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https://www.readbyqxmd.com/read/29141183/functional-outcomes-of-acute-inpatient-rehabilitation-in-patients-with-chronic-graft-versus-host-disease
#1
Jason Leung, Sean Smith, Claire Kalpakjian
BACKGROUND: Growing numbers of allogeneic stem cell transplants (HSCT) and improved post-transplant care have led to an increase of individuals with chronic graft versus host disease (cGVHD). Although cGVHD leads to functional impairment for many, there is limited literature regarding the benefits of acute inpatient rehabilitation for cGVHD patients. OBJECTIVE: To assess Functional Independence Measure (FIM) outcomes of cGVHD patients during acute inpatient rehabilitation, and to compare inpatient rehabilitation outcomes to burn patients, a rehabilitation patient population with similar co-morbidities...
November 12, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29096547/body-composition-and-its-association-with-physical-performance-quality-of-life-and-clinical-indictors-in-charcot-marie-tooth-disease-a-pilot-study
#2
Daniel Hackett, Daniel Roberts-Clarke, Nidhi Jain, Yorgi Mavros, Guy C Wilson, Mark Halaki, Joshua Burns, Garth Nicholson, Maria Fiatarone Singh, Che Fornusek
AIM: To investigate whether the amount and distribution of lean body mass and fat mass is associated with disease severity in adults with Charcot-Marie Tooth. METHODS: Ten participants (age 46 ± 13 y, height 1.7 ± 0.1 m, and body mass 77 ± 17 kg) with Charcot-Marie Tooth disease were involved in this study. Participants were evaluated for quality of life, falls efficacy, balance, mobility, muscle strength, and power. Body composition was measured using dual energy x-ray absorptiometry...
November 2, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29081270/home-based-telehealth-service-for-swallowing-and-nutrition-management-following-head-and-neck-cancer-treatment
#3
Annette Collins, Clare L Burns, Elizabeth C Ward, Tracy Comans, Claire Blake, Lizbeth Kenny, Phil Greenup, Daniel Best
Introduction Following (chemo)radiotherapy (C/RT) for head and neck cancer (HNC), patients return to hospital for regular outpatient reviews with speech pathology (SP) and nutrition and dietetics (ND) for acute symptom monitoring, nutritional management, and swallowing and communication rehabilitation. The aim of the current study was to determine the feasibility of a home-based telehealth model for delivering SP and ND reviews, to provide patients with more convenient access to these appointments. Methods Service outcomes, costs, and consumer satisfaction were examined across 30 matched participants: 15 supported via the standard model of care (SMOC), and 15 via the home-based telehealth model of care (TMOC)...
December 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/29066003/clinical-outcomes-after-burns-in-elderly-patients-over-70-years-a-17-year-retrospective-analysis
#4
Gregg Dexter, Sachin Patil, Kanwardeep Singh, Michael A Marano, Robin Lee, Sylvia J Petrone, Ronald S Chamberlain
INTRODUCTION: In the United Stated population >70years is likely to double by the year 2050. Elderly population (>70years) are most vulnerable to burns and outcomes following such injuries in this special group is poorly studied. This study aimed to look at outcomes following burns in patients >70years over a period of 17 years. MATERIALS AND METHODS: Data on 6512 patients admitted to a Level I Burn Center between 1995 and 2011 was analyzed. Age, gender, ethnicity, TBSA, burn etiology, hospital and burn intensive care unit (ICU) length of stay (LOS) and status at discharge were abstracted...
October 20, 2017: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29059848/towards-a-wearable-hand-exoskeleton-with-embedded-synergies
#5
Martin K Burns, Katie Van Orden, Vrajeshri Patel, Ramana Vinjamuri
Numerous hand exoskeletons have been proposed in the literature with the aim of assisting or rehabilitating victims of stroke, brain/spinal cord injury, or other causes of hand paralysis. In this paper a new 3D printed soft hand exoskeleton, HEXOES (Hand Exoskeleton with Embedded Synergies), is introduced and mechanically characterized. Metacarpophalangeal (MCP) and proximal interphalangeal/interphalangeal (PIP/IP) joints had measured maximum flexion angles of 53.7 ± 16.9° and 39.9 ± 13.4°, respectively; and maximum MCP and PIP angular velocities of 94...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29058641/a-systematic-review-protocol-on-the-effectiveness-of-therapeutic-exercises-utilised-by-physiotherapists-to-improve-function-in-patients-with-burns
#6
Tapfuma Mudawarima, Matthew Chiwaridzo, Jennifer Jelsma, Karen Grimmer, Faith Chengetayi Muchemwa
BACKGROUND: Therapeutic exercises play a crucial role in the management of burn injuries. The broad objective of this review is to systematically evaluate the effectiveness, safety and applicability to low-income countries of therapeutic exercises utilised by physiotherapists to improve function in patients with burns. Population = adults and children/adolescents with burns of any aspect of their bodies. Interventions = any aerobic and/or strength exercises delivered as part of a rehabilitation programme by anyone (e...
