Abstract:
:Purpose: To determine if the addition of direct supervision to usual clinical supervision practice of physiotherapists can improve compliance with clinical practice guidelines and post-surgical outcomes for inpatients with hip fracture.Methods: A controlled before-and-after study was conducted on two acute orthopedic wards. Junior and mid-level physiotherapists on one ward were provided with direct supervision during their post-operative management of patients with hip fracture. Physiotherapists on the comparison ward received usual reflective supervision. The primary outcome was patient compliance with the hip fracture guideline to mobilize on the day following surgery. Secondary patient outcomes included physical function on the fifth post-operative day.Results: Data were collected from 290 patients with acute hip fracture. Patients at the direct supervision site were more likely to mobilize on the day after surgery [OR 3.14, 95% confidence interval (CI) 1.41-7.01; p = 0.005] and by the second post-operative day (OR 4.62, 95% CI 2.31-9.23; p < 0.001) compared to patients at the comparison site. Patients walked further on the fifth post-operative day (p < 0.001) with less assistance from therapists (p = 0.044).Conclusions: The addition of direct supervision improved physiotherapists' compliance with hip fracture guidelines and walking endurance and independence in hospitalized patients with hip fracture.Implications for rehabilitationThe addition of a direct supervision model, where physiotherapists are directly observed in their management of patients with hip fracture, to usual practice supervision improved early mobilization of patients with hip fractureDirect supervision appears to be an effective guideline implementation strategy that can improve care and outcomes for hospitalized patients with hip fracture.
journal_name
Disabil Rehabiljournal_title
Disability and rehabilitationauthors
Snowdon DA,Leggat SG,Harding KE,Scroggie G,Hau R,Darzins P,Taylor NFdoi
10.1080/09638288.2019.1610805subject
Has Abstractpub_date
2020-12-01 00:00:00pages
3825-3832issue
26eissn
0963-8288issn
1464-5165journal_volume
42pub_type
杂志文章abstract:PURPOSE:To evaluate microcirculatory variables in and around the Achilles tendon (AT) in patients undergoing a programme of daily eccentric training for the management of tendinopathy of the main body of the AT in non-compliant in contrast to compliant patients. METHODS:A total of 116 patients with tendinopathy of the...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1080/09638280701785676
更新日期:2008-01-01 00:00:00
abstract:PURPOSE:To perform a Rasch analysis (RA) of the Fear Avoidance Beliefs questionnaire (FABQ-I) in a sample of chronic non-specific low back pain (CLBP) patients. The RA is expected to provide information about the internal construct validity and all the single items consistency of the FABQ-I and then contributing to the...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.3109/09638288.2014.909890
更新日期:2015-01-01 00:00:00
abstract::Purpose: Cognitive impairment is highly prevalent (61%) in chronic obstructive pulmonary disease (COPD). International guidelines recommend providing self-management education through resource-intensive, pulmonary rehabilitation programs, yet screening for deficits likely to interfere with learning have received insuf...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2018.1519046
更新日期:2020-05-01 00:00:00
abstract:PURPOSE:It is important for professionals working with individuals with acquired neurogenic communication disorders to consider their clients' psychological well-being. Much is known about the significant emotional, social and psychological consequences of aphasia after stroke; however, little is known about the indivi...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2010.503835
更新日期:2011-01-01 00:00:00
abstract:PURPOSE:We aimed to investigate the ability of oxygen uptake kinetics to predict short-term outcomes after off-pump coronary artery bypass grafting. METHODS:Fifty-two patients aged 60.9 ± 7.8 years waiting for off-pump coronary artery bypass surgery were evaluated. The 6-min walk test distance was performed pre-operat...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2017.1401673
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVE:To evaluate the extent to which the rehabilitation outcome levels (ROL) and the spinal cord independence measure (SCIM) III could be mapped to the International Classification of Functioning, Disability and Health (ICF) and the brief core set for spinal cord injury (SCI) in the post-acute context. METHODS:Tw...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2015.1107762
更新日期:2016-08-01 00:00:00
