The influence of severe malnutrition on rehabilitation in patients with severe head injury.

Abstract:

OBJECTIVE:The purpose of the study was to evaluate the consequences of severe malnutrition in patients with severe head injury during rehabilitation. PATIENTS AND METHODS:The data were collected from medical records of patients admitted to the neurorehabilitation unit over the last 5 years. Twenty of 1850 patients had severe malnutrition, the body mass index (BMI) of these patients were under 15 (10-14) kg/m2. The majority of patients suffered traumatic brain damage (17/20). Thirteen patients arrived with percutaneous endoscopic gastrotomy /PEG, three nasogastric tube in 3 cases we placed PEG. The nutritional strategy included a high-calorie diet, by means of bolus feeding five times during the day, continuous feeding during the night; the daily intake target being more than 2500 kcal. RESULTS:During rehabilitation treatment the majority of patients (13/20) revealed weight gain with a rate of 0.5-2 kg/week. The following complications were treated during the rehabilitation phase: 20 pressure sores, 20 contractures, 11 urinal infections, 6 cases of pneumonia, 2 of purulent bronchitis, 6 of sepsis, 1 penoscrotal abscess, epidydymitis, and 1 case of purulent arthritis. The patients required total assistance at the time of admission. At discharge 10 patients remained completely dependent, 6 patients needed minimal assistance, and 4 patients could perform daily activities independently. The average length of stay in our unit was 78/6-150/days. CONCLUSION:Patients with head injury suffering from severe malnutrition exhibit serious complications at the time of admission as well as during rehabilitation treatment. The patients were very difficult to mobilize. The length of stay at the rehabilitation unit was 28 days longer when complicated by malnutrition, than head injuries showing normal nutritional status. These findings underline the importance of adequate nutrition in patients with head injury in both the acute ward and in the rehabilitation unit.

journal_name

Disabil Rehabil

authors

Dénes Z

doi

10.1080/09638280412331270380

subject

Has Abstract

pub_date

2004-10-07 00:00:00

pages

1163-5

issue

19

eissn

0963-8288

issn

1464-5165

pii

H88XY92NVFPYXHXH

journal_volume

26

pub_type

杂志文章
  • Effectiveness of two different sensory-integration programmes for children with spastic diplegic cerebral palsy.

    abstract:PURPOSE:This study was planned to investigate the effects of individual and group approaches to sensory-perceptual-motor (SPM) training on children with cerebral palsy. METHOD:This study was carried out at the School of Physical Therapy and Rehabilitation of Hacettepe University, Occupational Therapy Unit. Forty-one c...

    journal_title:Disability and rehabilitation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1080/09638280010008843

    authors: Bumin G,Kayihan H

    更新日期:2001-06-15 00:00:00

  • Problems with accessibility to health services by persons with disabilities in São Paulo, Brazil.

    abstract:PURPOSE:To describe the occurrence of self-reported problems of accessibility to health services used by persons with disabilities in terms of social and health services variables. METHODS:We performed a cross-sectional household survey designed to assess problems with accessibility to health services faced by persons...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章

    doi:10.3109/09638288.2010.541542

    authors: Castro SS,Cieza A,Cesar CL

    更新日期:2011-01-01 00:00:00

  • Investigating the adaptation of caregivers of people with traumatic brain injury: a journey told in evolving research traditions.

    abstract::Purpose: To examine how conceptualizations of caregiver adaptation to traumatic brain injury have changed over time. The objectives were to identify research traditions, adaptive outcomes assessed in these traditions, and psychosocial variables associated with adaptive outcomes.Methods: A meta-narrative review was con...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章

    doi:10.1080/09638288.2020.1725158

    authors: King G,Nalder E,Stacey L,Hartman LR

    更新日期:2020-02-20 00:00:00

  • Transcultural adaptation and validation of Hindi version of Quebec Back Pain Disability Scale.

    abstract:PURPOSE:To transculturally adapt the Quebec Back Pain Disability Scale for Hindi-speaking population and examine its psychometric properties in patients with low back pain. MATERIALS AND METHODS:The Quebec Back Pain Disability Scale was translated and cross-culturally adapted into Hindi following international guideli...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章

    doi:10.1080/09638288.2017.1362596

    authors: Zaidi S,Verma S,Moiz JA,Hussain ME

    更新日期:2018-12-01 00:00:00

  • The acceptance and commitment therapy model in occupational rehabilitation of musculoskeletal and common mental disorders: a qualitative focus group study.

