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35 résultat(s) recherche sur le mot-clé 'Treatment Outcome' 




Social Competence Treatment After Traumatic Brain Injury: A Multicenter, Randomized Controlled Trial of Interactive Group Treatment Versus Noninteractive Treatment / Cynthia Harrison-Felix in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 11 (2018)
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Titre : Social Competence Treatment After Traumatic Brain Injury: A Multicenter, Randomized Controlled Trial of Interactive Group Treatment Versus Noninteractive Treatment Type de document : Article Auteurs : Cynthia Harrison-Felix ; Jody K. Newman ; Lenore Hawley Article en page(s) : p. 2131-2142 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptationMots-clés : Brain injuries Lésions encéphaliques Social skills Aptitudes sociales Treatment Outcome Résultat thérapeutique Résumé : Objective
To evaluate the effectiveness of a replicable group treatment program for improving social competence after traumatic brain injury (TBI).
Design
Multicenter randomized controlled trial comparing 2 methods of conducting a social competency skills program, an interactive group format versus a classroom lecture.
Setting
Community and veteran rehabilitation centers.
Participants
Civilian, military, and veteran adults with TBI and social competence difficulties (N=179), at least 6 months postinjury.
Interventions
The experimental intervention consisted of 13 weekly group interactive sessions (1.5h) with structured and facilitated group interactions to improve social competence, and the control consisted of 13 traditional classroom sessions using the same curriculum with brief supplemental individual sessions but without structured group interaction.
Main Outcome Measures
Profile of Pragmatic Impairment in Communication (PPIC), an objective behavioral rating of social communication impairments after TBI. LaTrobe Communication Questionnaire (LCQ), Goal Attainment Scale (GAS), Satisfaction with Life Scale, Posttraumatic Stress Disorder Checklist-C (PCL) civilian version, Brief Symptom Inventory 18 (BSI-18), Scale of Perceived Social Self-Efficacy (PSSE).
Results
Social competence goals (GAS) were achieved and maintained for most participants regardless of treatment method. Significant improvements in the primary outcome (PPIC) and 2 of the secondary outcomes (LCQ and BSI) were seen immediately posttreatment and at 3 months posttreatment in the alternative treatment arm only; however, these improvements were not significantly different between the group interactive structured treatment and alternative treatment arms. Similar trends were observed for PSSE and PCL-C.
Conclusions
Social competence skills improved for persons with TBI in both treatment conditions. The group interactive format was not found to be a superior method of treatment delivery in this study.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=119072
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 11 (2018) . - p. 2131-2142[article]The Importance of Voluntary Behavior in Rehabilitation Treatment and Outcomes / John Whyte in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 1 (2019)
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Titre : The Importance of Voluntary Behavior in Rehabilitation Treatment and Outcomes Type de document : Article Auteurs : John Whyte ; Marcel P. Dijkers ; Tessa Hart Année de publication : 2019 Article en page(s) : p. 156-163 Langues : Anglais (eng) Descripteurs : HE Vinci
Classification ; Participation des patients ; Rééducation et réadaptation ; ThérapeutiqueMots-clés : Patient outcome assessment Évaluation des résultats des patients Patient participation Therapeutics Treatment Outcome Résultat thérapeutique Volition Résumé : Most rehabilitation treatments are volitional in nature, meaning that they require the patients active engagement and effort. Volitional treatments are particularly challenging to define in a standardized fashion, because the clinician is not in complete control of the patients role in enacting these treatments. Current recommendations for describing treatments in research reports fail to distinguish between 2 fundamentally different aspects of treatment design: the selection of treatment ingredients to produce the desired functional change and the selection of ingredients that will ensure the patients volitional performance. The Rehabilitation Treatment Specification System (RTSS) is a conceptual scheme for standardizing the way that rehabilitation treatments are defined by all disciplines across all areas of rehabilitation. The RTSS highlights the importance of volitional behavior in many treatment areas and provides specific guidance for how volitional treatments should be specified. In doing so, it suggests important crosscutting research questions about the nature of volitional behavior, factors that make it more or less likely to occur, and ingredients that are most effective in ensuring that patients perform desired treatment activities. 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=119138
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 1 (2019) . - p. 156-163[article]An Evaluation of the Wolf Motor Function Test in Motor Trials Early After Stroke / Dorothy F. EDWARDS in Archives of Physical Medicine and Rehabilitation, 2012/4 (2012)
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Titre : An Evaluation of the Wolf Motor Function Test in Motor Trials Early After Stroke Type de document : Article Auteurs : Dorothy F. EDWARDS ; C.E. Lang ; J.M. Wagner ; [et al.] Article en page(s) : pp 660-668 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation de résultat (soins) ; Rééducation et réadaptationMots-clés : Outcome assessment (health care) Paresis Treatment outcome Parésie Résultat thérapeutique Résumé : Objective
To examine the internal consistency, validity, responsiveness, and advantages of the Wolf Motor Function Test (WMFT) and compare these results to the Action Research Arm Test (ARAT) in participants with mild to moderate hemiparesis within the first few months after stroke.
