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Relevant bibliographies by topics / Multidisciplinary rehabilitation

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Academic literature on the topic 'Multidisciplinary rehabilitation'

Author: Grafiati

Published: 4 June 2021

Last updated: 27 January 2023

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Journal articles on the topic "Multidisciplinary rehabilitation"

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Costa, Beethoven Estevão, Gabriel Lucio Calazans Duarte, Cleuber Rodrigo Bueno, Nataira Regina Momesso, Carlos Nicolau Feitosa Albuquerque Lima Babadopulos, and Paulo Domingos Ribeiro Junior. "The mandibular rehabilitation multidisciplinary after mandibulectomy." Research, Society and Development 11, no. 2 (January 18, 2022): e8711225550. http://dx.doi.org/10.33448/rsd-v11i2.25550.

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Current treatment of odontogenic tumors (OT) ranges from simple enucleation by curettage or segmental resection. But the treatment does not stop here, we need to think about the rehabilitation of the patients. The Mandibular reconstruction can begin immediately postoperatively, but the delayed reconstruction can be the best option for treatment, because of the high risk of recurrence in some OT, but it is always a challenge. The aim of this study is to describe the approach of a case of mandibular odontogenic myxoma and your total rehabilitations. The segmental hemi-mandibulectomia was performed with an intraoral. After 2 year the iliac crest grafting to intraoral approach was done and after 6 months osseointegrated implants were put and the immediate load with hybrid prostheses was done. After 2 years of complete rehabilitation we can consider that this sequence looks like to be a good form to become social, psychological, esthetic and function in the patients.

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Carey, Leeanne, Jannette Blennerhassett, Dominique Cadilhac, and Jacinta Douglas. "Stroke Rehabilitation: Multidisciplinary Perspectives." Brain Impairment 9, no. 2 (September 1, 2008): 95–96. http://dx.doi.org/10.1375/brim.9.2.95.

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Lawford, Lynn. "Multidisciplinary Approach to Rehabilitation." Physiotherapy 87, no. 4 (April 2001): 219. http://dx.doi.org/10.1016/s0031-9406(05)60617-7.

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Bakkel, Robert. "Multidisciplinary Approach to Rehabilitation,." Pediatric Physical Therapy 14, no. 1 (2002): 59–60. http://dx.doi.org/10.1097/00001577-200204000-00014.

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Bakkel, Robert. "Multidisciplinary Approach to Rehabilitation,." Pediatric Physical Therapy 14, no. 1 (2002): 59–60. http://dx.doi.org/10.1097/00001577-200214010-00014.

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Everaerts, Stephanie, Arne Heyns, Daniel Langer, Hilde Beyens, Greet Hermans, Thierry Troosters, Rik Gosselink, Natalie Lorent, and Wim Janssens. "COVID-19 recovery: benefits of multidisciplinary respiratory rehabilitation." BMJ Open Respiratory Research 8, no. 1 (September 2021): e000837. http://dx.doi.org/10.1136/bmjresp-2020-000837.

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Many patients struggle with ongoing symptoms in different domains (physical, mental, cognitive) after hospitalisation for COVID-19, calling out for a multidisciplinary approach. An outpatient multidisciplinary rehabilitation programme, according to a respiratory rehabilitation strategy, was set up for adult patients who were able to attend group sessions during 12 weeks. Results of 22 adult patients with COVID-19, of which 15 had required intensive care, were analysed and some general impressions and challenges of rehabilitation in COVID-19 were reported. Impressive results on physical recovery were determined after 6 weeks and 3 months, with significant improvement of lung function, muscle force and exercise capacity variables. A positive evolution of mental and cognitive burden was present, although less pronounced than the physical recovery. These mental and cognitive consequences seem, next to musculoskeletal and medical complications, the most challenging aspect of rehabilitating patients with COVID-19. These real-world data show feasibility and efficiency of a multidisciplinary respiratory rehabilitation programme after moderate to severe COVID-19 disease.

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Bashkirtsev, Oleksii, Vira Gaevska, Olena Zimba, and Armen Yuri Gasparyan. "COMPREHENSIVE AND MULTIDISCIPLINARY REHABILITATION IN THE TIME OF CRISIS." Anti-Aging Eastern Europe 1, no. 2 (December 28, 2022): 92–95. http://dx.doi.org/10.56543/aaeeu.2022.1.2.01.

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Comprehensive and multidisciplinary rehabilitation is gaining momentum as a useful strategy that aims to improve physical, psychological, and social components of health in subjects affected by violence, trauma, and mental distress. Previous and current wars have prioritized essential diagnostic and rehabilitative services to civil subjects and military servicepersons which can be delivered by skilled physiatrists and allied specialists. Stratifying subjects in need of various rehabilitative procedures and offering them psychological support, balanced nutrition, musculoskeletal care, and socialisation in a safe and relaxing atmosphere may improve their mental and functional capacities and resolve numerous health issues. The choice of comprehensive rehabilitative procedures depends on their availability and understanding of complementary effects of various interventions.

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Deora, Harsh. "Neuro-rehabilitation - a multidisciplinary approach." Neurology India 67, no. 1 (2019): 343. http://dx.doi.org/10.4103/0028-3886.253611.

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BAIA, Juliana Costa Pereira, Mariangela Ivette Guanipa ORTIZ, Gustavo Antônio Martins BRANDÃO, Armando Rodrigues Lopes PEREIRA NETO, Jesuina Lamartine Nogueira ARAÚJO, and Cecy Martins SILVA. "Multidisciplinary aesthetic rehabilitation: case report." Rio de Janeiro Dental Journal (Revista Científica do CRO-RJ) 3, no. 2 (2018): 37–41. http://dx.doi.org/10.29327/24816.3.2-7.