    abstract::Aims: The aim of this study was to examine whether and how intended processes of behavioural change were reflected in participants' experiences after an inpatient occupational rehabilitation programme. The programme was transdiagnostic, lasted 3½ weeks and was based on the acceptance and commitment therapy model.Metho...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/09638288.2018.1490824

    authors: Gismervik SØ,Fimland MS,Fors EA,Johnsen R,Rise MB

    更新日期:2019-12-01 00:00:00

  • Development of an integrated care pathway for the management of hemiplegic shoulder pain.

    abstract:PURPOSE:To improve clinical management of patients with hemiplegic shoulder pain through development of an evidence-based multidisciplinary integrated care pathway (ICP), and to use this to audit quality of care against predefined standards. METHODS:The ICP was developed by a team of medical, paramedical and nursing s...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章

    doi:10.1080/09638280110101569

    authors: Jackson D,Turner-Stokes L,Khatoon A,Stern H,Knight L,O'Connell A

    更新日期:2002-05-10 00:00:00

  • Trans-tibial amputee gait adaptations as a result of prosthetic inertial manipulation.

    abstract:PURPOSE:To establish through gait analysis how changing the mass at the distal end of an in-house, custom-made trans-tibial dynamic elastic response prosthetic limb altered selected gait variables. Including; walking velocity, cadence, single support and hip power for a single amputee. METHOD:A before-after single-sub...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章

    doi:10.1080/096382800296647

    authors: Hillery SC,Wallace ES

    更新日期:2000-05-20 00:00:00

  • The role of theory to develop and evaluate a toolkit to increase clinical measurement and interpretation of walking speed and distance in adults post-stroke.

    abstract:PURPOSE:The iWalk study showed that 10-meter walk test (10mWT) and 6-minute walk test (6MWT) administration post-stroke increased among physical therapists (PTs) following introduction of a toolkit comprising an educational guide, mobile app, and video. We describe the use of theory guiding toolkit development and a pr...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章

    doi:10.1080/09638288.2020.1867653

    authors: Salbach NM,MacKay-Lyons M,Solomon P,Howe JA,McDonald A,Bayley MT,Veitch S,Sivarajah L,Cacoilo J,Mihailidis A

    更新日期:2021-01-16 00:00:00

  • An exploration of factors influencing physical activity levels amongst a cohort of people living in the community after stroke in the south of England.

    abstract:PURPOSE:To explore factors influencing physical activity (PA) reported by people living in rural/semi-rural communities in the south of England post-stroke, and to understand relationships between personal, interpersonal and environmental barriers and self-reported levels of PA. METHOD:A survey was mailed to patients ...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章

    doi:10.1080/09638288.2016.1258437

    authors: Jackson S,Mercer C,Singer BJ

    更新日期:2018-02-01 00:00:00

  • Relationships among classifications of impairment and measures of ambulatory function for children with spina bifida.

    abstract::Purpose: To examine associations between neurosegmental and functional level classifications in children with Spina Bifida, and determine which classification best reflects daily walking activity.Materials and methods: A prospective correlational study was conducted. Children with Spina Bifida were given ratings for l...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章

    doi:10.1080/09638288.2020.1746845

    authors: Rethlefsen SA,Bent MA,Mueske NM,Wren TAL

    更新日期:2020-04-07 00:00:00

  • Situationally influenced tinnitus coping strategies: a mixed methods approach.

    abstract:PURPOSE:The primary aim of this study was to identify coping strategies used to manage problematic tinnitus situations. A secondary aim was to determine whether different approaches were related to the level of tinnitus distress, anxiety, depression, and insomnia experienced. MATERIALS AND METHODS:A cross-sectional su...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章

    doi:10.1080/09638288.2017.1362708

    authors: Beukes EW,Manchaiah V,Andersson G,Allen PM,Terlizzi PM,Baguley DM

    更新日期:2018-12-01 00:00:00

  • The impact of aphasia on Internet and technology use.

    abstract::Purpose: This study compared Internet use post-stroke in people with aphasia (n = 25) and without aphasia (n = 17). The purpose was to understand how people with aphasia were using the Internet and to investigate the impact of aphasia on their use.Materials and methods: A face-to-face supported questionnaire explored ...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章

    doi:10.1080/09638288.2019.1580320

    authors: Menger F,Morris J,Salis C

    更新日期:2020-10-01 00:00:00

  • Mothers' and fathers' involvement in intervention programs for deaf and hard of hearing children.

    abstract:PURPOSE:Parental involvement in the rehabilitation process of deaf and hard of hearing (DHH) children is considered vital to children's progress. Today, fathers are more likely to be involved in their children's care. Nevertheless, father involvement has been understudied and relatively little is known about their invo...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章

    doi:10.1080/09638288.2017.1297491

    authors: Zaidman-Zait A,Most T,Tarrasch R,Haddad E

    更新日期:2018-06-01 00:00:00

  • Work physical therapy and rehabilitation ergonomics: a review and discussion of the scope of the areas.

