Abstract:
BACKGROUND:Assessment of rehabilitation outcome is based on measuring the change in Functional Independence Measure (FIMTM) score between the start and end of rehabilitation. However, the raw FIMTM score gain is subject to a ceiling effect. Proposed solutions to this problem have incongruities that limit their use. AIM:The aim of this study was to determine the factors that influence functional outcome in stroke rehabilitation, exploring the possibility of developing an outcome index free of the ceiling effect and of the incongruities revealed by the proposed solutions. DESIGN:Retrospective study of the electronic clinical records of patients admitted to a rehabilitation unit over a period of 5 years. SETTING:Rehabilitation unit. POPULATION:A total of 224 patients admitted for first post-stroke rehabilitation of either ischaemic or hemorrhagic etiology. METHODS:Rehabilitation outcome was evaluated based on changes in both raw and "normalized" FIMTM motor and cognitive scores observed between hospital admission and discharge. Normalized differences are in the range 0-1 and may be considered an estimate of the actually attained fraction of the maximum expected recovery, while the modified algebraic formula (+1 to both numerator and denominator) is intended to correct the incongruities observed in available solutions. Seventeen prognostic factors were selected as possible effect modifiers of the outcome. A multivariable model-building strategy, based on fractional polynomials, was adopted to select the significant factors, and the stability of the results. RESULTS:The procedure adopted to normalize both FIMTM outcomes resolves the ceiling effect and corrects the incongruities noted with available solutions. The level of disability at admission is confirmed as the strongest prognostic factor associated with both cognitive and motor outcomes. The onset-admission interval negatively influence motor recovery, bat not cognitive one. CONCLUSION:There is strong evidence to support the proposal that it is advantageous to measure functional recovery by means of the normalized change in FIMTM score. Following a rehabilitation programme, functional recovery should be evaluated separately for motor and cognitive domains. Rehabilitation program should begin as soon as possible. CLINICAL REHABILITATION IMPACT:Improved assessment of rehabilitation outcome leads to increased achievement of a favourable treatment outcome.
journal_name
Eur J Phys Rehabil Medjournal_title
European journal of physical and rehabilitation medicineauthors
Lanzillo B,Matarazzo G,Calabrese C,Vitale DFsubject
Has Abstractpub_date
2015-10-01 00:00:00pages
587-96issue
5eissn
1973-9087issn
1973-9095pii
R33Y9999N00A150002journal_volume
51pub_type
杂志文章abstract::The subsequent full-text publication of abstracts presented at a scientific congress reflects the latter's scientific quality. The aim of this paper was to evaluate the publication rate for abstracts presented at the 2008 European Congress of Physical and Rehabilitation Medicine (ECPRM), characterize the publications ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:Patellofemoral pain syndrome (PFPS) is a common musculoskeletal pain condition, especially in females. Decreased hip muscle strength has been implicated as a contributing factor. Isolated open kinetic chain hip abductors and lateral rotators exercises were added by many authors to the rehabilitation program....