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Braaksma, A., N. Kortbeek, G. F. Post, and F. Nollet. "Integral multidisciplinary rehabilitation treatment planning." Operations Research for Health Care 3, no. 3 (September 2014): 145–59. http://dx.doi.org/10.1016/j.orhc.2014.02.001.

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Dissertations / Theses on the topic "Multidisciplinary rehabilitation"

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Davenport, M. J., and Faith W. Akin. "A Multidisciplinary Approach to Vestibular Rehabilitation Therapy." Digital Commons @ East Tennessee State University, 2002. https://dc.etsu.edu/etsu-works/2468.

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Sjöström, Rita. "Multidisciplinary rehabilitation in musculoskeletal disorders : Quantitative and qualitative follow-up studies." Doctoral thesis, Mittuniversitetet, Institutionen för hälsovetenskap, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-10636.

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The primary aim of this investigation was to evaluate a seven-week multidisciplinary rehabilitation programme, with emphasis on musculoskeletal disorders, for working-age people, by assessments at the start and end of the rehabilitation programme, and at follow-up examinations 6, 12 and 24 months after completion of the programme. A further aim was to explore the experiences of people not returning to work during a period of six years after participation in an extensive multidisciplinary rehabilitation programme. Sixty participants, 40 women and 20 men (mean age 46.8 ± SD 7.9), with musculoskeletal disorders, mainly neck and back pain, participated in a 7- week rehabilitation programme which was based on a combination of theoretical and practical education, physical activities, relaxation and individual guidance. Before and after the programme and at the follow-up occasions all participants were evaluated with the Global Self-Efficacy Index (GSI), Hospital Anxiety and Depression Scale (HAD), and Stress test (Study I). A group of participants who were still full-time sick-listed (Group I) at the end of the study period were compared with participants who were part-time or not sick-listed (Group II) at the end of the study period (II, III, IV). They were evaluated with the Disability Rating Index (DRI), with the Pain Intensity Rating Index on a visual analogue scale (VAS) (II, III)), mobility tests (III), GSI (III), HAD, and a stress test (IV). Seven women (median age 48 years) and three men (53 years) (Group I) were interviewed and the interviews were analysed by manifest content analysis (V). At the 2-year follow-up full-time sick leave, anxiety, depression and selfexperienced stress had decreased in both sexes. They also showed increased quality of life (QoL) (I). In participants with full-time sick leave (Group I), self-experienced physical disability and pain ratings were high and showed no decrease up until the 2-year follow-up. In participants with part-time or no sick leave (Group II), physical disability and pain ratings decreased gradually throughout the 2-year follow-up period (II). Cervical and thoracolumbar spine range of motion (ROM) was lower in Group I than in Group II from the start of rehabilitation to a 2-year follow-up. Only Group II showed a temporal improvement in ROM. No changes in DRI, VAS or GSI were found in parallel with corresponding temporal changes in any of the ROM (III). Group I experienced no change in anxiety or depression during the study period, in contrast to Group II, in which this decreased. Decreased stress was found in both groups (IV). Group I described perceived barriers to and possibilities of returning to work, and also gave information on what strategies they used, to cope with everyday life (V). The majority of the participants improved and they continued to be physically active, their QoL improved, and most participants returned to work. Ten of the participants, however, were on full-time sick leave throughout the whole study period, with high self-experienced physical disability, high pain rating and no improvement in anxiety and depression. They experienced barriers to re-entering the labour market as consequences of physical symptoms and fatigue. But they also believed in possibilities of returning to work if they could get a modified job adapted to their own capacity. Thus, persons with severe disability and pain did not improve by rehabilitation in this project. New methods of treatment have to be developed for improvement of symptoms resulting in reduction of functional impairment and a consequent need for sick leave.
Huvudsyftet med undersökningen var att utvärdera ett 7-veckors multidisciplinärt rehabiliteringsprogram inriktat på muskuloskeletala besvär, för arbetsföra kvinnor och män, vid start och efter rehabiliteringsprogrammets slut samt vid 6, 12 och 24 månader. Vidare var syftet att undersöka deltagares upplevelse av att inte återgå i någon form av arbete sex år efter deltagande i rehabiliteringsprogrammet. Sextio deltagare, 40 kvinnor och 20 män (medelålder 46.8 ±7.9), med muskuloskeletala besvär, framför allt nack- och ryggbesvär, deltog i ett 7- veckors rehabiliteringsprogram som innehöll en kombination av teoretisk och praktisk undervisning, fysisk aktivitet, avslappning och individuell vägledning. Deltagarna testades före och efter rehabiliteringsprogrammet samt vid uppföljningstillfällena med Globalt Självskattnings Index (GSI), Hospital Anxitey and Depression Scale (HAD) och stress test (Studie I). En grupp deltagare som fortfarande var helt sjukskriven (Grupp I) i slutet av studieperioden, jämfördes med deltagare som var delvis eller inte alls sjukskriven (Grupp II) vid studieperiodens slut (II, III, IV). De utvärderades med Disability Rating Index (DRI), smärtskattning med visuell analog skala (VAS) (II,III), rörlighetsmätning (III), GSI (III), HAD, och stress test (IV). Sju kvinnor (median ålder 48 år) och tre män (53 år) (Grupp I) intervjuades och intervjuerna analyserades med manifest innehållsanalys (V). Vid två års uppföljning hade heltidssjukskrivning, ångest/oro, depression och självupplevd stress minskat hos båda könen. De visade också ökad livskvalitet (I). Deltagarna som var helt sjukskrivna (Grupp I) hade hög självskattad funktionsnedsättning samt smärtskattning och visade ingen förändring vid två års uppföljning. Deltagarna som var delvis eller inte alls sjukskrivna (Grupp II) visade en gradvis förbättring av fysisk funktion och smärtskattning under studieperioden (II). Cervical och thoracolumbar rörlighet var mindre i Grupp I jämfört med i Grupp II från start till två års uppföljning. Endast Grupp II visade en temporär förbättring av den aktiva rörligheten. DRI, VAS och GSI förändrades inte parallellt med förändringarna i den aktiva rörligheten (III). Grupp I upplevde ingen förändring i ångest/oro eller depression under studie perioden jämfört med Grupp II, som minskade ångest/oro och depression. Båda grupperna skattade mindre stress (IV). I studie V beskrevs deltagarnas upplevelser av hinder och möjligheter för att återgå i arbete. De beskrev vidare vilka strategier som användes för att hantera vardagslivet. Majoriteten av deltagarna förbättrades och de fortsatte att vara fysiskt aktiva, livskvaliteten förbättrades och de flesta deltagarna återgick i arbete. Tio av deltagarna var helt sjukskrivna under hela studieperioden, med hög självskattad fysisk funktionsnedsättning, hög smärtskattning och ingen förbättring i ångest/oro eller depression. De upplevde hinder för återgång i arbete, en konsekvens av de fysiska symtomen och trötthet. De trodde också på möjlighet till återgång i arbete om de kunde få ett arbete anpassat till deras egen arbetsförmåga. Alltså, personer med stor funktionsnedsättning och hög smärta förbättrades inte av rehabilitering i det här projektet. Nya metoder av behandling behöver utvecklas för att förbättra symtomen och därmed minska funktionell försämring och behovet av sjukskrivning.

