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Annual International Conference of the... 2010This paper focus on SFIT platforms for rehabilitations and FES therapy. Two systems will be described, one developed to support patients during motor therapy, when they...
This paper focus on SFIT platforms for rehabilitations and FES therapy. Two systems will be described, one developed to support patients during motor therapy, when they are still hospitalized, and after discharge, at home; the other is a sleeve integrating multi-electrodes patches, designed to allow FES therapy and EMG acquisition for patients affected by tremor. These examples prove that it is possible to combine fabric electrodes and biomechanical textile sensors to conceive systems where gesture recognition function can be combined with EMG detection and FES capability. These platforms can be easily used at home for daily therapy, as well as for telemedicine services.
Topics: Electric Stimulation Therapy; Electrodes; Electromyography; Exercise; Humans; Rehabilitation; Telemedicine; Textiles
PubMed: 21095822
DOI: 10.1109/IEMBS.2010.5626148 -
Journal of Occupational Medicine and... Apr 2021Treatment results achieved after fulfilling an inpatient psychosomatic rehabilitation are often not permanent. Additional participation in outpatient rehabilitation...
Pushing occupational rehabilitation - implementation of a therapy diary in the outpatient aftercare of psychosomatic rehabilitation may promote the occupational reintegration process: a survey of therapists and patients.
BACKGROUND
Treatment results achieved after fulfilling an inpatient psychosomatic rehabilitation are often not permanent. Additional participation in outpatient rehabilitation aftercare may reduce the risk of recurrent disorders and support a successful reentry to working life. A therapy diary should accompany the aftercare and bring about the self-reflection process of psychosomatic rehabilitates, which could reduce recurrent disease progressions and support the recovery process as a whole. The study focuses on the evaluation of the effectiveness and implementation potentialities of a therapy diary in outpatient rehabilitation aftercare.
METHODS
In a qualitative study, seven therapists for outpatient rehabilitation aftercare in Central Germany and eleven outpatient psychosomatic rehabilitation patients were interrogated using partially standardized, guideline-based expert interviews. The data evaluation is based on the Qualitative Content Analysis according to Mayring.
RESULTS
The results show that an accompanying use of a therapy diary during the outpatient rehabilitation aftercare enables an intense commitment through own thoughts and feelings. By writing down thoughts, emotions, dysfunctional behaviors in problematic situations, great successes are experienced. Through this initiated self-reflection process, the rehabilitant gains a better knowledge of one's behavior in dealing with oneself and the environment and thereby, whenever necessary, learns to create new ways of acting.
CONCLUSIONS
The voluntary use of the therapy diary in the outpatient rehabilitation aftercare could assist the therapy process and henceforward the recovery of the rehabilitants, and also increase the prospect of successful occupational rehabilitation.
PubMed: 33882961
DOI: 10.1186/s12995-021-00306-2 -
Bundesgesundheitsblatt,... Apr 2017Medical rehabilitation in Germany has been changing continuously since its inception following the Bismarck Legislation. This article describes its development in past...
Medical rehabilitation in Germany has been changing continuously since its inception following the Bismarck Legislation. This article describes its development in past years and discusses quantitative and qualitative changes. Central quantitative changes are discussed using the examples of rehabilitation utilisation, spectrum of diseases, setting and follow-up rehabilitation. Important qualitative changes in medical rehabilitation pertain to multiple morbidities, the emphasis on work-related problems in rehabilitative concepts and their implementation, more flexible forms of rehabilitation, prevention, rehabilitation for people from other countries, mobile rehabilitation and rehabilitation after-care (also with new media). The article ends with an outlook on future developments within legislation, access to rehabilitation and the budget for rehabilitation, in addition to cooperation with the workplace.
Topics: Adolescent; Adult; Aged; Aged, 80 and over; Chronic Disease; Disabled Persons; Female; Forecasting; Germany; Humans; Incidence; Male; Middle Aged; Rehabilitation; Resource Allocation; Utilization Review; Young Adult
PubMed: 28197662
DOI: 10.1007/s00103-017-2513-1 -
The Australian and New Zealand Journal... Sep 1995In the minds of many people, the nightmare of institutionalization has been replaced by the horrors of deinstitutionalization, and the 'revolving door' syndrome has... (Review)
Review
In the minds of many people, the nightmare of institutionalization has been replaced by the horrors of deinstitutionalization, and the 'revolving door' syndrome has become a 'spinning door' syndrome. Media coverage, newspaper accounts and literature would suggest that many persons with severe psychiatric disabilities have not been successfully rehabilitated into the community. Programmes to rehabilitate psychiatric clients cannot be adequately implemented and evaluated until mental health professionals improve their understanding of the philosophy and principles of psychiatric rehabilitation. This paper looks at the similarities between physical and psychiatric disabilities and the way the boundaries may be bridged between groups of disabled persons.
