Abstract:
:Patients after stroke conventionally receive much of their rehabilitation in hospital. Services have been developed that offer patients an early discharge from hospital with more rehabilitation at home (early supported discharge). This paper sets out a systematic review of all randomized trials of early supported discharge services that included 12 trials (1659 patients). There was a reduced odds of death or dependency equivalent to 5 fewer adverse outcomes (95% confidence interval 1-10) for every 100 patients receiving an early supported discharge service (p = 0.04). Patients receiving early supported discharge services showed an 8 day reduction (p < 0.0001) in the length of hospital stay. The greatest benefits were seen in the trials evaluating a co-ordinated multidisciplinary early supported discharge team and with patients with mild-moderate disability. The experience of a trial from Stockholm is described in order to explore the potential mechanism of action of early supported discharge services. In conclusion, an illustrative case report is set out, indicating a typical patient pathway in an early supported discharge service.
journal_name
J Rehabil Medjournal_title
Journal of rehabilitation medicineauthors
Langhorne P,Holmqvist LW,Early Supported Discharge Trialists.doi
10.2340/16501977-0042subject
Has Abstractpub_date
2007-03-01 00:00:00pages
103-8issue
2eissn
1650-1977issn
1651-2081journal_volume
39pub_type
杂志文章,评审abstract:OBJECTIVE:To evaluate possible gender differences regarding the effect of intervention in geriatric rehabilitation, expressed in terms of change in function-related dependence, pain and insecurity. DESIGN:Comparative study. PARTICIPANTS:A total of 110 women and 44 men undergoing geriatric rehabilitation. METHODS:Per...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.1080/16501970510041235
更新日期:2005-11-01 00:00:00
abstract:OBJECTIVE:Despite the increasing availability of eRehabilitation, its use remains limited. The aim of this study was to assess factors associated with willingness to use eRehabilitation. DESIGN:Cross-sectional survey. SUBJECTS:Stroke patients, informal caregivers, health-care professionals. METHODS:The survey includ...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-2586
更新日期:2019-10-04 00:00:00
abstract:OBJECTIVE:Guild boards and pulleys are apparatus commonly used to train cervical muscle function for their purported benefit in facilitating activity of the deeper muscle layers, although this effect has not been substantiated. The objective of this study was to compare the activity of the different layers of cervical ...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-1196
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVE:To investigate whether an online occupational postural and exercise intervention reduced patients' overall risk status for chronicity in subacute non-specific low back pain compared with conventional treatment, and to determine whether changes in risk of chronicity correlate with changes in specific outcomes ...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:10.2340/16501977-0988
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVE:To compare walking dynamics and test-retest reliability for 2 frequently applied walk tests in polio survivors: the 6-minute walk test (6MWT) to walk as far as possible; and the 6-minute walking energy cost test (WECT) at comfortable speed. DESIGN:Observational study. PARTICIPANTS:Thirty-three polio survivo...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-2264
更新日期:2017-11-21 00:00:00
abstract:OBJECTIVE:To investigate eye-hand coordination in stroke survivors and its relationship with sensori-motor impairments and hand functioning in daily life. DESIGN:Cross-sectional study. SUBJECTS:Fifteen subjects with stroke (mean age 62.5 years (standard deviation (SD) 7.1); time post-stroke 5.2 years (SD 3.0)) recrui...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0520
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVE:To provide an update on disability and rehabilitation in Mongolia, and to identify potential barriers and facilitators for implementation of the World Health Organization (WHO) Global Disability Action Plan (GDAP). METHODS:A 4-member rehabilitation team from the Royal Melbourne Hospital conducted an intensiv...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-2207
更新日期:2018-04-18 00:00:00
abstract:OBJECTIVE:To investigate the activity of proprioceptive systems during early recovery of motor function after ischaemic stroke in a prospective, longitudinal, functional imaging study. METHODS:Ten patients with unilateral infarction of the posterior internal capsule were investigated using oxygen-15-water positron emi...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0089
更新日期:2007-09-01 00:00:00
abstract::To enable objective measurements of weight bearing in hip replacement patients a portable instrument set-up with an on-line registering pressure-sensitive insole was developed. Six men and 9 women, median age 58 (48-67) years, who had been operated on with a cementless or hybrid hip arthroplasty were studied. All pati...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.1080/165019701300006533
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVE:To explore how individuals experience and perceive the use of assistive technologies following lower limb loss. DESIGN:Cross-sectional qualitative interview design. PATIENTS:Thirty individuals with lower limb amputation were recruited from a multi-disciplinary rehabilitation programme (26 males and 4 female...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-1962
更新日期:2015-06-01 00:00:00
abstract::In order to support the development of a National Disability, Health and Rehabilitation Plan (NDHRP) for Ukraine, a technical consultation was carried out by a Rehabilitation Advisory Team (RAT) of the International Society of Physical and Rehabilitation Medicine (ISPRM) in 2015. The consultation was based on assessme...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-2294
更新日期:2018-04-18 00:00:00
abstract:OBJECTIVE:To determine: (i) whether the use of ankle-foot orthoses over a period of 26 weeks affects tibialis anterior muscle activity; (ii) whether the timing of provision of ankle-foot orthoses (early or delayed) affects the results; (iii) whether the provision of ankle-foot orthoses affects tibialis anterior muscle ...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:10.2340/16501977-2498
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:To compare individual, group and combined intervention formats for improving goal attainment and psychosocial function following acquired brain injury. DESIGN:Randomized controlled trial, waiting list controls. PARTICIPANTS:Thirty-five participants with a mean time of 5.29 years (standard deviation = 3.9) s...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:10.2340/16501977-0124
更新日期:2008-02-01 00:00:00