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Sjöström, Rita. "Multidisciplinary rehabilitation in musculoskeletal disorders quantitative and qualitative follow-up studies /." Östersund : Department of Health Sciences, Mittuniversitetet, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-10636.

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Cruickshank, Travis Miles. "The clinical utility of multidisciplinary rehabilitation in individuals with Huntington’s Disease." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2015. https://ro.ecu.edu.au/theses/1586.

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Background Huntington’s disease (HD) is a chronic neurodegenerative disorder characterised by a progressive loss of cognitive function, motor control and psychiatric features. Individuals also display a variety of systemic features. Progressive neuronal dysfunction and neuronal cell death are thought to underlie the onset and progression of many clinical features of HD. Despite scientific progress, there is still no cure or disease modifying therapy for HD, and available pharmaceutical agents only provide partial relief of motor and psychiatric features. An emerging body of evidence indicates that lifestyle enrichment may delay the onset and progression of clinical features, and exert favourable effects on neuropathological aspects of HD. Few studies have evaluated the effects of lifestyle enrichment strategies like multidisciplinary rehabilitation on the clinical features of HD. Moreover, no study has evaluated the effects of multidisciplinary rehabilitation on neuropathological aspects of HD. Aims The initial aim of this thesis was to determine factors that contribute to features of the disease that negatively impact on activities of daily living such as mobility and balance (Chapter 2), and to identify, using a literature review, a rehabilitation strategy that could positively impact on these features of HD (Chapter 3). These studies informed our ultimate aim which was to investigate the clinical utility of multidisciplinary rehabilitation on clinical and neuropathological features of HD (Chapters 4, 5 and 6) Methods In study 1 (Chapter 2), 22 participants were assessed using a battery of balance, mobility, cognitive tests, assessments of muscle strength and body composition measures. Data was . then statistically examined using stepwise linear regression to identify factors that contribute to balance and mobility impairments in individuals with manifest HD. In study 2 (Chapter 3), a systematic search of journal databases was made from inception to July 2014 for studies reporting on resistance exercise in patients with neurodegenerative disorders. Selected studies were abstracted and critically appraised using a quality control checklist. For the intervention studies, (3 and 4 Chapters 4 and 5), 20 participants with manifest HD were randomly assigned to either a control or training group. Individuals randomised to the intervention group were provided with a nine month multidisciplinary intervention comprising once weekly supervised clinical exercise, thrice weekly home based exercise and fortnightly occupational therapy, while those randomised to the control group were asked to continue with their standard care and daily activities. Participants were assessed using motor, cognitive, psychological, body composition and quality of life measures at baseline and at the completion of the intervention. In study 5 (Chapter 6), 15 participants with manifest HD were assessed using magnetic resonance imaging and a battery of cognitive assessments after nine months of multidisciplinary rehabilitation to see whether such a therapy is capable of inducing favourable changes in brain structure and cognitive function. Results The main factors that contribute to mobility and balance impairments in patients with manifest HD were found to be lower limb muscle weakness and a loss of cognitive function (Study 1). Systematic evaluation of the effects of resistance exercise for neurodegenerative disorders showed that it is beneficial for multiple sclerosis and Parkinson’s disease. In particular, improvements in muscle strength, mobility, balance, clinical disease progression, fatigue, functional capacity, quality of life, disease biology, electromyography activity, mood, skeletal muscle volume and architecture were reported in individuals with multiple sclerosis or Parkinson’s disease (PD) after resistance exercise. The most robust effects of resistance exercise were found for muscle strength outcomes, and were more pronounced in individuals with PD (Study 2). The multidisciplinary rehabilitation intervention studies conducted as part of this thesis significantly improved isometric and isokinetic muscle strength, self-perceived balance, body mass, lean tissue mass and fat mass in patients with HD (Studies 3 and 4). Moreover, multidisciplinary rehabilitation also increased grey matter (GM) volume in the caudate nucleus and dorsolateral prefrontal cortex of patients. The significant increases in GM volume were accompanied by, and correlated to, a significant improvement in performance in verbal learning and memory. Conclusions The work presented here shows that lower extremity muscle weakness and a loss of cognitive function significantly contribute to impairments in mobility and balance. This work also shows that strength training has favourable effects on motor function, including strength, mobility and balance, as well as other clinical features in similar neurodegenerative disorders, and thus should be integrated into multidisciplinary rehabilitation interventions for HD. In addition, this study provides evidence that multidisciplinary rehabilitation can significantly improve aspects of motor control, cognitive function and body composition. Finally we show, for the first time, that multidisciplinary rehabilitation can increase GM volume in structures known to degenerate in HD, and that such increases are functionally related to changes in verbal learning and memory. Future work is urgently required to confirm and expand on these exciting findings, particularly with respect to the neurorestorative properties of multidisciplinary rehabilitation.

