scholarly journals Assessment of anxiety and pain in patients with lumbosacral radiculopathy at the early stage of rehabilitation with various rehabilitation programs after microdiscectomy

2020 ◽  
Vol 48 (1) ◽  
pp. 13-21
Author(s):  
V. N. Blokhina ◽  
E. G. Melikyan
Keyword(s):  
Analogue Scale ◽  
Early Stage ◽  
Rehabilitation Program ◽  
Leg Pain ◽  
Lumbosacral Radiculopathy ◽  
Rehabilitation Programs ◽  
Russian Version ◽  
Comprehensive Rehabilitation ◽  
Anxiety Levels

Rationale: The role of the psychogenic component in chronic pain and delayed rehabilitation in patients with lumbosacral radiculopathy (LSR) has been extensively studied. However, there is a paucity of studies evaluating anxiety and pain in LSR patients early after microdiscectomy. Only a few studies have performed a differentiated assessment of state (SA) and trait (TA) anxiety. The effects of repetitive peripheral magnetic stimulation (rPMS) on the TA level in the Russian LSR patients have not been investigated. Aim: To assess changes in anxiety and pain over time in LSR patients with various rehabilitation programs at the early stage after microdiscectomy. Materials and methods: The study included 71 patients with LSR after microdiscectomy (mean age 46.8 ± 10.5 years). At Day 7 after surgery, the patients were randomized into two groups. The patients in the 1st group (n = 35) received a rPMS course in addition to conventional rehabilitation, whereas the patients in the 2nd group (n = 36) were rehabilitated only conventionally. Pain was assessed by a visual analogue scale (VAS), and anxiety levels by Spielberger StateTrait Anxiety Inventory (validated Russian version). Results: There was a significant decrease of SA and TA levels in the patients of both groups at Day 21 of rehabilitation, compared to those at Day 7 (p < 0.001). At Day 21, there was a significant inter-group difference (p = 0.036) in the leg pain VAS score and the TA frequency distribution (p = 0.042, Fisher test). Conclusion: Better improvement of pain and trait anxiety in the patients treated with rPMS indicates that it would be reasonable to include an rPMS course into the comprehensive rehabilitation program after microdiscectomy.

scholarly journals Functional Status After Pulmonary Rehabilitation as a Predictor of Weaning Success and Survival in Patients Requiring Prolonged Mechanical Ventilation

2021 ◽  
Vol 8 ◽  
Author(s):  
Li-Ta Keng ◽  
Sheng-Kai Liang ◽  
Chi-Ping Tseng ◽  
Yueh-Feng Wen ◽  
Ping-Hsien Tsou ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Overall Survival ◽  
Functional Status ◽  
Prolonged Mechanical Ventilation ◽  
Care Center ◽  
Ventilator Weaning ◽  
Rehabilitation Program ◽  
Hospital Survival ◽  
Rehabilitation Programs ◽  
Comprehensive Rehabilitation

Background: Comprehensive rehabilitation programs are recommended for patients with prolonged mechanical ventilation (PMV) to facilitate functional recovery and ventilator weaning, but whether the functional status after rehabilitation influences outcome has not been clearly evaluated. This study aimed to investigate the association between post-rehabilitation functional status and weaning and survival outcome in PMV patients.Methods: We retrospectively enrolled PMV patients admitted to the respiratory care center (RCC), a post-ICU weaning facility with protocolized rehabilitation program, from January 2016 through December 2017. Functional status was measured by the de Morton Mobility Index (DEMMI), with a cut-off value set at 20 points. The primary outcomes were the weaning status at RCC discharge and hospital survival. The secondary outcomes were overall survival and survival at 3 months after RCC discharge. We followed patients until 3 months after RCC discharge or death. Logistic and Cox regressions were performed to identify significant parameters associated with weaning success and survival.Results: In total, 320 patients were enrolled. The weaning success rate was 71.6%. The survival rate at RCC discharge, hospital discharge, and 3 months after RCC discharge was 89.1, 77.5, and 66.6%, respectively. Post-rehabilitation DEMMI ≥ 20 (odds ratio [OR], 3.514; 95% confidence interval [CI], 1.436–8.598; P = 0.006) was the most significantly associated with weaning success. The weaning success and higher post-rehabilitation DEMMI were the two most significant independent factors associated with both hospital survival (weaning success, OR, 12.272; 95% CI, 5.281–28.517; P &lt; 0.001; post-rehabilitation DEMMI ≥ 20, OR, 6.298; 95% CI, 1.302–30.477; P = 0.022) and survival at 3 months after RCC discharge (weaning success, OR, 38.788; 95% CI, 11.505–130.762; P &lt; 0.001; post-rehabilitation DEMMI ≥ 20, OR, 4.830; 95% CI, 1.072–21.756; P = 0.040). Post-rehabilitation DEMMI ≥ 20 remained significantly association with overall survival at 3 months after RCC discharge (hazard ratio, 0.237; 95% CI, 0.072–0.785; P = 0.018).Conclusions: Post-rehabilitation functional status of PMV patients was independently associated with weaning success, as well as hospital and 3-month overall survival after RCC discharge. Post-rehabilitation, but not pre-rehabilitation, functional status was a significant parameter associated with weaning success and survival in patients requiring PMV.

