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Specialty: Rehabilitation
Management: Hospitals

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Total 118 results found since Jan 2013.

Association Between the Volume of Inpatient Rehabilitation Therapy and the Risk of All-Cause and Cardiovascular Mortality in Patients With Ischemic Stroke
Abstract: Objective: To investigate the relationship between the volume of inpatient rehabilitation therapy and mortality among patients with acute ischemic stroke, as well as to assess whether the association varies with respect to stroke severity.Design: A retrospective study with a cohort of consecutive patients who had acute ischemic stroke between January 1, 2008, and June 30, 2009.Setting: Referral medical center.Participants: Adults with acute ischemic stroke (N=1277) who were admitted to a tertiary hospital.Interventions: Not applicable.Main Outcome Measure: Stroke-related mortality.Results: During the median foll...
Source: Archives of Physical Medicine and Rehabilitation - September 9, 2013 Category: Rehabilitation Authors: Gwo-Chi Hu, Chia-Yu Hsu, Hui-Kung Yu, Jiann-Perng Chen, Yu-Ju Chang, Kuo-Liong Chien Tags: Original Articles Source Type: research

Factors Influencing Receipt of Early Rehabilitation After Stroke
Abstract: Objective: To identify patient-level characteristics associated with rehabilitation during the acute poststroke phase.Design: Retrospective cohort. Generalized estimating equations modeled the likelihood of rehabilitation during the index hospitalization to account for patient clusters.Setting: Rehabilitation facilities.Participants: Sample included veterans (N=9681; average age, 68.7y; 97.4% men) diagnosed with new stroke discharged from Veterans Affairs hospitals between October 1, 2006, and September 30, 2008.Interventions: Not applicable.Main Outcome Measure: Receipt of rehabilitation services.Results: Of th...
Source: Archives of Physical Medicine and Rehabilitation - August 6, 2013 Category: Rehabilitation Authors: Barbara E. Bates, Pui L. Kwong, Dawei Xie, Ali Valimahomed, Diane Cowper Ripley, Jibby E. Kurichi, Margaret G. Stineman Tags: Original Articles 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

Effects of Intramuscular Trunk Stimulation on Manual Wheelchair Propulsion Mechanics in 6 Subjects With Spinal Cord Injury
Abstract: Objective: To quantify the effects of stabilizing the paralyzed trunk and pelvis with electrical stimulation on manual wheelchair propulsion.Design: Single-subject design case series with subjects acting as their own concurrent controls.Setting: Hospital-based clinical biomechanics laboratory.Participants: Individuals (N=6; 4 men, 2 women; mean age ± SD, 46±10.8y) who were long-time users (6.1±3.9y) of implanted neuroprostheses for lower extremity function and had chronic (8.6±2.8y) midcervical- or thoracic-level injuries (C6-T10).Interventions: Continuous low-level stimulation to the hip (gluteus maximus, po...
Source: Archives of Physical Medicine and Rehabilitation - April 29, 2013 Category: Rehabilitation Authors: Ronald J. Triolo, Stephanie Nogan Bailey, Lisa M. Lombardo, Michael E. Miller, Kevin Foglyano, Musa L. Audu Tags: Original Articles Source Type: research

Predictors of Subjective Cognitive Complaint in Postacute Older Adult Stroke Patients
Abstract: Objective: To investigate the impact of objective cognitive impairment, negative affect, and fatigue on cognitive complaint in a postacute (mean=6.64±1.32mo) sample of patients with ischemic stroke.Design: Cross-sectional study.Setting: Specialized stroke units at major metropolitan hospitals.Participants: Patients with first-ever ischemic stroke (N=25) aged between 50 and 85 years with relatively good neurologic recovery (National Institutes of Health Stroke Scale score ≤7) during the postacute period. Participants were excluded from the study if there was a documented history of psychiatric illness, neurolog...
Source: Archives of Physical Medicine and Rehabilitation - March 25, 2013 Category: Rehabilitation Authors: Fiona Lamb, Jacqueline Anderson, Michael Saling, Helen Dewey Tags: Original Articles Source Type: research

Clinician Adherence to a Standardized Assessment Battery Across Settings and Disciplines in a Poststroke Rehabilitation Population
Abstract: Objectives: (1) To examine clinician adherence to a standardized assessment battery across settings (acute hospital, inpatient rehabilitation facilities [IRFs], outpatient facility), professional disciplines (physical therapy [PT], occupational therapy, speech-language pathology), and time of assessment (admission, discharge/monthly), and (2) to evaluate how specific implementation events affected adherence.Design: Retrospective cohort study.Setting: Acute hospital, IRF, and outpatient facility with approximately 118 clinicians (physical therapists, occupational therapists, speech-language pathologists).Participa...
Source: Archives of Physical Medicine and Rehabilitation - February 15, 2013 Category: Rehabilitation Authors: Marghuretta D. Bland, Audra Sturmoski, Michelle Whitson, Hilary Harris, Lisa Tabor Connor, Robert Fucetola, Jeff Edmiaston, Thy Huskey, Alexandre Carter, Marian Kramper, Maurizio Corbetta, Catherine E. Lang Tags: Original Articles Source Type: research