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Lillefjell, Monica. "Function and Work Ability Following Multidisciplinary Rehabilitation for Individuals with Chronic Musculoskeletal Pain." Doctoral thesis, Norwegian University of Science and Technology, Department of Social Work and Health Science, 2008. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-2187.

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Liebenberg-Weyers, Danica. "A multidisciplinary approach for the assessment of rehabilitation at asbestos mines in South Africa / Danica Liebenberg-Weyers." Thesis, North-West University, 2010. http://hdl.handle.net/10394/4224.

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The asbestos mining industry has left a legacy of pollution that continues to poison former mining areas and surrounding land – posing a significant health risk to local communities. The rehabilitation of sites disturbed by mining activities, aims to negate the adverse effects associated with these post-mining landscapes and to achieve the return of a disturbed site to a degree of its former state or to a sustainable usable condition. In order to assist the effective rehabilitation of derelict and ownerless asbestos mines it was critical to develop a scientific database to indicate the status of rehabilitation at specific sites. The Rehabilitation Prioritisation Index (RPI) was developed in 2007 to indicate the sequence for rehabilitation of asbestos pollution by quantifying the risk associated with a specific pollution site. The use of the RPI has been implemented by the South African Department of Minerals and Energy as part of an integrated approach towards the rehabilitation of the asbestos legacies of the past. In this study, a multidisciplinary approach was applied to sites in three provinces as identified in the RPI, to facilitate the development of the Rehabilitation Monitoring Index (RMI). It is envisioned that this index, as part of a larger monitoring database, would assist in the successful monitoring and long-term rehabilitation of asbestos mines. During the monitoring process, the most prominent aspects governing the rehabilitation process were identified from comprehensive assessments of quantitative and qualitative data. Quantitative parameters included cover depth, physical and chemical soil properties, soil microbial activity, vegetation properties and small mammal surveys. Qualitative data included the footprint area, land use, erosion or flood damage, secondary pollution and water control structure damage. From the quantitative data, those parameters which had the greatest influence on the rehabilitation process were identified. In order of most to least important these groups were analysed by multivariate statistical ordination and classified into four groups: success parameters > essentials to be addressed > reasons for failure > non-distinguishable entities. The qualitative data indicated that the Limpopo Province was in the highest state of degradation after rehabilitation and that site history plays an important role in rehabilitation planning. Quantitative and qualitative parameters were assessed for all sites and applied in the RMI as weighted factors from which the rehabilitation status of a specific site can be calculated. Qualitative data was given a weight of 25% and quantitative data a weight of 75%. RMI values were calculated for each parameter and sites were distributed across a range which classifies the sites according to their rehabilitation status. Once again the Limpopo Province was identified as the province with the least successful rehabilitation. The results from this investigation show that a multidisciplinary approach is a step in the right direction for the successful monitoring of rehabilitated post-mining sites such as asbestos mines. It is however necessary that the RMI must be validated and the weights allocated to qualitative parameters must be reconsidered for the future development of this tool. While the RPI and RMI cannot be compared directly, it might be of great revelation to reassess the RPI values of all the sites after rehabilitation and compare this data to the RMI values.
Thesis (M.Sc. (Environmental Science))--North-West University, Potchefstroom Campus, 2010.

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Keedy, Nicole Hochhausen. "Health locus of control, self-efficacy, and multidisciplinary intervention for chronic back pain." Diss., University of Iowa, 2009. https://ir.uiowa.edu/etd/386.

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Chronic back pain is costly and potentially disabling, with low response to medical procedures. Poor physical and mental health demonstrate correlation with chronic back pain. The current study investigated the value of using health-related locus of control and pain-related self-efficacy to predict physical and mental health outcomes following multidisciplinary intervention for chronic back pain. Form C of the Multidimensional Health Locus of Control scales and the Chronic Pain Self Efficacy scale were administered to 28 males and 33 females ages 28 to 72 completing chronic back pain rehabilitation. Locus of control, self-efficacy, and physical and mental health demonstrated treatment-related changes, with notable improvements in physical and mental health. Regression analyses examined the value of pre-treatment health locus of control and pain-related self-efficacy as predictors of physical and mental health one month following treatment. Higher internal and lower doctor health locus of control, and higher self-efficacy at baseline predicted higher lift scores one month after treatment. Higher baseline self-efficacy also predicted better physical functioning and lower disability at one month. Pain-related self-efficacy and health locus of control may be valuable predictors of treatment benefit for chronic back pain patients. Limitations included low sample size.

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Bartlett, Danielle Megan. "The utility of multidisciplinary rehabilitation as a treatment strategy for circadian rhythm and sleep disturbances in premanifest Huntington’s Disease." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2018. https://ro.ecu.edu.au/theses/2143.

