Europa medicophysica最新文献_第10页

Pharmacological interventions for spasticity following spinal cord injury: results of a Cochrane systematic review. 脊髓损伤后痉挛的药物干预：Cochrane系统评价的结果。

Europa medicophysica Pub Date : 2006-03-01

M Taricco, M C Pagliacci, E Telaro, R Adone

{"title":"Pharmacological interventions for spasticity following spinal cord injury: results of a Cochrane systematic review.","authors":"M Taricco, M C Pagliacci, E Telaro, R Adone","doi":"","DOIUrl":"","url":null,"abstract":"Unlabelled: The aim of this paper was to assess the effectiveness and safety of baclofen, dantrolene, tizanidine and any other drugs for the treatment of long-term spasticity in spinal cord injury (SCI) patients, as well as the effectiveness and safety of different routes of administration of baclofen. A systematic review of randomised controlled trials (RCTs), within the Cochrane Collaboration Injuries Group, was carried out. The Cochrane Injuries Group Specialised Register, the Cochrane Controlled Trials Register, MEDLINE, EMBASE and CINAHL were searched up to July 2006 without language restriction. Drug companies and experts active in the area were also contacted to find other relevant studies. Two investigators independently identified relevant studies, extracted data and assessed methodological quality of studies resolving disagreement by consensus. Nine out of 55 studies met the inclusion criteria. The heterogeneity among studies did not allow quantitative combination ofResults: Study designs were: 8 crossover, 1 parallel-group trial. Two studies (14 SCI patients) showed a significant effect of intrathecal baclofen in reducing spasticity (Ashworth score and activities of daily living [ADL] performances), compared to placebo, without any adverse effect. The study comparing tizanidine to placebo (118 SCI patients) showed a significant effect of tizanidine in improving Ashworth score but not in ADL performances. The tizanidine group reported significant rates of adverse effects (drowsiness, xerostomia). For the other drugs (gabapentine, clonidine, diazepam, amytal and oral baclofen) the results do not provide evidence for a clinical significant effectiveness. This systematic review indicates that there is insufficient evidence to assist clinicians in a rational approach to antispastic treatment for SCI. Further research is urgently needed to improve the scientific basis of patient care.","PeriodicalId":87180,"journal":{"name":"Europa medicophysica","volume":"42 1","pages":"5-15"},"PeriodicalIF":0.0,"publicationDate":"2006-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25930647","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}

引用次数: 0

Physical rehabilitation and burnout: different aspects of the syndrome and comparison between healthcare professionals involved. 物理康复和倦怠:不同方面的综合征和比较之间的医护人员参与。

Europa medicophysica Pub Date : 2006-03-01

S Li Calzi, M Farinelli, M Ercolani, M Alianti, V Manigrasso, A M Taroni

{"title":"Physical rehabilitation and burnout: different aspects of the syndrome and comparison between healthcare professionals involved.","authors":"S Li Calzi, M Farinelli, M Ercolani, M Alianti, V Manigrasso, A M Taroni","doi":"","DOIUrl":"","url":null,"abstract":"Aim: The aim of this study is to investigate burnout syndrome among physical rehabilitation professionals focusing on the differences between 4 categories of healthcare professionals involved.Methods: The experimental group consisted of 124 physiotherapy workers chosen among physicians, nurses, therapists, and technicians. The variables we chose to measure were: the presence of burnout (emotional exhaustion, depersonalization and lack of personal accomplishment), feelings of depression and anger, symptoms of psychological uneasiness and the level of perceived stress.Results: Overall the level of burnout experienced was medium-low. Emotional exhaustion was more prevalent among physiotherapists, while depersonalization was higher among physicians. Moreover mild feelings of depression emerged among technicians. No differences were found among the 4 categories when feelings of anger were considered, although anger was present at different levels (and more or less expressed) throughout the working environment.Conclusions: Some considerations on the nature and possible causes of psychological distress emerged from the work carried out with the groups of healthcare professionals and some possible areas of intervention are suggested.","PeriodicalId":87180,"journal":{"name":"Europa medicophysica","volume":"42 1","pages":"27-36"},"PeriodicalIF":0.0,"publicationDate":"2006-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25930650","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}

引用次数: 0

Early rehabilitative treatment in patients with traumatic brain injuries: outcome at one-year follow-up. 外伤性脑损伤患者的早期康复治疗:一年随访的结果。

