Abstract:
OBJECTIVE:The main objective of this study was to describe the distribution of referrals offered to patients assessed in the "Post-Acute Stroke program" of Bordeaux University Hospital (France). This program was developed in 2008 to organize the dispensation of care in rehabilitation units specialized in neurological diseases. MATERIAL AND METHODS:This was a single-centre observational study. Between July 2008 and December 2012, data on the number of stroke patients hospitalized at the Bordeaux University Hospital and their post-acute referral were collected from the local hospital discharge database. Some of these patients were assessed by Physical Rehabilitation and Medicine physicians participating in the program. Proposed and actual referrals, time from admission to assessment and functional status were also collected. RESULTS:Among 4189 stroke patients, 1465 (35%) survivors were assessed, of whom 932 (22.2%) were discharged to inpatient rehabilitation facilities. There were no patients discharged to this type of unit without an assessment. Among the 1465 patients who were assessed, 57.2% were referred to specialized rehabilitation units, 6.3% were discharged to non-specialized rehabilitation units and 26% returned home directly. The median total length of stay in acute units varied from 10 to 15days depending on referral orientation. CONCLUSION:Patients that were assessed were more likely to be transferred to specialized rehabilitation units than to non-specialized rehabilitation units. The Post-Acute Stroke program has the particularity of combining private and public specialized rehabilitation units in a common collaborative referral system while retaining the control and flexibility of personalised referral for each patient in the light of local care availability.
journal_name
Ann Phys Rehabil Medjournal_title
Annals of physical and rehabilitation medicineauthors
Cassoudesalle H,Nozères A,Petit H,Cressot V,Muller F,Rouanet F,Sibon I,Joseph PA,Dehail Pdoi
10.1016/j.rehab.2016.02.003subject
Has Abstractpub_date
2016-09-01 00:00:00pages
248-54issue
4eissn
1877-0657issn
1877-0665pii
S1877-0657(16)00041-5journal_volume
59pub_type
杂志文章abstract:PURPOSE:The perception of verticality results from the integration of vestibular, visual and somatosensory information. Spinal cord injured patients with complete paraplegia have total somatosensory deafferentation below a certain metameric segment. In our study, we were interested in the implication of somatosensory s...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2010.07.005
更新日期:2010-11-01 00:00:00
abstract:UNLABELLED:Osteoporosis is a common complication in children with motor impairments. They have a higher risk of fractures (20% during their lifetime) mostly at femoral level. Furthermore, these children have pain yet no clear relation has been established between osteoporosis and pain. The efficacy of bisphosphonates h...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2011.07.002
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abstract:OBJECTIVE:There are no handbook or recommendations for the use of pharmacological agents to treat neurobehavioral disorders after traumatic brain injury (TBI). This work proposes a systematic review of the literature and a user guide on neuroleptics, antidepressants, beta-blockers, mood stabilizers and other medication...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章,实务指引,评审
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更新日期:2016-02-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to analyze the prevalence of claw toes and its correlation to other lower limb disorders as well as the global functional recovery in a population of hemiplegic patients 1year post-stroke. PATIENTS AND METHODS:This prospective study included 39 stroke patients hospitalized in the Ph...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2009.12.005
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abstract:OBJECTIVES:To describe the frequency with which members of the French general population in the 30-to-69 age class sought care for lower back pain (LBP) from various healthcare professionals and to identify associated parameters. MATERIAL AND METHODS:Data were collected in the 2002-2003 Décennale Santé survey, which i...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2010.03.006
更新日期:2010-05-01 00:00:00
abstract:BACKGROUND:Individuals with cerebral palsy (CP) experience bone loss due to impaired weight bearing. Despite serious complications, there is no standard medication. OBJECTIVE:To develop a new pharmacological agent, we performed a series of studies. The primary aim was to develop an animal model of CP to use our target...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2020.09.009
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2011.08.002
更新日期:2011-10-01 00:00:00
abstract:BACKGROUND:About two-thirds of stroke patients present long-term upper-limb impairment and limitations of activity, which constitutes a challenge in rehabilitation. This situation is particularly true in developing countries, where there is a need for inexpensive rehabilitation solutions. OBJECTIVE:This study assessed...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2009.08.002
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:There is little focus on adults with cerebral palsy (CP) in research and health care and insufficient knowledge on how to identify and manage pain in this population. OBJECTIVES:This systematic review and meta-analysis aimed to determine whether pain prevalence in adults with CP is high and to explore varia...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章,评审
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章,多中心研究