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Background: Huntington’s disease (HD) is a rare, neurodegenerative disease caused by an expanded cytosine-adenine-guanine (CAG) sequence in the Huntingtin gene, resulting in the production of an aberrant protein, mutant huntingtin (mHTT). The mHTT protein exhibits a toxic loss and gain in function, leading to degeneration of neurons in the brain. Consequently, the classic triad of motor, cognitive and mood features of the disease develop. Among the earliest features of HD are circadian rhythm and sleep disturbances. These anomalies present many years prior to formal clinical diagnosis of HD and, while it has been postulated that these disturbances arise as a result of hypothalamic pathology, the neurobiological mechanisms underpinning these sleep disturbances have not yet been robustly investigated. The hypothalamus of the brain contains several key nuclei that are essential in maintaining circadian rhythm and sleep/wake cycles. Hypothalamic pathology and dysregulation of neuroendocrine factors that mediate the sleep/wake cycle have been reported in HD, as early as the premanifest stage. It is not known however if hypothalamic pathology precedes neuroendocrine dysregulation. Identification of mechanisms underpinning sleep and circadian rhythm disturbances will enable the development of therapeutic strategies aimed at mitigating sleep and circadian rhythm anomalies. To date, no therapies exist to combat pathological changes in sleep architecture and circadian rhythm. Evidence from mouse models of HD shows that the circadian rhythm and sleep-wake cycle are amenable to environmental interventions, including exercise, bright light therapy and temporally scheduled feeding. Furthermore, previous studies in HD of multidisciplinary rehabilitation- a construct of exercise and cognitive training, along with social interaction have been shown to increase grey matter volume in the caudate tail and dorsolateral prefrontal cortex in manifest HD, with accompanying improvements in verbal learning and memory. It is postulated that this intervention paradigm could also improve sleep outcomes in HD. Studies in Parkinson’s disease have shown that multidisciplinary rehabilitation improves sleep quality, however, the effects of multidisciplinary rehabilitation on circadian rhythm and sleep outcomes have not yet been investigated in HD and particularly not in premanifest HD when the effects of intervention would be most beneficial. Aims: The initial aim of this thesis was to determine, through a review of the literature, the potential neurobiological mechanisms associated with circadian rhythm and sleep disturbances in individuals with premanifest HD. This was used to inform the next study, which was to determine whether hypothalamic pathology was associated with circadian rhythm and habitual sleep disturbances in individuals with premanifest HD. The next aim was to then determine if nine-months of multidisciplinary rehabilitation could impact on circadian rhythm and habitual sleep outcomes and associated hypothalamic volume in individuals with premanifest HD. The aim of the final study was to explore the effects of a nine-month multidisciplinary rehabilitation program on sleep architecture in individuals with premanifest HD. Methods: For the study presented in Chapter 3 (aim 2), 32 individuals with premanifest HD and 29 healthy age- and gender-matched controls underwent magnetic resonance imaging scans to evaluate hypothalamic volume. Circadian rhythm and habitual sleep were assessed via measurement of morning and evening cortisol and melatonin levels, wrist-worn actigraphy, the Consensus Sleep Diary and sleep questionnaires. Information on mood, physical activity levels and body composition were also collected. In the study presented in Chapter 4 (aim 3) 18 individuals with HD (ten premanifest and eight prodromal) undertook a nine-month multidisciplinary rehabilitation intervention (intervention group) and were compared to a community sample of 11 individuals with premanifest HD receiving standard care (control group). Hypothalamic volume, blood-based BDNF, salivary cortisol and melatonin concentrations, subjective sleep quality, daytime somnolence, habitual sleep-wake patterns and stress, anxiety and depression symptomatology were all evaluated prior to and following the intervention. Sixteen of these individuals also underwent polysomnography and sleep-dependent memory consolidation prior to and following the ninemonth intervention to assess sleep architecture and sleep-dependent memory consolidation (Chapters 4 and 5). Results: Here in Chapter 2, a review of the literature revealed the hypothalamus as a potential modulator of circadian rhythm and sleep disturbances in HD. Chapter 3 shows that hypothalamic grey matter volume in premanifest HD individuals is reduced compared to ageand gender-matched healthy controls. We also observed reduced sleep quality and an increased number of awakenings in premanifest HD individuals compared to healthy controls. Contrary to expectation, there were no strong associations between sleep outcomes and hypothalamic volume. There were, however, differences in the associations between hypothalamic volume and neuroendocrine factors in premanifest HD individuals compared to healthy controls. Following nine months of multidisciplinary rehabilitation, a reduced rate of loss of grey matter volume in the hypothalamus was observed in the premanifest HD intervention group compared to the premanifest HD standard care group (Chapter 4). This was accompanied by a maintenance of brain-derived neurotrophic factor (BDNF) levels in the intervention compared to the control group. No robust changes were observed in the release of circadian-regulated hormones or in habitual sleep outcomes; however, exploratory data revealed changes in sleep architecture, particularly in REM percentage and latency, following the nine-month intervention (Chapter 5). Conclusion: Data presented in this thesis suggests that, although hypothalamic volume is reduced in individuals with premanifest HD, circadian rhythm is maintained, perhaps via neural compensation. Moreover, we provide, for the first time, preliminary data suggesting that multidisciplinary rehabilitation is useful in reducing the loss of volume of the hypothalamus and, while no robust effects on circadian rhythm were observed, improvements in sleep architecture were observed in individuals with premanifest HD. Further randomised controlled studies in a larger cohort of individuals with premanifest and manifest HD are required to confirm and extend on these preliminary findings

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Andersén, Åsa. "Self-efficacy, Vocational Rehabilitation and Transition to Work." Doctoral thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-328796.

