Social roles and long-term illness: is it time to rehabilitate convalescence?

Abstract:

:The total extent of sickness in the population has increased while disease has decreased. Being sick is a role that offers the patient many advantages both directly, in terms of being absolved from undertaking many daily activities if necessary, and indirectly, through additional financial and other resources that may be offered. Because of these advantages, it is usual for any persistent sickness to be validated by health care professionals. Moreover sick people are expected to make every effort to leave the sick state, especially to make every effort using offered advice and resources such as rehabilitative treatments. However some people are sick longer than anticipated or apparently justified. The sick role developed based on assumptions that may no longer be valid, and the extended World Health Organization's International Classification of Functioning (WHO ICF) model of illness provides a new analysis of the problem, emphasizing that sometimes sickness is caused or perpetuated by factors other than disease. Among other factors, the lack of a way out of the sick role might be one reason for increasing sickness. Therefore re-establishing convalescence as a role might facilitate people in leaving the sick role, and rehabilitation should consider promoting convalescence.

journal_name

Clin Rehabil

journal_title

Clinical rehabilitation

authors

Wade DT,Halligan PW

doi

10.1177/0269215507077799

subject

Has Abstract

pub_date

2007-04-01 00:00:00

pages

291-8

issue

4

eissn

0269-2155

issn

1477-0873

pii

21/4/291

journal_volume

21

pub_type

社论
  • Lifestyle risks for three disease outcomes in spinal cord injury.

    abstract:OBJECT:The majority of research focusing on lifestyle risks in the spinal cord-injured population to date has mainly been descriptive in nature. Limited research has examined the relationships between lifestyle risks and morbidity. This study was undertaken to quantify the associations between selected lifestyle risks ...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1191/0269215502cr443oa

    authors: Davies DS,McColl MA

    更新日期:2002-02-01 00:00:00

  • Performance of a mail-administered version of a stroke-specific outcome measure, the Stroke Impact Scale.

    abstract:OBJECTIVE:To evaluate the feasibility and concurrent validity of a new, mail-administered, stroke-specific outcome measure, the Stroke Impact Scale (SIS). DESIGN:Observational cohort study. SETTING AND PATIENTS:Stroke patients who had lived independently in the community prior to their stroke and who were candidates ...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1191/0269215502cr510oa

    authors: Duncan PW,Reker DM,Horner RD,Samsa GP,Hoenig H,LaClair BJ,Dudley TK

    更新日期:2002-08-01 00:00:00

  • Video game play (Dance Dance Revolution) as a potential exercise therapy in Huntington's disease: a controlled clinical trial.

    abstract:OBJECTIVE:To investigate the feasibility, acceptability, and safety of a supervised video game exercise program administered via Dance Dance Revolution in individuals with Huntington's disease. DESIGN:A cross-over, controlled, single-blinded, six-week trial. SETTING:Home-based. PARTICIPANTS:Eighteen ambulatory indiv...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1177/0269215513487235

    authors: Kloos AD,Fritz NE,Kostyk SK,Young GS,Kegelmeyer DA

    更新日期:2013-11-01 00:00:00

  • The adjunctive role of mental practice in the rehabilitation of the upper limb after hemiplegic stroke: a pilot study.

    abstract:OBJECTIVE:To assess the feasibility and practicalities of using the technique of mental practice as an adjunct in the rehabilitation of the upper limb following stroke. DESIGN:A series of single-case studies. SETTING:A stroke rehabilitation unit in Belfast. SUBJECTS:Fourteen patients admitted for rehabilitation of t...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1191/0269215504cr702oa

    authors: Crosbie JH,McDonough SM,Gilmore DH,Wiggam MI

    更新日期:2004-02-01 00:00:00

  • The role of meaning in life: mediating the effects of perceived knowledge of stroke on depression and life satisfaction among stroke survivors.

    abstract:OBJECTIVE:Meaning-making is a way of coping when facing adverse events. A paucity of literature suggests other possible factors (e.g. delivery of knowledge) can influence how chronic illness survivors (i.e. stroke survivors in rehabilitation) cope with illness. This article explores the importance and significance of m...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1177/0269215517708604

    authors: Chow EO

    更新日期:2017-12-01 00:00:00

  • Short- and long-term outcome of constraint-induced movement therapy after stroke: a randomized controlled feasibility trial.

    abstract:OBJECTIVE:Constraint-induced movement therapy (CIMT) is a method to improve motor function in the upper extremity following stroke. The aim of this trial was to determine the effect and feasibility of CIMT compared with traditional rehabilitation in short and long term. DESIGN:A randomized controlled trial. SETTING:A...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0269215507084581

    authors: Dahl AE,Askim T,Stock R,Langørgen E,Lydersen S,Indredavik B

    更新日期:2008-05-01 00:00:00

  • The psychometric properties and clinical utility of measures of walking and mobility in neurological conditions: a systematic review.

