首页 > 最新文献

Journal of Rehabilitation Medicine - Clinical Communications最新文献

英文 中文
Rehabilitation approach after earthquake disaster: a brief report from Turkey 地震灾后重建方法:土耳其的简要报告
Pub Date : 2024-04-22 DOI: 10.2340/jrmcc.v7.34748
T. Koca, Duran Topak
Devastating earthquake disasters are experienced all over the world. On February 6, 2023, two major earthquakes with magnitudes of Mw 7.7 and 7.6, respectively, occurred centered in Kahramanmaraş, Turkey. It resulted in at least 50,783 deaths and more than 122,000 injuries according to official data. Defining the post-earthquake experiences and earthquake risk assessment well and identifying the deficiencies will guide the coordination, management, and planning of subsequent disasters. In this study, the rehabilitation approaches of earthquake victims with physical injuries in our rehabilitation center are emphasized and the situations that will be encountered in the immediate, intermediate, and long-term periods after the earthquake are summarized.
世界各地都发生过毁灭性的地震灾害。2023 年 2 月 6 日,以土耳其卡赫拉曼马拉什为中心发生了两次大地震,震级分别为 7.7 级和 7.6 级。根据官方数据,地震造成至少 50 783 人死亡,超过 122 000 人受伤。明确震后经验和地震风险评估,找出不足之处,将为后续灾害的协调、管理和规划提供指导。本研究强调了本康复中心的地震伤员康复方法,并总结了震后近期、中期和长期将遇到的情况。
{"title":"Rehabilitation approach after earthquake disaster: a brief report from Turkey","authors":"T. Koca, Duran Topak","doi":"10.2340/jrmcc.v7.34748","DOIUrl":"https://doi.org/10.2340/jrmcc.v7.34748","url":null,"abstract":"Devastating earthquake disasters are experienced all over the world. On February 6, 2023, two major earthquakes with magnitudes of Mw 7.7 and 7.6, respectively, occurred centered in Kahramanmaraş, Turkey. It resulted in at least 50,783 deaths and more than 122,000 injuries according to official data. Defining the post-earthquake experiences and earthquake risk assessment well and identifying the deficiencies will guide the coordination, management, and planning of subsequent disasters. In this study, the rehabilitation approaches of earthquake victims with physical injuries in our rehabilitation center are emphasized and the situations that will be encountered in the immediate, intermediate, and long-term periods after the earthquake are summarized.","PeriodicalId":515675,"journal":{"name":"Journal of Rehabilitation Medicine - Clinical Communications","volume":"47 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140675944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CLINICIANS’ PERCEPTIONS OF MANUAL HANDLING POLICIES IN STROKE REHABILITATION: A QUALITATIVE FOCUS GROUP STUDY 临床医生对中风康复中体力处理政策的看法:焦点小组定性研究
Pub Date : 2024-04-16 DOI: 10.2340/jrmcc.v7.23836
Salem F Alatawi
Objectives The professional literature guides manual handling in numerous health care settings. The effects of these guidelines on stroke rehabilitation and the clinical communication of health care professionals are unknown. This paper aims to investigate the perspectives of nurses and physiotherapists on handling guidelines in their professions to identify conflicts in opinions to provide optimum care to people with stroke. Design A qualitative focus group study. Methods Three focus groups were conducted. The participants were physiotherapists or nurses with 1 year of stroke care experience. The data were thematically analysed. Results Nineteen participants (12 physiotherapists and 7 nurses) were interviewed. The data analysis revealed 3 themes. First, “The application of handling in stroke rehabilitation” includes clinical reasoning and real-world handling practices. The second theme, “Physical Effects on Therapists,” examines the long-term effects of manual handling on therapists, including work-related musculoskeletal disorders. The final theme, “Conflicts among health care professionals,” investigates stroke rehabilitation equipment conflicts between nurses and physiotherapists. Conclusion The study concludes that stroke transfer guidelines in the specialised literature may impact health care professionals’ perspectives. Conflicts among health care professionals can impair teamwork. Thus, health care professionals should work together as stroke rehabilitation teams to develop unified transfer guidelines that aid rehabilitation and avoid work-related musculoskeletal disorders. LAY ABSTRACT Transfer training is a significant part of the care that physiotherapists and nursing professionals provide in stroke rehabilitation. In the context of transferring individuals with strokes, therapists regularly find themselves assuming various physically demanding positions, such as bending and twisting, to provide necessary assistance to the patient. As a consequence of the repetitive and physically demanding nature of this field of rehabilitation, work-related musculoskeletal disorders are common. The professional literature advises professionals to avoid work-related musculoskeletal disorders through manual handling. This study compared nurses’ and physiotherapists’ opinions on stroke rehabilitation handling guidelines, the “no-lift policy,” and equipment utilisation. Three focus groups were held with 12 physiotherapists and 7 nurses. The findings showed high levels of back pain and physiotherapist-nurse conflict. These findings emphasise the need to unify handling guidelines from different professional literature sources to reduce work-related musculoskeletal disorders and resolve health care professionals’ conflicts caused by different rules and guidelines in their professional literature.