abstract:OBJECTIVE:To report on the results of the consensus process integrating evidence from preliminary studies to develop the first version of a Comprehensive ICF Core Set and a Brief ICF Core Set for depression. METHODS:A formal decision-making and consensus process integrating evidence gathered from preliminary studies w...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.1080/16501960410016055
更新日期:2004-07-01 00:00:00
abstract:OBJECTIVE:To use the International Classification of Functioning, Disability and Health (ICF) to describe patient-reported disability in multiple sclerosis and identify relevant environmental factors. METHODS:Cross-sectional survey of 101 participants in the community. Their multiple sclerosis-related problems were li...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0002
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVE:To investigate the types of coping strategies used by parents of children with acquired brain injury in the chronic phase and the relationship between their coping styles and psychosocial functioning. DESIGN:Cross-sectional study (April-May 2013). SUBJECTS:Parents (n = 42) of 28 children with acquired brain...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-1913
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVE:To describe problematic aspects of faecal incontinence according to the experience of adults with spina bifida. DESIGN:Qualitative interview study. SUBJECTS:Eleven adults with spina bifida and bowel problems. METHOD:Semi-structured open-ended interviews and qualitative analysis. RESULTS:Problematic aspect...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0373
更新日期:2009-06-01 00:00:00
abstract:OBJECTIVE:To explore the occurrence of, and risk factors for, spasticity until 6 months after first-ever stroke. METHODS:Forty-nine patients were examined at day 2-10, at 1 month, and at 6 months. The modified Ashworth Scale was used to assess resistance to passive movements. A comprehensive clinical examination was p...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0509
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVE:To examine changes in mobility longitudinally following single-event multilevel surgery in ambulant children with cerebral palsy, focusing on those using assistive devices for functional mobility because they are most at risk of declining gross motor function. PARTICIPANTS:A consecutive sample of 156 ambulan...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0916
更新日期:2012-02-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of individualized manual physiotherapy and exercises compared with individualized exercises alone in patients with shoulder impingement syndrome. DESIGN:Randomized controlled trial. SUBJECTS:Patients with shoulder impingement of more than 4 weeks' duration. METHODS:Patients in the...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:10.2340/16501977-1142
更新日期:2013-05-01 00:00:00
abstract:OBJECTIVE:To review the development of Rasch analysis by examining the history of its application to the Functional Independence Measure (FIMTM), and highlighting current issues in the approach. METHODS:All Rasch-based papers concerning the FIMTM were reviewed for their analytical strategy and results. Four analytical...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0871
更新日期:2011-10-01 00:00:00
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journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0135
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:This study compares functional status, quality of life and community integration in 2008 Sichuan earthquake survivors with spinal cord injury at hospital discharge and at 1-year follow-up in the community. METHODS:Twenty-six subjects with spinal cord injury completed demographic and medical questionnaires an...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0944
更新日期:2012-03-01 00:00:00
abstract:OBJECTIVE:To estimate the efficiency of inpatient rehabilitation for patients after stroke in Thailand. DESIGN:Multi-centre, prospective study. SUBJECTS:Patients after stroke, aged >or= 18 years, with stable medical signs, able to follow 1-step commands and to sit for at least 30 min. METHODS:Main outcomes included ...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,多中心研究
doi:10.2340/16501977-0288
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:To determine bone quality in adults with severe motor and intellectual disabilities. DESIGN:A retrospective cohort study. PATIENTS:Bone quality of 60 patients with severe motor and intellectual disabilities (28 men, 32 women; mean age 57 years) at a long-term care facility for adults was examined retrospect...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-2789
更新日期:2021-01-15 00:00:00
abstract::Recent neuroscientific evidence has revealed that the adult brain is capable of substantial plastic change in such areas as the primary somatosensory cortex that were formerly thought to be modifiable only during early experience. These findings have implications for our understanding of chronic pain. Functional reorg...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.1080/16501960310010179
更新日期:2003-05-01 00:00:00
abstract::This special report presents the role of the World Health Organization (WHO) Liaison Sub-Committee on Rehabilitation Disaster Relief (CRDR) of the International Society of Physical and Rehabilitation Medicine (ISPRM) in developing an enhanced physical rehabilitation relief response to large-scale natural disasters. Th...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0890
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVE:To examine the relevance and completeness of the comprehensive International Classification of Functioning, Disability and Health (ICF) Core Sets for patients with rehabilitation needs in acute hospital care. DESIGN:Multi-centre cohort study. PATIENTS:A total of 391 patients (50.1% female, mean age 63.4 yea...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,多中心研究
doi:10.2340/16501977-0622
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVE:To build a new activity-based, "bed to community", aetiology-independent measure of balance within the neurological rehabilitation setting by merging some existing scales. METHODS:Balance scales were selected using a conceptual framework and subsequently administered to a convenience sample of adult patients...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0797
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVE:To evaluate the effects of repetitive transcranial magnetic stimulation (rTMS) on mobility among patients with substantial leg impairment after subacute stroke. DESIGN:Double-blinded, stratified, randomized trial involving a sham control group. PARTICIPANTS:Patients who developed unilateral hemiplegia after...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:10.2340/16501977-1943
更新日期:2015-04-01 00:00:00