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At least 289 records · Page 16Linked to original sources
PubMed1991

[The confused and the demented patient as a problem in neuro-rehabilitation. Old-age rehabilitation].

Organic psychosyndromes may be classified 1) by the state of vigilance (agitated or reduced), 2) by the progress in time (episodic versus progressive), 3) by the presence or absence of brain-local or vegetative accompanying phenomena, 4) by etiology. The most frequent forms are: multi-infarct-dementia and primary degenerative dementia of Alzheimer's type. We must be aware that this didactic differential diagnosis in reality mostly shows overlapping criteria. Either more to the one side or more to the other. Etiological therapy (as well "vasoactive" as "nootropic") should in most cases be combined with therapy of underlying internistic (cardiac for example) and accompanying (infection for example) symptoms. Depression as a special frequent dimension needs special attention. Furthermore there are complex therapeutic possibilities in the social, recreative, psychologic, rehabilitative, psychotherapeutic etc. field. Relatives need to be treated concommitantly. Only thus scientific as well as human implications for rehabilitation can meet.

Aged↗
PubMed1991

Report on the Evaluation of the VA/SEATTLE Ankle. The Rehabilitation R&D Evaluation Unit, Rehabilitation Research and Development Service, Department of Veterans Affairs.

The VA/SEATTLE Ankle was researched and developed by the Prosthetics Research Study (PRS), Seattle, WA under the sponsorship of the Rehabilitation Research and Development Service, Department of Veterans Affairs. This report presents an evaluation of the project conducted by the Rehabilitation R&D Evaluation Unit (REU), the VA Prosthetic and Sensory Aids Service (PSAS), and the PSAS at 13 VA Medical Centers. The ankle is a lightweight lower limb prosthesis of monolithic design weighting 300 g (10.5 oz.) with a maximum pylon length of 15 1/2 in. Energy storage and release and three-axis motion are all accomplished via a specifically designed convolution in the distal region (ankle) of the pylon. This convolution provides rotation (+/- 5 degrees), inversion/eversion (+/- 3 degrees) and dorsi/plantar flexion (+/- 5 degrees). The ankle showed no signs of fracture or wear through laboratory test procedures of 500,000 cycles of the ankle attached to a conventional type SACH foot under a dynamic load. Performance of the VA/SEATTLE Ankle was found to be acceptable and reliable with a wide variety of users and its commercial production was recommended.

Activities of Daily Living↗
PubMed1991

An evaluation of capuchin monkeys trained to help severely disabled individuals. The Rehabilitation R&D Evaluation Unit, Rehabilitation Research and Development Service, Department of Veterans Affairs.

This report describes an evaluation made by the Rehabilitation R&D Evaluation Unit (REU) of research conducted jointly by Helping Hands, Inc., Boston, MA and Boston University which was funded by the Rehabilitation Research and Development Service, Department of Veterans Affairs. The report covers an assessment conducted in February and March 1989 to determine the activities, effectiveness, advantages, and disadvantages exhibited by the capuchin monkeys placed as aides in the residences of disabled persons.

Activities of Daily Living↗
PubMed1978

[Sanatorium-rehabilitation department--new organizational form of department for rehabilitation therapy of mental patients].

The author describes his personal experience in the joint treatment of patients with chronic forms of schizophrenia and patients who were registered in neuropsychiatric dispensaries (for endogenous psychoses in the past, organic brain lesions of a different etiology, etc) in one department and referred during the phase of an unstable remission for the so-called sanatorial treatment. The author comes to the conclusion that departments organized according to this new principle have a possibility of creating an effective system of rehabilitative therapy for mental patients and considers it feasible to organize in mental hospitals sanatorium-rehabilitative departments.

Adult↗
PubMed1977

[Forms and method of rehabilitation therapy and social-occupational rehabilitation of patients with the sequelae of cerebrovascular diseases].

The authors give some data on restitutional therapy of 516 patients (400 with sequelae following strokes and 116 with transient disorders of cerebral circulation). Treatment of the first group was made in a neurological ward, the second--in a cardiological sanatorium. The programme of restitutional therapy provided the use of psychosocial and biological methods, an appeal to the personality and stage-by-stage accomplishment of rehabilitative measures. Comprehensive restitutional therapy included psychotherapy, medical-activizing regimes, medical gymnastics, massage, occupational therapy, medicinal therapy, etc. The authors elaborated differentiated complexes of rehabilitative treatment for patients with spastic hemiparesis, normal or decreased tone, as well as for patients with transient disorders of cerebral circulation in conditions of a cardiological sanatorium. The indices of effectiveness were the following: an improvement of the condition in patients after brain strokes--97.8%, in patients with transient disorders of cerebral circulation--94%.