目的 专业文献为众多医疗机构的人工操作提供了指导。这些指南对中风康复和医护人员临床沟通的影响尚不清楚。本文旨在调查护士和物理治疗师对其专业操作指南的看法,找出意见冲突,从而为中风患者提供最佳护理。设计 重点小组定性研究。方法 开展了三个焦点小组。参与者为具有 1 年中风护理经验的物理治疗师或护士。对数据进行主题分析。结果 19 名参与者(12 名物理治疗师和 7 名护士)接受了访谈。数据分析揭示了 3 个主题。第一,"脑卒中康复中搬运的应用 "包括临床推理和实际搬运实践。第二个主题是 "对治疗师的身体影响",探讨了手动操作对治疗师的长期影响,包括与工作相关的肌肉骨骼疾病。最后一个主题 "医护专业人员之间的冲突 "调查了护士和理疗师之间在中风康复设备方面的冲突。结论 研究得出结论,专业文献中的卒中转运指南可能会影响医护人员的观点。医护人员之间的冲突会影响团队合作。因此,医护人员应作为中风康复团队共同努力,制定统一的转运指南,以帮助康复并避免与工作相关的肌肉骨骼疾病。LAY ABSTRACT 转移训练是物理治疗师和护理专业人员在中风康复护理中的重要组成部分。在转运脑卒中患者的过程中,治疗师经常会发现自己需要做出各种体力消耗较大的姿势,如弯腰和扭转,以便为患者提供必要的帮助。由于这一康复领域的工作具有重复性和体力要求高的特点,与工作相关的肌肉骨骼疾病很常见。专业文献建议专业人员通过手动操作避免与工作相关的肌肉骨骼疾病。本研究比较了护士和物理治疗师对中风康复操作指南、"不抬举政策 "和设备使用的看法。12 名物理治疗师和 7 名护士参加了三个焦点小组。结果显示,背痛和物理治疗师与护士之间的冲突程度很高。这些调查结果表明,有必要统一来自不同专业文献的操作指南,以减少与工作相关的肌肉骨骼疾病,并解决医护人员因其专业文献中的不同规则和指南而产生的冲突。
{"title":"CLINICIANS’ PERCEPTIONS OF MANUAL HANDLING POLICIES IN STROKE REHABILITATION: A QUALITATIVE FOCUS GROUP STUDY","authors":"Salem F Alatawi","doi":"10.2340/jrmcc.v7.23836","DOIUrl":"https://doi.org/10.2340/jrmcc.v7.23836","url":null,"abstract":"Objectives The professional literature guides manual handling in numerous health care settings. The effects of these guidelines on stroke rehabilitation and the clinical communication of health care professionals are unknown. This paper aims to investigate the perspectives of nurses and physiotherapists on handling guidelines in their professions to identify conflicts in opinions to provide optimum care to people with stroke. Design A qualitative focus group study. Methods Three focus groups were conducted. The participants were physiotherapists or nurses with 1 year of stroke care experience. The data were thematically analysed. Results Nineteen participants (12 physiotherapists and 7 nurses) were interviewed. The data analysis revealed 3 themes. First, “The application of handling in stroke rehabilitation” includes clinical reasoning and real-world handling practices. The second theme, “Physical Effects on Therapists,” examines the long-term effects of manual handling on therapists, including work-related musculoskeletal disorders. The final theme, “Conflicts among health care professionals,” investigates stroke rehabilitation equipment conflicts between nurses and physiotherapists. Conclusion The study concludes that stroke transfer guidelines in the specialised literature may impact health care professionals’ perspectives. Conflicts among health care professionals can impair teamwork. Thus, health care professionals should work together as stroke rehabilitation teams to develop unified transfer guidelines that aid rehabilitation and avoid work-related musculoskeletal disorders. LAY ABSTRACT Transfer training is a significant part of the care that physiotherapists and nursing professionals provide in stroke rehabilitation. In the context of transferring individuals with strokes, therapists regularly find themselves assuming various physically demanding positions, such as bending and twisting, to provide necessary assistance to the patient. As a consequence of the repetitive and physically demanding nature of this field of rehabilitation, work-related musculoskeletal disorders are common. The professional literature advises professionals to avoid work-related musculoskeletal disorders through manual handling. This study compared nurses’ and physiotherapists’ opinions on stroke rehabilitation handling guidelines, the “no-lift policy,” and equipment utilisation. Three focus groups were held with 12 physiotherapists