114 research outputs found
From satisfaction to expectation: The patient's perspective in lower limb prosthetic care
Get PDFNeck pain is a common musculoskeletal complaint and a relationship with reduced work-related functional capacity is assumed. A validated instrument to test functional capacity of patients with neck pain is unavailable. The objective of this study was to develop a Functional Capacity Evaluation (FCE), which is content valid for determining functional capacity in patients with work related neck disorders (WRND). A review of epidemiological review literature was conducted to identify physical risk factors for WRND. Evidence was found that physical risk factors contribute in development of WRND. Physical risk factors were related to repetitive movements, forceful movements, awkward positions and static contractions of the neck or the neck/shoulder region. An FCE was designed based on the risk factors identified. Eight tests were selected to cover all risk factors: repetitive side reaching, repetitive reaching overhead, static overhead work, front carry, forward static bend neck, overhead lift and the neck strength test. Content validity of this FCE was established by providing the rationale, specific objectives and operational definitions of the FCE. Further research is needed to establish reliability and other aspects of validity of the neck-FCE
Aim Worldwide, family- centred and co- ordinated care are seen as the two most desirable and effective methods of paediatric care delivery. This study outlines current views on how team collaboration comprising professionals in paediatric rehabilitation and special education and the parents of children with disabilities should be organized, and analyses the policies of five paediatric rehabilitation settings associated with the care of 44 children with cerebral palsy ( CP) in the Netherlands. Methods For an overview of current ideas on collaboration, written statements of professional associations in Dutch paediatric rehabilitation were examined. The policy statements of the five participating settings were derived from their institutional files. Documents detailing the collaborative arrangements involving the various professionals and parents were evaluated at the institutional level and at the child level. Involvement of the stakeholders was analysed based on team conferences. Results Also in the Netherlands collaboration between rehabilitation and education professionals and parents is endorsed as the key principle in paediatric rehabilitation, with at its core the team conference in which the various priorities and goals are formulated and integrated into a personalized treatment plan. As to their collaborative approaches between rehabilitation centre and school, the five paediatric settings rarely differed, but at the child level approaches varied. Teams were large ( averaging 10.5 members), and all three stakeholder groups were represented, but involvement differed per setting, as did the roles and contributions of the individual team members. Conclusion Collaboration between rehabilitation and education professionals and parents is supported and encouraged nationwide. Views on collaboration have been formulated, and general guidelines on family- centred and co- ordinated care are available. Yet, collaborative practices in Dutch paediatric care are still developing. Protocols that carefully delineate the commitments to collaborate and that translate the policies into practical, detailed guidelines are needed, as they are a prerequisite for successful teamwork
Amputation and reflex sympathetic dystrophy
No full textReflex sympathetic dystrophy is a chronic pain syndrome characterized by chronic burning pain, restricted range of motion, oedema and vasolability. Patients are difficult to treat and the prognosis is very often poor. This report emphasizes that an amputation in case of a reflex sympathetic dystrophy is mostly due to a too late recognition of this syndrome. In the international literature little is written about an amputation as a therapy for reflex sympathetic dystrophy. It is only mentioned as a therapy in the end stages of this syndrome. Sometimes a rejected amputation, as in this case report, can have a relatively good result. An early recognition of this pain syndrome produces the best possible outcome
Reliability of assessment of motor function and swelling in patients with chronic CRPS-I of the upper extremity
No full textRehabilitation medicine approach of patients with complex regional pain syndrome, type 1 (upper extremity)
No full textThe objective of this retrospective and long term follow-up study was to identify impairments resulting from complex regional pain syndrome type I (CRPS-I), of the upper extremity, and to describe the psychosocial. aspects such as life events (SLE) and the psychological history in CRPS-I patients. General health and long-term changes in occupation were assessed by means of the RAND-36and a structured interview.The study group consisted of a referred sample of 65 CRPS-l patients with clinical signs of the upper extremity. CRPS-I appeared after fractures of the wrist or hand in 29 patients (45%) or after a carpal tunnel release in 9 patients (14%). The mean interval between the diagnosis CRPS-I and our evaluation was 5.5 years (sd = 0.8; range = 3-9 years).Significant differences in terms of impairments were found between the affected and the non-affected side (pSLE's were present in 32 patients and a psychological history in 22 patients (60% had a SLE and/or a psychological history. 17 patients had to change occupation after CRPS-I and nearly 30% had to stop work for more than one year.</p
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