Topics: Deinstitutionalization; Health Services Needs and Demand; Humans; Mental Disorders; Models, Theoretical; Rehabilitation, Vocational
PubMed: 9086940
DOI: No ID Found -
Journal of Dance Medicine & Science :... 2013This was a qualitative study utilizing a phenomenological approach. The purpose was to determine what rehabilitation strategies physical therapists use with dancers and...
This was a qualitative study utilizing a phenomenological approach. The purpose was to determine what rehabilitation strategies physical therapists use with dancers and to discuss techniques for implementing these strategies from both the dancer's and the physical therapist's perspectives. Self-administered questionnaires were sent via email to dancers and physical therapists. Purposeful sampling was done through use of a criterion sampling method that required participants to have experienced dancer rehabilitation. Data were correlated to find common strategies and to encourage modification of current approaches. Physical therapists returned 29 surveys, while dancers returned eight. Five themes were identified in the areas of: 1. evaluation, 2. dance modification, 3. interventions, 4. education, and 5. communication. The conclusion of this study was that successful rehabilitative strategies involve ongoing evaluation that incorporates knowledge of dance technique and performance, dance-centered movement modification that is clearly defined, and an understanding of dance lingo.
Topics: Adult; Dancing; Evaluation Studies as Topic; Exercise Therapy; Female; Humans; Male; Muscle Stretching Exercises; Occupational Injuries; Physical Therapy Modalities; Range of Motion, Articular; Task Performance and Analysis; Young Adult
PubMed: 23498352
DOI: 10.12678/1089-313x.17.1.11 -
Die Rehabilitation Feb 2018The aim of this study was a comparison of treatment results in the year after disk surgery between the following treatment groups: rehabilitation immediately after... (Comparative Study)
Comparative Study
OBJECTIVE
The aim of this study was a comparison of treatment results in the year after disk surgery between the following treatment groups: rehabilitation immediately after discharge from hospital, rehabilitation with a transition time (at home) up to twenty days after rehabilitation or no rehabilitation.
METHODS
On basis of claims data from a statutory health insurance and the German Federal Pension Fund the comparison of treatment results was performed. Therefore, duration of disability, return to work and early retirement are considered as treatment results and are analyzed using general linear models (GLM). Furthermore utilization of occupational rehabilitation was compared between the treatment groups with logistic regression.
RESULTS
Rehabilitants showed a lower risk of unemployment. Moreover, rehabilitants utilize more often occupational rehabilitation. Both rehabilitation treatment groups had a higher duration of disability (including duration of rehabilitation) in the first quarter after surgery. Afterwards the duration of disability decreased faster. Risk of early retirement was higher in patients that started rehabilitation immediately.
CONCLUSION
Rehabilitants tend to have better treatment results in the year following disc surgery.
Topics: Adult; Disability Evaluation; Diskectomy; Female; Follow-Up Studies; Germany; Humans; Intervertebral Disc Displacement; Linear Models; Male; Middle Aged; Postoperative Complications; Rehabilitation, Vocational; Retirement; Return to Work; Risk Factors; Time Factors; Unemployment
PubMed: 28746952
DOI: 10.1055/s-0043-107928 -
Praxis Mar 2016Parkinson's disease (PD) is a chronic neurodegenerative disease which is characterized by the cardinal symptoms akinesia, rigidity, rest tremor and postural instability.... (Review)
Review
Parkinson's disease (PD) is a chronic neurodegenerative disease which is characterized by the cardinal symptoms akinesia, rigidity, rest tremor and postural instability. Besides PD features also a wide range of non-motor symptoms. Physical activity is recommended for all stages of PD and may hypothetically even have a positive influence on the course of the disease. Rehabilitative treatments become increasingly important in the advanced stage of the disease and include mainly physiotherapy, occupational therapy and speech therapy. Neurorehabilitation is arguably most important for the treatment of axial symptoms such as freezing, hypophonia, dysphagia, postural instability and postural disturbances that respond poorly to drug therapy. This article provides an overview of current developments in the field of neurorehabilitation in PD.