A MULTIDISCIPLINARY APPROACH TO DISABILITY REHABILITATION: THE CASE OF A PERSON WITH DISABILITY

2015 ◽  
Vol 3 (2) ◽  
pp. 249
Author(s):  
Haider Darain ◽  
Abdulhameed Alkitani ◽  
Muhammad Kashif ◽  
Javaid Ghani ◽  
Muhammad Ibrar ◽  
...  
Keyword(s):  
Rehabilitation Program ◽  
Vital Role ◽  
Rehabilitation Service ◽  
Community Based ◽  
Financial Status ◽  
Resource Information ◽  
Rehabilitation Programs ◽  
Community Based Rehabilitation ◽  
The Government

Background and purpose: Community-based rehabilitation programs focus on identifying available resources in the community in order to support the patients. Resource Information Centers (RICs) play a vital role in mobilizing these resources by disseminating appropriate information among the stakeholders. However, little has been reported in the literature about the specific roles associated with RICs. In this study, we report the role of RICs as part of a community-based rehabilitation program (CBRP) for a person with disability.Method: A 34-year-old male with left leg above knee amputation was identified during our field visit. The field visit was undertaken by members of a RIC visit to the areas affected by an earthquake in Pakistan in October 2005. The Government of Pakistan, in collaboration with some national and international organizations, had introduced a 3-year program (2007-2010) in which community-based rehabilitation programs were made available for areas affected by earthquakes. The patient was initially referred to another organization that was working on providing rehabilitation service for persons with disability. He was provided with an artificial leg prosthesis for which he had been referred. Results: After receiving the artificial limb, the patient managed to return to his previous occupation which ultimately improved his financial status. Moreover, an improvement in his social integration was observed in the form of his ability to attend social meetings and ceremonies. Conclusion: The patient case we discuss is, we suggest, illustrative of the majority of people with disabilities (PWDs) in countries such as Pakistan are unaware of the exiting services designed to help them to manage their disability. The financial constraints of the PWDs might be overcome by offering guidance on how to access the available resource in their community. Such actions significantly increase the provision of person-centered healthcare.

scholarly journals Cancer Pain — The Role of an Integrated, Comprehensive Rehabilitation Program in Its Management

10.5772/60548 ◽  
2015 ◽  
Author(s):  
Raoul Saggini ◽  
Rosa Grazia Bellomo ◽  
Simona Maria Carmignano ◽  
Andrea Saggini
Keyword(s):  
Cancer Pain ◽  
Rehabilitation Program ◽  
Comprehensive Rehabilitation

scholarly journals Beginning of the Pandemic: COVID-19-Elicited Anxiety as a Predictor of Working Memory Performance

2020 ◽  
Vol 11 ◽  
Author(s):  
Daniel Fellman ◽  
Liisa Ritakallio ◽  
Otto Waris ◽  
Jussi Jylkkä ◽  
Matti Laine
Keyword(s):  
Working Memory ◽  
Fluid Intelligence ◽  
Early Stage ◽  
Memory Performance ◽  
Unique Role ◽  
Major Disaster ◽  
State And Trait Anxiety ◽  
Anxiety Levels ◽  
Age Range

