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At least 307 records · Page 17Linked to original sources
PubMed1991

Rehabilitation of physically disabled dentists: a model for a vocationally specific rehabilitation program.

A unique collaborative program whose goal is to facilitate the return of disabled dentists to active dental practice is described. This approach includes comprehensive interdisciplinary evaluation and remediation, and it has succeeded in revealing previously undiagnosed impairments which should be considered in the formulation of a rehabilitation plan. A case report illustrates the process. This program can serve as a model for similar programs addressing the needs of other disabled health care professionals.

Adult↗
PubMed1990

[Occupational rehabilitation of psychiatric patients--a literature review for research and evaluation of occupational rehabilitation].

After a short introduction to the topic of psychiatric evaluation research and the problems of vocational reintegration of psychiatric patients the article reviews the latest development in research on vocational integration. The analysis of literature scrutinizes the significance of different predictors concerning sociodemographic status, vocational aspects, status and treatment of mental illness and social relations. The various results are integrated and conclusions for the practice of vocational rehabilitation and further investigation are drawn.

Humans↗
PubMed1989

[Rehabilitation treatment of patients with uncomplicated fractures of the spine at a hospital rehabilitation center].

The authors make an analysis of treatment of 188 patients with noncomplicated compressive fractures of the vertebral column in the thoracolumbar part performed at the stationary rehabilitation center. The course of restorative treatment was as long as 31-40 days and included individual and group trainings of exercise therapy, massage, hydrokinesotherapy, thermo-, electro-, photo- and magnetotherapy. Results of the treatment were followed in 81 patients. Excellent and good results were obtained in 43 patients (53%), unsatisfactory--in 7 patients (8.6%). The period of follow-up observation was from 1 month to 1 year.

Adult↗
PubMed1985

[Rehabilitation of the physically handicapped--rehabilitation of the gainfully employed orthopedic patient].

Rehabilitation of physically disabled persons and resettlement of employed orthopaedic patients into social and working life are integral components of orthopaedics. Unless the patient is reintegrated, orthopaedic care remains incomplete. It is absolutely necessary to develop, already during counselling and at the outset of in-patient therapy, a detailed treatment plan that takes into account the pertaining vocational and social integration considerations. Besides outlining some general ideas, the specific experience at the Orthopaedic Clinic of Frankfort university are described.

Adult↗
PubMed1981

[Psychosocial rehabilitation of chronic addicts as illustrated by the example of the work done by the Gemeinnütziger Verein für Rehabilitation e. V. Gütersloh (author's transl)].

In chronic addicts, the secondary handicaps usually dominate the disease pattern. There is a lack of therapeutic facilities which can be used specifically to tackle this problem. The authors introduce an institution which has been working since March 1974 with the consequent application of a Psychosocial Rehabilitation (PSR) concept in the treatment of chronic addicts. The method of working and the ranking of PSR are explained in detail. Efficiency control carried out within the framework of a dissertation for a diploma in psychology, confirms the efficiency of the PSR approach for the group of chronic addicts and points to further approaches towards therapeutic differentiation.

Adult↗
PubMed1981

[Rehabilitation through social communities. Continuing the contribution to Die Rehabilitation 15 (1976) 207-216 (author's transl)].

The author holds the following theses: Rehabilitation is characterised by stigmatisation and isolation rather than by a holistic approach aimed at achieving partnership and through their own life performance, as a rule give an example of a social community: there are no marginal groups, unless the individual and his or her family conceive themselves as outsiders or marginal groups, and choose this situation as outsiders or marginal groups. and choose this situation to continue. What is desirable, however, is that joint efforts be made towards partnership. The route to reaching this aim --implies new standards in the sense of a higher degree of scientific orientation; --utilises life as a vehicle of cognition, and as an experimental activity undertaken by the cognizing individual; --is being put to the test of reality in the examples for integrated group cooperation within "workplace families", conceived as the basis for the development of "neighbourhood families", local groupings and so on in close interrelation with existing facilities and services.

Germany, East↗
PubMedDate not supplied

[The tasks of vocational rehabilitation workshops in the broad range of psychiatric rehabilitation].

The authors describe a new rehabilitation unit i.e. The Occupational Therapy Workshops, which were established on the basis of the Decree of Minister of Work and Social Politics. The paper consists of: 1) the law, regulations and rules; 2) experience gathered during one-year period of workshops functioning at the Institute of Psychiatry and Neurology in Warsaw. The authors encourage others to create similar workshops in mental health care settings because of their advantages as the form of preparation for occupational work. Occupational Therapy Workshops are a real aid for these persons who are no longer outpatients and have no possibility to take up a job.

