Journal of rehabilitation medicine. Clinical communications最新文献

{"title":"LONG-STANDING COMPLEX REGIONAL PAIN SYNDROME-TYPE I: PERSPECTIVES OF PATIENTS NOT AMPUTATED.","authors":"Patrick N Domerchie,&nbsp;Pieter U Dijkstra,&nbsp;Jan H B Geertzen","doi":"10.2340/jrmcc.v6.7789","DOIUrl":"https://doi.org/10.2340/jrmcc.v6.7789","url":null,"abstract":"<p><strong>Objective: </strong>Complex Regional Pain Syndrome type I (CRPS-I) is an often intractable regional pain syndrome, usually affecting limbs in which amputation may be a final resort. Not all patients are suited for amputation.This retrospective case series with explorative interviews aims to gain insight in the quality of life in those who have been denied an amputation and their functioning with CRPS-I.</p><p><strong>Patients and methods: </strong>Between 2011 and 2017, 37 patients were denied an amputation. Participants were interviewed regarding quality of life, treatments received since their outpatient clinic visit and their experiences at our outpatient clinic.</p><p><strong>Results: </strong>A total of 13 patients participated. Most patients reported improvements in pain, mobility and overall situation. All patients received treatments after being denied an amputation, with some reporting good results. Many felt they had no part in decision making. Of the 13 participants 9 still had an amputation wish. Our participants scored worse in numerous aspects of their lives compared with patients with an amputation from a previous CRPS-I study of us.</p><p><strong>Conclusion: </strong>This study shows that amputation should only be considered after all treatments have been tried and failed, since most participants reported improvements in aspects of their functioning over time.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"6 ","pages":"7789"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/79/81/JRMCC-6-7789.PMC10241257.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9583123","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}

{"title":"INTRODUCTION OF A MULTIMODAL PAIN REHABILITATION INTERVENTION IN PRIMARY CARE: A PILOT STUDY.","authors":"Katarina Eklund,&nbsp;Britt-Marie Stålnacke,&nbsp;Annica Sundberg,&nbsp;Fredrik Eklund,&nbsp;Michael Eklund","doi":"10.2340/jrmcc.v6.3712","DOIUrl":"https://doi.org/10.2340/jrmcc.v6.3712","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate patient-reported outcome measures in patients with chronic musculoskeletal pain 1 year after participation in a case manager-led multimodal rehabilitation intervention in a Finnish primary care centre. Changes in healthcare utilization (HCU) were also explored.</p><p><strong>Methods: </strong>A prospective pilot study with 36 participants. The intervention consisted of screening, multidisciplinary team assessment, a rehabilitation plan and case manager follow-up. Data were collected through questionnaires filled in after the team assessment and 1 year later. HCU data 1 year before and 1 year after team assessment were compared.</p><p><strong>Results: </strong>At follow-up, satisfaction with vocational situation, self-reported work ability and health-related quality of life (HRQoL) had improved and pain intensity had diminished significantly for all participants. The participants who reduced their HCU improved their activity level and HRQoL. Early intervention by a psychologist and mental health nurse was distinctive for the participants who reduced HCU at follow-up.</p><p><strong>Conclusion: </strong>The findings demonstrate the importance of early biopsychosocial management of patients with chronic pain in primary care. Identification of psychological risk factors at an early stage may lead to better psychosocial wellbeing, improve coping strategy and reduce HCU. A case manager may free up other resources and thereby contribute to cost savings.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"6 ","pages":"3712"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bb/39/JRMCC-6-3712.PMC9983332.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9100748","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}