    abstract:OBJECTIVE:To identify psychometrically robust and clinically feasible measures of walking and mobility in people with neurological conditions. DATA SOURCES:MEDLINE, CINAHL, EMBASE, PEDro and AMED. REVIEW METHODS:Independent reviewers selected and extracted data from articles that assessed the reliability, validity, s...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1177/0269215509339004

    authors: Tyson S,Connell L

    更新日期:2009-11-01 00:00:00

  • Physical activity maintenance in patients with rheumatoid arthritis: a qualitative study.

    abstract:OBJECTIVE:To describe the experience of physical activity maintenance in patients with rheumatoid arthritis. DESIGN:A qualitative salutogenic-oriented interview study. SETTING:A rheumatology outpatient clinic. SUBJECTS:A purposive sample of 16 physically active patients (mean age 50, range 37-67) diagnosed with rheu...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1177/0269215513501526

    authors: Loeppenthin K,Esbensen B,Ostergaard M,Jennum P,Thomsen T,Midtgaard J

    更新日期:2014-03-01 00:00:00

  • Early mobilization with walking aids following hospital admission with acute exacerbation of chronic obstructive pulmonary disease.

    abstract:OBJECTIVE:We hypothesized that early ambulation with a gutter frame (GF) in elderly patients hospitalized for acute exacerbation of chronic obstructive pulmonary disease (AECOPD) may reduce physical disability and allow earlier discharge. DESIGN:Blinded, randomized parallel groups trial. SUBJECTS:One hundred and ten ...

    journal_title:Clinical rehabilitation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1191/0269215503cr637oa

    authors: Yohannes AM,Connolly MJ

    更新日期:2003-08-01 00:00:00

  • Effect of very early mobilisation on functional status in patients with acute stroke: a single-blind, randomized controlled trail.

    abstract:OBJECTIVE:To evaluate the effect of very early mobilisation on functional status following acute stroke. DESIGN:Single blind, randomized controlled trial. SETTING:University hospital. SUBJECTS:Eighty-six patients with acute stroke (42 men and 38 women) aged 30-80 years were randomized to an Intervention group and a ...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0269215515596054

    authors: Chippala P,Sharma R

    更新日期:2016-07-01 00:00:00

  • A lifestyle intervention as supplement to a physical activity programme in rehabilitation after stroke: a randomized controlled trial.

    abstract:OBJECTIVE:To evaluate the effectiveness of lifestyle group intervention on well-being, occupation and social participation. DESIGN:A randomized controlled trial. SETTING:Senior centres in the community. SUBJECTS:Of 204 stroke survivors screened, 99 (49%) were randomized three months after stroke whereby 86 (87%) par...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1177/0269215511429473

    authors: Lund A,Michelet M,Sandvik L,Wyller T,Sveen U

    更新日期:2012-06-01 00:00:00

  • Criterion validity of lower extremity Motricity Index scores.

    abstract:OBJECTIVE:To examine the criterion validity of lower extremity Motricity Index scores. DESIGN:Retrospective cross-sectional comparison of lower extremity Motricity Index scores and hand-held dynamometer measurements obtained from 15 patients with stroke. RESULTS:For individual actions (ankle dorsiflexion, knee extens...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1191/026921500675786655

    authors: Cameron D,Bohannon RW

    更新日期:2000-04-01 00:00:00

  • Why do patients decline participation in offered pulmonary rehabilitation? A qualitative study.

    abstract:OBJECTIVE:The purpose of this study is to produce insight in the explanations for declining pulmonary rehabilitation given by patients with chronic obstructive pulmonary disease. SETTING:The participants were recruited from a hospital in Denmark, among patients hospitalized due to an exacerbation of chronic obstructiv...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1177/0269215517708821

    authors: Mathar H,Fastholm P,Lange P,Larsen NS

    更新日期:2017-12-01 00:00:00

  • Does pre-existing cognitive impairment impact on amount of stroke rehabilitation received? An observational cohort study.

    abstract:OBJECTIVE:To examine whether stroke survivors in inpatient rehabilitation with pre-existing cognitive impairment receive less therapy than those without. DESIGN:Prospective observational cohort. SETTING:Four UK inpatient stroke rehabilitation units. PARTICIPANTS:A total of 139 stroke patients receiving rehabilitatio...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1177/0269215519843984

    authors: Longley V,Peters S,Swarbrick C,Rhodes S,Bowen A

    更新日期:2019-09-01 00:00:00

  • The process of stroke rehabilitation: what happens and why.

