Rehabilitative Treatment

2012 ◽  
pp. 799-808 ◽  
Author(s):  
Caryn Easterling
Keyword(s):  
Rehabilitative Treatment

scholarly journals Addressing the changing rehabilitation needs of patients undergoing thoracic surgery

2021 ◽  
Vol 18 ◽  
pp. 147997312199478
Author(s):  
Daniel Langer
Keyword(s):  
Thoracic Surgery ◽  
Functional Limitations ◽  
Pulmonary Complications ◽  
Current Evidence ◽  
Outpatient Rehabilitation ◽  
Special Focus ◽  
Rehabilitative Treatment ◽  
The Past ◽  
Hospitalization Period ◽  
Rehabilitation Needs

The rehabilitation needs of individuals undergoing thoracic surgery are changing, especially as surgical management is increasingly being offered to patients who are at risk of developing functional limitations during and after hospital discharge. In the past rehabilitative management of these patients was frequently limited to specific respiratory physiotherapy interventions in the immediate postoperative setting with the aim to prevent postoperative pulmonary complications. In the past two decades, this focus has shifted toward pulmonary rehabilitation interventions that aim to improve functional status of individuals, both in the pre- and (longer-term) postoperative period. While there is increased interest in (p)rehabilitation interventions the majority of thoracic surgery patients are however currently on their own with respect to progression of their exercise and physical activity regimens after they have been discharged from hospital. There are also no formal guidelines supporting the referral of these patients to outpatient rehabilitation programs. The current evidence regarding rehabilitation interventions initiated before, during, and after the hospitalization period will be briefly reviewed with special focus on patients undergoing surgery for lung cancer treatment and patients undergoing lung transplantation. More research will be necessary in the coming years to modify or change clinical rehabilitation practice beyond the acute admission phase in patients undergoing thoracic surgery. Tele rehabilitation or web-based activity counseling programs might also be interesting emerging alternatives in the (long-term) postoperative rehabilitative treatment of these patients.

scholarly journals Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies - USP (HRAC-USP) - Part 2: Pediatric Dentistry and Orthodontics

2012 ◽  
Vol 20 (2) ◽  
pp. 268-281 ◽  
Author(s):  
José Alberto de Souza Freitas ◽  
Daniela Gamba Garib ◽  
Marchini Oliveira ◽  
Rita de Cássia Moura Carvalho Lauris ◽  
Ana Lúcia Pompéia Fraga de Almeida ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Pediatric Dentistry ◽  
Craniofacial Anomalies ◽  
Rehabilitative Treatment

scholarly journals Effectiveness of rehabilitation in post-COVID compared with post-cardiosurgery patients. A single Center experience

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
GQ Villani ◽  
A Rosi ◽  
D Corbellini ◽  
V Schettino ◽  
A Bosoni ◽  
...  
Keyword(s):  
Barthel Index ◽  
Rehabilitation Program ◽  
Walking Test ◽  
Rehabilitative Treatment ◽  
Funding Sources ◽  
Single Center Experience ◽  
Clinical Complexity ◽  
Significant Disability ◽  
Group A ◽  
Group B

Abstract Funding Acknowledgements Type of funding sources: None. The COVID 19 disease is frequently associated with significant disability related to intensive care unit-acquired weakness, decontitioning, myopathies and neuropathies. However there are no data on the results of a specific rehabilitative treatment in this group of patients. The aim of our work was to evaluate the effectiveness f a personalized rehabilitative therapy in group of post-COVID patients (A, 47 patients, average age 65.3± 11.6 y, 27 M,) comparing the results with a group of post-cardiosurgical patients COVID 19 negative (B, 47 patients, average age 63.5± 10.3 y, 29 M) evaluating the degree of clinical complexity (Rehabilitation Complexity Scale, RCS-E V13) and the degree of autonomy recovery (Six-minute walking test SMWT, Barthel Index, BI) pre and post-treatment. In Group A patients the Rehabilitation program is associated with a significant improvement in autonomy recovery (BI admission 29.7 ± 20 vs discharge 72.7 ± 28.6 p <0.005, SMWT admission  146 ± 25 vs 318 ± 18 m, p <0.005) and in clinical complexity  (RCS admission 10.9 ± 1.1 vs discharge 5.3, p< 0.05) Conclusions Post-COVID patients show a greater loss of autonomy than post-cardiosurgery patients. Rehabilitative treatment has proven effective in ensuring adequate functional recovery with similar results to those obtained in the population of cardiological subjects COVID 19 negative. Group A vs Group B Group A Group B p pre-rehabilitation hospital stay (days) 31 ± 5 8 ± 2 0.005 RCS admission 10.9 ± 1.1 11.6 ± 1.2 ns BI admission 29.7 ± 20 47.7 ± 19 0.05 SMWT admission (m) 146 ± 25 255 ± 18 0.05 Rehabilitation duration (days) 29.7 ± 12.8 29.6 ± 10.1 ns RCS discharge 5.3 ± 2 6.5 ± 2 ns BI discharge 72.7 ± 28 71.5 ± 22.5 ns SMWT discharge (m) 385 ± 18 410 ± 25 ns RCS rehabilitation complexity scale, BI: Barthel Index, SMWT: six-minute walking test

Modified Graded Motor Imagery for Musicians’ Focal Dystonia: A Case Series

2021 ◽  
Vol 36 (1) ◽  
pp. 10-17
Author(s):  
Marina Ramella ◽  
Francesca Borgnis ◽  
Giulia Giacobbi ◽  
Anna Castagna ◽  
Frncesca Baglio ◽  
...  
Keyword(s):  
Motor Imagery ◽  
Treatment Protocol ◽  
Case Series ◽  
Focal Dystonia ◽  
Rehabilitative Treatment ◽  
Cortical Organization ◽  
Cortical Motor ◽  
Home Based ◽  
Before And After ◽  
Graded Motor Imagery

