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Articoli di riviste sul tema "Patient rehabilitation"

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Autore: Grafiati

Pubblicato: 4 giugno 2021

Ultima modifica: 21 febbraio 2023

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1

Vonderschmidt, DSc, MPA, MS, NR-P, Kay. "Planning for a medical surge incident: Is rehabilitation the missing link?" American Journal of Disaster Medicine 12, n. 3 (1 luglio 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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de Araújo Nobre, Miguel, Carlos Moura Guedes, Ricardo Almeida, António Silva e Nuno Sereno. "Hybrid Polyetheretherketone (PEEK)–Acrylic Resin Prostheses and the All-on-4 Concept: A Full-Arch Implant-Supported Fixed Solution with 3 Years of Follow-Up". Journal of Clinical Medicine 9, n. 7 (10 luglio 2020): 2187. http://dx.doi.org/10.3390/jcm9072187.

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Background: The aim of this three-year prospective study was to examine the outcome of a solution for full-arch rehabilitation through a fixed implant-supported hybrid prosthesis (polyetheretherketone (PEEK)-acrylic resin) used in conjunction with the All-on-4 concept. Methods: Thirty-seven patients (29 females, 8 males), with an age range of 38 to 78 years (average: 59.8 years) were rehabilitated with 49 full-arch implant-supported prostheses (12 maxillary rehabilitations, 13 mandibular rehabilitations and 12 bimaxillary rehabilitations). The primary outcome measure was prosthetic survival. Secondary outcome measures were marginal bone loss, plaque and bleeding scores, veneer adhesion issues, biological complications, mechanical complications, and the patients’ subjective evaluation. Results: There were two patients (maxillary rehabilitations) lost to follow-up, while one patient withdrew (maxillary rehabilitation). One patient with bimaxillary rehabilitation fractured the mandibular PEEK framework, rendering a 98% prosthetic survival rate. Implant survival was 100%. Average (standard deviation) marginal bone loss at 3-years was 0.40 mm (0.73 mm). Veneer adhesion was the only technical complication (n = 8 patients), resolved for all patients. Nine patients (n = 11 prostheses) experienced mechanical complications (all resolved): fracture of acrylic resin crowns (n = 3 patients), prosthetic and abutment screw loosening (n = 4 patients and 3 patients, respectively), abutment wearing (n = 1 patient). One patient experienced a biological complication (peri-implant pathology), resolved through non-surgical therapy. A 90% satisfaction rate was registered for the patients’ subjective evaluation. Conclusions: Based on the results, the three-year outcome suggests the proposed rehabilitation solution as a legitimate treatment option, providing a potential shock-absorbing alternative that could benefit the implant biological outcome.

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Carabeo, Christle Grace G., Charisse May M. Dalida, Erica Marla Z. Padilla e Ma Mercedes T. Rodrigo. "Stroke Patient Rehabilitation". Simulation & Gaming 45, n. 2 (aprile 2014): 151–66. http://dx.doi.org/10.1177/1046878114531102.

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Sankaran, Supraja, Kris Luyten, Dominique Hansen, Paul Dendale e Karin Coninx. "Enhancing Patient Motivation through Intelligibility in Cardiac Tele-rehabilitation". Interacting with Computers 31, n. 2 (1 marzo 2019): 122–37. http://dx.doi.org/10.1093/iwc/iwz008.

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Abstract Physical exercise training and medication compliance are primary components of cardiac rehabilitation. When rehabilitating independently at home, patients often fail to comply with their prescribed medication and find it challenging to interpret exercise targets or be aware of the expected efforts. Our work aims to assist cardiac patients in understanding their condition better, promoting medication adherence and motivating them to achieve their exercise targets in a tele-rehabilitation setting. We introduce a patient-centric intelligible visualization approach to present prescribed medication and exercise targets to patients. We assessed efficacy of intelligible visualizations on patients’ comprehension in two lab studies. We evaluated the impact on patient motivation and health outcomes in field studies. Patients were able to adhere to medication prescriptions, manage their physical exercises, monitor their progress and gained better self-awareness on how they achieved their rehabilitation targets. Patients confirmed that the intelligible visualizations motivated them to achieve their targets better. We observed an improvement in overall physical activity levels and health outcomes of patients. Research Highlights Presents challenges currently faced in cardiac tele-rehabilitation. Demonstrates how intelligibility was applied to two core aspects of cardiac rehabilitation- promoting medication adherence and physical exercise training. Lab., field and clinical studies to demonstrate efficacy of intelligible visualization, impact on patient motivation and resultant health outcomes. Reflection on how similar HCI approaches could be leveraged for technology-supported management of critical health conditions such as cardiac diseases.

