Management Of Physical Disabilities Research Articles

Telerehabilitation for physical disabilities and movement impairment: A service evaluation in South West England.

Guided discussions were carried out with 44 practitioners, 7 patients and 2 carers from five health and social care organisations in South West England, and analysed thematically. Practitioners and patients had positive experiences of telerehabilitation and were optimistic about its future use. Recognized benefits for people with physical disabilities included greater flexibility, reduced travel and fatigue, having appointments in a familiar environmentand ease of involving family members. Challenges encountered were: technological (usability issues, access to technologyand digital skills); difficulties seeing or hearing patients; the lack of 'hands-on' care; and safety concerns. Facilitators were supported by colleagues or digital champions, and family members or carers who could assist patients during their appointments. Key themes in best practice were: person-centred and tailored care; clear and open communication and observationand preparation and planning. Practitioners shared tips for remote physical assessments; for example, making use of patient-reported outcomes, and asking patients to wear bright and contrasting coloured clothing to make it easier to see movement. Telerehabilitation holds promise in health and social care, but it is necessary to share good practice to ensure it is safe, effective and accessible. We collated information and recommendations that informed the content of the Telerehab Toolkit (https://www.plymouth.ac.uk/research/telerehab), a practical resource for practitioners, patients and carers, with a focus on remote assessment and management of physical disabilities and movement impairment.

424Person-centred outcomes among 22,205 cancer survivors and 244,000 people without cancer: a population-based Australian study

Abstract Background With the majority of people with cancer surviving long-term, holistic consideration of health and wellbeing outcomes is critical to optimise survivorship. We quantified short- and long-term physical and mental health-related outcomes in people with and without cancer, including according to cancer type and clinical characteristics. Methods 45 and Up Study (n = 267,153) baseline survey data (2006-2009) were linked to cancer registrations (by the Centre for Health Record Linkage) and cancer diagnoses up to enrolment identified. Modified Poisson regression estimated age-and-sex-adjusted prevalence ratios (PRs) for adverse person-centred outcomes - severe physical functioning limitations, moderate/high psychological distress and fair/poor quality of life - in participants with versus without cancer. Results Cancer survivors (n = 22,205) had significantly higher prevalence of physical functioning limitations compared to participants without cancer (21% versus 13%) PR = 1.28(95%CI=1.25-1.32), overall and in all population subgroups examined. Corresponding estimates were 22% versus 24% (1.05(1.02-1.08)) for psychological distress and 15% versus 10% (1.28(1.24-1.32) for fair/poor quality of life. Outcomes varied by cancer type, being worse for multiple myeloma, lung cancer and non-Hodgkin’s lymphoma; worse outcomes were also associated with recent diagnosis, recent treatment and advanced stage. Physical functioning limitations in cancer survivors were major contributors to adverse distress and quality of life outcomes. Conclusions Cancer survivors experience adverse physical and mental health outcomes; substantial parts of elevated distress and poor quality of life are likely attributable to physical disability. Key messages In addition to routine screening for psychological distress, management of physical disability and other symptoms are important to optimise cancer survivorship.

Health-related quality of life in patients with rheumatoid arthritis: assessment by a Italian version of the Arthritis Impact Measurement Scales, Version 2 (AIMS2)

The research carried out by Censis Foundation, in collaboration with SIR (Italian Society of Rheumatology) and ANMAR (National association of rheumatic patients) involved 646 patients, diagnosed with rheumatoid arthritis (RA) by a rheumatologist according to ACR criteria. The patients were recruited through a representative sample of 300 general practitioners (GP). A cross-sectional survey was conducted to study the current status of health-related quality of life (HRQL) of patients using a revised Italian version of a revised version of the Arthritis Impact Measurement Scales 2 (AIMS2). The AIMS2 was administered to the 646 patients with (RA) attending arthritis clinics at various hospitals across the country. Self-report functional disability scores were calculated for all 12 specific scales, summary components, and overall impact measures. The AIMS2 has been validated for the Italian language. Ranging from 0 (perfect health) to 10 (poor health), the mean scores of the AIMS2 showed an important impact of the disease on the 4 components of the health status of these patients: walking and bending, mean score = 5.1; nervous tension = 5.0, arthritis pain = 5.0, and social activity = 4.6. Among other dimensions, the impact of RA was moderate for mood, work, hand and finger function and mobility (mean score: 3.7, 3.7, 3.5 and 3.4, respectively) and low for household tasks, arm function, self-care tasks and family support (3.0, 2.9, 2.5 and 2.1, respectively). There was a tendency for the scores of younger patients to be better than those of olders patients. In conclusion, RA have a clearly detrimental effect on the HRQL in both physical and mental components. Prevention and management of physical disability should be seriously planned in consideration of the changes in these conditions in RA patients. Use of the AIMS2 makes it easier and less costly to collect data and reduces the burden on RA patients.

Book Review: Psychological Management of Physical Disabilities: A Practitioner's Guide

Book Review: Psychological Management of Physical Disabilities: A Practitioner's Guide

Management of physical disability

Management of physical disability

Experience of social support in rehabilitation: a phenomenological study.