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The overall aim of this thesis was to examine the relationship between self-efficacy, individually tailored vocational rehabilitation and transition to work or studies. Study I was a cross-sectional study based on questionnaire- and registry data, investigating whether factors related to sick leave predict self-efficacy in women on long-term sick leave (n= 337) due to pain and/or mental illness. General self-efficacy was low. Anxiety and depression were the strongest predictors for low self-efficacy. Study II used longitudinal data from a randomised controlled trial, comprising partly the same women (n=401) as in Study I. Participants were allocated to either 1) assessment of multidisciplinary team and multimodal intervention (TEAM), 2) acceptance and commitment therapy (ACT), or 3) control group. Self-efficacy increased in the TEAM group in comparison with the control group. Study III had a descriptive qualitative design with individual interviews, studying participants’ (n=14) experiences with an individually tailored vocational rehabilitation project, and encounters with professionals working in it. The participants, who were on long-term sick leave due to mental illness or pain reported overall positive experiences with the project. The project was based on collaboration between authorities and motivational interviewing. The positive experiences were based on four categories: Opportunities for receiving various dimensions of support, Good overall treatment by the professionals, Satisfaction with the working methods of the project, and Opportunities for personal development. Study IV was a prospective cohort study investigating perceived self-efficacy in unemployed young adults (n= 249) aged 19-29 year with disabilities, and the association between self-efficacy and transition to work or studies. The study used questionnaire- and registry data from a vocational rehabilitation project. Higher levels of self-efficacy were associated with increased odds for ‘transition to work’. General self-efficacy was low, and young adults with lower self-efficacy reported worse self-rated health compared with those with higher self-efficacy. This thesis showed that multidisciplinary assessment with a multimodal intervention had positive effects on self-efficacy. Individually tailored vocational rehabilitation, based on cooperation and motivational interviewing, may be beneficial for individuals on long-term sick leave and the interactions between participants and the professionals may affect participants’ self-efficacy positively. Mental health needs to be considered when targeting self-efficacy in vocational rehabilitation. Furthermore, research is needed to a) clarify which components in the multidisciplinary team intervention can increase self-efficacy, b) study the effects of vocational rehabilitation based on an individual design, cooperation and motivational interviewing on self-efficacy, health and transition to work, and c) develop interventions that can increase self-efficacy and support transition to work/ studies in young adults with disabilities.

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Kauppila, A. M. (Anna-Maija). "Multidisciplinary rehabilitation after primary total knee arthroplasty:a study of its effects on health- related quality of life, functional capacity and cost-effectiveness." Doctoral thesis, Oulun yliopisto, 2011. http://urn.fi/urn:isbn:9789514294914.

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Abstract Knee osteoarthritis (OA) is one of the main causes of chronic disability in elderly people. In end-stage knee OA, patients experience both short- and long-term benefits from total knee arthroplasty (TKA). All the significant deficiencies in functional capacity and health-related quality of life (HRQOL) are not spontaneously resolved after surgery. Therefore, it is essential that patients receive effective rehabilitation. So far, there are no gold standards in terms of outcome measurements of TKA and rehabilitation in connection with surgery. The present series of studies was designed for the purpose of examining the effectiveness and cost-effectiveness of a multidisciplinary rehabilitation program compared with conventional orthopedic care, the attributes of disability in elderly knee OA patients waiting for primary TKA, and the impact of patient-relevant factors on the outcome of TKA one year after surgery. Special emphasis was placed on self-reported functional capacity, HRQOL, and objectively measured functional capacity. Objective and subjective physical function and HRQOL were investigated with a battery of physical function tests and questionnaires (WOMAC, 15D, and RAND-36) during a one-year follow-up. Pain, body mass index (BMI), and antero-posterior laxity of the affected knee were the main attributes of self-reported disability in the patients waiting for primary TKA. The multidisciplinary rehabilitation program did not yield faster attainment of recovery than did conventional orthopedic care. Equal, significant improvement in HRQOL and functional capacity was found in both groups, but conventional care was clearly cost-saving. A preoperative score below the general population level on the 15D, the presence of pain, higher age, and the presence of pulmonary disease preoperatively decreased the possibility of reaching the HRQOL level of the general population. More severe pain preoperatively was associated with a higher degree of functional recovery. The presence of osteoporosis, male gender, impaired function of the opposite knee, and higher age were associated with a lower degree of improvement in self-reported function. The results highlight the multifactorial nature of health status in TKA. Further intervention studies are needed to identify patients who would benefit most from intensive rehabilitation interventions after TKA and to create standards for outcome tools after joint replacement surgery and rehabilitation interventions
Tiivistelmä Polvinivelrikko on merkittävimpiä niistä sairauksista, jotka rajoittavat ikääntyneiden toimintakykyä. Vaikka tekonivelleikkauksella voidaan sekä välittömästi että pidemmän ajan kuluessa kohentaa merkittävästi polvinivelrikosta kärsivien elämänlaatua ja toimintakykyä, osa potilaista ei leikkauksen jälkeenkään selviydy hyvin arjestaan. Siksi on tärkeää, että potilasta kuntoutetaan tekonivelleikkauksen jälkeen asianmukaisesti ja tehokkaasti. Leikkauksen ja kuntoutuksen tuloksellisuutta arvioivien mittareiden käytöstä ei ole olemassa standardoituja suosituksia. Tämän väitöskirjan päätavoitteena oli selvittää 2–4 kuukautta leikkauksen jälkeen toteutetun, moniammatillisen, polikliinisen kuntoutuksen kustannustehokkuutta sekä sen vaikuttavuutta elämänlaatuun ja toimintakykyyn verrattuna perinteiseen ortopediseen hoitokäytäntöön. Lisäksi selvitettiin tekijöitä, jotka heikentävät potilaan toimintakykyä pitkälle edenneessä polvinivelrikossa, sekä potilaslähtöisiä tekijöitä, jotka vaikuttavat leikkaustulokseen vuosi leikkauksen jälkeen. Itsearvioitua toimintakykyä sekä elämänlaatua arvioitiin kyselykaavakkeiden (WOMAC, 15D ja RAND-36) avulla ja fyysistä toimintakykyä mitattiin testipatteristolla. Tutkimuksen seuranta-aika oli yksi vuosi. Painoindeksi, kipu ja leikattavan polven etu-takasuuntainen väljyys selittivät eniten tekonivelleikkausta odottavien potilaiden toimintakyvyn rajoitteita. Potilaiden elämänlaatu ja toimintakyky kohenivat merkittävästi tekonivelleikkauksen jälkeen. Moniammatillisesti toteutettu kuntoutus ei tehostanut leikkauksesta toipumista verrattaessa sitä perinteiseen ortopediseen hoitokäytäntöön, joka vertailussa myös säästi selkeästi kustannuksia. Väestökeskiarvoa huonommaksi koettu elämänlaatu jo ennen leikkausta, kivuliaisuus, korkea ikä ja keuhkosairaudet heikensivät mahdollisuutta saavuttaa väestökeskiarvon tasoinen koettu elämänlaatu vuosi leikkauksen jälkeen. Leikkausta edeltävä vaikea-asteinen kivuliaisuus assosioitui merkittävään toimintakyvyn parantumiseen. Osteoporoosi, miessukupuoli, vastakkaisen polvinivelen epänormaali toiminta ja korkea ikä taas liittyivät vaatimattomampana koettuun toimintakyvyn parantumiseen. Tekonivelleikattujen potilaiden terveydentilan monitekijäisyys heijastuu tutkimustuloksiin. Jatkossa tarvitaan interventiotutkimuksia, jotta voitaisiin paremmin tunnistaa ne potilaat, jotka hyötyisivät eniten tehostetusta leikkauksen jälkeisestä kuntoutuksesta. Lisäksi olisi tärkeää tutkia, miten kuntoutuksen tuloksellisuutta arvioivia mittareita voitaisiin yhtenäistää