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Murdia, Dr Nayanranjana, Dr Puttaraj Tukaram Kattimani e Dr Jitendra J. Mete. "Prosthetic Rehabilitation of Patient with Oligodontia: A Case Report". Indian Journal of Applied Research 4, n. 8 (1 ottobre 2011): 494–96. http://dx.doi.org/10.15373/2249555x/august2014/129.

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Ward, Christopher D. "Is patient-centred care a good thing?" Clinical Rehabilitation 26, n. 1 (gennaio 2012): 3–9. http://dx.doi.org/10.1177/0269215511423850.

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The problem: Rehabilitation professionals recognize the need to adopt a social as well as a medical model of disability, but the full implications of a social orientation towards disability are less easily accepted. If the physical environment can both produce and alleviate disability, so also can the social environment. If disablement is not to be seen as the problem of one individual then problems in rehabilitation must be ‘owned’ not solely by a single patient but also by other people implicated in a situation. It follows that ‘patient-centred care’, where a professional directs assessments and interventions towards one person, has shortcomings in rehabilitation. Theoretical considerations: A human systems model, shifting the focus of rehabilitation towards relationships, enables rehabilitation problems to be seen as provisional and context-dependent; the relational context of problems is clarified, and the positive and negative effects of professional power are more apparent. Clinical implications: Rehabilitation practitioners using a systemic approach would no longer view ‘carers’ and other significant individuals as mere bystanders but would integrate them within rehabilitation’s ethical and therapeutic system. Professionals would more readily recognize their roles within such a system, and would be better positioned to manage their negative as well as their positive effects.

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Rampino, Antonio, Rosa M. Falcone, Arianna Giannuzzi, Rita Masellis, Linda A. Antonucci e Silvia Torretta. "Strategies for Psychiatric Rehabilitation and their Cognitive Outcomes in Schizophrenia: Review of Last Five-year Studies". Clinical Practice & Epidemiology in Mental Health 17, n. 1 (24 maggio 2021): 31–47. http://dx.doi.org/10.2174/1745017902117010031.

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Background: Cognitive deficits are core features of Schizophrenia, showing poor response to antipsychotic treatment, therefore non-pharmacological rehabilitative approaches to such a symptom domain need to be identified. However, since not all patients with Schizophrenia exhibit the same cognitive impairment profile, individualized rehabilitative approaches should be set up. Objectives: We explored the last five-year literature addressing the issue of cognitive dysfunction response to rehabilitative methodologies in Schizophrenia to identify possible predictors of response and individualized strategies to treat such a dysfunction. Conclusion: A total of 76 studies were reviewed. Possible predictors of cognitive rehabilitation outcome were identified among patient-specific and approach-specific variables and a general overview of rehabilitative strategies used in the last five years has been depicted. Studies suggest the existence of multifaced and multi-domain variables that could significantly predict pro-cognitive effects of cognitive rehabilitation, which could also be useful for identifying individual-specific rehabilitation trajectories over time. An individualized rehabilitative approach to cognitive impairment in Schizophrenia is possible if taking into account both patient and approach specific predictors of outcomes.

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Chawla, Souman, John Kottor e Malvika Arora. "Planning immediate denture rehabilitation in patient influenced by elder maltreatment". International Journal of Medical Reviews and Case Reports 5, Reports in Dental Medicine and (2021): 1. http://dx.doi.org/10.5455/ijmrcr.denture-rehabilitation-790.

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Mountain, Deborah A. "Rehabilitation psychiatry". Irish Journal of Psychological Medicine 18, n. 4 (dicembre 2001): 140–41. http://dx.doi.org/10.1017/s0790966700006662.

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AbstractRehabilitation services are changing across Britain. The focus of service developments appears to be in relation to community teams and assertive outreach. This leaves the question of which direction rehabilitation services are heading. As patients move into the community from long stay wards as part of the process of bed closures and resource transfer, rehabilitation services are left with changing patient characteristics. In addition, patient characteristics in rehabilitation vary between Trusts. This article explores and expands on these themes.

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Delconte, G., e M. Simonov. "Humanoid Assessing Rehabilitative Exercises". Methods of Information in Medicine 54, n. 02 (2015): 114–21. http://dx.doi.org/10.3414/me13-02-0054.

