Abstract:
PURPOSE:Best practice guidelines for neurorehabilitation recommend coordinated rehabilitation programmes to ensure seamless service transitions and comprehensive rehabilitation practices. However, this recommendation for practice and the evidence informing its advancement is based on unexamined assumptions. Therefore, this study investigates bio-psycho-social outcomes and perceptions of a coordinated rehabilitation programme. METHOD:In a prospective, naturalistic mixed methods study, rehabilitation outcomes for 82 adults (18-66 years) with moderate to severe acquired brain injury were investigated. Clients who received the coordinated rehabilitation programme KORE (n = 27) were compared to clients from the same area who received standard rehabilitation prior to the implementation of the KORE programme (n = 37) and clients who received other coordinated efforts elsewhere (n = 18). The study employed quantitative data from standardized tests (Functional Independence Measure, Major Depression Inventory, Quality of life, and Impact on Participation and Autonomy Questionnaire, as well as information on return to work and qualitative interviews with clients (n = 82) and their relatives (n = 40). RESULTS:Outcomes did not improve from hospital discharge to two years later. Notably, physiological recovery had probably been achieved to the extent possible, but depression and reduced psychological well-being remained prevalent across groups. Qualitative interviews suggested several barriers to improvement, such as identity dilemmas and unmet needs for psychological support, while rehabilitation services focused on physical and practical training. CONCLUSION:Coordinated interventions do not guarantee comprehensive rehabilitation and better outcomes for clients with acquired brain injury. Psychological support seems to be important and largely unaddressed.
journal_name
NeuroRehabilitationjournal_title
NeuroRehabilitationauthors
Glintborg C,Hansen TGdoi
10.3233/NRE-161301subject
Has Abstractpub_date
2016-01-01 00:00:00pages
99-113issue
2eissn
1053-8135issn
1878-6448pii
NRE1301journal_volume
38pub_type
杂志文章abstract::Recent basic research on the neural control of female sexual function is reviewed with an emphasis on the pathways controlling the genitalia. Sexual responses require the coordination of sympathetic, parasympathetic and somatic nervous system. This coordination is performed by interneuronal systems within the lower sp...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:
更新日期:2000-01-01 00:00:00
abstract::This article provides a short history of the hawing aspects of community integration in the United States for persons with permanent and/or long-term physical, affective, and cognitive disabilities. Included in this history are the philosophy behind the process, some pitfalls that have been found to be important to av...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-1994-4206
更新日期:1994-01-01 00:00:00
abstract:INTRODUCTION:Although deemed a globally accepted framework, there remains scare evidence on the process and outcome of implementing the International Classification of Functioning, Disability and Health (ICF) within neurorehabilitation. OBJECTIVES:This review briefly explores the existing, broader literature and then ...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-141185
更新日期:2015-01-01 00:00:00
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journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-151261
更新日期:2015-01-01 00:00:00
abstract::Behavioral factors are an integral part of the overall morbidity of patients with vertigo, dizziness, and balance disorders. Anxiety, depression, and more importantly, loss of balance confidence and sense of debility and handicap beleaguer patients with acute and chronic vestibular symptoms. Vestibular rehabilitation ...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-2011-0693
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Robot-assisted gait training provide a big therapeutic advantage in functional mobility for postural control. OBJECTIVES:The purpose of this study was investigate the effects of robot-assisted gait training using virtual reality and auditory stimulation on balance and gait abilities in stroke patients. MET...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/NRE-172415
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:After cervical spinal cord injury, current options for treatment of upper extremity motor functions have been limited to traditional approaches. However, there is a substantial need to explore more rigorous alternative treatments to facilitate motor recovery. OBJECTIVE:To demonstrate whether anodal-primary ...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/NRE-161371
更新日期:2016-07-15 00:00:00
abstract:OBJECTIVE:To explore the impact of rehabilitation robot training (RRT) on upper limb motor function and daily activity ability in patients with stroke. METHODS:Forty patients meeting the inclusion criteria were randomly divided into the treatment group (TRE) and the control group (CON). Group TRE was trained with an u...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-203130
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Anosognosia is a lack of awareness of personal deficits that is commonly observed in people with a traumatic brain injury (TBI). OBJECTIVE:The purpose of this paper is to examine whether self-appraisal of executive functioning differs for students with and without TBI. METHODS:Students who had survived a T...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-161337
更新日期:2016-06-13 00:00:00
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journal_title:NeuroRehabilitation
pub_type: 临床试验,杂志文章
doi:10.3233/NRE-2011-0665
更新日期:2011-01-01 00:00:00
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journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-161427
更新日期:2017-01-01 00:00:00
abstract:INTRODUCTION:Dysphagia is a frequent problem in various neurological disorders. However, knowledge on swallowing function in patients with cerebral hypoxia is sparse. The objective of this study is to report the development of swallowing function in a series of adolescent and young-adult patients with cerebral hypoxia....
