Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Aug 2012
Multicenter StudyVariation in adherence to new quality-of-care indicators for the acute rehabilitation of children with traumatic brain injury.
To determine variations in care provided by 9 inpatient rehabilitation units for children with traumatic brain injury (TBI) using newly developed quality indicators. ⋯ The results indicate a tremendous variability and opportunity for improvement in the care of children with TBI.
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Arch Phys Med Rehabil · Aug 2012
Discharge destination as a surrogate for Modified Rankin Scale defined outcomes at 3- and 12-months poststroke among stroke survivors.
To determine the predictive value of discharge destination as a surrogate for defining unfavorable outcome at 3- and 12-months poststroke. ⋯ Discharge destination can provide high predictive values and likelihood ratios for death and disability at 3-months poststroke, as defined by an MRS of score of 2 to 6.
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Arch Phys Med Rehabil · Aug 2012
Multicenter StudyAffect recognition, empathy, and dysosmia after traumatic brain injury.
To investigate if olfaction is associated with affect recognition and empathy deficits after traumatic brain injury (TBI). Prior research has shown that TBI often leads to loss of smell. We hypothesized a relationship with emotion perception, because the neural substrates of the olfactory system overlap with the ventral circuitry of the orbital frontal cortex, which play a critical role in affective responses, such as empathy. ⋯ This study shows that olfactory deficits may be indicative of affect recognition impairments and reduced empathy. Early knowledge of affect recognition and empathy deficits would be valuable so that treatment could be implemented predischarge.
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Arch Phys Med Rehabil · Aug 2012
Randomized Controlled TrialBenefits of exercise maintenance after traumatic brain injury.
To examine the effect of exercise intervention on exercise maintenance, depression, quality of life, and mental health at 6 months for people with traumatic brain injury (TBI) with at least mild depression. ⋯ Exercise may contribute to improvement in mood and quality of life for people with TBI and should be considered as part of the approach to depression treatment.
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Arch Phys Med Rehabil · Aug 2012
Comparative StudyComparative study of short forms of the Tampa Scale for Kinesiophobia: fear of movement in a surgical spine population.
To compare the factor structure of 6 short forms of the Tampa Scale for Kinesiophobia (TSK) by means of confirmatory factor analysis in patients after spinal surgery for degenerative conditions. ⋯ The current study provides further evidence that specific short-form versions of the TSK may be useful for assessing fear of movement in surgical populations. Results support the measurement of fear of movement using the 2-factor, 13- and 11-item versions of the TSK in patients after spinal surgery. A TSK-4 (items 3, 6, 7, and 11) offers a promising alternative to the TSK-13 and TSK-11. However, further research is needed to test the validity and reliability of the TSK-4 in patients undergoing spinal surgery in order to support its use in a clinical environment. Researchers and clinicians interested in a shorter measure of fear of movement should consider using the TSK-11.