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ebm rehabilitation

Laetitia Houx, Hélène Saudreau, Philippe Galien, Christelle Pons, Marion Roquet, Ronan Garlantezec, Sylvain Brochard
OBJECTIVE: A better understanding of the perception of the rehabilitative and medical care's by persons with cerebral palsy (CP) and their families may help in providing better adherence to these cares. The main objective of this study was to assess overall satisfaction, self-perception of effectiveness and tolerance of the rehabilitative and medical cares in individuals with CP. MATERIAL AND METHODS: This was a cross-sectional questionnaire-based study. A total of 950 questionnaires were sent to French Britain children and adults with CP...
September 2016: Annals of Physical and Rehabilitation Medicine
R Darkow, A Flöel
Speech and language therapy is essential in the rehabilitation of aphasic disorders following a stroke. Due to the predicted increase of aphasia and limited resources within the healthcare system, the development of efficient and sustainable treatment methods is of exceptional importance. The effectiveness of both traditional and innovative approaches needs to be evaluated against the standards of evidence-based medicine. Class I evidence has been established for high-intensity speech and language therapy in subacute and chronic stages of aphasia...
October 2016: Der Nervenarzt
Scott Cheatham, Morey J Kolber, Kathryn Kumagai Shimamura
: Clinical Scenario: The differential diagnosis of groin pain can be very challenging due to the many causative pathologies. Osteitis pubis is one pathology that is becoming more recognized in athletes who participate in sports such as soccer, ice hockey, rugby, and football.(1) Conservative non-operative treatment is often prescribed first prior to surgical intervention. Of particular interest, are the outcomes of non-operative rehabilitation programs and their effectiveness to return athletes to pre-injury levels of participation...
August 24, 2016: Journal of Sport Rehabilitation
M Pohl, M Bertram
BACKGROUND: Early neurological and neurosurgical rehabilitation (ENNR) as a complex post-acute form of treatment for patients with severe neurological diseases and continued need for intensive care is well established in Germany. OBJECTIVE: To assess the efficacy of ENNR from the perspective of evidence-based medicine as well as to present data on the outcome of ENNR patients including the analysis of prognostic factors. MATERIAL AND METHODS: A search was carried out in PubMed databases to identify early rehabilitation treatment forms evaluated by randomized controlled trials and with respect to large multicenter surveys of outcome and prognostic factors...
October 2016: Der Nervenarzt
I M Burykin, G N Aleeva, R Kh Khafiz'yanova
GOAL: Acute myocardial infarction is one of the causal factors of society and economic losses of companionship. Success in the treatment of acute myocardial infarction raises questions on the effective rehabilitation of the first places. New methods, clinical guidelines and standards have been introduced into clinical practice. However, the effectiveness of rehabilitation in the Russian Federation lower than developed countries. The present study was aimed to improve rehabilitation care to patients after acute myocardial infarction...
2016: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
Dai Sugimoto, Jessica C LeBlanc, Sarah E Wooley, Lyle J Micheli, Dennis E Kramer
It is estimated that approximately 350,000 individuals undergo anterior cruciate ligament (ACL) reconstruction surgery in each year in the US. Although ACL-reconstruction surgery and postoperative rehabilitation are successfully completed, deficits in postural control remain prevalent in ACL-reconstructed individuals. In order to assist the lack of balance ability and reduce the risk of retear of the reconstructed ACL, physicians often provide a functional knee brace on the patients' return to physical activity...
May 2016: Journal of Sport Rehabilitation
Scott W Cheatham, Monique Mokha, Matt Lee
CONTEXT: Hip-resurfacing arthroplasty (HRA) has become a popular procedure in the treatment of hip-joint arthritis in individuals under the age of 65 y. Although the body of literature examining operative procedures has grown, there is a lack of consistent reporting of the effectiveness of an HRA postoperative rehabilitation program. To date, no systematic reviews have evaluated the available evidence on postoperative rehabilitation programs. OBJECTIVE: To evaluate the available evidence on postoperative rehabilitation programs after HRA...
May 2016: Journal of Sport Rehabilitation
M Porte, K Patte, A Dupeyron, J Cottalorda
Many practitioners, pediatricians, and general practitioners prescribe physical therapy when tracking scoliosis. However, has physical therapy alone proved its efficacy in the care of the scoliosis to slow down progression? Our purpose is to report the results of a literature review on the effectiveness of rehabilitation in idiopathic scoliosis. No current study presents sufficient scientific proof to validate the efficacy of isolated exercise therapy in scoliosis. Learned societies recognize, however, the efficacy of combining conservative therapy (brace+physiotherapy) in idiopathic scoliosis...
