trié(s) par (Pertinence décroissant(e), Titre croissant(e)) 

Advancing Rehabilitation Practice Through Improved Specification of Interventions / Jeanne M. Zanca in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 1 (2019)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 100, n° 1 (2019) . - p. 164-171 Titre : Advancing Rehabilitation Practice Through Improved Specification of Interventions Type de document : Article Auteurs : Jeanne M. Zanca ; Lyn S. Turkstra ; Christine Chen Année de publication : 2019 Article en page(s) : p. 164-171 Langues : Anglais (eng) Descripteurs : HE Vinci Classification ; Participation des patients ; Rééducation et réadaptation ; Thérapeutique Mots-clés : Patient outcome assessment  Évaluation des résultats des patients  Patient participation  Therapeutics  Volition Résumé : Rehabilitation clinicians strive to provide cost-effective, patient-centered care that optimizes outcomes. A barrier to this ideal is the lack of a universal system for describing, or specifying, rehabilitation interventions. Current methods of description vary across disciplines and settings, creating barriers to collaboration, and tend to focus mostly on functional deficits and anticipated outcomes, obscuring connections between clinician behaviors and changes in functioning. The Rehabilitation Treatment Specification System (RTSS) is the result of more than a decade of effort by a multidisciplinary group of rehabilitation clinicians and researchers to develop a theory-based framework to specify rehabilitation interventions. The RTSS describes interventions for treatment components, which consist of a target (functional change brought about as a direct result of treatment), ingredients (actions taken by clinicians to change the target), and a hypothesized mechanism of action, as stated in a treatment theory. The RTSS makes explicit the connections between functional change and clinician behavior, and recognizes the role of patient effort in treatment implementation. In so doing, the RTSS supports clinicians’ efforts to work with their patients to set achievable goals, select appropriate treatments, adjust treatment plans as needed, encourage patient participation in the treatment process, communicate with team members, and translate research findings to clinical care. The RTSS may help both expert and novice clinicians articulate their clinical reasoning processes in ways that benefit treatment planning and clinical education, and may improve the design of clinical documentation systems, leading to more effective justification and reimbursement for services. Interested clinicians are invited to apply the RTSS in their local settings. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119139 [article]

Characterizing the Experience of Spasticity after Spinal Cord Injury: A National Survey Project of the Spinal Cord Injury Model Systems Centers / Edelle C. Field-Fote in Archives of Physical Medicine and Rehabilitation, Vol. 103, n° 4 (2022)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 103, n° 4 (2022) . - p. 764-772.e2 Titre : Characterizing the Experience of Spasticity after Spinal Cord Injury: A National Survey Project of the Spinal Cord Injury Model Systems Centers Type de document : Article Auteurs : Edelle C. Field-Fote ; Catherine L. Furbish ; Natalie E. Tripp ; Jeanne M. Zanca ; Trevor A. Dyson-Hudson ; Steven Kirshblum ; Allen W. Heinemann ; David Chen ; Elizabeth Roy Felix ; Lynn Worobey ; Mary Schmidt-Read ; Ralph J. Marino ; Matthew J. Hayat Année de publication : 2022 Article en page(s) : p. 764-772.e2 Note générale : https://doi.org/10.1016/j.apmr.2021.03.040 Langues : Anglais (eng) Descripteurs : HE Vinci Dysréflexie autonome ; Mesures des résultats rapportés par les patients (PROM) ; Paralysie ; Paraplégie ; Réadaptation ; Spasme ; Tétraplégie Résumé : Objective To characterize the qualities that individuals with spinal cord injury (SCI) associate with their experience of spasticity and to describe the relationship between spasticity and perceived quality of life and the perceived value of spasticity management approaches. Design Online cross-sectional survey. Setting Multicenter collaboration among 6 Spinal Cord Injury Model Systems hospitals in the United States. Participants Individuals with SCI (N=1076). Interventions Not applicable. Main Outcome Measures Qualities of Spasticity Questionnaire, modified Spinal Cord Injury–Spasticity Evaluation Tool (mSCI-SET), and the modified Patient-Reported Impact of Spasticity Measure (mPRISM). Results Respondents indicated that spasms most often occurred in response to movement-related triggering events. However, spontaneous spasms (ie, no triggering event) were also reported to be among the most common types. Frequency of spasms appears to decline with age. The highest frequency of spasms was reported by 56% of respondents aged 55 years. Stiffness associated with spasticity was reported to be more common than spasms (legs, 65% vs 54%; trunk, 33% vs 18%; arms, 26% vs 15%). Respondents reported negative effects of spasticity more commonly than positive effects. Based on their association with negative scores on the mSCI-SET and the mPRISM, the 5 most problematic experiences reported were stiffness all day, interference with sleep, painful spasms, perceived link between spasticity and pain, and intensification of pain before a spasm. Respondents indicated spasticity was improved more by stretching (48%) and exercise (45%) than by antispasmodics (38%). Conclusions The experience of spasticity after SCI is complex and multidimensional, with consequences that affect mobility, sleep, comfort, and quality of life. Stiffness, rather than spasms, appears to be the most problematic characteristic of spasticity. Physical therapeutic interventions to treat spasticity warrant in-depth investigation. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292900 [article]