Increasing evidence indicates that the coronavirus disease 2019 (COVID-19) pandemic is associated with adverse psychological effects, including heightened levels of anxiety. This study examined whether COVID-19-related anxiety levels during the early stage of the pandemic predicted demanding working memory (WM) updating performance. Altogether, 201 healthy adults (age range, 18–50) mostly from North America and the British Isles were recruited to this study via the crowdsourcing site www.prolific.co. The results showed that higher levels of COVID-19-related anxiety during the first weeks of the pandemic outbreak were associated with poorer WM performance as measured by the n-back paradigm. Critically, the unique role of COVID-19-related anxiety on WM could not be explained by demographic factors, or other psychological factors such as state and trait anxiety or fluid intelligence. Moreover, across three assessment points spanning 5–6 weeks, COVID-19-related anxiety levels tended to decrease over time. This pattern of results may reflect an initial psychological “shock wave” of the pandemic, the cognitive effects of which may linger for some time, albeit the initial anxiety associated with the pandemic would change with habituation and increasing information. Our results contribute to the understanding of cognitive–affective reactions to a major disaster.

Effectiveness of incorporating the biofeedback technique — video reconstruction into comprehensive rehabilitation programs for elderly patients

2020 ◽  
pp. 6-15
Author(s):  
Elizaveta Koneva ◽  
Tatiyana Shapovalenko ◽  
Konstantin Lyadov ◽  
Anna Mikhailova ◽  
Natalia Korchazhkina ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Dynamic Balance ◽  
Balance Training ◽  
Rehabilitation Program ◽  
Control Group ◽  
Rehabilitation Programs ◽  
Group A ◽  
Comprehensive Rehabilitation ◽  
Effective Use ◽  
Video Reconstruction

Objective: to conduct a comparative analysis of the effectiveness of hardware balance training in elderly patients in order to improve coordination, postural control and improve mobility. The study included 40 participants, over the age of 70 years. All patients were divided into 2 groups: patients in the control group received a standard rehabilitation program: classes in therapeutic gymnastics with an instructor of exercise therapy, massage. In addition to routine methods, patients of the main comparison group underwent training on the CMill dynamic balance training hardware device. The duration of the rehabilitation course was 10 days. As a result of the study, in patients of the main group, compared with the control control group, a significant improvement was noted in 21 out of 33 analyzed podometric indicators of the dynamic walking stereotype. The results of the effective use of the apparatus balance training method indicate the prospect of including this technology in the rehabilitation programs of elderly patients to improve the dynamic stereotype and increase stability while walking.

Prison Addiction Program and the Role of Integrative Treatment and Program Completion on Recidivism

2019 ◽  
Vol 63 (15-16) ◽  
pp. 2741-2770 ◽  
Author(s):  
Noam Haviv ◽  
Badi Hasisi
Keyword(s):  
Behavioral Therapy ◽  
Rehabilitation Program ◽  
Program Completion ◽  
Positive Outcomes ◽  
Drug Rehabilitation ◽  
Treatment Groups ◽  
Rehabilitation Programs ◽  
Long Duration ◽  
Comparison Groups

This study examines whether there is variability between the effects of three different drug rehabilitation programs operating in the Israeli Prison Service (IPS) on completers’ recidivism. By performing comparative analysis, this study attempts to address the problem of assessing the role of participants’ motivation. The study uses a rich administrative data obtained from the IPS system to develop a propensity score matching (PSM) approach where the treatment groups consist of only those who completed the programs, and the comparison groups consist of drug-addicted prisoners who have not taken part in any drug rehabilitation program. After matching, prisoners in the treatment and comparison groups are found to be similar on all known characteristics. Findings show that the only rehabilitation program that promised significant and positive outcomes for its completers was the more comprehensive one operating at Hermon Prison. Prisoners who completed the treatment were incarcerated and arrested less than their comparison group. The “golden strategy” for rehabilitating drug-using prisoners, then, will be twofold. The program should be based on the promising components of rehabilitation, that is, cognitive behavioral therapy, therapeutic community, long duration, intensity, and positive social climate. The program should also succeed in retaining its participants through completion.

scholarly journals A pulmonary rehabilitation program reduces levels of anxiety and depression in COPD patients

2013 ◽  
Vol 8 ◽  
Author(s):  
Athanasios Tselebis ◽  
Dionisios Bratis ◽  
Argiro Pachi ◽  
Georgios Moussas ◽  
Ioannis Ilias ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Disease Severity ◽  
Pulmonary Rehabilitation ◽  
Rehabilitation Program ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Rehabilitation Programs ◽  
Copd Patients ◽  
Pulmonary Rehabilitation Program

