Academic literature on the topic 'Out-patient rehabilitation'
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Journal articles on the topic "Out-patient rehabilitation"
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Lee, Dae-Hee, Se-Yeon Park, and Ji Sun Ha. "Patient satisfaction with out-patient rehabilitation therapy: validity and reliability." Journal of Physical Therapy Science 28, no. 12 (2016): 3354–56. http://dx.doi.org/10.1589/jpts.28.3354.
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Nordström, D. C. E., Y. T. Konttinen, S. Solovieva, C. Friman, and S. Santavirta. "In- and Out-patient Rehabilitation in Rheumatoid Arthritis." Scandinavian Journal of Rheumatology 25, no. 4 (January 1996): 200–206. http://dx.doi.org/10.3109/03009749609069988.
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Pizova, N. V. "Issues in rehabilitation of patients after stroke in the out-patient setting." Medical Council, no. 12 (July 29, 2018): 18–22. http://dx.doi.org/10.21518/2079-701x-2018-12-18-22.
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This article considers some current issues regarding rehabilitation of patients after a stroke during out-patient stage. It presents the key principles of post-stroke rehabilitation: functional approach, frequency and intensity of the training. The main methods of rehabilitation include exercise therapy, physiotherapy, pharmaceutical therapy, etc. The optimal intensity and duration of the training was determined. The article presents the features of physical rehabilitation of the paretic arm. It shows the effectiveness of complex rehabilitation using physical and pharmaceutical methods in restoring lost functions. The use of Vasobral in the process of rehabilitation of patients after a stroke is discussed.
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Aaron, Deborah J., Jacqueline K. Gardner, Jane A. Cauley, and Linda K. Hall. "REFERRAL TO OUT-PATIENT CARDIAC REHABILITATION PROGRAMS FOLLOWING CARDIAC SURGERY." Journal of Cardiopulmonary Rehabilitation 12, no. 5 (September 1992): 347. http://dx.doi.org/10.1097/00008483-199209000-00033.
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Gerardi, D. A., L. Lovett, M. L. Benoit-Connors, J. Z. Reardon, and R. L. ZuWallack. "Variables related to increased mortality following out-patient pulmonary rehabilitation." European Respiratory Journal 9, no. 3 (March 1, 1996): 431–35. http://dx.doi.org/10.1183/09031936.96.09030431.
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Wells, Peter. "Chiropractic versus Out-patient Treatment." Physiotherapy 76, no. 7 (July 1990): 385. http://dx.doi.org/10.1016/s0031-9406(10)62677-6.
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Painting, Stephen. "Chiropractic versus Out-patient Treatment." Physiotherapy 76, no. 7 (July 1990): 385. http://dx.doi.org/10.1016/s0031-9406(10)62678-8.
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Wells, Peter. "Chiropractic versus Out-patient Treatment." Physiotherapy 76, no. 9 (September 1990): 533. http://dx.doi.org/10.1016/s0031-9406(10)63027-1.
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Awchat, Kiran, Parag Dua, I. D. Roy, and 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, no. 3 (September 15, 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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G. Gorelik, Svetlana. "Rehabilitation of Patients with Geriatric Foot Syndrome in Out-patient Settings." HELIX 9, no. 6 (December 31, 2019): 5676–81. http://dx.doi.org/10.29042/2019-5676-5681.
Full textDissertations / Theses on the topic "Out-patient rehabilitation"
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Paim, Tatiana. "Physical activity promotion to older adults attending out-patient rehabilitation." Master's thesis, Australian Catholic University, 2022. https://acuresearchbank.acu.edu.au/download/a1a3d499f70da7095a292cae7ed379d16c101a647a436e4922f9b7f8e7629108/2075640/Paim_2022_Physical_activity_promotion_to_older_adults.pdf.
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Background: Physical inactivity is identified as a leading risk factor for global mortality. Physical activity benefits have been extensively demonstrated. Being physically active is essential for healthy ageing; with regular physical activity reported as the most effective strategy to prevent and reduce disability and maintain functional independence among older adults. Nonetheless, an overwhelming majority of people aged 65 years and above do not meet physical activity recommendations. Physiotherapists in out-patient rehabilitation settings are well placed to assist older adults to achieve an active lifestyle by incorporating physical activity into care plans and transitioning patients from a therapeutic to a healthier lifestyle focus. However, it is not known whether physiotherapists actively plan for this transition and incorporate this aspect of care into out-patient rehabilitation programs for older adults. The overall aim of this research program was to investigate current physiotherapy practice of physical activity promotion to older adults attending an out-patient rehabilitation program.
Method: Pragmatism is the theoretical perspective that underpins this program of research. A multimethod approach was taken to answer the research questions for this research program. Two studies, a quantitative and a qualitative study, were undertaken to gain valuable insights in the promotion of physical activity to older adults attending out-patient rehabilitation. Study 1 comprised an audit of physiotherapists’ documentation in medical records of older adults who attended an out-patient rehabilitation program at a tertiary hospital. Study 2, a qualitative study, comprised three focus groups with a total of 16 physiotherapists involved in the delivery of rehabilitation to older adults. Data were analysed using reflexive thematic analysis.
