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1
Ackermann, Andreas, und W. D. Oswald. „Erhalt und Förderung der Selbstständigkeit bei Pflegeheimbewohnern“. Zeitschrift für Gerontopsychologie & -psychiatrie 19, Nr. 2 (Januar 2006): 59–71. http://dx.doi.org/10.1024/1011-6877.19.2.59.
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Auch bei bereits eingetretener Pflegebedürftigkeit sind Maßnahmen der Rehabilitation zur Vermeidung eines Fortschreitens der Erkrankung oder der Verschlimmerung einer Behinderung zu gewähren. Zeitlich begrenzte stationäre wie ambulante Rehabilitationsmaßnahmen nach SGB V sind bei Pflegeheimbewohnern jedoch oftmals nicht sinnvoll, zumal eine nachhaltige Wirkung meist nicht erzielt werden kann. Für Pflegeheimbewohner sind langfristig angelegte rehabilitative Maßnahmen vor dem Hintergrund einer aktivierenden Pflege angebracht. Das Forschungsprojekt “Rehabilitation im Altenpflegeheim” untersucht die Anwendbarkeit und Effektivität eines auf Grundlage bestehender Rehabilitations- und Aktivierungsmaßnahmen beruhenden rehabilitativen Interventionsansatzes bei einer Pflegeheimklientel. In diesem Übersichtsartikel werden vor dem Hintergrund der theoretischen Grundlagen einer aktivierend-rehabilitativen Pflege, die als Basis aller interventionistischer Bemühungen in der stationären Altenhilfe angesehen werden kann, existierende therapeutisch-rehabilitative Ansätze für Pflegeheimbewohner dargestellt und anhand der vorliegenden Literatur diskutiert.
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Yu, Junhong, Helena M. K. Tam und Tatia M. C. Lee. „Traumatic Brain Injury Rehabilitation in Hong Kong: A Review of Practice and Research“. Behavioural Neurology 2015 (2015): 1–8. http://dx.doi.org/10.1155/2015/274326.
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Background. The rising public health concern regarding traumatic brain injury (TBI) implies a growing need for rehabilitation services for patients surviving TBI.Methods. To this end, this paper reviews the practices and research on TBI rehabilitation in Hong Kong so as to inform future developments in this area. This paper begins by introducing the general situation of TBI patients in Hong Kong and the need for rehabilitation. Next, the trauma system in Hong Kong is introduced. Following that is a detailed description of the rehabilitation services for TBI patients in Hong Kong, as exemplified by a rehabilitation hospital in Hong Kong. This paper will also review intervention studies on rehabilitating brain-injured populations in Hong Kong with respect to various rehabilitation goals. Lastly, the implications of culture-related issues will be discussed in relation to TBI.Results/Conclusions. The intervention studies conducted in Hong Kong are generally successful in achieving various rehabilitative outcomes. Additionally, certain cultural-related issues, such as the stigma associated with TBI, may impede the rehabilitative process and lead to various psychosocial problems.
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Lieb, Max Emanuel. „Physikalische Medizin Rehabilitationsmedizin Kurortmedizin“. Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 32, Nr. 02 (April 2022): 68–69. http://dx.doi.org/10.1055/a-1756-2128.
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Physikalische und Rehabilitative Medizin als klinisch-praktisches Fachgebiet im Kontext der rehabilitativen GesundheitsstrategieIm Rahmen der Entwicklungen der Aus- und Weiterbildung ergaben sich in den letzten Jahren für unser Fachgebiet viele Veränderungen. Auch weiterhin ist vieles im Fluss. Viele dieser Änderungen haben einen normativen Charakter für die zukünftige Entwicklung. Selten zuvor ergibt sich dabei so häufig die Frage nach der Einordnung der Physikalischen und Rehabilitativen Medizin (PRM) in den gesamten Kontext der Rehabilitation.
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Lieb, Max Emanuel. „Physikalische Medizin Rehabilitationsmedizin Kurortmedizin“. Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 32, Nr. 02 (April 2022): 68–69. http://dx.doi.org/10.1055/a-1756-2128.
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Physikalische und Rehabilitative Medizin als klinisch-praktisches Fachgebiet im Kontext der rehabilitativen GesundheitsstrategieIm Rahmen der Entwicklungen der Aus- und Weiterbildung ergaben sich in den letzten Jahren für unser Fachgebiet viele Veränderungen. Auch weiterhin ist vieles im Fluss. Viele dieser Änderungen haben einen normativen Charakter für die zukünftige Entwicklung. Selten zuvor ergibt sich dabei so häufig die Frage nach der Einordnung der Physikalischen und Rehabilitativen Medizin (PRM) in den gesamten Kontext der Rehabilitation.
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Doob, Anthony N., und Jean-Paul Brodeur. „Rehabilitating the Debate on Rehabilitation“. Canadian Journal of Criminology 31, Nr. 2 (April 1989): 179–92. http://dx.doi.org/10.3138/cjcrim.31.2.179.
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Lentz Walker, Martha. „Rehabilitating a Philosophy of Rehabilitation“. Journal of Vocational Rehabilitation 2, Nr. 4 (1992): 12–19. http://dx.doi.org/10.3233/jvr-1992-2404.
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Ljungberg van Beinum, Ingrid. „Organizational Rehabilitation through Rehabilitating People“. Concepts and Transformation 5, Nr. 1 (04.09.2000): 97–120. http://dx.doi.org/10.1075/cat.5.1.08lju.
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This paper presents a description of and reflections about an action research process in a local authority. The focus of the project is on the introduction of a new approach to the rehabilitation of staff. The new approach requires collaboration between departments, which is a great stumbling block in the bureaucratic structure and culture of the organization. The project describes and discusses how, through a gradual joint focusing on the rehabilitation of individuals, the departments concerned became aware of the fact that they were also engaged in a process of rehabilitating the organization. Various aspects of the importance of the relationship between the researcher and the organization are brought to the fore.
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Seger, W., W. Cibis, A. Deventer, S. Grotkamp, N. Lübke, P. Schoenle, M. Schmidt-Ohlemann und M. Schubert. „Die Zukunft der medizinisch-rehabilitativen Versorgung im Kontext der Multimorbidität – Teil II: Strukturelle Voraussetzungen und Anforderungen an das rehabilitative Versorgungssystem“. Das Gesundheitswesen 80, Nr. 02 (14.06.2016): 105–12. http://dx.doi.org/10.1055/s-0042-108441.
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Zusammenfassung Hintergrund: Multimorbide Versicherte mit 2 und mehr chronischen Krankheiten mit sozialmedizinischer Relevanz, rücken immer mehr in den Vordergrund rehabilitativer Versorgung. Methodik: Nach Klärung von Begriffen, Versorgungsfragen und Herausforderungen der Rehabilitation (Teil I) beschreibt eine Projektgruppe des Ärztlichen Sachverständigenrates der Bundesarbeitsgemeinschaft für Rehabilitation (BAR) vielfältige Handlungsfelder für die rehabilitative Versorgung von Personen mit Multimorbidität. Ergebnisse: Der Sachverständigenrat empfiehlt ein Bündel möglicher und notwendiger Maßnahmen Diese reichen in ihrer Vielfalt von der Überprüfung des Formularwesens auf valide Identifizierung der rehabilitativen Bedarfe über eine diesbezügliche Sensibilisierung und Kompetenzerweiterung des involvierten Personals der Sozialleistungsträger und der Rehabilitationseinrichtungen bis hin zu einer Berücksichtigung von Multimorbidität in Leitlinien sowie Klärung noch offener Forschungsfragen.
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Bowman, Clive, und Paul Easton. „Rehabilitation in long-term care“. Reviews in Clinical Gerontology 10, Nr. 1 (Februar 2000): 75–79. http://dx.doi.org/10.1017/s0959259800001088.
