Routine proctosigmoidoscopy--its value as a screening procedure.
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Adenoma↗
Biomedical subjects
D L Hart
Publications and source records attributed to D L Hart.
Changes in health status for persons with wrist or hand impairments receiving occupational therapy or physical therapy.
OBJECTIVE: The purpose of this study was to describe changes of health status as perceived by clients with hand or wrist impairments who received rehabilitation in acute, orthopedic outpatient facilities from occupational therapy or physical therapy personnel. METHOD: One thousand three hundred ninety-nine adults with wrist (n = 692) or hand (n = 707) impairments who were treated between July 1996 and June 1997 were selected from the Focus On Therapeutic Outcomes, Inc. (FOTO) national rehabilitation database. Each client completed a health status questionnaire on intake and discharge. Data consisted of number of outpatient visits, duration of treatment episode, and health status scores for six functional scales. Measures of intensity, global health status, global utilization, and client satisfaction were calculated. Outcomes were evaluated across occupational therapists and physical therapists. RESULTS: Clients perceived improvement (p < .05) in their health status over the course of therapy. Number of visits and measures of health status and client satisfaction were similar across type of therapist. Episode duration was longer (p < .05) and intensity was less (p < .05) for clients seen by occupational therapists. CONCLUSION: Clients receiving rehabilitation in acute orthopedic outpatient centers perceived improvement in their functional abilities and health and well-being (global health status and individual functional scales) over the time during which treatment was provided. Results confirm the responsiveness of the outcomes instrument to clinical change in the clients' perception of their health status over the course of therapy and support the use of health status as a measure of clinical outcome.
Activities of Daily Living↗
Cervical orthoses: a guide to their selection and use.
A large variety of cervical orthoses is available, but these may be divided into four basic groups. Although the orthoses in each group provide similar controls, each appliance has certain discrete advantages and limitations. The effectiveness of seven different cervical appliances in restricting motion in flexion-extension, lateral bending and rotation is presented. This information may be used to rationally select an orthosis to control specific clinical problems. A guide is formulated for selecting the orthoses for the control of various cervical injuries and postoperative problems.
Adult↗