Cerebrovascular Disorders↗
PubMed1997

[Hospital rehabilitation of patients with severe brain injuries. II: Prognosis and effect of early intensive, specialized rehabilitation].

This article describes the prognosis of patients with severe traumatic brain injury, including patients in long-standing coma and persistent vegetative state, and presents the scientific evidence of the effect of organized, specialized, multidisciplinary, early and intensive rehabilitation of patients with severe traumatic brain injury. It is concluded that the introduction of newly developed models for the rehabilitation of patients with severe traumatic brain injury in Denmark may lead to a substantial improvement in outcome, and may also be cost efficient.

Brain Injuries↗
PubMed1976

[Clinical problems of neural lesions in the phase of rehabilitation. Their significance and importance in final success of rehabilitation therapy].

The frequency and significance of associated diseases and clinical problems in patients with nerve injuries in the recovery stage was statistically assessed. A variety of clinical situations are observed in practically all such patients. Half of the symptoms and diseases encountered relate to the nervous system and cardiocirculatory apparatus, while there is also a high incidence of skeletal muscle and urinary affections. The significance of these signs as far as rehabilitation is concerned can be seen in the fact that psychological and micturition disturbances are observed, along with muscle hypertonia, fibromyositis, cystitis and arthrosis. These form the more common obstacles to the regular execution of a rehabilitation programme, whereas no such significance is possessed by such serious diseases as valvular cardiopathy, hypertension and neoplasia of the neuraxis.

Constipation↗
PubMed1998

[Sports in the heart rehabilitation group--experiences with ambulatory rehabilitation at home].

Regular physical exercise has shown to be beneficial for patients with cardiovascular disease. Therefore cardiac rehabilitation in Germany is continued for years after hospital discharge in outpatient cardiac exercise groups which meet twice a week under the guidance of a physician and a sports instructor. Before participation cardiac patients have to be examined including exercise tests and echocardiography for assessment of contraindications for exercise therapy as well as individual exercise capacity. Patients are assigned to two groups with different levels of exercise intensity according to their symptom-free work-capacity (cutoff level 1 W/kg). During exercise sessions sports-specific forms of exercise such as stretching, aerobic exercise or ball games are accompanied by psychosocial elements such as stress management. This global approach is intended to improve cardiovascular risk factors, cardiac function, and work capacity as well as to stabilize the patient psychologically in order to accelerate social integration. Recently these groups have opened towards patients after cardiac transplantation or with severe heart failure. Therefore, cardiac exercise groups play a central role in cardiac rehabilitation long after the acute cardiac event.

Ambulatory Care↗
PubMed2003

Cognitive rehabilitation practice patterns: a survey of American Hospital Association Rehabilitation Programs.

Results of a survey of cognitive rehabilitation (CRT) practice patterns are reported. Of 270 programs contacted, 45% responded. Most patients were under age 65, had a stroke or brain injury, and underwent individual CRT for attention or memory problems while hospitalized. CRT typically lasted 1-6 months and cost $130 per session. Rehearsal and compensation approaches were employed equally, while computer-based procedures were infrequent. Speech and occupational therapists provided services more than neuropsychologists and few programs incorporated neuropsychological testing. Results suggest opportunities for research and expansion of neuropsychological practice and highlight the need for better communication between researchers and clinicians.

American Hospital Association↗
PubMed2003

Assessing qualitative research in rehabilitation: guidelines from the society for research in rehabilitation.

There are numerous contested issues in qualitative research, and its findings are difficult to condense. Thus, short, qualitative research abstracts are difficult both to compile and evaluate. The Society for Research in Rehabilitation has produced guidelines that aim to illuminate and inform the development and judging of such abstracts. These draw on an extensive Health Technology Assessment review of qualitative methods in health services research.

Humans↗
PubMed1998

[Rehabilitation for psychiatric and handicapped patients."Haus Schütz" study of experiences and follow-up of rehabilitation of psychiatric and handicapped patient care 1992-1995].

In the framework of a 1992-1995 follow-up study at the Hessian RPK facility Haus Schütz for medical/vocational rehabilitation of persons with mental illness, a total of 216 rehabilitees are described on a number of parameters: success/failure, community-relatedness/remoteness, vocational training/occupation, duration of occupational activity, duration of mental illness, living situation, duration of service provision, as well as symptom change in different syndromes. It is found that a holistic, individualized treatment approach will enable more effective use of client resources as well as reducing total stay to a more manageable length, without adverse influence on treatment outcome.

Activities of Daily Living↗
PubMed1996

Providing rehabilitation integrated systems using existing rehabilitation technology.

