<p>Improvement in quality of life following a multidisciplinary rehabilitation program for patients with Parkinson’s disease</p>

Background and Objectives: Neuro Myelitis Optica (NMO) is a rare progressive and disabling autoimmune disease. The disabling consequences of the disease affect many aspects of the patients and their family life. multidisciplinary rehabilitation can be very effective in promoting quality of life and slowing disease progression by working with different disciplines. The aim of this study is to report the effects of multidisciplinary rehabilitation on the performance and quality of life of a patient with NMO and her family. Case Report: This study reports a six-month multidisciplinary rehabilitation program conducted for a woman with NMO and her caregiver. The rehabilitation team included the patient’s caregiver, a neurologist, an occupational therapist, and a speech therapist. The approaches of stabilization and recovery, maintenance, modification, and prevention were used through 70 sessions of occupational therapy. Also, the occupational performance was assessed with the Canadian Occupational Performance Measure. Furthermore, the Persian version of SF36 was used to assess the quality of life. The speech therapy intervention was performed in 24 sessions and included breath strengthening exercises, sound therapy, and laryngeal muscle manipulation. After six months, the results showed a great improvement in the quality of life of the patient and her caregiver. Conclusion: The use of team approaches in the face of progressive neurodegenerative diseases such as NMO has a significant impact on improving the quality of life of these patients and their families.

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Faculty Opinions recommendation of Longer term effectiveness of inpatient multidisciplinary rehabilitation on health-related quality of life in MS patients: a pragmatic randomized controlled trial - The Danish MS Hospitals Rehabilitation Study.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.731794205.793538002 ◽

2017 ◽

Author(s):

Marco Rovaris

Keyword(s):

Quality Of Life ◽

Randomized Controlled Trial ◽

Controlled Trial ◽

Health Related Quality ◽

Multidisciplinary Rehabilitation ◽

Pragmatic Randomized Controlled Trial ◽

Randomized Controlled ◽

Related Quality ◽

Health Related

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What’s going on following acute covid-19? Clinical characteristics of patients in an out-patient rehabilitation program

Neurorehabilitation ◽

10.3233/nre-210025 ◽

2021 ◽

pp. 1-12

Author(s):

Sergiu Albu ◽

Nicolas Rivas Zozaya ◽

Narda Murillo ◽

Alberto Garcia-Molina ◽

Cristian Andres Figueroa Chacón ◽

...

Keyword(s):

Quality Of Life ◽

Cognitive Impairment ◽

Acute Infection ◽

Rehabilitation Program ◽

Neuropsychological Impairment ◽

Outpatient Rehabilitation ◽

Screening Process ◽

Icu Patients ◽

Persistent Symptoms

BACKGROUND: Coronavirus disease 2019 (COVID-19) patients present long-lasting physical and neuropsychological impairment, which may require rehabilitation. OBJECTIVES: The current cross-sectional study characterizes post COVID-19 sequelae and persistent symptoms in patients in an outpatient rehabilitation program. METHODS: Thirty patients [16 post-ICU and 14 non-ICU; median age = 54(43.8–62) years; 19 men] presenting sequelae and/or persistent symptoms (>3 months after acute COVID-19) were selected of 41 patients referred for neurorehabilitation. Patients underwent physical, neuropsychological and respiratory evaluation and assessment of impact of fatigue and quality of life. RESULTS: The main reasons for referral to rehabilitation were: fatigue (86.6%), dyspnea (66.7%), subjective cognitive impairment (46.7%) and neurological sequelae (33.3%). Post-ICU patient presented sequelae of critical illness myopathy and polyneuropathy, stroke and encephalopathy and lower forced vital capacity compared to non-ICU patients. Cognitive impairment was found in 63.3% of patients, with a similar profile in both sub-groups. Increased physical fatigue, anxiety and depression and low quality of life were prevalent irrespective of acute COVID-19 severity. CONCLUSIONS: The variability of post COVID-19 physical and neuropsychological impairment requires a complex screening process both in ICU and non-ICU patients. The high impact of persistent symptoms on daily life activities and quality of life, regardless of acute infection severity, indicate need for rehabilitation.