October 23, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/29050789/satisfaction-with-life-over-time-in-people-with-burn-injury-a-national-institute-on-disability-independent-living-and-rehabilitation-research-burn-model-system-study
#7
Dagmar Amtmann, Fraser D Bocell, Kara McMullen, Alyssa M Bamer, Kurt L Johnson, Shelley Wiechman, Jeffrey C Schneider
OBJECTIVES: To examine trajectories of satisfaction with life (SWL) of burn survivors over time and their clinical, demographic and other predictors. DESIGN: Longitudinal survey. SETTING: N/A. PARTICIPANTS: Individuals 18 and over who underwent burn-related surgery and met one of the following criteria: (1) > 10% total burn surface area (TBSA) burn and ≥ 65 years of age; (2) > 20% TBSA burn and 18 to 64 years of age; (3) electrical high voltage/lightning injury; or (4) burn injury to the hands, face, or feet...
October 16, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29040226/propranolol-and-oxandrolone-therapy-accelerated-muscle-recovery-in-burned-children
#8
Tony Chao, Craig Porter, David N Herndon, Aikaterina Siopi, Henry Ideker, Ronald P Mlcak, Labros S Sidossis, Oscar E Suman
INTRODUCTION: Severe burns result in prolonged hypermetabolism and skeletal muscle catabolism. Rehabilitative exercise training (RET) programs improved muscle mass and strength in severely burned children. The combination of RET with β-blockade or testosterone analogues showed improved exercise-induced benefits on body composition and muscle function. However, the effect of RET combined with multiple drug therapy on muscle mass, strength, cardiorespiratory fitness and protein turnover are unknown...
October 16, 2017: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/29017743/resistance-training-for-rehabilitation-after-burn-injury-a-systematic-literature-review-meta-analysis
#9
REVIEW
Paul M Gittings, Tiffany L Grisbrook, Dale W Edgar, Fiona M Wood, Benedict M Wand, Neil E O'Connell
BACKGROUND/AIM: Resistance training is beneficial for rehabilitation in many clinical conditions, though this has not been systematically reviewed in burns. The objective was to determine the effectiveness of resistance training on muscle strength, lean mass, function, quality of life and pain, in children and adults after burn injury. METHODS: Medline & EMBASE, PubMed, CINAHL and CENTRAL were searched from inception to October 2016. Studies were identified that implemented resistance training in rehabilitation...
October 7, 2017: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/28992770/influence-of-demographic-and-utilization-of-physical-therapy-interventions-on-clinical-outcomes-and-revision-rates-following-anterior-cruciate-ligament-reconstruction
#10
Caitlin J Miller, Jesse C Christensen, Ryan D Burns
Study Design Retrospective cohort from Intermountain Healthcare system Jan 2007-Dec 2014. Background Recent evolutions in healthcare delivery are putting physical therapists in the forefront to be more responsible for providing high-quality rehabilitation care within a more cost-effective manner. Studies investigating the association between physical therapy (PT) visit utilization and outcomes in vulnerable patient populations following anterior cruciate ligament reconstruction (ACLR) may provide useful insights...
October 9, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28989076/the-national-institute-on-disability-independent-living-and-rehabilitation-research-burn-model-system-review-of-program-and-database
#11
Dagmar Amtmann, Kara McMullen, Alyssa Bamer, James A Fauerbach, Nicole S Gibran, David Herndon, Jeffrey C Schneider, Karen Kowalske, Radha Holavanahalli, A Cate Miller
The Burn Model System (BMS) centers program was created in 1994 to evaluate the long-term outcomes of burn injuries. As part of this multi-center program, a comprehensive longitudinal database was developed to facilitate the study of a number of functional and psychosocial outcomes after burn injury. In this article we provide an overview of the data collection procedures, measures selection process, and an overview of the participant data collected between 1994 and 2016. Surveys were administered during hospitalization and at 6, 12, and 24 months after discharge, and in the most recent funding cycle, data collection at every five years post injury was added...
October 5, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28922022/implementing-a-collaborative-coaching-intervention-for-professionals-providing-care-to-children-and-their-families-an-exploratory-study
#12
Sandy K Tatla, Dori Howard, Alda Antunes Silvestre, Stacey Burnes, Meghan Husson, Tal Jarus
The growing complexity of healthcare requires family and interprofessional partnerships to deliver effective care. Interprofessional coaching can enhance family-centred practice and collaboration. The purpose of this study was to explore the acceptability and feasibility of collaborative coaching training to improve family centredness within acute paediatric rehabilitation. Using a participatory action design, service providers (SPs; n = 36) underwent a 6-month coaching programme involving coaching workshops, learning triads, and tailored sessions with a licensed coach...
