Journal of Rehabilitation Medicine - Clinical Communications最新文献

{"title":"Rehabilitation approach after earthquake disaster: a brief report from Turkey","authors":"T. Koca, Duran Topak","doi":"10.2340/jrmcc.v7.34748","DOIUrl":"https://doi.org/10.2340/jrmcc.v7.34748","url":null,"abstract":"Devastating earthquake disasters are experienced all over the world. On February 6, 2023, two major earthquakes with magnitudes of Mw 7.7 and 7.6, respectively, occurred centered in Kahramanmaraş, Turkey. It resulted in at least 50,783 deaths and more than 122,000 injuries according to official data. Defining the post-earthquake experiences and earthquake risk assessment well and identifying the deficiencies will guide the coordination, management, and planning of subsequent disasters. In this study, the rehabilitation approaches of earthquake victims with physical injuries in our rehabilitation center are emphasized and the situations that will be encountered in the immediate, intermediate, and long-term periods after the earthquake are summarized.","PeriodicalId":515675,"journal":{"name":"Journal of Rehabilitation Medicine - Clinical Communications","volume":"47 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140675944","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}

{"title":"CLINICIANS’ PERCEPTIONS OF MANUAL HANDLING POLICIES IN STROKE REHABILITATION: A QUALITATIVE FOCUS GROUP STUDY","authors":"Salem F Alatawi","doi":"10.2340/jrmcc.v7.23836","DOIUrl":"https://doi.org/10.2340/jrmcc.v7.23836","url":null,"abstract":"Objectives The professional literature guides manual handling in numerous health care settings. The effects of these guidelines on stroke rehabilitation and the clinical communication of health care professionals are unknown. This paper aims to investigate the perspectives of nurses and physiotherapists on handling guidelines in their professions to identify conflicts in opinions to provide optimum care to people with stroke. Design A qualitative focus group study. Methods Three focus groups were conducted. The participants were physiotherapists or nurses with 1 year of stroke care experience. The data were thematically analysed. Results Nineteen participants (12 physiotherapists and 7 nurses) were interviewed. The data analysis revealed 3 themes. First, “The application of handling in stroke rehabilitation” includes clinical reasoning and real-world handling practices. The second theme, “Physical Effects on Therapists,” examines the long-term effects of manual handling on therapists, including work-related musculoskeletal disorders. The final theme, “Conflicts among health care professionals,” investigates stroke rehabilitation equipment conflicts between nurses and physiotherapists. Conclusion The study concludes that stroke transfer guidelines in the specialised literature may impact health care professionals’ perspectives. Conflicts among health care professionals can impair teamwork. Thus, health care professionals should work together as stroke rehabilitation teams to develop unified transfer guidelines that aid rehabilitation and avoid work-related musculoskeletal disorders. LAY ABSTRACT Transfer training is a significant part of the care that physiotherapists and nursing professionals provide in stroke rehabilitation. In the context of transferring individuals with strokes, therapists regularly find themselves assuming various physically demanding positions, such as bending and twisting, to provide necessary assistance to the patient. As a consequence of the repetitive and physically demanding nature of this field of rehabilitation, work-related musculoskeletal disorders are common. The professional literature advises professionals to avoid work-related musculoskeletal disorders through manual handling. This study compared nurses’ and physiotherapists’ opinions on stroke rehabilitation handling guidelines, the “no-lift policy,” and equipment utilisation. Three focus groups were held with 12 physiotherapists and 7 nurses. The findings showed high levels of back pain and physiotherapist-nurse conflict. These findings emphasise the need to unify handling guidelines from different professional literature sources to reduce work-related musculoskeletal disorders and resolve health care professionals’ conflicts caused by different rules and guidelines in their professional literature.","PeriodicalId":515675,"journal":{"name":"Journal of Rehabilitation Medicine - Clinical Communications","volume":"31 52","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140696865","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}