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SummaryIntroduction: This article is part of the Focus Theme of Methods of Information in Medicine on “New Methodologies for Patients Rehabilitation”.Background: The article presents the approach in which the rehabilitative exercise prepared by healthcare professional is encoded as formal knowledge and used by humanoid robot to assist patients without involving other care actors.Objectives: The main objective is the use of humanoids in rehabilitative care. An example is pulmonary rehabilitation in COPD patients. Another goal is the automated judgment functionality to determine how the rehabilitation exercise matches the pre-programmed correct sequence.Methods: We use the Aldebaran Robotics’ NAO humanoid to set up artificial cognitive application. Pre-programmed NAO induces elderly patient to undertake humanoid-driven rehabilitation exercise, but needs to evaluate the human actions against the correct template. Patient is observed using NAO’s eyes. We use the Microsoft Kinect SDK to extract motion path from the humanoid’s recorded video. We compare human- and humanoid-operated process sequences by using the Dynamic Time Warping (DTW) and test the prototype.Results: This artificial cognitive software showcases the use of DTW algorithm to enable humanoids to judge in near real-time about the correctness of rehabilitative exercises performed by patients following the robot’s indications.Conclusion: One could enable better sustainable rehabilitative care services in remote residential settings by combining intelligent applications piloting humanoids with the DTW pattern matching algorithm applied at run time to compare humanoid- and human-operated process sequences. In turn, it will lower the need of human care.

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Awchat, Kiran, Parag Dua, I. D. Roy e 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, n. 3 (15 settembre 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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Vine, Katherine. "Rehabilitation and recovery times for canine patients post hemilaminectomy". Veterinary Nurse 11, n. 9 (2 novembre 2020): 422–25. http://dx.doi.org/10.12968/vetn.2020.11.9.422.

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The recovery of ambulation is a crucial part of the recovery process for canine patients with intervertebral disc disease undergoing a hemilaminectomy. Although ambulation is accomplished in most cases, many are left with deficits in strength and coordination. Human medicine suggests that postoperative rehabilitation improves patient outcomes; it is therefore useful to examine whether the same would be true for canine patients. Additionally, as veterinary nurses it is important to understand why certain rehabilitative procedures are being performed for spinal patients, and whether those procedures actually help the patient to recover.

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Cheng, Yuk-Yee, Ying-Fan Wong, Bonnie Y. C. Chu, Woon-Or Lam e Yiu-Wing Ho. "Rehabilitating a Dialysis Patient". Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis 23, n. 2_suppl (dicembre 2003): 81–83. http://dx.doi.org/10.1177/089686080302302s17.

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End-stage renal disease (ESRD) patients undergoing dialysis face much stress and have to make adjustments in their lives. To optimize health and improve quality of life, rehabilitation of renal patients is a necessity. Renal rehabilitation includes physical, social, psychological, and vocational elements. We established a renal rehabilitation program—including predialysis education, in-center training, and community rehabilitation—in our regional dialysis unit. The program is organized by a multidisciplinary team of health professionals with the help of a renal-patient support group. A patient who joined the rehabilitation program showed significant lifestyle change.

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Yadav, Sandeep, e Aman Arora. "Prosthetic Rehabilitation of Hemimandibulectomy Patient". World Journal of Dentistry 2, n. 4 (2011): 353–55. http://dx.doi.org/10.5005/jp-journals-10015-1113.

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ABSTRACT Rehabilitation of patients with mandibular defect requires a multidisciplinary approach involving a head and neck surgeon, maxillofacial prosthodontist and a reconstructive surgeon. A hemimandibulectomy patient can have many debilitating consequences such as eccentric occlusion, disoriented masticatory cycle, facial disfigurement, distorted speech and salivation problem. The aim of this case report is to describe a technique which combines crown with prosthetic rehabilitation to meet the functional and esthetic requirement of the hemimandibulectomy patients.

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Brzoska, Patrick, Odile Sauzet, Yüce Yilmaz-Aslan, Teresia Widera e Oliver Razum. "Satisfaction with rehabilitative health care services among German and non-German nationals residing in Germany: a cross-sectional study". BMJ Open 7, n. 8 (agosto 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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van Seben, Rosanne, Susanne M. Smorenburg e Bianca M. Buurman. "A qualitative study of patient-centered goal-setting in geriatric rehabilitation: patient and professional perspectives". Clinical Rehabilitation 33, n. 1 (14 agosto 2018): 128–40. http://dx.doi.org/10.1177/0269215518791663.

