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Physical medicine and rehab

Stefanie Schmidt, Wilfried Mau
PURPOSE: For adequate rehabilitative care, it is indispensable to impart appropriate competences in medical education based on learning objectives. In addition to the "National Competence-Based Learning Objectives Catalogue for Medicine (NKLM)", a competence-based learning objectives catalogue for the field of rehabilitation in the interdisciplinary subject "Rehabilitation, Physical Medicine, Naturopathy" (RPMN) was recently presented. These learning objectives were to be assigned to a wide variety of teaching materials of different media types and made easily accessible to university lecturers in a free online database...
February 22, 2019: Die Rehabilitation
Pascal Amedro, Arthur Gavotto, Antoine Legendre, Kathleen Lavastre, Charlene Bredy, Gregoire De La Villeon, Stefan Matecki, D'Arcy Vandenberghe, Manon Ladeveze, Fanny Bajolle, Gilles Bosser, Helene Bouvaist, Philippe Brosset, Laurence Cohen, Sarah Cohen, Sonia Corone, Claire Dauphin, Yves Dulac, Sebastien Hascoet, Xavier Iriart, Magalie Ladouceur, Loic Mace, Oxana-Anca Neagu, Caroline Ovaert, Marie-Christine Picot, Laurent Poirette, Frederique Sidney, Camille Soullier, Jean-Benoit Thambo, Nicolas Combes, Damien Bonnet, Sophie Guillaumont
BACKGROUND: Advances in congenital heart disease (CHD) have transferred the mortality from childhood to adulthood. Exercise capacity in young patients with CHD remains lower than in the general population, resulting in deconditioning and impaired quality of life. Evidence based-medicine in cardiac rehabilitation in this age group with CHD remains limited. We present the QUALI-REHAB study rationale, design and methods. METHODS: The QUALI-REHAB trial is a nationwide, multicentre, randomised, controlled study, aiming to assess the impact of a combined centre and home-based cardiac rehabilitation program on the quality of life of adolescents and young adults (13 to 25 years old) with CHD...
December 20, 2018: International Journal of Cardiology
Maria-Mădălina Bodescu, Adina Magdalena Turcanu, Maria-Cristina Gavrilescu, T Mihăescu
UNLABELLED: Chronic Obstructive Pulmonary Disease (COPD) is an inflammatory affection of the whole lung, characterized by an accelerated loss of the pulmonary functions, that reduces the patients' independence and stops them from having a normal, active life. The medical rehabilitation is considered "Third class rehabilitation", after preventive medicine and pharmaceutical medicine, and the respiratory rehabilitation recovery represents a complex structure of service addressing to patients with chronic pulmonary illnesses whose aim is to optimize the physical performances, psycho-social and autonomy...
October 2015: Pneumologia: Revista Societății Române de Pneumologie
Jacob Budny, Joseph Fox, Michael Rauh, Marc Fineberg
Anterior cruciate ligament (ACL) reconstruction is one of the most commonly performed and researched orthopedic procedures. As technology and comparative research have advanced, surgical practices have changed to achieve a superior outcome. Our group performed a survey of orthopedic surgeons to evaluate current practice trends and techniques as a follow-up to similar surveys performed in 1999 and 2006. In a survey between 2013 and 2014 consisting of 35 questions regarding the surgical technique, graft choice, fixation method, and perioperative care in ACL reconstruction was sent electronically to the members of the American Orthopaedic Society of Sports Medicine and the Arthroscopy Association of North America...
January 2017: Journal of Knee Surgery
David Hostler, Serina J McEntire, Jon C Rittenberger
Position Statement: Emergency Incident Rehabilitation The National Association of EMS Physicians® believes that: Emergency operations and training conducted while wearing protective clothing and respirators is physiologically and cognitively demanding. The heat stress and fatigue created by working in protective clothing and respirators creates additional risk of illness/injury for the public safety provider. Emergency incident rehabilitation provides a structured rest period for rehydration and correction of abnormal body core temperature following work in protective clothing and respirators...
2016: Prehospital Emergency Care
Tiago Silva Jesus, Helen Hoenig
There is substantial interest in mechanisms for measuring, reporting, and improving the quality of health care, including postacute care (PAC) and rehabilitation. Unfortunately, current activities generally are either too narrow or too poorly specified to reflect PAC rehabilitation quality of care. In part, this is caused by a lack of a shared conceptual understanding of what construes quality of care in PAC rehabilitation. This article presents the PAC-rehab quality framework: an evidence-based conceptual framework articulating elements specifically pertaining to PAC rehabilitation quality of care...
May 2015: Archives of Physical Medicine and Rehabilitation
Thomas Myers
A comprehensive and coherent approach to spatial patterning in human posture and movement is visible on the horizon. Advances in the study of fascia, neural plasticity, and epigenetics allow an overarching theory to unite all who work in human movement from osteopaths to personal trainers. Trainers, rehab specialists, manual therapists and physical educators are joining to embrace and develop this unifying construct to help our growing children meet the demands of the 21st century electronic environment.
January 2014: Journal of Bodywork and Movement Therapies
Joshua S Everhart, Thomas M Best, David C Flanigan
PURPOSE: Lack of return to sport following anterior cruciate ligament (ACL) reconstruction often occurs despite adequate restoration of knee function, and there is growing evidence that psychological difference among patients may play an important role in this discrepancy. The purpose of this review is to identify baseline psychological factors that are predictive of clinically relevant ACL reconstruction outcomes, including return to sport, rehab compliance, knee pain, and knee function...
