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Irish Journal of Medical Science Sep 2013The goal in rehabilitating patients with multiple sclerosis (MS) is to minimize their physical and mental impairments and keep them integrated into their social...
BACKGROUND
The goal in rehabilitating patients with multiple sclerosis (MS) is to minimize their physical and mental impairments and keep them integrated into their social environment. However, rehabilitation is not systematically utilized in MS patients.
OBJECTIVES
This study aimed to determine how many patients diagnosed with MS use rehabilitation as a way of treatment and to evaluate correlation between use of rehabilitation and level of impairment.
METHODS
We analyzed data regarding the use of rehabilitation in the last 2 years in 63 MS patients. Data were gathered using questionnaires during regular visits to neurological outpatient clinic from October to December 2011. Expanded Disability Status Scale (EDSS) was determined for all patients.
RESULTS
One or more types of rehabilitation were used in 41.3% of questioned patients: inpatient, outpatient and home-based rehabilitation were used in 28.5, 17.4 and 4.7% of patients, respectively. Average EDSS in group with inpatient rehabilitation was 2.9, in group with outpatient rehabilitation 3.0 and in group without rehabilitation 1.0. We found that patients who used inpatient, outpatient and home-based rehabilitation had higher level of impairment comparing to patients who were not rehabilitated (p=0.002, p=0.004 and p=0.021, respectively).
CONCLUSION
Rehabilitation of MS patients is not systematically provided, especially in early stages of disease when best results can be achieved.
Topics: Adult; Cohort Studies; Female; Home Care Services; Humans; Inpatients; Male; Middle Aged; Multiple Sclerosis; Outpatients; Physical Therapy Modalities; Surveys and Questionnaires; Young Adult
PubMed: 23338542
DOI: 10.1007/s11845-013-0905-2 -
Annals of the Academy of Medicine,... Jul 1983Optimal rehabilitation of patients after burn injury requires the organised application of sound, recognised principles. The basic concerns are the prevention of loss of...
Optimal rehabilitation of patients after burn injury requires the organised application of sound, recognised principles. The basic concerns are the prevention of loss of joint motion, loss of muscle mass, and the prevention of anatomical deformities. Important considerations are starting the rehabilitative programme as early as possible after injury and avoiding techniques which unduly immobilise the patient or parts of the body. The use of early active motion to the patient and all movable joints, along with appropriate positioning while at rest, is crucial to a successful programme. Passive exercising along with the use of restraints and splints are necessary in certain patients.
Topics: Burns; Exercise Therapy; Hand Injuries; Humans; Movement; Physical Exertion; Physical Therapy Modalities; Posture; Splints; Time Factors
PubMed: 6678126
DOI: No ID Found -
Zeitschrift Fur Kinder- Und... Sep 2009In order to avoid threatening social disintegration, it is important for children and adolescents with chronic mental disorders and also for physically disabled children... (Review)
Review
In order to avoid threatening social disintegration, it is important for children and adolescents with chronic mental disorders and also for physically disabled children to diagnose disturbances of social participation in an early stage and to commence rehabilitation measures. The need for rehabilitation, the ability to rehabilitate and the rehabilitation prognosis are important for identifying the individual rehabilitation goals. A multi-axial diagnosis according to the ICF with a determination of adaptability, a behavioural analysis, skills, activity and participation is required. For disabled children, there are only a few ICF check lists for diagnosing social participation. Because of this, the ICF check list CASP (Child & Adolescent Scale of Participation) for measuring social participation according to Bedell was translated, which is shown in the appendix.
Topics: Activities of Daily Living; Adolescent; Child; Chronic Disease; Disability Evaluation; Disabled Children; Germany; Goals; Humans; Mental Disorders; Needs Assessment; Patient Care Team; Prognosis; Rehabilitation, Vocational; Self Care; Socialization
PubMed: 19739060
DOI: 10.1024/1422-4917.37.5.421 -
[Effect of Rehabilitation on the Delayed Entry into the Retirement due to Reduced Earning Capacity].Die Rehabilitation Feb 2020Early retirements make up a large portion of indirect costs of illness caused by chronic back pain.
BACKGROUND
Early retirements make up a large portion of indirect costs of illness caused by chronic back pain.
METHODS
Claims data from statutory health insurance and German Pension Fund provide the basis for analysis. Cox-Regression was performed for duration to early retirement, whereby beside sociodemographic and treatment characteristics, the effect of rehabilitation was considered.
RESULTS
Early retirement started on average 7.1 month later through rehabilitation. Therefore, rehabilitants made € 8,432.60 higher payments to statutory health insurance and German Pension Fund per rehabilitant. Based on the total number of 21,262 early retirees with orthopedic indications, this can save € 180.7 million. The timing of the early retirement was also affected by age and sickness benefits in the previous month. Savings by avoiding entry into early retirement have not yet been taken into account in this model.
CONCLUSION
Rehabilitants receive later pensions due to reduced ability, which allow for more contributions to statutory health insurance and German Pension Fund. This indicates that medical rehabilitation is an economic and effective treatment.
