Journal of Rehabilitation Medicine最新文献_第5页

Eye tracking to support assessment of patients with prolonged disorder of consciousness - a case series. 眼动追踪辅助评估长期意识障碍患者--病例系列。

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-01-03 DOI: 10.2340/jrm.v57.41324

Jan Johansson, Marika Möller, Kristina Franzon, Jonas Stenberg, Alison K Godbolt

{"title":"Eye tracking to support assessment of patients with prolonged disorder of consciousness - a case series.","authors":"Jan Johansson, Marika Möller, Kristina Franzon, Jonas Stenberg, Alison K Godbolt","doi":"10.2340/jrm.v57.41324","DOIUrl":"10.2340/jrm.v57.41324","url":null,"abstract":"Objective: To investigate if eye tracking can support detection of covert voluntary eye movements and to compare these findings with a simultaneously performed clinical assessment according to the Coma Recovery Scale manual regarding visual stimuli.Design: Observational case series.Subjects: Twelve outpatients with prolonged disorders of consciousness recruited from the rehabilitation clinic of a regional rehabilitation unit.Method: Eye movements were recorded with a wearable eye tracker while performing 4 test items from the Coma Recovery Scale Revised. The clinical assessment and recorded eye movement responses were analysed for agreement.Results: Response data was obtained from 238 out of 288 trials. Eye-tracking data were obtained in median 89.6% of the trials (37.5-100%). The eye tracking assessment judged a significantly higher percentage of trials as a response (46.2%) compared with the clinical assessment (18.1%), mainly in test items \"visual pursuit\" and \"visual fixation\".Conclusion: Eye tracking showed potential to be more effective in the detection of putative voluntary eye movements compared with conventional examination. Based on the findings in this and previous studies, eye tracking may serve as a useful complementary tool when examining patients with prolonged disorders of consciousness.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm41324"},"PeriodicalIF":2.5,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11681144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923973","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

Ethnicity and health-related quality of life in the post stroke population: a systematic review. 卒中后人群的种族和健康相关生活质量：一项系统综述

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-01-03 DOI: 10.2340/jrm.v57.41038

Ying Xing Lee, Cornelie D Andela, Korné Jellema, Johannes W Schoones, Thea P M Vliet Vlieland, Henk J Arwert

{"title":"Ethnicity and health-related quality of life in the post stroke population: a systematic review.","authors":"Ying Xing Lee, Cornelie D Andela, Korné Jellema, Johannes W Schoones, Thea P M Vliet Vlieland, Henk J Arwert","doi":"10.2340/jrm.v57.41038","DOIUrl":"10.2340/jrm.v57.41038","url":null,"abstract":"Background/objective: A systematic review was conducted on the association between ethnicity and health-related quality of life in post-stroke populations.Methods: In February 2024, a comprehensive search was conducted across several databases. Studies were included when they had at least 2 distinct ethnic post-stroke groups for comparison, along with the utilization of validated questionnaires to measure health-related quality of life. Two authors independently screened, selected, and evaluated studies, while 1 author extracted outcome data. When possible, effect sizes were calculated using raw data from included studies.Results: Eleven studies were included, comprising 12,430 patients. All but 1 study found ethnic disparities in post-stroke health-related quality of life. In 8 studies, patients from minority ethnic groups had lower health-related quality of life after stroke compared with the predominant ethnic group in a country. In 2 studies, the minority group (Asians and non-Hispanic blacks, respectively) showed better outcomes compared with the majority group. In 1 study no differences were observed. In 6 studies the effect size was calculable, and ranged from small to moderate.Conclusion: Included studies show a large heterogeneity regarding included populations and reported outcomes. Racial/ethnic disparities in stroke patients exist in most studies from different countries. Further studies are needed to investigate the background of these disparities.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm41038"},"PeriodicalIF":2.5,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11681143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923957","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