    abstract:PURPOSE:There has been a recent development of the work physical therapy area in Brazil. The relationship between work physical therapy and rehabilitation ergonomics needs to be highlighted to avoid segregation and fragmentation of these complementary fields. For these reasons, the purpose of this article was to review...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章

    doi:10.1080/09638280600638182

    authors: Vieira ER

    更新日期:2006-12-30 00:00:00

  • Trajectories of need: understanding patients' use of support during the journey through knee replacement.

    abstract:PURPOSE:To explore how the process of undergoing and recovering from knee replacement surgery alters patients' experiences and use of their support networks. METHODS:Ten patients having knee replacement surgery for osteoarthritis were invited to take part in in-depth interviews prior to surgery and 2-4 weeks, 6 and 12...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章

    doi:10.3109/09638288.2016.1138549

    authors: Johnson EC,Horwood J,Gooberman-Hill R

    更新日期:2016-12-01 00:00:00

  • Talk your way round--a speech interface to a virtual museum.

    abstract:PURPOSE:To explore the development of a speech interface to a virtual world and to consider its relevance for disabled users. METHOD:The system was developed using mainly software that is available at minimal cost. How well the system functioned was assessed by measuring the number of times a group of users with a ran...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1080/09638280110111379

    authors: Evett L,Tan YK

    更新日期:2002-07-20 00:00:00

  • The Extended Activities of Daily Living scale: a further validation.

    abstract::The Extended Activities of Daily Living scale was validated as an overall assessment of functional independence in stroke patients discharged from hospital. Analysis of results from 49 patients discharged from a stroke unit and 299 from a trial of domiciliary rehabilitation supported previous work indicating that the ...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章

    doi:10.3109/09638289209166426

    authors: Lincoln NB,Gladman JR

    更新日期:1992-01-01 00:00:00

  • Hydration and independence in activities of daily living in people with multiple sclerosis: a pilot investigation.

    abstract:PURPOSE:Bladder dysfunction and disability may cause people with multiple sclerosis (pwMS) to limit fluid intake. However, hydration is rarely considered in the multiple sclerosis literature. We investigated the hydration status of people with pwMS and its association with independence in activities of daily living. M...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章

    doi:10.3109/09638288.2010.549286

    authors: Collett J,Dawes H,Cavey A,Meaney A,Sackley C,Wade D,Howells K

    更新日期:2011-01-01 00:00:00

  • Measuring chronic health condition and disability as distinct concepts in national surveys of school-aged children in Canada: a comprehensive review with recommendations based on the ICD-10 and ICF.

    abstract:PURPOSE:With the aim of improving the measurement of child health and disability in survey research, this paper reviews the coverage of chronic health conditions and the domains of disability and related environmental factors as they are laid out in the ICD-10 and ICF, respectively, in national surveys of school-aged c...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1080/0963828031000122249

    authors: McDougall J,Miller LT

    更新日期:2003-08-19 00:00:00

  • Time for a shift in Australian rehabilitation?

    abstract:PURPOSE:Tertiary rehabilitation, particularly in Australia, still costs a significant amount of money each year. Turnover in the rehabilitation industry is extremely high and rehabilitation professionals report being dissatisfied in their work. These ironic findings can be attributed to the state of tension in which re...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1080/09638280500531784

    authors: Kendall E,Clapton J

    更新日期:2006-09-15 00:00:00

  • Self-worth, perceived competence, and behaviour problems in children with cerebral palsy.

    abstract:PURPOSE:To examine the relevance of physical disabilities for self-worth and perceived competence in children with cerebral palsy (CP), and to examine associations between behaviour problems and self-worth and perceived competence. METHODS:The Harter scales for self-worth and perceived competence and a new scale for p...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章

    doi:10.1080/09638280600554652

    authors: Schuengel C,Voorman J,Stolk J,Dallmeijer A,Vermeer A,Becher J

    更新日期:2006-10-30 00:00:00

  • Self-management and adherence with exercise-based falls prevention programmes: a qualitative study to explore the views and experiences of older people and physiotherapists.

    abstract:PURPOSE:The aim of this study was to involve older people and physiotherapists in the development of acceptable strategies to promote uptake and adherence with an exercise-based falls prevention programme. METHOD:Focus groups were conducted with older people attending a regional falls and syncope service (3 groups, to...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章

    doi:10.3109/09638288.2013.797507

    authors: Robinson L,Newton JL,Jones D,Dawson P

    更新日期:2014-01-01 00:00:00

  • Ankle fractures and employment: a life-changing event for patients.

