Journal of rehabilitation medicine. Clinical communications最新文献_第2页

STEPWISE CARDIAC REHABILITATION ADJUSTMENT AFTER EXERCISE-INDUCED IMPLANTABLE CARDIOVERTER DEFIBRILLATOR SHOCK: A CASE REPORT. 运动诱导的植入式心律转复除颤器休克后的逐步心脏康复调整1例。

Journal of rehabilitation medicine. Clinical communications Pub Date : 2025-04-16 eCollection Date: 2025-01-01 DOI: 10.2340/jrm-cc.v8.42483

Hidetoshi Yanagi, Harumi Konishi, Saori Yamada, Kazuya Yamamoto, Fumiyuki Otsuka

{"title":"STEPWISE CARDIAC REHABILITATION ADJUSTMENT AFTER EXERCISE-INDUCED IMPLANTABLE CARDIOVERTER DEFIBRILLATOR SHOCK: A CASE REPORT.","authors":"Hidetoshi Yanagi, Harumi Konishi, Saori Yamada, Kazuya Yamamoto, Fumiyuki Otsuka","doi":"10.2340/jrm-cc.v8.42483","DOIUrl":"https://doi.org/10.2340/jrm-cc.v8.42483","url":null,"abstract":"Objective: To report an in-hospital cardiac rehabilitation strategy after exercise-induced implantable cardioverter defibrillator shock.Case report: A 72-year-old man with heart failure, peripheral artery disease, a history of percutaneous coronary intervention and coronary artery bypass surgery, exercise-induced ventricular fibrillation, and an implantable cardioverter defibrillator was hospitalised after experiencing recurrent ventricular fibrillation while walking, which triggered implantable cardioverter defibrillator shock. While hospitalised, his medication regimen was adjusted. After passing the 200-m walking test, he started in-hospital cardiac rehabilitation. During cardiopulmonary exercise testing, he experienced non-sustained ventricular tachycardia. Percutaneous coronary intervention was performed to relieve ischaemia; however, ventricular tachycardia recurred during walking, causing another implantable cardioverter defibrillator shock. After further medication adjustments and setting heart rate limits, he gradually resumed cycling and low-intensity resistance exercises, followed by walking, and was subsequently discharged without ventricular tachycardia recurrence.Discussion: Peripheral artery disease-associated pain and increased heart rate may have contributed to ventricular tachycardia. A stepwise exercise programme involving heart rate monitoring and medication therapy adjustments enabled safe exercise resumption after implantable cardioverter defibrillator shock in a patient with multiple comorbidities.Conclusion: This case emphasises the importance of personalised exercise strategies that consider both arrhythmic risk and comorbidities for patients at high risk of exercise-induced arrhythmias.","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"8 ","pages":"42483"},"PeriodicalIF":0.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12016661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

PATIENT-REPORTED OUTCOMES AFTER PERMISSIVE WEIGHT BEARING IN SURGICALLY TREATED TRAUMA PATIENTS WITH DISPLACED INTRA-ARTICULAR CALCANEAL FRACTURES: A MULTICENTRE, RETROSPECTIVE COHORT STUDY. 移位的跟骨关节内骨折手术治疗的创伤患者允许负重后患者报告的结果：一项多中心、回顾性队列研究

Journal of rehabilitation medicine. Clinical communications Pub Date : 2025-04-07 eCollection Date: 2025-01-01 DOI: 10.2340/jrm-cc.v8.42747

Coen Verstappen, Pishtiwan H S Kalmet, Cherelle V Maduro, Raoul VAN Vugt, Jan Bernard Sintenie, Alexander VAN DER Veen, Michael J R Edwards, Martijn Poeze, Erik Hermans, Mitchell L S Driessen