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Geriatric medicine emerged from long-term care championed by Marjory Warren and contemporaries, who focused attention on the opportunities and rewards of assessing, treating and, in particular, rehabilitating older people resident in institutional care. Then as now, people in long-term care were generally beyond the remit of hospital medicine. From this rehabilitative initiative in long-term care, geriatric medicine has continually developed and in the process has become increasingly divorced from its roots. The present evolutionary state of the specialty could be summarized by the goals of concentrating on the early detection, treatment and rehabilitation of acute and chronic ill health, in an attempt to improve quality of life and reduce dependency.
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Jiang, Li, Juan Zhao, Feng Wang, Yujian Zhou, Wangyang Ge und Jinhua She. „Rehabilitation Evaluation System for Lower-Limb Rehabilitation Robot“. Journal of Advanced Computational Intelligence and Intelligent Informatics 27, Nr. 4 (20.07.2023): 691–99. http://dx.doi.org/10.20965/jaciii.2023.p0691.
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Rehabilitation evaluation is an important part of rehabilitation training. It is closely related to the robot-assisted training effect. Different rehabilitation robots need different methods to evaluate patients. Rehabilitation training is a long process, and the patient’s performance scores will continue to change. A lower-limb rehabilitation robot needs a dynamic performance score to evaluate rehabilitation’s effects. This study used an analytic hierarchy process and fuzzy comprehensive evaluation methods to establish a rehabilitation evaluation system for lower-limb rehabilitation robots. A multi-scale personalized rehabilitation plan is conceived, based on the evaluation system and the combination of objective factors. This method dynamically adjusts the plan according to the rehabilitation situation of patients, which is beneficial to the improvement of the efficiency and initiative of training.
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Bork, Hartmut, Stefan Simmel, Eckhardt Böhle, Ulrich Ernst, Klaus Fischer, Bernd Fromm, Jean-Jacques Glaesener et al. „Rehabilitation nach traumatischen Frakturen der Brust- und Lendenwirbelsäule“. Zeitschrift für Orthopädie und Unfallchirurgie 156, Nr. 05 (18.05.2018): 533–40. http://dx.doi.org/10.1055/a-0591-6712.
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ZusammenfassungDie Übersichtsarbeit gibt auf der Grundlage der überarbeiteten S2k-Leitlinie Rehabilitation nach traumatischen Frakturen der Brust- und Lendenwirbelsäule ohne neurologische Ausfälle einen aktuellen Überblick über eine zielgerichtete Rehabilitation von Patienten mit stabilen bzw. operativ stabil versorgten traumatischen Frakturen an der Brust- und Lendenwirbelsäule. Um eine schnelle soziale und berufliche Wiedereingliederung zu erzielen, soll die Rehabilitation unter Berücksichtigung der Kriterien für eine ambulante/stationäre Rehabilitation hierbei so früh wie möglich eingeleitet werden. Die Rehabilitations- und Therapieziele sollten sich am biopsychosozialen ICF-Modell der WHO orientieren und müssen vom Team mit dem Patienten abgestimmt werden. Übergeordnetes Rehabilitationsziel ist die Besserung der funktionalen Gesundheit und Wiederherstellung der ursprünglichen Teilhabefähigkeiten. Aufgrund des individuellen Behandlungsfortschrittes können sich Zielsetzungen während der Rehabilitation auch verändern. Schmerztherapeutische Interventionen haben sich an den jeweiligen individuellen Bedürfnissen zu orientieren. Sie sollten multimodal ausgerichtet sein, wobei psychische Kontextfaktoren (Depressivität, Angst, beruflicher Disstress, passives Schmerzverhalten sowie schmerzbezogene Kognitionen, posttraumatische Belastungsstörung) im Rahmen der Rehabilitation frühzeitig erfasst und durch psychologisch fundierte bzw. psychotherapeutische Interventionen behandelt werden sollten, da sie zu einer Chronifizierung von Schmerzen beitragen. Der Einsatz einer frühen funktionell-bewegungsorientierten Therapie wird in der Leitlinie positiv bewertet. Bewegungstherapie wird in der Krankengymnastik, Sporttherapie und einigen Verfahren der Ergotherapie angewandt. Ziel ist u. a. auch die Vermittlung gesundheitsorientierter Verhaltensweisen. Eine orthetische Versorgung von Frakturen der Brust- und Lendenwirbelsäule ist bei stabilen Situationen gemäß der Leitlinie i. d. R. nicht notwendig. Um den Behandlungserfolg einer Rehabilitation zu sichern, ist es sinnvoll, bereits während der rehabilitativen Phase Weichen für die weitere Nachbehandlung zu stellen und vor allem erwerbstätige Patienten in gezielte ambulante Nachsorgeprogramme zu vermitteln.
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Lavie, Carl J., Mark J. Haykowsky und Hector O. Ventura. „Rehabilitating cardiac rehabilitation after heart transplantation“. Journal of Heart and Lung Transplantation 37, Nr. 4 (April 2018): 437–38. http://dx.doi.org/10.1016/j.healun.2017.08.010.
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Sukma, Dhia Ulfairuz, und Anna Oktaviana. „KLINIK UTAMA REHABILITASI MEDIK DI BANJARMASIN“. LANTING JOURNAL OF ARCHITECTURE 9, Nr. 1 (29.02.2020): 57–64. http://dx.doi.org/10.20527/lanting.v9i1.543.
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Along with the development of medical science and society needs Kementerian Kesehatan (Kemenkes) released a program in 2017, called JKN or Jaminan Kesehatan Nasional about improvement and build of quality of health infrastructure. Based on that program Kementrian Kesehatan expects the distribution of health facilities in each region. In Banjarmasin, rehabilitative health facilities is still not enough qualitatively and quantitatively, one of the rehabilitation health facilities is a medical rehabilitation facility. Medical rehabilitation’s patients in Banjarmasin hospitals always increase, so that hospital services become less than optimal, therefore additional outpatient services are needed through the clinic In reality amount of medical rehabilitation clinics are still not spread in Banjarmasin and the quality of clinics in Banjarmasin has not fulfilled the requirements of the physical environment where the physical environment is the biggest factor that affects the healing process. The healing environment approach is used as a method and concept of problem-solving. The method used is to determine and analyze the facts from the medical rehabilitation service, then applying the healing environment aspect to space, both internal and external space. The healing environment aspect consists of nature, senses, and psychology.
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Sukma, Dhia Ulfairuz, und Anna Oktaviana. „KLINIK UTAMA REHABILITASI MEDIK DI BANJARMASIN“. JURNAL TUGAS AKHIR MAHASISWA LANTING 9, Nr. 1 (29.02.2020): 57–64. http://dx.doi.org/10.20527/jtamlanting.v9i1.543.
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Along with the development of medical science and society needs Kementerian Kesehatan (Kemenkes) released a program in 2017, called JKN or Jaminan Kesehatan Nasional about improvement and build of quality of health infrastructure. Based on that program Kementrian Kesehatan expects the distribution of health facilities in each region. In Banjarmasin, rehabilitative health facilities is still not enough qualitatively and quantitatively, one of the rehabilitation health facilities is a medical rehabilitation facility. Medical rehabilitation’s patients in Banjarmasin hospitals always increase, so that hospital services become less than optimal, therefore additional outpatient services are needed through the clinic In reality amount of medical rehabilitation clinics are still not spread in Banjarmasin and the quality of clinics in Banjarmasin has not fulfilled the requirements of the physical environment where the physical environment is the biggest factor that affects the healing process. The healing environment approach is used as a method and concept of problem-solving. The method used is to determine and analyze the facts from the medical rehabilitation service, then applying the healing environment aspect to space, both internal and external space. The healing environment aspect consists of nature, senses, and psychology.
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Beyer, Joachim, und Egbert Seidel. „Frührehabilitation ist erstes Glied einer nahtlosen Rehabilitationskette“. Die Rehabilitation 56, Nr. 04 (August 2017): 272–85. http://dx.doi.org/10.1055/s-0043-112071.