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Books on the topic "Multidisciplinary rehabilitation"

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Vision rehabilitation: Multidisciplinary care of the patient following brain injury. Boca Raton [Florida]: CRC Press, Taylor & Francis Group, 2011.

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Royal College of Physicians of London. Clinical Effectiveness & Evaluation Unit., ed. A multidisciplinary stroke audit. 2nd ed. London: Clinical Effectiveness & Evaluation Unit, Royal College of Physicians, 2002.

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L, Greenblatt Susan, and Resources for Rehabilitation (Organization), eds. Providing services for people with vision loss: A multidisciplinary perspective. Lexington, Mass: Resources for Rehabilitation, 1989.

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Thresher, Jill C. Working with swallowing disorders: A multidisciplinary approach. Tucson, Ariz: Communication Skill Builders, 1992.

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Thresher, Jill C. Working with swallowing disorders: A multidisciplinary approach. Tucson, Ariz: Communication Skill Builders, 1992.

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Byrgen, Finkelman, ed. Child abuse: A multidisciplinary survey. New York: Garland Pub., 1995.

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Richards, Karen Kirk. Turning the tide: How to be an advocate for the ADD/ADHD child : attention deficit disorder, attention deficit hyperactive disorder, the invisible handicaps : a guide for teachers and parents using the multidisciplinary approach. Kansas City, Mo: Midgard Press, 1992.

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Richards, Karen Kirk. Turning the tide: How to be an advocate for the ADD/ADHD child : attention deficit disorder, attention deficit hyperactive disorder, the invisible handicaps : a guide for teachers and parents using the multidisciplinary approach. Kansas City, Mo: Midgard Press, 1995.

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Shrawan, Kumar, ed. Multidisciplinary approach to rehabilitation. Boston: Butterworth-Heinemann, 2000.

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Multidisciplinary Approach to Rehabilitation Hardcover. Butterworth-Heinemann, 2000.

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Book chapters on the topic "Multidisciplinary rehabilitation"

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Turk, Dennis C. "Multidisciplinary Pain Centers, Rehabilitation." In Encyclopedia of Pain, 1927–31. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-28753-4_2507.

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Ayyad, Nasser, and Denizen Kocak. "Pre and Postoperative Spine Rehabilitation." In Multidisciplinary Spine Care, 329–53. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-04990-3_14.

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Sarr-Jansman, E. T. M., and C. Sier. "Multidisciplinary Collaboration." In The Challenges of Nursing Stroke Management in Rehabilitation Centres, 41–46. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-76391-0_5.

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Capodaglio, Paolo, and Maria Letizia Petroni. "Nutritional, Metabolic, and Psychological Rehabilitation." In Multidisciplinary Approach to Obesity, 315–26. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-09045-0_26.

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Gimigliano, Francesca, Alessandro de Sire, Antimo Moretti, Claudio Curci, and Giovanni Iolascon. "Rehabilitation Therapy After Surgery in Osteoporotic Patients." In Multidisciplinary Approach to Osteoporosis, 313–24. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-75110-8_19.

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McJunkin, Tory, Edward Swing, Kyle Walters, and Paul Lynch. "Multidisciplinary Pain Management in the Rehabilitation Patient." In Comprehensive Pain Management in the Rehabilitation Patient, 13–21. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-16784-8_2.

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von Wild, Klaus R. H. "Functional Neurosurgical Rehabilitation in Craniovertebral Junction Abnormality. An Exemplary Case Report." In Minimally Invasive Neurosurgery and Multidisciplinary Neurotraumatology, 152–60. Tokyo: Springer Japan, 2006. http://dx.doi.org/10.1007/4-431-28576-8_24.