and 7 nurses. The findings showed high levels of back pain and physiotherapist-nurse conflict. These findings emphasise the need to unify handling guidelines from different professional literature sources to reduce work-related musculoskeletal disorders and resolve health care professionals’ conflicts caused by different rules and guidelines in their professional literature.","PeriodicalId":515675,"journal":{"name":"Journal of Rehabilitation Medicine - Clinical Communications","volume":"31 52","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140696865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
DEFINING PATIENT PROFILES AFTER THE 2023 KAHRAMANMARAŞ, TURKEY EARTHQUAKE 确定 2023 年土耳其卡赫拉曼马拉什地震后的患者概况
Pub Date : 2024-04-02 DOI: 10.2340/jrmcc.v7.40039
T. TÜLAY KOCA
Objective On 6 February 2023, 2 earthquakes with magnitudes of 7.7 and 7.6 mW occurred in Pazarcık and Elbistan districts of Kahramanmaraş province (Turkey) and affected 11 provinces in total, especially Hatay, Malatya, and Adıyaman. Here, we report 3 earthquake victims in order to define patients profiles. Case reports Three patients who were taken to the orthopedic and neurological rehabilitation program in our inpatient Physical Medicine and Rehabilitation unit after the earthquake are presented. Our first case, a 46-year-old man, remain-ed in the debris for 8.5 h. His left leg was left in the wreckage, and he later developed a drop foot on the left due to compartment syndrome, which developed with pain and swelling in the left calf. There is no fasciotomy procedure. Venous Doppler was reported to be within normal limits. Our second case is a 52-year-old man who was in the debris for 36 h and has a left braxial plexus injury and a left drop foot. He has Buerger’s disease in his medical history. The third case is an 8-year-old girl trapped in rubble during the earthquake with a right orbital fracture and a left foot transmetarsal amputation. She has no neurological signs. Discussion The patients that apply to our Physical Medicine and Rehabilitation clinic are especially amputees, patients with traumatic brain injury, spinal cord injury, peripheral nerve damage, plexus damage, multiple fractures, joint limitations and soft tissue loss in the musculoskeletal system. After the earthquake, we encountered patients from a wide variety of spectrums in our clinic. In addition to primary musculoskeletal injuries, they also experience systemic problems affecting the musculoskeletal system. Additionally, thrombosis, infection, renal failure, and multiple organ failures may also occur. Conclusion Countries should develop guidelines for disaster preparedness and establish coordination units that can take quick action, make decisions, and communicate in times of disaster. A good definition of patient clinical profiles after the earthquake will ensure early intervention and prevent permanent disability and functional losses. LAY ABSTRACT There are devastating earthquake disasters that have massive effects on the world. On 6 February 2023, 2 earthquakes with magnitudes of 7.7 and 7.6 mW occurred in Turkey. According to the latest official data, the incident resulted in at least 45,968 deaths and 108,368 injuries, with 241,577 damaged buildings. Here, we described the patient profiles of our Physical Medicine and Rehabilitation Clinic after the earthquake and shared our experiences. A good definition of earthquake experiences will guide preparation for subsequent earthquakes.
