{"title":"Remedial surgery for the adolescent with cerebral palsy: a 10-year survey of the numbers, types and results of operations on pupils at the Thomas De La Rue School, Tonbridge, Kent.","authors":"I Williams, A C Townsend, P Pitt","doi":"10.3109/03790798609166187","DOIUrl":"https://doi.org/10.3109/03790798609166187","url":null,"abstract":"<p><p>The Thomas De La Rue School caters for adolescents with cerebral palsy, many being severely disabled. Over the 10-year period (1967-77) out of a total of 355 pupils, 97 underwent surgery, a total of 147 operations, 145 orthopaedic, being performed, the majority on the lower limbs. The pupils involved, their parents, teachers and house-parents were invited to complete a questionnaire concerning the effectiveness of the operations, the anxieties and psychological problems resulting from surgery, and the effect on schooling. The results are discussed.</p>","PeriodicalId":75944,"journal":{"name":"International rehabilitation medicine","volume":"8 2","pages":"93-5"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/03790798609166187","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14923296","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":"Gastrointestinal bleeding in patients with acute spinal injuries.","authors":"K Walters, J R Silver","doi":"10.3109/03790798609166511","DOIUrl":"https://doi.org/10.3109/03790798609166511","url":null,"abstract":"<p><p>439 acute, male, spinal injury patients were admitted over an 11-year period at the National Spinal Injuries Centre: 206 cervical, 182 dorsal, and 51 lumbar cord injuries. 27 patients had gastrointestinal bleeds; 20 bled on one occasion, 7 had more than one episode; 22 bled within 4 weeks of injury. The mean was 22.5 days. The presentation was mostly malaena. A diagnosis was made in 19 cases; 12 had duodenal ulcers, 4 gastric ulcers, 1 had gastritis, 1 had a gastric carcinoma, 1 had oesophagitis with a possible Mallory-Weiss tear; 4 died. The incidence was higher in cervical patients. Causation was thought to be due to patients being sick from severe intercurrent illnesses and injuries. Implications for further research are discussed.</p>","PeriodicalId":75944,"journal":{"name":"International rehabilitation medicine","volume":"8 1","pages":"44-7"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/03790798609166511","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14611166","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":"A second collection of papers concerning application of the International Classification of Impairments, Disabilities, and Handicaps.","authors":"P Wood","doi":"10.3109/03790798609166496","DOIUrl":"https://doi.org/10.3109/03790798609166496","url":null,"abstract":"","PeriodicalId":75944,"journal":{"name":"International rehabilitation medicine","volume":"8 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/03790798609166496","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14078020","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":"Psychological impairments and social disabilities: on the applicability of the ICIDH to psychiatry.","authors":"D Wiersma","doi":"10.3109/03790798609166498","DOIUrl":"https://doi.org/10.3109/03790798609166498","url":null,"abstract":"<p><p>The applicability of the theoretical framework of the ICIDH to the practice of psychiatry is discussed. A critical analysis reveals some major conceptual difficulties with respect to the distinction between mental disorder and psychological impairment, and also between social disability and handicap. The principle of the triaxial classification, impairment----disability----handicap, has eventually been challenged. It is proposed to direct clinical research on psychological impairments as objective signs of psychological dysfunctions, and social disabilities as restrictions of social role performance.</p>","PeriodicalId":75944,"journal":{"name":"International rehabilitation medicine","volume":"8 1","pages":"3-7"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/03790798609166498","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14078026","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":"Lay beliefs about the causes of rheumatoid arthritis: their implications for rehabilitation.","authors":"G H Williams","doi":"10.3109/03790798609166177","DOIUrl":"https://doi.org/10.3109/03790798609166177","url":null,"abstract":"<p><p>This paper reports research based on interviews with 29 people with rheumatoid arthritis of at least 5 years duration. One of the topics covered was the respondents' understanding of the cause of their condition in the light of continuing medical uncertainty about aetiology. The evidence suggests that, in developing explanations, individuals will combine elements of medical knowledge with \"common-sense\" beliefs derived from other sources. The difference between lay and professional concepts contributes to communication problems and, in situations of chronic illness, communication may be one of the most potent components of rehabilitation. It is suggested that better appreciation of the individual's beliefs about causality could help to overcome the difficulties.</p>","PeriodicalId":75944,"journal":{"name":"International rehabilitation medicine","volume":"8 2","pages":"65-8"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/03790798609166177","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14923291","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}