Results: In Study 1, 56 medical records were reviewed. Mean age (SD) of participants was 79 (7) years. No documentation was found on the use of validated tools to assess physical activity levels of older adults. Prescription of physical activity was documented in 55/56 (98%) medical records. Seven (12.5%) medical records included documentation on goal setting regarding physical activity participation. Advice on regular physical activity post-discharge from the rehabilitation program was documented in 28/56 (50%) medical records. Formal referral to community-based physical activity programs was documented in 4/56 (7%) medical records. In Study 2, four themes were identified: 1. Patient-centred approach; 2. Support required; 3. Exercise program targeting impairments versus physical activity for health, and 4. Inadequate community follow-up systems. Participants described a patient-centred approach when promoting physical activity to older adults attending out-patient rehabilitation. Participants identified the importance of getting patients engaged and willing to participate in physical activity by setting patient-centred goals and finding activities that are enjoyable, meaningful and relevant. Physiotherapist support was identified as a crucial factor to facilitate engagement in physical activity. Education, therapeutic rapport, encouragement and motivation were topics often discussed by participants. Physical activity assessment was rarely reported by participants in this study. Participants acknowledged focusing on the primary goal of restoring older adults’ functional capacity by treating physical impairments, and concomitantly promoting an active lifestyle for health benefits. Participants perceived that inadequate community follow-up was a major barrier to transition older adults to an active lifestyle post discharge from rehabilitation.
Conclusion: The findings from this research program suggest that physiotherapists are not widely applying evidence-based practice to the promotion of physical activity to older adults attending out-patient rehabilitation. Increasing physical activity is a global priority, with the World Health Organisation Global Action Plan on Physical Activity (GAPPA) 2018-2030, ‘More active people for a healthier world’, calling for a systems-wide approach to patient assessment and counselling on physical activity across all primary health care settings. Physiotherapists are ideally placed to be actioning this strategy, though there is scope for improvement in physical activity promotion to older adults attending out-patient rehabilitation. Furthermore, the establishment of tailored physical activity programmes and services to support older adults starting and maintaining regular physical activity is recommended. Implementation research providing a guiding pathway to support physiotherapists promoting physical activity to older adults is warranted. Physiotherapists working in out-patient rehabilitation settings can and should drive older adults’ transition from a restorative and therapeutic context to a self-managed active lifestyle in the community, by integrating physical activity promotion into routine practice.
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馮淑貞 and Shuk-ching Corina Fung. "Needs assessment for schizophrenic patients in an out-patient clinic." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2001. http://hub.hku.hk/bib/B31225998.
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Wong, Kwai-wing, and 黃桂榮. "A retrospective review of the quality of diabetes care in general out-patient clinics: do disparities of careexist?" Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B45174519.
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Leung, Wing-yan Vivian, and 梁詠茵. "A comparison of cost-effectiveness of dysphagia management via community and out-patient speech therapy service." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B31971969.
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Gatyeni, Siphokazi Princess. "Modelling in- and out-patient rehabilitation for substance abuse in dynamic environments." Thesis, 2015. http://hdl.handle.net/10019.1/97781.
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Thesis (MSc)--Stellenbosch University, 2015Stellenbosch : Stellenbosch University
ENGLISH ABSTRACT : Substance abuse is a major problem globally with immeasurable consequences to the health of users. Rehabilitation is one of the strategies that can help to fight against substance abuse. It is divided into two forms: in-patient and out-patient rehabilitation. In this study, we consider a compartmental model of substance users in rehabilitation, where a periodic function is included to illustrate seasonal oscillations of drug users entering rehabilitation. In this thesis, we derive two basic reproduction numbers R0 and [R0], where R0 is the model with periodicity and [R0] the model without periodicity. We show that the model has a drug-free equilibrium when the basic reproduction number R0 is less than one and drug persistent equilibrium when R0 is greater than one. We fit the model to data and obtained sneak preview of the future of these forms of rehabilitation. Our results indicate that when R0 is less than one, the in- and out-patient populations decrease quickly and when R0 is greater than one drugs persists and after a long period of time, individuals in rehabilitation approaches w-periodic solution. Sensitivity analysis is performed and the results show that control measures should focus on the effective contact rate between susceptibles and drug users so as to control the epidemic. These results have significant implications on the management and planning of rehabilitation programs in South Africa.