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ZusammenfassungEine frühe, intensive rehabilitative Therapie beschleunigt die Wiederherstellung von Funktionen schwerbetroffener Patienten. Sie trägt zu einer Verminderung der Komplikationsrate sowie zu einer Verbesserung der körperlichen und sozialen Funktionsfähigkeit bzw. Teilhabe im Langzeit-Follow-up bei. Die Frührehabilitation muss aufbauend auf den bestehenden Strukturen gestärkt werden: Schaffung und Erhaltung adäquat qualifizierter Frührehabilitationseinrichtungen mindestens in Krankenhäusern mit Schwerpunkt- und Maximalversorgungsaufträgen. Die Patienten mit Langzeitintensivbehandlung und Polytrauma müssen frühestmöglich rehabilitativ erreicht werden (intensivmedizinische Rehabilitation).Fachärzte für Physikalische und Rehabilitative Medizin, rehabilitativ arbeitende Geriater, Neurologen, Orthopäden und Unfallchirurgen und andere Gebietsärzte müssen zielgerichtet zusammenwirken. Ausschlusskriterien über entsprechende OPS-Codes müssen aufgehoben werden. Weitere Gebietsärzte (Anästhesisten und Intensivmediziner, Allgemeinmediziner, Unfall- und Thoraxchirurgen, Internisten) müssen für die Bedeutung der Frührehabilitation sensibilisiert werden.In den länderspezifischen Bettenbedarfsplänen sollten 5 % der Krankenhausbetten (ca. 25 000 von ca. 500 000) als alters- und diagnoseunabhängige Frührehabilitationsbetten ausgewiesen sein. Eine kostendeckende Finanzierung der zweifelsfrei personal- und kostenintensiven Frührehabilitation muss gewährleistet sein. Ein Phasenmodell, analog dem Modell der BAR zur neurologischen-neurochirurgischen Frührehabilitation sollte für weitere Krankheitsentitäten geschaffen werden.Um den Rehabilitationsprozess möglichst erfolgreich zu gestalten, müssen medizinische (Akut-)Behandlung, medizinische Rehabilitation, berufliche Eingliederung und soziale Integration als ganzheitliches Geschehen verstanden werden und wirksam ineinandergreifen, als kontinuierlicher, die gesamte Krankheit phasenhaft begleitender Prozess. Hierzu ist ein kontinuierliches Case Management bzw. eine Reha-Begleitung zu etablieren.
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Iosa, M., G. Morone, A. Fusco, M. Bragoni, P. Coiro, M. Multari, V. Venturiero, D. De Angelis, L. Pratesi und S. Paolucci. „Seven Capital Devices for the Future of Stroke Rehabilitation“. Stroke Research and Treatment 2012 (2012): 1–9. http://dx.doi.org/10.1155/2012/187965.
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Stroke is the leading cause of long-term disability for adults in industrialized societies. Rehabilitation’s efforts are tended to avoid long-term impairments, but, actually, the rehabilitative outcomes are still poor. Novel tools based on new technologies have been developed to improve the motor recovery. In this paper, we have taken into account seven promising technologies that can improve rehabilitation of patients with stroke in the early future: (1) robotic devices for lower and upper limb recovery, (2) brain computer interfaces, (3) noninvasive brain stimulators, (4) neuroprostheses, (5) wearable devices for quantitative human movement analysis, (6) virtual reality, and (7) tablet-pc used for neurorehabilitation.
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Seger, W., W. Cibis, A. Deventer, S. Grotkamp, N. Lübke, P. W. Schönle, M. Schmidt-Ohlemann und M. Schubert. „Die Zukunft der medizinisch–rehabilitativen Versorgung im Kontext der Multimorbidität – Teil I: Begriffsbestimmung, Versorgungsfragen und Herausforderungen“. Das Gesundheitswesen 80, Nr. 01 (14.06.2016): 12–19. http://dx.doi.org/10.1055/s-0042-108440.
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Zusammenfassung Hintergrund: Multimorbide Personen mit 2 und mehr chronischen Krankheiten mit sozialmedizinischer Relevanz, rücken immer mehr in den Vordergrund der rehabilitativen Versorgung. Methodik: Nach Klärung der Begriffsbestimmung von Multimorbidität im rehabilitativen Kontext und orientierender Literaturauswertung zu deren Prävalenz und Folgen wurden ausgehend von einem kasuistischen Beispiel besondere Anforderungen und allgemeine Herausforderungen für die Leistungsgestaltung sowie für die rehabilitative Versorgung herausgearbeitet und im Ärztlichen Sachverständigenrat der Bundesarbeitsgemeinschaft für Rehabilitation (BAR) konsentiert. Ergebnis: Der Handlungsbedarf bei multimorbiden Versicherten reicht von der funktionsbezogenen, individuellen Bedarfsermittlung über die Zuweisungspraxis, Rehabilitationsdurchführung und -nachsorge bis zur Reintegration der Rehabilitanden in den Sozialraum.
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Fiorillo, Luca, Agron Meto und Marco Cicciù. „Bioengineering Applied to Oral Implantology, a New Protocol: “Digital Guided Surgery”“. Prosthesis 5, Nr. 1 (17.02.2023): 234–50. http://dx.doi.org/10.3390/prosthesis5010018.
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Rehabilitative dentistry has made enormous progress in recent years, not only due to the advent of new implant-prosthetic methods, but also thanks to new information technologies that support the doctor. This study aims to present a new implant protocol that involves the application of bioengineering methods. With the application of the finite element analysis, it is possible to evaluate the distribution of the forces of a fixture and possible implant rehabilitation on each patient, even before performing the surgery. This protocol provides for the combination of radiographic images and three-dimensional files to obtain predictable results on possible rehabilitation, guiding its planning in the best possible way. Surely, the evolution of machines and computers will enable the surgeon to carry out and maintain these protocols in a chair-side manner, and to carry out safe and predictable rehabilitations.
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Kaufman, Jacqueline N., Sarah Lahey und Beth S. Slomine. „Pediatric rehabilitation psychology: Rehabilitating a moving target.“ Rehabilitation Psychology 62, Nr. 3 (August 2017): 223–26. http://dx.doi.org/10.1037/rep0000169.
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Meijer, Sonja. „Rehabilitation as a Positive Obligation“. European Journal of Crime, Criminal Law and Criminal Justice 25, Nr. 2 (15.03.2017): 145–62. http://dx.doi.org/10.1163/15718174-25022110.
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Although the emphasis in European penal policy now lies on the rehabilitative aim of imprisonment, the concept of rehabilitation remains vague and is being interpreted differently in different European countries. This paper looks at rehabilitation from a legal perspective and aims to clarify the current meaning and content of the principle of rehabilitation. It does this by focusing on the questions of whether and on what grounds rehabilitation can be considered a positive obligation on the part of the State and, if so, what the consequences are of recognising rehabilitation as a positive obligation.
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Goldman, Jennifer G., Daniele Volpe, Terry D. Ellis, Mark A. Hirsch, Julia Johnson, Julia Wood, Ana Aragon et al. „Delivering Multidisciplinary Rehabilitation Care in Parkinson’s Disease: An International Consensus Statement“. Journal of Parkinson's Disease 14, Nr. 1 (23.01.2024): 135–66. http://dx.doi.org/10.3233/jpd-230117.