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-182437
更新日期:2018-01-01 00:00:00
abstract::This article reviews the literature on life expectancy in the disabled population. The literature is surveyed with regard to the main elements that reduce life expectancy for people with disabilities. These are immobility, cognitive and intellectual impairment, swallowing problems and tube feeding, epilepsy and incont...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-2010-0597
更新日期:2010-01-01 00:00:00
abstract::Clients who have experienced a brain injury often are damaged by a third party who is perceived responsible for the consequences of their actions. In the United States, a common method of seeking financial compensation for the injury is to file a personal injury law suit. This article will outline the RAPEL method for...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-1996-7204
更新日期:1996-01-01 00:00:00
abstract::Mild to severe cognitive impairment and depression are common among patients with Parkinson's disease (PD) and play a significant role in disability. Effective treatment planning requires a holistic assessment of cognitive and emotional difficulties. A brief neuropsychological protocol was developed to examine the pat...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:Individuals with Amyotrophic Lateral Sclerosis (ALS) exhibit speech disorders since the early stages that decrease the communication rate and interfere in social participation. OBJECTIVE:To conduct a literature review on communication vulnerable and Augmentative and Alternative Communication (AAC) in Amyotr...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-171443
更新日期:2017-01-01 00:00:00
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journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/NRE-182526
更新日期:2019-01-01 00:00:00
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journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-172239
更新日期:2017-01-01 00:00:00
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journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-192850
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Contemporary goals of rehabilitation after traumatic brain injury (TBI) aim to improve cognitive and motor function by applying concepts of neuroplasticity. This can be challenging to carry out in TBI patients with motor, balance, and cognitive impairments. OBJECTIVE:To determine whether use of dynamic body...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-192898
更新日期:2019-12-18 00:00:00
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journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-151215
更新日期:2015-01-01 00:00:00
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journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
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更新日期:2014-01-01 00:00:00
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journal_title:NeuroRehabilitation
pub_type: 杂志文章
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更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Pisa syndrome (PS) or lateral axial dystonia is often seen in patients with Parkinson's disease (PD). It is characterized by a marked and reversible lateral flexion of the trunk (LFT) more than 10°. OBJECTIVE:To assess the effectiveness of a program of postural exercises and assess the effectiveness in term...
journal_title:NeuroRehabilitation
pub_type: 临床试验,杂志文章
doi:10.3233/NRE-162033
更新日期:2017-01-01 00:00:00
abstract::The prevalence of psychological depression in elderly patients in medical/rehabilitation/nursing care settings is reviewed, with general levels of 20% to 35% and more specific levels up to 70% being reported for these populations. Depression is seen as readily identifiable in these patients, though it is probably a di...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-1993-3107
更新日期:1993-01-01 00:00:00
abstract::There is increasing interest and activity in the provision of teleassessment and telerehabilitation services to individuals with traumatic brain injury. Yet, little formal research exists, and there are no large-scale clinical trials or evidence-based applications of these technologies in TBI. The present commentary w...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract::Family caregivers of older individuals in rehabilitation have unique needs and concerns that should be addressed in rehabilitation and in community-based programs. Their concerns have a direct bearing on their health and on the health and well-being of their care-recipients. In this paper, we review the major problems...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:
更新日期:2008-01-01 00:00:00
abstract::Many patients with post-poliomyelitis syndrome can benefit from a management program. When a post-polio patient presents with new symptoms, it is first essential to identify and treat other medical and neurological conditions which could produce these symptoms. New weakness can be managed with exercise (stretching, st...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-1997-8204
更新日期:1997-01-01 00:00:00
abstract::Neuropsychological evaluations conducted in the United States and abroad commonly include the use of tests translated from English to Spanish. The use of translated naming tests for evaluating predominately Spanish-speakers has recently been challenged on the grounds that translating test items may compromise a test's...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,多中心研究
doi:10.3233/NRE-2009-0456
更新日期:2009-01-01 00:00:00
abstract::Cognitive rehabilitation has evolved to be a common clinical practice, despite questions regarding the scientific basis for its effectiveness. A selective interpretation of existing studies suggests that non-specific treatment factors play an important role in the efficacy of cognitive rehabilitation. Some future dire...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-1997-8103
更新日期:1997-01-01 00:00:00