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Objective: To characterize how rehabilitation goals of older patients change over time and to explore professionals’ attitudes toward patient-centered goal-setting and their perspectives on rehabilitation goals. Design: Qualitative interview study. Setting: Three geriatric rehabilitation centers. Subjects: Ten patients (aged ⩾ 80), who had recently received inpatient geriatric rehabilitation, and seven professionals were purposively recruited. Methods: Semi-structured interviews. Patients were interviewed in the third or fourth week after discharge from inpatient rehabilitation, to reflect on their inpatient goals and to investigate long-term goals now that they were at home. A thematic analysis was performed. Results: During inpatient rehabilitation, participants’ main goals were regaining independence in self-care activities and going home. Post-discharge, patients were not at their baseline functioning level. Rehabilitation goals appeared to shift over time, and once at home, patients formulated more ambitious rehabilitation goals that were related to regaining full independence and being able to perform activities. Although professionals thought goal-setting together with the patient is important, they also stated that older individuals often are either unable to formulate goals or they set unrealistic ones. In addition, professionals indicated that goals have to be related to discharge criteria, such as performing basic self-care activities, and rehabilitation revolves around getting patients ready for discharge. Conclusion: During inpatient rehabilitation, patient goals are related to going home. After discharge, patients have ambitious goals, related to their premorbid functioning level. Rehabilitation services should distinguish between goals that are important while patients are inpatient and goals that are important after discharge.

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Mehrberg, Robert, Sue Webster e Terese Drew. "17. REHABILITATION OUTCOMES IN PATIENTS ADMITTED TO IN-PATIENT REHABILITATION UNITS FROM HOME". American Journal of Physical Medicine & Rehabilitation 77, n. 2 (marzo 1998): 175. http://dx.doi.org/10.1097/00002060-199803000-00043.

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Lazaro, Fernando, Rob Butler e Simon Fleminger. "In-patient neuropsychiatric brain injury rehabilitation". Psychiatric Bulletin 24, n. 7 (luglio 2000): 264–66. http://dx.doi.org/10.1192/pb.24.7.264.

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Aims and MethodTo discuss the service offered by an in-patient neuropsychiatric brain injury rehabilitation unit. To examine the demographic details of patients admitted to the unit. To find the commonest reasons for referral.ResultsThe notes of 78 patients admitted to the unit, over a two-year period, were examined. Seventy-three per cent were male and the mean age was 45 years. Seventy-five per cent of admissions had a severe brain injury. Two-thirds of the patients were admitted within six months of their injury. The most common reasons for referral were memory difficulties (n=61), verbal aggression (n=31) and temper control(n=25).Clinical ImplicationsIn-patient neuropsychiatric brain injury rehabilitation units offer management of patients referred with a wide range of cognitive, behavioural, functional and physical problems.

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Ivanova, Galina E., Tatyana V. Builova, Lyudmila A. Belova, Yuri D. Udalov, Viktor V. Mashin, Andrey Yu Suvorov e Anastasia A. Kuvaiskaya. "Formation of Rehabilitation Diagnosis in Patients with Breast Cancer at Stage I of Medical Rehabilitation: Case Report". Bulletin of Rehabilitation Medicine 21, n. 3 (30 giugno 2022): 155–74. http://dx.doi.org/10.38025/2078-1962-2022-21-3-155-174.

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The article reviews the main complaints of patients with breast cancer depending on the type of antitumor treatment and defines the peculiarities of the basic and additional sets of the International Classification of Functioning (ICF) codes. Aim. To present the clinical experience results of ICF use in making a rehabilitation diagnosis for patients with breast cancer, to discuss the issues and problems that arise when choosing domains in patients receiving various methods of treatment for this disease, to show by the example of a case report the use of ICF when forming a rehabilitation diagnosis in a patient with breast cancer after surgical treatment and anti-tumor drug therapy. Results and discussion. Patients who had undergone the surgical treatment, in the early postoperative period are predominantly characterized by: pain in the arm and shoulder joint, swelling of the arm, limited range of movement in the shoulder joint on the operation side, increased fatigue, difficulties in self-care, irritability, and anxiety. Patients who had eceived radiation therapy complained of skin manifestations – reddening of the skin in the area of radiation exposure and trophic ulcers, as well as complaints of numbness of the fingers and toes, palpitations, a feeling of interruptions in the heart area, frequent changes in blood pressure, which are characteristic signs peripheral polyneuropathy and cardiovascular form of autonomic neuropathy. Distinctive features of patients had being receiving anticancer medication therapy were complaints of disorders in the digestive system, hair loss. According to the complaints of each category of patients, the basic and additional sets of ICF were determined to make a rehabilitation diagnosis. The case report demonstrates the practical application of the basic and the inclusion of additional ICF sets for making a rehabilitation diagnosis for a patient with breast cancer and determining the tactics of rehabilitative measures. Conclusion. The results of the study suggest the importance of reflecting the completeness of all domains of the ICF domains specific for a particular patient, as the aim of rehabilitation is established on the basis of the rehabilitation diagnosis formulated by MDRT specialists.

