Rehabilitation最新文献

{"title":"[Cross-sectoral coaching for individuals with health impairments and at high risk of permanent work disability: Results of a process evaluation].","authors":"Lea Remus, Marei Grope, Stella Lemke, Matthias Bethge","doi":"10.1055/a-2641-4843","DOIUrl":"https://doi.org/10.1055/a-2641-4843","url":null,"abstract":"<p><p>An innovative case management intervention in the city of Hamburg provides an open facility for individuals at high risk of permanent work disability, offering tailored guidance and support, regardless of the nature and extent of needs and legal jurisdiction. The intervention aims on preserving or restoring employability and preventing chronicity of illnesses or impending disability. Our process evaluation examined the implementation of the intervention.Data were collected in 2021 as part of a mixed-methods study. A questionnaire survey was conducted at the start and after 12 months to analyze changes in health status, employment, and satisfaction with the intervention. Additionally, semi-structured, problem-centered interviews were conducted with stakeholders and participants to analyze the dose given and dose received. We also examined the population reached.Out of 145 eligible participants, 56% completed the initial questionnaire, and 28% successfully filled out the second questionnaire. Over 85% of the participants remained employed within a year. The Work Ability Score increased by an average of two points (p=0.001, n=36). There was a significant decrease in depression and anxiety scores. Participants expressed high satisfaction with all of the intervention components. Nine stakeholders and four participants were interviewed about the dose given and dose received. Stakeholders named services focusing on health and social stabilization to maintain of employability. This was intended to be realized through a cross-sectoral, low-threshold, and coordinating counseling approach. The participants mentioned support to ensure their employability and the opportunities for professional reorientation as offers.A new intervention was implemented to provide support for individuals with health impairments and at high risk of permanent work disability. Despite high initial levels of depression and anxiety, case management support had a positive impact. The Work Ability Score significantly improved. It was observed that the participants' employment situations were largely stabilized. The project will continue and be evaluated through a mixed-methods observational study (https://www.hgua-hamburg.de/).</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661011","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}

{"title":"Do Pain Duration and Affected Side Affect Balance in Shoulder Pathologies? A Controlled Study.","authors":"Meryem Buke, Fatma Unver, Gulsum Tikac, Suat Erel","doi":"10.1055/a-2636-9811","DOIUrl":"https://doi.org/10.1055/a-2636-9811","url":null,"abstract":"<p><p>The study investigated the impact of shoulder pathologies on balance and changes associated with pain duration and affected side.A total of fifty-five individuals were included in this study. Individuals with shoulder pathology were grouped according to the duration of pain and the affected side. Balance evaluation was done using the Timed Up and Go (TUG) test and the One Leg Stand (OLS) test performed on hard and soft ground with open and closed eyes.Pain duration negatively affected dynamic balance, and those with pain for less than six months had better TUG results (p=0.027). Additionally, no significant difference was observed in OLS and TUG tests in relation to the affected shoulder side.Shoulder pathology negatively impacts individuals' dynamic and static balance. As the pain duration due to shoulder pathology increases in individuals, dynamic balance is negatively affected.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592935","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}

{"title":"[Development of a Counseling Guide for Rehabilitation Specialist Counseling in the German Pension Insurance System on the Requirements of the Federal Participation Act: A Delphi Study].","authors":"Anna-Lena Baasner, Stella Lemke, Stefanie Gröhl, Katja Nebe, Matthias Bethge","doi":"10.1055/a-2619-1175","DOIUrl":"https://doi.org/10.1055/a-2619-1175","url":null,"abstract":"<p><p>The aim of this study was to develop a concept for implementing the requirements of the Federal Participation Act (Bundesteilhabegesetz, BTHG) in rehabilitation counseling through the use of a Delphi study.We employed a modified Delphi technique, involving twelve rehabilitation counselors and seven managerial experts in the field of vocational rehabilitation services. Based on a legal analysis, three focus groups were formed to explore potential implementation strategies and best practice examples for meeting the statutory requirements of the BTHG. Subsequently, two rounds of written Delphi surveys were conducted to reach consensus on a counseling concept in line with the BTHG.After two Delphi rounds, structured feedback was statistically evaluated, resulting in 58 recommendations. The recommendations address issues such as determining the right of choice and preference, assessing individual life realities during counseling sessions, providing information and support in workplace integration management, implementing coordinated service provision in counseling, and networking efforts, as well as general counseling topics.The results outline the requirements that the BTHG imposes on rehabilitation counseling and provide a solid foundation for advisory practices.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562034","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}