Factors Complicating Treatment Sessions in Spinal Cord Injury Rehabilitation: Nature, Frequency, and Consequences / Marcel P. Dijkers in Archives of Physical Medicine and Rehabilitation, 2013/4 suppl. 2 (2013)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2013/4 suppl. 2 (2013) . - pp. 115-124 Titre : Factors Complicating Treatment Sessions in Spinal Cord Injury Rehabilitation: Nature, Frequency, and Consequences Type de document : Article Auteurs : Marcel P. Dijkers ; Jeanne M. Zanca Article en page(s) : pp. 115-124 Langues : Anglais (eng) Descripteurs : HE Vinci Comorbidité ; Recherche sur les services de santé ; Rééducation et réadaptation ; Services de santé ; Traumatismes de la moelle épinière Mots-clés : Allied health personnel  Auxiliaires de santé  Comorbidity  Health services  Health services research  Hospitals  Hôpitaux  Patient participation  Participation des patients  Spinal cord injuries Résumé : "Objective To describe therapist-reported factors affecting therapy sessions in spinal cord injury (SCI) inpatient rehabilitation and explore their impact on the patient's rehabilitation program. Design Prospective observational longitudinal cohort design. Data were obtained from systematic recordings of interventions by clinicians and from medical record abstraction. Setting Six inpatient rehabilitation programs. Participants Patients (N=1376) with traumatic SCI admitted for initial rehabilitation. Interventions Not applicable. Main Outcome Measures Factors recorded as impacting the objective or content of treatment sessions by physical therapy, occupational therapy, speech therapy, and therapeutic recreation, patients' participation in treatment as rated using a modified Pittsburgh Rehabilitation Participation Scale (PRPS), length of stay (LOS), medical morbidity measured using the Comprehensive Severity Index, hours of therapy per week, and missed therapy minutes. Results Patients received 151,172 treatment sessions from 483 therapists. Pain, fatigue, and spasticity were commonly reported factors; other medical, behavioral, and logistical factors were also frequent, with 30% of sessions being affected by at least 1 factor. The number of factors was correlated with missed therapy minutes and with the PRPS score. Patients with more reported factors, overall or per average session, had a longer LOS and fewer hours of treatment per week. Conclusions Medical and other factors complicating therapy are common. Those who need a longer stay because of their injury level or for other reasons have more opportunity to have sessions affected, but having many treatment sessions impacted by 1 or more factors also is likely to increase LOS. The nature of these factors and their impact on rehabilitation processes and outcomes deserve further study." Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117438 [article]