March 2015: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Mostafa A Abolfotouh, Abdullah A Alabdrabalnabi, Rehab B Albacker, Umar A Al-Jughaiman, Samar N Hassan
INTRODUCTION: Infertility places a huge psychological burden on infertile couples, especially for women. Greater knowledge of the factors affecting fertility may help to decrease the incidence of infertility by allowing couples to avoid certain risk factors. The aim of our study was (1) to assess the knowledge and attitudes of infertile and fertile Saudi participants on infertility, possible risk factors, and social consequences; and (2) to determine the practices of infertile Saudi couples to promote their fertility before having them attend an in vitro fertilization (IVF) clinic...
2013: International Journal of General Medicine
Vonda J Wright
Current endurance champions are turning in winning performances in their late 30s and 40s. These masters-age athletes present a special challenge to Sport Medicine practitioners who in previous decades have simply advised masters-aged athletes to stop competing to prevent or treat injury. The fact is, many of the physical changes commonly attributed to aging alone are actually due to the rages of sedentary aging. Recently a body of literature emerged which begins to define what we are capable of with chronic high-level exercise and guides masters-age athletes to train and rehab smarter to stay competitive...
December 2012: Sports Medicine and Arthroscopy Review
Keith M Baumgarten, Armando F Vidal, Rick W Wright
BACKGROUND: There is no consensus for the optimal postoperative rehabilitation protocol after rotator cuff repairs. OBJECTIVE: To determine if there is sufficient level I or II evidence available in the literature for establishment of a uniform, optimal rotator cuff rehabilitation protocol. DATA SOURCES: A systematic review of level I and II English-language, prospective, randomized controlled trials published between 1966 and 2008 was performed...
March 2009: Sports Health
W Schupp
Stroke, Multiple Sclerosis (MS), traumatic brain injuries (TBI) and neuropathies are the most important diseases in neurological rehabilitation financed by the German Pension Insurance. The primary goal is vocational (re)integration. Driven by multiple findings of neuroscience research the traditional holistic approach with mainly empirically derived strategies was developed further and improved by new evidence-based interventions. This process had been, and continues to be, necessary to meet the health-economic pressures for ever shorter and more efficient rehab measures...
December 2011: Die Rehabilitation
R Scott Nolen
No abstract text is available yet for this article.
October 1, 2009: Journal of the American Veterinary Medical Association
W T Ang, U-X Tan, H G Tan, T Myo, C K Ng, K L Koh, B S Cheam
This paper presents a novel, portable and cost-effective balance trainer with the necessary important features to improve the reach of rehabilitation to the masses. There are three factors that contribute to a person's ability to maintain standing balance: Proprioceptive feedback (from the joints), vision, and the vestibular system. These systems can be affected by injury, infection, or brain damage caused by stroke. One example of such injuries is ankle injury. A large focus of the physiotherapy and sports medicine community is using postural-control tasks to prevent, assess and rehabilitate patients...
November 2008: Disability and Rehabilitation. Assistive Technology
David T Burke, Melissa C DeVito, Jeffrey C Schneider, Sam Julien, Andrew L Judelson
OBJECTIVE: To investigate the focus and extent of the resident physician reading habits, to compare how these change over the years of their training, and to compare these habits with those of physiatrists in practice. DESIGN: A total of 1,076 surveys were sent to 80 physical medicine and rehabilitation residency programs accredited by the Accreditation Council for Graduate Medical Education. The questionnaire contained a list of 36 journals pertinent to the field of Physical Medicine and Rehabilitation...
July 2004: American Journal of Physical Medicine & Rehabilitation
R Smith
No abstract text is available yet for this article.
October 1999: Rehab Management
J E Brown, T M Zmina
Considerable evidence supports the premise that manual and technology-based physical therapy can coexist and complement each other. The knowledge and experience of the PT is ultimately the key in designing patient treatment programs that provide the most appropriate and cost-effective level of care. The practice of physical therapy should proceed with enthusiasm tempered by common sense in the continued integration of technology within the profession. While offering a valuable complement to traditional therapy practices, technology will never replace the traditional manual skills and techniques that have earned physical therapy a prominent place in the health care delivery system...
June 1995: Rehab Management
A Zieger
The "Wachkoma", minimally conscious state (synonyms in use: "apallic syndrome", "vegetative state"), is a severe, complex condition arising from brain damage of diverse etiologies, for which definitional consensus does not exist internationally; it gives rise to frequent misdiagnosis and carries substantial insecurities concerning treatment outcomes. In the framework of expanding early rehabilitation, however, recent years have seen a distinct shift away from a defect-oriented, reductionist view towards a relational-medicine based understanding of patients with severe brain damage, seeking to gain a comprehensive perception of the patient's altered physical existence and taking a multidisciplinary--nursing, medical, therapeutic and neuropsychological--perspective which includes the patient's relatives and family...
November 1998: Die Rehabilitation
E Fraisse, M Karoff
In the framework of medical rehabilitation measures, cardiac patients' physical capacity was evaluated from an occupational medicine perspective, through vocational assessment in the workshops of a vocational retraining centre. Recommendations for vocational reintegration were derived on that basis, available at the end of the rehab measure for presentation to the financially responsible agency as a proposal for immediate implementation. The potential for actual realization of these proposals is further enhanced on account of preparatory clarification of the patients' motivational tendencies in individual and group talks...
November 1997: Die Rehabilitation
A J Mehta
No abstract text is available yet for this article.
February 1974: Dimensions in Health Service
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