AFRIKAANSE OPSOMMING : Dwelm misbruik is wêreldwyd ‘n ernstige problem met onmeetbare gevolge vir die gesondheid van gebruikers. Rehabilitasie is een van die strategieë wat dwelm misbruik kan help beveg. Dit word in twee vorms verdeel: binnepasiënt- en buitepasiëntrehabilitasie. In hierdie studie ondersoek ons ‘n kompartementele model van dwelmgebruikers in rehabilitasie, waar ‘n periodieke funksie ingesluit word om seisoenale skommelings aan te toon met betrekking tot dwelmgebruikers wat rehabilitasie aanpak. In hierdie tesis lei ons twee basiese reproduksienommers af, R0 en [R0], waar R0 die model met periodisiteit en [R0] die model sonder periodisiteit is. Ons toon aan dat die model ‘n dwelmvrye ekwilibrium het wanneer die basiese reproduksienommer R0 minder as een is en ‘n dwelm-voortsettingsekwilibrium het wanneer R0 meer as een is. Ons pas die model op die data toe en verkry ‘n vooruitskouende blik op die toekoms van hierdie vorms van rehabilitasie. Ons resultate dui aan dat wanneer R0 minder as een is, die binne- en buitepasiënt-bevolkings vinnig verminder en wanneer R0 meer as een is, die gebruik van dwelms voortduur en dat nà ‘n lang tydperk individue in rehabilitasie nader aan w-periodieke oplossing beweeg. Sensitiwiteitsontleding word uitgevoer en die resultate toon aan dat daar ‘n bewustheid moet bestaan dat die graad van effektiewe kontak tussen vatbare individue en dwelmgebruikers beperk moet word ten einde die epidemie onder beheer te bring. Hierdie resultate het betekenisvolle implikasies vir die bestuur en beplanning van rehabilitasieprogramme in Suid-Afrika.
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Thomas, Adele. "Treatment profile for out-patient clinics for alcoholics in South Africa - implications for socal work intervention." Thesis, 2014. http://hdl.handle.net/10210/10516.
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D.Phil. (Social Work)The treatment of out-patient alcoholics has thus far commanded little research attention in South Africa. The present investigation alms to provide a profile of the characteristics both of clients who approach out-patient clinics for help and of those who render service in this field. Additionally, an attempt is made to delineate the nature of treatment received by outpatient alcoholics and to link any subsequent relapse to aspects of such treatment and to characteristics which they evidence. In this way characteristics of clients which may be indicative of favourable prognosis as well as specific components of treatment which may promote rehabilitation are identified. All 390 alcoholic clients who approached the 26 out-patient clinics in South Africa for help during 1st April to 30th June 1981 inclusive, comprise the research universe. To each of these clients an interview schedule was administered by professional staff members at the various clinics in order to obtain i~formation pertaining to major client characteristics. Such staff members, by means of a standardised check list, also monitored the nature of treatment received by each client in the investigation. The relapse of clients was ascertained by the researcher personally tracing their readmission at any in- or out-patient clinic in South Africa within one year of their individual dates of discharge from clinics where they were drawn for inclusion in the investigation. In order to identify the major characteristics of staff members, especially those pertaining to their employment at the various clinics, the researcher personally administered an interview schedule to each of the 84 professionals who comprise the staff research universe. These staff members were directly involved in rendering service to the 390 out-patient clients during the course of their formal treatment periods.
Books on the topic "Out-patient rehabilitation"
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Troosters, Thierry. Out-Patient Rehabilitation in Chronic Obstructive Pulmonary Disease. Coronet Books, 1999.
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Markus, Hugh, Anthony Pereira, and Geoffrey Cloud. Organization of stroke services. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198737889.003.0016.
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The chapter on organization of stroke services discusses the evidence for stroke unit care and defines what this means within hospitals. The chapter sets out the patient pathway starting with pre-hospital care the assessment using the Face Arm Speech Test (FAST). It then moves to the acute hospital care emergency department (Recognition of Stroke in the Emergency Room, ROSIER) and consideration of thrombolysis and admission to an acute stroke unit. Rehabilitation and transition of care into the community including early support discharge bookends the chapter. Staffing levels are discussed as is the relationship between stroke unit nursing levels and mortality.
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Kane, Robert L., and Thomas D. Parsons, eds. The Role of Technology in Clinical Neuropsychology. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780190234737.001.0001.
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Neuropsychology as a field has been slow to embrace and exploit the potential offered by technology to either make the assessment process more efficient or to develop new capabilities that augment the assessment of cognition. The Role of Technology in Clinical Neuropsychology details current efforts to use technology to enhance cognitive assessment with an emphasis on developing expanded capabilities for clinical assessment. The first sections of the book provide an overview of current approaches to computerized assessment along with newer technologies to assess behavior. The next series of chapters explores the use of novel technologies and approaches in cognitive assessment as they relate to developments in telemedicine, mobile health, and remote monitoring including developing smart environments. While still largely office-based, health care is increasingly moving out of the office with an increased emphasis on connecting patients with providers, and providers with other providers, remotely. Chapters also address the use of technology to enhance cognitive rehabilitation by implementing conceptually-based games to teach cognitive strategies and virtual environments to measure outcomes. Next, the chapters explore the use of virtual reality and scenario-based assessment to capture critical aspects of performance not assessed by traditional means and the implementation of neurobiological metrics to enhance patient assessment. Chapters also address the use of imaging to better define cognitive skills and assessment methods along with the integration of cognitive assessment with imaging to define the functioning of brain networks. The final section of the book discusses the ethical and methodological considerations needed for adopting advanced technologies for neuropsychological assessment. Authored by numerous leading figures in the field of neuropsychology, this volume emphasizes the critical role that virtual environments, neuroimaging, and data analytics will play as clinical neuropsychology moves forward in the future.
Book chapters on the topic "Out-patient rehabilitation"
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Martiñón, Susana, and Ricardo Hernández-Miramontes. "Use of Exoskeletons in the Treatment and Rehabilitation of Paraplegia Patients." In Paraplegia. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.94920.