Chronic Disease↗
PubMed1994

[The geriatric amputee after discharge from successful rehabilitation--a study of former patients of the "Eifelhöhenklinik" rehabilitation center in Nettersheim-Marmagen].

Based on two self-developed questionnaires, 110 successfully rehabilitated geriatric amputees were examined relative to their motives for continuing to use their prostheses post discharge, or for giving them up in favour of a wheelchair, respectively. Of these 110 patients, 24 reported to be using wheelchairs, 16 said they are using both, and 70 claimed to be using their prostheses most of the time; it however appeared from the control questions as well as information given by relatives that only 53 of these 70 persons were actually using their prostheses most of the time. The main motive for continued use of the prostheses was the desire to be independent, hence to lead an active life; a second major motive was a perception of being full of energy and enterprise, notwithstanding the fact that their actual walking results had not improved but even deteriorated. Those who used wheelchairs did not abandon their learned ability to walk with prostheses because they felt too ill or too weak, but did so because the wheelchair enabled a more comfortable way of life.

Activities of Daily Living↗
PubMedDate not supplied

Model for the organisation of a community-based rehabilitation service. Report of a Working Group of the Royal College of Physicians Rehabilitation Medicine Committee.

This paper defines who needs a community-based rehabilitation service and the specific requirements of the four different client groups. A model is proposed whereby such a service might be delivered to those groups. It is possible that other specialties, for example rheumatology, might wish to develop similar models of care.

Adolescent↗
PubMed1999

[Clinical follow-up 6 months after ambulatory/partial inpatient after-care rehabilitation. Further results of the Cologne model of ambulatory cardiac phase II rehabilitation].

Three hundred and thirty patients with coronary artery disease (CAD) (288 men, 42 women, age of 55.5 +/- 10.0 years) participated in a 4-week ambulatory cardiac rehabilitation program (ACR) (Table 1). The cardiovascular indication for ACR was in 229 cases a myocardial infarction. In 101 patients a CAD with invasive revascularization but without a history of MI was present. In 92 patients with myocardial infarction additionally an invasive revascularization was performed. Eighty-three patients were included after a CABG-procedure (Tables 2 to 5). Six months after the ACR 290 (87.9%) patients presented for clinical reevaluation. In 235 (81.0%) of the 290 examined patients the cardiovascular diagnosis was unaltered. In the first 6 months after ACR in 76 (26.2%) patients a coronarography was performed, in 44 patients a restenosis was diagnosed. In 36 patients an additional invasive procedure (in 28 patients a PTCA, in 5 patients with additional stent-implantation, in 1 case with rotablation, in 8 patients CABG) was performed. In 1 patients a pace-maker was implanted. Since the ACR 1 patient experienced a myocardial infarction and 2 a recurrent myocardial infarction. In 1 patient myocardial fibrillation occurred. Totally, 70 patients (24.1%) required stationary-hospital treatment during the first 6 months after ACR (Table 6). In 11 cases an acute admission to hospital treatment because of cardiovascular reasons was documented. The majority of the hospital admission was elective, because of diagnostic or therapeutic procedures. In 6 patients a CABG-surgery was performed. In approximately 80% of the patients the cardiovascular status was stable during the first 6 months after ACR. Though 24.1% of the patients required stationary hospital treatment, the majority of the admissions was elective of interest, there was a high rate of hospital admissions in the PTCA-group in combination with recoronarographies and revascularization because of early reocclusion.

Adult↗
PubMed2005

Extensor tendon rehabilitation a prospective trial comparing three rehabilitation regimes.

Forty-two patients with 46 complete extensor tendon injuries were prospectively allocated to one of three rehabilitation regimes: static splintage; interphalangeal joint mobilization with metacarpophalangeal joint immobilization or; the "Norwich" regime. All 42 patients were operated on by one surgeon and assessed by one hand therapist. At 4 weeks the total active motion in the static splintage group was significantly reduced but by 12 weeks there was no difference between the regimes. There was no difference in total active motion between the repaired and uninjured hand at 12 weeks, with all patients achieving good or excellent results. However, grip strength at 12 weeks was significantly reduced compared to the uninjured hand after static splintage. There was no difference in hand therapy input between the regimes.

Adolescent↗
PubMed1998

Measuring progress and outcome in community rehabilitation after brain injury with a new assessment instrument--the BICRO-39 scales. Brain Injury Community Rehabilitation Outcome.