{"title":"PATIENT-REPORTED OUTCOMES AFTER PERMISSIVE WEIGHT BEARING IN SURGICALLY TREATED TRAUMA PATIENTS WITH DISPLACED INTRA-ARTICULAR CALCANEAL FRACTURES: A MULTICENTRE, RETROSPECTIVE COHORT STUDY.","authors":"Coen Verstappen, Pishtiwan H S Kalmet, Cherelle V Maduro, Raoul VAN Vugt, Jan Bernard Sintenie, Alexander VAN DER Veen, Michael J R Edwards, Martijn Poeze, Erik Hermans, Mitchell L S Driessen","doi":"10.2340/jrm-cc.v8.42747","DOIUrl":"https://doi.org/10.2340/jrm-cc.v8.42747","url":null,"abstract":"Objective: The current aftertreatment for surgically treated patients with displaced intra-articular calcaneal fractures (DIACFs) consists of restricted weight bearing (RWB) for 8-12 weeks. This study aimed to assess whether permissive weight bearing (PWB) results in improved patient-reported outcomes (PROMs) after a minimum of 2 years follow-up, compared to RWB.Design: Multicentre, retrospective cohort study.Patients: Surgically treated patients with isolated unilateral DIACFs.Methods: Foot and ankle function was measured using the American Orthopaedic Foot and Ankle Society (AOFAS) Score and the Maryland Foot Score (MFS). Health-related quality of life was assessed using the Short Form-12 (SF-12) and the EuroQoL EQ-5D-5L (EQ-5D). Additionally, radiographic parameters and complications were recorded.Results: Fourteen patients followed the PWB and 18 followed the RWB protocol (n = 32). The PWB group had similar outcome scores on the AOFAS Score (83.4 vs. 71.1, p = 0.13) and MFS (86.3 vs. 77.6, p = 0.20) compared to the RWB group. PWB showed similar outcomes on the EQ-5D (0.86 vs. 0.80, p = 0.26) scores. Radiographic parameters and complication rates were comparable for both groups.Conclusion: This study suggests that PWB and RWB yield comparable PROMs in foot and ankle function without radiographic failures and similar complication rates in surgically treated patients with isolated, unilateral DIACFs.","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"8 ","pages":"42747"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11995731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

LONG-TERM OUTCOMES OF MODERATE TO SEVERE DIFFUSE AXONAL TRAUMATIC BRAIN INJURY: A PROSPECTIVE STUDY. 中度至重度弥漫性轴索创伤性脑损伤的长期预后：一项前瞻性研究。

Journal of rehabilitation medicine. Clinical communications Pub Date : 2025-04-03 eCollection Date: 2025-01-01 DOI: 10.2340/jrm-cc.v8.42299

Marianne Lannsjö, Jörgen Borg, Anders Lewén, Charlotta VON Seth, Per Enblad, Sami Abu Hamdeh

{"title":"LONG-TERM OUTCOMES OF MODERATE TO SEVERE DIFFUSE AXONAL TRAUMATIC BRAIN INJURY: A PROSPECTIVE STUDY.","authors":"Marianne Lannsjö, Jörgen Borg, Anders Lewén, Charlotta VON Seth, Per Enblad, Sami Abu Hamdeh","doi":"10.2340/jrm-cc.v8.42299","DOIUrl":"https://doi.org/10.2340/jrm-cc.v8.42299","url":null,"abstract":"Introduction: Traumatic brain injury (TBI) with diffuse axonal injury (DAI) necessitates significant medical and rehabilitation interventions. The late long-term outcome is variable with potential for neurodegenerative development and deterioration. This study evaluates the late long-term outcomes of moderate to severe TBI with DAI.Methods: Patients aged 16-65 with moderate to severe TBI and DAI were included. From 2006 to 2018, 30 patients (mean age 34; 21 males, 9 females) were enrolled. Outcomes were assessed using the Glasgow Outcome Scale Extended (GOSE) at 6 months and ≥ 1-year post-injury.Results: At 6 months, 10 patients had a favourable outcome (GOSE 6-8), increasing to 12 at ≥ 1-year post-injury. Patients with unfavourable outcomes were older (mean 40) than those with favourable outcomes (mean 24, p < 0.001). DAI stage correlated with outcomes (p = 0.003). GOSE remained unchanged in 15 patients, improved in 9 and deteriorated in 6 between the 6 months and the ≥ 1-year follow-up.Discussion: Approximately one-third of TBI patients with DAI achieved favourable long-term outcomes, and the outcome changed in half of the patients between 6 months and ≥ 1 year follow-up. Age and DAI stage were significant predictors of outcome. Further studies are required to enhance prognostic accuracy and explore rehabilitation's impact.","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"8 ","pages":"42299"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11986268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

INCIDENCE AND ASSOCIATIONS OF UNPLANNED ACUTE CARE UNIT READMISSIONS OF PRIMARY BRAIN TUMOUR PATIENTS DURING REHABILITATION: A RETROSPECTIVE STUDY. 原发性脑肿瘤患者在康复期间意外再入院的发生率和关联：一项回顾性研究。

Journal of rehabilitation medicine. Clinical communications Pub Date : 2025-04-01 eCollection Date: 2025-01-01 DOI: 10.2340/jrm-cc.v8.41974