目标 2023 年 2 月 6 日,土耳其卡赫拉曼马拉什省帕扎克和埃尔比斯坦地区发生了两次地震,震级分别为 7.7 和 7.6 mW,共波及 11 个省,尤其是哈塔伊省、马拉蒂亚省和阿德亚曼省。在此,我们报告了 3 名地震受害者的情况,以确定患者的特征。病例报告 本报告介绍了地震后被送往我院物理医学和康复科住院部骨科和神经康复项目的三名患者。第一个病例是一名 46 岁的男子,他在废墟中停留了 8.5 小时。他的左腿留在了废墟中,后来由于室间隔综合症导致左脚下垂,并伴有左小腿疼痛和肿胀。没有进行筋膜切开术。据报告,静脉多普勒在正常范围内。第二个病例是一名 52 岁的男性,在碎片中停留了 36 小时,左侧臂丛神经损伤,左脚下垂。他有布格尔病病史。第三个病例是一名在地震中被困在废墟中的 8 岁女孩,她的右眼眶骨折,左脚经跗骨截肢。她没有神经系统体征。讨论 我们物理医学与康复诊所收治的病人主要是截肢者、脑外伤、脊髓损伤、周围神经损伤、神经丛损伤、多发性骨折、关节受限和肌肉骨骼系统软组织缺损的病人。地震发生后,我们在门诊遇到了各种各样的病人。除了原发性肌肉骨骼损伤,他们还经历了影响肌肉骨骼系统的全身性问题。此外,还可能出现血栓形成、感染、肾功能衰竭和多器官功能衰竭。结论 各国应制定备灾指南,建立协调单位,以便在发生灾难时迅速采取行动、做出决策和进行沟通。对震后病人的临床特征进行良好的定义,将确保早期干预,防止永久性残疾和功能丧失。LAY ABSTRACT 有毁灭性的地震灾害会对世界造成巨大影响。2023 年 2 月 6 日,土耳其发生了两次地震,震级分别为 7.7 级和 7.6 级。根据最新的官方数据,此次地震造成至少 45,968 人死亡,108,368 人受伤,241,577 栋建筑物受损。在此,我们介绍了地震后我们物理医学与康复诊所的病人情况,并分享了我们的经验。对地震经验的良好定义将指导我们为以后的地震做好准备。
{"title":"DEFINING PATIENT PROFILES AFTER THE 2023 KAHRAMANMARAŞ, TURKEY EARTHQUAKE","authors":"T. TÜLAY KOCA","doi":"10.2340/jrmcc.v7.40039","DOIUrl":"https://doi.org/10.2340/jrmcc.v7.40039","url":null,"abstract":"Objective On 6 February 2023, 2 earthquakes with magnitudes of 7.7 and 7.6 mW occurred in Pazarcık and Elbistan districts of Kahramanmaraş province (Turkey) and affected 11 provinces in total, especially Hatay, Malatya, and Adıyaman. Here, we report 3 earthquake victims in order to define patients profiles. Case reports Three patients who were taken to the orthopedic and neurological rehabilitation program in our inpatient Physical Medicine and Rehabilitation unit after the earthquake are presented. Our first case, a 46-year-old man, remain-ed in the debris for 8.5 h. His left leg was left in the wreckage, and he later developed a drop foot on the left due to compartment syndrome, which developed with pain and swelling in the left calf. There is no fasciotomy procedure. Venous Doppler was reported to be within normal limits. Our second case is a 52-year-old man who was in the debris for 36 h and has a left braxial plexus injury and a left drop foot. He has Buerger’s disease in his medical history. The third case is an 8-year-old girl trapped in rubble during the earthquake with a right orbital fracture and a left foot transmetarsal amputation. She has no neurological signs. Discussion The patients that apply to our Physical Medicine and Rehabilitation clinic are especially amputees, patients with traumatic brain injury, spinal cord injury, peripheral nerve damage, plexus damage, multiple fractures, joint limitations and soft tissue loss in the musculoskeletal system. After the earthquake, we encountered patients from a wide variety of spectrums in our clinic. In addition to primary musculoskeletal injuries, they also experience systemic problems affecting the musculoskeletal system. Additionally, thrombosis, infection, renal failure, and multiple organ failures may also occur. Conclusion Countries should develop guidelines for disaster preparedness and establish coordination units that can take quick action, make decisions, and communicate in times of disaster. A good definition of patient clinical profiles after the earthquake will ensure early intervention and prevent permanent disability and functional losses. LAY ABSTRACT There are devastating earthquake disasters that have massive effects on the world. On 6 February 2023, 2 earthquakes with magnitudes of 7.7 and 7.6 mW occurred in Turkey. According to the latest official data, the incident resulted in at least 45,968 deaths and 108,368 injuries, with 241,577 damaged buildings. Here, we described the patient profiles of our Physical Medicine and Rehabilitation Clinic after the earthquake and shared our experiences. A good definition of earthquake experiences will guide preparation for subsequent earthquakes.","PeriodicalId":515675,"journal":{"name":"Journal of Rehabilitation Medicine - Clinical Communications","volume":"75 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140754171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of resistance training through in-person and teleconferencing sessions in rehabilitation of acute stroke patients 通过面对面和远程会议进行阻力训练对急性中风患者康复的影响