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Background: Parkinson’s disease (PD) is a complex neurodegenerative disorder impacting everyday function and quality of life. Rehabilitation plays a crucial role in improving symptoms, function, and quality of life and reducing disability, particularly given the lack of disease-modifying agents and limitations of medications and surgical therapies. However, rehabilitative care is under-recognized and under-utilized in PD and often only utilized in later disease stages, despite research and guidelines demonstrating its positive effects. Currently, there is a lack of consensus regarding fundamental topics related to rehabilitative services in PD. Objective: The goal of the international Parkinson’s Foundation Rehabilitation Medicine Task Force was to develop a consensus statement regarding the incorporation of rehabilitation in PD care. Methods: The Task Force, comprised of international multidisciplinary experts in PD and rehabilitation and people directly affected by PD, met virtually to discuss topics such as rehabilitative services, existing therapy guidelines and rehabilitation literature in PD, and gaps and needs. A systematic, interactive, and iterative process was used to develop consensus-based statements on core components of PD rehabilitation and discipline-specific interventions. Results: The expert-based consensus statement outlines key tenets of rehabilitative care including its multidisciplinary approach and discipline-specific guidance for occupational therapy, physical therapy, speech language pathology/therapy, and psychology/neuropsychology across all PD stages. Conclusions: Rehabilitative interventions should be an essential component in the comprehensive treatment of PD, from diagnosis to advanced disease. Greater education and awareness of the benefits of rehabilitative services for people with PD and their care partners, and further evidence-based and scientific study are encouraged.
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Awchat, Kiran, Parag Dua, I. D. Roy und Deepa Vinod Bhat. „Comprehensive management of mutilated dentition with fixed mandibular implant prosthesis and maxillary overdenture- A 6 year follow-up case report“. IP Annals of Prosthodontics and Restorative Dentistry 8, Nr. 3 (15.09.2022): 161–64. http://dx.doi.org/10.18231/j.aprd.2022.032.
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Rehabilitation of mutilated dentition is esthetic and functional challenge. The present condition of dentition, patient’s level of motivation for maintaining oral hygiene, social status etc are the key factors to successful rehabilitation. Maxillary teeth supported overdenture against mandibular complete denture is a potential risk for enhancing residual ridge resorption of mandibular arch. In such situation mandibular implant prosthesis is a better treatment option. In this case report a comprehensive management of patient with mutilated dentition has been carried out in phased manner.Here three roots with healthy periodontium were preserved in maxillary arch. Fixed implant prosthesis was made in mandibular arch. Presently patient has been followed up for 6 years and found to be highly satisfied and having a good oral hygiene. Maxillary overdenture against mandibular fixed implant prosthesis should be considered as effective rehabilitative modality in rehabilitating such cases.
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Furusho, Junji, und Naoyuki Takesue. „Research and Development of Rehabilitation Systems for the Upper Limbs “PLEMO” Series“. Journal of Robotics and Mechatronics 31, Nr. 1 (20.02.2019): 35–44. http://dx.doi.org/10.20965/jrm.2019.p0035.
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The human brain has excellent plasticity in terms of recovery from a stroke. It is expected that neurorehabilitation using an apparatus that applies robotic and virtual reality technology has rehabilitation training effects on stroke patients. Rehabilitation of the upper limbs consists of rehabilitation for shoulders and elbows, and rehabilitation of the fingers and wrists. Both rehabilitations are necessary to improve activities of daily living. Many rehabilitation systems for shoulders and elbows have been effective thus far. In this review, we introduce rehabilitation systems for the shoulders, elbows, and wrists of the upper limbs “PLEMO” series using force presentation technology with brakes. Rehabilitation systems using brakes are essentially safe unlike rehabilitation systems using actuators.
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Di Pasquale Fiasca, Valerio Maria, Flavia Sorrentino, Martina Conti, Giulia De Lucia, Patrizia Trevisi, Cosimo de Filippis, Elisabetta Zanoletti und Davide Brotto. „Hearing Aid in Vestibular-Schwannoma-Related Hearing Loss: A Review“. Audiology Research 13, Nr. 4 (08.08.2023): 627–35. http://dx.doi.org/10.3390/audiolres13040054.
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(1) Background: Several types of hearing aids are available for the rehabilitation of vestibular-schwannoma (VS)-related hearing loss. There is a lack of recently published papers regarding this theme. The aim of the present work is to organize current knowledge. (2) Methods: A review of the literature regarding the topics “vestibular schwannoma”, “hearing loss”, and “hearing aid” was performed. Nineteen studies were thus considered. (3) Results: Conventional hearing aids, contralateral routing of signal (CROS) aids, bone anchored hearing aids (BAHA), and others are available options for hearing rehabilitation in VS patients. The speech discrimination score (SDS) is considered the best measure to assess candidacy for rehabilitation with hearing aids. The best hearing rehabilitative conditions in VS patients when using conventional hearing aid devices are a mild−moderate hearing loss degree with good word recognition (more than 50% SDS). CROS-Aid and BAHA are reported to be beneficial. CROS-Aid expands on the area of receiving hearing. BAHA aids use direct bone-conduction stimulation. Unfortunately, there are no available studies focused specifically on VS patients that compare CROS and BAHA technologies. (4) Conclusions: Hearing aids, CROS, and BAHA are viable options for rehabilitating hearing impairment in VS, but require an accurate case-by-case audiological evaluation for rehabilitating hearing impairment in VS. Further studies are needed to prove if what is currently known about similar hearing illnesses can be confirmed, particularly in the case of VS.
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Shaidukova, L. K. „Modern approaches to the rehabilitation of the drug addicts“. Kazan medical journal 94, Nr. 3 (15.06.2013): 402–5. http://dx.doi.org/10.17816/kmj2194.
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The aim of the presented paper is to analyze the approaches to the non-pharmaceutical rehabilitation of the drug addicts based on the example of the Social and Rehabilitative Centre «Roza Vetrov» of the municipal pedagogic institution «Podrostok». The following rehabilitative approaches were used: (1) labor and environmental rehabilitation; (2) group and family psychotherapy; (3) different trainings; (4) supported employment and workplace accommodation. Destigmatization is an obligatory psychotherapeutical procedure starting the rehabilitation. Rehabilitative environment is a special micro social group with adjusted behavior. Trainings are a complex of psycho corrective procedures with different targets. Adaptive psychotherapy is the necessary part of the rehabilitation and bringing the patients back to the micro social group they are used to be a member of. Family psychotherapy is performed by discussing the problems of co-abuse, possible options of manipulative behavior in drug addicts and their families. At the stage of workplace accommodation and professional orientation behavior modes are formed, necessary for successful entry into the professional labor.
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Bullock, Karen, und Annie Bunce. „‘The prison don’t talk to you about getting out of prison’: On why prisons in England and Wales fail to rehabilitate prisoners“. Criminology & Criminal Justice 20, Nr. 1 (17.09.2018): 111–27. http://dx.doi.org/10.1177/1748895818800743.
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The position of rehabilitation in prisons in England and Wales has long been debated. Yet studies which consider how prisoners experience rehabilitative practices and processes are rare. Drawing on prisoners’ accounts, this article considers their perceptions and lived experiences of the ways in which rehabilitation is influenced by the nature of organizational support for rehabilitation; the characteristics of interventions implemented to support rehabilitation; and the complexion of the prison climate. We find the perception of an institutional failure to take responsibility for rehabilitation. Rehabilitative interventions – notably Offender Management Programmes (OMPS) and work placements – are perceived to be self-serving in rationale. They are experienced as ill-resourced, superficial in approach and unlikely to engender change. The prison climate, characterized by a lack of interest among correctional staff, lack of empathy and concern, and mixed – but often impersonal and sometimes antagonistic – relationships between prison staff and prisoners, further disrupts any ethos of rehabilitation. Theoretical and practical implications are discussed.
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Fiorillo, Luca, Cesare D’Amico, Anna Yurjevna Turkina, Fabiana Nicita, Giulia Amoroso und Giacomo Risitano. „Endo and Exoskeleton: New Technologies on Composite Materials“. Prosthesis 2, Nr. 1 (02.01.2020): 1–9. http://dx.doi.org/10.3390/prosthesis2010001.
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The developments in the field of rehabilitation are proceeding hand in hand with those of cybernetics, with the result of obtaining increasingly performing prostheses and rehabilitations for patients. The purpose of this work is to make a brief exposition of new technologies regarding composites materials that are used in the prosthetic and rehabilitative fields. Data collection took place on scientific databases, limited to a collection of data for the last five years, in order to present news on the innovative and actual materials. The results show that some of the most commonly used last materials are glass fibers and carbon fibers. Even in the robotics field, materials of this type are beginning to be used, thanks above all to the mechanical performances they offer. Surely these new materials, which offer characteristics similar to those in humans, could favor both the rehabilitation times of our patients, and also a better quality of life.