{"title":"A PHYSICAL THERAPIST WHO SWEARS: A CASE SERIES.","authors":"Garrett Trummer,&nbsp;Richard Stephens,&nbsp;Nicholas B Washmuth","doi":"10.2340/jrmcc.v6.10277","DOIUrl":"https://doi.org/10.2340/jrmcc.v6.10277","url":null,"abstract":"<p><strong>Objective: </strong>Swearing deserves attention in the physical therapy setting due to its potential positive psychological, physiological, and social effects. The purpose of this case series is to describe 2 cases in which a physical therapist swears in the clinical setting and its effect on therapeutic alliance.</p><p><strong>Patients: </strong>Case 1 is a 19-year-old male treated for a hamstring strain, and case 2 is a 23-year-old male treated post-operatively for anterior cruciate ligament reconstruction. The physical therapist utilized social swearing in the clinic with the goal of motivating the patient and enhancing the social connection with the patient, to improve therapeutic alliance.</p><p><strong>Results: </strong>The patient in case 1 reported a decrease in therapeutic alliance after the physical therapist began swearing during physical therapy treatments, whereas the patient in case 2 reported an increase in therapeutic alliance. Both patients disagreed that physical therapist swearing is unprofessional and disagreed that swearing is offensive, and both patients agreed physical therapists should be able to swear around their patients.</p><p><strong>Conclusion: </strong>Physical therapist swearing may have positive and negative influences in the clinic setting and may not be considered unprofessional. These are, to our knowledge, the first published cases of a physical therapist swearing in the clinical setting.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"6 ","pages":"10277"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0e/8f/JRMCC-6-10277.PMC10161436.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9783020","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}

{"title":"QUALITY OF LIFE AFTER CORONAVIRUS DISEASE 2019 HOSPITALIZATION AND REHABILITATION NEEDS.","authors":"Nikolaos Kintrilis,&nbsp;Antonis Kontaxakis,&nbsp;Athanasia Papalampidou,&nbsp;Prokopios Manthos,&nbsp;Zaira Simeonidou,&nbsp;Aggeliki Stavrianou,&nbsp;Eleni Moumtzi-Nakka,&nbsp;Iosif Galinos,&nbsp;Christina A Rapidi","doi":"10.2340/jrmcc.v6.5327","DOIUrl":"https://doi.org/10.2340/jrmcc.v6.5327","url":null,"abstract":"<p><strong>Introduction: </strong>During the current pandemic, there has been a paucity of Greek data in terms of recording the general long-term functional status of patients after coronavirus disease 2019 (COVID-19) hospitalizations, as well as very little information regarding rehabilitation services nationwide and their utilization.</p><p><strong>Objective-design: </strong>This is a prospective cohort study, including 92 adults discharged from the Infectious Disease Unit of a third-level hospital in Greece after hospitalization with COVID-19. Demographics and disease severity data was collected upon admission and symptoms at discharge, 4 months and 1 year. Following rating of 12 common symptoms on a Likert scale, quality-of-life data and accessibility to rehabilitation services were compared among the 3 time points.</p><p><strong>Results: </strong>At discharge, the most prevalent complaints were fatigue, exertional dyspnoea and difficulty walking. At 4 months, these 3 remained among the most prevalent symptoms, while pain and memory/loss concentration remained at high numbers as well. Finally, at the 1-year mark, the percentages of patients reporting fatigue, exertional dyspnoea and pain were the highest. At the 4-month follow-up, only 4.3% of the study participants had visited a rehabilitation facility of any kind, whereas at the 1-year mark the percentage rose to 10.9%.</p><p><strong>Conclusion: </strong>A clinically relevant number of participants experienced at least one post-COVID-19 hospitalization symptom. Quality of life was markedly affected by the longer-term effects of the disease. The percentage of people finally attending any kind of rehabilitation service was poor. With thousands more being infected and needing hospitalization nationwide daily, the need for the inclusion of relevant rehabilitation programmes in the Greek healthcare system appears imminent.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"6 ","pages":"5327"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8b/45/JRMCC-6-5327.PMC9838561.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10693285","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}

{"title":"FEASIBILITY OF INSPIRATORY MUSCLE TRAINING FOR PATIENTS WITH PERSISTENT DYSPNOEA AFTER COVID-19 INFECTION: A PILOT STUDY.","authors":"Romain Collet,&nbsp;Maarten VAN Egmond,&nbsp;Marike VAN DER Schaaf,&nbsp;Mel Major","doi":"10.2340/jrmcc.v6.6507","DOIUrl":"https://doi.org/10.2340/jrmcc.v6.6507","url":null,"abstract":"<p><strong>Objective: </strong>This study investigates the feasibility of delivering inspiratory muscle training as part of the physical therapy treatment for patients with post-COVID dyspnoea.</p><p><strong>Design: </strong>Mixed-methods pilot study.</p><p><strong>Subjects/patients: </strong>Patients with complaints of dyspnoea after COVID-19 infection and their physical therapists.