Journal of Rehabilitation Research and Development最新文献_第5页

Patient perspectives on virtual reality-based rehabilitation after knee surgery: Importance of level of difficulty. 患者对膝关节手术后基于虚拟现实的康复的看法:难度水平的重要性。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2014.07.0164

Minyoung Lee, Dongwon Suh, Jaebum Son, Jungjin Kim, Seon-Deok Eun, BumChul Yoon

{"title":"Patient perspectives on virtual reality-based rehabilitation after knee surgery: Importance of level of difficulty.","authors":"Minyoung Lee, Dongwon Suh, Jaebum Son, Jungjin Kim, Seon-Deok Eun, BumChul Yoon","doi":"10.1682/JRRD.2014.07.0164","DOIUrl":"https://doi.org/10.1682/JRRD.2014.07.0164","url":null,"abstract":"This article explored the perspectives of 25 patients regarding virtual reality (VR)-based rehabilitation following knee surgery and identified the important factors that allowed patients to immerse themselves in rehabilitation. Qualitative analysis of data collected via open-ended questionnaire and quantitative analysis of data from physical assessments and surveys were conducted. In the open-ended questionnaire, the majority of participants mentioned level of difficulty as the most common reason for selecting both the most and the least immersive exercise programs. Quantitative analysis showed that participants experienced a high level of flow (3.9 +/- 0.3 out of 5.0) and a high rate of expectation of therapeutic effect (96%) and intention of exercise adherence (96%). Further, participants with more severe pain or physical dysfunction tended to have more positive experiences (e.g., Difficulty-Skill Balance, Clear Goals, and Transformation of Time), leading to high levels of flow during VR-based rehabilitation. In conclusion, VR-based games are potentially acceptable as a motivational rehabilitation tool for patients following knee surgery. However, to best meet patients' needs, it might be useful to equip a VR program with varied levels of difficulty, taking into account the severity of the individual's knee injury. Additionally, severe pain or physical dysfunction might act as an indication rather than a contraindication for VR-based rehabilitation.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 2","pages":"239-52"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.07.0164","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34459051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 36

Pain research using Veterans Health Administration electronic and administrative data sources. 使用退伍军人健康管理局电子和行政数据源进行疼痛研究。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2014.10.0246

Erica A. Abel, C. Brandt, R. Czlapinski, J. Goulet

{"title":"Pain research using Veterans Health Administration electronic and administrative data sources.","authors":"Erica A. Abel, C. Brandt, R. Czlapinski, J. Goulet","doi":"10.1682/JRRD.2014.10.0246","DOIUrl":"https://doi.org/10.1682/JRRD.2014.10.0246","url":null,"abstract":"Health services researchers are using Veterans Health Administration (VHA) electronic health record (EHR) data sources to examine the prevalence, treatment, and outcomes of pain among Veterans in VHA care. Little guidance currently exists on using these data; thus, findings may vary depending on the methods, data sources, and definitions used. We sought to identify current practices in order to provide guidance to future pain researchers. We conducted an anonymous survey of VHA-affiliated researchers participating in a monthly national pain research teleconference. Thirty-two researchers (89%) responded: 75% conducted pain-focused research, 78% used pain intensity numeric rating screening scale (NRS) scores to identify pain, 41% used International Classification of Diseases-9th Revision codes, and 57% distinguished between chronic and acute pain using either NRS scores or pharmacy data. The NRS and pharmacy data were rated as the most valid pain data sources. Of respondents, 48% reported the EHR data sources were adequate for pain research, while 45% had published peer-reviewed articles based on the data. Despite limitations, VHA researchers are increasingly using EHR data for pain research, and several common methods were identified. More information on the performance characteristics of these data sources and definitions is needed.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 1 1","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.10.0246","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67551548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Opioid use and walking among patients with chronic low back pain. 慢性腰痛患者阿片类药物的使用与步行。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2014.08.0190

S. Krein, A. Bohnert, H. M. Kim, M. Harris, C. Richardson

{"title":"Opioid use and walking among patients with chronic low back pain.","authors":"S. Krein, A. Bohnert, H. M. Kim, M. Harris, C. Richardson","doi":"10.1682/JRRD.2014.08.0190","DOIUrl":"https://doi.org/10.1682/JRRD.2014.08.0190","url":null,"abstract":"This study examined the effect of a walking intervention on step counts among patients with chronic back pain who report opioid use. Data were collected as part of a randomized trial to reduce back-pain-related disability. Participants (n = 118 usual care, 111 intervention) were Veterans receiving care within one healthcare system. Step counts were collected at baseline, 6 mo, and 12 mo via an uploading pedometer. Self-reported opioid use was collected by survey. More than 40% (n = 99) of participants reported opioid use at baseline. After adjustment, the predicted mean step count for baseline opioid users assigned to the intervention increased by more than 1,200 steps compared with a reduction of nearly 400 steps for those assigned to usual care (between-group difference = 1,625 steps, p = 0.004). Among nonopioid users, there was no change for those in the intervention (-16 steps) and an increase of about 660 steps for those assigned to usual care (between-group difference = 683 steps, p = 0.17). These data show that patients taking opioids may engage in walking to help manage their back pain. This finding emphasizes the importance of encouraging the use of alternative pain management strategies for these patients.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 1 1","pages":"107-16"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.08.0190","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67551652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Iraq and Afghanistan Veterans report symptoms consistent with chronic multisymptom illness one year after deployment. 伊拉克和阿富汗退伍军人报告的症状与部署一年后的慢性多症状疾病一致。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2014.10.0255