Matthew Rong Jie Tay, Justin Desheng Seah, Karen Sui Geok Chua

{"title":"INCIDENCE AND ASSOCIATIONS OF UNPLANNED ACUTE CARE UNIT READMISSIONS OF PRIMARY BRAIN TUMOUR PATIENTS DURING REHABILITATION: A RETROSPECTIVE STUDY.","authors":"Matthew Rong Jie Tay, Justin Desheng Seah, Karen Sui Geok Chua","doi":"10.2340/jrm-cc.v8.41974","DOIUrl":"10.2340/jrm-cc.v8.41974","url":null,"abstract":"Objective: To examine incidence and associations for unplanned Acute Care Unit Readmissions (ACURs) in Asian primary brain tumour patients.Design: A retrospective single-centre cohort study.Patients: A total of 173 Asian primary brain tumour patients undergoing inpatient rehabilitation in a tertiary rehabilitation centre.Methods: Primary outcome was unplanned ACUR. Logistic regression analysis was used to determine associations with patients who had an unplanned ACUR.Results: Altogether, the majority of patients had low-grade (World Health Organization Class I and II) tumours (76.9%), whilst 32 (18.5%) patients had glioblastoma multiforme tumours. Unplanned ACUR occurred in 27 (15.9%) patients, with the 2 most common causes being neurosurgical complications (37.0%) and non-neurosurgical infections (25.9%). Significant risk factors for ACUR patients were a longer acute hospitalization stay (odds ratio = 1.024; 95% confidence interval [CI] = 1.01-1.04; p = 0.007), whereas a higher admission motor Functional Independence Measure was protective against unplanned ACUR (odds ratio = 0.945; 95% CI = 0.915-0.977; p = 0.001).Conclusions: Despite rehabilitation goals of prevention of complications, patients with primary brain tumours undergoing inpatient rehabilitation continue to demonstrate significant unplanned ACUR rates (15.9%) with neurosurgical complications being common. These findings underscore the importance of continued vigilance, access to and coordination of neurosurgical care and management beyond the acute surgical phase, in order to ensure optimal outcomes.","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"8 ","pages":"41974"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11977410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

LOWER-EXTREMITY CONSTRAINT-INDUCED MOVEMENT THERAPY IN INDIVIDUALS WITH STROKE - IMPROVEMENTS, EXPERIENCES AND HEALTH-RELATED QUALITY OF LIFE. 卒中患者下肢约束诱导运动疗法的改善、经验和健康相关生活质量

Journal of rehabilitation medicine. Clinical communications Pub Date : 2025-04-01 eCollection Date: 2025-01-01 DOI: 10.2340/jrm-cc.v8.42829

Ingela Marklund

引用次数: 0

PARAPARESIS FOLLOWING PERIPHERAL AND CENTRAL NERVOUS SYSTEM LESIONS AFTER A LIGHTNING STRIKE - A CASE REPORT. 雷击后外周和中枢神经系统损伤后眩晕1例报告。

Journal of rehabilitation medicine. Clinical communications Pub Date : 2025-04-01 eCollection Date: 2025-01-01 DOI: 10.2340/jrm-cc.v8.42545

Zoé Moyaux, Maria Ciravegna Fonseca De Melo Bandeira, Idil Gunes Tatar, Gautier Randour, Mathilde Massardier, Vincent Van Pesch, Thierry Lejeune

{"title":"PARAPARESIS FOLLOWING PERIPHERAL AND CENTRAL NERVOUS SYSTEM LESIONS AFTER A LIGHTNING STRIKE - A CASE REPORT.","authors":"Zoé Moyaux, Maria Ciravegna Fonseca De Melo Bandeira, Idil Gunes Tatar, Gautier Randour, Mathilde Massardier, Vincent Van Pesch, Thierry Lejeune","doi":"10.2340/jrm-cc.v8.42545","DOIUrl":"10.2340/jrm-cc.v8.42545","url":null,"abstract":"Objective: To describe a case of paraparesis caused by both peripheral neuropathy and spinal cord injury following a lightning strike, highlighting imaging findings and neurophysiological results to improve understanding and management.Design: A case report.Patient: A 29-year-old male without significant medical or surgical history, struck by lightning.Methods: Neurological evaluation, imaging of the spinal cord, electromyography studies, and somatosensory evoked potential assessments were performed. Imaging findings and peripheral nerve evaluations were compared to the existing literature on lightning-related injuries.Results: Spinal cord imaging showed hyperintensities with a quadrifocal white matter involvement. Neurophysiological study revealed peripheral motor impairment.Conclusion: This case documents paraparesis resulting from both central and peripheral nervous system damage following a lightning strike. Unique spinal cord imaging results and neurophysiological studies contribute to the understanding of nerve damage mechanisms. Given the increasing frequency of lightning strikes, these findings may help refining clinical management and patient education strategies.","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"8 ","pages":"42545"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11977409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

