European journal of physical and rehabilitation medicine
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Eur J Phys Rehabil Med · Jun 2015
Randomized Controlled TrialEffect of adding one 15-minute-walk on the day of surgery to fast-track rehabilitation after total knee arthroplasty: a randomized, single-blind study.
Earlier and more intensive physiotherapy exercise after total knee arthroplasty (TKA) enhance recovery, but the best combination of intensity and duration has not been determined. ⋯ A 15-minute walk immediately after recovery from spinal anesthesia did not increase pain in patients with TKA. More intense exercise during this period might improve functional recovery without increasing pain.
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Eur J Phys Rehabil Med · Jun 2015
Observational StudyDeterminants of outcome in hip fracture: role of daily living activities.
Very few studies have investigated activities of daily living (ADLs) post hip-surgery as a possible determinant of functional outcome after hip fracture. ⋯ The results of this study suggest that, in designing studies on outcome prediction in hip fracture, researchers should include tests assessing performance of basic ADLs as independent variables, as this could allow to identify new prognostic indicators that may be helpful for physicians in managing hip fracture patients post-rehabilitation.
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Eur J Phys Rehabil Med · Jun 2015
Randomized Controlled TrialMcKenzie training in patients with early stages of ankylosing spondylitis: results of a 24-week controlled study.
It is widely accepted that patient education and regular exercises could improve pain, function and maintain posture in ankylosing spondylitis (AS). ⋯ A specific McKenzie training should be included in the standard-care of AS.
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Eur J Phys Rehabil Med · Jun 2015
Historical ArticleThe first world war drives rehabilitation toward the modern concepts of disability and participation.
The First World War produced a huge number of disabled soldiers. During the war, surgeons realized that it was not enough to merely treat the limbs of the wounded soldiers; it was also necessary to train them to use their remaining abilities to their greatest capacity. Governments at the same time realized that such a high number of veterans created a financial burden, by entitling disabled veterans to full healthcare, raising the issues of social welfare. ⋯ The experience gained in the treatment of war victims markedly enriched rehabilitation techniques, but overall the First World War helped engender the concept of rehabilitative programs to assist disabled veterans reintegrate in the workplace, thus laying the foundations of the modern concept of participation at a social level. In the centenary of Italy's entry into the First World War, it is worth underlining just how much hindsight affords us a new perspective on Physical Medicine and Rehabilitation. It reminds us that rehabilitation is not merely the role of medicine, but forms part of a multifaceted approach involving societal roles and expectations, regardless of the psychological and physical impairments suffered by the individuals concerned.