Pub Date : 2024-02-01 DOI: 10.2340/jrmcc.v7.18647
Nikolaos Kintrilis, Antonis Kontaxakis, Anastasios Philippou
Objective: To determine whether application of a strength training regimen yields measurable results on stroke survivors and compare different methods for the proposed intervention.Design, Patients and Methods: Ninety stroke patients were recruited from the neurological clinic of a local third-level clinic. Sixty patients participated in a strength training regimen with trainings taking place 3 times a week for 12 weeks with the use of resistance bands. Thirty of these patients were given face-to-face sessions and 30 patients were given trainings through an on-line platform. The last 30 patients who comprised the control group only followed usual care after the stroke.Results: The applied strength regimen had a statistically significant effect on Visual Analog Scale scores of stroke patients who received it (p = 0.009), as well as in the teleconferencing group (p = 0.004). The measured arteriovenous oxygen difference was elevated for stroke patients who received the intervention as a whole (p = 0.007). Patients who were trained in person and the ones who were trained via teleconferencing yielded similar results as evaluated through the VAS index.Discussion and Conclusion: Administration of strength training 3 times weekly for 12 weeks to stroke patients yielded measurable results in terms of general function and quality of life.
目的确定对中风幸存者进行力量训练是否会产生可测量的效果,并对拟议干预的不同方法进行比较:从当地一家三级医院的神经科诊所招募了 90 名中风患者。其中 60 名患者参加了力量训练,使用阻力带进行训练,每周 3 次,为期 12 周。其中 30 名患者接受面对面的训练,30 名患者通过在线平台接受训练。对照组的最后 30 名患者在中风后只接受常规护理:结果:应用力量疗法对接受该疗法的中风患者的视觉模拟量表评分(P = 0.009)和远程会议组(P = 0.004)有显著的统计学影响。接受整体干预的中风患者的动静脉氧差测量值升高(p = 0.007)。通过 VAS 指数评估,亲自接受训练的患者和通过远程会议接受训练的患者取得了相似的结果:对中风患者进行每周 3 次、为期 12 周的力量训练,可在一般功能和生活质量方面产生可衡量的效果。
{"title":"Effect of resistance training through in-person and teleconferencing sessions in rehabilitation of acute stroke patients","authors":"Nikolaos Kintrilis, Antonis Kontaxakis, Anastasios Philippou","doi":"10.2340/jrmcc.v7.18647","DOIUrl":"https://doi.org/10.2340/jrmcc.v7.18647","url":null,"abstract":"Objective: To determine whether application of a strength training regimen yields measurable results on stroke survivors and compare different methods for the proposed intervention.\u0000Design, Patients and Methods: Ninety stroke patients were recruited from the neurological clinic of a local third-level clinic. Sixty patients participated in a strength training regimen with trainings taking place 3 times a week for 12 weeks with the use of resistance bands. Thirty of these patients were given face-to-face sessions and 30 patients were given trainings through an on-line platform. The last 30 patients who comprised the control group only followed usual care after the stroke.\u0000Results: The applied strength regimen had a statistically significant effect on Visual Analog Scale scores of stroke patients who received it (p = 0.009), as well as in the teleconferencing group (p = 0.004). The measured arteriovenous oxygen difference was elevated for stroke patients who received the intervention as a whole (p = 0.007). Patients who were trained in person and the ones who were trained via teleconferencing yielded similar results as evaluated through the VAS index.\u0000Discussion and Conclusion: Administration of strength training 3 times weekly for 12 weeks to stroke patients yielded measurable results in terms of general function and quality of life.","PeriodicalId":515675,"journal":{"name":"Journal of Rehabilitation Medicine - Clinical Communications","volume":"20 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139684580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CHANGES IN FUNCTIONAL CONNECTIVITY FOLLOWING INTENSIVE ATTENTION TRAINING IN PATIENTS WITH TRAUMATIC BRAIN INJURY. A PILOT STUDY 脑外伤患者接受强化注意力训练后功能连接的变化。试点研究