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St-Amand, Jonny, Andrew Ignaszewski, P. Haydn Pritchard, and Jiri Fröhlich. "Effects of Multidisciplinary Cardiac Rehabilitation Program on Plasma Lipid Profile." In Exercise for Preventing Common Diseases, 180–84. Tokyo: Springer Japan, 1999. http://dx.doi.org/10.1007/978-4-431-68511-1_22.

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Leonardi, Matilde, and Klemens Fheodoroff. "Goal Setting with ICF (International Classification of Functioning, Disability and Health) and Multidisciplinary Team Approach in Stroke Rehabilitation." In Clinical Pathways in Stroke Rehabilitation, 35–56. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-58505-1_3.

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Starmer, Heather M., and Jocelen Hamilton. "Speech, Voice, and Swallowing Rehabilitation for Patients with Head and Neck Cancers." In Multidisciplinary Management of Head and Neck Cancer, 215–38. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-05973-5_14.

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Conference papers on the topic "Multidisciplinary rehabilitation"

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Sundh, Josefin, Helena Lindgren, Mikael Hasselgren, Scott Montgomery, Christer Janson, Björn Ställberg, and Karin Lisspers. "Multidisciplinary rehabilitation in COPD." In ERS International Congress 2016 abstracts. European Respiratory Society, 2016. http://dx.doi.org/10.1183/13993003.congress-2016.pa3963.

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Lichev, Lachezar. "NEUROCOGNITIVE REHABILITATION SYSTEM NELA." In SGEM2011 11th International Multidisciplinary Scientific GeoConference and EXPO. Stef92 Technology, 2011. http://dx.doi.org/10.5593/sgem2011/s10.112.

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Chivu, Oana. "ECOLOGICAL IMPACT ON WELDING REHABILITATION OF CASTINGS." In 18th International Multidisciplinary Scientific GeoConference SGEM2018. Stef92 Technology, 2018. http://dx.doi.org/10.5593/sgem2018/4.2/s19.054.

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Reyes, Héctor Cardona, Jaime Muñoz Arteaga, Ivan González Romo, and Miguel Ángel Ortiz Esparza. "Model driven multidisciplinary production of interactive environments." In REHAB 2019: 5th Workshop on ICTs for improving Patients Rehabilitation Research Techniques. New York, NY, USA: ACM, 2019. http://dx.doi.org/10.1145/3364138.3364151.

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Koulopoulou, Maria, Charles C. Reilly, Peter S. P. Cho, Tanya Grant, Victoria Lord, and Irem S. Patel. "Outcome of weekly Consultant-Led Multidisciplinary Meetings in Pulmonary Rehabilitation." In ERS International Congress 2019 abstracts. European Respiratory Society, 2019. http://dx.doi.org/10.1183/13993003.congress-2019.pa3977.

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Lucaci, Gheorghe. "ECO-FRIENDLY�REHABILITATION�OF��ROAD�RESISTANCE�STRUCTURES." In SGEM2012 12th International Multidisciplinary Scientific GeoConference and EXPO. Stef92 Technology, 2012. http://dx.doi.org/10.5593/sgem2012/s20.v5038.

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Niculescu, Mariana. "ENVIRONMENTAL REHABILITATION AND PRESERVATION MEASURES IN BAITA-CRACIUNESTI QUARRY." In 15th International Multidisciplinary Scientific GeoConference SGEM2015. Stef92 Technology, 2011. http://dx.doi.org/10.5593/sgem2015/b51/s20.039.

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Lute, Marina. "SEISMIC REHABILITATION OF A HISTORIC BUILDING WITH MASONRY � WOODEN STRUCTURE." In 15th International Multidisciplinary Scientific GeoConference SGEM2015. Stef92 Technology, 2015. http://dx.doi.org/10.5593/sgem2015/b62/s27.074.

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Richardson, Ariella, Sara Rosenblum, and Sharon Hassin-Baer. "Multidisciplinary Teamwork in the Design of DailyCog for Evaluating Mild Cognitive Impairment (MCI) in Parkinson’s Disease." In 2019 International Conference on Virtual Rehabilitation (ICVR). IEEE, 2019. http://dx.doi.org/10.1109/icvr46560.2019.8994479.

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Guerra, Leonardo Cortez, Alessandra Luiza Lara Poloni, and Marcela Maria Mattos Almeida. "Multidisciplinary Care in Huntington’s Disease: Case Report." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.463.

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Context: Huntington’s disease (HD) is a degenerative neurological disorder with autosomal dominant inheritance resulting from the loss of GABAergic neurons in the striatum. The prevalence of HD is 10.6 to 13.7 individuals per 100,000 in the Western population. Case report: DRO is a 57- year-old female admitted to a Long-Term Care Facility in 2018 due to the diagnosis of Huntington’s Disease (HD) four years ago. The patient presented right-side hemiplegia, choreic movements in the upper extremities, postural instability, dysarthria, visual hallucinations, behavioral changes, alert and communicative. During institutionalization, the occupational therapist, physical therapist and the speech therapist performed cognitive stimulation activities, motor physiotherapy with balance training, gait and muscle strengthening, interventions for dysarthria and dysphagia prevention. After a year, there was a disease progression with episodes of fall and deterioration of choreic movements, cognitive function and coordination; then, the physical therapist intensified motor rehabilitation and bracing in the left hand in the occupational therapy sessions due to the onset of deformities. In 2020, the patient reported stabilizing her clinical condition and continued the rehabilitation sessions. Conclusions: Physiotherapeutic interventions demonstrated improvement in muscle strength and gait in HD patients. However, the results are heterogeneous due to the morbidity and phenotypic variety of the disease. The response to occupational therapy and speech therapy lacks previous studies on this disease. Thus, the multidisciplinary therapeutic approach is indicated due to its importance in the patient’s overall assessment and prevention of comorbidities.

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