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https://www.readbyqxmd.com/read/28330455/exergames-versus-self-regulated-exercises-with-instruction-leaflets-to-improve-adherence-during-geriatric-rehabilitation-a-randomized-controlled-trial
#1
Peter Oesch, Jan Kool, Luis Fernandez-Luque, Ellen Brox, Gunn Evertsen, Anton Civit, Roger Hilfiker, Stefan Bachmann
BACKGROUND: Improving mobility in elderly persons is a primary goal in geriatric rehabilitation. Self-regulated exercises with instruction leaflets are used to increase training volume but adherence is often low. Exergames may improve adherence. This study therefore compared exergames with self-regulated exercise using instruction leaflets. The primary outcome was adherence. Secondary outcomes were enjoyment, motivation and balance during walking. METHODS: Design: single center parallel group non-blinded randomized controlled trial with central stratified randomization...
March 23, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28323335/surgical-guidelines-for-perioperative-management-of-older-adults-what-geriatricians-need-to-know
#2
Jessica L Colburn, Sanjay Mohanty, John R Burton
A multidisciplinary panel of experts representing surgery, anesthesia, and geriatrics recently published guidelines for surgeons on the optimal perioperative management of older adults, including recommendations on postoperative recovery and posthospital transitions of care. Geriatricians have an important role in the care for older adults in the preoperative period as older adults consider surgical options and prepare for surgical procedures, during the perioperative period as inpatient consultants, and in the postoperative period as older adults transition to rehabilitation facilities or to home...
March 21, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28320331/a-multi-component-cognitive-behavioural-intervention-for-the-treatment-of-fear-of-falling-after-hip-fracture-fit-hip-protocol-of-a-randomised-controlled-trial
#3
Maaike N Scheffers-Barnhoorn, Jolanda C M van Haastregt, Jos M G A Schols, Gertrudis I J M Kempen, Romke van Balen, Jan H M Visschedijk, Wilbert B van den Hout, Eve M Dumas, Wilco P Achterberg, Monica van Eijk
BACKGROUND: Hip fracture is a common injury in the geriatric population. Despite surgical repair and subsequent rehabilitation programmes, functional recovery is often limited, particularly in individuals with multi-morbidity. This leads to high care dependency and subsequent use of healthcare services. Fear of falling has a negative influence on recovery after hip fracture, due to avoidance of activity and subsequent restriction in mobility. Although fear of falling is highly prevalent after hip fracture, no structured treatment programme is currently available...
March 20, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28320217/patient-centered-mobility-outcome-preferences-according-to-individuals-with-stroke-and-caregivers-a-qualitative-analysis
#4
Shilpa Krishnan, Monique R Pappadis, Susan C Weller, Steve R Fisher, Catherine C Hay, Timothy A Reistetter
PURPOSE: To explore the mobility-related preferences among stroke survivors and caregivers following post-acute rehabilitation at inpatient or skilled nursing facilities. METHODS: In this cross-sectional study; semi-structured, qualitative interviews of stroke survivors (n = 24) and informal caregivers (n = 15) were conducted. The participants were recruited from the community. RESULTS: Comparative content analysis was used to identify themes by two independent coders...
March 21, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28314625/transthyretin-concentrations-in-acute-stroke-patients-predict-convalescent-rehabilitation
#5
Naofumi Isono, Yuki Imamura, Keiko Ohmura, Norihide Ueda, Shinji Kawabata, Motomasa Furuse, Toshihiko Kuroiwa
OBJECTIVE: For stroke patients, intensive nutritional management is an important and effective component of inpatient rehabilitation. Accordingly, acute care hospitals must detect and prevent malnutrition at an early stage. Blood transthyretin levels are widely used as a nutritional monitoring index in critically ill patients. Here, we had analyzed the relationship between the transthyretin levels during the acute phase and Functional Independence Measure in stroke patients undergoing convalescent rehabilitation...