{"title":"[Work Participation after Medical Rehabilitation of People with Musculoskeletal Diseases: Representative Analyses Using Routine Data of the German Pension Insurance].","authors":"Matthias Bethge, Pia Zollmann, Richard Albers, Bernhard Greitemann, Marco Streibelt","doi":"10.1055/a-2619-1313","DOIUrl":"https://doi.org/10.1055/a-2619-1313","url":null,"abstract":"<p><p>We analyzed how people with musculoskeletal disorder who completed a rehabilitation program of the German Pension Insurance can be described before medical rehabilitation, how often work participation succeeds thereafter and which administratively available information is associated with work participation.We used the German Pension Insurance's rehabilitation statistics database. Patients with a musculoskeletal disorder who had completed medical rehabilitation in 2017 were included. The analyses were carried out for the group as a whole and stratified by diagnosis group. Work participation was conceptualized both via a monthly status variable up to 24 months after rehabilitation and as a rate of all persons who were employed 12 or 24 months after rehabilitation and the three preceding months. Multiple logistic regression models with stepwise inclusion were calculated to analyze the factors influencing stable work participation.The analysis included 335,792 completed orthopaedic rehabilitations. Two years after the end of rehabilitation, 66.2% of the patients achieved stable work participation. The most relevant factors influencing stable employment were the duration of sickness absence and the income from employment subject to social insurance contributions before the start of rehabilitation.One and two years after completing orthopaedic rehabilitation, around seven out of ten patients are in stable employment. Due to their prognostic validity, the influencing factors identified can be used to determine needs and allocate patients to work-related medical rehabilitation, graded return-to-work and, if necessary, other services for participation in working life.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477898","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}

{"title":"Comparison of effectiveness of Mulligan mobilization technique and cervical stabilization training in patients with chronic neck pain: a single-blinded randomized controlled trial.","authors":"Serbay Sekeroz, Emine Aslan Telci, Meryem Buke, Nuray Akkaya","doi":"10.1055/a-2618-6281","DOIUrl":"https://doi.org/10.1055/a-2618-6281","url":null,"abstract":"<p><p>The purpose of the current study was to compare the effectiveness of Mulligan mobilization technique (MMT) and cervical stabilization training (CST) in patients with chronic neck pain.Thirty-six patients with chronic neck pain were randomly assigned to three groups as control, MMT, and CST groups. In the current study, pain intensity, range of motion (ROM), proprioception, head posture, deep neck flexor (DNF) muscle endurance, disability level, and neck awareness were evaluated as outcome measures.All variables showed statistically significant changes following treatment in all groups. MMT and CST were found to be more effective than home exercise regimen (control group) in pain intensity (p=0.001), DNF muscle endurance (p=0.0001), and disability level (p=0.007) but they were not superior to each other. MMT was found to be more effective in increasing ROM (p=0.0001) and neck awareness (p=0.018). Also, CST was found to be more effective in improving head posture (p=0.0001) and proprioception (p=0.001).The study indicated MMT was more effective in increasing ROM and neck awareness, and the CST was more effective in improving head posture and proprioception. Comprehensive perspective can be acquired for health professionals in this field to select the appropriate rehabilitation approaches for patients with chronic neck pain thanks to our results.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310749","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}

