Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Oct 2013
Functional status impairment is associated with unplanned readmissions.
To determine whether functional status on admission to a Comprehensive Integrated Inpatient Rehabilitation Program (CIIRP) is associated with unplanned readmission to acute care. ⋯ Functional status on admission to the CIIRP is strongly associated with readmission to acute care, particularly for motor aspects of functional status and readmission before planned discharge from the CIIRP. Efforts to reduce hospital readmissions should consider patient functional status as an important and potentially modifiable risk factor.
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Arch Phys Med Rehabil · Oct 2013
Clinical TrialA combined inspiratory and expiratory muscle training program improves respiratory muscle strength and fatigue in multiple sclerosis.
To determine the effects of a short-duration, combined (inspiratory and expiratory), progressive resistance respiratory muscle training (RMT) protocol on respiratory muscle strength, fatigue, health-related quality of life, and functional performance in individuals with mild-to-moderate multiple sclerosis (MS). ⋯ A short-duration, combined RMT program improved inspiratory and expiratory muscle strength and reduced fatigue in patients with mild to moderate MS.
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Arch Phys Med Rehabil · Oct 2013
Prior history of traumatic brain injury among persons in the Traumatic Brain Injury Model Systems National Database.
To determine the association between demographic, psychosocial, and injury-related characteristics and traumatic brain injury (TBI) occurring prior to a moderate or severe TBI requiring rehabilitation. ⋯ Findings suggest that earlier life TBI may have important implications for rehabilitation after subsequent TBI, especially for anticipating behavioral health issues in the chronic stage of recovery. Results provide additional evidence for the potential consequences of early life TBI, even if mild.
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Arch Phys Med Rehabil · Oct 2013
Randomized Controlled Trial Multicenter StudyMedical complications during inpatient rehabilitation among patients with traumatic disorders of consciousness.
To assess the incidence of medical complications in patients with recent traumatic disorders of consciousness (DOCs). ⋯ Patients with DOCs have a high rate of medical complications early after injury. Many of these complications require brain injury expertise for optimal management. Active medical management appears to contribute to the reduction in new complications. An optimal system of care for DOC patients must provide expert medical management in the early weeks after injury.
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Arch Phys Med Rehabil · Oct 2013
Multicenter StudyRationale and design of the prospective German registry of outcome in patients with severe disorders of consciousness after acute brain injury.
To describe the rationale and design of a new patient registry (Koma Outcome von Patienten der Frührehabilitation-Register [KOPF-R; Registry for Coma Outcome in Patients Undergoing Acute Rehabilitation]) that has the scope to examine determinants of long-term outcome and functioning of patients with severe disorders of consciousness (DOC). ⋯ The KOPF-R aspires to contribute prospective data on prognosis in severe DOC.