abstract::Introduction: The 6-Minute Walking Test (6MWT) is a safe, standardized and well utilized method to assess the functional capacity. Recently, it was reported that the published prediction equations cannot accurately predict a valid maximal oxygen consumption ([Formula: see text]O2 peak) value in cancer survivors. Thus,...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2020.1725159
更新日期:2020-02-11 00:00:00
abstract::Purpose: To translate and validate into the Greek language and setting the Sarcopenia Quality of Life (SarQoL®) questionnaire.Methods: A convenience sample of 176 Greek elderly people (136 females, 40 males; aged 71.19 ± 7.95 years) was recruited, 50 of which (36 females, 14 males) were diagnosed sarcopenic. Questionn...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2018.1514076
更新日期:2020-04-01 00:00:00
abstract:PURPOSE:Demonstrating the effectiveness of health care interventions requires valid measurement of the impact of those interventions. However, outlining precisely what constitutes a 'good outcome' in the field of rehabilitation is no easy task and tends to rely on models proposed by 'experts' rather than people with th...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280110049919
更新日期:2001-11-10 00:00:00
abstract::The burden of chronic disease worldwide is substantial. Unfortunately, risk factor control for most chronic diseases remains poor even after diagnoses. This is a major concern because poor risk factor control often leads to secondary consequences of the disease and the development of co-existing diseases. Stroke is a ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2013.797513
更新日期:2014-01-01 00:00:00
abstract:PURPOSE:The worldwide COVID-19 pandemic has changed almost all aspects of our lives, and the field of childhood disability is no exception. METHODS:This article is based on an invited lecture by the first author at a conference-the eHealth Summit ("Pediatric Rehabilitation in a Digital Space")-organized by the other a...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2020.1862925
更新日期:2020-12-23 00:00:00
abstract:PURPOSE:To review research that examined the participation in activities of children who have cerebral palsy, in order to understand their extent of participation and the factors that influenced participation. METHODS:A comprehensive search of seven databases retrieved 2,111 papers, 40 of which met criteria and were r...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.1080/09638280701673542
更新日期:2008-01-01 00:00:00
abstract:PURPOSE:To improve the operating speed of the traditional row-column scanning computer keyboard-mouse composite panel controlled using a single key. METHOD:Using a single mouse input control window can avoid scanning unnecessary keyboard characters, thereby increasing the speed in performing mouse commands. In additio...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/0963828021000030909
更新日期:2003-02-18 00:00:00
abstract:OBJECTIVE:To study the effects of spasticity, sensory impairment, and type of walking aid on falls in community dwellers with chronic stroke. METHODS:Functional Independence Measure (FIM) Instrument, Joint Position Sense Evaluation (JPS), the Rivermead motor assessment scale (RMA), Ashworth Scale, Tinetti Assessment T...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280600925860
更新日期:2007-05-15 00:00:00
abstract:PURPOSE:The purpose was to explore, describe and compare the characteristics of physiotherapy sessions with patients after stroke from two perspectives: the patients' and the physiotherapists', in relation to observed behaviour. METHODS:A qualitative, descriptive, comparative approach was used. Nine patients and 10 ph...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280410001724889
更新日期:2004-10-21 00:00:00
abstract::Purpose: Altered three-dimensional (3D) joint kinematics can contribute to shoulder pathology, including post-stroke shoulder pain. Reliable assessment methods enable comparative studies between asymptomatic shoulders of healthy subjects and painful shoulders of post-stroke subjects, and could inform treatment plannin...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2018.1451924
更新日期:2019-07-01 00:00:00
abstract:PURPOSE:To understand the meaning of regular participation in multiple types of vigorous-intensity exercise for those with Parkinson's disease (PD). MATERIALS AND METHODS:Using a qualitative phenomenological approach, in-depth individual interviews were conducted with eight male participants who engaged in at least tw...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2020.1836042
更新日期:2020-10-25 00:00:00
abstract:PURPOSE:To explore the association between participation and social competence for preschool aged children with and without disabilities. METHODS:The sample was drawn from the Longitudinal Study of Australian Children (n = 4983) which included children aged 4-5 years reported to have hearing problems (n = 164), vision...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2014.949355