March 14, 2017: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/28295670/high-resource-utilization-in-liver-transplantation-how-strongly-differ-costs-between-the-care-sectors-and-what-are-the-main-cost-drivers
#6
Lena Harries, Harald Schrem, Jona T Stahmeyer, Christian Krauth, Volker Eric Amelung
To control treatment pathways of transplant patients across health care sectors a profound knowledge of the underlying cost structure is necessary. The aim of this study was to analyze the resource utilization of patients undergoing liver transplantation. Data on resource utilization for 182 liver transplanted patients was investigated retrospectively. The observational period started with the entry on the waiting list and ended up to 3 years after transplantation. Median treatment cost was 144,424€. During waiting time median costs amounted to 9,466€; 72% of costs were attributed to inpatient care, 3% to outpatient care and 26% to pharmaceuticals...
March 11, 2017: Transplant International: Official Journal of the European Society for Organ Transplantation
https://www.readbyqxmd.com/read/28291891/effect-of-inpatient-rehabilitation-vs-a-monitored-home-based-program-on-mobility-in-patients-with-total-knee-arthroplasty-the-hiho-randomized-clinical-trial
#7
Mark A Buhagiar, Justine M Naylor, Ian A Harris, Wei Xuan, Friedbert Kohler, Rachael Wright, Renee Fortunato
Importance: Formal rehabilitation programs, including inpatient programs, are often assumed to optimize recovery among patients after undergoing total knee arthroplasty. However, these programs have not been compared with any outpatient or home-based programs. Objective: To determine whether 10 days of inpatient rehabilitation followed by a monitored home-based program after total knee arthroplasty provided greater improvements than a monitored home-based program alone in mobility, function, and quality of life...
March 14, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28290970/severe-systemic-lead-toxicity-resulting-from-extra-articular-retained-shrapnel-presenting-as-jaundice-and-hepatitis-a-case-report-and-review-of-the-literature
#8
Ian A Grasso, Matthew R Blattner, Tyler Short, John W Downs
INTRODUCTION: Despite greater than 60,000 nonfatal firearm injuries per year in the United States, retained shrapnel is a relatively rare cause of systemic lead toxicity with less than 100 cases reported in the medical literature since 1867. While intra-articular retained shrapnel as a cause of lead toxicity is well-described, extra-articular fragments are less well known to cause symptomatic disease. CASE REPORT: A 31-year-old man initially presented with abdominal pain, constipation, jaundice, and elevated liver transaminases approximately 3 weeks after suffering a left lower extremity injury during athletic activity...
March 2017: Military Medicine
https://www.readbyqxmd.com/read/28290469/longitudinal-employment-outcomes-of-an-early-intervention-vocational-rehabilitation-service-for-people-admitted-to-rehabilitation-with-a-traumatic-spinal-cord-injury
#9
G Hilton, C A Unsworth, G C Murphy, M Browne, J Olver
STUDY DESIGN: Longitudinal cohort design. OBJECTIVES: First, to explore the longitudinal outcomes for people who received early intervention vocational rehabilitation (EIVR); second, to examine the nature and extent of relationships between contextual factors and employment outcomes over time. SETTING: Both inpatient and community-based clients of a Spinal Community Integration Service (SCIS). METHODS: People of workforce age undergoing inpatient rehabilitation for traumatic spinal cord injury were invited to participate in EIVR as part of SCIS...
March 14, 2017: Spinal Cord
https://www.readbyqxmd.com/read/28288627/a-protocol-for-the-methodological-steps-used-to-evaluate-the-alignment-of-rehabilitation-services-in-the-western-cape-south-africa-with-the-national-rehabilitation-policy
#10
Gubela Mji, Anthea Rhoda, Sue Statham, Conran Joseph
BACKGROUND: Rehabilitation medicine plays an integral part in attainment of optimal functioning after injury or disease. The National Rehabilitation Policy of South Africa (NRP) (2000) highlights the need for access to professional health care services, redistribution and optimal utilisation of resources and research in the field of disability and rehabilitation. The government further ratified the Convention on the Rights of Persons with Disabilities (CRPD) (2007), which validate the urgency in advancing the agenda of persons with disabilities...