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Bagnato, Sergio, Manfredi Ferraro, Cristina Boccagni, Gianluca Battaglia, Tiziana D’Agostino, Caterina Prestandrea, Marina Angela Bellavia e Francesca Rubino. "COVID-19 Neuromuscular Involvement in Post-Acute Rehabilitation". Brain Sciences 11, n. 12 (6 dicembre 2021): 1611. http://dx.doi.org/10.3390/brainsci11121611.

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Background: Coronavirus disease 2019 (COVID-19) is associated with muscle and nerve injuries as a consequence of prolonged critical illness or the infection itself. In this study, we evaluated neuromuscular involvement in patients who underwent post-acute intensive rehabilitation after COVID-19. Methods: Clinical and neurophysiological evaluations, including nerve conduction studies and electromyography, were performed on 21 consecutive patients admitted for rehabilitation after COVID-19. Results: Clinical signs suggesting muscle or nerve involvement (weakness, reduced deep tendon reflexes, impaired sensitivity, abnormal gait) were found in 19 patients. Neurophysiological examinations confirmed neuromuscular involvement in 17 patients: a likely association of critical illness myopathy (CIM) and critical illness polyneuropathy (CIP) was found in 5 patients; CIM alone was found in 4 patients; axonal sensory-motor polyneuropathy was found in 4 patients (CIP in 2 patients, metabolic polyneuropathy in 2 patients); Guillain-Barré syndrome was found in 2 patients (classical demyelinating sensory-motor polyneuropathy and acute motor axonal neuropathy, respectively); peroneal nerve injury was found in 1 patient; and pre-existing L4 radiculopathy was found in 1 patient. Conclusions: Neuromuscular involvement is a very common finding among patients admitted for rehabilitation after COVID-19, and proper investigation should be conducted when muscle or nerve injury is suspected for adequate rehabilitative strategy planning.

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Shetty, Omkar, e Amit Anand Chablani. "Esthetic, Functional and Psychological Management of Ectodermal Dysplasia using a Full Mouth Rehabilitation Approach". Journal of Contemporary Dentistry 3, n. 2 (2013): 92–97. http://dx.doi.org/10.5005/jp-journals-10031-1044.

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ABSTRACT Congenital and developmental disorders often pose a challenge to the rehabilitation of patients with not only severe dental destruction but also significant psychological trauma. Patient care in such cases often forms a different genre of therapy as it requires special attention and meticulous care by the rehabilitating dentist. The remarkable impact of successful treatment in these cases not only far exceeds the dentofacial benefits but also provides profound psychosocial recuperation to these young patients. The literature has demonstrated the benefits that corrective prosthodontics has for the self-esteem and social well-being of these patients. This case report highlights the intricacies of one such full mouth rehabilitation of a young patient with ectodermal dysplasia using an interdisciplinary approach. How to cite this article Chablani AA, Ram SM, Shetty O. Esthetic, Functional and Psychological Management of Ectodermal Dysplasia using a Full Mouth Rehabilitation Approach. J Contemp Dent 2013;3(2):92-97.

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Bailey, Andrea, Nicola Goodstone, Sharon Roberts, Jane Hughes, Simon Roberts, Louw van Niekerk, James Richardson e Dai Rees. "Rehabilitation After Oswestry Autologous-Chondrocyte Implantation: The OsCell Protocol". Journal of Sport Rehabilitation 12, n. 2 (maggio 2003): 104–18. http://dx.doi.org/10.1123/jsr.12.2.104.

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Objective:To develop a postoperative rehabilitation protocol for patients receiving autologous-chondrocyte implantation (ACI) to repair articular-cartilage defects of the knee.Data Sources:careful review of both basic science and clinical literature, personal communication with colleagues dealing with similar cases, and the authors’ experience and expertise in rehabilitating numerous patients with knee pathologies, injuries, and trauma.Data Synthesis:Postoperative rehabilitation of the ACI patient plays a critical role in the outcome of the procedure. The goals are to improve function and reduce discomfort by focusing on 3 key elements: weight bearing, range of motion, and strengthening.Conclusions:The authors present 2 flexible postoperative protocols to rehabilitate patients after an ACI procedure to the knee.

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Park, Tae Sang, Dong Hwan Shin, Choong Pyo Jeong, Jung Hyun Choi, Jeon Il Moon e Seung Han Yang. "Design of Wrist Rehabilitation Device for Hemiplegic Patients". Key Engineering Materials 625 (agosto 2014): 633–37. http://dx.doi.org/10.4028/www.scientific.net/kem.625.633.