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Brzoska, Patrick, Odile Sauzet, Yüce Yilmaz-Aslan, Teresia Widera und Oliver Razum. „Satisfaction with rehabilitative health care services among German and non-German nationals residing in Germany: a cross-sectional study“. BMJ Open 7, Nr. 8 (August 2017): e015520. http://dx.doi.org/10.1136/bmjopen-2016-015520.
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ObjectivesRehabilitation following medical conditions is largely offered as in-patient service in Germany. Foreign-national residents use rehabilitative services less often than Germans and attain less favourable treatment outcomes. These differences are independent of demographic, socioeconomic and health characteristics. Satisfaction with different aspects of rehabilitative care presumably affects the effectiveness of rehabilitative services. We compared the degree of satisfaction with different domains of the rehabilitative care process between Germans and non-German nationals residing in Germany.MethodsWe used data from a cross-sectional rehabilitation patient survey annually conducted by the German Statutory Pension Insurance Scheme. The sample comprises 274 513 individuals undergoing medical rehabilitation in 642 hospitals during the years 2007–2011. Participants rated their satisfaction with different domains of rehabilitation on multi-item scales. We dichotomised each scale to low/moderate and high satisfaction. For each domain, a multilevel adjusted logistic regression analysis was conducted to examine differences in the levels of satisfaction between German and non-German nationals. Average marginal effects (AMEs) and 99.5% CI were computed as effect estimates. AMEs represent differences in the probability for the occurrence of the outcome.ResultsTurkish nationals had a higher probability for being less satisfied with most aspects of their rehabilitation, with AMEs ranging between 0.05 (99.5% CI 0.00 to 0.09) for ‘satisfaction with psychological care’ and 0.11 (99.5% CI 0.08 to 0.14) for ‘satisfaction with treatments during rehabilitation’. Patients from former Yugoslavia and from Portugal/Spain/Italy/Greece were as satisfied as Germans with most aspects of their rehabilitation.ConclusionsTurkish nationals are less satisfied with their rehabilitative care than other population groups. This may be attributable to the diversity of the population in terms of its expectations towards rehabilitation. Rehabilitative care institutions need to provide services that are sensitive to the needs of all clients. Diversity management can contribute to this process.
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Nolan, Mike, und Janet Nolan. „Nursing and rehabilitation: towards new horizons“. Reviews in Clinical Gerontology 8, Nr. 4 (November 1998): 319–29. http://dx.doi.org/10.1017/s0959259898008454.
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Rehabilitation has received considerable attention recently, having been the subject of a number of consultations, reviews and policy documents. Despite such activity it is recognized that ‘there is widespread confusion about the meaning of rehabilitation’, with a general failure to clarify aims and objectives. Nevertheless, there is an emerging consensus that the elements of effective rehabilitation include:- responsiveness to users' needs and wishes- multidisciplinary and interagency working- availability when required- clear rehabilitative purpose and goals
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Khaibullina, Z. R. „Organizational aspects of rehabilitative care for patients with traumatic disease of the spinal cord“. Bulletin of Siberian Medicine 9, Nr. 3 (28.06.2010): 147–49. http://dx.doi.org/10.20538/1682-0363-2010-3-147-149.
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Proposed organizational aspects of rehabilitative care for patients with traumatic disease of the spinal cord. Aim was to study the organization providing rehabilitation of spinal patients. Identified the following stages of rehabilitation services: a full-fledged conservative therapy, rehabilitation, improvement or compensation for lost functions, the restoration of household activity, the restoration of social activity. Properly set the organization of rehabilitation services, allows patients to our clinic undergo a complete rehabilitation, which greatly improved the results of treatment of this severe pathology.
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Brzoska, Patrick, Yüce Yilmaz-Aslan und Oliver Razum. „Zugang und Wirksamkeit bei der medizinischen Rehabilitation für Menschen mit Migrationshintergrund“. Public Health Forum 19, Nr. 4 (01.12.2011): 21–22. http://dx.doi.org/10.1016/j.phf.2011.10.003.
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EinleitungMenschen mit Migrationshintergrund unterscheiden sich in gesundheitlicher Hinsicht von Menschen ohne Migrationshintergrund. In der rehabilitativen Versorgung begegnen sie zahlreichen Zugangs- und Wirksamkeitsbarrieren, die einer bedarfs- und bedürfnisgerechten Rehabilitation entgegenstehen. Um den Zugang und die Wirksamkeit bei der Rehabilitation für diese Bevölkerungsgruppe zu verbessern, ist eine migrationssensible Ausrichtung von rehabilitativen Versorgungsangeboten in Form professioneller und systematischer Lösungsansätze erforderlich.
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Engelter, Stefan T., und Reto W. Kressig. „Besonderheiten moderner Rehabilitation beim betagten Menschen“. Praxis 107, Nr. 4 (Februar 2018): 193–96. http://dx.doi.org/10.1024/1661-8157/a002913.
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Zusammenfassung. Aufgrund der demografischen Entwicklung gewinnt die Rehabilitation Betagter an Bedeutung. Im Vergleich zum jüngeren Patienten sind beim betagten Patienten die Autonomie und die Handlungsfähigkeit in Alltagssituationen meist rascher bedroht, die soziale Partizipation fragiler, und somit die Gefahr der Vereinsamung prinzipiell grösser. Die Kommunikation mit dem Umfeld spielt eine grössere Rolle. Das Risiko für Komplikationen ist hoch; andererseits äussern betagte Patienten in der Regel weniger Angst vor dem Tod als vor einem völligen Verlust der Selbständigkeit und davor, ihren Angehörigen «zur Last zu fallen». Auch betagte Patienten profitieren von organspezifischen Rehabilitationsmassnahmen auf dem Niveau der Alltagsfunktionalität und sozialen Partizipation, wie dies exemplarisch für die Neurorehabilitation nach Schlagfanfall gezeigt wurde. Die geriatrische Rehabilitation fokussiert spezifisch auf die Bedürfnisse Betagter, die durch Multimorbidität, Vulnerabilität oder Gebrechlichkeit (Frailty) charakterisiert sind. Sie ist als interprofessioneller Prozess aufgebaut, der polymodal körperliche, psychische und soziale Aspekte systematisch erfasst und mit dem Patienten und seinem Umfeld ein individuell adaptiertes Ziel erarbeitet. Zentral sind die Aspekte Mobilität, Selbsthilfefähigkeit, Ernährung, Kognition, Stimmung, Kontinenz und soziale Situation. Ein Tragpfeiler ist dabei eine altersadaptierte, proteinreiche Ernährung. Ärztlicherseits wird es – gerade bei der Rehabilitation Betagter – hilfreich sein, die Kompetenzen aus verschiedenen Fachrichtungen synergistisch zu nutzen. Unter der Vorstellung einer optimalen Betreuung und Beratung gerade in den Kompetenzfeldern Mobilität, Kognition und Ernährung kann eine Co-Betreuung ein zukunftsfähiges Modell sein. Im Hinblick auf die rehabilitative Prognose dürfte «Alter» im Sinne der Anzahl bisheriger Lebensjahre eine überschätzte Prognosevariable sein. «Höheres Alter» kann hingegen als Surrogatmarker für Komorbiditäten gelten, die mit zunehmendem Lebensalter an Häufigkeit zunehmen. Unter diesen Gesichtspunkten ist es unbedingt zu vermeiden, dass betagte Patienten rein auf Grund ihrer bereits verbrachten Lebensjahre weniger häufig als Jüngere die Chance einer rehabilitativen Behandlung erhalten.
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Lindqvist, Per, und Jeremy Skipworth. „Evidence-based rehabilitation in forensic psychiatry“. British Journal of Psychiatry 176, Nr. 4 (April 2000): 320–23. http://dx.doi.org/10.1192/bjp.176.4.320.
