International Journal of Rehabilitation Research最新文献_第9页

Effects of core strengthening on balance in patients with hip osteoarthritis: a randomised controlled trial. 核心强化对髋骨关节炎患者平衡的影响:一项随机对照试验。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-09-01 Epub Date: 2023-04-17 DOI: 10.1097/MRR.0000000000000579

Ilona Dalmas, Anabel Sciriha, Liberato Camilleri, Tonio Agius

{"title":"Effects of core strengthening on balance in patients with hip osteoarthritis: a randomised controlled trial.","authors":"Ilona Dalmas, Anabel Sciriha, Liberato Camilleri, Tonio Agius","doi":"10.1097/MRR.0000000000000579","DOIUrl":"10.1097/MRR.0000000000000579","url":null,"abstract":"Osteoarthritis is a condition commonly present in the elderly, with many having altered balance, aggravated with weak lower limb and core musculature predisposing them to falls. Despite the knowledge about the link between balance and core stability, studies investigating the importance of core stability exercise and their impact on balance are limited. Therefore, the authors aimed to explore whether core strengthening exercises in combination with hip exercises, when compared to a hip exercise programme and a control group, led to better improvements in balance in patients with hip osteoarthritis. In order to meet these aims, this paper reports the outcomes of a randomized, three-arm parallel, assessor-blinded, controlled clinical trial. Fifty-one participants awaiting a total hip replacement were recruited into this study. All patients were randomly allocated to a control, hip exercise group and hip and core exercise group. All participants were assessed for core muscle strength using a pressure biofeedback unit and balance using the four-stage balance test. The control group had no intervention. A 12-week hip and core exercise programme did not result in improvements over and above the hip exercise group in balance scores. However an improvement in core stability was noted for the hip and core exercise group (P = 0.001). Therefore, this study concluded that both exercise groups are resulted in improved balance with the core and hip exercise group noted to have added improvements, but the difference between the groups was not statistically significant.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 3","pages":"252-257"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10280249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Twenty years of intrathecal baclofen therapy in Slovenia: a retrospective single-center analysis of complications. 斯洛文尼亚二十年鞘内巴氯芬治疗:并发症的回顾性单中心分析

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-09-01 Epub Date: 2023-06-22 DOI: 10.1097/MRR.0000000000000586

Mitja Benedičič, Katja Groleger Sršen, Klemen Grabljevec, Neža Majdič, Barbara Haber

{"title":"Twenty years of intrathecal baclofen therapy in Slovenia: a retrospective single-center analysis of complications.","authors":"Mitja Benedičič, Katja Groleger Sršen, Klemen Grabljevec, Neža Majdič, Barbara Haber","doi":"10.1097/MRR.0000000000000586","DOIUrl":"10.1097/MRR.0000000000000586","url":null,"abstract":"Since the first implantation in July 2001, the intrathecal baclofen (ITB) therapy for patients with generalized spasticity has been used in Slovenia for 20 years. The aim of this retrospective study was to evaluate the rates of different complications, especially if catheter-related complications were less frequent after the introduction of the coated catheter type in February 2013, and the potential correlation between higher baclofen doses and the incidence of complications. We retrospectively collected data from all patients in the registry during the period from 3 July 2001 to 31 December 2021. Among 138 patients (48 females), 120 patients had the first ITB system implanted at the University Medical Centre Ljubljana. Forty-three complications were reported in 38 patients (27%), with a total complication rate of 0.203/1000 days or 0.074/pump year. The most frequent was catheter-related (0.083/1000 days or 0.030/pump year), followed by skin-related (0.063/1000 days or 0.023/pump year) and pump-related complication (0.026/1000 days or 0.009/pump year). The incidence of catheter-related complications decreased significantly since the use of Ascenda type catheter: 14/7 complications per 88/147 implantations ( P = 0.008). Patients with complications had a statistically significantly higher dose of baclofen: median 400 µg/24h vs. median 300 µg/24h ( P = 0.016). Our retrospective analysis confirmed a significant decrease of catheter-related complications after the implementation of Ascenda type catheter in February 2013. Patients with a higher ITB dose had a statistically significantly higher incidence of complications. The total complication rate was a bit higher as previously reported in other studies, which is consistent with a long follow-up time.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 3","pages":"209-215"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9914599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Physical activity is associated with walking and balance ability but not fatigue, knee extension strength, or body composition in adults with cerebral palsy: a pilot cross-sectional study. 脑性瘫痪成人的身体活动与行走和平衡能力有关，但与疲劳、膝关节伸展力量或身体成分无关:一项试点横断面研究。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-09-01 Epub Date: 2023-07-07 DOI: 10.1097/MRR.0000000000000593