Group Therapy Utilization in Inpatient Spinal Cord Injury Rehabilitation / Jeanne M. Zanca in Archives of Physical Medicine and Rehabilitation, 2013/4 suppl. 2 (2013)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2013/4 suppl. 2 (2013) . - pp. 145-153 Titre : Group Therapy Utilization in Inpatient Spinal Cord Injury Rehabilitation Type de document : Article Auteurs : Jeanne M. Zanca ; Marcel P. Dijkers ; Ching-Hui Hsieh ; [et al.] Article en page(s) : pp. 145-153 Langues : Anglais (eng) Descripteurs : HE Vinci Ergothérapie ; Kinésithérapie (spécialité) ; Psychologie ; Recherche sur les services de santé ; Rééducation et réadaptation ; Services de santé ; Traumatismes de la moelle épinière Mots-clés : Health services  Health services research  Occupational therapy  Physical therapy specialty  Psychology  Recreation therapy  Thérapie par le loisir  Spinal cord injuries Résumé : "Objective To describe group therapy utilization in spinal cord injury (SCI) inpatient rehabilitation. Design Prospective observational study. Setting Six inpatient rehabilitation facilities. Participants Patients (N=1376) receiving initial rehabilitation after traumatic SCI. Interventions Not applicable. Main Outcome Measure Time spent in group versus individual therapy for physical therapy (PT), occupational therapy (OT), therapeutic recreation (TR), and psychology (PSY) therapies. Results The majority (98%) of patients participated in at least 1 group therapy session, with 83%, 81%, 80%, and 54% of patients receiving group PT, OT, TR, and PSY, respectively. On average, 24% of treatment sessions and 27% of treatment time was provided in group sessions, with TR providing the greatest percent of its time in groups. Group therapy time and time spent in specific activities varied among patient subgroups with different injury characteristics. Group therapy time also varied widely among centers (range, 1.2–6.6h/wk). Across all injury subgroups, individual and group therapy hours per week were negatively correlated for OT and positively correlated for TR. Patient characteristics, clinician experience, and treatment center predicted 32% of variance in group hours per week. PT and OT strengthening/endurance interventions and TR outings were the most common group activities overall. Conclusions While the majority of inpatient SCI rehabilitation consists of individual sessions, most patients participate in group therapy, which contributes significantly to total therapy time. Patterns of group utilization fit with functional expectations and clinical goals. A trade-off between group and individual therapy may occur in some disciplines. Utilization of group therapy varies widely among centers, and further study is needed to identify optimal patterns of group therapy utilization." Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117441 [article]

Pain and Its Impact on Inpatient Rehabilitation for Acute Traumatic Spinal Cord Injury: Analysis of Observational Data Collected in the SCIRehab Study / Jeanne M. Zanca in Archives of Physical Medicine and Rehabilitation, 2013/4 suppl. 2 (2013)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2013/4 suppl. 2 (2013) . - pp. 137-144 Titre : Pain and Its Impact on Inpatient Rehabilitation for Acute Traumatic Spinal Cord Injury: Analysis of Observational Data Collected in the SCIRehab Study Type de document : Article Auteurs : Jeanne M. Zanca ; Marcel P. Dijkers ; Flora Hammond ; Susan D. Horn Article en page(s) : pp. 137-144 Langues : Anglais (eng) Descripteurs : HE Vinci Douleur ; Pain ; Recherche sur les services de santé ; Rééducation et réadaptation ; Traumatismes de la moelle épinière Mots-clés : Allied health occupations  Professions paramédicales  Health services research  Spinal cord injuries Résumé : "Objective To describe pain during inpatient rehabilitation and its impact on delivery of inpatient rehabilitation services for persons with spinal cord injury (SCI). Design Prospective observational study and retrospective chart review. Setting Six inpatient rehabilitation facilities participating in the SCIRehab Study. Participants Patients (N=1357) receiving initial rehabilitation after traumatic SCI, for whom pain data were available. Interventions Not applicable. Main Outcome Measures Self-reported rating of pain intensity (0–10), pain locations, and treatment time by various rehabilitation disciplines. Results The vast majority of patients (97%) reported pain at least once during the rehabilitation stay, with an average pain intensity + SD of 4.9+2.4. Average pain intensity over the stay was severe (rated 7–10) for 30% of patients, moderate (4–6) for 42%, and mild (1–3) for 25%. Pain prevalence at admission was greater than at discharge (87% vs 74%), as was pain intensity (6.0 vs 4.6). Most (79%) of the 177 participants who did not have pain at admission reported pain at least once later in the rehabilitation stay, but their average high pain intensity over the stay was lower than that of the full sample (1.9 vs 4.9). Nearly half (47%) of patients reported pain at ≥3 locations during the stay, with the back, neck, and shoulder commonly reported. Patients with severe pain spent fewer days in rehabilitation, received less rehabilitation treatment time (hours per week and total hours), and had more treatment sessions altered in objective or content because of pain than those with lower pain levels. Conclusions Pain is a common problem for persons receiving inpatient rehabilitation for traumatic SCI and adversely impacts delivery of therapy services." Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117440 [article]

Utilization of Complementary and Integrative Health Care by People With Spinal Cord Injury in the Spinal Cord Injury Model Systems: A Descriptive Study / Jennifer Coker in Archives of Physical Medicine and Rehabilitation, Vol. 103, n° 4 (2022)  

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