality was measured with the PEDro scale.
RESULTS
Hypopressive gymnastics is less effective than pelvic floor muscle training for activating pelvic floor muscles, achieving closure of the levator hiatus of the anus and increasing pelvic floor muscle thickness, strength and resistance.
PRACTICAL IMPLICATION
The evidence reviewed does not support the recommendation for hypopressive abdominal gymnastics for strengthening the pelvic floor either during the postpartum period or outside that period. Pelvic floor muscle training remains the first-line treatment for pelvic floor dysfunction.
CONCLUSION
There is a lack of quality clinical trials that have evaluated the efficacy of hypopressive abdominal gymnastics.
Topics: Exercise Therapy; Female; Humans; Pelvic Floor Disorders
PubMed: 29248338
DOI: 10.1016/j.acuro.2017.10.004 -
Journal of Cardiopulmonary... 2015The value of exercise and rehabilitative interventions for cancer survivors is increasingly clear, and oncology rehabilitation programs could provide these important...
PURPOSE
The value of exercise and rehabilitative interventions for cancer survivors is increasingly clear, and oncology rehabilitation programs could provide these important interventions. However, a pathway to create oncology rehabilitation has not been delineated. Community-based cardiac rehabilitation (CR) programs staffed by health care professionals with experience in providing rehabilitation and secondary prevention services to individuals with coronary heart disease are widely available and provide a potential model and location for oncology rehabilitation programs. Our purpose was to outline the rehabilitative needs of cancer survivors and demonstrate how oncology rehabilitation can be created using a CR model.
METHODS
We identify the impairments associated with cancer and its therapy that respond to rehabilitative interventions. Components of the CR model that would benefit cancer survivors are described. An example of an oncology rehabilitation program using a CR model is presented.
RESULTS
Cancer survivors have impairments associated with cancer and its therapy that improve with rehabilitation. Our experience demonstrates that effective rehabilitation services can be provided utilizing an existing CR infrastructure. Few adjustments to current CR models would be needed to provide oncology rehabilitation. Preliminary evidence suggests that cancer survivors participating in an oncology rehabilitation program experience improvements in psychological and physiologic parameters.
CONCLUSIONS
Utilizing the CR model of rehabilitative services and disease management provides a much needed mechanism to bring oncology rehabilitation to larger numbers of cancer survivors.
Topics: Cardiac Rehabilitation; Exercise Therapy; Humans; Models, Theoretical; Neoplasms; Quality of Life; Survivors
PubMed: 25407596
DOI: 10.1097/HCR.0000000000000091 -
European Journal of Physical and... Jun 2011Since 2007 we focused our attention as EJPRM to the best available clinical evidence as offered by the Cochrane Collaboration. Due to the absence of a specific... (Review)
Review
AIM
Since 2007 we focused our attention as EJPRM to the best available clinical evidence as offered by the Cochrane Collaboration. Due to the absence of a specific Rehabilitation Group.only a Field exists), reviews of PRM interest are in different groups and not easy to find. Consequently, the EJPRM offer the service of listing and presenting all these reviews systematically. The aim of the present paper is to systematically review all the new rehabilitation papers published from February 2011 up to April 2011 from the Cochrane Library in order to provide to physicians involved in the field a summary of the best evidence nowadays available.
METHODS
The authors systematically searched all the new papers of rehabilitative interest in the 2nd of February 2011 to the 22nd of April 2011 in the Cochrane Library. The retrieved papers have been then divided in subgroups on the base of the topic and the Cochrane Groups.
RESULTS
The number of included papers was 5, 3 new reviews and 2 updates reviews. Three reviews deals with neurological rehabilitation, 2 with musculoskeletal disorders and one with orthoses.
CONCLUSION
The Cochrane Collaboration and his product, the Cochrane Library, are really relevant instruments to improve EBM in medical practice and thus also in the Rehabilitation Field. The present paper can help Rehabilitation Specialists to easily retrieve the conclusions of the most relevant and updated reviews in order to change their clinical practice in a more rapid and effective way.
Topics: Evidence-Based Medicine; Humans; Musculoskeletal Diseases; Nervous System Diseases; Orthotic Devices; Rehabilitation; Review Literature as Topic
PubMed: 21597437
DOI: No ID Found -
European Journal of Physical and... Sep 2010Since 2007 we focused our attention as EJPRM to the best available clinical evidence as offered by the Cochrane Collaboration. Due to the absence of a specific... (Review)
Review
AIM
Since 2007 we focused our attention as EJPRM to the best available clinical evidence as offered by the Cochrane Collaboration. Due to the absence of a specific Rehabilitation Group (only a Field exists), reviews of PRM interest are in different groups and not easy to find. Consequently, the EJPRM offer the service of listing and presenting all these reviews systematically. The aim of the present paper was to systematically review all the new rehabilitation papers published in the 3rd 4th and 5th Issues of 2010 from the Cochrane Library in order to provide to physicians involved in the field a summary of the best evidence nowadays available.