{"title":"DEFINING PATIENT PROFILES AFTER THE 2023 KAHRAMANMARAŞ, TURKEY EARTHQUAKE","authors":"T. TÜLAY KOCA","doi":"10.2340/jrmcc.v7.40039","DOIUrl":"https://doi.org/10.2340/jrmcc.v7.40039","url":null,"abstract":"Objective On 6 February 2023, 2 earthquakes with magnitudes of 7.7 and 7.6 mW occurred in Pazarcık and Elbistan districts of Kahramanmaraş province (Turkey) and affected 11 provinces in total, especially Hatay, Malatya, and Adıyaman. Here, we report 3 earthquake victims in order to define patients profiles. Case reports Three patients who were taken to the orthopedic and neurological rehabilitation program in our inpatient Physical Medicine and Rehabilitation unit after the earthquake are presented. Our first case, a 46-year-old man, remain-ed in the debris for 8.5 h. His left leg was left in the wreckage, and he later developed a drop foot on the left due to compartment syndrome, which developed with pain and swelling in the left calf. There is no fasciotomy procedure. Venous Doppler was reported to be within normal limits. Our second case is a 52-year-old man who was in the debris for 36 h and has a left braxial plexus injury and a left drop foot. He has Buerger’s disease in his medical history. The third case is an 8-year-old girl trapped in rubble during the earthquake with a right orbital fracture and a left foot transmetarsal amputation. She has no neurological signs. Discussion The patients that apply to our Physical Medicine and Rehabilitation clinic are especially amputees, patients with traumatic brain injury, spinal cord injury, peripheral nerve damage, plexus damage, multiple fractures, joint limitations and soft tissue loss in the musculoskeletal system. After the earthquake, we encountered patients from a wide variety of spectrums in our clinic. In addition to primary musculoskeletal injuries, they also experience systemic problems affecting the musculoskeletal system. Additionally, thrombosis, infection, renal failure, and multiple organ failures may also occur. Conclusion Countries should develop guidelines for disaster preparedness and establish coordination units that can take quick action, make decisions, and communicate in times of disaster. A good definition of patient clinical profiles after the earthquake will ensure early intervention and prevent permanent disability and functional losses. LAY ABSTRACT There are devastating earthquake disasters that have massive effects on the world. On 6 February 2023, 2 earthquakes with magnitudes of 7.7 and 7.6 mW occurred in Turkey. According to the latest official data, the incident resulted in at least 45,968 deaths and 108,368 injuries, with 241,577 damaged buildings. Here, we described the patient profiles of our Physical Medicine and Rehabilitation Clinic after the earthquake and shared our experiences. A good definition of earthquake experiences will guide preparation for subsequent earthquakes.","PeriodicalId":515675,"journal":{"name":"Journal of Rehabilitation Medicine - Clinical Communications","volume":"75 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140754171","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}

{"title":"Effect of resistance training through in-person and teleconferencing sessions in rehabilitation of acute stroke patients","authors":"Nikolaos Kintrilis, Antonis Kontaxakis, Anastasios Philippou","doi":"10.2340/jrmcc.v7.18647","DOIUrl":"https://doi.org/10.2340/jrmcc.v7.18647","url":null,"abstract":"Objective: To determine whether application of a strength training regimen yields measurable results on stroke survivors and compare different methods for the proposed intervention.\u0000Design, Patients and Methods: Ninety stroke patients were recruited from the neurological clinic of a local third-level clinic. Sixty patients participated in a strength training regimen with trainings taking place 3 times a week for 12 weeks with the use of resistance bands. Thirty of these patients were given face-to-face sessions and 30 patients were given trainings through an on-line platform. The last 30 patients who comprised the control group only followed usual care after the stroke.\u0000Results: The applied strength regimen had a statistically significant effect on Visual Analog Scale scores of stroke patients who received it (p = 0.009), as well as in the teleconferencing group (p = 0.004). The measured arteriovenous oxygen difference was elevated for stroke patients who received the intervention as a whole (p = 0.007). Patients who were trained in person and the ones who were trained via teleconferencing yielded similar results as evaluated through the VAS index.\u0000Discussion and Conclusion: Administration of strength training 3 times weekly for 12 weeks to stroke patients yielded measurable results in terms of general function and quality of life.","PeriodicalId":515675,"journal":{"name":"Journal of Rehabilitation Medicine - Clinical Communications","volume":"20 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139684580","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}