</p><p><strong>Methods: </strong>The Amsterdam University of Applied Sciences and the Amsterdam University Medical Centers conducted this study. Participants performed daily inspiratory muscle training at home for 6 weeks, consisting of 30 repetitions against a pre-set resistance. The primary outcome was feasibility assessed as acceptability, safety, adherence and patient- and professional experience obtained through diaries and semi-structured interviews. The secondary outcome was maximal inspiratory pressure.</p><p><strong>Results: </strong>Sixteen patients participated. Nine patients and 2 physical therapists partook in semi-structured interviews. Two patients dropped out before initiating the training. Adherence was 73.7%, and no adverse events occurred. Protocol deviations occurred in 29.7% of the sessions. Maximal inspiratory pressure changed from 84.7% of predicted at baseline to 111.3% at follow-up. Qualitative analysis identified barriers to training: 'Getting acquainted with the training material' and 'Finding the right schedule'. Facilitators were: 'Support from physical therapists' and 'Experiencing improvements'.</p><p><strong>Conclusion: </strong>Delivering inspiratory muscle training to patients with post-COVID dyspnoea seems feasible. Patients valued the simplicity of the intervention and reported perceived improvements. However, the intervention should be carefully supervised, and training parameters adjusted to individual needs and capacity.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"6 ","pages":"6507"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/16/71/JRMCC-6-6507.PMC10262391.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9648118","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}

{"title":"Lower Back Pain and Disability in Undergraduate Medical Students","authors":"Ambrin Kousar, Somiya Naz, Bakhtawar Aslam, Javerai Zahid","doi":"10.55627/rehab.001.01.0192","DOIUrl":"https://doi.org/10.55627/rehab.001.01.0192","url":null,"abstract":"Low back pain (LBP) related disability is a big concern among the general population, especially undergraduate medical students. This study aimed to evaluate LBP-related disability in undergraduate medical students. It was a cross-sectional survey conducted within the premises of Islamabad and Rawalpindi. The data was collected using an online Oswestry LBP disability questionnaire. A sample of 300 students took part from the following colleges; Riphah University Islamabad and Margalla Institute of Health and Sciences Rawalpindi, Pakistan. There were 150 medicine students (MBBS) and 150 dental students (BDS). The disability index was calculated, and results showed that 205 students had a minimum disability, 79 had a moderate disability, 16 had a severe disability, and no participants fell into the crippled or bed-bound disability category. The results of the study demonstrate that the prevalence of mild LBP-related disability is high in undergraduate students of MBBS and BDS, which might affect the activities of daily life.","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"97 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89108443","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":"Effectiveness of Alexander Technique and Core Stability Exercises Versus McKenzie Method in the Treatment of Lumbosacral Radiculopathy: A Randomized Control Trial","authors":"Muhammad Suleman Sikander, M. Khan, M. Akmal","doi":"10.55627/rehab.001.01.0178","DOIUrl":"https://doi.org/10.55627/rehab.001.01.0178","url":null,"abstract":"Low back pain (LBP) is pain in the lower part of the trunk, a highly prevalent and disabling condition globally. Clinical management for acute LBP and lumbosacral radiculopathy patients recommends first-line treatment consisting of education, support, and simple analgesics. This study evaluated the short-term alexander technique and core stability exercises versus the McKenzie method in treating lumbosacral radiculopathy. A randomized control trial with four weeks of follow-up was conducted from March 2022 to November 2022, consisting of a sample size of 20. Eligible participants were assigned a treatment protocol based on the McKenzie or Alexander technique for four weeks. The p-value was noted as greater than (0.05 non-significant), so the null hypothesis failed to reject it, meaning there was no significant difference between the Alexander technique and McKenzie method in treating lumbosacral radiculopathy. McKenzie was slightly more effective and responded from the first day to the end of the treatment session, but the reoccurrence of LBP was frequent due to weak muscles, poor working posture, and weight lifting in daily life activity. Alexander technique and core stability exercises response was slow in the first two weeks; after two weeks, both Alexander and McKenzie methods showed similar responses but no reoccurrence in Alexander-technique.","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76723390","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":"Prevalence