March 14, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28284834/the-effectiveness-of-active-cycling-in-subacute-stroke-rehabilitation-a-randomized-controlled-trial
#11
Christel Vanroy, Hilde Feys, Anke Swinnen, Yves Vanlandewijck, Steven Truijen, Dirk Vissers, Marc Michielsen, Kristien Wouters, Patrick Cras
OBJECTIVE: To examine the effects of 3-month aerobic training (AT) followed by coaching on aerobic capacity, strength and gait speed after subacute stroke. DESIGN: Randomized controlled trial SETTING: Inpatient rehabilitation center PARTICIPANTS: Patients (N=59; mean age= 65.4±10.3; 21 women (36%); Barthel Index≤50= 64%) with first stroke and able to cycle at 50 revolutions/minute enrolled in the study 3-10 weeks after stroke onset. INTERVENTIONS: Patients were randomly allocated to a 3-month cycling group (ACG, n=33) and education or to a control group (CG, n=26)...
March 8, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28283483/exploring-stroke-survivors-and-physiotherapists-views-of-self-management-after-stroke-a-qualitative-study-in-the-uk
#12
Euan Sadler, Charles D A Wolfe, Fiona Jones, Christopher McKevitt
OBJECTIVES: Stroke is a sudden-onset condition with long-term consequences. Self-management could help address long-term consequences of stroke. Stroke survivors' and health professionals' views of self-management may vary, limiting the successful introduction of self-management strategies. This paper explores stroke survivors' and physiotherapists' views of self-management, focusing on what self-management means, and factors perceived to enable and hinder self-management after stroke, to draw out implications for policy, practice and future research...
March 10, 2017: BMJ Open
https://www.readbyqxmd.com/read/28280351/regional-variation-in-post-stroke-multidisciplinary-rehabilitation-care-among-veteran-residents-in-community-nursing-homes
#13
Huanguang Jia, Qinglin Pei, Charles T Sullivan, Diane C Cowper Ripley, Samuel S Wu, W Bruce Vogel, Xinping Wang, Douglas E Bidelspach, Jennifer L Hale-Gallardo, Barbara E Bates
INTRODUCTION: Effective post-acute multidisciplinary rehabilitation therapy improves stroke survivors' functional recovery and daily living activities. The US Department of Veterans Affairs (VA) places veterans needing post-acute institutional care in private community nursing homes (CNHs). These placements are made under the same rules and regulations across the VA health care system and through individual per diem contracts between local VA facilities and CNHs. However, there is limited information about utilization of these veterans' health services as well as the geographic variation of the service utilization...
2017: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/28279748/burden-of-readmissions-among-patients-with-critical-limb-ischemia
#14
Shikhar Agarwal, James M Pitcavage, Karan Sud, Badal Thakkar
BACKGROUND: Readmissions constitute a major healthcare burden among critical limb ischemia (CLI) patients. We aimed to study the incidence of readmission and factors affecting readmission in CLI patients. METHODS: All adult hospitalizations with a diagnosis code for CLI were included from State Inpatient Databases from Florida (2009-2013), New York (2010-2013) and California (2009-2011). Data were merged with the directory available from the American Hospital Association to obtain detailed information on hospital related characteristics...
March 3, 2017: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/28277891/comparing-the-weefim-and-pedi-in-neurorehabilitation-for-children-with-acquired-brain-injury-a-systematic-review
#15
Katie S Williams, David K Young, G A Amos Burke, Daniel M Fountain
INTRODUCTION: We sought to compare the suitability of the Functional Independence Measure for Children (WeeFIM) and the Pediatric Evaluation of Disability Inventory (PEDI) as outcome measures in rehabilitation of children with acquired brain injury (ABI). METHODS: We performed a systematic review of the evidence base using five databases. PRISMA guidelines were adhered to and the review was registered with the PROSPERO international prospective register of systematic reviews (registration number CRD42015025370)...