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2013-10-01 00:00:00
abstract:BACKGROUND:Evidence on the effect of systemic exercise programs to improve the standing balance with the Nintendo Wii system is very limited and its post-treatment effectiveness is unknown in cerebral palsy (CP) patients. AIM:Primary aim was to compare the effect of Nintendo Wii balance board (Wii-therapy) and standar...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:10.23736/S1973-9087.16.04447-6
更新日期:2017-08-01 00:00:00
abstract::In the context of the White Book of Physical and Rehabilitation Medicine (PRM), this paper deals with the education of PRM physicians in Europe. To acquire the wide field of competence needed, specialists in Physical and Rehabilitation Medicine have to undergo a well organised and appropriately structured training of ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.23736/S1973-9087.18.05153-5
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Inspiratory muscle training (IMT) has been shown to generate significant benefits in different clinical conditions; however, there is scarce information regarding acute clinical and hemodynamic effects. AIM:The aim of this study was to evaluate clinical, hemodynamic and electrocardiographic responses during...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:Although the use of patient-reported outcome measures to assess Health-Related Quality of Life (HRQoL) has been advocated, it is still open to debate which patient-reported outcome measure should be preferred to evaluate HRQoL after stroke. AIM:To compare the measurement properties (including concurrent val...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.21.06335-8
更新日期:2021-01-15 00:00:00
abstract:AIM:Since 2007 we have been focusing our attention to EJPRM as the best available clinical evidence as offered by the Cochrane Collaboration. Due to the absence of a specific Rehabilitation Group (only a Field does exist), some reviews in the field of PRM are not easy to find. Consequently, the EJPRM lists and presents...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:Exercise programmes have important role in prevention of falls, but to date, we have little knowledge about the effects of Adapted Physical Activity programme on balance of older women. AIM:The aim of this study was to investigate the effects of an Adapted Physical Activity programme on balance, risk of fal...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2013-06-01 00:00:00
abstract::During the last decade, many studies have been carried out to understand the effects of focal vibratory stimuli at various levels of the central nervous system and to study pathophysiological mechanisms of neurological disorders as well as the therapeutic effects of focal vibration in neurorehabilitation. This review ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND:Decreased range of motion is a common secondary complication of motor neuron disease (MND) that can contribute to functional decline and decreased participation in daily activities. AIM:The purpose of this study was to develop and assess the effectiveness of educational brochures and videos aimed at improvi...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.20.06245-0
更新日期:2020-08-03 00:00:00
abstract:INTRODUCTION:This systematic literature review aims to check the current state of affairs of non-gait-related optoelectronic trunk movement analysis; results have been analyzed from a clinical and a methodological perspective. EVIDENCE ACQUISITION:Extensive research was performed on all papers published until December...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:
更新日期:2016-08-01 00:00:00
abstract:INTRODUCTION:Multiple sclerosis (MS) is a chronic, inflammatory, progressive, disabling autoimmune disease affecting the central nervous system. Symptoms and signs of MS vary widely and patients may lose their ability to walk. To date the benefits of aquatic therapy often used for rehabilitation in MS patients have not...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.23736/S1973-9087.17.04570-1
更新日期:2017-12-01 00:00:00
abstract:BACKGROUND:Mobility limitations are frequent in patients with multiple sclerosis (MS), and could already be present in patients with so-called mild neurological disability (Expanded Disability Status Scale≤4). Assessing mobility in these patients is therefore of paramount importance. Timed Up-and-Go Test (TUG) and 2-Mi...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.18.05366-2
更新日期:2019-08-01 00:00:00
abstract::Recent proposals of classification for cerebral palsy (CP), mainly revised for epidemiological purposes, suggest to abandon the use of the term diplegia. Conversely, in this paper data are presented to support the proposal to maintain the distinction between spastic tetraplegia and diplegia, and to subdivide this latt...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND:Stroke is a major cause of disability worldwide, with an expected rise of global burden in the next twenty years throughout Europe. This EBPP represents the official position of the European Union through the UEMS Physical and Rehabilitation Medicine (PRM) Section and designates the professional role of PRM ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.18.05501-6
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:The growth and popularity of complementary physical therapies for Parkinson's disease (PD) attempt to fill the gap left by conventional exercises, which does not always directly target wellbeing, enjoyment and social participation. AIM:To evaluate the effects of complementary physical therapies on motor per...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,meta分析,评审