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This chapter presents a review that includes five robotic exoskeletons used in the rehabilitation of paraplegic patients, highlighting the qualities of each one and offering the doctor and the rehabilitator a tool to select the exoskeleton that is most appropriate to the needs of their patient and a more satisfying and integral therapy. A systematic search was carried out in different platforms of scientific interest, the publications that met the inclusion criteria were selected. The information collected was classified and synthesized, resulting in a review that covers the five most relevant exoskeletons for the rehabilitation of paraplegic patients. Concluding with a tool that helps the therapist select the most appropriate exoskeleton for each patient.
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Eva, Gail. "Rehabilitation of the cancer patient." In Oxford Handbook of Cancer Nursing, edited by Mike Tadman, Dave Roberts, and Mark Foulkes, 137–40. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198701101.003.0010.
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Disability is a major, but often under-recognized, problem for people with cancer. Rehabilitation engages patients and their families in an active process of achieving meaningful goals, so that decline does not have to be associated with helplessness and hopelessness. It aims to maximize social participation and well-being, to achieve personal satisfaction and adaptation to disability, and to minimize carer stress and distress. Rehabilitation is a multiprofessional activity carried out by a range of allied health professionals (AHPs) and other health and social care professionals. The AHPs involved include occupational therapists, physiotherapists, speech and language therapists, dieticians, therapy radiographers, and lymphoedema therapists. In inpatient settings, discharge planning might supersede rehabilitation as the focus of care. Once the patient is at home, it is important to consider their longer-term rehabilitation needs and to make appropriate referrals to community-based primary care rehabilitation teams. Nurses play an active part in the rehabilitation process and can contribute by making appropriate rehabilitation referrals and by working with AHPs to enable patients to maintain independence and control in their daily activities. Patients’ rehabilitation needs vary from straightforward to complex, and the National Institute for Health and Care Excellence (NICE) has produced a 3-level model of the roles and responsibilities of different members of the multidisciplinary team.
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Patil, Yogendra, Guilherme Galdino Siqueira, Iara Brandao, and Fei Hu. "Collaboration of Rehabilitation Robot with Virtual Reality Development Engine." In Advances in Medical Technologies and Clinical Practice, 13–27. IGI Global, 2016. http://dx.doi.org/10.4018/978-1-4666-9740-9.ch002.
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Stroke rehabilitation techniques have gathered an immense attention due to the addition of virtual reality environment for rehabilitation purposes. Current techniques involve ideas such as imitating various stroke rehabilitation exercises in virtual world. This makes rehabilitation process more attractive as compared to conventional methods and motivates the patient to continue the therapy. However, most of the virtual reality based stroke rehabilitation studies focus on patient performing sedentary rehabilitation exercises. In this chapter, we introduce our virtual reality based post stroke rehabilitation system that allows a post stroke patient to perform dynamic exercises. With the introduction of our system, we hope to increase post stroke patient's ability to perform their daily routine exercises independently. Our discussion in this chapter is mainly centered around collaboration of rehabilitation system with virtual reality software. We also detail the design process of our modern user interface for collecting useful data during rehabilitation. A simple experiment is carried out to validate the visibility of our system.
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Bedi, Deepali. "Efficacy of Art Therapy in Treating Patients with Paranoid Schizophrenia." In Research Anthology on Rehabilitation Practices and Therapy, 815–27. IGI Global, 2021. http://dx.doi.org/10.4018/978-1-7998-3432-8.ch039.
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Paranoid Schizophrenia chronic mental illnesses according to DSM-IVTR characterized by the presence of delusion of persecution, suspicious, distrusting, guarded, reserved, tensed, and also sometimes hostile or aggressive. Patients also perceive exaggerated warmth and friendship by the professionals as attempt at bribery, manipulation or exploitation. But therapeutic relationship between patient and the professional is integral to the recovery process and the outcome. Good communication on the part of health care professionals is an essential element in developing the strong practitioner-patient relationship necessary in the treatment of schizophrenia. Professionals are usually at a look out for tools to build a working alliance best used in such cases. Usually behavioural therapy, supportive therapy and family therapy are used for such patients. But sometimes with chronic and resistant client will get stuck at the initial rapport itself. At this stage probably art therapy as an advance intervention strategy to work with patient as an advanced intervention strategies and treatment.
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Brody, David L. "Dizziness." In Concussion Care Manual, 67–70. Oxford University Press, 2014. http://dx.doi.org/10.1093/med/9780199383863.003.0014.
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Dizziness means many different things to different people: lightheadedness, vertigo, poor balance, mental fogginess, and others concerns. Lightheadedness, meaning a feeling like the patient may pass out, is usually due to low blood pressure, often orthostatic hypotension. Vertigo, meaning a sensation of spinning or movement, can be an inner ear problem or a brain problem: Stop toxic substances; if there is nystagmus, refer to ENT for a full evaluation; perform the Dix-Hallpike maneuver to assess for benign paroxysmal positional vertigo; and refer to physical therapy for repositioning maneuvers if positive; consider vestibular rehabilitation; consider a short course of medication such as scopolamine or meclizine; consider ordering an MRI scan of the brain, as sometimes the concussion unmasks another unrelated problem. Dizziness meaning “mental fogginess” usually turns out to be attention deficit. Dizziness meaning vague and nonspecific malaise usually turns out to be fatigue, depression, or anxiety.