Yui Sato, Hideyuki Tashiro, Kanta Fukumoto, Sota Hirosaki, Megumi Toki, Naoki Kozuka

{"title":"Physical activity is associated with walking and balance ability but not fatigue, knee extension strength, or body composition in adults with cerebral palsy: a pilot cross-sectional study.","authors":"Yui Sato, Hideyuki Tashiro, Kanta Fukumoto, Sota Hirosaki, Megumi Toki, Naoki Kozuka","doi":"10.1097/MRR.0000000000000593","DOIUrl":"10.1097/MRR.0000000000000593","url":null,"abstract":"Common secondary impairments associated with aging in adults with cerebral palsy (CP) decrease physical functions, including walking and balance ability, and increase the sense of fatigue. This motor dysfunction results in decreased physical activity (PA) and could be associated with obesity and sarcopenia. This study examined the association of daily PA levels with fatigue, physical function, and body composition in 22 adults with CP (age, 37.4 ± 14.7 years; Gross Motor Function Classification System level, I: 6, II: 16). The level of daily PA was divided into percent of sedentary behavior, light PA, and moderate-to-vigorous PA (%MVPA) per day. These outcomes were examined for correlation with the Fatigue Severity Scale, knee extension strength, comfortable and maximum walking speed, Timed-Up-and-Go-Test (TUG), and body fat percentage and skeletal muscle mass using Spearman's rank correlation coefficient. An additional partial correlation analysis with sex and age adjustment was performed. The %MVPA correlated positively with comfortable walking speed (rs = 0.424, P = 0.049) and negatively with TUG (rs = -0.493, P = 0.020). The partial correlation revealed associations of %MVPA with maximum walking speed (r = 0.604, P = 0.022) and TUG (r = -0.604, P = 0.022). The results show that among adults with CP, increased PA is associated with improvements in mobility but not in perceived fatigue or body composition, regardless of sex and age. Maintaining and improving %MVPA and walking and balance ability in adults with CP have a positive impact on each other, and potentially on overall health management.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 3","pages":"277-283"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9924108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Changes in skeletal muscle mass index and fat mass index during rehabilitation for traumatic brain injury and stroke measured by bioelectrical impedance analysis. 用生物电阻抗分析测量创伤性脑损伤和脑卒中康复期间骨骼肌质量指数和脂肪质量指数的变化。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-09-01 Epub Date: 2023-06-16 DOI: 10.1097/MRR.0000000000000587

Babett Tóth, Zoltán Dénes, Mariann Németh, Gábor Fazekas

{"title":"Changes in skeletal muscle mass index and fat mass index during rehabilitation for traumatic brain injury and stroke measured by bioelectrical impedance analysis.","authors":"Babett Tóth, Zoltán Dénes, Mariann Németh, Gábor Fazekas","doi":"10.1097/MRR.0000000000000587","DOIUrl":"10.1097/MRR.0000000000000587","url":null,"abstract":"Although malnutrition may negatively impact the outcomes of rehabilitation and increase the cost of care, there are still no valid nutritional assessment methods appropriate for specific groups of patients undergoing rehabilitation. This study aimed to determine if a multifrequency bioelectrical impedance is suitable for monitoring the changes in body composition of brain-injured patients for whom individualized nutritional goals were set during rehabilitation. Fat mass index (FMI) and skeletal muscle mass index (SMMI) were examined by Seca mBCA515 or portable Seca mBCA525 device within 48 h of admission and before discharge in 11 traumatic brain injury (TBI) and 11 stroke patients with admission Nutritional Risk Screening 2002 scores ≥2. The changes in outcomes and plausible interactions were examined between the admission values and the values estimated for the 18th day (minimum length of stay in the sample) using a repeated measure mixed-sample analysis of covariance. In patients with low FMI at admission (mainly younger, TBI patients, with longer ICU stay), there was no change over time whereas, in those with high admission FMI (older, stroke patients, with shorter ICU stay), a decrease was observed (significant interaction F(1,19) = 9.224 P = 0.007 Part. η² = 0.327). The SMMI significantly increased over time (F(1,19) = 5.202 P = 0.034 Part. η² = 0.215) independently of gender, age, days spent in ICU and cause of brain injury. Our results suggest that bioelectrical impedance analysis is feasible and informative for monitoring the changes in body composition during rehabilitation, which also requires consideration of demographic and pre-rehabilitation characteristics.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 3","pages":"264-269"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9914598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Changes in physical activity in older adult patients with postoperative hip fractures in convalescent rehabilitation wards during rehabilitation time and during daily activities in the ward: a prospective cohort study. 康复期康复病房老年髋部骨折患者在康复期间和病房日常活动期间的身体活动变化:一项前瞻性队列研究