Pub Date : 2024-01-16 DOI: 10.2340/jrmcc.v7.12436
Hanna PERSSON, Tie-Qiang LI, Gabriela MARKOVIC
Objective To explore functional connectivity after intensive attention training in the chronic phase after traumatic brain injury as clinical evidence indicates that intensive attention training improves attention dysfunction in persons with traumatic brain injury. Design and subjects A case series study. Two young adults, 13- and 18-months post traumatic brain injury, with traumatic brain injury induced attention deficits were assigned to 20 h of intensive attention training and neuroimaging. Methods Functional magnetic resonance imaging during a psychomotor vigilance test was conducted pre- and post-intervention. Results The neuroimaging indicated both increased and decreased connectivity density in frontal, posterior and subcortical brain regions, for some regions with separate change patterns for left and right hemisphere respectively, and an overall reduction in variability in functional connectivity. Conclusion The changed and decreased variability of functional connectivity in various brain regions, captured by fMRI during a psychomotor vigilance test after direct attention training in a small sample of persons with traumatic brain injury, suggests further studies of functional connectivity changes in neural networks. LAY ABSTRACT In our study, we wanted to know how the brain changes after intensive attention training. Two young adults with traumatic brain injury (car accident and fall from height) were administered intensive attention training for 20 h. To measure the intervention effect, the patients underwent a brain scan in an MRI-camera, while performing a test of vigilance. The vigilance test requires that you use your attention. The brain imaging showed that the brain activity was more stable and with less variability after the attention training. These findings suggest the potential benefit of attention training in regulating neural networks. More studies are needed to better illustrate the linkage between changes in the brain and intervention effect.
目的 探讨脑外伤后慢性期强化注意力训练后的功能连接性,因为临床证据表明强化注意力训练可改善脑外伤患者的注意力功能障碍。设计和研究对象 病例系列研究。两名分别在脑外伤后 13 个月和 18 个月出现脑外伤引起的注意力缺陷的年轻人被分配接受 20 小时的强化注意力训练和神经影像学检查。方法 在干预前和干预后的精神运动警觉性测试中进行功能磁共振成像。结果 神经影像学结果显示,大脑前部、后部和皮层下区域的连接密度增加和减少,某些区域的左右半球分别有不同的变化模式,功能连接的变异性总体上降低。结论 在对小样本脑外伤患者进行直接注意力训练后进行精神运动警觉性测试时,fMRI捕捉到的不同脑区功能连通性的变化和变异性的降低,建议进一步研究神经网络中功能连通性的变化。LAY ABSTRACT 在我们的研究中,我们想知道大脑在强化注意力训练后会发生怎样的变化。为了测量干预效果,患者在进行警觉性测试的同时,还在核磁共振成像仪上进行了脑部扫描。警觉性测试要求患者集中注意力。脑成像结果显示,经过注意力训练后,大脑活动更加稳定,变异性更小。这些研究结果表明,注意力训练在调节神经网络方面具有潜在的益处。要更好地说明大脑变化与干预效果之间的联系,还需要更多的研究。
{"title":"CHANGES IN FUNCTIONAL CONNECTIVITY FOLLOWING INTENSIVE ATTENTION TRAINING IN PATIENTS WITH TRAUMATIC BRAIN INJURY. A PILOT STUDY","authors":"Hanna PERSSON, Tie-Qiang LI, Gabriela MARKOVIC","doi":"10.2340/jrmcc.v7.12436","DOIUrl":"https://doi.org/10.2340/jrmcc.v7.12436","url":null,"abstract":"Objective To explore functional connectivity after intensive attention training in the chronic phase after traumatic brain injury as clinical evidence indicates that intensive attention training improves attention dysfunction in persons with traumatic brain injury. Design and subjects A case series study. Two young adults, 13- and 18-months post traumatic brain injury, with traumatic brain injury induced attention deficits were assigned to 20 h of intensive attention training and neuroimaging. Methods Functional magnetic resonance imaging during a psychomotor vigilance test was conducted pre- and post-intervention. Results The neuroimaging indicated both increased and decreased connectivity density in frontal, posterior and subcortical brain regions, for some regions with separate change patterns for left and right hemisphere respectively, and an overall reduction in variability in functional connectivity. Conclusion The changed and decreased variability of functional connectivity in various brain regions, captured