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Brody, David L. "Dizziness." In Concussion Care Manual, edited by David L. Brody, 101–6. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190054793.003.0015.
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Dizziness means many different things to different people: lightheadedness, vertigo, poor balance, mental fogginess, and other concerns. Lightheadedness, meaning a feeling like the patient may pass out, is usually due to low blood pressure, often orthostatic hypotension. Vertigo, meaning a sensation of spinning or movement, can be an inner ear problem or a brain problem. Stop toxic substances; if there is nystagmus, refer to an ear, nose, and throat specialist (ENT) for a full evaluation. Perform the Dix Hallpike maneuvers to assess for benign paroxysmal positional vertigo and refer to physical therapy for repositioning maneuvers if positive. Consider vestibular rehabilitation; consider a short course of medication such as scopolamine or meclizine; consider ordering a magnetic resonance imaging (MRI) scan of the brain, because the concussion sometimes unmasks another unrelated problem. Dizziness meaning “mental fogginess” usually turns out to be attention deficit. Dizziness meaning vague and nonspecific malaise usually turns out to be fatigue, depression, or anxiety.
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Swetha, R., and S. NirmalaDevi. "Design of Prosthetic Arm." In Advances in Parallel Computing. IOS Press, 2021. http://dx.doi.org/10.3233/apc210015.
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This paper proposes the design of the prosthetic arm by reconstructing the structure and proportions of an amputated arm using high precision methods and dimensions. To achieve this, CT images of the patient’s amputated and non-amputated arm are collected from the Rehabilitation centre. The patient CT data were imported to a 3D modelling software i.e., Mimics Innovation Suite version 22.0 Materialise 3-Matic version 14.0 original licensed software. The exported file is given to the Computer-Aided Design software, the geometry of the socket and the prosthetic arm were designed according to the mirrored geometry of the non-affected arm. 3D rendering for various degrees of movement has been carried out for animation.
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Brody, David L. "Memory Impairment." In Concussion Care Manual, 77–82. Oxford University Press, 2014. http://dx.doi.org/10.1093/med/9780199383863.003.0017.
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Many complaints of memory problems after concussion actually turn out to be attention deficit. Take a careful collateral history regarding memory function in everyday life. Consider both bedside testing and formal neuropsychological testing of memory, but treat the patient, not the test results. Reduce barriers to optimal memory function: Optimize sleep; treat chronic pain; taper or stop cognitively impairing medications; stop alcohol and illicit drugs; prescribe moderate cardiovascular exercise; test for vitamin B12 deficiency, hypothyroidism, electrolyte disorders, hypo- or hypergylcemia, renal failure, liver failure, and anemia. Refer to speech therapy and occupational therapy for memory training. Stimulants can allow more intense cognitive rehabilitation when attention or fatigue are limiting. Consider pharmacological enhancers of memory including caffeine, donepezil, or rivastigmine. These have modest benefits, and the nonpharmacological interventions are more important.
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Brody, David L. "Memory Impairment." In Concussion Care Manual, edited by David L. Brody, 116–24. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190054793.003.0018.
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Many complaints of memory problems after concussion actually turn out to be attention deficit. Take a careful collateral history regarding memory function in everyday life. Consider both bedside testing and formal neuropsychological testing of memory, but treat the patient not the test results. Reduce barriers to optimal memory function: Optimize sleep; treat chronic pain; taper or stop cognitively impairing medications; stop alcohol and illicit drugs; prescribe moderate cardiovascular exercise; test for vitamin B12 deficiency, hypothyroidism, electrolyte disorders, hypo- or hyperglycemia, renal failure, liver failure, and anemia. Refer to speech therapy and occupational therapy for memory training. Computer-based training can be beneficial in addition to in-person training. Stimulants can allow more intense cognitive rehabilitation when attention or fatigue are limiting. Consider pharmacological enhancers of memory including caffeine, donepezil, or rivastigmine. These have modest benefits and the nonpharmacological interventions are more important.
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Finkelstein, Joseph, In cheol Jeong, Mackenzie Doerstling, Yichao Shen, Chenhao Wei, and Herbert Karpatkin. "Usability of Remote Assessment of Exercise Capacity for Pulmonary Telerehabilitation Program." In Studies in Health Technology and Informatics. IOS Press, 2020. http://dx.doi.org/10.3233/shti200697.
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Pulmonary rehabilitation [PR] has been successfully carried out via telemedicine however initial patient assessment has been traditionally conducted in PR centers. The first step in PR is assessment of patient’s exercise capacity which allows individualized prescription of safe and effective exercise program. With COVID-19 pandemics assessment of patients in PR centers has been limited resulting in significant reduction of patients undergoing life-saving PR. The goal of this pilot study was to introduce approaches for remote assessment of exercise capacity using videoconferencing platforms and provide initial usability assessment of this approach by conducing cognitive walkthrough testing. We developed a remote assessment system that supports comprehensive physical therapy assessment necessary for prescription of a personalized exercise program tailored to individual fitness level and limitations in gait and balance of the patient under evaluation. Usability was assessed by conducting cognitive walkthrough and system usability surveys. The usability inspection of the remote exercise assessment demonstrated overall high acceptance by all study participants. Our next steps in developing user-centered interface should include usability evaluation in different subgroups of patients with varying socio-economic background, different age groups, computer skills, literacy and numeracy.