LONG-TERM BENEFITS OF A TAILORED STRENGTH TRAINING INTERVENTION ON ARM FUNCTION IN CHRONIC STROKE SURVIVORS: A FOLLOW-UP STUDY. 量身定制的力量训练干预对慢性中风幸存者手臂功能的长期益处：一项随访研究。

Journal of rehabilitation medicine. Clinical communications Pub Date : 2025-03-24 eCollection Date: 2025-01-01 DOI: 10.2340/jrm-cc.v8.42941

Marie-Hélène Milot, Stephania Palimeris, Yavuz Shahzad, Hélène Corriveau, François Tremblay, Marie-Hélène Boudrias

{"title":"LONG-TERM BENEFITS OF A TAILORED STRENGTH TRAINING INTERVENTION ON ARM FUNCTION IN CHRONIC STROKE SURVIVORS: A FOLLOW-UP STUDY.","authors":"Marie-Hélène Milot, Stephania Palimeris, Yavuz Shahzad, Hélène Corriveau, François Tremblay, Marie-Hélène Boudrias","doi":"10.2340/jrm-cc.v8.42941","DOIUrl":"10.2340/jrm-cc.v8.42941","url":null,"abstract":"Objective: We showed that a tailored strengthening intervention based on the size of motor evoked potentials (MEPs) in the affected arm was effective in improving function in chronic stroke survivors. Here, we investigated whether the short-term gains in arm function were maintained at 1-year follow-up.Subjects: Twenty-five participants at the chronic stage of a stroke.Methods: Participants were classified in the light (LI; MEPs 50-120 μV, n = 8) and high (HI; MEPs > 120μV, n = 17) intensity training groups. The strengthening protocol consisted of adjusted exercises for the affected arm (3X/week; 4 weeks). The Fugl-Meyer Stroke Assessment (FMA), Grip strength (GS) and Box and Block test (BBT) were assessed at baseline, post-intervention and at 1-year follow-up. Changes in clinical measures were compared using repeated-measures ANOVA.Results: A significant effect of time was noted on all outcome measures [FMA: p < 0.001; BBT: p = 0.05; GS: p < 0.001], but the LI group improved more on the FMA (p = 0.003) and maintained their gains at 1-year follow-up (p = 0.527) than the HI group.Conclusion: The size of MEPs in the affected arm could be a significant factor in influencing responses to strengthening exercises post-stroke and allow gains to be maintained up to 1 year post-intervention.","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"8 ","pages":"42941"},"PeriodicalIF":0.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143766118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

INPATIENT REHABILITATION FOR A PATIENT WITH COVID-19 EXACERBATION OF PULMONARY FIBROSIS: A CASE REPORT. COVID-19加重肺纤维化患者住院康复1例

Journal of rehabilitation medicine. Clinical communications Pub Date : 2025-03-06 eCollection Date: 2025-01-01 DOI: 10.2340/jrm-cc.v8.40698

Heather McKenna, Erin Y Harmon

{"title":"INPATIENT REHABILITATION FOR A PATIENT WITH COVID-19 EXACERBATION OF PULMONARY FIBROSIS: A CASE REPORT.","authors":"Heather McKenna, Erin Y Harmon","doi":"10.2340/jrm-cc.v8.40698","DOIUrl":"10.2340/jrm-cc.v8.40698","url":null,"abstract":"Objective: To evaluate the benefits of inpatient rehabilitation for a patient with post-COVID-19 pulmonary fibrosis and to provide guidance for rehabilitation professionals, as many conventional therapeutic interventions are not tolerated and are poorly defined.Design: A case report.Subjects/patients: A 72-year-old man with a COVID-19-related idiopathic pulmonary fibrosis exacerbation.Results: The patient was admitted to inpatient rehabilitation with hypoxia and poor endurance for functional activities. Rehabilitation activities were focused on providing patient/family education, energy conservation, low level activities to build strength, problem solving for mobility, and discharge planning within safe medical parameters. Rehabilitation therapies were graded to meet the patient's physiologic needs and focused on patient and family training. The patient made limited functional gains and continued to have high oxygen needs but achieved his goal of returning home.Conclusion: Patients with COVID-19-related idiopathic pulmonary fibrosis exacerbations can be treated in acute rehabilitation effectively. With more patients developing post-COVID-19 pulmonary fibrosis, appropriate rehabilitation strategies are important for safe discharge planning. Prioritizing patient/family education may allow these more medically fragile patients to return home.","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"8 ","pages":"40698"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