L. McAndrew, D. Helmer, L. A. Phillips, Helena K. Chandler, Kathleen Ray, K. Quigley

{"title":"Iraq and Afghanistan Veterans report symptoms consistent with chronic multisymptom illness one year after deployment.","authors":"L. McAndrew, D. Helmer, L. A. Phillips, Helena K. Chandler, Kathleen Ray, K. Quigley","doi":"10.1682/JRRD.2014.10.0255","DOIUrl":"https://doi.org/10.1682/JRRD.2014.10.0255","url":null,"abstract":"Many Veterans returning from service in Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) experience chronic pain. What is not known is whether for some OIF/OEF Veterans this pain is part of a larger condition of diffuse multisystem symptoms consistent with chronic multisymptom illness (CMI). We use data from a prospective longitudinal study of OIF/OEF Veterans to determine the frequency of CMI. We found that 1 yr after deployment, 49.5% of OIF/OEF Veterans met criteria for mild to moderate CMI and 10.8% met criteria for severe CMI. Over 90% of Veterans with chronic pain met criteria for CMI. CMI was not completely accounted for either by posttraumatic stress disorder or by predeployment levels of physical symptoms. Veterans with symptoms consistent with CMI reported significantly worse physical health function than Veterans who did not report symptoms consistent with CMI. This study suggests that the presence of CMI should be considered in the evaluation of OIF/OEF Veterans. Further, it suggests the pain management for these Veterans may need to be tailored to take CMI into consideration.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 1 1","pages":"59-70"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.10.0255","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67551743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 34

Perceived health, caregiver burden, and quality of life in women partners providing care to Veterans with traumatic brain injury. 为创伤性脑损伤退伍军人提供护理的女性伴侣的感知健康、照顾者负担和生活质量

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2015.07.0143

K. Saban, J. Griffin, Amanda Urban, M. Janusek, T. Pape, E. Collins

{"title":"Perceived health, caregiver burden, and quality of life in women partners providing care to Veterans with traumatic brain injury.","authors":"K. Saban, J. Griffin, Amanda Urban, M. Janusek, T. Pape, E. Collins","doi":"10.1682/JRRD.2015.07.0143","DOIUrl":"https://doi.org/10.1682/JRRD.2015.07.0143","url":null,"abstract":"Families of Veterans with traumatic brain injury (TBI) are often faced with providing long-term informal care to their loved one. However, little is known about how their perceived health and caregiving burden contribute to their quality of life (QOL). The purpose of this descriptive study was to describe perceived health, somatic symptoms, caregiver burden, and perceived QOL and to identify the extent to which these variables are associated with QOL in female partners/spouses of Veterans with TBI. Participants completed a written questionnaire including the Patient Health Questionnaire-15, Caregiver Reaction Assessment, Quality of Life Index, and the general health subscale of the 12-Item Short Form Survey version 2. Caregivers reported moderate levels of QOL, and over a quarter of the sample reported high levels of somatic symptoms, particularly fatigue and sleep disturbance. Age, perceived general health, somatic symptoms, the five subscales of caregiver burden (self-esteem, disrupted schedule, effect on finances, lack of family support, and effect on health) predicted QOL and explained 64% of its variance (adjusted r2 = 0.64, F(8,31) = 9.59). However, only somatic symptoms and the caregiver burden subscales of self-esteem and effect on finances were significant predictors in the model. These findings have implications for development of family-centered interventions to enhance the QOL of informal caregivers of Veterans with TBI.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 6 1","pages":"681-692"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2015.07.0143","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67551924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 57

A conceptual model for vision rehabilitation. 视力康复的概念模型。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2015.06.0113

Pamela S Roberts, John-Ross Rizzo, Kimberly Hreha, Jeffrey Wertheimer, Jennifer Kaldenberg, Dawn Hironaka, Richard Riggs, August Colenbrander

引用次数: 18

Rehabilitation and multiple limb amputations: A clinical report of patients injured in combat. 康复和多肢截肢:战斗中受伤患者的临床报告。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2014.09.0219

Ted Melcer, Jay Pyo, Jay Walker, Kimberly Quinn, Martin Lebedda, Kamaran Neises, Christina Nguyen, Michael Galarneau