Conference papers on the topic "Out-patient rehabilitation"
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Windt, M. R., L. Flanagan, and H. Mullaney. "Prospective Out-Patient Study of Pulmonary Rehabilitation for Long COVID: Pilot Study." In American Thoracic Society 2022 International Conference, May 13-18, 2022 - San Francisco, CA. American Thoracic Society, 2022. http://dx.doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4962.
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Hsiu Hung, Yu, Yu Ching Lin, Shan Song Yang, and Yen Chen Liu. "Enhancing Patient Engagement: The Development of Mirror Therapy Tasks for Stroke Rehabilitation." In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002018.
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Background: Mirror therapy (MT) has been shown to improve upper extremity function in stroke rehabilitation. In MT, engaging patients in meaningful therapeutic exercise determines patients’ motivations and further the effectiveness of a rehabilitation program. The purpose of this study was to explore tasks that effectively enhance patient engagement in MT. Five participants with clinical and industrial design background were recruited to perform brainstorming activities for generating MT task ideas. All task ideas were evaluated by two rehabilitation specialists on the applicability based on the current MT protocol. Four task ideas (out of 74) were chosen by the two specialists and design recommendations were made for improving their feasibilities in MT. These ideas were: filling the blank with stamping tools (on magnetic board), spelling words with wooden letter dice, making patterns with black/white cubes, and making 3D shapes with clay. After identifying the potential task ideas, fifteen participants were recruited to assess the four developed MT tasks as well as five most-mentioned MT tasks in the literature using the User Engagement Scale (Short Form). One-way repeated measures ANOVA and pairwise comparisons were then conducted on participants’ rating scores. Results showed that participants’ rating scores for “filling the blank with stamping tools (on magnetic board)” as well as “making 3D shapes with clay” were significantly higher than those of five conventional MT tasks. The outcomes of the study benefit the communities of occupational therapy in the design of MT tasks.
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Cleto, Isabela Virgílio, Guilherme Silva Guimarães, Leticia Poloni dos Santos, Carolina Miguel Nôga, and Leticia Moraes Aquino. "Health education in physiotherapy for spinocerebelar ataxia." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.546.
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Introduction: Ataxia is a symptom of several degenerative medical conditions; the most common in Brazil being Spinocerebelar ataxia (SCA). These patients have difficulty performing fine coordination motors activities, altered body balance and gait. The treatment is based on multidisciplinar rehabilitation, to improve quality of life and mantain general health. Health education (HE) can benefit these patients, but there are few reports about it, especially in SCA patients. Objectives: To search the literature for evidence of the use of HE in phyisiotherapy for SCA patients in Brazil. Design and settings: Study carried out at Centro Universitario São Camilo. Methodology: Literature review in the databases: Scielo, UNIFESP and LILACS, Key words: “SCA”, ”rehabilitation”, “HE” and “physiotherapy”, in Portuguese, English or Spanish . Results: 27 articles were found, of which 16 were eligible. Studies demonstrates the need for more evidence for HE to be part of the physiotherapist’s routine, encouraging the participation and autonomy of the patient and family in the rehabilitation process. It is possible to develop educational materials that complement the health guidelines for these patients. Conclusion: There is a literary gap about the direct role of the physiotherapist as a HE agent, with responsibilities beyond rehabilitation; within the scope of prevention, health promotion and self-management of the patient and family.
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Farias, Frederico Arriaga Criscuoli de, Carolina Matté Dagostini, Carolina Dalla Santa Dal Moro, Carolina Odorizzi Magno Nunes, Mariana Moreira Rizzolli, and Marcelo R. Roxo. "Beneficial effects of combined rTMS and physical rehabilitation for spasticity in multiple sclerosis." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.450.
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Background: spasticity affects up to 90% of multiple sclerosis (MS) patients, being a major cause of disability. Repetitive transcranial magnetic stimulation (rTMS) appears to be a potential treatment, but literature is scarce. Objectives: to evaluate the effects of combined rTMS and physical therapy for spasticity in MS patients. Methods: relapsing-remitting MS patients suffering from lower limb spasticity were included. The rTMS protocol consisted of 20 sessions of 18 trains of 50 stimuli at 5Hz and at 100% of rest potential threshold, with 10 seconds per train and 40 second pauses, amounting for 900 pulses (15 minutes) with a Neurosoft- MS/D double coil. Optimal coil positioning was determined by motor responses in the contralateral soleus muscle. The physical therapy protocol included active exercising – stationary bicycle, step climbing with partial weight suspension – followed by mild gradual resistance exercising for knee extension and hip and foot flexion, proprioceptive exercises and active stretching. The primary outcome was improvement on the Modified Ashworth Scale (MAS) score at baseline and 4 weeks after treatment. Results: five female patients were recruited. At the 4-week follow-up, 4 out the 5 patients had a significant improvement regarding spasticity. There was a reduction in mean MAS score from 2.30 to 1.42. Patient 1 had a MAS score reduction from 2 to 1 (50%). Patient 2 from 3 to 1 (66%), patient 3 from 4 to 3 (25%) and patient 4 from 0.5 to 0.125 (75%). Conclusion: combined rTMS and physical therapy protocols presents as a beneficial treatment modality for MS spasticity.