    abstract:PURPOSE:Ankle fractures, one of the most common types of orthopaedic injury, have been associated with reduced functional outcome and significant changes in long-term employment. Although information on unemployment following ankle fractures can be important in cases of financial compensation, no studies have investiga...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章

    doi:10.3109/09638288.2014.923525

    authors: Thakore RV,Hooe BS,Considine P,Sathiyakumar V,Onuoha G 2nd,Hinson JK,Obremskey WT,Sethi MK

    更新日期:2015-01-01 00:00:00

  • Trends in Australian rehabilitation: reviving its humanitarian core.

    abstract:PURPOSE:This paper discusses how vocational rehabilitation (VR) in Australia has been captured by economic concerns, leading to its failure to deliver promised outcomes. Both public and private sector VR in Australia have undergone significant changes over the last two decades. The demise of non-profit and socially-bas...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1080/09638280600919731

    authors: Kendall E,Muenchberger H,Clapton J

    更新日期:2007-05-30 00:00:00

  • Efficacy of custom-fitted footwear to increase physical activity in children and adolescents with Down syndrome (ShoeFIT): randomised pilot study.

    abstract::Purpose: To determine the feasibility of conducting a definitive randomised trial to evaluate the efficacy of custom-fitted footwear for increasing physical activity in children and adolescents with Down syndrome.Methods: Assessor-blinded, parallel-group randomised pilot study. Thirty-three children and adolescents wi...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章

    doi:10.1080/09638288.2019.1692380

    authors: Hassan NM,Shields N,Landorf KB,Buldt AK,Taylor NF,Evans AM,Williams CM,Menz HB,Munteanu SE

    更新日期:2019-11-22 00:00:00

  • "Test-retest reliability and minimal detectable change in TGlittre-P test in children and adolescents with cystic fibrosis".

    abstract:OBJECTIVE:to provide test-retest reliability for the TGlittre-P in children and adolescents with cystic fibrosis (CFG) and healthy controls (HCG), to establish the minimal detectable change for time in TGlittre-P and comparing the performance in the TGlittre-P test between these populations. METHOD:A cross-sectional s...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章

    doi:10.1080/09638288.2020.1864037

    authors: Scalco JC,Martins R,Almeida ACDS,Caputo F,Schivinski CIS

    更新日期:2021-01-26 00:00:00

  • The extremity function index (EFI), a disability severity measure for neuromuscular diseases: psychometric evaluation.

    abstract:OBJECTIVE:To adapt and to combine the self-report Upper Extremity Functional Index and Lower Extremity Function Scale, for the assessment of disability severity in patients with a neuromuscular disease and to examine its psychometric properties in order to make it suitable for indicating disease severity in neuromuscul...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章

    doi:10.1080/09638288.2017.1300690

    authors: Bos I,Wynia K,Drost G,Almansa J,Kuks JBM

    更新日期:2018-06-01 00:00:00

  • 'Finding a good thing': the use of quantitative and qualitative methods to evaluate an exercise class and promote exercise for adults with mobility impairments.

    abstract:PURPOSE:Physical inactivity in people with severe disabilities is common and has severe consequences. Conditioning classes are one way to increase activity and promote its health related outcomes. This paper reports the results of an evaluation of a community based conditioning class for adults with mobility impairment...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章

    doi:10.1080/096382899297422

    authors: Maher EJ,Kinne S,Patrick DL

    更新日期:1999-09-01 00:00:00

  • Within-session responses to high-intensity interval training in spinal cord injury.

    abstract:AIM:Completion of high-intensity interval training (HIIT) increases maximal oxygen uptake and health status, yet its feasibility in persons with spinal cord injury is unknown. PURPOSE:To compare changes in cardiorespiratory and metabolic variables between two interval training regimes and moderate intensity exercise. ...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章

    doi:10.1080/09638288.2016.1260648

    authors: Astorino TA,Thum JS

    更新日期:2018-02-01 00:00:00

  • Vibration perception threshold in relation to postural control and fall risk assessment in elderly.

    abstract:PURPOSE:This study investigates (i) the potential discriminative role of a clinical measure of peripheral neuropathy (PN) in assessing postural performance and fall risk and (ii) whether the integration of a simple screening vibration perception threshold (VPT) for PN in any physical (fall risk) assessment among elderl...

    journal_title:Disability and rehabilitation

    pub_type: 杂志文章

    doi:10.3109/09638288.2012.751136

    authors: de Mettelinge TR,Calders P,Palmans T,Vanden Bossche L,Van Den Noortgate N,Cambier D

    更新日期:2013-09-01 00:00:00