September 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/28898968/systematic-review-factors-associated-with-return-to-work-in-burnout
#13
R Kärkkäinen, T Saaranen, S Hiltunen, O P Ryynänen, K Räsänen
Background: Professional burnout predicts sick leave and even permanent withdrawal from the labour force. However, knowledge of the barriers to and facilitators of return to work (RTW) in such burnout is limited. Aims: To identify factors associated with RTW of burned-out individuals to inform occupational health care (OHC) RTW policy. Methods: A systematic search of peer-reviewed quantitative and mixed-method studies published from January 2005 to July 2016 in English and Finnish in ARTO, CINAHL (EBSCO), Medic, PsycINFO (ProQuest), PubMed, Scopus and Web of Science databases, followed by a manual search...
August 1, 2017: Occupational Medicine
https://www.readbyqxmd.com/read/28888313/aftercare-survivorship-and-peer-support
#14
REVIEW
Karen Badger, Amy Acton, Pam Peterson
Burn recovery includes addressing any emotional, psychological, and social needs of the survivor and family. Providing support and resources is essential for a smooth transition from the acute phase of injury to rehabilitation and successful social and community reintegration. Priority psychosocial target areas are developing social skills, addressing body image concerns, and providing peer support. Peer support provides a unique perspective of shared experience that can instill hope and assist coping efforts of survivors and family...
October 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28888309/head-and-neck-reconstruction
#15
REVIEW
Shannon Wong, Alyson Melin, Debra Reilly
Management of head and neck burns involves acute and intermediate phases. Acutely, the goals are establish a secure airway and treat life-threatening injuries. Then, optimize nutrition, assess extent of the burn, perform local wound care, and provide eye protection. Management depends on the degree of the head and neck burn. Postinjury splinting and rehabilitation are vital to healing. After the acute inflammation has resolved and the scars have matured, reconstruction begins with the goals of restoring both function and aesthetics...
October 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28888308/hand-reconstruction-after-burn-injury-functional-results
#16
REVIEW
Günter Germann
Frequently burns of the hand occur as part of a major thermal injury, but appropriate treatment of the hands has high priority, because even small burns of the hand may result in severely limited function and compromised aesthetic appearance. The functional importance of the hand cannot be overemphasized, because the patient's ability to perform useful work after recovery or the ability to care for themselves is to a great degree determined by residual hand function. This article describes the management of burn injuries involving the hand, stressing the importance of appropriate initial treatment...
October 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28888298/rehabilitation-in-the-acute-versus-outpatient-setting
#17
REVIEW
Gabriel Hundeshagen, Oscar E Suman, Ludwik K Branski
Rehabilitation of patients with burn injuries aims to restore strength, coordination, and mobility as closely to normal as possible and should begin immediately after initial admission. In the acute phase, baseline assessments are made against which all subsequent rehabilitation success is held. In the intermediate phase, active, full range-of-motion movement, ambulation of steadily increasing distances, and resistive exercise and stretching aid in the prevention of muscle and bone atrophy and preserve muscle memory and coordination...
October 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28888297/current-concepts-burn-rehabilitation-part-ii-long-term-recovery
#18
REVIEW
Heather Dodd, Sandra Fletchall, Carrie Starnes, Keith Jacobson
This article summarizes current interventions for several of the most common challenges faced by patients during their rehabilitation from burn injury. These challenges include range of motion preservation through scar contracture management, achieving maximal independence through exercise and activities of daily living training, and psychological recovery through nonpharmacologic approaches pain and anxiety.
October 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28888296/current-concepts-burn-rehabilitation-part-i-care-during-hospitalization
#19
REVIEW
Keith Jacobson, Sandra Fletchall, Heather Dodd, Carrie Starnes
This article summarizes current interventions for several of the most common challenges faced by patients during their rehabilitation from burn injury. These include preservation of range of motion through scar contracture management, and achieving maximal independence through exercise, and training in activities of daily living.
October 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28888295/rehabilitation-of-the-complex-burn-patient-with-multiple-injuries-or-comorbidities
#20
REVIEW
Paul Thananopavarn, James J Hill
Patients with complex burn injuries require interdisciplinary rehabilitation to maximize their functional recovery. Successful rehabilitation from burn injuries starts with addressing the loss of the protective, mechanical, and cosmetic function of the skin and underlying structures. However, other injuries, particularly to the nervous and musculoskeletal systems, need to be identified and managed as part of the rehabilitation plan. Burn injuries can cause losses of functional mobility, self-care skills, psychological well-being, and community participation, which require comprehensive rehabilitation interventions throughout the recovery process...
October 2017: Clinics in Plastic Surgery
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