multidisciplinary rehabilitation
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2022 ◽  
Vol 65 (5) ◽  
pp. 101593
Author(s):  
Maëva Cotinat ◽  
Annie Verschueren ◽  
Shahram Attarian ◽  
Jean-Michel Viton ◽  
Laurent Bensoussan

2022 ◽  
Vol 12 ◽  
Author(s):  
Shoji Kinoshita ◽  
Masahiro Abo ◽  
Takatsugu Okamoto ◽  
Kohei Miyamura

In Japan, the national medical insurance system and long-term care insurance (LTCI) system cover rehabilitation therapy for patients with acute, convalescent, and chronic stroke. Medical insurance covers early and multidisciplinary rehabilitation therapy during acute phase hospitalizations. Patients requiring assistance in their activities of daily living (ADL) after hospitalization are transferred to kaifukuki (convalescent) rehabilitation wards (KRW), which the medical insurance system has also covered. In these wards, patients can receive intensive and multidisciplinary rehabilitation therapy to improve their ADL and transition to a smooth home discharge. After discharge from these hospitals, elderly patients with stroke can receive outpatient (day-care) rehabilitation and home-based rehabilitation using the LTCI system. The Japanese government has proposed building a community-based integrated care system by 2025 to provide comprehensive medical services, long-term care, preventive care, housing, and livelihood support for patients. This policy aims to promote smooth coordination between medical insurance services and LTCI providers. Accordingly, the medical insurance system allows hospitals to receive additional fees by providing patient information to rehabilitation service providers in the LTCI system. A comprehensive database on acute, convalescent, and chronic phase stroke patients and seamless cooperation between the medical care system and LTCI system is expected to be established in the future. There are only 2,613 board-certified physiatrists in Japan, and many medical schools lack a department for rehabilitation medicine; establishing such a department at each school is encouraged to teach students efficient medical care procedures, to conduct research, and to facilitate the training of personnel in comprehensive stroke rehabilitation.


Author(s):  
Zehua Li ◽  
Dilihumaer Maimaitiming ◽  
Leqi Sun ◽  
Haoran Wang ◽  
Weixi Xiong

We read with interest the review by Piccione et al. into the rehabilitative management of patients with pelvic fracture (PF). This review adds to our knowledge about the significance and indispensability of early multidisciplinary intervention in PF. From our perspective, however, potential bias might be caused by several unanswered questions. The uncertain methodological process and the unclear definition could misguide the rehabilitation strategies while still in dispute. Therefore, further high-quality studies should be conducted to optimize the multidisciplinary rehabilitation of patients with PF.


2021 ◽  
Vol 19 (4) ◽  
pp. 192-202
Author(s):  
Julie Bøgdal ◽  
Anne Mette Schmidt ◽  
Kirsten Østergaard Nielsen ◽  
Charlotte Handberg

2021 ◽  
Vol 2021 (11) ◽  
Author(s):  
Helen HG Handoll ◽  
Ian D Cameron ◽  
Jenson CS Mak ◽  
Claire E Panagoda ◽  
Terence P Finnegan

Medicina ◽  
2021 ◽  
Vol 57 (11) ◽  
pp. 1200
Author(s):  
Nicola Lamberti ◽  
Fabio Manfredini ◽  
Luc Oscar Lissom ◽  
Susanna Lavezzi ◽  
Nino Basaglia ◽  
...  

Background and Objectives: Robot-assisted gait training (RAGT) could be a rehabilitation option for patients after experiencing a stroke. This study aims to determine the sex-related response to robot-assisted gait training in a cohort of subacute stroke patients considering mixed results previously reported. Materials and Methods: In this study, 236 participants (145 males, 91 females) were admitted to a rehabilitation facility after experiencing a stroke and performed RAGT within a multidisciplinary rehabilitation program. Functional Independence Measure (FIM) and Functional Ambulatory Category (FAC) were assessed at admission and discharge to determine sex-related outcomes. Results: At the baseline, no significant difference among sexes was observed. At the end of rehabilitation, both males and females exhibited significant improvements in FIM (71% of males and 80% of females reaching the MCID cut-off value) and FAC (∆score: men 1.9 ± 1.0; women 2.1 ± 1.1). A more remarkable improvement was observed in women of the whole population during the study, but statistical significance was not reached. When analysing the FAC variations with respect to the total number of RAGT sessions, a more significant improvement was observed in women than men (p = 0.025). Conclusion: In conclusion, among subacute stroke patients, benefits were observed following RAGT during a multidisciplinary rehabilitation program in both sexes. A greater significant recovery for women with an ischemic stroke or concerning the number of sessions attended was also highlighted. The use of gait robotics for female patients may favour a selective functional recovery after stroke.


2021 ◽  
Vol 46 (3) ◽  
Author(s):  
Luisa GILARDINI ◽  
Raffaella CANCELLO ◽  
Katherine CAFFETTO ◽  
Raffaella COTTAFAVA ◽  
Ilaria GIRONI ◽  
...  

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