Topics: Financial Management; Germany; Humans; Income; Pensions; Rehabilitation; Retirement
PubMed: 31096290
DOI: 10.1055/a-0889-0249 -
European Journal of Physical and... Sep 2009The aim of the present paper is to systematically review all the new rehabilitation papers published in the second issue of 2009 from the Cochrane Library in order to... (Review)
Review
The aim of the present paper is to systematically review all the new rehabilitation papers published in the second issue of 2009 from the Cochrane Library in order to provide to physicians involved in the field a summary of the best evidence nowadays available. The authors systematically searched all the new papers of rehabilitative interest from the second issue 2009 of the Cochrane Library. The retrieved papers are then divided in subgroups according to their topic. This review included eight papers: three dealing with neurological rehabilitation, two about pain management, one about orthopedic rehabilitation, one about physical therapy and another about workplace interventions. Some new evidence are now available, even if more studies are needed. The Cochrane Collaboration and the Cochrane Library are really relevant instruments to improve evidence based medicine 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; Nervous System Diseases; Occupational Health Services; Orthopedic Procedures; Pain; Physical Therapy Modalities; Rehabilitation
PubMed: 19779395
DOI: No ID Found -
Gesundheitswesen (Bundesverband Der... Feb 2022Employees in a low socio-economic position (SEP) are more likely to leave the labour market after medical rehabilitation for health reasons than those in a better social...
BACKGROUND
Employees in a low socio-economic position (SEP) are more likely to leave the labour market after medical rehabilitation for health reasons than those in a better social position. So far, almost nothing is known about whether certain types of rehabilitative care can reduce this inequality in rehabilitation success. This paper examines whether certain types of care modify the SEP's influence on return-to-work (RTW).
METHOD
The study is based on administrative data from the German statutory pension insurance on 266,413 medical rehabilitations of 253,311 persons fully integrated into working life. Poisson regression analyses were used to check whether there was a correlation between SEP (income, education, occupational position) and the probability of RTW in the year following the measure, and whether this correlation was lower in follow-up treatment (AHB), inpatient treatment or treatment with subsequent graded RTW compared to rehabilitation that did not meet these characteristics.
RESULTS
People with a low income, education or occupational position were at increased risk of incomplete return to work after medical rehabilitation. This correlation was comparatively lower for all 3 SEP indicators when the return to work was gradual. In the case of AHB and inpatient rehabilitation, this only applied to income.
CONCLUSION
Socio-economically disadvantaged population groups are comparatively more likely not to return fully to work after medical rehabilitation. These inequalities are less pronounced for certain types of rehabilitative care. This tends to be the case with an active structuring role of the care system. However, there is a need for further research on the modification of effects by the type of treatment. This should be further investigated using data collected for this purpose to exclude selection effects.
Topics: Employment; Germany; Humans; Pensions; Rehabilitation, Vocational; Return to Work; Social Status
PubMed: 33822334
DOI: 10.1055/a-1335-4339 -
The Western Journal of Medicine Jul 1993The Pacific Basin Rehabilitation Research and Training Center was created to help meet the challenges of rehabilitating people in rural remote communities in the United...
The Pacific Basin Rehabilitation Research and Training Center was created to help meet the challenges of rehabilitating people in rural remote communities in the United States-associated Pacific. We describe the center, the special region it serves, some of its many programs, and some of the ways it is helping communities in this region provide services that are appropriate and sensitive to the culture, the environment, and the disability.
Topics: Adolescent; Adult; Cervical Vertebrae; Culture; Female; Health Services Needs and Demand; Humans; Language; Male; Middle Aged; Pacific Islands; Quadriplegia; Rehabilitation; Rehabilitation Centers; Socioeconomic Factors
PubMed: 8351905
DOI: No ID Found -
The Journal of Orthopaedic and Sports... Aug 1993Rotator cuff problems are encountered frequently and must be rehabilitated precisely. The pace and intensity of the program are regulated by the degree of pathology and...
Rotator cuff problems are encountered frequently and must be rehabilitated precisely. The pace and intensity of the program are regulated by the degree of pathology and the patient's activity requirements. As our ability to understand the biomechanics of shoulder motion improves, we realize that many rotator cuff problems are secondary to instability. This instability can be subtle. The following article details a rehabilitative program for patients with rotator cuff pathology and includes both conservative and postoperative programs for pathology secondary to instability as well as primary impingement.
Topics: Adult; Exercise Therapy; Humans; Joint Instability; Rotator Cuff Injuries; Shoulder Injuries
PubMed: 8364597
DOI: 10.2519/jospt.1993.18.2.422 -
Ortopedia, Traumatologia, Rehabilitacja Dec 2017The term Rehabilitative Ultrasound Imaging (RUSI) refers to the use of ultrasound imaging by physiothera-pists. Ultrasound is used by physiotherapists to evaluate the...
The term Rehabilitative Ultrasound Imaging (RUSI) refers to the use of ultrasound imaging by physiothera-pists. Ultrasound is used by physiotherapists to evaluate the morphology of muscles and other associated soft tissues not only at rest but also for a dynamic assessment of those structures during physical activities and tasks. RUSI is most commonly utilized as part of a biofeedback mechanism, which shows good efficacy in lower back pain treatment. Several possibilities have been also described for clinically adapting this method in the rehabilitation of the shoulder and knee and postoperative improvement of tendons. RUSI is a novel method with a high clinical potential to support physiotherapeutic therapies.
Topics: Abdominal Muscles; Humans; Low Back Pain; Muscle, Skeletal; Rehabilitation; Ultrasonography
PubMed: 29493525
DOI: 10.5604/01.3001.0010.7036 -
European Journal of Preventive... Sep 2019
Topics: Cardiac Rehabilitation; Exercise; Exercise Therapy; Humans; Resistance Training
PubMed: 31166703
DOI: 10.1177/2047487319856124