doi:
更新日期:2015-12-01 00:00:00
abstract::Neurogenic lower urinary tract dysfunction (NLTUD) is commonly encountered in neuro-rehabilitation settings and is caused by a variety of pathologies. The management of spinal cord injury (SCI) has been the model of reference for the approach to NLTUD due to many other diseases of the central and peripheral nervous sy...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.17.04980-2
更新日期:2017-12-01 00:00:00
abstract:BACKGROUND:Freezing of speech (FoS) and other repetitive speech behaviours can frequently occur in parkinsonian syndromes, worsening the efficacy of language functioning, hampering social interactions, and thus reducing quality of life. Pharmacological treatment are ineffective and other interventions have not specific...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:Non-pharmacological approaches to PD disease management seem to be a growing and promising field of investigation. Indeed interesting new perspectives are forthcoming from studies on physical rehabilitation and on physical exercise. AIM:To qualitatively describe the rehabilitation experience of Parkinson Di...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.16.04213-1
更新日期:2017-02-01 00:00:00
abstract:BACKGROUND:New technologies, such as telerehabilitation and gaming devices offer the possibility for patients to train at home. This opens the challenge of safety for the patient as he/she is called to exercise neither with a therapist on the patients' side nor with a therapist linked remotely to supervise the sessions...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.17.04802-X
更新日期:2018-08-01 00:00:00
abstract:BACKGROUND:In the Facioscapulohumeral muscular dystrophy (FSHD), the association of ankle muscle impairment with knee, hip and abdominal weakness causes complex alterations of static (postural) and dynamic (walking) balance, increasing the risk of recurrent falls. Stereophotogrammetric system and body-worn gyroscopes w...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2012-09-01 00:00:00
abstract::Total hip arthroplasty (THA) has revolutionized the care of patients with end-stage joint disease, leading to pain relief, functional recovery, and substantial improvement in quality of life. However, long-term studies indicate persistence of impairment and functional limitation after THA, and the optimal rehabilitati...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:
更新日期:2009-09-01 00:00:00
abstract:BACKGROUND:Rupture of ulnar collateral ligament of the thumb (UCL) represents a frequent injury of the hand. Surgical repair is considered the gold standard but postoperative immobilization causes partial stiffness in a percentage of cases. AIM:The aim of this paper was to assess the effectiveness of a postoperative f...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2014-02-01 00:00:00
abstract::The purpose of this article was to describe the use of noninvasive inspiratory and expiratory muscle aids to prevent chest wall deformities including pectus excavatum, to prevent respiratory complications of vertebral surgery, to prevent acute and long-term ventilatory insufficiency and failure in children with paraly...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:Despite the growing evidence about the use of robotic gait training in neurorehabilitation, there is a scant literature about the combined effects of this innovative technological approach and a first‑line treatment for focal spasticity as botulinum toxin type A. In particular, to the best of our knowledge, ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:Management of the lower urinary tract is crucially important in patients with spinal cord injuries in order to prevent damage to the upper urinary tract and to preserve renal function. AIM:This study was designed to compare the use of standard polyvinyl chloride (PVC), hydrophilic-coated, and gel-lubricated...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:Some stroke survivors suffer from involuntary movement, which often disturbs upper-limb function, but there are few effective modality options. CASE REPORT:A 70-year-old man presented with persisting right-upper-limb hemiballism due to left thalamic hemorrhage ten years before. We provided inpatient rehabil...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.17.04627-5
更新日期:2017-12-01 00:00:00
abstract:BACKGROUND:Excessive ankle plantar flexion (equinus foot) is a common problem in cerebral palsy (CP) and several treatment options can be considered depending on the equinus type. Few attempts have been made to classify different forms of equinus foot for specific treatment. AIM:This study is aimed at defining equinus...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2011-06-01 00:00:00
abstract:BACKGROUND:Microcurrent therapy (MCT) is a novel electrotherapy modality with very low current-levels that may reduce pain especially in joints and muscles. AIM:The aim of this study is to explore potential effects of MCT on pain in patients with knee osteoarthritis, to explore effects of different treatment parameter...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.20.05921-3
更新日期:2020-08-01 00:00:00
abstract:INTRODUCTION:Stroke may result in decreased trunk muscle strength and limited trunk coordination, frequently determining loss of autonomy due to the trunk impairment. Furthermore, sitting balance has been repeatedly identified as an important predictor of motor and functional recovery after stroke. Given the importance...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.23736/S1973-9087.18.05178-X
更新日期:2018-10-01 00:00:00