Satisfaction, effectiveness, and usability of telerehabilitation for Parkinson's disease patients. 帕金森病患者远程康复的满意度、有效性和可用性。

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-01-03 DOI: 10.2340/jrm.v57.39819

Shohei Okusa, Hiroki Saegusa, Kazuya Miyakawa, Yuta Tsutsumi, Sae Ishida, Kyoko Nishikata, Tomonori Nukariya, Toshiki Tezuka, Yoshihiro Nihei, Yasuhiro Kitagawa, Shin-Ichiro Kubo, Norihiro Suzuki, Jin Nakahara, Morinobu Seki

{"title":"Satisfaction, effectiveness, and usability of telerehabilitation for Parkinson's disease patients.","authors":"Shohei Okusa, Hiroki Saegusa, Kazuya Miyakawa, Yuta Tsutsumi, Sae Ishida, Kyoko Nishikata, Tomonori Nukariya, Toshiki Tezuka, Yoshihiro Nihei, Yasuhiro Kitagawa, Shin-Ichiro Kubo, Norihiro Suzuki, Jin Nakahara, Morinobu Seki","doi":"10.2340/jrm.v57.39819","DOIUrl":"10.2340/jrm.v57.39819","url":null,"abstract":"Objective: To evaluate the satisfaction, effectiveness, and usability of a telerehabilitation programme for Parkinson's disease (PD) patients.Design: Prospective cohort study.Subjects/patients: PD patients based on the diagnostic criteria for clinically established or probable PD published by the International Parkinson and Movement Disorder Society.Methods: The telerehabilitation was conducted twice a week via a Zoom meeting platform, using pre-recorded rehabilitation contents shared during the sessions. In this study we administered several questionnaires, i.e., a self-report questionnaire on the effectiveness of telerehabilitation, the Parkinson's Disease Questionnaire-39 (PDQ-39), and the Telehealth Usability Questionnaire (TUQ), in order to evaluate the satisfaction, effectiveness, and usability of our telerehabilitation programme.Results: Fifty-six PD patients were included in the analysis. After 6 months, 91.1% expressed satisfaction with the telerehabilitation and 91.9% reported telerehabilitation had helped them develop an exercise routine, but the PDQ-39 showed no significant improvement in quality of life. The TUQ showed higher scores for Usefulness (76.1%), Ease of Use and Learnability (73.5%), Interface Quality (75.4%), and Satisfaction and Future Use (82.2%).Conclusion: Satisfaction with telerehabilitation was high, particularly with regard to positive effects on emotional well-being. Telerehabilitation usability was also found to be high.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm39819"},"PeriodicalIF":2.5,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11681136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142924028","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

Characteristics of subacute stroke patients who achieve earlier independence in real-life walking performance during hospitalization. 住院期间较早独立行走的亚急性脑卒中患者的特征

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-01-03 DOI: 10.2340/jrm.v57.41993

Kenji Kawakami, Shigeo Tanabe, Daiki Kinoshita, Ryo Kitabatake, Hiroo Koshisaki, Kenta Fujimura, Yoshikiyo Kanada, Hiroaki Sakurai