doi:10.1016/j.rehab.2019.06.003
更新日期:2019-07-01 00:00:00
abstract:BACKGROUND:Locked-in syndrome (LIS) characterizes individuals who have experienced pontine lesions, who have limited motor output but with preserved cognitive abilities. Despite their severe physical impairment, individuals with LIS self-profess a higher quality of life than generally expected. Such third-person expect...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2019.09.011
更新日期:2020-11-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.1016/j.rehab.2012.08.011
更新日期:2012-12-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2017.09.005
更新日期:2018-01-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.rehab.2009.12.006
更新日期:2010-04-01 00:00:00
abstract:BACKGROUND:Constraint-induced movement therapy (CIMT) is increasingly recognized as an effective therapy for children with hemiparesis. However, the effectiveness of CIMT outside the standard rehabilitation protocol in clinical settings is less known. The aim of this systematic review was to investigate the effectivene...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.1016/j.rehab.2017.10.004
更新日期:2018-07-01 00:00:00
abstract:BACKGROUND:Recent studies reported that wearable sensor devices show low validity for assessing the amount of energy expenditure in individuals after stroke. OBJECTIVE:We aimed to evaluate the validity of energy expenditure calculation based on the product of energy cost and walked distance estimated by wearable devic...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2019.07.002
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:Patients with back pain can show one or more features of spinal osteoarthritis (OA), such as morning stiffness, limited or painful range of motion (ROM), and lumbar disc degeneration (LDD). However, it has not been investigated whether these features are prognostic of long-term back pain. OBJECTIVES:This st...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2020.07.010
更新日期:2020-08-27 00:00:00
abstract:BACKGROUND:The Pediatric Stroke Outcome Measure-Summary of Impressions (PSOM-SOI) measures neurological function across right and left sensorimotor domains (Item A), language production (Item B), language comprehension (Item C), and cognition/behaviour (Item D). OBJECTIVE:This study was a cross-cultural adaptation int...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2019.10.010
更新日期:2019-12-06 00:00:00
abstract:OBJECTIVES:The pre-return-to-work medical consultation during sick leave for low back pain (LBP) aims at assessing the worker's ability to resume working without risk for his/her health, and anticipating any difficulties inherent to returning to work and job retention. This article summarizes the good practices guideli...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.1016/j.rehab.2015.08.001
更新日期:2015-10-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.rehab.2016.12.004
更新日期:2017-07-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2018.04.006
更新日期:2018-09-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2012.02.006
更新日期:2012-05-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2017.09.003
更新日期:2018-01-01 00:00:00
abstract::Walk tests, principally the six-minute walk test (6mWT), constitute a safe, useful submaximal tool for exercise tolerance testing in cardiac rehabilitation (CR). The 6mWT result reflects functional status, walking autonomy and efficacy of CR on walking endurance, which is more pronounced in patients with low functiona...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.1016/j.rehab.2013.09.003
更新日期:2013-10-01 00:00:00
abstract:BACKGROUND:Physical exercise is widely prescribed in rehabilitation programmes for low back pain (LBP). The LBP patient often asks whether this physical activity should be maintained and, in some cases, whether he/she should resume or take up a sport. PURPOSE:To answer these two questions by performing a review of lit...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.1016/j.rehab.2013.08.007
更新日期:2013-10-01 00:00:00
abstract:BACKGROUND:Insulin resistance is a determining factor in the pathophysiology of type 2 diabetes mellitus (T2DM). Exercise is known to improve insulin resistance, but a systematic review of the literature is lacking. OBJECTIVE:This systematic review and meta-analysis focused on identifying evidence for the effectivenes...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章,meta分析
doi:10.1016/j.rehab.2018.11.001
更新日期:2019-03-01 00:00:00
abstract::This document is part of a series of documents designed by the French Physical and Rehabilitation Medicine Society (Sofmer) and the French Federation of PRM (Fedmer). These documents describe the needs for or a specific type of patients; PRM care objectives, human and material resources to be implemented, chronology a...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2011.10.001
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND:After a period of coma, a proportion of individuals with severe brain injury remain in an altered state of consciousness before regaining partial or complete recovery. Individuals with disorders of consciousness (DOC) classically receive hydration and nutrition through an enteral-feeding tube. However, the r...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2020.04.008
更新日期:2020-07-18 00:00:00
abstract:OBJECTIVE:The management of osteoporosis in spinal cord injury that is a recurring issue in daily practice, but unfortunately, no standard protocol is provided by the literature review, either for screening or for a strategy of prevention and even for therapy. We assessed the practices of the physicians in physical med...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2010.09.007
更新日期:2010-12-01 00:00:00