Abstract:
:Objective: The main objective of this study was to evaluate the results of an in-hospital Self-Management program in addition to physiotherapy in severe patients with Chronic Obstructive Pulmonary Disease (COPD) compared to a physiotherapy program.Methods: In this randomized clinical trial, 66 acute exacerbation COPD patients were included and were randomly divided into three groups. The Control group received standard medical treatment. The Physical therapy group received Control Group intervention plus a Physical Therapy intervention, consisting of neuromuscular stimulation therapy on the quadriceps muscle accompanied by lower limb exercises. The Self-management group received Physical Therapy group intervention plus a Self-Management program, which included educational information complemented with a problem-based session, breathing exercises and relaxation exercises. The main outcomes measured were the health-related quality of life and functionality.Results: All treated groups show improvements in all outcomes, being significant in the case of all total scores of health-related quality of life and functionality(p < 0.05) between Physical Therapy group and Self-Management group. At 3 months, health-related quality of life shows reductions in all subscores in Control Group and Physical Therapy groups, while Self-Management group shows minimal maintenance of the values.Conclusion: An individualized Self-Management program added to a physiotherapy program administered once a day improves health-related quality of life and functionality compared to a Physical Therapy and to a Control Group in hospitalized severe COPD patients.Implications for rehabilitationSelf-management is the most challenging area of chronic diseases improving patient self- efficacy and reducing cost.A self-management program improves health-related quality of life and functionality compared to a physical therapy treatment in severe Chronic Obstructive Pulmonary Disease hospitalized patients.
journal_name
Disabil Rehabiljournal_title
Disability and rehabilitationauthors
Lopez-Lopez L,Valenza MC,Rodriguez-Torres J,Torres-Sanchez I,Granados-Santiago M,Valenza-Demet Gdoi
10.1080/09638288.2019.1609099subject
Has Abstractpub_date
2020-12-01 00:00:00pages
3687-3695issue
25eissn
0963-8288issn
1464-5165journal_volume
42pub_type
杂志文章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
更新日期:2000-05-20 00:00:00
abstract:PURPOSE:Choosing an appropriate outcome measure for the assessment of balance among people with cerebellar ataxia is currently challenging as no guidelines are available. There is a need for further investigation with clinical experts in order to derive a set of standardized outcome measures with high clinical utility....
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2014.913709
更新日期:2015-01-01 00:00:00
abstract:PURPOSE:Few studies on disabilities relate to neurogenic chronic pain conditions and how pain influences the patient's ability to maintain life roles. Polyneuropathy is a condition with muscle weakness, sensory impairment and sometimes additional pain of neurogenic origin. The aim was to investigate disability reported...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280802621382
更新日期:2009-01-01 00:00:00
abstract:PURPOSE:After stroke, impaired walking ability may affect activity and participation. The aim was to investigate whether self-reported activity and participation were associated with walking endurance late after stroke. METHOD:A non-randomised sample of 31 persons with a mean age of 59.7 years and time since stroke of...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2011.560329
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVE:To determine if positive emotion modifies the relationship between cognitive impairment and activities of daily living disability status over 10 years in Mexican American adults aged 75 years and older. METHODS:A retrospective cohort design using data from the Hispanic established populations for the epidemi...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2018.1432080
更新日期:2019-06-01 00:00:00
abstract:PURPOSE:Kinesiophobia and catastrophizing are frequent among people with chronic fatigue syndrome (CFS). This study was aimed at examining (1) whether kinesiophobia, anticipated symptoms and fatigue catastrophizing are related to stair climbing performance in people with CFS; and (2) whether kinesiophobia and fatigue c...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2011.641661
更新日期:2012-01-01 00:00:00