{"title":"Characteristics of subacute stroke patients who achieve earlier independence in real-life walking performance during hospitalization.","authors":"Kenji Kawakami, Shigeo Tanabe, Daiki Kinoshita, Ryo Kitabatake, Hiroo Koshisaki, Kenta Fujimura, Yoshikiyo Kanada, Hiroaki Sakurai","doi":"10.2340/jrm.v57.41993","DOIUrl":"10.2340/jrm.v57.41993","url":null,"abstract":"Objective: To identify factors associated with earlier independence in \"real-life walking\" during hospitalization in subacute stroke patients.Design: Retrospective cohort study.Subjects/patients: Two hundred and six hemiplegic patients.Methods: Functional Independence Measure (FIM) walking items were measured biweekly from admission to discharge. Patients were grouped by achieving independent \"real-life walking\" (FIM-walking score ≥6). Time to independence, stratified by age, FIM motor score (FIM-M), FIM cognitive score (FIM-C), and Functional Ambulation Categories (FAC) scores were compared using Kaplan- Meier plots and log-rank tests. Hazard ratios were calculated via multivariable Cox proportional hazard models.Results: The median time to independence was 4 weeks, with significant differences (p < 0.05) by age, FIM-M, FIM-C, and FAC stratification. Age ≤64 years (hazard ratio 1.92, 95% confidence interval 1.21-3.06), FIM-C ≥25 (hazard ratio 2.42, 95% confidence interval 1.52-3.86), and FAC ≥3 (hazard ratio 1.98, 95% confidence interval 1.22-3.21) significantly affected earlier walking independence (all p < 0.01). Impeding factors were FIM-M ≤38 (hazard ratio 0.23, 95% confidence interval 0.13-0.40; p < 0.01) and FAC = 0 (hazard ratio 0.184, 95% confidence interval 0.06-0.62; p < 0.01).Conclusion: Early improvement in \"real-life walking\" was associated with younger age, greater cognitive function, and greater \"test-setting walking\" ability on admission. Low activities of daily living independence and \"test-setting walking\" ability hindered early progress.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm41993"},"PeriodicalIF":2.5,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11681138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923929","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

Immersive virtual reality to assess unilateral spatial neglect in stroke patients: a preliminary study. 沉浸式虚拟现实评估卒中患者单侧空间忽视：初步研究。

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-01-03 DOI: 10.2340/jrm.v57.41195

Chloé Sauvage, Pierre Chaulet, Luana Rivas Lopez, Johanne Garbusinski, Pierre Cabaraux, Zachary Duvigneaud, Stéphane Baudry

{"title":"Immersive virtual reality to assess unilateral spatial neglect in stroke patients: a preliminary study.","authors":"Chloé Sauvage, Pierre Chaulet, Luana Rivas Lopez, Johanne Garbusinski, Pierre Cabaraux, Zachary Duvigneaud, Stéphane Baudry","doi":"10.2340/jrm.v57.41195","DOIUrl":"10.2340/jrm.v57.41195","url":null,"abstract":"Objectives: The conventional test to detect unilateral spatial neglect (USN) is the Bells Test performed in a paper-and-pencil format. While several studies showed immersive virtual reality (VR) tests may provide greater sensitivity in revealing the presence of USN using visual scanning tasks, none has investigated the Bells Test in VR. This study compares the Bells Test performed in paper-and-pencil format (PP) and in VR in conventional (CVR) and ecological (EVR) format, which differ by the size of the display, in stroke patients.Design: Cross-sectional study.Setting: Stroke patients.Participants: A convenience sample of 32 stroke patients.Interventions: VR assessments were performed using an immersive system with a head-mounted display. In CVR, the Bells Test is reproduced in the same format as PP (A4 sheet), while in EVR, the targets are displayed in a wider space corresponding to a hemisphere of 1-m radius.Results: The number of cancelled targets out of 35 was 32.5 (3.5) for PP, 33 (4) for CVR, and 34 (2) for EVR (mean [SD]), with a significant difference between PP and EVR (p < 0.05). The time to complete the Bells Test was 186 (69) s for PP, 184 (65) s for CVR, and 170 (58) s for EVR, without differences between modalities (p > 0.05). Bells Tests in the 3 modalities revealed the presence of USN, except for 1 patient in EVR.Conclusion: VR assessment of USN could be used in the same way as conventional cancellations tests. Moreover, VR could provide additional information on the type of USN through the different testing modalities available.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm41195"},"PeriodicalIF":2.5,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11681140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923985","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

Development of the Italian version of the Motricity Index and evaluation of its reliability in adults with stroke. 意大利版脑卒中患者心率指数的发展及其可靠性评价。

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-01-03 DOI: 10.2340/jrm.v57.40441