Europa medicophysica Pub Date : 2006-03-01

P Mammi, B Zaccaria, M Franceschini

{"title":"Early rehabilitative treatment in patients with traumatic brain injuries: outcome at one-year follow-up.","authors":"P Mammi, B Zaccaria, M Franceschini","doi":"","DOIUrl":"","url":null,"abstract":"Aim: The aim of this study was to analyze the outcome at one-year follow-up of patients with traumatic brain injuries (TBI) after 4 years of application of our organizing model and compare our results with the international data in terms of disability (functional independence measure [FIM], disability rating scale [DRS] scores) and social integration (community integration questionnaire [CIQ], work reentry)Methods: We started a routine based on the presence of the physiatrist in the Intensive Care Unit (ICU) and Neurosurgery 3 times per week to evaluate all patients with TBI, program and control physiotherapeutic treatments and transfers to rehabilitative centers. Data were collected considering 80 TBI patients sequentially discharged from our department, from August 1999 to December 2003. The sample was composed of patients with severe brain injury evaluated at rehabilitation admission, rehabilitation discharge and one-year follow-up. We compared our data with those of the Traumatic Brain Injury Model System Data Base (TBI MSDB) and Gruppo Italiano per lo Studio delle Cerebrolesioni Acquisite Riabilitazione (GISCAR).Results: Disability at one-year follow-up was better than at discharge: increase in FIM value, in DRS value. Social reintegration and return to work were not optimal: CIQ value was 16 and only 38% of patients returned to work at follow-up. Disability and social integration mean scores in our sample were similar to those obtained in TBI MSDB and so were the values of onset-admission interval (OAI) and length of stay (LOS). Differences were found with the Italian GISCAR database where mean OAI and LOS were higher than in our sample (55 and 86 days vs 18 and 37 days).Conclusions: Our data show that this kind of organizing model for the rehabilitative evolution of TBI patients can positively influence the cost-efficiency rate of rehabilitation process reducing care costs in terms of ICU and rehabilitation LOS without affecting outcome in terms of disability and reintegration.","PeriodicalId":87180,"journal":{"name":"Europa medicophysica","volume":"42 1","pages":"17-22"},"PeriodicalIF":0.0,"publicationDate":"2006-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25930648","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}

引用次数: 0

The treatment of facial palsy from the point of view of physical and rehabilitation medicine. 从物理康复医学的角度谈面瘫的治疗。

Europa medicophysica Pub Date : 2006-03-01

T S Shafshak

引用次数: 0

Rehabilitation of traumatic brain injury. Current guidelines and beyond. 创伤性脑损伤的康复。目前的指导方针及以后。

Europa medicophysica Pub Date : 2006-03-01

M Taricco, A Liberati

引用次数: 0

Attention rehabilitation following stroke and traumatic brain injury. A review. 注意中风和创伤性脑损伤后的康复。复习一下。

Europa medicophysica Pub Date : 2006-03-01

J A Michel, C A Mateer

引用次数: 0

National Consensus Conference. The rehabilitation management of traumatic brain injury patients during the acute phase: criteria for referral and transfer from intensive care units to rehabilitative facilities (Modena June 20-21, 2000). 全国共识会议。急性期创伤性脑损伤患者的康复管理:从重症监护病房转介和转移到康复设施的标准(Modena June 20-21, 2000)。

Europa medicophysica Pub Date : 2006-03-01

M Taricco, A De Tanti, P Boldrini, G Gatta

引用次数: 0

Measuring change in rehabilitation medicine. 测量康复医学的变化。

Europa medicophysica Pub Date : 2006-03-01

F Franchignoni, H Ring

引用次数: 0

Percutaneous endoscopic gastrostomy: complications in the short and long-term follow-up and efficacy on nutritional status. 经皮内镜胃造口术:并发症的短期和长期随访及营养状况的疗效。

Europa medicophysica Pub Date : 2006-03-01

A Varnier, L Iona, M C Dominutti, E Deotto, L Bianchi, A Iengo, S Zacquini, P Di Benedetto

{"title":"Percutaneous endoscopic gastrostomy: complications in the short and long-term follow-up and efficacy on nutritional status.","authors":"A Varnier, L Iona, M C Dominutti, E Deotto, L Bianchi, A Iengo, S Zacquini, P Di Benedetto","doi":"","DOIUrl":"","url":null,"abstract":"Aim: Percutaneous endoscopic gastrostomy (PEG) is an accepted procedure for patients at risk of malnutrition, but it requires an invasive procedure and many complications can occur. The aim of this study is to evaluate the long-term efficacy, morbidity and mortality of PEG.Methods: We analysed 68 inpatients who underwent a PEG procedure between January 1999 and August 2006 in our rehabilitation unit.Results: A total of 26.5% of the examined patients died, but none of them due to PEG-related complications. Out of the 18 patients who died, 8 suffered from diabetes mellitus, thus showing a positive correlation between diabetes and mortality. The thirty-day mortality rate was of 1.5%; 30.9% of males and 23.1% of females developed an early peristomal infection, 4.4% of the patients suffered from stomal leakage, 1 patient pulled out the gastrostomy tube and 1 patient, accidentally, occurred to remove the tube. None major complication occurred. During the observation period nutritional parameters had been good in 10 patients, who had been followed for 33.3 +/- 16.1 months. These indexes were reduced with a significant statistical difference in deaed patients. Only 20.6% of the patients improved their autonomy, valued by Barthel index (BI), while in the other patients BI remained = 10.Conclusions: This study confirmed the safety of PEG in terms of mortality and complications. The presence of diabetes mellitus increased mortality. The nutritional indexes were significantly reduced in deaed patients, while they remained good in the survivors. Nevertheless, a good nutrition had the slightest influence on the functional status.","PeriodicalId":87180,"journal":{"name":"Europa medicophysica","volume":"42 1","pages":"23-6"},"PeriodicalIF":0.0,"publicationDate":"2006-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25930649","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}

引用次数: 0

The compangle: a new goniometer for joint angle measurements of the hand. A technical note. compangle:一种用于测量手关节角度的新测角仪。一个技术说明。

Europa medicophysica Pub Date : 2006-03-01

H J Stam, M S Ardon, A C den Ouden, T A R Schreuders, M E Roebroeck

引用次数: 0