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Factors Influencing Access to Follow-Up Rehabilitation.
CONCLUSIONS: The diagnosis was identified as the most important criterion for follow-up rehabilitation access. No measurable factors of functioning seem to have a big influence. Therefore, the individual doctor's decision to submit an application is of particular importance. Especially because of the low level of medical knowledge on the indication catalog of the German pension insurance, the medical treatment based on professional experience as well as the lack of further education possibilities (Gottschling-Lang, 2016), it can be assumed that the follow-up rehabilitation is less standardized and systematic. In order to e...
Source: Die Rehabilitation - November 3, 2019 Category: Rehabilitation Authors: Sturm C, Egen C, Briest J, Bökel A, Blumenthal M, Schiller J, Korallus C, Gutenbrunner C Tags: Rehabilitation (Stuttg) Source Type: research

Quality of German-Language Guidelines for Post-Stroke Rehabilitation of Aphasia and Dysarthria - Results of a Systematic Review and of an International Comparison.
CONCLUSION: In some cases, quality can be improved by simple means. It is more resource-intensive, but crucial to document search strategies and how evidence was used in guideline development. A harmonization of the German-language guidelines seems desirable. PMID: 30273948 [PubMed - as supplied by publisher]
Source: Die Rehabilitation - October 1, 2018 Category: Rehabilitation Authors: Mandl L, Schindel D, Deutschbein J, Frick J, Schenk L Tags: Rehabilitation (Stuttg) Source Type: research

Stroke Patients After Inpatient Neurological Rehabilitation - A Prospective Study to Determine Predictors of Survival at Home up to Five Years After Discharge.
CONCLUSION: Up to 2.5 years after discharge the extent of functional improvement and the improvement of health related quality of life, which are both correlated with therapeutic effects, are predictors for survival and living at home. On the other hand, 5 years after discharge biological factors as age and comorbidities are prognostically dominating. PMID: 30273947 [PubMed - as supplied by publisher]
Source: Die Rehabilitation - October 1, 2018 Category: Rehabilitation Authors: Gräßel E, Schupp W, Schmidt R Tags: Rehabilitation (Stuttg) Source Type: research

Optimized Transition from Inpatient Stroke Rehabilitation to Home Care - Current Practice and Analysis of Factors Influencing Transition.
CONCLUSION: A structured approach is needed which has to consider the complexity of the transition process. PMID: 29378351 [PubMed - as supplied by publisher]
Source: Die Rehabilitation - January 29, 2018 Category: Rehabilitation Authors: Saal S, Kirchner-Heklau U, Müller T, Wohlfarth K, Hamzei F, Müller M, Strobel S, Clewing C Tags: Rehabilitation (Stuttg) Source Type: research

Conception and Preliminary Evaluation of a Rehabilitation-Attending Counseling Service for Caregivers of Stroke Patients.
Abstract This paper presents the pilot project "The Caregivers' Guide", which is financed by the German Federal Ministry of Education and Research (BMBF). The project's concept is outreach-oriented and personal, giving constant support to relatives of stroke patients throughout rehabilitation. Its effects were reviewed in an accompanying study. A combination of qualitative and quantitative methods was chosen to gather data on the experiences and assessments of the caregivers, as well as changes during the counselling process. 62 caregivers completed questionnaires before and after the intervention. Additionally, 3...
Source: Die Rehabilitation - February 22, 2017 Category: Rehabilitation Authors: Jungbauer J, Krieger T, Floren M Tags: Rehabilitation (Stuttg) Source Type: research

(Neuro)psychological Rehabilitation after Stroke: a National Survey of Structures and Practice in Inpatient and Outpatient Neurological Rehabilitation.
CONCLUSION: The complex and manifold problems of patients in neurological rehabilitation require a comprehensive knowledge of (neuro)psychological functioning. In order to support appropriate and individual treatment decisions, practice guidelines for psychological interventions in the rehabilitation of post-stroke patients are necessary. The present survey constitutes the basis for developing such practice guidelines. PMID: 26505185 [PubMed - in process]
Source: Die Rehabilitation - October 1, 2015 Category: Rehabilitation Authors: Kampling H, Reese C, Mittag O Tags: Rehabilitation (Stuttg) Source Type: research