Design
Data were collected as part of the Very Early Constraint-Induced Therapy for Recovery from Stroke (VECTORS) trial, an acute, single-blind randomized controlled trial of constraint-induced movement therapy. Subjects were studied at baseline (day 0), after treatment (day 14), and after 90 days (day 90) poststroke.
Setting
Inpatient rehabilitation hospital; follow-up 3 months poststroke.
Participants
Hemiparetic subjects (N=51) enrolled in the VECTORS trial.
Intervention
None.
Main Outcome Measures
At each time point, subjects were tested on (1) the WMFT and ARAT, (2) clinical measures of sensorimotor impairments, (3) reach and grasp movements performed in the kinematics laboratory, and (4) clinical measures of disability. Blinded raters performed all evaluations. Analyses at each time point included calculating effect size as indicators of responsiveness, and correlation analyses to examine relationships between WMFT scores and other measures.
Results
The WMFT is internally consistent, valid, and responsive in the early stages of stroke recovery. Sensorimotor and kinematic measures of reach and grasp support the construct validity of the WMFT.
Conclusions
In an acute stroke population, the WMFT has acceptable reliability, validity, and responsiveness to change over time. However, when compared with the ARAT, the higher training and testing burdens may not be offset by the relatively small psychometric advantages.Disponible en ligne : Oui En ligne : http://www.archives-pmr.org/article/S0003-9993%2811%2900889-6/abstract Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117136
in Archives of Physical Medicine and Rehabilitation > 2012/4 (2012) . - pp 660-668[article]Comparing Rehabilitation Services and Outcomes Between Older and Younger People With Spinal Cord Injury / Ching-Hui Hsieh in Archives of Physical Medicine and Rehabilitation, 2013/4 suppl. 2 (2013)
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Titre : Comparing Rehabilitation Services and Outcomes Between Older and Younger People With Spinal Cord Injury Type de document : Article Auteurs : Ching-Hui Hsieh ; Gerben Dejong ; Suzanne Groah ; [et al.] Article en page(s) : pp. 175-186 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptation ; Traumatismes de la moelle épinière ; VieillissementMots-clés : Aging Spinal cord injuries Treatment outcome Résultat thérapeutique Résumé : "Objective
To compare patient and injury characteristics, rehabilitation services, and outcomes between people incurring traumatic spinal cord injury (SCI) at younger and older ages.
Design
Multisite prospective observational cohort study.
Setting
Six acute rehabilitation facilities.
Participants
Patients (N=866) aged ≥16 years admitted to participating centers for their initial rehabilitation after SCI.
Interventions
Not applicable.
Main Outcome Measures
Motor FIM scores at discharge and 1 year postinjury, discharge location, and postacute clinical pathways.