The progressive muscular weakness brought on by muscular dystrophy causes the sufferer many problems in everyday life. Earlier studies in Sweden have shown that adults with hereditary muscular dystrophy often have difficulty in gaining access to rehabilitation. For this reason a special rehabilitation programme was drawn up and carried out, extending over a period of 18 months. The purpose of the study is to describe the participants' experience of social support in connection with the programme. Thirty-seven participants (21 women and 16 men) were interviewed. The analytical method was phenomenological, incorporating validation by independent judges. Nine overall themes emerged from the interviews: psychosocial support, meeting other people with muscular dystrophy, knowledge and learning, adjustment in daily life, coping with illness-related problems, adjustment at work, management of physical disability, medical examination and treatment, and involvement of relatives. The results indicate that the participants encountered staff with a sense of commitment and felt themselves to be 'seen and confirmed'. From the discussions and the contact with others in the same situation there arises a sense of affinity and a better understanding of one's own situation. There was appreciation of the education about the disease, its hereditary aspect, technical aids, grants and physical training. Hardly any of the participants spoke of knowing such things before. In conclusion there was approval of the received support, and recognition that persons with muscular dystrophy should be given access to recurrent rehabilitation.

Rehabilitation in adults with human immunodeficiency virus-related diseases.

The acquired immunodeficiency syndrome is a fatal disorder of cell-mediated immunity caused by the human immunodeficiency virus (HIV). As many as one million Americans infected with HIV can expect improved survival with more advanced treatment approaches. Complications of HIV infection occur in the brain, spinal cord, muscle, nerve, joints and other organ systems, which lead to extensive impairments. As survival increases, rehabilitation professionals can anticipate a greater number of referrals for the assessment and management of physical disability in persons with HIV infection. This article reviews HIV-related disease, impairment, disability and handicap pertinent to rehabilitation medicine. An agenda for future research is also proposed. Current knowledge and models or rehabilitation care can be applied to HIV-related physical disability in an effort to improve overall quality of life.

DISABILITY IN PERSONS HOSPITALIZED WITH AIDS

This study documents the types and degree of disability seen in persons with AIDS at discharge from acute hospitalization. Based on 37 discharge evaluations using the Functional Independence Measure (FIM), 60% required human assistance in at least one of 18 FIM areas. Thirty-two percent required human assistance in five or more areas. Fifty-one and 38% required human assistance in stair climbing and ambulation, respectively. Feeding and bathing required assistance in about 33% and transferring to tub or shower in 25% of the sample. Increasing disability was associated with longer duration of AIDS diagnosis and increasing lengths of hospital stay (P less than 0.01 and P less than 0.05, respectively). There were individuals who remained nearly functionally independent up to 30 months after an AIDS defining event. The overall variability in function, however, was not significantly different between those with diagnoses less than and greater than 12 months. We conclude that significant physical disability exists in persons with AIDS at discharge from acute hospitalization. Consultation with and intervention by rehabilitation professionals may be helpful in the management of physical disability in this population and setting.

Use of survey research methods to study clinical decision making: referral to physical therapy of children with cerebral palsy.

Because of the lack of a strong body of research literature to support the efficacy of physical therapy in the management of physical disability, therapists, physicians, and others must operate in the realm of uncertainty when deciding whom to refer and whom to treat in a cost-effective manner. Despite the increasing passage of direct-access legislation allowing physical therapists more independence in the decision of whom to treat, physical therapy decision making remains strongly influenced by physicians' decisions regarding patient referral. This article describes a survey research approach to studying physicians' decisions regarding referral. A study, now in the pilot stage, regarding referral of young children with cerebral palsy (CP) to physical therapy will be used as an example. Why are physicians' decisions regarding referral of children with CP important to study?…

Rehabilitation Medicine. The Management of Physical Disabilities

Journal Article Rehabilitation Medicine. The Management of Physical Disabilities Get access Rehabilitation Medicine. The Management of Physical Disabilities Edited by P. J. R. Nichols. 2nd edn. Pp. 353. Butter-worths, London and Boston, 1980. £19.50. Postgraduate Medical Journal, Volume 57, Issue 668, June 1981, Pages 407–408, https://doi.org/10.1136/pgmj.57.668.407-a Published: 01 June 1981

Rehabilitation Medicine: The Management of Physical Disabilities

Rehabilitation Medicine: The Management of Physical Disabilities

Book Review: Two Books on Rehabilitation: Rehabilitation Medicine—The Management of Physical Disabilities

Book Review: Two Books on Rehabilitation: Rehabilitation Medicine—The Management of Physical Disabilities

Book Review: Rehabilitation Medicine: The Management of Physical Disabilities

Book Review: Rehabilitation Medicine: The Management of Physical Disabilities

REVIEWS OF BOOKS

REVIEWS OF BOOKS Get access REHABILITATION MEDICINE—THE MANAGEMENT OF PHYSICAL DISABILITIES. Second edition. By P. J. R. Nichols. £19.50. Sevenoaks, Kent: Butterworth. 1980. J. B. MILLARD J. B. MILLARD Search for other works by this author on: Oxford Academic PubMed Google Scholar Rheumatology, Volume 19, Issue 4, November 1980, Page 265, https://doi.org/10.1093/rheumatology/19.4.265 Published: 01 November 1980

Rehabilitation Medicine: The Management of Physical Disabilities

Rehabilitation Medicine: The Management of Physical Disabilities

Rehabilitation Medicine: The Management of Physical Disabilities

Rehabilitation Medicine: The Management of Physical Disabilities

Book Review: Rehabilitation Medicine: The Management of Physical Disabilities

Book Review: Rehabilitation Medicine: The Management of Physical Disabilities

Rehabilitation Medicine: The Management of Physical Disabilities

Rehabilitation Medicine: The Management of Physical Disabilities

Rehabilitation Medicine. The Management of Physical Disabilities

Rehabilitation Medicine. The Management of Physical Disabilities