Background: The presence of anxiety and depressive symptoms in COPD patients has been acknowledged for many years. The preponderance of recent studies supports the utility of pulmonary rehabilitation programs to reduce the levels of depression and anxiety in these patients. The aim of this study is to investigate possible changes in levels of anxiety and depression among patients enrolled in a pulmonary rehabilitation program, along with the role of disease severity in these changes. Methods: In 101 COPD patients, who attended a pulmonary rehabilitation program, levels of trait anxiety (STAI) and depressive symptoms (BDI) were assessed at the beginning and at the end of the program. Age, sex, level of education in years and stage of disease severity were recorded. Results: Our study included 80 male and 21 female patients. Mean age and mean education level were 64.1 ± 8.1 and 11.3 ± 4.1 years, respectively. Regarding COPD staging, 11 patients suffered from mild, 16 from moderate, 47 from severe and 27 from very severe COPD. Significant decreases in anxiety (from 39.7 to 34.0, p < 0.001) and depression rates (from 10.7 to 6.3, p < 0.001) were observed. A statistically significant reduction in anxiety and depression was revealed (p < 0.05)at all stages of COPD. Conclusion: Pulmonary rehabilitation programs should be offered to all COPD patients irrespective of disease severity, since they all lead to improvement in anxiety and depressive symptoms.

scholarly journals What to do after cardiac rehabilitation programs: the role of the general practitioner in cardiovascular prevention

2016 ◽  
Vol 86 (1-2) ◽  
Author(s):  
Margaret Cupples ◽  
Neil Heron
Keyword(s):  
Cardiac Rehabilitation ◽  
Cardiovascular Prevention ◽  
Well Being ◽  
Rehabilitation Program ◽  
Hospital Services ◽  
Rehabilitation Programs ◽  
Multidisciplinary Working ◽  
Timely Referral

<p>This paper will review the current role of general practitioners (GPs) in<strong><em> </em></strong>providing cardiovascular prevention for patients after attendance at a cardiac rehabilitation program. Long-term implementation of preventive strategies is needed for continued impact on reducing risk of cardiovascular events and GPs have a major role in providing ongoing continuing medical care. Awareness of patients’ social, cultural and physical circumstances allows the GP to identify individuals’ needs for support in engaging in secondary prevention: relevant brief interventions can promote behaviour change in physical activity, diet and smoking habits, as well as promoting mental health and adherence to optimal medical therapy. Collaborative multidisciplinary working with community and hospital services provides best opportunities for timely referral to specialist expertise to maximise patients’ well-being. </p>

Rehabilitation and Rehabilitation Counseling: A Framework for the Future

1974 ◽  
Vol 5 (1) ◽  
pp. 13-18
Author(s):  
Donald C. Linkowski
Keyword(s):  
Vocational Rehabilitation ◽  
Rehabilitation Counseling ◽  
Rehabilitation Services ◽  
Rehabilitation Programs ◽  
The Future ◽  
Comprehensive Rehabilitation

Comprehensive rehabilitation communities interactive with the mainstream of society are proposed as a way of improving the delivery of rehabilitation services for the future. Handicaps are viewed as environmental impediments which require deliberate redesign. The advocate role of counselors and needed changes in the structure of vocational rehabilitation programs are stressed.

Use of Vestibular Rehabilitation in the Pediatric Population

2019 ◽  
Vol 4 (6) ◽  
pp. 1399-1405 ◽  
Author(s):  
Jennifer Christy
Keyword(s):  
Pediatric Population ◽  
Dynamic Balance ◽  
Vestibular Rehabilitation ◽  
Rehabilitation Program ◽  
Gross Motor ◽  
Gaze Stabilization ◽  
Motor Delay ◽  
Rehabilitation Programs ◽  
Motor Practice ◽  
Balance Exercises

Purpose The purpose of this article was to provide a perspective on vestibular rehabilitation for children. Conclusion The developing child with vestibular dysfunction may present with a progressive gross motor delay, sensory disorganization for postural control, gaze instability, and poor perception of motion and verticality. It is important that vestibular-related impairments be identified early in infancy or childhood so that evidence-based interventions can be initiated. A focused and custom vestibular rehabilitation program can improve vestibular-related impairments, enabling participation. Depending on the child's age, diagnosis, severity, and quality of impairments, vestibular rehabilitation programs may consist of gaze stabilization exercises, static and dynamic balance exercises, gross motor practice, and/or habituation exercises. Exercises must be modified for children, done daily at home, and incorporated into the daily life situation.

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