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There have been some devices for rehabilitations of upper limb such as electronic device and mechanical device which is well-known as the passive one. These devices make the motion of upper limbs and stimulate the wrist, elbow, shoulder joints with muscles. This motion does by using the patient’s normal hand (left or right hand) and rotating the wounded hand’s wrist to be recovered by the clockwise or counterclockwise with some angles. Electronic devices for upper limb rehabilitation have the advantage that the electronic ones can supply various rehabilitation exercises to the patients. However these electronic devices include relatively expensive components such as various kinds of sensors, controllers, and display device. Therefore, the prices of implementation are too expensive. On the other hand, in conventional passive upper limb rehabilitation, the patients grasp the both handles without any mechanical links. It does not supply proper rehabilitation motion because the normal hand does not supply the rehabilitation motion to hand to be recovered. So to speak, this is not proper to patients with the one hands trouble such as hemiplegic patients, by himself without the aids of any other persons. In this paper, we describe the mechanical device for rehabilitations of wrist and the proposed handles to be attached in this mechanical device. This proposed handles can generate the three angle motion of wrist such as the roll, pitch and yaw. This proposed device has some features that this device can be implemented with lower costs than electronic devices and can be used whatever the wounded hand is right or left by selecting the lever. Further, when the patient has the rehabilitation exercise intent, the patients can easily use the proposed upper limb rehabilitation devices without the aid of the rehabilitation therapist the energy source is the normal hands of the patients.

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Guerra, Stefanny, Kate Lambe, Gergana Manolova, Euan Sadler e Katie J. Sheehan. "Multidisciplinary team healthcare professionals’ perceptions of current and optimal acute rehabilitation, a hip fracture example A UK qualitative interview study informed by the Theoretical Domains Framework". PLOS ONE 17, n. 11 (18 novembre 2022): e0277986. http://dx.doi.org/10.1371/journal.pone.0277986.

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Objective To understand multidisciplinary team healthcare professionals’ perceptions of current and optimal provision of acute rehabilitation, perceived facilitators and barriers to implementation, and their implications for patient recovery, using hip fracture as an example. Methods A qualitative design was adopted using semi-structured telephone interviews with 20 members of the acute multidisciplinary healthcare team (occupational therapists, physiotherapists, physicians, nurses) working on orthopaedic wards at 15 different hospitals across the UK. Interviews were audio-recorded, transcribed verbatim, anonymised, and then thematically analysed drawing on the Theoretical Domains Framework to enhance our understanding of the findings. Results We identified four themes: conceptualising a model of rehabilitative practice, which reflected the perceived variability of rehabilitation models, along with facilitators and common patient and organisational barriers for optimal rehabilitation; competing professional and organisational goals, which highlighted the reported incompatibility between organisational goals and person-centred care shaping rehabilitation practices, particularly for more vulnerable patients; engaging teams in collaborative practice, which related to the expressed need to work well with all members of the multidisciplinary team to achieve the same person-centred goals and share rehabilitation practices; and engaging patients and their carers, highlighting the importance of their involvement to achieve a holistic and collaborative approach to rehabilitation in the acute setting. Barriers and facilitators within themes were underpinned by the lack or presence of adequate ways of communicating with patients, carers, and multidisciplinary team members; resources (e.g. equipment, staffing, group classes), and support from people in leadership positions such as management and senior staff. Conclusions Cornerstones of optimal acute rehabilitation are effective communication and collaborative practices between the multidisciplinary team, patients and carers. Supportive management and leadership are central to optimise these processes. Organisational constraints are the most commonly perceived barrier to delivering effective rehabilitation in hospital settings, which exacerbate silo working and limited patient engagement.

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Knudsen, Marie V., Annemette K. Petersen, Sanne Angel, Vibeke E. Hjortdal, Helle T. Maindal e Sussie Laustsen. "Tele-rehabilitation and hospital-based cardiac rehabilitation are comparable in increasing patient activation and health literacy: A pilot study". European Journal of Cardiovascular Nursing 19, n. 5 (8 novembre 2019): 376–85. http://dx.doi.org/10.1177/1474515119885325.