Randomized Controlled Trial of Surface Peroneal Nerve Stimulation for Motor Relearning in Lower Limb Hemiparesis
Abstract: Objective: To compare the motor relearning effect of a surface peroneal nerve stimulator (PNS) versus usual care on lower limb motor impairment, activity limitation, and quality of life among chronic stroke survivors.Design: Single-blinded randomized controlled trial.Setting: Teaching hospital of academic medical center.Participants: Chronic stroke survivors (N=110;>12wk poststroke) with unilateral hemiparesis and dorsiflexion strength of ≤4/5 on the Medical Research Council scale.Interventions: Subjects were stratified by motor impairment level and then randomly assigned to ambulation training with either a su...
Source: Archives of Physical Medicine and Rehabilitation - February 11, 2013 Category: Rehabilitation Authors: Lynne R. Sheffler, Paul N. Taylor, Douglas D. Gunzler, Jaap H. Buurke, Maarten J. IJzerman, John Chae Tags: Journal-Based CME Article Source Type: research

Effect of High- and Low-Frequency Repetitive Transcranial Magnetic Stimulation on Visuospatial Neglect in Patients With Acute Stroke: A Double-Blind, Sham-Controlled Trial
This study was a prospective, double-blind, sham-controlled trial. Data are presented from 27 patients (15 men, 12 women; mean age, 67.0y) randomly assigned to receive 10 sessions of low-frequency (1Hz) rTMS over the nonlesioned PPC, high-frequency (10Hz) rTMS over the lesioned PPC, or sham stimulation.Setting: National university hospital.Participants: Patients (N=27) diagnosed with visuospatial neglect after stroke.Intervention: Ten sessions of rTMS over a 2-week period.Main Outcome Measures: The severity of visuospatial neglect was assessed pre- and posttreatment using the Motor-Free Visual Perception Test, line bisecti...
Source: Archives of Physical Medicine and Rehabilitation - January 7, 2013 Category: Rehabilitation Authors: Bo Ryun Kim, Min Ho Chun, Dae-Yul Kim, Sook Joung Lee Tags: Featured Articles Source Type: research

Is It Possible to Individualize Intensity of Eccentric Cycling Exercise From Perceived Exertion on Concentric Test?
Abstract: Objective: To assess the safety and acute effects of a procedure using perceived exertion during a prior submaximal concentric (CON) test to individualize eccentric (ECC) cycling exercise intensity.Design: Prospective, monocentric open study.Setting: Technological investigation platform at a physical medicine and rehabilitation department in a university hospital.Participants: Healthy subjects (N=18; 15 men, 3 women) aged between 22 and 37 years.Interventions: The subjects performed 3 cycling exercises: (1) incremental CON test to determine the comfortable pedaling power (CPP) corresponding to a Borg scale rating...
Source: Archives of Physical Medicine and Rehabilitation - December 26, 2012 Category: Rehabilitation Authors: Davy Laroche, Charles Joussain, Claire Espagnac, Claire Morisset, Nicolas Tordi, Vincent Gremeaux, Jean-Marie Casillas Tags: Original Articles Source Type: research

Effects of Noxious Versus Innocuous Thermal Stimulation on Lower Extremity Motor Recovery 3 Months After Stroke
Abstract: Objective: To examine the effects of thermal stimulation (TS) on the lower extremity (LE) movement and function in patients with stroke.Design: A double-blinded randomized controlled trial.Setting: A university hospital.Participants: Patients (N=34) at least 3 months after stroke were randomly assigned into the experimental and the control groups.Interventions: In addition to regular rehabilitation, the experimental group received a 30-minute noxious TS protocol (heat pain 46–47°C/cold pain 2–3°C) 3days/wk for 8 weeks, and the control group received a 30-minute innocuous TS protocol (heat 40–41°C/cold 23...
Source: Archives of Physical Medicine and Rehabilitation - November 26, 2012 Category: Rehabilitation Authors: Hsin-Wen Hsu, Chia-Ling Lee, Miao-Ju Hsu, Hung-Chia Wu, Roxane Lin, Ching-Lin Hsieh, Jau-Hong Lin Tags: Original Articles Source Type: research

Daily Treatment Time and Functional Gains of Stroke Patients During Inpatient Rehabilitation
Objective: To study the effects of daily treatment time on functional gain of patients who have had a stroke. Design: A retrospective cohort study. Setting: An inpatient rehabilitation hospital (IRH) in northern California. Participants: Three hundred sixty patients who had a stroke and were discharged from the IRH in 2007. Interventions: Average minutes of rehabilitation therapy per day, including physical therapy, occupation therapy, speech and language therapy, and total treatment. Main Outcome Measures: Functional gain measured by the Functional Independence Measure, including activities of daily living, mob...
Source: PM and R - November 5, 2012 Category: Rehabilitation Authors: Hua Wang, Michelle Camicia, Joseph Terdiman, Murali K. Mannava, Stephen Sidney, M. Elizabeth Sandel Tags: Original Research Source Type: research

Position-Dependent, Hyperexcitable Patellar Reflex Dynamics in Chronic Stroke
Abstract: Objectives: To quantify tendon tap response (TTR) properties and their position dependence using multiple neuromechanical parameters, and to analyze correlations among neuromechanical and clinical measures.Design: Hyperexcitable dynamics of TTR were investigated in a case-control manner. An instrumented hammer was used to induce the patellar deep tendon reflex (DTR), with reflex-mediated electromyography and torque responses measured across a range of knee flexion.Setting: Research laboratory in a rehabilitation hospital.Participants: Chronic hemiplegic stroke survivors (n=9) and healthy subjects (n=13).Intervent...
Source: Archives of Physical Medicine and Rehabilitation - October 12, 2012 Category: Rehabilitation Authors: Chung-Yong Yang, Xin Guo, Yupeng Ren, Sang Hoon Kang, Li-Qun Zhang Tags: Original Articles Source Type: research