METHODS
The author systematically searched all the new papers of rehabilitative interest in the 3rd 4th and 5th Issues of 2010 of the Cochrane Library. The retrieved papers have been then divided in subgroups on the base of the topic and the Cochrane Groups.
RESULTS
The number of included papers was 8, 7 of these were new reviews. Four new reviews deal with neurological rehabilitation, being performed by the Stroke group, 2 with musculoskeletal disorders, 1 with cardiac rehabilitation. Moreover, 1 review from the Back Group the has been updated.
CONCLUSION
The Cochrane Collaboration and his product, the Cochrane Library, are really relevant instruments to improve EBM in medical practice and thus also in the Rehabilitation Field. The present paper can help Rehabilitation Specialists to easily retrieve the conclusions of the most relevant and updated reviews in order to change their clinical practice in a more rapid and effective way.
Topics: Cardiac Rehabilitation; Evidence-Based Medicine; Humans; Musculoskeletal Diseases; Postural Balance; Stroke Rehabilitation
PubMed: 20927009
DOI: No ID Found -
Der Unfallchirurg Feb 2015Sports injuries and their treatment have become increasingly more important in recent years due to the leisure behaviour of our society. Besides the aspects of acute...
Sports injuries and their treatment have become increasingly more important in recent years due to the leisure behaviour of our society. Besides the aspects of acute care and medical treatment there often remains the question of optimal rehabilitative care and return to sports. Overall, the correct early planning of rehabilitation has a great influence on the prognosis of sports injuries and the date of resumption of sporting activities. One of the key aspects to consider is the phase-dependent course of rehabilitation with appropriate therapy focus. A multidisciplinary and interdisciplinary, phase-dependent, individual treatment plan that also complies with the biopsychosocial background of the athlete must be created for this purpose. Increasingly relevant is also the sport psychological support during all phases of rehabilitation, including the use of cognitive behavioral therapy. Before an athlete returns to sports and competition, objectified sport-specific criteria must be met.
Topics: Athletic Injuries; Case Management; Evidence-Based Medicine; Germany; Humans; Physical Therapy Modalities; Rehabilitation; Treatment Outcome
PubMed: 25672636
DOI: 10.1007/s00113-014-2614-3 -
IEEE Pulse 2012The aging population and the wish to improve quality of life, as well as the economic pressure to work longer, call for intuitive and efficient assistive and... (Review)
Review
The aging population and the wish to improve quality of life, as well as the economic pressure to work longer, call for intuitive and efficient assistive and rehabilitation technologies. Therefore, we have developed a project based education paradigm in the design of assistive and rehabilitation devices. Using a miniature wireless sensing and feedback platform, the multimodal interactive motor assessment and training environment (MIMATE), students from different engineering backgrounds were able to develop innovative devices implementing rehabilitative games in the short span of a one-term course. We describe here this novel H-CARD course on the human-centered design of assistive and rehabilitative devices.
Topics: Humans; Microcomputers; Monitoring, Physiologic; Rehabilitation; Wireless Technology
PubMed: 23247159
DOI: 10.1109/MPUL.2012.2216719 -
Fortschritte Der Neurologie-Psychiatrie Feb 2019To increase the rate of successful return-to-work (RTW) after acute or chronic diseases, the German Pension Insurance established the concept of work-related medical...
To increase the rate of successful return-to-work (RTW) after acute or chronic diseases, the German Pension Insurance established the concept of work-related medical rehabilitation (WMR) as a strategic advancement of conventional medical rehabilitation. Although in some indications, the WMR is demonstrably superior to conventional medical rehabilitation in terms of occupational reintegration, this has not yet been proven for neurology so far. Current studies on neurological WMR point to the complexity of clinical anamnestic characteristics of the target group, which makes it difficult to define severe restrictions of work ability (SRWA) as a prerequisite for access to the neurological WMR. In addition, the heterogeneous functional disabilities, multiple comorbidities and the different types of rehabilitation services (follow-up, medical treatment) significantly influence SRWA identification. Standardized SRWA screening instruments with a focus on socio-medical criteria identify SRWA less adequately than individual history taking. In neurology, an individualized SRWA screening is recommended at the beginning of WMR despite additional expense.
Topics: Chronic Disease; Comorbidity; Germany; Humans; Neurology; Rehabilitation, Vocational; Return to Work
PubMed: 30616252
DOI: 10.1055/a-0695-9074