Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Jan 2014
ReviewCommunity integration after traumatic brain injury: a systematic review of the clinical implications of measurement and service provision for older adults.
To explore the scope, reliability, and validity of community integration measures for older adults after traumatic brain injury (TBI). ⋯ Enhancing integration of older adults after TBI into their community of choice, with particular emphasis on social integration and quality of life, should be a primary rehabilitation goal. However, more research is needed to inform best practice guidelines to meet the needs of this growing TBI population. It is recommended that subjective tools, such as quality of life measures, are used in conjunction with well-established community integration measures, such as the CIQ, during the assessment process.
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Arch Phys Med Rehabil · Jan 2014
Review Meta AnalysisEconomic evaluation of adult rehabilitation: a systematic review and meta-analysis of randomized controlled trials in a variety of settings.
To report if there is a difference in costs from a societal perspective between adults receiving rehabilitation in an inpatient rehabilitation setting versus an alternative setting. If there are cost differences, to report whether opting for the least expensive program setting adversely affects patient outcomes. ⋯ Based on this systematic review and meta-analyses, a single rehabilitation service may not provide health economic benefits for all patient groups and situations. For some patients, inpatient rehabilitation may be the most cost-effective method of providing rehabilitation; yet, for other patients, rehabilitation in the home or community may be the most cost-effective model of care. To achieve cost-effective outcomes, the ideal combination of rehabilitation services and patient inclusion criteria, as well as further data for nonstroke populations, warrants further research.
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Arch Phys Med Rehabil · Jan 2014
Review Meta AnalysisPain and the risk for falls in community-dwelling older adults: systematic review and meta-analysis.
To conduct a systematic review and meta-analysis to establish the association between pain and falls in community-dwelling older adults. ⋯ Community-dwelling older adults with pain were more likely to have fallen in the past 12 months and to fall again in the future. Foot and chronic pain were particularly strong risk factors for falls, and clinicians should routinely inquire about these when completing falls risk assessments.
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Arch Phys Med Rehabil · Jan 2014
Review Comparative StudyComparative content review of children's participation measures using the International Classification of Functioning, Disability and Health-Children and Youth.
To evaluate to what extent instruments that intend to measure children's participation actually do so, and to what extent their items can be classified according to the International Classification of Functioning, Disability and Health-Children and Youth (ICF-CY). ⋯ This review revealed differences in the inclusion of participation items in existing children's participation measures and their classification according to the ICF-CY. These differences need to be considered when selecting an instrument.
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Arch Phys Med Rehabil · Jan 2014
Multicenter StudyRegional variation in stroke rehabilitation outcomes.
To examine and describe regional variation in outcomes for persons with stroke receiving inpatient medical rehabilitation. ⋯ Rehabilitation outcomes for persons with stroke varied across CMS regions. Substantial variation in discharge destination and LOS remained after adjusting for demographic and clinical characteristics.