OBJECTIVE: Construction and validation of a new instrument, the Brain Injury Community Rehabilitation Outcome scales, to assess problems experienced by brain-injured patients living in the community. DESIGN: Seventy-six items describing aspects of personal and social functioning were generated. Two hundred thirty-five patients and/or their carers (separately) rated the items on 6-point scales, and patients retrospectively rated their functioning before injury. Seven scales were derived from factor analysis; one was included a priori. Thirty-nine items with high factor loadings were retained. Test-retest reliability, interrater reliability, and construct validity were examined in subsamples. SETTING: Patients were recruited from four centers: two community-based teams, a day-patient clinic, and an outpatient clinic. PATIENTS: Of the patients, 127 had traumatic brain injury, 72 had cerebrovascular accidents, 15 had multiple sclerosis, and 21 had acquired brain injury of other origins. Mean time since brain injury was 2.6 years; mean age was 43 years; 164 were men and 71 were women. RESULTS: All scales showed good test-retest reliability, and agreement between patient and carer ratings was moderate to high. They showed predicted moderate correlations with other relevant scales. Postinjury scores differed significantly from preinjury scores, and 6 of the 8 scales showed change over a period of recovery/rehabilitation. CONCLUSIONS: The scales appear reliable and easy to complete. They may have utility as quantitative measures of outcome for clinical and treatment evaluations.

Activities of Daily Living↗
PubMed2026

Characterizing Submental Neuromuscular Activity of Swallowing Rehabilitation: An Electromyographic Evaluation of Rehabilitative Maneuvers in Healthy Adults.

PURPOSE: The effortful swallow (ES), the Mendelsohn maneuver (MM), and isometric tongue presses (TPs) are widely used swallowing maneuvers/exercises to improve elements of swallowing, such as muscle strength and biomechanics. However, the underlying neuromuscular mechanisms of these exercises remain unclear, potentially limiting our ability to specify treatment targets and improve treatment efficacy. This study aimed to compare submental neuromuscular activation patterns during the ES, MM, TPs, and typical swallows in healthy young and older adults. METHOD: As part of a larger randomized crossover validation study, 60 healthy adults (30 young and 30 older) completed typical swallows and three maneuvers using a wearable submental surface electromyographic (sEMG) system (i-Phagia). Outcome variables included (a) normalized mean sEMG amplitude and (b) time to peak sEMG amplitude. Linear mixed models were used to examine effects of task, age, and sex on both outcomes. RESULTS: Normalized mean amplitude was significantly different across tasks. Post hoc pairwise comparisons confirmed that all three maneuvers produced higher normalized mean sEMG amplitude than typical swallows, with the ES eliciting the highest amplitude across age groups. Time to peak amplitude differed significantly across tasks, with typical swallows requiring the shortest time to reach peak amplitude, followed by the ES, MM, and TP. CONCLUSIONS: The ES required the highest neuromuscular effort with the shortest time to reach peak amplitude, suggesting its potential for targeting submental muscle power. Typical swallows required the least neuromuscular effort with the shortest time to reach peak amplitude, suggesting their potential for training submental muscle speed. The MM and TP may also improve submental muscle strength; however, given their temporal requirements (longer durations), they may be more beneficial for targeting coordination and endurance, though more research in this area is warranted. These findings underscore the importance of task-specific neuromuscular profiling to inform mechanism-based swallowing rehabilitation. SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.32948549.

Humans↗
PubMed2006

[Development of cardiovascular risk factors in patients after coronary artery bypass grafting with an in-hospital rehabilitation programme (WHO Stage I of Rehabilitation): 1-year follow-up].

BACKGROUND: The purpose of this study was to evaluate the influence of an in-hospital (stage I of rehabilitation) individualized motivation programme for life-style change on the cardiovascular risk factors of patients after coronary artery bypass grafting (CABG). METHODS: 142 consecutive patients undergoing CABG because of coronary heart disease were divided into two groups. Group I received the usual care; Group II received the intervention (individual motivation programme). Medical variables concerning all cardiovascular risk factors and the current medication plan were evaluated on admission and one year after surgery. RESULTS: After 12 months significant reductions in systolic blood pressure (p = 0.002), LDL-cholesterol (p = 0.023) and triglyceride (p = 0.046) were found in the intervention group on comparison of the two groups. The HDL cholesterol improved in the intervention group and decreased slightly in the control group. Both groups showed an improvement in diastolic blood pressure, Body Mass Index, blood cholesterol and blood glucose values. The intervention did not show a significant influence on smoking and medication habits. CONCLUSION: An individualized motivation programme starting in the acute hospital may positively influence cardiovascular risk factors with ongoing success.