June 2016: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
Shanice Christie, Vincy Chan, Tatyana Mollayeva, Angela Colantonio
INTRODUCTION: Many encephalitis survivors can benefit from rehabilitation. However, there is currently no comprehensive review describing rehabilitation intervention outcomes among children and adults with infectious encephalitis. This is a protocol for a systematic review that will summarise the current literature on outcomes following rehabilitative interventions among children and adults with infectious encephalitis. With a sufficient sample size, a sex-stratified analysis of the findings will also be presented, as variability between male and female patients with neurological disorders, including encephalitis, regarding outcomes after rehabilitative interventions has been noted in the literature...
2016: BMJ Open
C J Vaizey, Y Maeda, E Barbosa, F Bozzetti, J Calvo, Ø Irtun, P B Jeppesen, S Klek, M Panisic-Sekeljic, I Papaconstantinou, A Pascher, Y Panis, W D Wallace, G Carlson, M Boermeester
Intestinal failure (IF) is a debilitating condition of inadequate nutrition due to an anatomical and/or physiological deficit of the intestine. Surgical management of patients with acute and chronic IF requires expertise to deal with technical challenges and make correct decisions. Dedicated IF units have expertise in patient selection, operative risk assessment and multidisciplinary support such as nutritional input and interventional radiology, which dramatically improve the morbidity and mortality of this complex condition and can beneficially affect the continuing dependence on parenteral nutritional support...
June 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
T C Hoffmann, P P Glasziou, I Boutron, R Milne, R Perera, D Moher, D G Altman, V Barbour, H Macdonald, M Johnston, S E Lamb, M Dixon-Woods, P McCulloch, J C Wyatt, A-W Chan Phelan, S Michie
Without a complete published description of interventions, clinicians and patients cannot reliably implement interventions that are shown to be useful, and other researchers cannot replicate or build on research findings. The quality of description of interventions in publications, however, is remarkably poor. To improve the completeness of reporting, and ultimately the replicability, of interventions, an international group of experts and stakeholders developed the Template for Intervention Description and Replication (TIDieR) checklist and guide...
March 2016: Das Gesundheitswesen
Jerrett K Lau, Malcolm O Anastasius, Karice K Hyun, Bilyana Dabin, Steven Coverdale, Cate Ferry, Joseph Hung, Paul Antonis, Derek P Chew, Bernadette Aliprandi-Costa, Alan Cass, David B Brieger
BACKGROUND: Acute coronary syndrome (ACS) guidelines recommend that patients with chronic kidney disease (CKD) be offered the same therapies as other high-risk ACS patients with normal renal function. Our objective was to describe the gaps in evidence-based care offered to patients with ACS and concomitant CKD. METHODS: Patients presenting to 41 Australian hospitals with suspected ACS were stratified by presence of CKD (glomerular filtration rate <60 mL/min)...
September 2015: American Heart Journal
Bernadette Nedelec, Ingrid Parry, Hernish Acharya, Lynne Benavides, Sara Bills, Janelle L Bucher, Joanne Cheal, Annick Chouinard, Donna Crump, Sarah Duch, Matthew Godleski, Jennifer Guenther, Catherine Knox, Eric LaBonte, David Lorello, J Xavier Lucio, Lori E Macdonald, Jennifer Kemp-Offenberg, Candice Osborne, Kara Pontius, Miranda Yelvington, Ana de Oliveira, Lorie A Kloda
The objective of this review was to systematically evaluate the available clinical evidence for the prescription of strength training and cardiovascular endurance exercise programs for pediatric and adult burn survivors so that practice guidelines could be proposed. This review provides evidence-based recommendations specifically for rehabilitation professionals who are responsible for burn survivor rehabilitation. Summary recommendations were made after the literature was retrieved by systematic review, was critically appraised by multiple authors and the level of evidence determined in accordance with the Oxford Centre for Evidence-based Medicine criteria...
November 2016: Journal of Burn Care & Research: Official Publication of the American Burn Association
Dinesh Kumbhare, Lawrence Robinson
The busy clinically active physiatrist who wishes to practice evidence-based medicine has a daunting challenge to keep up to date with the significant amount of new information that is developing and available across the wide spectrum of medical literature. Accordingly, the authors have developed a method to survey the applicable medical literature to identify pertinent and clinically relevant articles. These articles are then critically appraised and presented in a standard format with clinically applicable conclusions...