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-09-01 Epub Date: 2023-06-16 DOI: 10.1097/MRR.0000000000000589

Tomoko Shimizu, Chiaki Kanai, Yasuyoshi Asakawa

{"title":"Changes in physical activity in older adult patients with postoperative hip fractures in convalescent rehabilitation wards during rehabilitation time and during daily activities in the ward: a prospective cohort study.","authors":"Tomoko Shimizu, Chiaki Kanai, Yasuyoshi Asakawa","doi":"10.1097/MRR.0000000000000589","DOIUrl":"10.1097/MRR.0000000000000589","url":null,"abstract":"As the older adult population increases, the number of patients with hip fractures is expected to increase. Hip fractures are a major factor in bedridden patients and decreased activities of daily living. Older adults may have multiple comorbidities, and improving their physical function under comprehensive care is better to meet their needs. Convalescent rehabilitation wards provide comprehensive care and aim to improve the activities of daily living and physical activity in older adults. This study aimed to identify the time of day, including rehabilitation, when physical activities improve in inpatients with subacute postoperative hip fracture, among the many comorbidities of older adults, in comprehensive care, including rehabilitation. This prospective cohort study was conducted in a comprehensive care setting in a subacute rehabilitation ward in a Japanese hospital. Older adult inpatients with a musculoskeletal disease in a subacute rehabilitation ward were divided into the postoperative hip fracture and non-hip fracture patients to examine age, frailty, activities of daily living, and longitudinal physical activity data from objective measures at admission and discharge. Physical activity increased in older adult inpatients with postoperative hip fractures not only during personalized rehabilitation time ( P < 0.001) but also during free activity in the ward ( P < 0.001), despite their tendency to be older, frailer, and lower activities of daily living. In conclusion, postoperative hip fracture inpatients may improve their fitness after receiving comprehensive care.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 3","pages":"270-276"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9920441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Is mirror therapy associated with progressive muscle relaxation more effective than mirror therapy alone in reducing phantom limb pain in patients with lower limb amputation?: Erratum. 在减轻下肢截肢患者幻肢痛方面，镜像疗法联合进行性肌肉放松是否比单独镜像疗法更有效?:错误。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-09-01 Epub Date: 2023-08-01 DOI: 10.1097/MRR.0000000000000597

引用次数: 0

Visual feedback and age affect upper limb reaching accuracy and kinematics in immersive virtual reality among healthy adults. 视觉反馈和年龄影响健康成人沉浸式虚拟现实中上肢到达精度和运动学。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-09-01 Epub Date: 2023-06-16 DOI: 10.1097/MRR.0000000000000588