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BackgroundThe extent to which forensic psychiatric rehabilitation alters an individual's level of risk is unclear.AimsTo highlight some essential features of a forensic psychiatric rehabilitation system, and to discuss risk assessment in this context to create a conceptual framework for risk research and practice.MethodThe applicability of risk assessment instruments to forensic psychiatric rehabilitation was examined. Core processes and elements considered essential in this type of rehabilitative work were reviewed.ResultsCurrent risk research has limited application to rehabilitation. Future research aimed at analysing forensic psychiatric rehabilitation will be hampered by the complexity of the treatment systems and the number of methodological issues relevant to this type of research.ConclusionsNovel research approaches are suggested to analyse further the risk factors and processes important in forensic psychiatric rehabilitation.
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Tung, Yu-Ju, Wen-Chih Lin, Lin-Fu Lee, Hong-Min Lin, Chung-Han Ho und Willy Chou. „Comparison of Cost-Effectiveness between Inpatient and Home-Based Post-Acute Care Models for Stroke Rehabilitation in Taiwan“. International Journal of Environmental Research and Public Health 18, Nr. 8 (14.04.2021): 4129. http://dx.doi.org/10.3390/ijerph18084129.
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Stroke rehabilitation focuses on alleviating post-stroke disability. Post-acute care (PAC) offers an intensive rehabilitative program as transitional care following acute stroke. A novel home-based PAC program has been initiated in Taiwan since 2019. Our study aimed to compare the current inpatient PAC model with a novel home-based PAC model in cost-effectiveness and functional recovery for stroke patients in Taiwan. One hundred ninety-seven stroke patients eligible for the PAC program were divided into two different health interventional groups. One received rehabilitation during hospitalization, and the other received rehabilitation by therapists at home. To evaluate the health economics, we assessed the total medical expenditure on rehabilitation using the health system of Taiwan national health insurance and performed cost-effectiveness analyses using improvements of daily activity in stroke patients based on the Barthel index (BI). Total rehabilitative duration and functional recovery were also documented. The total rehabilitative cost was cheaper in the home-based PAC group (p < 0.001), and the cost-effectiveness is USD 152.474 ± USD 164.661 in the inpatient group, and USD 48.184 ± USD 35.018 in the home group (p < 0.001). Lesser rehabilitative hours per 1-point increase of BI score was noted in the home-PAC group with similar improvements in daily activities, life quality and nutrition in both groups. Home-based PAC is more cost-effective than inpatient PAC for stroke rehabilitation.
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Smedes, Fred. „The Essential Elements of the PNF-concept, an Educational Narrative“. Journal of Physical Medicine and Rehabilitation 4, Nr. 2 (22.09.2022): 37–48. http://dx.doi.org/10.33696/rehabilitation.4.030.
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Introduction: The term Proprioceptive Neuromuscular Facilitation (PNF) was introduced in the 1950s by Dr. Kabat and Mrs. Knott. From the mid-1950s the PNF-concept has been in a progressive development clarifying the use of techniques, performances and clinical applications. The concept of PNF was originally developed by Dr. Kabat and Mrs. Knott for rehabilitation purposes. The International PNF Association (IPNFA) consider themselves to be the official successor of Dr. Kabat and Mrs. Knott. The PNF-concept evolved towards a comprehensive rehabilitation approach for various indications. There seems to be a misunderstanding about the PNF-concept, it is often seen as a basic stretching regime for wellbeing and general fitness. This has been criticized to avoid a confusion with the PNF-concept as a comprehensive rehabilitation approach. Purpose: Providing a background with an explanation for the essential elements of the PNF-concept, being a total and comprehensive rehabilitation approach in physiotherapy and rehabilitation. The elements from the PNF-concept facilitate treatment effects in the fields of musculoskeletal and central neurological disorders and indications with a focus on motor learning. Implications: The clarification of the essential elements from the PNF-concept in various fields of physiotherapy and physical rehabilitation will simplify how to transfer and incorporate the elements from the PNF-concept into individual treatments.
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Vonderschmidt, DSc, MPA, MS, NR-P, Kay. „Planning for a medical surge incident: Is rehabilitation the missing link?“ American Journal of Disaster Medicine 12, Nr. 3 (01.07.2017): 157–65. http://dx.doi.org/10.5055/ajdm.2017.0269.
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This mixed methods study explored surge planning for patients who will need rehabilitative care after a mass casualty incident. Planning for a patient surge incident typically considers only prehospital and hospital care. However, in many cases, disaster patients need rehabilitation for which planning is often overlooked. The purpose of this study was to explore this hidden dimension of patient rehabilitation for surge planning and preparedness and ask:1. To what extent can an analysis of standard patient acuity assessment tools [Simple Triage and Rapid Treatment and Injury Severity Score] be used to project future demand for admission to rehabilitative care?2. What improvements to medical disaster planning are needed to address patient surge related to rehabilitation?This study found that standard patient benchmarks can be used to project demand for rehabilitation following a mass casualty incident, and argues that a reconceptualization of surge planning to include rehabilitation would improve medical disaster planning.
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Koesters, M., T. Becker und I. Fiedler. „The role of guidelines in psychiatric rehabilitation“. Die Psychiatrie 12, Nr. 03 (Juli 2015): 149–54. http://dx.doi.org/10.1055/s-0038-1669596.
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SummaryThis article aims to shed light on the role of guidelines in psychiatric rehabilitation. We give an overview of guidelines specifically aimed at psychiatric rehabilitation and of which rehabilitative care interventions are considered in guidelines on mental disorders. Furthermore, we discuss the issue of guideline implementation with a focus on supported employment.
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Bernetti, Andrea, Francesco Agostini, Alessandro de Sire, Massimiliano Mangone, Lucrezia Tognolo, Annalisa Di Cesare, Pierangela Ruiu, Teresa Paolucci, Marco Invernizzi und Marco Paoloni. „Neuropathic Pain and Rehabilitation: A Systematic Review of International Guidelines“. Diagnostics 11, Nr. 1 (05.01.2021): 74. http://dx.doi.org/10.3390/diagnostics11010074.
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Background: Neuropathic pain is an injury or disease of the central and/or peripheral somatosensory nervous system, and it has a significant impact on quality of life, especially since it is often refractory to treatment. Rehabilitative intervention is considered in various guidelines on neuropathic pain treatment, although not in an organic nor detailed way. The aim of this systematic review was to analyze the most indicated therapeutic strategies, providing rehabilitative recommendations in the management of neuropathic pain. Methods: A systematic review was performed according to PRISMA guidelines. The scientific search, carried out until July 2020, considered guidelines in English language of the last thirteen years. Results: Six guidelines were analyzed, from which emerges that a multidisciplinary approach, comprehensive of pharmacologic and nonpharmacologic interventions, should drive neuropathic pain management. A relevant role in non-pharmacological intervention is played by rehabilitation, through an adequate tailored rehabilitation program and physical therapies. Conclusion: This analysis highlights the importance of rehabilitation but also the lack of evidence on various rehabilitative practices. Arises hence the need for further studies in this field to better define a rehabilitative treatment strategy.
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Murcia-Delso, Juan, Sergio M. Alcocer, Oriol Arnau, Yaneivy Martínez und David Murià-Vila. „Seismic rehabilitation of concrete buildings after the 1985 and 2017 earthquakes in Mexico City“. Earthquake Spectra 36, Nr. 2_suppl (21.09.2020): 175–98. http://dx.doi.org/10.1177/8755293020957372.