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Shaw, Erik, Pablo Vasquez, Ryosuke Kondo, Kevin Ung, Zachary Farrer, Evan Fagerberg, Jack Baker, et al. "Assisted Mobility Gait Training System." In ASME 2016 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2016. http://dx.doi.org/10.1115/imece2016-65635.
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Gait training is a rehabilitation process which helps patients improve their ability to walk or stand. Current gait training methods require patients to be in hospitals or rehabilitation facilities to acquire data on their recovery progress; there is no method of monitoring patient’s walking pattern continuously. Patients can fall into bad habits when they are not with their physician. Assisted Mobility Gait Training System is a redesigned walker that wirelessly provides data to patients and healthcare professionals throughout the rehab process. With continuous monitoring of data, patients can obtain live feedback about their walking pattern when they are outside a hospital setting. Assisted Mobility Gait Trainer combines tele-medicine and out-patient monitoring to improve the gait rehabilitation process. Portability and ease of use allows the device to be used as an outpatient monitoring tool decreasing recovery time and healthcare visitations. Data acquisition and progress monitoring are achieved through load cells and a Microsoft Kinect 2 that collects data regarding the patient’s gait. Imaging arrays within the Microsoft Kinect 2, including an RGB camera, infrared emitter, and depth sensor, monitor limb trajectories. Angle of rotation of each joint is obtained through the use of blob detection and trigonometry, specifically a variation of the dot product. Use of the camera, load cells, and wheel encoder ensures there is minimal set up time, other than turning on the system. Four load cells in each leg measure the force applied to the gait trainer, which allows physicians to identify if the patient is utilizing one leg more than the other, as well as determining if the patient becomes less reliant on the walker over time. Gait speed and distance traveled during use is measured by a wheel encoder. Data collected is sent into cloud storage where it is processed and saved. Saved data is then electronically communicated to the healthcare professional and the patient in two separate user interfaces. Healthcare professionals are able to help patients gage their rehabilitation progress more efficiently. Patients benefit by receiving feedback regarding their gait while they are not at a rehab facility, which assists against patients falling into of bad habits during the rehabilitation process.
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Bostelman, Roger, James Albus, Tommy Chang, Tsai Hong, Sunil K. Agrawal, and Ji-Chul Ryu. "HLPR Chair: A Novel Indoor Mobility-Assist and Lift System." In ASME 2007 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. ASMEDC, 2007. http://dx.doi.org/10.1115/detc2007-35295.
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This paper describes a novel Home Lift, Position, and Rehabilitation (HLPR) Chair, designed at National Institute of Standards and Technology (NIST), to provide independent patient mobility for indoor tasks, such as moving to and placing a person on a toilet or bed, and lift assistance for tasks, such as accessing kitchen or other tall shelves. These functionalities are currently out of reach of most wheelchair users. One of the design motivations of the HLPR Chair is to reduce back injury, typically, an important issue in the care of this group. The HLPR Chair is currently being extended to be an autonomous mobility device to assist cognition by route and trajectory planning. This paper describes the design of HLPR Chair, its control architecture, and algorithms for autonomous planning and control using its unique kinematics.
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Badea, Florin Ciprian, Elvis Sachir Erdogan, Gheorghe Raftu, Victoria Badea, and Mircea Grigorian. "STUDY ON THE EVALUATION OF ORAL REHABILITATION USING DENTAL IMPLANT BY QANTIFYING OSTEOPROTEGERIN AND INTERLEUKIN." In NORDSCI International Conference. SAIMA Consult Ltd, 2020. http://dx.doi.org/10.32008/nordsci2020/b1/v3/30.
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Partial and total edentation has been a real problem worldwide and at all times. The realization of an individualized treatment plan for each form of edentation takes into account the particularities of the edentulous prosthetic field and the materials used as well as the conventional or modern techniques applied. The study group consisted of 220 patients in whom dental implants were inserted; the control group was randomized from 10 patients with a favorable evolution out of the 210 (94.55%). At 7 and 60 days after the insertion of the dental implants and 6 months after their prosthetic loading, crevicular fluid and peri-implant fluid was harvested, for the quantitative determination of Osteoprotegerin (OPG) and Interleukin 1β (IL1-β). Of the 220 patients studied, 10 developed peri implantitis (5.45%) as follows: 4 patients with mucositis and 6 patients with severe form. The results obtained show that there are differences with statistical significance between the OPG values obtained in crevicular fluid in healthy compared to patients with mucositis after 7 days (p <0.001). Regarding IL1-β, there are differences with high statistical significance between the levels in healthy patients and those with peri-implantitis after 7 days (p <0.001). Our results show the existence of a high correlation between the clinical status and these two parameters, especially after the determinations performed at 7 and 60 days. In conclusions, the present study shows that the OPG and IL1-β can be considered useful markers in the evaluation of the patient after the insertion of the dental implant and after its prosthetic loading.