abstract:PURPOSE:The evidence supporting rehabilitation after joint replacement, while vast, is of variable quality making it difficult for clinicians to apply the best evidence to their practice. We aimed to map key issues for rehabilitation following joint replacement, highlighting potential avenues for new research. MATERIA...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.1080/09638288.2017.1300947
更新日期:2018-07-01 00:00:00
abstract::This study provides national estimates of the size of the US working age disabled populations in institutions and in the community, and describes these populations along a number of dimensions. By using data from the Institutional Population and Household Survey Components of the 1987 National Medical Expenditure Surv...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638289509166640
更新日期:1995-07-01 00:00:00
abstract:PURPOSE:Hearing impairment may affect the body posture maintenance. The aim of the study was to evaluate the effect of modified Pilates exercise program on the body posture maintenance in hearing impaired people. METHODS:Eighty students (aged 13-24) were enrolled and randomly allocated into two groups: test group (n =...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2017.1370731
更新日期:2018-12-01 00:00:00
abstract:PURPOSE:The present study examined the psychometric properties of the Symptom Catastrophizing Scale (SCS). The SCS items were drawn from the Pain Catastrophizing Scale but were modified to make them better suited to the context of debilitating mental health conditions that are not necessarily associated with pain. The ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2016.1254283
更新日期:2018-02-01 00:00:00
abstract::Handicap has proved to be the most contentious and arguably most misunderstood concept of the International Classification of Impairments, Disabilities, and Handicaps (ICIDH). This paper reviews the definition and characteristics of handicap as presented in the original introduction to the ICIDH, and presents some of ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.3109/09638289509166628
更新日期:1995-02-01 00:00:00
abstract:PURPOSE:To determine whether functional ability at admission and demographics predict discharge placement after inpatient rehabilitation for older adults recovering from stroke. METHOD:In this retrospective study, we examined records of 31,910 adults 65 years of age and older who were admitted for inpatient rehabilita...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2012.717587
更新日期:2013-06-01 00:00:00
abstract:METHODS:Six electronic databases were searched for relevant studies from 2000 to 2019. Forty-one eligible studies were identified. RESULTS:Findings suggest that the people with disabilities' choice to seek healthcare services or not, as well as the quality of intervention provided by primary healthcare providers, are ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2020.1817984
更新日期:2020-09-21 00:00:00
abstract:PURPOSE:To investigate whether 12 week inspiratory muscle training (IMT) has any impact on pulmonary function, maximum respiratory pressures and diaphragmatic mobility (DM) in morbidly obese subjects. METHOD:Thirty-one morbidly obese individuals were assessed. Volunteers were randomised into two groups. The IMT group ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3109/09638288.2013.769635
更新日期:2013-01-01 00:00:00
abstract:PURPOSE:To study dependence in daily activities in adults with congenital disorders living in the community by interviewing them with an interval of 5 years. SUBJECTS AND METHODS:Thirty-one subjects (20 men, 11 women) aged 24-43 years at the second assessment. Twenty-two subjects had cerebral palsy, and nine had spina...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280410001672490
更新日期:2004-05-06 00:00:00
abstract::Epidemiological studies made within the western countries indicate an incidence of 200-300 traumatic head injuries per 100 000 residents each year. Severe head injuries account for 5-25% of all head injuries; 10-14% of all severe head-injured patients develop into a vegetative state, in which a sleep-wake rhythm is ap...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.3109/09638289609167084
更新日期:1996-01-01 00:00:00
abstract:PURPOSE:The purpose of this study was to describe the development of the Motivation for Change Questionnaire (MCQ) and to test its intra-patient reliability on musculoskeletal pain patients in interdisciplinary rehabilitation as a basis for use in rehabilitation planning. METHOD:The MCQ questionnaire was developed fro...