Diego Longo, Stefano Doronzio, Michele Piazzini, Angela Maria Politi, Tommaso Ciapetti, Filippo Gerli, Monica Barnabé, Francesca Ciullini, Chiara Castagnoli, Ilaria Pellegrini, Marta Cannobio, Donata Bardi, Marco Baccini, Francesca Cecchi

{"title":"Development of the Italian version of the Motricity Index and evaluation of its reliability in adults with stroke.","authors":"Diego Longo, Stefano Doronzio, Michele Piazzini, Angela Maria Politi, Tommaso Ciapetti, Filippo Gerli, Monica Barnabé, Francesca Ciullini, Chiara Castagnoli, Ilaria Pellegrini, Marta Cannobio, Donata Bardi, Marco Baccini, Francesca Cecchi","doi":"10.2340/jrm.v57.40441","DOIUrl":"10.2340/jrm.v57.40441","url":null,"abstract":"Background: The Motricity Index (MI) is a commonly used method of measuring muscle strength in post-stroke hemiparesis. This study aimed to produce the MI Italian version (MI-IT) and assess its reliability in subjects with stroke.Methods: Phase-1: stepwise approach to MI-IT production and pilot-testing with 10 health professionals to ensure clarity of each item and instructions for administration and scoring. Phase-2: evaluation of MI-IT reliability on stroke subjects, each independently assessed by 2 raters randomly selected from a group of 10 physiotherapists; the first rater re-administered the MI-IT 1-3 days later. Intraclass correlation coefficients, Spearman's rho and, limited to the more affected side, non-parametric limits of agreement (LOA) were computed for total MI-IT scores, squared weighted kappa and percentage of observed agreement for individual item scores.Results: The back-translated versions showed no discrepancies with original MI, but 3 items were revised after pilot-testing. Complete data on 50 (test-retest) and 51 (inter-rater) participants demonstrated excellent reliability of all MI-IT total scores on the more affected side (Spearman's rho range: test-retest 0.953-0.975; inter-rater: 0.965-0.970), with LOA ranging from 9-25%), but poor inter-rater reliability for some scores on the less affected side (Spearman's rho range: test-retest, 0.816-0.976; inter-rater: 0.508-0.721). Moderate to almost perfect agreement was found for all individual item scores, except for 2 items on the less affected side.Conclusions: The MI-IT is sufficiently reliable to evaluate motor impairment of the more affected side after stroke, with acceptable measurement error for all scores.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm40441"},"PeriodicalIF":2.5,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11681147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923942","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

Does rehabilitation improve work participation in patients with chronic spinal pain after spinal surgery: a systematic review. 康复是否能改善脊柱手术后慢性脊柱疼痛患者的工作参与：一项系统综述。

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-01-03 DOI: 10.2340/jrm.v57.25156

Jonas Callens, Olivia Lavreysen, Lisa Goudman, Ann De Smedt, Koen Putman, Dominique Van de Velde, Lode Godderis, Dries Ceulemans, Maarten Moens