Aged↗
PubMed1993

Rehabilitation following traumatic hand injury: hand therapists' perspective. Part 1: Acute phase of hand rehabilitation.

The specialty of hand therapy was developed in response to advances in surgical techniques that enabled greater functional restoration of injured and diseased upper extremities. Such restoration requires the therapeutic intervention of a skilled, specialized practitioner who is able to integrate the principles of rehabilitation with these surgical interventions (Chai, Dimick, & Dasach, 1987). This article will provide a general overview of hand therapy as practiced by one midwestern institution.

Bandages↗
PubMed2003

Effects of phase III cardiac rehabilitation programs on health-related quality of life in elderly patients with coronary artery disease: Juntendo Cardiac Rehabilitation Program (J-CARP).

The purpose of this prospective randomized controlled trial was to assess the impact of phase III comprehensive cardiac rehabilitation (CR) on health-related quality of life (HRQOL) in elderly patients with coronary artery disease (CAD). Thirty-eight elderly males (mean age, 70 years) with CAD were stratified as the intervention group (n=20) and the control group (n=18). In the intervention group, patients participated in CR for 6 months, whereas in the control group, they received standard care. Validated questionnaires were obtained to evaluate HRQOL using the Medical Outcome Study Short-Form 36 Health Status Survey (SF-36), State-trait anxiety inventory questionnaire (STAI) and Self-rating Depression Scale (SDS) at baseline and after 6 months. At baseline, scores of SF-36 except for general health, STAI and SDS were not different in either group. After 6 months, in the intervention group, scores of bodily pain, general health, vitality and mental health of SF-36 improved significantly compared with baseline. State anxiety scores also improved significantly (p<0.01), but SDS depression scores were not improved. In the control group, none of the parameters significantly changed. These results indicate that elderly patients with CAD should be vigorously encouraged to pursue CR even in chronic phase III.

Aged↗
PubMed1983

Study of the rehabilitation, prognosis and capacity to resume work of patients with myocardial infarction--comparison of 4-week and 8-week rehabilitation programs.

The relative benefits of 4- and 8-week rehabilitation programs were compared in inpatients with myocardial infarction. In the 8-week program, complete bed rest was instituted for the initial 3 days, followed by walking around the bed from the 14th day; exercise was gradually increased to target levels such as walking for distances of 500m per time up to a total of 2 to 3 km and climbing up and down several sets of 20 stairs daily. In the 4-week program, complete bed rest was provided for the initial 3 days, and exercise was more rapidly increased for 4 weeks to reach the same exercise level as that of the 8-week program. The duration of hospitalization, and the clinical progress, prognosis and the ability to return to work after discharge of the patients were compared in each program. The percentage of patients who were hospitalized for 40 days or less increased from 0% in the 8-week program to 15.9% in the 4-week program, while the percentage of patients who were hospitalized from 41 to 60 days increased from 13.3 to 37.0%. Shortening of the program did not cause significant differences in the incidence of serious complications such as heart failure, arrhythmia and infarction. The 2-year mortality was 15.9% in the 8-week program and 7.9% in the 4-week program. The state of work after discharge was comparable in both programs. Exercise tolerance, measured by bicycle ergometer, tended to improve remarkably 6 months after infarction. Based on the above results, the 4-week program is considered to be more practical than the 8-week program.

Bed Rest↗
PubMed2003

Rehabilitation of extremity war injuries with lesion of peripheral nerves in "PRAXIS" Centre for Physical Medicine and Rehabilitation, Sarajevo.

Polytrauma with significant lesion of peripheral nerves is a specific war injury. It is also one of the most delicate problems in rehabilitation treatment because it requires a close cooperation with surgeon and timely surgical interventions. Based on our experience, the best results in the treatment of injured persons with lesion of peripheral nerves have been accomplished after the surgical treatment. Results in the neurolysis were better than those accomplished in neurorrhaphy. Total of 436 patients with lesion of peripheral nerves were recorded and 56 patients with plexus lesion. Out of this number, 78 patients (about 15%) had surgical treatment (41 neurorrhaphy and 37 neurolysis). Due to lack of adequate ENMG diagnostics, the objective valorisation of treatment outcome was not possible.

Journal Article↗