Participation Following Stroke - Validation of the German Version of IMPACT-S.
Conclusion: The present German version and validation of IMPACT-S covers all the 9 participation domains of the ICF in a comprehensive way and meets all the statistical quality criteria. PMID: 26080059 [PubMed - as supplied by publisher]
Source: Die Rehabilitation - June 16, 2015 Category: Rehabilitation Authors: Schenk Zu Schweinsberg E, Lange J, Schucany M, Wendel C Tags: Rehabilitation (Stuttg) Source Type: research

Suitability of the SINGER as a Tool for Assessment in Outpatient Neurological Rehabilitation.
In this study patients with stroke or TBI were asked to fill in a questionnaire at 4 points of measurement. Additionally, medical staff were asked to rate the patients' status at admission and discharge. Results and conclusions: SINGER-data could be collected of 429 patients. In sum, results recommend to use the SINGER in outpatient neurorehabilitation, though with some restrictions. In comparison to BI and FIM, the SINGER results show in any case considerably less ceiling effects. The further exclusive use of FIM and, above all, BI cannot be recommended. But for very weak affected patients SINGER is poor sensitive for cha...
Source: Die Rehabilitation - February 1, 2015 Category: Rehabilitation Authors: Pöppl D, Deck R, Gerdes N, Funke UN, Kringler W, Friedrich N, Kohlmann T, Reuther P Tags: Rehabilitation (Stuttg) Source Type: research

(Initial) rehabilitation and long-term care in stroke patients.
PMID: 25473965 [PubMed - in process]
Source: Die Rehabilitation - December 1, 2014 Category: Rehabilitation Authors: Schupp W Tags: Rehabilitation (Stuttg) Source Type: research

Standing- and Gait Therapy in Adult Patients after Stroke: Overview of Reviews.
Conclusion: The investigated interventions showed positive effects in standing and ambulation in patients after stroke. The interventions should be goal-oriented, task-specific and repetitive. PMID: 25188208 [PubMed - as supplied by publisher]
Source: Die Rehabilitation - September 4, 2014 Category: Rehabilitation Authors: Riech A, Schäfer A Tags: Rehabilitation (Stuttg) Source Type: research

Physio- and Occupationaltherapy Pathways of Stroke Patients and Stroke Mortality.
This study examines the relationship between adherence to clinical guidelines and survival time in the first year after stroke.The sample comprises all clients of the Deutsche BKK, a large German health insurance company, who received acute inpatient care for stroke in 2007, who survived the hospital stay by at least 14 days, and who had motor deficits at the end of their acute treatment (n=1 791). 3 types of treatment that differ in the degree of adherence to clinical guidelines are identified ("Frühreha-Plus">"Standard-Plus">"Nur Akut").There is a positive relationship between adherence to clinical guidelines an...
Source: Die Rehabilitation - January 7, 2014 Category: Rehabilitation Authors: Peschke D, Schnitzer S, Kuhlmey A, Schenk L Tags: Rehabilitation (Stuttg) Source Type: research

Rehabilitation in Geriatric Patients after Ischemic Stroke - A Comparison of 2 Organisational Systems in Germany Using Claims Data of a Statutory Health Insurance Fund.
Abstract Due to historical aspects in some federal states in Germany rehabilitation of geriatric patients is organized in geriatric departments in hospitals (§ 109 SGB V). In other states rehabilitation of these patients is mainly realized in geriatric rehabilitation facilities outside hospital care after approval by the health insurance (§ 111 SGB V). Thus, it is of interest to compare both types of health care with respect to differences in population characteristics, resource utilization and outcome parameters (i. e., excess costs, rehospitalization, fracture risk and mortality) using a common geriatric indic...
Source: Die Rehabilitation - July 3, 2013 Category: Rehabilitation Authors: Abbas S, Ihle P, Hein R, Schubert I Tags: Rehabilitation (Stuttg) Source Type: research