March 9, 2017: Developmental Neurorehabilitation
https://www.readbyqxmd.com/read/28274697/pain-catastrophizing-and-negative-mood-states-following-spinal-cord-injury-transitioning-from-inpatient-rehabilitation-into-the-community
#16
Ashley Craig, Rebecca Guest, Yvonne Tran, Kathryn Nicholson Perry, James Middleton
Chronic pain is prevalent in people with spinal cord injury (SCI). This research investigated how chronic pain intensity and catastrophizing varies in adults with SCI during inpatient rehabilitation up to 12 months post-injury after transitioning into the community. Eighty-eight participants with SCI were assessed for pain intensity and catastrophizing, depressive mood states and cognitive performance. Participants were divided into sub-groups of clinically elevated depressive mood and anxiety versus those with normal mood state levels...
March 5, 2017: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/28274210/effectiveness-of-pulmonary-rehabilitation-for-patients-with-asthma-study-protocol-of-a-randomized-controlled-trial-epra
#17
Konrad Schultz, Hildegard Seidl, Danijel Jelusic, Rupert Wagner, Michael Wittmann, Hermann Faller, Dennis Nowak, Michael Schuler
BACKGROUND: Asthma patients are enrolled in multimodal pulmonary rehabilitation (PR) programs. However, available data for the effectiveness of PR in asthma are sparse. Therefore, the primary aim of this randomized control trial (RCT) is to evaluate short-term (end of rehabilitation) and intermediate-term effectiveness (3 months after rehabilitation) of PR for patients with asthma regarding asthma control (primary outcome) and other outcomes. Secondly, moderator effects of gender, age, baseline asthma control, quality of life, and anxiety will be examined...
March 9, 2017: BMC Pulmonary Medicine
https://www.readbyqxmd.com/read/28273775/new-insights-into-the-burden-and-costs-of-multiple-sclerosis-in-europe
#18
Gisela Kobelt, Alan Thompson, Jenny Berg, Mia Gannedahl, Jennifer Eriksson
BACKGROUND: The current focus in multiple sclerosis (MS) is on early diagnosis and drug intervention, with a view to modifying disease progression. Consequently, healthcare costs have shifted from inpatient care and rehabilitation to outpatient care. OBJECTIVES: This European burden of illness study provides data that can be combined with other evidence to assess whether management approaches provide value to society. METHODS: A cross-sectional study was conducted in 16 countries...
February 1, 2017: Multiple Sclerosis: Clinical and Laboratory Research
https://www.readbyqxmd.com/read/28272593/the-unmet-need-for-postacute-rehabilitation-among-medicare-observation-patients-a-single-center-study
#19
Jennifer N Goldstein, J Sanford Schwartz, Patricia McGraw, Tobias L Banks, LeRoi S Hicks
BACKGROUND: Medicare beneficiaries admitted under observation status must pay for postacute inpatient rehabilitation (PAIR) services, out of pocket, at potentially prohibitive costs. OBJECTIVE: To determine if there is an unmet need for PAIR among Medicare observation patients and if this care is associated with longer hospital stay and increased rehospitalization. DESIGN/SETTING: Observational study using electronic medical record and administrative data from a regional health system...
March 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28272379/importance-of-independent-sit-to-stand-ability-in-ambulatory-patients-with-spinal-cord-injury
#20
Lalita Khuna, Pipatana Amatachaya, Thanat Sooknuan, Thiwabhorn Thaweewannakij, Lugkana Mato, Jiamjit Seangsuwan, Sugalya Amatachaya
BACKGROUND: Sit-to-stand (STS) is an important and basic activity for daily living. However, a few studies have reported information relating to STS ability in ambulatory patients with spinal cord injury (SCI). AIM: To investigate factors associated with the ability of independent sit- to-stand (iSTS) among ambulatory patients with SCI. DESIGN: Cross-sectional cohort study. SETTING: Inpatient tertiary rehabilitation centre and several communities in Thailand...
March 8, 2017: European Journal of Physical and Rehabilitation Medicine
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