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The 19 September 2017 Puebla–Morelos earthquake provides a unique opportunity to (a) study the effectiveness of seismic rehabilitation methods implemented in Mexico City after 1985 and (b) collect large amounts of data on current building rehabilitation practices. This article presents and discusses seismic rehabilitation efforts conducted on concrete buildings after the 1985 and 2017 earthquakes. Building damage and vulnerabilities, code provisions for rehabilitation, and common repair and retrofit techniques used in these two periods of time are summarized. The performance of four buildings rehabilitated after 1985 is examined based on results from field investigations conducted after the 2017 event. These rehabilitations were effective in improving the performance of these buildings according to observed damages and estimated shaking intensities. To allow a more systematic assessment of seismic rehabilitations in future earthquakes, an inventory of rehabilitated buildings in Mexico City is currently under development. Preliminary data obtained from this inventory effort are presented and discussed.
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Granger, Carl V., und Carol M. Brownscheidle. „Outcome Measurement in Medical Rehabilitation“. International Journal of Technology Assessment in Health Care 11, Nr. 2 (1995): 262–68. http://dx.doi.org/10.1017/s0266462300006875.
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AbstarctThe Uniform Data System for Medical Rehabilitation (UDSmr) provides a method for uniform assessment of the severity of patient disability and the outcomes of medical rehabilitative care. The effectiveness and efficiency of medical rehabilitation services may be analyzed using the Functional Independence Measure (FIM), the functional assessment component of the UDS, and other data. Program evaluation models based on the UDSMR and the FIM are useful for measuring resource cost of disability.
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Moncer, Rihab, Ines Loubiri, Sarra Melki, Sinene Frigui, Walid Ouannes, Ahmed Ben Abdelaziz und Sonia Jemni. „An update on the access to inpatient rehabilitation facilities across Tunisia in 2023“. La Tunisie Médicale 102, Nr. 2 (18.02.2024). http://dx.doi.org/10.62438/tunismed.v102i2.4679.
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Introduction: Considering the growing global need and the complexity of health conditions, an intensive rehabilitation in inpatient departments is fundamental. Yet, in Tunisia, the distribution of Inpatient Rehabilitation Facilities is not illustrated. Aim: To perform an update concerning the rehabilitation’s beds-ratio /1000 Tunisian-inhabitants in 2023. Methods: Data were collected from the Tunisian Ministry of Health, the Eastern Mediterranean Regional Office, and the National Institute of Statistics websites. Results: The findings revealed a total number of rehabilitations’ beds 132 among a total of 20000 hospital beds with a rehabilitations’ beds-ratio equal to 0.01/1000 inhabitants. Only three Inpatient Rehabilitation Facilities were identified in Tunisia covering the Greater Tunis, North East, and Center east districts. There was inequity of distribution since the beds ratio is 1.07/1000 in the North east, 0.02/1000 in the Greater Tunis and 0 in the North West and the South of Tunisia. Conclusion: This update highlighted the alarmingly low rehabilitation’s beds-ratio in Tunisia, coupled to a significant regional disparity. Increasing beds in the existing Inpatient Rehabilitation Facilities and extending outpatient rehabilitation departments with inpatient units might be considered urgent solutions.
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„Mobile Rehabilitation im Pflegeheim“. Die Rehabilitation 57, Nr. 06 (Dezember 2018): 339–40. http://dx.doi.org/10.1055/a-0785-1366.
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Das Institut für Gesundheits- und Pflegeökonomie der Hochschule Bremen hat im Auftrag des Bundesministeriums für Gesundheit (BMG) zwischen 2014 und 2018 ein Forschungsprojekt zur „Ermittlung des allgemeinen Rehabilitationsbedarfes und Evaluation Mobiler Geriatrischer Rehabilitation in stationären Pflegeeinrichtungen und der Kurzzeitpflege“ durchgeführt. Die Forscher erhoben nicht nur den allgemeinen Bedarf der Bewohner und Bewohnerinnen an Rehabilitation und die Wirkung der mobilen rehabilitativen Versorgung. Sie untersuchten auch die Zusammenarbeit von stationärer Pflege und mobilem Rehabilitationsdienst, entwickelten Möglichkeiten zu ihrer Optimierung und erprobten diese. Darüber hinaus wurden begleitend die möglichen gesundheitsökonomischen Effekte des Einsatzes mobiler geriatrischer Rehabilitation (MoGeRe) analysiert. Dabei betrat die Studie in mehrerlei Hinsicht Neuland: In ihr wurde erstmals der Bedarf an medizinischer Rehabilitation in Einrichtungen der stationären Pflege untersucht. Zudem wurde in die Evaluation der Mobilen Reha ihre Teilhabewirkung einbezogen. Schließlich wurden die Ergebnisse der Behandlungsgruppe mit denen einer Kontrollgruppe verglichen, die trotz eindeutiger Rehabilitationsindikation nicht rehabilitativ behandelt wurde.
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Götz, Simon, Morten Wahrendorf und Nico Dragano. „Unterscheidet sich die berufliche Wiedereingliederung nach medizinscher Rehabilitation bezüglich Sozialstatus und Art der rehabilitativen Versorgung?“ Das Gesundheitswesen, 01.04.2021. http://dx.doi.org/10.1055/a-1335-4339.
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Zusammenfassung Ziel der Studie Beschäftigte mit einer niedrigen sozioökonomischen Position (SEP) scheiden nach einer medizinischen Rehabilitation öfter gesundheitsbedingt vollständig aus dem Erwerbsleben aus, als solche in einer höheren Position. Bisher ist unklar, ob bestimmte Arten der rehabilitativen Versorgung diese Ungleichheit im Rehabilitationserfolg reduzieren können. Diese Arbeit untersucht, ob bestimmte Arten der rehabilitativen Versorgung den Einfluss der SEP auf eine Rückkehr ins Erwerbsleben (Return-to-Work; RTW) modifizieren. Methodik Die Studie basiert auf administrativen Daten der Deutschen Rentenversicherung zu 266 413 medizinische Rehabilitationen von 253 311 voll ins Erwerbsleben integrierten Personen. Mit Poisson Regressionsanalysen wurde geprüft, ob ein Zusammenhang zwischen SEP (Einkommen, Bildung, Berufliche Position) und der Wahrscheinlichkeit eines RTW in den 12 Monaten nach der Maßnahme besteht und ob dieser Zusammenhang ggf. bei einer Anschlussheilbehandlung (AHB), einer stationären Behandlung oder einer Behandlung mit anschließender stufenweiser Wiedereingliederung geringer ausfällt als bei Rehabilitationen, die diese Merkmale nicht erfüllen. Ergebnisse Personen mit niedrigem Einkommen, geringer Bildung oder niedriger beruflicher Position haben ein erhöhtes Risiko für eine unvollständige Rückkehr ins Erwerbsleben nach einer medizinischen Rehabilitation. Dieser Zusammenhang ist für alle 3 SEP-Indikatoren vergleichsweise schwächer, wenn die Rückkehr ins Erwerbsleben als stufenweise Wiedereingliederung erfolgt. Bei AHB und stationären Rehabilitationen fällt der Zusammenhang ebenfalls schwächer aus, jedoch nur beim SEP Indikator Einkommen. Schlussfolgerung Sozioökonomisch benachteiligte Bevölkerungsgruppen kehren vergleichsweise häufiger nach einer medizinischen Rehabilitation nicht vollständig ins Erwerbsleben zurück. Diese Ungleichheiten fallen aber bei bestimmten Arten der rehabilitativen Versorgung geringer aus. Tendenziell ist dies bei einer aktiven strukturierenden Rolle des Versorgungssystems der Fall. Bezüglich der Effektmodifikation durch die Art der Behandlung besteht jedoch weiterer Forschungsbedarf. Diese sollte durch zu diesem Zweck erhobene Daten weiter untersucht werden, um Selektionseffekte auszuschließen.
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Wilke, Cornelia, Rudolf Siegert, Martin Warnach, Joachim Beyer, Jan Emmerich, Matthias Reckert, Lysann Kasprick, Max Emanuel Liebl und Matthias Schmidt-Ohlemann. „Mobile Rehabilitation erweitert denken – zur Implementierung einer Mobilen indikationsübergreifenden Rehabilitation“. Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin, 10.07.2024. http://dx.doi.org/10.1055/a-2353-6254.