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Abstract (sommario):

Background: Cardiac tele-rehabilitation is defined as using information and communication technology to support rehabilitation services. However, it requires a high level of patient activation and health literacy; this has not yet been explored. Aims: The purpose of this study was to evaluate patient activation and health literacy in tele-rehabilitation compared to hospital-based cardiac rehabilitation. Methods: We conducted a pilot study in patients with ischaemic or heart valve disease. In a non-randomised design, 24 patients attended a 12-week tele-rehabilitation programme, and 53 matched controls a 12-week hospital-based cardiac rehabilitation programme. The primary outcome was patient activation, which was assessed using the Patient Activation Measure before the intervention, at the end of the intervention and at follow-up six months after the intervention. The secondary outcome was health literacy, assessed using three dimensions from the Health Literacy Questionnaire before rehabilitation and at six-month follow-up: actively manage my health (HLQ3), ability to engage with healthcare providers (HLQ6) and understanding health information (HLQ9). Results: Patient activation improved similarly in tele-rehabilitation and hospital-based cardiac rehabilitation at all time points. Six months after the intervention, patients in tele-rehabilitation significantly improved on the dimension HLQ6 compared to patients in hospital-based cardiac rehabilitation. No significant between-group differences were found in HLQ3 or HLQ9. Conclusion: Tele-rehabilitation and hospital-based cardiac rehabilitation seemed to be equally successful in improving patient activation and health literacy. Tele-rehabilitation should be further tested in a randomised controlled trial, with a focus on whether patient levels of education and self-management at the initiation of rehabilitation are decisive factors for tele-rehabilitation participation.

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Mangan, Paul. "Rehabilitation of the Older Patient". Nursing Older People 2, n. 5 (1 maggio 1990): 39. http://dx.doi.org/10.7748/nop.2.5.39.s28.

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Eleuov, G. A. "Patient rehabilitation after bariatric surgery". Fizioterapevt (Physiotherapist), n. 3 (30 maggio 2022): 61–72. http://dx.doi.org/10.33920/med-14-2206-08.

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Abstract (sommario):

Due to steady increase in the prevalence of obesity, there is a growing demand for bariatric surgery. The question of active dynamic postoperative monitoring and long-term management of these patients arises. The issue of long-term rehabilitation of bariatric patients is a serious interdisciplinary problem. This article provides a review of the literature both on rehabilitation in the early postoperative period and long-term rehabilitation after a bariatric procedure, including the methodology of patient monitoring, metabolic control, replenishment of nutrient deficiencies, vitamin and microelement support, physical activity, and behavior modification under constant interdisciplinary control. In preparing this review, articles were searched in the Medline (PubMed), RSCI (eLibrary), and Google Scholar databases using the relevant key words (“bariatric surgery”, “rehabilitation”). A ketonemic syndrome and late dumping syndrome (hypoglycemia after eating) are described as conditions that occur after bariatric interventions.

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Dacher, Joan Elise. "Rehabilitation and the Geriatric Patient". Nursing Clinics of North America 24, n. 1 (marzo 1989): 225–37. http://dx.doi.org/10.1016/s0029-6465(22)01475-x.

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Hong, Won Pyo. "Voice Rehabilitation of Laryngectomized Patient". Journal of Clinical Otolaryngology Head and Neck Surgery 2, n. 2 (novembre 1991): 211–19. http://dx.doi.org/10.35420/jcohns.1991.2.2.211.

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Syafni, Alma Nazelia. "Post Stroke Patient Medical Rehabilitation". Jurnal Ilmiah Kesehatan Sandi Husada 12, n. 2 (31 dicembre 2020): 873–77. http://dx.doi.org/10.35816/jiskh.v12i2.428.

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Abstract (sommario):

Background; stroke is one of the leading causes of death and disability worldwide. The stroke itself ranks second after heart disease as a cause of death worldwide in 2013. The mortality, morbidity, and disability rates in stroke patients increase every year. Stroke is a syndrome characterized by rapidly developing clinical symptoms and signs in the form of focal or global brain functional disorders lasting more than 24 hours (unless there is surgical intervention or death), which is not caused by causes other than vascular causes. Conclusion; treatment of stroke patients is always based on the factors causing the stroke itself. Medical rehabilitation is an effort made to restore the patient's physical ability to its previous state before being sick in the shortest possible time. Medical rehabilitation includes three things, namely, medical, social, and vocational rehabilitation

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Kudsk, Elizabeth G., e Georgianna S. Hoffmann. "Rehabilitation of the Cancer Patient". Primary Care: Clinics in Office Practice 14, n. 2 (giugno 1987): 381–90. http://dx.doi.org/10.1016/s0095-4543(21)00219-0.

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32

Miyakoshi, Koichi. "Patient Safety in Rehabilitation Medicine". Japanese Journal of Rehabilitation Medicine 58, n. 3 (18 marzo 2021): 242–46. http://dx.doi.org/10.2490/jjrmc.58.242.