RETROSPECTIVE ANALYSIS OF PATIENTS WITH IMMEDIATE DECANNULATION IN SEVERE ACQUIRED BRAIN INJURY (RAPID-SABI). 重症后发性脑损伤（快速颅脑损伤）患者立即脱管的回顾性分析。

Journal of rehabilitation medicine. Clinical communications Pub Date : 2025-02-05 eCollection Date: 2025-01-01 DOI: 10.2340/jrm-cc.v8.42068

Robbert-Jan VAN Hooff, Mette Lindelof, Emma Ghaziani, Trine Hørmann Thomsen, Christina Kruuse, Christian Gunge Riberholt, Charlotte Rath

{"title":"RETROSPECTIVE ANALYSIS OF PATIENTS WITH IMMEDIATE DECANNULATION IN SEVERE ACQUIRED BRAIN INJURY (RAPID-SABI).","authors":"Robbert-Jan VAN Hooff, Mette Lindelof, Emma Ghaziani, Trine Hørmann Thomsen, Christina Kruuse, Christian Gunge Riberholt, Charlotte Rath","doi":"10.2340/jrm-cc.v8.42068","DOIUrl":"10.2340/jrm-cc.v8.42068","url":null,"abstract":"Objective: To examine an early decannulation protocol in adult severe acquired brain injury (SABI) patients.Design: Retrospective, observational cohort study.Subjects/patients: Tracheotomized SABI patients ≥ 18 years admitted to a neurorehabilitation unit.Methods: Primary outcome measure was difference in survival rate within first year of discharge. Secondary outcome measures were respiratory infections treated with antibiotics, rate of re-cannulation, time from admission to decannulation, length of stay, difference in rate of re-admission due to pneumonia within first year of discharge and difference in rate of tracheal tube dependency within first year of discharge.Results: No statistical significance in survival rate within the first 12 months from discharge was found. Median time from admission to decannulation was 32 days (interquartile range [IQR] 14-61) vs 9 days (IQR 0-13) in the control and intervention group, respectively (p < 0.0003). Median length of stay was 66 days (IQR 54-92) in the control group vs 60 (IQR 48-75) days in the intervention group (p = 0.168).Conclusion: A new early decannulation protocol omitting evaluation of tolerance to tracheostomy tube capping and fiberoptic endoscopic evaluation of swallowing was non-inferior to previous procedures in survival rate within first year of discharge. The early decannulation protocol allowed for significantly earlier decannulation.","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"8 ","pages":"42068"},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11812269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

CORRELATION BETWEEN TRAUMATIC BRAIN INJURY, OBESITY AND INSULIN-RESISTANCE - A CASE REPORT. 创伤性脑损伤、肥胖和胰岛素抵抗的相关性——一例报告。

Journal of rehabilitation medicine. Clinical communications Pub Date : 2025-02-03 eCollection Date: 2025-01-01 DOI: 10.2340/jrm-cc.v8.36827

Laura De Wilde, Charlotte De Ruysscher, Kristine Oostra

{"title":"CORRELATION BETWEEN TRAUMATIC BRAIN INJURY, OBESITY AND INSULIN-RESISTANCE - A CASE REPORT.","authors":"Laura De Wilde, Charlotte De Ruysscher, Kristine Oostra","doi":"10.2340/jrm-cc.v8.36827","DOIUrl":"10.2340/jrm-cc.v8.36827","url":null,"abstract":"Introduction: Traumatic brain injury is a significant global health concern. It often results from high-velocity accidents and leads to diffuse axonal injury, causing consciousness disorders and potentially permanent cognitive and behavioural changes. Individuals with traumatic brain injury often exhibit weight gain, potentially leading to obesity. This weight increase is influenced by cognitive dysfunction, reduced physical activity and metabolic changes.Case report: A 23-year-old woman suffered a traumatic brain injury after a traffic accident, with an initial Glasgow Coma Scale score of 5/15. Positive neurological improvement was observed during her stay in the intensive care unit and the neurosurgical department. Subsequently, she was transferred to the rehabilitation department, where she faced significant challenges, including mood fluctuations, cognitive impairments and substantial weight gain. Her body mass index (BMI) increased from 23 kg/m2 pre-accident to a maximum of 36 kg/m2, despite interventions like medications and lifestyle changes. Blood tests revealed insulin-resistance and metformin initiated a successful weight reduction.Conclusion: Managing weight gain following traumatic brain injury requires effective interventions that acknowledge its complexity and multifaceted nature, including lifestyle modifications, behavioural therapy and potentially pharmacotherapy or bariatric surgery. Further research is essential to better understand underlying mechanisms and evaluate intervention effectiveness in this specific patient population.","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"8 ","pages":"36827"},"PeriodicalIF":0.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0