    abstract:OBJECTIVE:To assess the process of hospital-based stroke rehabilitation. DESIGN:A criterion-based process audit, combined with surveys of patient and staff opinions and basic outcome measures. SETTING:All wards and units treating stroke patients in a health care district, including an acute and a community National H...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1191/026921599674794965

    authors: Tyson SF,Turner G

    更新日期:1999-08-01 00:00:00

  • Pulmonary function and physical performance outcomes with preoperative physical therapy in upper abdominal surgery: a randomized controlled trial.

    abstract:OBJECTIVE:Investigation of the effects of preoperative physical therapy on pulmonary function and physical performance before and after upper abdominal surgery. DESIGN:Non-blind randomized controlled trial. SETTING:Tertiary public hospital and private university, São Paulo state, Brazil. SUBJECTS:Thirty-two patients...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0269215512471063

    authors: Soares SM,Nucci LB,da Silva MM,Campacci TC

    更新日期:2013-07-01 00:00:00

  • The Huntingdon Day Hospital Trial: secondary outcome measures.

    abstract:OBJECTIVE:To compare day hospital to day centre rehabilitation using scales to measure mobility, activities of daily living and quality of life. DESIGN:Single blind randomized controlled trial with home assessments at baseline (twice), six weeks and three months. SETTING:Mainly rural health district. Day hospital and...

    journal_title:Clinical rehabilitation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1191/0269215500cr334oa

    authors: Burch S,Longbottom J,McKay M,Borland C,Prevost T

    更新日期:2000-08-01 00:00:00

  • Rehabilitation - a new approach. Part two: the underlying theories.

    abstract::This editorial considers how healthcare systems should approach the problems associated with ongoing, persistent symptoms and limitations on a person's ability to undertake activities. It starts from the premise, established in the first editorial, that the current reliance on the biomedical model of health and illnes...

    journal_title:Clinical rehabilitation

    pub_type: 社论

    doi:10.1177/0269215515601175

    authors: Wade D

    更新日期:2015-12-01 00:00:00

  • A population study of correlates of social participation in older adults with age-related vision loss.

    abstract:OBJECTIVE:To examine personal characteristics, disease-related impairment variables, activity limitations, and environmental factors as correlates of social participation in older adults with vision loss guided by the World Health Organization's International Classification of Functioning, Disability and Health Model. ...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1177/0269215515624479

    authors: Cimarolli VR,Boerner K,Reinhardt JP,Horowitz A,Wahl HW,Schilling O,Brennan-Ing M

    更新日期:2017-01-01 00:00:00

  • Simplified modified Rankin Scale questionnaire correlates with stroke severity.

    abstract:OBJECTIVE:To further validate the simplified modified Rankin Scale questionnaire (smRSq), we compare it here to a well-established predictor of functional outcome after stroke, the initial stroke severity. DESIGN:Retrospective correlation analysis. PARTICIPANTS:Forty patients identified from a registry of stroke pati...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1177/0269215512470674

    authors: Bruno A,Close B,Switzer JA,Hess DC,Gross H,Nichols FT 3rd,Akinwuntan AE

    更新日期:2013-08-01 00:00:00

  • The support taken through walking aids during hemiplegic gait.

    abstract:OBJECTIVE:To assess the effect of different aids on the amount of support hemiplegic subjects took from them. The relationship between the amount of support, severity of hemiplegia and walking ability were also assessed. DESIGN:Hemiplegic subjects' gait and the amount of support they took from the aid were measured as...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1191/026921598669871795

    authors: Tyson SF

    更新日期:1998-10-01 00:00:00

  • Service users' views of the assessment process in stroke rehabilitation.

    abstract:OBJECTIVE:To investigate the service users' (stroke survivors and care-givers) experiences and views of the rehabilitation assessment process. DESIGN:Qualitative data analysis from three focus groups using a content analysis to identify the major themes. SETTING:Participants were recruited from stroke support groups ...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1177/0269215514523300

    authors: Tyson SF,Burton LJ,McGovern A,Sharifi S

    更新日期:2014-08-01 00:00:00

  • The effectiveness of diacutaneous fibrolysis on pain, range of motion and functionality in musculoskeletal disorders: A systematic review and meta-analysis.