{"title":"CHANGES IN FUNCTIONAL CONNECTIVITY FOLLOWING INTENSIVE ATTENTION TRAINING IN PATIENTS WITH TRAUMATIC BRAIN INJURY. A PILOT STUDY","authors":"Hanna PERSSON, Tie-Qiang LI, Gabriela MARKOVIC","doi":"10.2340/jrmcc.v7.12436","DOIUrl":"https://doi.org/10.2340/jrmcc.v7.12436","url":null,"abstract":"Objective To explore functional connectivity after intensive attention training in the chronic phase after traumatic brain injury as clinical evidence indicates that intensive attention training improves attention dysfunction in persons with traumatic brain injury. Design and subjects A case series study. Two young adults, 13- and 18-months post traumatic brain injury, with traumatic brain injury induced attention deficits were assigned to 20 h of intensive attention training and neuroimaging. Methods Functional magnetic resonance imaging during a psychomotor vigilance test was conducted pre- and post-intervention. Results The neuroimaging indicated both increased and decreased connectivity density in frontal, posterior and subcortical brain regions, for some regions with separate change patterns for left and right hemisphere respectively, and an overall reduction in variability in functional connectivity. Conclusion The changed and decreased variability of functional connectivity in various brain regions, captured by fMRI during a psychomotor vigilance test after direct attention training in a small sample of persons with traumatic brain injury, suggests further studies of functional connectivity changes in neural networks. LAY ABSTRACT In our study, we wanted to know how the brain changes after intensive attention training. Two young adults with traumatic brain injury (car accident and fall from height) were administered intensive attention training for 20 h. To measure the intervention effect, the patients underwent a brain scan in an MRI-camera, while performing a test of vigilance. The vigilance test requires that you use your attention. The brain imaging showed that the brain activity was more stable and with less variability after the attention training. These findings suggest the potential benefit of attention training in regulating neural networks. More studies are needed to better illustrate the linkage between changes in the brain and intervention effect.","PeriodicalId":515675,"journal":{"name":"Journal of Rehabilitation Medicine - Clinical Communications","volume":"50 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139527876","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}

{"title":"THE MULTIDISCIPLINARY BIOPSYCHOSOCIAL REHABILITATION PROGRAMME FOR PATIENTS WITH CHRONIC SPINAL PAIN: OUTCOMES WITH WORK STATUS AS THE PRIMARY FOCUS","authors":"Charlotte Schepens, Katie Bouche, Lutgart BRAECKMAN, Pascale ROMBAUTS, Patrick Linden, Thierry PARLEVLIET","doi":"10.2340/jrmcc.v7.5250","DOIUrl":"https://doi.org/10.2340/jrmcc.v7.5250","url":null,"abstract":"Objective To assess the efficacy of the multidisciplinary biopsychosocial rehabilitation programme for chronic spinal patients as to work status, physical functioning, pain intensity, health-related quality of life and the psychosocial domain. Design This is a retrospective, single-centre, observational cohort study. Subjects/Patients A total of 209 subjects (mean age 41.5 ± 11.4 years) with chronic spinal pain participated in the rehabilitation programme. Methods Evaluations were conducted through standardized questionnaires at baseline and at the end of the rehabilitation programme. Results Patients were more likely to be at work. Sick leave and work VAS changed significantly. Patients in blue-collar jobs are less likely to return to work. Pain intensity, physical functioning, health-related quality of life and lumbar and cervical range of motion improved significantly. Conclusion The multidisciplinary biopsychosocial rehabilitation programme for chronic spinal patients improved the rate of return to work. In daily clinical practice, attention must be given to reducing mobility issues in daily life in order to get patients back to work. The occupational therapist should give patients with blue-collar jobs sufficient attention early in the programme in order to achieve a higher rate of return to work. Lay Abstract Chronic spinal pain causes more overall disability than any other condition (1). Absenteeism due to illness has become an issue of increasing importance in Belgian and European socio-economic actuality (2). However, to our knowledge, different biopsychosocial outcome measures with special attention to work-related outcomes have never been investigated in Belgium. The objective of the study is to assess the efficacy of the multidisciplinary biopsychosocial rehabilitation programme for chronic spinal patients on different outcome domains such as work status, physical functioning, pain intensity, health-related quality of life and the psychosocial domain. The evaluations were conducted through standardized questionnaires at baseline and at the end of the programme. The pain scores and functional outcomes improved. Improvements were noted in mobility. Patients were more likely to be at work. The multidisciplinary biopsychosocial rehabilitation programme for chronic spinal patients improved the rate of return to work, pain intensity, physical functioning and health-related quality of life.","PeriodicalId":515675,"journal":{"name":"Journal of Rehabilitation Medicine - Clinical Communications","volume":"33 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139528642","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}