{"title":"[Development of an agenda for rehabilitation research in the Austrian pension insurance system].","authors":"Doreen Stöhr, Martin Matzka, Monika Mustak-Blagusz, David Felder","doi":"10.1055/a-2563-6776","DOIUrl":"10.1055/a-2563-6776","url":null,"abstract":"<p><p>Research agendas address areas, topics and contents where research is particularly needed. The aim of the study was to develop an organisation-specific research agenda for rehabilitation research in the pension insurance institution (PV), reflecting the research interests of various stakeholders in rehabilitation.The study was developed using a sequential, iterative research design with both qualitative and quantitative components. A narrative literature review and in-depth interviews were conducted with experts from the rehabilitation sector (practice, administration and science). The data generated were analysed, processed and consolidated. A subsequent Delphi survey was conducted in two rounds to identify the priority of potential research. The results were used as a basis for the final formulation of the research agenda.The Delphi survey helped to identify and prioritise a total of 116 concrete research items for inclusion in the research agenda. These were categorised, at progressively higher levels of abstraction, into 32 research topics, eleven research fields and four main research areas namely, Individual, Intervention, Institution and Interdisciplinary research.The interdisciplinary and multi-perspective development of the research agenda enabled a comprehensive exploration of the complex variety of topics/issues in rehabilitation. The research agenda will help to structure future research activities in PV and align them with the needs of the different stakeholders in rehabilitation. The methodological, theoretical and institutional foundations of rehabilitation research are also adressed to enable interdisciplinary research.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":"64 3","pages":"139-145"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12173632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267887","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}

{"title":"[Use of routine data in rehabilitation research - Part 1: An overview of type, access, quality and data protection].","authors":"Martin Brünger, Patrick Brzoska, Jean-Baptist du Prel, Sebastian Ellert, Anne-Kathrin Exner, Tobias Knoop, Sarah Leinberger, Stefanie March, Tatjana Mika, Nancy Reims, Max Rohrbacher, Michael Schuler, Diana Wahidie, Christian Hetzel","doi":"10.1055/a-2575-9422","DOIUrl":"10.1055/a-2575-9422","url":null,"abstract":"<p><p>Due to the high costs of primary studies, use of existing data, so-called routine data, can be particularly suitable for answering care-related research questions in rehabilitation. Previous reviews on the use of routine data have focused on acute care within the purview of the statutory health insurance (GKV), but have largely overlooked rehabilitation and other rehabilitation-relevant service providers such as the German Pension Insurance (DRV), the German Statutory Accident Insurance (DGUV) and the Federal Employment Agency (BA). The aim is to provide an overview of the type, access, quality and data protection aspects of routine data in the context of rehabilitation research, based on existing recommendations, results of a selective literature search, and the authors' own experience. Routine data is characterized by a large number of cases, large scope of characteristics and longitudinal documentation over long periods of time. Access to routine data from the German Pension Insurance and the Federal Employment Agency is comparatively low threshold for researchers, whereas this is not yet equally the case for data of other social insurance providers and of rehabilitation clinics. Furthermore, under certain conditions, routine data can be linked with other routine data and with primary data, which can considerably expand the spectrum of possible research applications. In addition to the advantages of routine data, their limitations must also be considered. Routine data were collected for other purposes and only contain characteristics that are required for administration. A prospective study approach with routine data is possible in principle due to the continuous data collection and documentation, but randomized allocation to interventions is not feasible. In addition, the availability, generalizability and quality of data sets and individual variables must be verified. The Health Data Lab at the Federal Institute for Drugs and Medical Devices does not yet provide for the integration of GKV rehabilitation data or the linking of GKV data with data from other rehabilitation-relevant service providers. Data protection aspects must also be considered. When using pseudonymized data from social insurance providers, an application must be submitted by the data holder to the relevant supervisory authorities in accordance with § 75 Social Security Code X.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":"64 3","pages":"167-175"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267890","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}

{"title":"[Complex geriatric rehabilitation therapy].","authors":"Konstantin G Heimrich, Christina Lemhöfer, Tino Prell","doi":"10.1055/a-2427-1414","DOIUrl":"10.1055/a-2427-1414","url":null,"abstract":"<p><p>Older adults who are hospitalized for an acute illness or injury are at high risk for functional decline and other negative long-term outcomes, such as the need for long-term care and higher mortality rates. To address this need, acute geriatric units have been established to treat these patients as part of comprehensive geriatric care. In Germany, comprehensive geriatric care is referred to as complex geriatric rehabilitation therapy and classified under the Operation and Procedure Classification System (OPS) 8-550. It combines acute medical treatment with rehabilitative therapies. It involves a multidisciplinary team working together to develop individualized treatment plans to improve the patient's physical, mental, and social functioning. Treatment can often lead to an increase in functional independence, allowing older people to participate in daily life. This article outlines the aims and characteristics of the treatment and how it differs from geriatric rehabilitation without the need for acute medical treatment.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":"64 3","pages":"176-184"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267886","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}