P R Martin, M J Rose, P J Nichols, P L Russell, I G Hughes
{"title":"Physiotherapy exercises for low back pain: process and clinical outcome.","authors":"P R Martin, M J Rose, P J Nichols, P L Russell, I G Hughes","doi":"10.3109/03790798609166509","DOIUrl":"https://doi.org/10.3109/03790798609166509","url":null,"abstract":"<p><p>This study was designed to assess whether physiotherapy exercises administered for low back pain have the physiological effects that they purport to have (increase spinal mobility and muscle strength) and whether these effects are of clinical relevance (related to changes in pain and function). Thirty-six patients were allocated to three treatment conditions, mobilizing exercises, isometric exercises or an attention-placebo control procedure. The results did not support the hypotheses concerning the effects of physiotherapy exercises, and hence challenge widely held views concerning the mechanism by which some patients suffering from low back pain improve whilst undergoing physiotherapy exercises.</p>","PeriodicalId":75944,"journal":{"name":"International rehabilitation medicine","volume":"8 1","pages":"34-8"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/03790798609166509","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14078027","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":"Assessing health status after inpatient rehabilitation in rheumatoid arthritis.","authors":"W H Jaeckel, R Cziske, T Schochat, E Jacobi","doi":"10.3109/03790798609166173","DOIUrl":"https://doi.org/10.3109/03790798609166173","url":null,"abstract":"<p><p>Evaluation of different therapy programmes, e.g. inpatient rehabilitation, in rheumatoid arthritis requires valid, reliable and sensitive instruments describing patient health status. Traditional measurements such as ESR, joint count or radiographic findings do not suffice for this purpose, particularly because they neglect the psychosocial dimensions of impairment. We report upon a questionnaire, MOPO scales, a German adaptation of the Arthritis Impact Measurement Scales. We found the questionnaire to be valid, reliable and sensitive to change. The main application of MOPO scales is in multidimensional measurement of patient health status and in detection and documentation of therapeutically induced change.</p>","PeriodicalId":75944,"journal":{"name":"International rehabilitation medicine","volume":"8 2","pages":"54-9"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/03790798609166173","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14923289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The role of surgery in rehabilitation.","authors":"D R Dunkerley","doi":"10.3109/03790798509165979","DOIUrl":"https://doi.org/10.3109/03790798509165979","url":null,"abstract":"","PeriodicalId":75944,"journal":{"name":"International rehabilitation medicine","volume":"7 1","pages":"39-40"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/03790798509165979","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14288670","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":"Preliminary experiences with WHO's ICIDH; a user's report.","authors":"G J Lankhorst, M G Hoppener, J E van der Kaaij","doi":"10.3109/03790798509166122","DOIUrl":"https://doi.org/10.3109/03790798509166122","url":null,"abstract":"<p><p>A simple feasibility study of the ICIDH was conducted: 1148 patients were classified by their physician, the opinion of the physicians about the feasibility of the ICIDH was recorded, and finally 21 patients were classified twice to assess reliability. The results suggest that the I code is feasible for patients with locomotor disorders. The use of the D code presented several problems. It is very time-consuming and reliability of D code assignments seems to be low. The feasibility of the D code can probably be improved if the numerical framework is reshaped. The H code seems to allow for simple meaningful scorings, although we tended to use it as a substitute for the impractical D code, rather than as an indicator of handicap.</p>","PeriodicalId":75944,"journal":{"name":"International rehabilitation medicine","volume":"7 2","pages":"70-2"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/03790798509166122","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14291903","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":"Hemi-inattention and the recovery patterns of stroke patients.","authors":"G Kinsella, B Ford","doi":"10.3109/03790798509166133","DOIUrl":"https://doi.org/10.3109/03790798509166133","url":null,"abstract":"<p><p>A series of stroke patients (n = 31) were assessed at four stages: 4 weeks, 8 weeks, 12 weeks and 18 months post-trauma. Significant recovery was noted at 8 weeks, although a trend towards recovery continued throughout the assessment phases. Patients presenting with hemi-inattention at the 4-week assessment achieved significantly poorer levels of functional ability at the final assessment although in some cases the inattention had resolved on neuropsychological tests.</p>","PeriodicalId":75944,"journal":{"name":"International rehabilitation medicine","volume":"7 3","pages":"102-6"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/03790798509166133","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15178178","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}