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Task-oriented exercises improve disability of working patients with surgically-treated proximal humeral fractures. A randomized controlled trial with one-year follow-up

BMC Musculoskeletal Disorders ◽

10.1186/s12891-021-04140-9 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Marco Monticone ◽

Igor Portoghese ◽

Daniele Cazzaniga ◽

Valentina Liquori ◽

Giuseppe Marongiu ◽

...

Keyword(s):

Quality Of Life ◽

Controlled Trial ◽

Rehabilitation Program ◽

Group Differences ◽

Randomized Controlled ◽

Secondary Outcomes ◽

One Year ◽

Task Oriented

Abstract Background General physiotherapy is a common means of rehabilitation after surgery for proximal humeral fracture (PHF). Better-targeted exercises seem worthy of investigation and the aim of this study was to assess the efficacy of a rehabilitation program including task-oriented exercises in improving disability, pain, and quality of life in patients after a PHF. Methods By means of a randomized controlled trial with one-year follow-up, 70 working patients (mean age of 49 ± 11 years; 41 females), who were selected for open reduction and internal fixation with plates caused by PHF, were randomized to be included in an experimental (n = 35) or control group (n = 35). There was a permuted-block randomization plan, and a list of program codes was previously created; subsequently, an automatic assignment system was used to conceal the allocation. The first group underwent a supervised rehabilitation program of task-oriented exercises based on patients’ specific job activities, and occupational therapy. The second group underwent general physiotherapy, including supervised mobility, strengthening and stretching exercises. Both groups individually followed programs of 60-min session three times per week for 12 weeks in the outpatient setting. The Disability Arm Shoulder Hand questionnaire (DASH; scores range from 0 to 100; primary outcome), a Pain intensity Numerical Rating Scale (scores range 0 to 10; secondary outcomes), and the Short-Form Health Survey (scores range from 0 to 100; secondary outcomes) assessed the interventions. Participants were evaluated before surgery, before and after rehabilitation (primary endpoint), and at the one-year follow-up (secondary endpoint). A linear mixed model analysis for repeated measures was carried out for each outcome measure (p < 0.05). Results Time, group and time by group showed significant effects for all outcome measures in favour of the experimental group. The DASH and the DASH work achieved clinically important between-group differences of 16.0 points (95% confidence interval [C.I.] 7.3 to 24.7) and 19.7 (95% C.I. 9.0 to 30.5) at follow-up, respectively. The NRS achieved a between-group difference of 2.9 (95% C.I. 1.0 to 3.9) at follow-up. As for SF-36, there were between-group differences ranging from 17.9 to 37.0 at follow-up. Conclusions A rehabilitation program based on task-oriented exercises was useful in improving disability, pain, and quality of life in working patients after PHFs. Improvements lasted for at least 12 months. Trial registration On 16/12/2019, the trial was retrospectively registered in the ISRCTN registry with the ID number 17996552.

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Quality of Life And Gerontology: Description of a Research Line

European Journal of Investigation in Health, Psychology and Education ◽

10.3390/ejihpe4030028 ◽

2014 ◽

Vol 4 (3) ◽

pp. 301-308

Author(s):

Bernat-Carles Serdà Ferrer

Keyword(s):

Quality Of Life ◽

Therapeutic Option ◽

Rehabilitation Program ◽

Muscular Fitness ◽

Psychological Mechanisms ◽

Modular Concept ◽

Specific Objective ◽

Quasi Experimental ◽

The Continuum

The Quality of Life (QoL) is a multidimensional, dynamic and modular concept. QoL is influenced by psychological mechanisms related to the adaptation disease. The aim of this paper is to describe the research line on QoL and chronic disease. The specific objective is to determine the mechanisms involved in the change of QoL in a group of elderly people with cancer. Method. The study is prospective quasi-experimental. With a sample of 130 participants with cancer. Results. The rehabilitation program improves muscular fitness, cardiovascular efficiency, (at rest and effort) and reduces the continued decline related to treatment. We have observed a significant increase in QoL in the period evaluated. This result confirms that QoL at baseline of the disease is low. Adherence to the program achieved is 93%. Conclusions. We confirm the effectiveness of a rehabilitation program tailored to the symptoms generated by the disease and cancer treatment in improving QoL of older people. The program is a therapeutic option to preserve the QoL of the patient in the continuum of the disease. Now we are studying the timing where the implementation of the program is most effective.

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