{"title":"[Subjective quality criteria in rehabilitation sports - A qualitative interview study with participants and instructors].","authors":"Stefan Peters, Jana Friedlein, Lea Dejonghe, Andrea Schaller","doi":"10.1055/a-2536-3453","DOIUrl":"https://doi.org/10.1055/a-2536-3453","url":null,"abstract":"<p><p>The aim of the study was to determine quality criteria in rehabilitation sport from the perspective of participants and instructors.In an exploratory approach, semi-structured guided interviews were conducted with both groups (participants: n=8, instructors: n=4). Qualitative, structuring content analysis was carried out with deductive and inductive formation of categories, dimensions and expressions using the QCAmap software.Based on the interviews conducted, 3 main categories were formed: structural quality, process quality and outcome quality with a total of 10 dimensions and 15 expressions. In the context of structural quality, the interviewees emphasised quality criteria relating to the instructors, but also drew attention to spatial and other facility-related conditions. With regard to process quality, aspects of time and content were discussed, as well as the atmosphere in the course context and heterogeneity in the group. The dimensions of outcome quality were the functional ability at work and in leisure time as well as current well-being and health behaviour.This study provides information for assessing quality control in rehabilitation sport. For example, it emphasises the competence requirements for instructors, including in the methodological-didactic and expertise areas, which are underpinned by findings from medical rehabilitation. Process quality draws attention, for example, to aspects of content that have not yet been addressed in the framework agreement on rehabilitation sport. The interviewees describe the effects of rehabilitation sport in terms of individual experience. However, the need for evaluation is not mentioned.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":"64 3","pages":"157-166"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267889","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}

{"title":"[Fibro-Aktiv: A training programme for patients with severe fibromyalgia - pilot study and literature search].","authors":"Martin Gehlen, Nina Göhle, Michael Schwarz-Eywill, Karin Mahn, Shahin Zolfaghari, Tim Below","doi":"10.1055/a-2548-1732","DOIUrl":"https://doi.org/10.1055/a-2548-1732","url":null,"abstract":"<p><p>In this pilot study, a specific, three-week, multimodal treatment programme for patients with a particularly severe course of fibromyalgia syndrome was evaluated in relation to cardiopulmonary endurance performance and the results were compared with reports in the literature.As part of the retrospective, monocentric longitudinal study, a 6-minute walking test was carried out at the beginning and end of inpatient rheumatological rehabilitation (3090 minutes of therapy in 3 weeks) and the results were compared.A total of 71 patients (age: 54.2±7.7 years; f=66, m=5) were included in the study The disease was diagnosed 7.56±7.96 years ago. They were overweight (BMI: 30.91±7.28 kg/m2), had a high level of pain (VAS: 7.43±1.6), high psychological distress (PHQ-4: 6.47±3.0) and significant fibromyalgia-specific complaints (FIQ: 65.65±15.29). Daily activities were reduced (FFbH: 63.27±18.36). Muscle strength was reduced (right hand strength: 15.24±10.76 kg; left hand strength: 13.16±9.18 kg). In all 3 subscales of the MFIS, moderate-high values for fatigue were determined (MFIS-Physical: 3.00±0.63; MFIS-Cognitive: 2.59±0.72; MFIS-Psychosocial: 2.72±0.88). In the 6-minute walk test, 464.72±93.8 m was achieved at the beginning of the rehabilitation programme and 507.61±106.5 m at the end (p<0.001), resulting in an improvement of 42.89 m.The \"Fibro-Active Programme\" of 3 weeks duration shows comparable or better results than the previously published programmes, which lasted 14 weeks on average.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":"64 3","pages":"129-138"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267888","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}