Gauthier J Everard, Thierry M Lejeune, Charles S Batcho

{"title":"Visual feedback and age affect upper limb reaching accuracy and kinematics in immersive virtual reality among healthy adults.","authors":"Gauthier J Everard, Thierry M Lejeune, Charles S Batcho","doi":"10.1097/MRR.0000000000000588","DOIUrl":"10.1097/MRR.0000000000000588","url":null,"abstract":"This cross-sectional study aimed to evaluate the effect of visual feedback, age and movement repetition on the upper limb (UL) accuracy and kinematics during a reaching task in immersive virtual reality (VR). Fifty-one healthy participants were asked to perform 25 trials of a reaching task in immersive VR with and without visual feedback of their hand. They were instructed to place, as accurately and as fast as possible, a controller held in their non-dominant hand in the centre of a virtual red cube of 3 cm side length. For each trial, the end-point error (distance between the tip of the controller and the centre of the cube), a coefficient of linearity (CL), the movement time (MT), and the spectral arc length of the velocity signal (SPARC), which is a movement smoothness index, were calculated. Multivariate analyses of variance were conducted to assess the influence of visual feedback, age and trial repetition on the average end-point error, SPARC, CL and MT, and their time course throughout the 25 trials. Providing visual feedback of the hand reduced average end-point error ( P < 0.001) and MT ( P = 0.044), improved SPARC ( P < 0.001) but did not affect CL ( P = 0.07). Younger participants obtained a lower mean end-point error ( P = 0.037), a higher SPARC ( P = 0.021) and CL ( P = 0.013). MT was not affected by age ( P = 0.671). Trial repetition increased SPARC ( P < 0.001) and CL ( P < 0.001), and reduced MT ( P = 0.001) but did not affect end-point error ( P = 0.608). In conclusion, the results of this study demonstrated that providing visual feedback of the hand and being younger improves UL accuracy and movement smoothness in immersive VR. UL kinematics but not accuracy can be improved with more trial repetitions. These findings could guide the future development of protocols in clinical rehabilitation and research.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 3","pages":"221-229"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9923785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Data mining versus manual screening to select papers for inclusion in systematic reviews: a novel method to increase efficiency. 数据挖掘与人工筛选选择论文纳入系统评价:一种提高效率的新方法。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-09-01 Epub Date: 2023-07-24 DOI: 10.1097/MRR.0000000000000595

Elena Ierardi, J Chris Eilbeck, Frederike van Wijck, Myzoon Ali, Fiona Coupar

{"title":"Data mining versus manual screening to select papers for inclusion in systematic reviews: a novel method to increase efficiency.","authors":"Elena Ierardi, J Chris Eilbeck, Frederike van Wijck, Myzoon Ali, Fiona Coupar","doi":"10.1097/MRR.0000000000000595","DOIUrl":"10.1097/MRR.0000000000000595","url":null,"abstract":"Systematic reviews rely on identification of studies, initially through electronic searches yielding potentially thousands of studies, and then reviewer-led screening studies for inclusion. This standard method is time- and resource-intensive. We designed and applied an algorithm written in Python involving computer-aided identification of keywords within each paper for an exemplar systematic review of arm impairment after stroke. The standard method involved reading each abstract searching for these keywords. We compared the methods in terms of accuracy in identification of keywords, abstracts' eligibility, and time taken to make a decision about eligibility. For external validation, we adapted the algorithm for a different systematic review, and compared eligible studies using the algorithm with those included in that review. For the exemplar systematic review, the algorithm failed on 72 out of 2,789 documents retrieved (2.6%). Both methods identified the same 610 studies for inclusion. Based on a sample of 21 randomly selected abstracts, the standard screening took 1.58 ± 0.26 min per abstract. Computer output screening took 0.43 ± 0.14 min per abstract. The mean difference between the two methods was 1.15 min ( P < 0.0001), saving 73% per abstract. For the other systematic review, use of the algorithm resulted in the same studies being identified. One study was excluded based on the interpretation of the comparison intervention. Our purpose-built software was an accurate and significantly time-saving method for identifying eligible abstracts for inclusion in systematic reviews. This novel method could be adapted for other systematic reviews in future for the benefit of authors, reviewers and editors.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 3","pages":"284-292"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10281759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association between the amount of rehabilitation and the outcomes in patients with aspiration pneumonia. 吸入性肺炎患者康复量与预后的关系。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-09-01 Epub Date: 2023-04-12 DOI: 10.1097/MRR.0000000000000581