journal_title:Disability and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1080/09638280500052682
更新日期:2005-09-02 00:00:00
abstract:PURPOSE/METHOD:The article discusses rehabilitation practices in Zimbabwe from both a local and international perspective. It considers the nature of formal and informal rehabilitation services in the country, and rehabilitation personnel training. RESULTS:Indigenous disability-related practices dominate the informal ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280010008889
更新日期:2001-07-20 00:00:00
abstract:OBJECTIVE:The National Service Framework (NSF) for Long-Term Neurological Conditions (LTNC) highlights the need for vocational rehabilitation (VR) services in quality requirement 6. As a part of a review of this requirement, an extensive literature review was undertaken to identify, review and report on all relevant re...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.3109/09638288.2012.669019
更新日期:2012-01-01 00:00:00
abstract:PURPOSE:To obtain information about the wishes and experiences of patients with a lower limb amputation with regard to prosthetic prescription and their exchange of information with the healthcare providers. METHOD: DESIGN:Cross-sectional questionnaire. SETTING:Outpatient clinic of a Rehabilitation Centre. STUDY PA...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280600948375
更新日期:2007-07-15 00:00:00
abstract::Purpose Transitioning to independence may be problematic for persons with spina bifida (SB). Experiences of young persons with SB may provide insights into this group's needs for support. Therefore, the aim of this study was to investigate children's and adolescents' experiences of living with SB, their social and emo...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2016.1146355
更新日期:2017-02-01 00:00:00
abstract:OBJECTIVE:To determine the reliability, responsiveness, and convergent validity of the Four-Meter Walk Test (4mWT) compared to the Six-Minute Walk Test (6MWT) surrounding total knee arthroplasty (TKA). DESIGN:Secondary analysis of a randomized controlled trial. SETTING:Research laboratory. PARTICIPANTS:One hundred s...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2020.1852446
更新日期:2020-12-05 00:00:00
abstract::Purpose: The aim of this article is to conceptualise the phenomenon of therapy-related parental stress in parents of children with a physical disability. Methods: Three models related to parental stress were reviewed, i.e., general parental stress, burden of caregiving in parents of children with physical disabilities...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2019.1646815
更新日期:2019-08-19 00:00:00
abstract:PURPOSE:To argue for and propose bipartite concepts of functioning and disability, to tally with the structure of the ICF classification list, concepts of social models and clinical needs. METHOD:The ICF concepts are discussed in relation to the history of ideas regarding disability concepts and the needs for such con...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2014.978506
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:To compare the effects of goal directed functional therapy (GDT) to activity focused therapy (AT) for preschool children with cerebral palsy (CP) on everyday activities and gross motor function. Another aim was to evaluate goal attainment in the GDT group. METHODS:A prospective intervention study comparing t...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1080/09638280902822278
更新日期:2009-01-01 00:00:00
abstract:PURPOSE:This survey was carried out to study the views of multidisciplinary health professionals about discussing sexual issues with patients. METHODS:A questionnaire was sent to professionals (nurses, doctors, physiotherapists and occupational therapists) to return by post. A duplicate questionnaire was sent 4 weeks ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/0963828021000031188
更新日期:2003-03-18 00:00:00
abstract:PURPOSE:The purpose of this study was to develop an understanding the experience and meaning of mobility loss among older adults with multiple sclerosis (MS). This work is part of a larger study on the health concerns and service needs of older adults with MS. METHODS:Twenty-seven people with MS (mean age = 62 years, ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280310001596180
更新日期:2003-10-21 00:00:00
abstract:PURPOSE:This study explored health professionals' views about the influence of Muslim religious beliefs on Kuwaiti patients' self-efficacy within stroke rehabilitation. It also explored their confidence in discussing religious issues with patients during rehabilitation. METHOD:Qualitative semi-structured interviews we...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2014.892641
更新日期:2014-01-01 00:00:00
abstract::Background: People with post-stroke aphasia commonly experience mental health conditions, with depression having a high prevalence. An understanding of current practice may inform ways to improve psychological care for people with aphasia.Aim: To explore current practice for managing depression after post-stroke aphas...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2019.1621394
更新日期:2021-01-01 00:00:00
abstract:PURPOSE:The objective of this study was to examine disablement as experienced by young adult African American men and women with permanent mobility impairment. METHOD:This study included a sample of 5 male and 5 female participants ranging in age from 22 to 39. An exploratory descriptive design and qualitative methods...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2013.798362
更新日期:2014-01-01 00:00:00