October 2015: American Journal of Physical Medicine & Rehabilitation
Scott Cheatham, Morey J Kolber, Kathryn Kumagai Shimamura
: Clinical Scenario: The differential diagnosis of groin pain can be very challenging due to the many causative pathologies. Osteitis pubis is one pathology that is becoming more recognized in athletes who participate in sports such as soccer, ice hockey, rugby, and football.1 Conservative non-operative treatment is often prescribed first prior to surgical intervention. Of particular interest, are the outcomes of non-operative rehabilitation programs and their effectiveness to return athletes to pre-injury levels of participation...
June 10, 2015: Journal of Sport Rehabilitation
S Mahalingam, R Srinivasan, P Spielmann
BACKGROUND: The long-term prognosis of hypopharyngeal cancer is poor. Surgery necessitates pharyngolaryngectomy with flap reconstruction. For such patients, it is important that functional outcomes are preserved to maintain a respectable quality of life. OBJECTIVE OF REVIEW: To identify the functional outcomes following pharyngolaryngectomy with respect to quality of life, speech and swallow through a systematic review of literature. SEARCH STRATEGY: Searches of EBM databases and literature databases using key words: pharyngolaryngectomy, laryngopharyngectomy, swallow, dysphagia, speech and dysphonia from 1970 to August 2014...
February 2016: Clinical Otolaryngology
Wen-Hua Liao, Jin-Wu Chen, Xin Chen, Lin Lin, Hai-Yan Yan, Yu-Qi Zhou, Rui Chen
BACKGROUND: The goal of this study was to evaluate the effects of resistance training on subjects with COPD. METHODS: We performed a systematic search in MEDLINE, PubMed, Embase, CINAHL, Elsevier ScienceDirect, EBM Reviews, Cochrane Central Register of Controlled Trials, and and also of leading respiratory journals for randomized controlled trials on COPD treatment for ≥ 4 weeks with resistance training compared with non-exercise control or with combined resistance and endurance training compared with endurance training alone...
August 2015: Respiratory Care
Anya Mazur-Mosiewicz, Helen L Carlson, Cailey Hartwick, Jonathan Dykeman, Taryn Lenders, Brian L Brooks, Samuel Wiebe
OBJECTIVE: Cognitive rehabilitation (CR) is a well-researched therapeutic option for a variety of neurocognitive problems. Recently, CR has been proposed as an option for patients who experience cognitive difficulties following epilepsy surgery (ES). However, there is inconsistency in reporting the efficacy of CR in this population. We appraise existing evidence regarding CR approaches in patients undergoing resective ES and review effectiveness of specific CR strategies. METHODS: A comprehensive literature search using MEDLINE, Embase, CINAHL, PsycINFO, and EBM Reviews (including the Cochrane database) identified studies in English published before September 2014, without age restriction, related to CR in patients who underwent resective ES...
May 2015: Epilepsia
Megan C Cahill, Ana Bilanovic, Shannon Kelly, Simon Bacon, Sherry L Grace
PURPOSE: Practice guidelines promote depression screening in cardiac rehabilitation (CR). The objectives of this study were to review (1) CR program compliance with depression screening recommendations, and (2) the evidence evaluating whether screening for depression is related to improved outcomes in patients eligible for CR. METHODS: A limited literature search was conducted on key resource databases (MEDLINE, EMBASE, CINAHL, Cochrane Library, Evidence-Based Medicine Reviews, SCOPUS, and the University of York Centre for Reviews and Dissemination)...
July 2015: Journal of Cardiopulmonary Rehabilitation and Prevention
Lucia Sacchi, Stefania Rubrichi, Carla Rognoni, Silvia Panzarasa, Enea Parimbelli, Andrea Mazzanti, Carlo Napolitano, Silvia G Priori, Silvana Quaglini
OBJECTIVE: Taking into account patients' preferences has become an essential requirement in health decision-making. Even in evidence-based settings where directions are summarized into clinical practice guidelines, there might exist situations where it is important for the care provider to involve the patient in the decision. In this paper we propose a unified framework to promote the shift from a traditional, physician-centered, clinical decision process to a more personalized, patient-oriented shared decision-making (SDM) environment...
September 2015: Artificial Intelligence in Medicine
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