{"title":"Rehabilitation and multiple limb amputations: A clinical report of patients injured in combat.","authors":"Ted Melcer, Jay Pyo, Jay Walker, Kimberly Quinn, Martin Lebedda, Kamaran Neises, Christina Nguyen, Michael Galarneau","doi":"10.1682/JRRD.2014.09.0219","DOIUrl":"https://doi.org/10.1682/JRRD.2014.09.0219","url":null,"abstract":"This clinical report describes the outpatient rehabilitation program for patients with multiple limb amputations enrolled in the Comprehensive Combat and Complex Casualty Care facility at the Naval Medical Center San Diego. Injury-specific data for 29 of these patients wounded by blast weaponry in Afghanistan in 2010 or 2011 were captured by the Expeditionary Medical Encounter Database at the Naval Health Research Center and were reviewed for this report. Their median Injury Severity Score was 27 (N = 29; range, 11-54). Patients averaged seven moderate to serious injuries (Abbreviated Injury Scale scores ≥2), including multiple injuries to lower limbs and injuries to the torso and/or upper limbs. All patients received care from numerous clinics, particularly physical therapy during the first 6 mo postinjury. Clinic use generally declined after the first 6 mo with the exception of prosthetic devices and repairs. The clinical team implemented the Mayo-Portland Adaptability Inventory, 4th Revision (MPAI-4) to assess functioning at outpatient program initiation and discharge (n = 23). At program discharge, most patients had improved scores for the MPAI-4 items assessing mobility, pain, and transportation, but not employment. Case reports described rehabilitation for two patients with triple amputations and illustrated multispecialty care and contrasting solutions for limb prostheses.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 6","pages":"1045-1060"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.09.0219","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34864761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Effects of cognitive load and prosthetic liner on volitional response times to vibrotactile feedback. 认知负荷和假体衬垫对振动触觉反馈意志反应时间的影响。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2016.04.0060

Aman Sharma, Matthew J Leineweber, Jan Andrysek

{"title":"Effects of cognitive load and prosthetic liner on volitional response times to vibrotactile feedback.","authors":"Aman Sharma, Matthew J Leineweber, Jan Andrysek","doi":"10.1682/JRRD.2016.04.0060","DOIUrl":"https://doi.org/10.1682/JRRD.2016.04.0060","url":null,"abstract":"Artificial tactile feedback systems can improve prosthetic function for people with amputation by substituting for lost proprioception in the missing limb. However, limited data exists to guide the design and application of these systems for mobility and balance scenarios. The purpose of this study was to evaluate the performance of a noninvasive artificial sensory feedback (ASF) system on lower-limb function in the presence of a cognitive load and a liner interface. Reaction times (RTs) and accuracy of leg-movement responses to vibratory stimuli at the thigh were recorded for 12 nondisabled individuals and 3 participants with transfemoral amputation using a custom-built testing apparatus. The results indicate that the addition of a cognitive load increases response times relative to the baseline condition by 0.26 to 0.33 s. The prosthetic liner produced a less pronounced increase in RT of 0.06 to 0.11 s. Participants were able to correctly identify the stimulus location with nearly 100% accuracy. These increased RTs are nontrivial and must be considered in designing ASF systems.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 4","pages":"473-82"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34313863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 19

Reliability and factor structure of the Hospital Anxiety and Depression Scale in a polytrauma clinic. 多伤门诊医院焦虑抑郁量表的信度及因素结构。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2015.05.0088

Laura Boxley, Jennifer M Flaherty, Robert J Spencer, Lauren L Drag, Percival H Pangilinan, Linas A Bieliauskas

引用次数: 16

Sex differences between Veterans participating in interdisciplinary chronic pain rehabilitation. 退伍军人参与跨学科慢性疼痛康复的性别差异。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2014.10.0250

Jennifer L. Murphy, K. Phillips, Samantha Rafie

{"title":"Sex differences between Veterans participating in interdisciplinary chronic pain rehabilitation.","authors":"Jennifer L. Murphy, K. Phillips, Samantha Rafie","doi":"10.1682/JRRD.2014.10.0250","DOIUrl":"https://doi.org/10.1682/JRRD.2014.10.0250","url":null,"abstract":"The improved management of pain among the growing number of female Veterans receiving care through the Veterans Health Administration has been established as a priority, but studies suggest that females may respond differently to pain treatment. This study explored differences between female and male Veterans engaged in a Chronic Pain Rehabilitation Program and determined how female and male Veterans change following participation. Veterans (N = 324) in a 3 wk inpatient program completed self-report measures at admission, discharge, and 3 mo follow-up. Participants were 21% female (n = 67) and 79% male (n = 257). Compared with males, females were younger and less likely to be white or married/partnered. Females reported shorter pain duration and were more likely to have primary head or limb pain. At admission, fewer females were prescribed opioids than males and at lower doses. After opioid cessation in the program, however, there were no significant differences in use between the sexes at follow-up. Improvements in a range of domains were sustained at follow-up for both sexes, but females did not maintain gains in pain intensity or sleep while males reported more pain-related fear at discharge and follow-up. This study adds to the literature on sex-specific variations in chronic pain and implications for treatment.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 1 1","pages":"83-94"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.10.0250","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67551593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 31