Yuki Kato, Shinsuke Hori, Kenta Ushida, Miho Shimizu, Yuka Shirai, Ryo Momosaki

{"title":"Association between the amount of rehabilitation and the outcomes in patients with aspiration pneumonia.","authors":"Yuki Kato, Shinsuke Hori, Kenta Ushida, Miho Shimizu, Yuka Shirai, Ryo Momosaki","doi":"10.1097/MRR.0000000000000581","DOIUrl":"10.1097/MRR.0000000000000581","url":null,"abstract":"The appropriate amount of rehabilitation for aspiration pneumonia remains unknown. We conducted a historical cohort study to investigate the association between the amount of rehabilitation provided and the outcome of patients with aspiration pneumonia. A total of 4148 patients with aspiration pneumonia recruited from a database created by JMDC were categorized into three groups based on daily rehabilitation units: none or <1 unit (low-volume group), 1-2 units (medium-volume group), and more than 2 units (high-volume group). The main outcome measures were death in the hospital, discharge home, and length of hospital stay. The results showed that the middle-volume and high-volume groups had significantly fewer in-hospital deaths [middle-volume group, odds ratio (OR) 0.62; 95% confidence interval (CI), 0.46-0.83; high-volume group, OR 0.66; 95% CI, 0.45-0.97], more patients were discharged home (middle-volume group, OR 1.29; 95% CI, 1.03-1.62; high-volume group, OR 2.00; 95% CI, 1.48-2.71), and shorter hospital stay (middle-volume group, coefficient -3.30; 95% CI, -6.42 to -0.19; high-volume group, coefficient -4.54; 95% CI, -8.69 to -0.40) compared with the low-volume group. In conclusion, higher rehabilitation units per day provided to patients with aspiration pneumonia were associated with fewer deaths, more home discharges, and shorter hospital stays.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 3","pages":"216-220"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9925114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Which items of the modified Barthel Index can predict functional independence at discharge from inpatient rehabilitation? A secondary analysis retrospective cohort study. 修正Barthel指数中哪些项目可预测住院康复出院时的功能独立性?二级分析回顾性队列研究。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-09-01 Epub Date: 2023-06-16 DOI: 10.1097/MRR.0000000000000584

Sanaz Pournajaf, Leonardo Pellicciari, Stefania Proietti, Francesco Agostini, Debora Gabbani, Michela Goffredo, Carlo Damiani, Marco Franceschini

{"title":"Which items of the modified Barthel Index can predict functional independence at discharge from inpatient rehabilitation? A secondary analysis retrospective cohort study.","authors":"Sanaz Pournajaf, Leonardo Pellicciari, Stefania Proietti, Francesco Agostini, Debora Gabbani, Michela Goffredo, Carlo Damiani, Marco Franceschini","doi":"10.1097/MRR.0000000000000584","DOIUrl":"10.1097/MRR.0000000000000584","url":null,"abstract":"The modified Barthel Index (mBI) is a well-established patient-centered outcome measure commonly administrated in rehabilitation settings to evaluate the functional status of patients at admission and discharge. This study aimed to detect which mBI items collected on admission can predict the total mBI at discharge from first inpatient rehabilitation in large cohorts of orthopedic (n = 1864) and neurological (n = 1684) patients. Demographic and clinical data (time since the acute event 11.8 ± 17.2 days) at patients' admission and mBI at discharge were collected. Univariate and multiple binary logistic regressions were performed to study the associations between independent and dependent variables for each cohort separately. In neurological patients, the shorter time between the acute event and rehabilitation admission, shorter length of stay, and being independent with feeding, personal hygiene, bladder, and transfers were independently associated with higher total mBI at discharge (R 2 = 0.636). In orthopedic patients, age, the shorter time between the acute event and rehabilitation admission, shorter length of stay, and being independent with personal hygiene, dressing, and bladder were independently associated with higher total mBI at discharge (R 2 = 0.622). Our results showed that different activities in neurological (i.e. feeding, personal hygiene, bladder, and transfer) and orthopedic sample (i.e. personal hygiene, dressing, and bladder) are positively associated with better function (measured by mBI) at the discharge. Clinicians have to take into account these predictors of functionality when they plan an appropriate rehabilitation treatment.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 3","pages":"230-237"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3e/a4/ijrr-46-230.PMC10396075.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9930783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0