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ZusammenfassungDer Berufsverband für Physikalische und Rehabilitative Medizin (BVPRM), die Deutsche Gesellschaft für Physikalische und Rehabilitative Medizin (DGPRM) und die Bundesarbeitsgemeinschaft Mobile Rehabilitation (BAG MoRe) plädieren für die Weiterentwicklung der mobilen Rehabilitation durch ein Konzept einer mobilen indikationsübergreifenden Rehabilitation außerhalb der Geriatrie. Dieses sollte für Menschen mit komplexen Schädigungen entwickelt und erprobt werden.
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Khaleel, Feryal Sami. „Suggested rehabilitation exercises in the treatment of partial rupture of the deltoid muscle in the shoulder joint and its impact on the range of motion of the throwing arm for the effectiveness of discus throw“. SPORT TK-Revista EuroAmericana de Ciencias del Deporte, 25.06.2023, 24. http://dx.doi.org/10.6018/sportk.575321.
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The rehabilitation process following injuries is crucial and requires careful attention from rehabilitation specialists. Injuries pose significant challenges for athletes, particularly in activities like discus throwing. This study aimed to develop suggested rehabilitative exercises targeted at rehabilitating partial ruptures of the deltoid muscle within the research sample. The researcher employed the experimental method using a one-group design style. The sample comprised four players from Baghdad clubs who had sustained partial deltoid muscle ruptures. The results indicated that the experimental variable played an effective role in the research sample, as evidenced by significant improvements in joint angle measurements across all tests. The proposed rehabilitative exercises proved highly effective in swiftly restoring the normal ranges and flexibility of the deltoid muscle within the shoulder joint among the research sample. Additionally, these exercises demonstrated a positive influence in significantly reducing the rehabilitation period required for recovery, indicating their efficacy in promoting expedited healing and functional restoration.
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Heath-Kelly, Charlotte, und Sadi Shanaah. „Rehabilitation within pre-crime interventions: The hybrid criminology of social crime prevention and countering violent extremism“. Theoretical Criminology, 22.06.2022, 136248062211088. http://dx.doi.org/10.1177/13624806221108866.
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Criminological literature frequently argues that the rehabilitative penological paradigm of the 20th century (‘penal welfarism’) has been replaced by pre-crime, risk-based, ‘new penology’. Under the conditions of social and economic neoliberalism, it is claimed, the commitment to rehabilitating individuals has been withdrawn. In this article, we explore the curious persistence of rehabilitation—enacted within crime prevention and countering-violent-extremism programmes. We show that rather than ‘new penology’ replacing ‘penal welfarism’, the history of social crime prevention programmes demonstrates the presence of a ‘hybrid penology’. Here, rehabilitation was brought into the pre-criminal space and practised upon pre-delinquents. This pre-emptive rehabilitation of at-risk subjects pervaded preventive policy in both Western Europe and the socialist Former Yugoslavia. In both case studies, this logic of pre-crime rehabilitation then transferred into the counterterrorism sector—with ideological dissidence identified as the threshold for reform-oriented intervention. Rehabilitation remains with us, warped by the turn to pre-emption.
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„Neue Stiftungsprofessur für Physikalische und Rehabilitative Medizin“. Die Rehabilitation 60, Nr. 05 (Oktober 2021): 298. http://dx.doi.org/10.1055/a-1588-0750.
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Prof. Dr. med. Anke Steinmetz ist neue Professorin für Physikalische und Rehabilitative Medizin in der Universitätsmedizin Greifswald. Die mit ihr besetzte Stiftungsprofessur wurde von der Deutschen Gesetzlichen Unfallversicherung (DGUV) zu dem Zweck eingerichtet, durch wissenschaftliche Arbeit im Bereich der Physikalischen und Rehabilitativen Medizin die Wiederherstellung der Gesundheit von Patienten und Patientinnen mit hochkomplexen Problemen zu fördern. Sie ist nach dem Rehabilitationsmediziner Prof. Dr. Kurt-Alphons Jochheim benannt, der als Begründer der integrierten medizinisch-beruflich-sozialen Rehabilitation gilt.
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Azadvari, Mohaddeseh, Seyede Zahra Emami Razavi, Maryam Hosseini und Mahsa Mayeli. „Evaluation of the Impact of Rehabilitation Training on the Knowledge and Attitude of Caregivers of COVID-19 Patients in Iran“. ACTA MEDICA IRANICA, 16.11.2021. http://dx.doi.org/10.18502/acta.v59i10.7764.
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Applying rehabilitative measures is shown to be influential in relieving the medical complications of the COVID-19 disease. Herein, we aimed to assess the effect of a rehabilitation training class on the knowledge and attitude of the caregivers of the COVID-19 patients. Twenty-three caregivers voluntarily filled the questionnaire before and after attending a training class that evaluated the participants' beliefs about the four types of rehabilitations in COVID-19, including musculoskeletal, respiratory, gastrointestinal, and deep vein thrombosis (DVT) prevention. Significant improvement in the caregiver's attitude about the importance of all four rehabilitation types was detected. Also, the knowledge was increased about the necessity of DVT prevention. The level of knowledge in the caregivers of COVID-19 patients in Iran is not satisfactory, which necessitates proper education to achieve the rehabilitation goals rapidly. In-person caregiver training along with presenting pamphlets is of the most useful methods.
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Kamilova, TA, AS Golota, DA Vologzhanin, OV Shneider und SG Scherbak. „Rehabilitation in oncology“. Medicine of Extreme Situations, Nr. (2)2021 (Juni 2021). http://dx.doi.org/10.47183/mes.2021.013.
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Current oncology and oncohematology treatment methods allow more patients to successfully survive the disease. However, afterwards, most survivors have to deal with a wide range of symptoms and side effects and need rehabilitation. Personalized rehabilitation programs for such patients employ various methods of physical medicine. Physical activity is an important component of the cancer patients' treatment and rehabilitation. It improves their functional health, specifically — physical performance, cognitive function, psychological health, and makes the quality of their lives better. Physical activity increases muscle strength, alleviates the radiation and chemotherapy side effects and relieves fatigue. Personalized exercise programs are employed to monitor patient's condition and exercise tolerance. Physical and cognitive rehabilitative interventions are performed simultaneously as part of interdisciplinary rehabilitative care, so this approach can have a synergistic effect. It is necessary to factor in contraindications when prescribing regular physical activity, exercise and other methods of rehabilitation, otherwise they can lead to clinical complications.
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Bethge, Matthias, David Fauser, Pia Zollmann und Marco Streibelt. „Utilisation of rehabilitation due to mental disorders during the SARS-CoV-2 pandemic: a difference-in-differences analysis“. BMC Psychiatry 23, Nr. 1 (06.03.2023). http://dx.doi.org/10.1186/s12888-023-04627-w.
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Abstract Background Our analyses examined the extent to which the use of rehabilitation for patients with mental disorders decreased due to the COVID-19 pandemic in Germany. Methods We used monthly cross-sectional administrative data on rehabilitation utilisation due to mental disorders in 2019 and 2020 and estimated a difference-in-differences model to determine the reduction in rehabilitation utilisation attributable to the pandemic. Results We included 151,775 rehabilitations in 2019 and 123,229 rehabilitations in 2020 in our analysis. The number of rehabilitations decreased from April to December by 14.2% due to the pandemic (March to December: 21.8%). The decline was more pronounced for women than for men and varied regionally. Temporal and regional differences in utilisation were moderately associated with the decrease in mobility in the pandemic year. In the first phase of the pandemic, i.e., March and April 2020, the decline was strongly associated with the regional incidence of SARS-CoV-2 infection. Conclusion Due to the pandemic, significantly fewer rehabilitations due to mental disorders occurred in Germany in 2020 than in 2019. The likely increasing need for rehabilitation for people with mental disorders should be addressed by making rehabilitation access and delivery more flexible.