by fMRI during a psychomotor vigilance test after direct attention training in a small sample of persons with traumatic brain injury, suggests further studies of functional connectivity changes in neural networks. LAY ABSTRACT In our study, we wanted to know how the brain changes after intensive attention training. Two young adults with traumatic brain injury (car accident and fall from height) were administered intensive attention training for 20 h. To measure the intervention effect, the patients underwent a brain scan in an MRI-camera, while performing a test of vigilance. The vigilance test requires that you use your attention. The brain imaging showed that the brain activity was more stable and with less variability after the attention training. These findings suggest the potential benefit of attention training in regulating neural networks. More studies are needed to better illustrate the linkage between changes in the brain and intervention effect.","PeriodicalId":515675,"journal":{"name":"Journal of Rehabilitation Medicine - Clinical Communications","volume":"50 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139527876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
THE MULTIDISCIPLINARY BIOPSYCHOSOCIAL REHABILITATION PROGRAMME FOR PATIENTS WITH CHRONIC SPINAL PAIN: OUTCOMES WITH WORK STATUS AS THE PRIMARY FOCUS 针对慢性脊柱疼痛患者的多学科生物-心理-社会康复计划:以工作状况为主要关注点的成果
Pub Date : 2024-01-16 DOI: 10.2340/jrmcc.v7.5250
Charlotte Schepens, Katie Bouche, Lutgart BRAECKMAN, Pascale ROMBAUTS, Patrick Linden, Thierry PARLEVLIET
Objective To assess the efficacy of the multidisciplinary biopsychosocial rehabilitation programme for chronic spinal patients as to work status, physical functioning, pain intensity, health-related quality of life and the psychosocial domain. Design This is a retrospective, single-centre, observational cohort study. Subjects/Patients A total of 209 subjects (mean age 41.5 ± 11.4 years) with chronic spinal pain participated in the rehabilitation programme. Methods Evaluations were conducted through standardized questionnaires at baseline and at the end of the rehabilitation programme. Results Patients were more likely to be at work. Sick leave and work VAS changed significantly. Patients in blue-collar jobs are less likely to return to work. Pain intensity, physical functioning, health-related quality of life and lumbar and cervical range of motion improved significantly. Conclusion The multidisciplinary biopsychosocial rehabilitation programme for chronic spinal patients improved the rate of return to work. In daily clinical practice, attention must be given to reducing mobility issues in daily life in order to get patients back to work. The occupational therapist should give patients with blue-collar jobs sufficient attention early in the programme in order to achieve a higher rate of return to work. Lay Abstract Chronic spinal pain causes more overall disability than any other condition (1). Absenteeism due to illness has become an issue of increasing importance in Belgian and European socio-economic actuality (2). However, to our knowledge, different biopsychosocial outcome measures with special attention to work-related outcomes have never been investigated in Belgium. The objective of the study is to assess the efficacy of the multidisciplinary biopsychosocial rehabilitation programme for chronic spinal patients on different outcome domains such as work status, physical functioning, pain intensity, health-related quality of life and the psychosocial domain. The evaluations were conducted through standardized questionnaires at baseline and at the end of the programme. The pain scores and functional outcomes improved. Improvements were noted in mobility. Patients were more likely to be at work. The multidisciplinary biopsychosocial rehabilitation programme for chronic spinal patients improved the rate of return to work, pain intensity, physical functioning and health-related quality of life.