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Matos.., Demétrio, António Marques Pinho, Ana Margarida Ferreira, and João Paulo Martins. "Contribution of Design in the Developmental Process of External Prosthetic Medical Devices." In Applied Human Factors and Ergonomics Conference. AHFE International, 2022. http://dx.doi.org/10.54941/ahfe100825.
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Aware of the importance of systemic and multidisciplinary approaches to the development of a new product but also of the synergy of variables and dimensions such as formal-aesthetic, emotional, and usability for its success and for the decision of buying, an active research based on user-centered design methods was carried out. We are seeking to find and validate, through methods such as literary review, direct observation, surveys, interviews and by designing and prototyping a new product, the variables and their relations so that issues such as user needs, as a whole, and organizational expectations, among others, be considered in the design phase. The project chosen to validate this research aims to optimize endoskeleton prosthesis for lower limb and therefore the quality of life for amputees. In the first methodological moment, i.e. analysis, several variables related to shortcomings of the current products and possible improvements were identified through interaction with users. With these data it is hoped to surpass the kind of devices limited to reproduce a walking cycle and obtain effective solutions both for the initial phase of rehabilitation as for the further active life of the patient.
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Scott, Noah, Rui Li, and Zion Tse. "MobileGyro: Android Application for Bluetooth Gyroscope Tracking With Potential for Impact in Rehabilitative Processes." In 2019 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2019. http://dx.doi.org/10.1115/dmd2019-3225.
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According to the CDC, 795,000 Americans are diagnosed with a stroke each year. Out of the all of the technology used to track the gait of a stroke patient, the Inertial Measurement Unit (IMU) is growing in recognition and use. These are often used as wearable sensors for rehabilitation, with their small size and cost effectiveness. The purpose of this research is to detail the innovation of an android application with the ability to receive IMU data and present it through medically significant visual displays. The data from a device is received via bluetooth, and is transmitted in terms of angles roll (x axis), pitch (y axis) and yaw (z axis). The application displays this data to allow the user to track the position of the IMU in live time. The medical professional has the ability to input a desired set of angles, and track the proximity of a connected device to the target position. The data is presented visually through the coronal, transverse & sagittal plane. When roll and pitch angles from the app were compared to angular values measured on a protractor, the average difference was +/− 0.366° and +/− 0.436°, in roll and pitch respectively. Along with the average accuracy being less than a 0.5° difference, the application has the ability to connect and track 3 IMU devices simultaneously. The data can be stored and exported. The greatest limitation is angular presentation latency. This creation has the potential to catalyze creation of an app that can track a high number of devices simultaneously, with high accuracy and low signal latency. The ability to track and position wearable IMU sensors using a smartphone or tablet offers an exciting future in rehabilitation, especially for recovering stroke patients.
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Lanzoni, Daniel, Andrea Vitali, Daniele Regazzoni, and Caterina Rizzi. "Medical Assessment Test of Extrapersonal Neglect Using Virtual Reality: A Preliminary Study." In ASME 2020 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2020. http://dx.doi.org/10.1115/detc2020-22416.
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Abstract The research work presents a preliminary study to create a virtual reality platform for the medical assessment of spatial extrapersonal neglect, a syndrome affecting human awareness of a hemi-space that may be caused by cerebral lesions. Nowadays, the extrapersonal neglect is assessed by using real objects positioned in the space around the patient, with a poor capability of repetition and data gathering. Therefore, the aim of this research work is the introduction of a virtual reality solution based on consumer technology for the assessment of the extrapersonal neglect. By starting from the needs of the involved medical personnel, an online serious-game platform has been developed, which permits to perform a test and a real-time evaluation by means of objective data tracked by exploited technologies, i.e. an HTC Vive Pro head mounted display and ad-hoc IT solutions. The test is based on a virtual environment composed by a table on which twenty objects have been placed, ten on the right side and ten on the left side. The whole 3D virtual environment has been developed using low-cost and free development tools, such as Unity and Blender. The interaction with the virtual environment is based on voice recognition technology, therefore the patient interact with the application by pronouncing the name of each object aloud. The VR application has been developed according to an online gaming software architecture, which permits to share the 3D scene by exploiting a Wi-Fi hotspot network. Furthermore, the on-line gaming software architecture allows sending and receiving data between the doctor’s laptop and the VR system used by the patient on another laptop. The therapist can see through his/her personal computer a real time faithful replica of the test performed by the patient in order to have a fast feedback on patient’s field of view orientation during the evaluation of 3D objects. A preliminary test has been carried out to evaluate the ease of use for medical personnel of the developed VR platform. The big amount of recorded data and the possibility to manage the selection of objects when the voice commands are not correctly interpreted has been greatly appreciated. The review of the performed test represents for doctors the possibility of objectively reconstructing the improvements of patients during the whole period of the rehabilitation process. Medical feedback highlighted how the developed prototype can already be tested involving patients and thus, a procedure for enrolling a group of patients has been planned. Finally, future tests have been planned to compare the developed solution with the Caterine Bergero Scale to define a future standardization.