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Cancer survivors often have unmet needs, and cancer rehabilitation is becoming an integral part of the continuum of care. Understanding the needs and satisfaction of patients undergoing cancer rehabilitation is important for the development of effective programs.To determine the overall perception of acute inpatient cancer rehabilitation usefulness.Prospective study.Acute inpatient cancer rehabilitation...
The focus of health care reform is shifting from all-cause to potentially preventable readmissions. Potentially preventable within-stay readmission rates is a measure recently adopted by the Centers for Medicare and Medicaid Services for the Inpatient Rehabilitation Facility Quality Reporting Program.We examined the patient-level predictors of potentially preventable within-stay readmissions among...
Plantar heel pain is a common condition that reduces health-related quality of life. Recovery usually occurs within 12 months; however, up to 20% of people remain symptomatic beyond this time frame. The level of pain and function in this chronic heel pain group is not well described.To identify clinical and functional characteristics associated with chronic plantar heel pain compared with heel pain...
Prediction models can help clinicians provide the best and most appropriate care to their patients and can help policy makers design services for groups at highest risk for poor outcomes.To develop prediction models identifying both risk factors and protective factors for functional deterioration, institutionalization, and death.Cohort study using data from the Medicare Current Beneficiary Survey...
To evaluate the differential value of a self-reported health and safety awareness measure relative to other medical, psychosocial, and cognitive factors in predicting level of care (LOC) needs after hospital discharge.Retrospective medical record review.Community living center postacute care (CLC-PAC) unit at a Veterans Affairs hospital.A total of 175 veterans admitted to the Veterans Affairs hospital...
Chronic low back pain (CLBP) affects a large proportion of the population and has been associated with different muscle dysfunctions. However, there is no consensus regarding muscle electromyography and kinematic patterns during fatiguing tasks.To examine whether trunk and limb muscle fatigability and activation patterns of individuals suffering CLBP differ from those of healthy participants during...
The standard of care for treatment of sacral insufficiency fracture (SIF) remains conservative management with limited weight-bearing and analgesics, as most fractures heal within 12 weeks. For those who fail to respond to conservative therapy, are immobile, or cannot tolerate the pain despite analgesic therapy, as well as those who do not improve with time, rest, or activity modification, minimally...
Osteogenesis imperfecta (OI) is one of the most common inherited bone disorders. These individuals are high-risk for developing fractures during their lifetime secondary to bone fragility. This case presents a female with type I OI involved in a high speed motor vehicle accident resulting in a traumatic spinal cord injury (SCI) and paraplegia. Inpatient rehabilitation was complicated by fractures...
To assess the evidence of association between atherosclerosis and low back pain (LBP).Focused systematic review.PubMed, Web of Science, CINAHL, and EMBASE were searched for original research articles, not limited by language, from January 1, 1990, to October 31, 2016.Titles and then abstracts were identified using predefined search terms and excluded based on lack of relevancy. This was followed by...
Student-run free clinics (SRFCs) have emerged as an important educational component of United States (U.S.) medical schools. Despite the prevalence of musculoskeletal (MSK) problems presenting to SRFCs, students and clinics are often unprepared to diagnose and to treat common MSK complaints.We sought to determine the scope of diagnosis and treatment at a medical student−run free clinic specializing...
Aerobic exercise at a subsymptom heart rate has been recommended as therapy for postconcussion syndrome. Assessing adherence with an accurate heart rate-monitoring instrument is difficult, limiting the proliferation of large-scale randomized controlled trials.To evaluate the validity of the Fitbit Charge HR compared with electrocardiogram (EKG) to monitor heart rate during a treadmill-based exercise...
It is well known that physical exercise is the main therapeutic element of rehabilitation programs for people with Parkinson disease (PD). As traditional forms of exercise can guarantee significant health benefits, the emergence of nonconventional physical activities, such as Nordic walking (NW), may add positive effects.To appraise the available evidence on the main effects of NW in the rehabilitation...
To date, there have been conflicting suggestions regarding the initial pathogenesis of carpal tunnel syndrome (CTS). It has been characterized as either inflammation of the median nerve caused by compression or noninflammatory fibrosis of the subsynovial connective tissue (SSCT).To investigate the initial pathogenesis of CTS, we compared the deformation and displacement of the median nerve in accordance...
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