    abstract:OBJECTIVE:To assess the effectiveness of diacutaneous fibrolysis in reducing musculoskeletal disorders symptoms such as pain, range of motion and functionality. DATA SOURCES:A systematic review of MEDLINE, Cochrane, PEDro and Science Direct was conducted until September 2020. REVIEW METHODS:Computerized search strate...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1177/0269215520968056

    authors: Cadellans-Arróniz A,Llurda-Almuzara L,Campos-Laredo B,Cabanas-Valdés R,Garcia-Sutil A,López-de-Celis C

    更新日期:2020-10-26 00:00:00

  • The efficacy of three-dimensional Schroth exercises in adolescent idiopathic scoliosis: a randomised controlled clinical trial.

    abstract:OBJECTIVE:To compare the efficacy of three-dimensional (3D) Schroth exercises in patients with adolescent idiopathic scoliosis. DESIGN:A randomised-controlled study. SETTING:An outpatient exercise-unit and in a home setting. SUBJECTS:Fifty-one patients with adolescent idiopathic scoliosis. INTERVENTIONS:Forty-five ...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0269215515575745

    authors: Kuru T,Yeldan İ,Dereli EE,Özdinçler AR,Dikici F,Çolak İ

    更新日期:2016-02-01 00:00:00

  • Instruments for assessing the burden of informal caregiving for stroke patients in clinical practice: a comparison of CSI, CRA, SCQ and self-rated burden.

    abstract:OBJECTIVE:To compare the feasibility, convergent and clinical validity of three commonly used burden scales: Caregiver Strain Index (CSI), Caregiver Reaction Assessment (CRA) and Sense of Competence Questionnaire (SCQ), with a self-developed single question on self-rated burden (SRB). SUBJECTS:Stroke patients receivin...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1191/0269215504cr723oa

    authors: van Exel NJ,Scholte op Reimer WJ,Brouwer WB,van den Berg B,Koopmanschap MA,van den Bos GA

    更新日期:2004-03-01 00:00:00

  • Strength training and stretching versus stretching only in the treatment of patients with chronic neck pain: a randomized one-year follow-up study.

    abstract:OBJECTIVE:To compare the effectiveness of a 12-month home-based combined strength training and stretching programme against stretching alone in the treatment of chronic neck pain. DESIGN:A randomized follow-up study. PARTICIPANTS:One hundred and one patients with chronic non-specific neck pain were randomized in two ...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0269215507087486

    authors: Häkkinen A,Kautiainen H,Hannonen P,Ylinen J

    更新日期:2008-07-01 00:00:00

  • The course of apraxia and ADL functioning in left hemisphere stroke patients treated in rehabilitation centres and nursing homes.

    abstract:OBJECTIVE:To study the course of apraxia and daily life functioning (ADL) in left hemisphere stroke patients with apraxia. DESIGN:Prospective cohort study. SETTING:Rehabilitation centres and nursing homes. SUBJECTS:One hundred and eight left hemisphere stroke patients with apraxia, hospitalized in rehabilitation cen...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1177/0269215506071257

    authors: Donkervoort M,Dekker J,Deelman B

    更新日期:2006-12-01 00:00:00

  • How to measure fatigue in neurological conditions? A systematic review of psychometric properties and clinical utility of measures used so far.

    abstract:OBJECTIVE:To systemically review the psychometric properties and clinical utility (feasibility) of tools to measure fatigue in neurological conditions. DATA SOURCES:AMED, CINAHL, MEDLINE, Science Direct and Web of Knowledge were searched for studies of the psychometric properties of fatigue measures in adults with cen...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1177/0269215514521043

    authors: Tyson SF,Brown P

    更新日期:2014-08-01 00:00:00

  • Effects of transcranial magnetic stimulation on the performance of the activities of daily living and attention function after stroke: a randomized controlled trial.

    abstract:OBJECTIVE:We aimed to interrogate the effects of transcranial magnetic stimulation (TMS) on the performance in activities of daily living (ADL) and attention function after stroke. DESIGN:Randomized controlled trial. SETTING:Inpatient rehabilitation hospital. SUBJECTS:We randomized 62 stroke patients with attention ...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1177/0269215520946386

    authors: Liu Y,Yin M,Luo J,Huang L,Zhang S,Pan C,Hu X

    更新日期:2020-12-01 00:00:00

  • A review of outcome indicators in the treatment of chronic limb oedema.

    abstract:OBJECTIVES:To provide an overview of physical and psychological outcome indicators which have been used to evaluate conservative treatments for chronic oedema. METHODS OF FINDING PAPERS: Papers were located via the MedLine, CINAHL and GEARS databases, and the British Lymphology Interest Group Key References lists. ISSU...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1177/026921559701100301

    authors: Sitzia J,Stanton AW,Badger C

    更新日期:1997-08-01 00:00:00