Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Sep 2009
Mortality over four decades after traumatic brain injury rehabilitation: a retrospective cohort study.
To investigate mortality, life expectancy, risk factors for death, and causes of death in persons with traumatic brain injury (TBI). ⋯ This study demonstrated life expectancy after TBI rehabilitation is reduced and associated with specific risk factors and causes of death.
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Arch Phys Med Rehabil · Aug 2009
Multicenter Study Comparative StudyJoint replacement rehabilitation outcomes on discharge from skilled nursing facilities and inpatient rehabilitation facilities.
To compare functional outcomes at discharge across postacute settings. ⋯ As a group, IRFs had better motor FIM outcomes than did SNFs, but the size of the IRF advantage was not large. Other important facility and practice characteristics also were associated with discharge outcomes after joint replacement rehabilitation. Earlier and more intensive rehabilitation was associated with better outcomes. The volume of joint replacement patients seen by a facility also plays a part: medium-volume facilities among both SNFs and IRFs had better outcomes.
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Arch Phys Med Rehabil · Aug 2009
Multicenter StudyLong-term outcomes of joint replacement rehabilitation patients discharged from skilled nursing and inpatient rehabilitation facilities.
To examine functional and health status outcomes of patients with joint replacement discharged from a skilled nursing facility (SNF) or an inpatient rehabilitation facility (IRF). ⋯ At follow-up, patients with joint replacement discharged from IRFs had better motor FIM outcomes than those discharged from freestanding SNFs and the hospital-based SNF. Settings did not differ materially in terms of SF-12 outcomes. Findings do not favor one setting decisively over another. A sole focus on initial postacute placement overlooks the larger trajectory of postacute care that needs to be managed to achieve superior outcomes.
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Arch Phys Med Rehabil · Aug 2009
Randomized Controlled Trial Comparative StudyComparison of 3 needle sizes for trigger point injection in myofascial pain syndrome of upper- and middle-trapezius muscle: a randomized controlled trial.
To investigate (1) the relation between needle diameter and treatment efficacy of myofascial pain syndrome and (2) the relation between needle diameter and pain intensity during injection. ⋯ No difference between the needle types was observed in terms of VAS or NDI, or in terms of pain intensity felt by patients during injection. In terms of SF-36 scores, injections with 21- or 23-gauge needles were found to be more effective. However, a well-controlled investigation is needed to explore the effect of needle thickness on health-related quality of life.
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Arch Phys Med Rehabil · Aug 2009
Multicenter Study Comparative StudyUse of rehabilitation and other health care services by patients with joint replacement after discharge from skilled nursing and inpatient rehabilitation facilities.
To compare use of rehabilitation and other health services among patients with knee and hip replacement after discharge from a skilled nursing facility (SNF) or an inpatient rehabilitation facility (IRF). ⋯ Patients with joint replacement from both SNFs and IRFs receive considerable amounts of follow-up rehabilitation care. Study uncovered no setting effects related to rehospitalization or medical complications. Looking only at care rendered in the initial postacute setting provides an incomplete picture of all care received and how it may affect follow-up outcomes.