{"title":"Does rehabilitation improve work participation in patients with chronic spinal pain after spinal surgery: a systematic review.","authors":"Jonas Callens, Olivia Lavreysen, Lisa Goudman, Ann De Smedt, Koen Putman, Dominique Van de Velde, Lode Godderis, Dries Ceulemans, Maarten Moens","doi":"10.2340/jrm.v57.25156","DOIUrl":"10.2340/jrm.v57.25156","url":null,"abstract":"Objective: Patients with therapy-refractory chronic spinal pain after spinal surgery experience increased disability, resulting in substantial loss of employment and consequently lower quality of life. Despite findings that rehabilitation improves socio-economic outcomes in other chronic pain conditions, evidence for patients with chronic spinal pain after spinal surgery is limited. A systematic review was conducted to provide an overview of rehabilitation interventions and their effectiveness to improve work participation for patients with chronic spinal pain after spinal surgery.Methods: MEDLINE (via PubMed), Scopus, Embase, and Web of Science, were systematically searched. Risk of bias was assessed using the modified Downs and Black checklist and GRADE was used to assess certainty of evidence. The review protocol was prospectively registered on PROSPERO (CRD42022346091).Results: The search yielded 1,289 publications. Full-text screening of 48 articles resulted in the inclusion of 6 publications. The included interventions comprised multiple treatment components, consisting of back school, self-care, functional restoration, multidisciplinary rehabilitation, physiotherapy, and digital care programmes to improve work participation.Conclusion: Rehabilitation to improve return to work for patients with chronic spinal pain after spinal surgery was supported only by low-certainty evidence. Rehabilitation therapies that are personalized and that integrate the patient's work seem most suitable.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm25156"},"PeriodicalIF":2.5,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11681149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923951","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

Upper limb muscle strength and wheelchair-related abilities following an exoskeleton-assisted walking programme in individuals with chronic spinal cord injury: An exploratory study. 慢性脊髓损伤患者接受外骨骼辅助行走训练后的上肢肌肉力量和与轮椅相关的能力：一项探索性研究。

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2024-11-21 DOI: 10.2340/jrm.v56.19461

Alec Bass, Mylène Aubertin-Leheudre, Claude Vincent, Cyril Duclos, Dany H Gagnon

{"title":"Upper limb muscle strength and wheelchair-related abilities following an exoskeleton-assisted walking programme in individuals with chronic spinal cord injury: An exploratory study.","authors":"Alec Bass, Mylène Aubertin-Leheudre, Claude Vincent, Cyril Duclos, Dany H Gagnon","doi":"10.2340/jrm.v56.19461","DOIUrl":"10.2340/jrm.v56.19461","url":null,"abstract":"Objectives: To measure the potential effects of an overground exoskeleton-assisted walking programme on upper limb strength and mass, as well as on wheelchair propulsion performances and abilities in individuals with chronic spinal cord injury.Design: Prospective, single-group, pre-post intervention study.Participants: Ten individuals with chronic (≥ 18 months) spinal cord injury who use a wheelchair as their primary mode of locomotion and who had little-to-no motor function in the lower limbs.Methods: Individuals completed a progressive 16-week exoskeleton-assisted walking programme (34 × 1-h sessions, 1-3 sessions/week). Upper limb muscle strength was measured with dynamometers (isokinetic, Jamar). Upper limb lean mass (dual-energy X-ray absorptiometry) was used to calculate relative strength. Field tests (20-m wheelchair propulsion, and slalom test) and the Wheelchair Skills Test Questionnaire determined performances and abilities. Wilcoxon signed-rank tests were used with the following criteria: p < 0.1, effect size ≥ 0.5, and relative variation > 5%.Results: Only natural velocity during the 20-m wheelchair propulsion test (i.e., fundamental wheelchair ability) changed following the intervention (p = 0.01, effect size = 0.82, relative variation = +14.5%).Conclusion: Overall, upper limb muscle function did not significantly and meaningfully change following the exoskeleton-assisted walking programme in this population. Additional research is needed to verify how changes in training volume would affect strength and advanced wheelchair-related abilities and performance, as well as the response in individuals who are deconditioned or novices to wheelchair use (e.g., subacute spinal cord injury).","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"56 ","pages":"jrm19461"},"PeriodicalIF":2.5,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11609722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683619","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

Exploring international classification of functioning, disability and health applicability for coding work-related disability: a study on depression and fibromyalgia in Swedish sick leave certificates. 探索国际功能、残疾和健康分类对工作相关残疾编码的适用性：瑞典病假证明中关于抑郁症和纤维肌痛的研究。

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2024-11-21 DOI: 10.2340/jrm.v56.36886