PURPOSE: This study aimed to assess the effectiveness of the “modified graded motor imagery” (mGMI) protocol as a rehabilitative treatment of musician’s focal dystonia (MFD). METHODS: Six musicians with MFD (age 43.83±17.24 yrs) performed the home-based mGMI protocol (laterality training, imagined hand movements and visual mirror feedback) once a day for 4 weeks. The mMGI protocol was designed to sequentially activate cortical motor networks and improve cortical organization. Subjects were evaluated before and after treatment with the dystonia evaluation scale (DES), arm dystonia disability scale (ADDS), Tubiana-Chamagne scale (TCS), and performing scale (PS). RESULTS: All participants were compliant with the mGMI treatment protocol without any adverse events. A significant improvement was measured in ADDS (p=0.047) and TCS scores (p=0.014) but not in DES (p=0.157). The severity of MFD decreased from moderate to mild in four patients. After mGMI treatment, all musicians were able to play easy pieces (TCS: median 3.5, IR 3.5–4). CONCLUSION: The findings from this pilot study suggest that home-based mGMI treatment is a feasible and promising rehabilitative approach for patients with mild to moderate MFD.

scholarly journals Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies/USP (HRAC/USP) - Part 1: overall aspects

2012 ◽  
Vol 20 (1) ◽  
pp. 9-15 ◽  
Author(s):  
José Alberto de Souza Freitas ◽  
Lucimara Teixeira das Neves ◽  
Ana Lúcia Pompéia Fraga de Almeida ◽  
Daniela Gamba Garib ◽  
Ivy Kiemle Trindade-Suedam ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Craniofacial Anomalies ◽  
Rehabilitative Treatment

scholarly journals Role of Acupuncture in the Management of Severe Acquired Brain Injuries (sABIs)

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Loredana Cavalli ◽  
Lucia Briscese ◽  
Tiziana Cavalli ◽  
Paolo Andre ◽  
Maria Chiara Carboncini
Keyword(s):  
Brain Injuries ◽  
Neuronal Regeneration ◽  
Asian Countries ◽  
Rehabilitative Treatment ◽  
Beneficial Effects ◽  
Nervous System Activity ◽  
Neurologic Disorders ◽  
Central Nervous System Activity ◽  
The Brain

Acupuncture therapy has been used to treat several disorders in Asian countries and its use is increasing in Western countries as well. Current literature assessed the safety and efficacy of acupuncture in the acute management and rehabilitation of patients with neurologic disorders. In this paper, the role of acupuncture in the treatment of acute severe acquired brain injuries is described, acting on neuroinflammation, intracranial oedema, oxidative stress, and neuronal regeneration. Moreover, beneficial effects of acupuncture on subacute phase and chronic outcomes have been reported in controlling the imbalance of IGF-1 hormone and in decreasing spasticity, pain, and the incidence of neurovegetative crisis. Moreover, acupuncture may have a positive action on the arousal recovery. Further work is needed to understand the effects of specific acupoints on the brain. Allegedly concurrent neurophysiological measurements (e.g., EEG) may help in studying acupuncture-related changes in central nervous system activity and determining its potential as an add-on rehabilitative treatment for patients with consciousness disorders.

scholarly journals Milestones and Timescale of Poststroke Recovery: A Cohort Study

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Marianna Loi ◽  
Alberto Zaliani ◽  
Marta Abbamonte ◽  
Elena P. Ferrari ◽  
Roberto Maestri ◽  
...  
Keyword(s):  
Cohort Study ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Progressive Increase ◽  
Cerebrovascular Event ◽  
Global Functioning ◽  
Temporal Dimension ◽  
Rehabilitative Treatment ◽  
Initial Score ◽  
Motor Milestone

Background. Progressive increase of an aging population in Western countries will result in a growth of stroke prevalence. As many stroke survivors chronically show severe disability, increase in economic, social, and medical burden could be expected in the future. Objective and subjective measures of poststroke recovery are necessary to obtain predictive information, to improve the treatments, and to better allocate resources. Aim. To explore a measure of the temporal dimension of poststroke recovery, to search for predictive association with multiple clinical variables, and to improve tailoring of poststroke treatments. Method. In this observational monocentric cohort study, 176 poststroke inpatients at their first cerebrovascular event were consecutively enrolled. A novel measure based on the time needed to reach the main milestones of motor recovery was proposed. Moreover, two commonly used outcome measures, a measure of global functioning (Functional Independence Measure (FIM™)) and a measure of neurological poststroke deficit (Fugl-Meyer scale), were collected for the investigations of possible predictors. Results. The patients showed a substantial increase in Fugl-Meyer and FIM scores during the rehabilitative treatment. The acquisition of three milestones was significantly associated with female sex (autonomous standing), length of stay and Fugl-Meyer initial score (autonomous walking), and Fugl-Meyer initial score (functional arm). These findings provided quantitative data on motor milestone reacquisition in a sample of poststroke patients. It also demonstrated the value of the Fugl-Meyer score in predicting the acquisition of two motor milestones, relevant for daily life activities. Conclusion. Systematic recording of the timescale of poststroke recovery showed that motor milestone reacquisition happens, on average and when attainable, in less than 30 days in our sample of patients. The present study underscores the importance of the Fugl-Meyer score as a possible predictor for better improvement in reacquisition times of milestone functional recovery.

Sign in / Sign up

Export Citation Format

Share Document