of Work-Related Musculoskeletal Disorders Among Traffic Police in Rawalpindi and Islamabad","authors":"Somiya Naz, Ambrin Kousar, Bakhtawar Aslam, A. Matiullah, Sairah Waqar","doi":"10.55627/rehab.001.01.0195","DOIUrl":"https://doi.org/10.55627/rehab.001.01.0195","url":null,"abstract":"A significant increase in the population in the last few decades in Pakistan has made controlling vehicular traffic an extremely challenging duty for traffic police personnel. Consequently, traffic police personnel are at risk of work-related musculoskeletal disorders (WRMSDs). Therefore, the need to determine this risk is important. This study aimed to determine the prevalence of WRMSDs among traffic police officers. It was a cross-sectional survey conducted within the premises of Rawalpindi and Islamabad. A questionnaire was distributed to 320 traffic police personnel. Active service traffic police having job experience of more than a year were included. Pregnant women and individuals with certain pathologies were excluded from the study to make the study bias-free. Data were collected using the convenient sampling technique. Nordic Musculoskeletal Questionnaire was incorporated in the survey to determine the prevalence of WRMSDs among traffic police in Rawalpindi and Islamabad, while questions related to occupation and demographic data were collected using a self-structured questionnaire. Most of the participants (70%) reported pain. This study reported low back (43%) as the most common region for pain, followed by the neck (31%), upper back (26%), shoulder(21%), knee(18%), ankle(13%), and wrist(7%). Traffic police have a high prevalence of WRMSDs. This study supports the need for ergonomic intervention at job sites and modifications in the fitness training of traffic police.","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90212665","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":"Frequency of the Low Back Pain in Security Guards of Bus Rapid Transit System Peshawar","authors":"Muhammad Suleman Sikander, Aftab Ahmed Khan, Salman Khan, Muhammad Ismail","doi":"10.55627/rehab.001.01.0184","DOIUrl":"https://doi.org/10.55627/rehab.001.01.0184","url":null,"abstract":"Occupations that needs standing for longer interval are often associated with an increased risk of low back pain. A security guard's duty is one of the jobs that may be associated with a high association of low back pain. An observational study was carried out to determine the frequency of low back pain in security guards of bus rapid transit (BRT) service in Peshawar. The duration of the research study was six months, and the data was collected using Oswestry low back pain disability questionnaire. The sample size calculated for the research study was 292. A convenience sampling technique was used in this study. The results showed a very high frequency and severity of low back pain amongst security guards of BRT service Peshawar. It was also observed that most of the security guards had to stand for prolonged durations as part of their job requirements.","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85286144","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":"Prevalence of Neck Pain and Its Association With Computer Usage in the Academic Staff of the Private Universities of Peshawar","authors":"M. Umar, Shah Fahad Ali, Akbar Ali, Umar Khitab","doi":"10.55627/rehab.001.01.0183","DOIUrl":"https://doi.org/10.55627/rehab.001.01.0183","url":null,"abstract":"The prevalence of neck-associated pain has increased in the last decade due to the overuse of electronic devices like computers and laptops. The rate of neck pain and computer usage is very high in Pakistan, which is alarming. The aim of this study was to provide data about neck pain and its possible association with computer usage in the academic staff of private universities in Peshawar, Pakistan. A cross-sectional study, consisting of the academic staff of three private sector universities of Peshawar (Abasyn University, City University, and Sarhad University) who were using a laptop or desktop computer, was carried out. The study's sample size was 204, comprising both genders (male/female) who were using a computer or laptop for more than 2 hours daily and whiteboard users. Those individuals who had recent neck injuries or conditions related to cervical pain, like rheumatoid arthritis, ankylosing spondylitis, infections, and tumors, were excluded from the study. The neck disability index questionnaire measured the study outcome. This study's results demonstrate a strong association between neck pain and computer usage amongst academic staff of private sector universities in Peshawar.","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85421592","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}