更新日期:2015-01-01 00:00:00
abstract:PURPOSE:To date, there have been no longitudinal studies comparing walking at different levels of amputation. The objective of this study was to compare the self-selected walking velocity (SSWV) and selected physiologic variables during walking between a Syme and a later transtibial level of amputation for a single sub...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280310001608618
更新日期:2003-12-02 00:00:00
abstract::Introduction: Overweight and obesity (OW/OB) rates are increasing among Canadian children and youth, with rates currently affecting one-third of 5-17 year olds. OW/OB is associated with numerous physical and psychosocial consequences, which are compounded when a child has a pre-existing disability. This is concerning ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2018.1497713
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:This study examines whether the relationships between activity limitations and independence are mediated by coping efficacy. METHOD:Data come from a cross-sectional survey of 286 adults, aged 55 or older, with osteoarthritis (OA) and/or osteoporosis (OP). Physical independence was assessed by asking to what ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280410001684578
更新日期:2004-07-08 00:00:00
abstract:PURPOSE:Because of the limited number of Spanish validated questionnaires available to assess auditory functionality in daily life situations in adults, the purpose of this study was to investigate the validity and the reliability of the Spanish version of the Speech, Spatial and Qualities of Hearing 12 items scale (sp...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2020.1795279
更新日期:2020-07-28 00:00:00
abstract:PURPOSE:The aim of this paper is to position, define and discuss three concepts crucial for research and practice concerning person-environment relationships, viz. accessibility, usability and universal design. METHODS:Literature review, synthesized with the authors' research and practice experiences. RESULTS:The aut...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.1080/dre.25.2.57.66
更新日期:2003-01-21 00:00:00
abstract:PURPOSE:To assess long-term impairments of executive functioning in adult survivors of bronchopulmonary dysplasia (BPD). METHOD:Participants were assessed on measures of executive functioning, health-related quality of life (HRQoL) and social functioning. Survivors of BPD (n = 63; 34 males; mean age 24.2 years) were c...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2014.991451
更新日期:2015-01-01 00:00:00
abstract:PURPOSE:The aim of this study was to assess the clinical course of patients with acute low back pain (LBP) throughout 12 weeks and to identify the prognostic factors for non-recovery in the short term. METHOD:A total of 91 patients with acute LBP (<3 weeks) were included in this study. Baseline assessments including d...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280802355163
更新日期:2009-01-01 00:00:00
abstract:PURPOSE:To describe the extended Rehabilitation Complexity Scale (RCS-E) and its factor structure, and to determine whether it provides added value over the RCS-version 2 to identify patients with highly complex rehabilitation needs. METHOD:A cohort analysis of prospectively-collected routine clinical data from 331 pa...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2011.615880
更新日期:2012-01-01 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:This systematic review evaluated and compared the effectiveness of non-surgical and surgical interventions for managing shoulder pain in patients with diabetes. METHODS:PubMed, Scopus, CINAHL, EMBASE, Sport Discus, and Cochrane library were searched for studies published in the last 20 years. Randomized clinic...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2020.1811783
更新日期:2020-09-15 00:00:00
abstract::Research question: 1. Does activity participation improve over time in the first year after stroke? 2. What is the association of depressive symptoms on retained activity participation 12-months post-stroke adjusting for neurological stroke severity and age? 3. Is an improvement in activity participation associated wi...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2018.1471742
更新日期:2019-10-01 00:00:00
abstract:PURPOSE:This meta-analysis was conducted to assess differences in a child's health-related quality of life (HRQOL) as reported by the child and their parents using the Pediatric Quality of Life InventoryTM, and the effects in both children with attention deficit hyperactivity disorder (ADHD) and those with typical deve...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2017.1391338
更新日期:2019-02-01 00:00:00