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BENNIE, ERNEST H. "REVIEW OF IN-PATIENT REHABILITATION". Clinical Neuropharmacology 15 (1992): 496B. http://dx.doi.org/10.1097/00002826-199202001-00965.

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34

Dubach, Paul. "Rehabilitation of the Cardiac Patient". Journal of Cardiopulmonary Rehabilitation 7, n. 10 (ottobre 1987): 478–79. http://dx.doi.org/10.1097/00008483-198710000-00013.

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Wenger, Nanette K. "Rehabilitation of the Coronary Patient". Journal of Cardiopulmonary Rehabilitation 11, n. 2 (marzo 1991): 93–98. http://dx.doi.org/10.1097/00008483-199103000-00004.

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36

Procter, Fiona. "Rehabilitation of the burn patient". Indian Journal of Plastic Surgery 43, n. 3 (2010): 101. http://dx.doi.org/10.4103/0970-0358.70730.

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37

DiGregorio, Vincent R. "Rehabilitation of the Burn Patient". Plastic and Reconstructive Surgery 75, n. 1 (gennaio 1985): 129. http://dx.doi.org/10.1097/00006534-198501000-00031.

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Nyberg, Lars, e Yngve Gustafson. "Patient Falls in Stroke Rehabilitation". Stroke 26, n. 5 (maggio 1995): 838–42. http://dx.doi.org/10.1161/01.str.26.5.838.

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39

Riener, R. "Multimodal patient-cooperative rehabilitation robotics". Journal of Biomechanics 39 (gennaio 2006): S210. http://dx.doi.org/10.1016/s0021-9290(06)83768-1.

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Petro, Jane A., e Roger E. Salisbury. "Rehabilitation of the Burn Patient". Clinics in Plastic Surgery 13, n. 1 (gennaio 1986): 145–49. http://dx.doi.org/10.1016/s0094-1298(20)31625-4.

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41

Kurtzman, Scott H., Bernard Gardner e Wendy S. Kellner. "Rehabilitation of the cancer patient". American Journal of Surgery 155, n. 6 (giugno 1988): 791–803. http://dx.doi.org/10.1016/s0002-9610(88)80045-x.

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Gregory, Patricia, Lloyd Edwards, Keturah Faurot, Sharon W. Williams e Ana C. G. Felix. "Patient Preferences for Stroke Rehabilitation". Topics in Stroke Rehabilitation 17, n. 5 (settembre 2010): 394–400. http://dx.doi.org/10.1310/tsr1705-394.

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Henderson, Gina L. "Rehabilitation and the Psych Patient". Clinical Psychiatry News 36, n. 9 (settembre 2008): 59. http://dx.doi.org/10.1016/s0270-6644(08)70675-1.

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Keith, Robert Allen. "Patient satisfaction and rehabilitation services". Archives of Physical Medicine and Rehabilitation 79, n. 9 (settembre 1998): 1122–28. http://dx.doi.org/10.1016/s0003-9993(98)90182-4.

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Cristian, Adrian, Andy Tran e Karishma Patel. "Patient Safety in Cancer Rehabilitation". Physical Medicine and Rehabilitation Clinics of North America 23, n. 2 (maggio 2012): 441–56. http://dx.doi.org/10.1016/j.pmr.2012.02.015.

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Olby, Natasha, Krista B. Halling e Teresa R. Glick. "Rehabilitation for the Neurologic Patient". Veterinary Clinics of North America: Small Animal Practice 35, n. 6 (novembre 2005): 1389–409. http://dx.doi.org/10.1016/j.cvsm.2005.08.004.

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Davidson, Jacqueline R., Sharon C. Kerwin e Darryl L. Millis. "Rehabilitation for the Orthopedic Patient". Veterinary Clinics of North America: Small Animal Practice 35, n. 6 (novembre 2005): 1357–88. http://dx.doi.org/10.1016/j.cvsm.2005.08.006.

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Wilcox, Robert G. "Rehabilitation of the cardiac patient". International Journal of Cardiology 17, n. 2 (novembre 1987): 230. http://dx.doi.org/10.1016/0167-5273(87)90140-9.

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Richard, Reg, e R. Michael Johnson. "Rehabilitation of the Burn Patient". Problems in General Surgery 20, n. 1 (marzo 2003): 88–96. http://dx.doi.org/10.1097/00013452-200303000-00012.

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Lewis, Carole Bernstein. "Rehabilitation of the Older Patient". Topics in Geriatric Rehabilitation 5, n. 4 (luglio 1990): 82–83. http://dx.doi.org/10.1097/00013614-199007000-00015.

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