Results
Patients were divided into 4 age-at-injury groups: 16 to 29, 30 to 44, 45 to 60, and >60 years of age. Older adults (>60y) incurring SCI were more likely to be married, retired/unemployed, on Medicare, and to have attained more education. Their injuries mostly resulted from falls and were incomplete in nature. The oldest group had the highest severity of illness, lowest admission and discharge motor FIM scores, and longer rehabilitation stay. They received relatively less rehabilitation than younger groups. They spent proportionately more time in occupational therapy working on preparatory activities and less time on self-care activities during inpatient rehabilitation. In the aged >60 years group, 80% went home at discharge; 17.2% were discharged to a nursing home. Younger groups were less likely to go to a nursing home. Admission motor FIM was the most significant predictor of motor FIM at discharge and 1-year anniversary across age groups. But the age groups differed significantly in patient and treatment factors that explained their respective outcomes.
Conclusions
Older injured individuals experienced a different clinical pathway from younger patients. The present study suggests the need for development of a rehabilitation program tailored specifically to older adults."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=117444
in Archives of Physical Medicine and Rehabilitation > 2013/4 suppl. 2 (2013) . - pp. 175-186[article]Effect of Manual Lymphatic Drainage After Total Knee Arthroplasty: A Randomized Controlled Trial / Claude Pichonnaz in Archives of Physical Medicine and Rehabilitation, 2016/5 (2016)
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Titre : Effect of Manual Lymphatic Drainage After Total Knee Arthroplasty: A Randomized Controlled Trial Type de document : Article Auteurs : Claude Pichonnaz ; Jean-Philippe Bassin ; Estelle Lecureux Article en page(s) : pp. 674682 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthroplastie ; Kinésithérapie (spécialité) ; Oedeme ; Rééducation et réadaptationMots-clés : Arthroplasty Edema Knee joint Articulation du genou Physical therapy specialty Treatment outcome Résultat thérapeutique Résumé : Objective
To evaluate the effects of manual lymphatic drainage (MLD) on knee swelling and the assumed consequences of swelling after total knee arthroplasty (TKA).
Design
Randomized controlled trial.
Setting
Primary care hospital.
Participants
Two groups of 30 patients were randomized before TKA surgery (N=60; 65% women [39]; mean age, 70.7+8.8y; weight, 77.8+11.3kg; size, 1.64+0.08m; body mass index, 29.9+4.1kg/m2).
Interventions
Participants received either 5 MLD treatments or a placebo, added to rehabilitation, in between the second day and the seventh day after surgery.
Main Outcome Measures
Swelling was measured by blinded evaluators before surgery and at second day, seventh day, and 3 months using bioimpedance spectroscopy and volume measurement. Secondary outcomes were active and passive range of motion, pain, knee function, and gait parameters.
Results
At seventh day and 3 months, no outcome was significantly different between groups, except for the knee passive flexion contracture at 3 months, which was lower and less frequent in the MLD group (−2.6°; 95% confidence interval, −5.0° to −0.21°; P=.04; absolute risk reduction, 26.6%; 95% confidence interval, 0.9%52.3%; number needed to treat, 4). The mean pain level decreased between 5.8 and 8.2mm on the visual analog scale immediately after MLD, which was significant after 4 of 5 MLD treatments.
