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Journal of Sport Rehabilitation Aug 2014The assessment of physical activity and return to sport and exercise activities is an important component in the overall evaluation of outcome after autologous cartilage... (Review)
Review
CONTEXT
The assessment of physical activity and return to sport and exercise activities is an important component in the overall evaluation of outcome after autologous cartilage implantation (ACI).
OBJECTIVE
To identify the patient-report instruments that are commonly used in the evaluation of physical activity and return to sport after ACI and provide a critical analysis of these instruments from a rehabilitative perspective.
EVIDENCE ACQUISITION
A computerized search was performed in January 2013 and repeated in March 2013. Criteria for inclusion required that studies (1) be written in English and published between 1994 and 2013; (2) be clinical studies where knee ACI cartilage repair was the primary treatment, or comparison studies between ACI and other techniques or between different ACI generations; (3) report postoperative physical activity and sport participation outcomes results, and (4) have evidence level of I-III.
EVIDENCE SYNTHESIS
Twenty-six studies fulfilled the inclusion criteria. Three physical activity scales were identified: the Tegner Activity Scale, Modified Baecke Questionnaire, and Activity Rating Scale. Five knee-specific instruments were identified: the Lysholm Knee Function Scale, International Knee Documentation Committee Score Subjective Form, Knee Injury and Osteoarthritis Outcome Score, Modified Cincinnati Knee Score, and Stanmore-Bentley Functional Score.
CONCLUSIONS
Considerable heterogeneity exists in the reporting of physical activity and sports participation after ACI. Current instruments do not fulfill the rehabilitative needs in the evaluation of physical activity and sports participation.
Topics: Adolescent; Adult; Athletic Injuries; Cartilage; Chondrocytes; Exercise; Female; Humans; Male; Recovery of Function; Sports; Transplantation, Autologous
PubMed: 24700540
DOI: 10.1123/jsr.2013-0044 -
Journal of Immigrant and Minority Health Oct 2014Naturalistic interventions with refugee populations examine outcomes following mental health interventions in existing refugee service organisations. The current review... (Review)
Review
Naturalistic interventions with refugee populations examine outcomes following mental health interventions in existing refugee service organisations. The current review aimed to examine outcomes of naturalistic interventions and quality of the naturalistic intervention literature in refugee populations with the view to highlight the strengths and limitations of naturalistic intervention studies. Database search was conducted using the search terms 'refugee', 'asylum seeker', 'treatment', 'therapy' and 'intervention. No date limitations were applied, but searches were limited to articles written in English. Seven studies were identified that assessed the outcome of naturalistic interventions on adult refugees or asylum seekers in a country of resettlement using quantitative outcome measures. Results showed significant variation in the outcomes of naturalistic intervention studies, with a trend towards showing decreased symptomatology at post-intervention. However, conclusions are limited by methodological problems of the studies reviewed, particularly poor documentation of intervention methods and lack of control in the design of naturalistic intervention studies. Further examination of outcomes following naturalistic interventions is needed with studies which focus on increasing the rigour of the outcome assessment process.
Topics: Adult; Humans; Mental Disorders; Mental Health Services; Refugees; Treatment Outcome
PubMed: 23666201
DOI: 10.1007/s10903-013-9835-3