Magdalena Fresk, Wilhelmus J A Grooten, Nina Brodin, Lars G Backlund, Britt Arrelöv, Ylva Skånér, Anna Kiessling

{"title":"Exploring international classification of functioning, disability and health applicability for coding work-related disability: a study on depression and fibromyalgia in Swedish sick leave certificates.","authors":"Magdalena Fresk, Wilhelmus J A Grooten, Nina Brodin, Lars G Backlund, Britt Arrelöv, Ylva Skånér, Anna Kiessling","doi":"10.2340/jrm.v56.36886","DOIUrl":"10.2340/jrm.v56.36886","url":null,"abstract":"Objective: This study explores the effectiveness of using the International Classification of Functioning, Disability and Health (ICF) as a coding framework to document work-related disability information in sick leave certificates, focusing on depression and fibromyalgia in Sweden.Design: A qualitative ICF linking study was conducted, mapping information from 200 certificates per diagnosis to ICF.Methods: ICF linking rules were followed strictly. The coverage of ICF and ICF Core Sets was evaluated, proposing additional ICF categories when relevant categories were not included. Saturation of ICF categories was considered achieved if no new categories appeared in the last 5 certificates.Results: The study found high ICF coverage (85% for depression, 78% for fibromyalgia) in capturing work-related disability information. However, there was limited coverage in ICF Core Sets due to an excess of ICF categories in the Core Sets. Also, 2 additional relevant ICF categories for depression and 3 for fibromyalgia were identified.Conclusion: This study confirms that the International Classification of Functioning, Disability and Health is suitable for coding work-related disability in sick leave certificates. However, the identified limitations in ICF Core Sets highlights the need for context-specific subsets to enhance their relevance for depression and fibromyalgia in work-related disability.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"56 ","pages":"jrm36886"},"PeriodicalIF":2.5,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11600606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683615","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

Embedding rehabilitation into cancer care continuum: an implementation study. 将康复纳入癌症护理的连续性：一项实施研究。

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2024-11-21 DOI: 10.2340/jrm.v56.40855

Fary Khan, Bhasker Amatya, Alaeldin Elmalik, Krystal Song, Demi Diaz, Michael Dickinson

{"title":"Embedding rehabilitation into cancer care continuum: an implementation study.","authors":"Fary Khan, Bhasker Amatya, Alaeldin Elmalik, Krystal Song, Demi Diaz, Michael Dickinson","doi":"10.2340/jrm.v56.40855","DOIUrl":"10.2340/jrm.v56.40855","url":null,"abstract":"Objectives: To implement and evaluate a rehabilitation-inclusive service delivery model at a tertiary cancer hospital.Methods: The \"Rehab-Toolkit\", a structured assessment tool comprising validated functional measures, was introduced in an inpatient cancer service. Consecutive inpatients were enrolled, and a Reach, Effectiveness, Adoption, Implementation, and Maintenance framework guided the analysis of barriers and facilitators for subacute care at clinic and system levels.Results: The implementation of the Rehab-Toolkit was incorporated into routine inpatient care. Major pre-implementation barriers included: absence of routine standardized functional assessment tools, limited coordination amongst acute and subacute care providers, low awareness of rehabilitation medicine amongst patients and professionals, and insufficient engagement of subacute care with interdisciplinary stakeholders in clinical decision-making. Following the intervention, there was a notable increase in awareness and the contributory role of subacute rehabilitation services, rehabilitation \"needs\" assessment, and referral pathways. Recommendations for process change included: development of clinical pathways, establishment of subacute referral systems and discharge coordinator roles, inclusion of subacute rehabilitation services in acute interdisciplinary team meetings, enhanced staff education and knowledge.Conclusion: Integration of rehabilitation services into cancer care can proactively manage functional morbidity. While the implementation process proved feasible and effective, robust process evalu-ation and longer term follow-up are necessary for sustained success.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"56 ","pages":"jrm40855"},"PeriodicalIF":2.5,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11600609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683613","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