Topics: Combined Modality Therapy; Humans; Neurological Rehabilitation; Occupational Therapy; Parkinson Disease; Physical Therapy Modalities; Postural Balance; Speech Therapy
PubMed: 27005731
DOI: 10.1024/1661-8157/a002306 -
PM & R : the Journal of Injury,... Dec 2020Aquatic therapy has been used extensively in a number of neurologic diseases and pathologies. This review describes disease-specific rehabilitative applications for this... (Review)
Review
Aquatic therapy has been used extensively in a number of neurologic diseases and pathologies. This review describes disease-specific rehabilitative applications for this population. Recent research has offered scientific support for use in common neurological diseases that are part of rehabilitative practice, and very recent findings may create even firmer support for its use in these as well as other conditions. Stroke, Parkinsonism, and multiple sclerosis are areas that have recently received a significant number of published studies. Dementia is another area that has been more recently studied and received basic science support. Cerebral palsy has also had recent supportive evidence published. Available literature is reviewed to create a more evidence-based support for the use of aquatic therapy in neurorehabilitation.
Topics: Cerebral Palsy; Dementia; Exercise Therapy; Humans; Multiple Sclerosis; Nervous System Diseases; Neurological Rehabilitation; Stroke Rehabilitation; Water
PubMed: 32536028
DOI: 10.1002/pmrj.12435 -
Social Science & Medicine (1982) Jun 1995Research studies in physical medicine have not demonstrated the effectiveness of inpatient rehabilitation services, primarily due to differences in methodological... (Comparative Study)
Comparative Study Meta-Analysis
Research studies in physical medicine have not demonstrated the effectiveness of inpatient rehabilitation services, primarily due to differences in methodological approaches which have led to inconsistent findings. Because of differing inclusion and outcome criteria, even meta-analyses have been inconclusive. To address this problem, research literature comparing the clinical effectiveness of rehabilitation programs with medical care was evaluated for three uniformly available outcome criteria: survival; functional ability; and discharge location. Published trials were obtained from citations in Index Medicus (Medicine) and Nursing and Allied Health Abstracts covering the recent 20 year period from 1974 to 1994. We used meta-analyses to test the hypotheses that specialized rehabilitative care (vs conventional medical care) improves health outcomes. Results of our meta-analyses indicated that rehabilitation services were significantly associated with better rates of survival and improved function during hospital stay (P < 0.01), but significance was not observed at follow-up. Also, rehabilitation patients returned to their homes and remained there more frequently than controls (P < 0.001). We concluded that patients who participate in inpatient rehabilitation programs function better at hospital discharge, have a better chance of short term survival, and return home more frequently than non-participants. However, long term survival and function were the same for experimental and control subjects. The sustaining benefit of returning home may suffice to justify the provision of inpatient rehabilitation. However, the lack of other long term benefits suggests that services may need to be continued at home or in subacute care settings to optimize their effectiveness.(ABSTRACT TRUNCATED AT 250 WORDS)
Topics: Activities of Daily Living; Aged; Cerebrovascular Disorders; Chi-Square Distribution; Databases, Bibliographic; Humans; Odds Ratio; Physical Therapy Modalities; Rehabilitation; Survival Analysis; Time Factors; Treatment Outcome
PubMed: 7660183
DOI: 10.1016/0277-9536(94)00286-3 -
Zeitschrift Fur Rheumatologie Mar 2014Recent Deutsche Gesellschaft für Rheumatologie (DGRh, German Society of Rheumatology) guidelines emphasized the significance of coordinated multidisciplinary care and...
Recent Deutsche Gesellschaft für Rheumatologie (DGRh, German Society of Rheumatology) guidelines emphasized the significance of coordinated multidisciplinary care and rehabilitation of patients with inflammatory rheumatic diseases. Nationwide data from the German pension insurance funds showed that inpatient rehabilitation due to rheumatoid arthritis (RA) varied by a factor of 2.6 between the different German states. From 2000 to 2012 rehabilitation measures were reduced by one third, most significantly in men with ankylosing spondylitis (AS). Rehabilitation measures because of RA or AS were provided up to 14 times more frequently by the German statutory pension insurance scheme compared with a large compulsory health insurance which is responsible for rehabilitation measures after retirement. In rehabilitation centers with high numbers of patients with inflammatory rheumatic diseases, higher structural and process quality were demonstrated. In 2011 a total of 40 % of RA patients in the national database of the collaborative arthritis centers showed medium or severe functional limitations. Among these disabled RA patients inpatient rehabilitation was reduced by about 50 % between 1995 and 2011. Out of all RA patients from outpatient rheumatology care with severe functional limitations 38 % had no functional restoration therapy within the previous 12 months with a high variation between rheumatologists. Experiences from other European countries may inspire German rheumatologists and other involved health professionals to initiate a wider range of rehabilitative interventions in the future.
Topics: Female; Germany; Humans; Incidence; Male; Needs Assessment; Rehabilitation; Rheumatic Diseases; Rheumatology; Sex Distribution
PubMed: 24659150
DOI: 10.1007/s00393-013-1259-x