Achieving appropriate integration of control of multiple assistance devices for an individual is currently limited by available integrated systems. An overview of the provision process for Rehabilitation Integrated Systems (RIS) is presented which stresses the need for detailed assessment of the individual's abilities and requirements. A software system is described which integrates existing assistive applications on a PC in an attempt to provide a flexible RIS which can be tailored more precisely to an individual. This has required the use of both DOS and Windows applications and highlighted problems due to limitations of existing RISs, despite user requirements being taken fully into account. While Windows offers the opportunity to remove some compatibility problems, it is concluded that interfacing standards for both software and hardware are necessary to overcome the problems this approach engenders. For individuals who have to use 'intrinsically slow' user interfaces, it is identified that (i) the availability of quantitative comparisons of efficiency of selection methods and (ii) increased choice of selection methods is important.

Biomedical Engineering↗
PubMed2003

Secondary prevention through cardiac rehabilitation: position paper of the Working Group on Cardiac Rehabilitation and Exercise Physiology of the European Society of Cardiology.

The purpose of this statement is to provide specific recommendations in regard to evaluation and intervention in each of the core components of cardiac rehabilitation (CR) to assist CR staff in the design and development of their programmes; the statement should also assist health care providers, insurers, policy makers and consumers in the recognition of the comprehensive nature of such programmes. Those charged with responsibility for secondary prevention of cardiovascular disease, whether at European, at national or at individual centre level, need to consider where and how structured programmes of CR can be delivered to the large constituency of patients now considered eligible for CR.

Europe↗
PubMed2001

[Marketing orientation in rehabilitation--exemplified by image analysis of a rehabilitation clinic for addictions].

This article presents the findings of an image analysis carried out for a rehabilitation clinic for addictive diseases. The cross-sectional study was designed as an anonymous survey sent to relevant (regional) referral agencies (n = 90), e.g. counselling services for addictive diseases. The study covers the clinic's actual and ideal image, discriminating frequency of referrals, diagnostic categories, region, and type of institution. Results concerning the real profile indicate that on average the dimensions cooperation, communication with regard to personal contact, and reputation of the clinic were more critically judged than the issues information, communication with regard to discharge reports, standards of quality, and consideration of patients' needs. Cooperation, communication with regard to personal contact, and quality standards turned out to be the most important criteria from the referring agencies' perspective (ideal profile). A statistical comparison between those with high and low assignment rates suggested that customers rated the clinic more favourably than non-customers. Thus, it seems that the clinic's image has considerable influence on referral decisions. Particularly interesting is the additional finding that the referring institutions perceive pension insurers' directives to be of secondary relevance.

Alcoholism↗
PubMed2001

[Vocational rehabilitation of the mentally ill - an evaluation of the Vocational Rehabilitation Center in Zurich, Switzerland].

OBJECTIVE: The aim of the Vocational Rehabilitation Center in Zurich (VRC) is to reintegrate mentally ill persons into the primary labour market, mainly by prevocational training followed by continuous professional support for employed individuals. The present study evaluated the impact of the VRC. METHODS: The job and financial situation of 68 trained persons was assessed up to two years after the training. Additionally, their vocational history and sociodemographic data were analysed. RESULTS: Before the training, only 9 % had a job, while two years after the course 42 % were employed in competitive jobs. On the other hand, using an ordinal scale, two years after the training, 78 % of the patients were found in a better job situation than before the course. Likewise, the financial situation of 52 % of the clients has improved within those two years. The strongest correlation with success was the intensity of support after the training. CONCLUSIONS: The VCR is effective in training mentally ill patients for the primary job market. Continuous professional support is vital for ongoing success.

Adult↗
PubMedDate not supplied

Rehabilitation Activities Profile: the ICIDH as a framework for a problem-oriented assessment method in rehabilitation medicine.

The Rehabilitation Activities Profile (RAP) is an ICIDH-based assessment method that covers the domains of communication, mobility, personal care, occupation, and relationships. Disabilities and handicaps in these domains are assessed on four-point Likert scales for severity. Problems perceived by the patient associated with these disabilities or handicaps are also assessed on four-point Likert scales for severity. High scores on perceived problems represent a patient's priorities. Information is gathered through a semi-structured interview with the patient; proxies and observations can be used as additional sources of information. Assessment can be performed at two levels. The first level is a global one, serving as a screening device. If disabilities or handicaps are identified, the second level provides for an in-depth assessment of those specific disabilities and handicaps as well as the related perceived problems. The method is designed to assist screening, goal-setting, and outcome evaluation of individual patients.

Activities of Daily Living↗