Conclusions
MLD treatments applied immediately after TKA surgery did not reduce swelling. It reduced pain immediately after the treatment. Further studies should investigate whether the positive effect of MLD on knee extension is replicable.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=118062
in Archives of Physical Medicine and Rehabilitation > 2016/5 (2016) . - pp. 674682[article]Effects of Feldenkrais Method on Chronic Neck/Scapular Pain in People With Visual Impairment: A Randomized Controlled Trial With One-Year Follow-Up / Lars-Olov Lundqvist in Archives of Physical Medicine and Rehabilitation, 2014/9 (2014)
PermalinkEffects of Home-Based Versus Clinic-Based Rehabilitation Combining Mirror Therapy and Task-Specific Training for Patients With Stroke: A Randomized Crossover Trial / Yu-wei Hsieh in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 12 (2018)
PermalinkA Factor Analysis of Functional Independence and Functional Assessment Measure Scores Among Focal and Diffuse Brain Injury Patients: The Importance of Bifactor Models / Sarah Gunn in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 9 (2018)
PermalinkHow Do Intensity and Duration of Rehabilitation Services Affect Outcomes From Severe Traumatic Brain Injury? A Natural Experiment Comparing Health Care Delivery Systems in 2 Developed Nations / Tessa Hart in Archives of Physical Medicine and Rehabilitation, 2016/12 (2016)
PermalinkOccupation-Based Strategy Training for Adults With Traumatic Brain Injury: A Pilot Study / Deirdre Dawson in Archives of Physical Medicine and Rehabilitation, 2013/10 (2013)
PermalinkRehabilitation in Multiple Sclerosis: A Systematic Review of Systematic Reviews / Fary Khan in Archives of Physical Medicine and Rehabilitation, 2017/2 (2017)
PermalinkRetrospective Study of the Effects of Inpatient Rehabilitation on Improving and Maintaining Functional Independence in People With Friedreich Ataxia / Sarah Milne in Archives of Physical Medicine and Rehabilitation, 2012/10 (2012)
PermalinkThree-Year Follow-Up Results of a Residential Community Reintegration Program for Patients With Chronic Acquired Brain Injury / Gert Geurtsen in Archives of Physical Medicine and Rehabilitation, 2012/5 (2012)
PermalinkUsing Individual Growth Curve Models to Predict Recovery and Activities of Daily Living After Spinal Cord Injury: An SCIRehab Project Study / Allan J. Kozlowski in Archives of Physical Medicine and Rehabilitation, 2013/4 suppl. 2 (2013)
PermalinkDepression Predicts Functional Outcome in Geriatric Inpatient Rehabilitation / Saba Shahab in Archives of Physical Medicine and Rehabilitation, 2017/3 (2017)
PermalinkDescriptive Modeling of Longitudinal Outcome Measures in Traumatic Brain Injury: A National Institute on Disability and Rehabilitation Research Traumatic Brain Injury Model Systems Study / Christopher R. Pretz in Archives of Physical Medicine and Rehabilitation, 2013/3 (2013)
PermalinkCarpal Tunnel Syndrome: Effectiveness of Physical Therapy and Electrophysical Modalities. An Updated Systematic Review of Randomized Controlled Trials / Bionka M. Huisstede in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 8 (2018)
PermalinkDo Patients With Carpal Tunnel Syndrome Benefit From Low-Level Laser Therapy? A Systematic Review of Randomized Controlled Trials / Thierry P. Franke in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 8 (2018)
PermalinkEffectiveness of Conservative, Surgical, and Postsurgical Interventions for Trigger Finger, Dupuytren Disease, and De Quervain Disease: A Systematic Review / Bionka M. Huisstede in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 8 (2018)
PermalinkEffectiveness of Surgical and Postsurgical Interventions for Carpal Tunnel SyndromeA Systematic Review / Bionka M. Huisstede in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 8 (2018)
PermalinkNatural history of frozen shoulder: fact or fiction? A systematic review / Christopher Kevin Wong in Physiotherapy, 2017/1 (2017)
PermalinkSubacromial Impingement Syndrome: Effectiveness of Pharmaceutical InterventionsNonsteroidal Anti-Inflammatory Drugs, Corticosteroid, or Other Injections: A Systematic Review / Renske Van der sande in Archives of Physical Medicine and Rehabilitation, 2013/5 (2013)
PermalinkAn Introduction to Applying Individual Growth Curve Models to Evaluate Change in Rehabilitation: A National Institute on Disability and Rehabilitation Research Traumatic Brain Injury Model Systems Report / Allan J. Kozlowski in Archives of Physical Medicine and Rehabilitation, 2013/3 (2013)
PermalinkAre Changes in Gait and Balance Across the Disease Step Rating Scale in Multiple Sclerosis Statistically Significant and Clinically Meaningful? / Katrina L. Williams in Archives of Physical Medicine and Rehabilitation, 2016/9 (2016)
PermalinkAssociation Between Facility Type During Pediatric Inpatient Rehabilitation and Functional Outcomes / Molly M. Fuentes in Archives of Physical Medicine and Rehabilitation, 2016/9 (2016)
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