目的 评估针对慢性脊柱炎患者的多学科生物-心理-社会康复计划在工作状态、身体功能、疼痛强度、与健康相关的生活质量和社会心理领域的疗效。设计 这是一项回顾性、单中心、观察性队列研究。对象/患者 共有 209 名慢性脊柱疼痛患者(平均年龄为 41.5±11.4 岁)参加了康复计划。方法 在基线和康复计划结束时通过标准化问卷进行评估。结果 患者更有可能参加工作。病假和工作 VAS 发生了显著变化。从事蓝领工作的患者重返工作岗位的可能性较低。疼痛强度、身体机能、与健康相关的生活质量以及腰椎和颈椎的活动范围均有明显改善。结论 针对慢性脊椎病患者的多学科生物-心理-社会康复计划提高了重返工作岗位的比率。在日常临床实践中,必须注意减少日常生活中的活动障碍,以便让患者重返工作岗位。职业治疗师应在计划初期给予从事蓝领工作的患者足够的关注,以实现更高的重返工作岗位率。摘要 慢性脊柱疼痛比其他任何疾病都更容易导致整体残疾(1)。在比利时和欧洲的社会经济现实中,因病缺勤已成为一个日益重要的问题(2)。然而,据我们所知,比利时从未对特别关注与工作相关的不同生物心理社会结果进行过调查。本研究的目的是评估针对慢性脊柱炎患者的多学科生物心理社会康复计划在不同结果领域(如工作状态、身体功能、疼痛强度、与健康相关的生活质量和社会心理领域)的疗效。评估通过基线和计划结束时的标准化问卷进行。疼痛评分和功能结果均有所改善。行动能力也有所改善。患者更有可能参加工作。针对慢性脊椎病患者的多学科生物-心理-社会康复计划提高了重返工作岗位的比率、疼痛强度、身体功能和与健康相关的生活质量。
{"title":"THE MULTIDISCIPLINARY BIOPSYCHOSOCIAL REHABILITATION PROGRAMME FOR PATIENTS WITH CHRONIC SPINAL PAIN: OUTCOMES WITH WORK STATUS AS THE PRIMARY FOCUS","authors":"Charlotte Schepens, Katie Bouche, Lutgart BRAECKMAN, Pascale ROMBAUTS, Patrick Linden, Thierry PARLEVLIET","doi":"10.2340/jrmcc.v7.5250","DOIUrl":"https://doi.org/10.2340/jrmcc.v7.5250","url":null,"abstract":"Objective To assess the efficacy of the multidisciplinary biopsychosocial rehabilitation programme for chronic spinal patients as to work status, physical functioning, pain intensity, health-related quality of life and the psychosocial domain. Design This is a retrospective, single-centre, observational cohort study. Subjects/Patients A total of 209 subjects (mean age 41.5 ± 11.4 years) with chronic spinal pain participated in the rehabilitation programme. Methods Evaluations were conducted through standardized questionnaires at baseline and at the end of the rehabilitation programme. Results Patients were more likely to be at work. Sick leave and work VAS changed significantly. Patients in blue-collar jobs are less likely to return to work. Pain intensity, physical functioning, health-related quality of life and lumbar and cervical range of motion improved significantly. Conclusion The multidisciplinary biopsychosocial rehabilitation programme for chronic spinal patients improved the rate of return to work. In daily clinical practice, attention must be given to reducing mobility issues in daily life in order to get patients back to work. The occupational therapist should give patients with blue-collar jobs sufficient attention early in the programme in order to achieve a higher rate of return to work. Lay Abstract Chronic spinal pain causes more overall disability than any other condition (1). Absenteeism due to illness has become an issue of increasing importance in Belgian and European socio-economic actuality (2). However, to our knowledge, different biopsychosocial outcome measures with special attention to work-related outcomes have never been investigated in Belgium. The objective of the study is to assess the efficacy of the multidisciplinary biopsychosocial rehabilitation programme for chronic spinal patients on different outcome domains such as work status, physical functioning, pain intensity, health-related quality of life and the psychosocial domain. The evaluations were conducted through standardized questionnaires at baseline and at the end of the programme. The pain scores and functional outcomes improved. Improvements were noted in mobility. Patients were more likely to be at work. The multidisciplinary biopsychosocial rehabilitation programme for chronic spinal patients improved the rate of return to work, pain intensity, physical functioning and health-related quality of life.","PeriodicalId":515675,"journal":{"name":"Journal of Rehabilitation Medicine - Clinical Communications","volume":"33 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139528642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Rehabilitation Medicine - Clinical Communications
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1