Clinical rehabilitation
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Clinical rehabilitation · Feb 2002
Characteristics of injured children attending the emergency department: patients potentially in need of rehabilitation.
To provide an epidemiological overview of the characteristics of injured children and to compare hospitalized and nonhospitalized injured children to identify predictors of hospitalization and, with that, possible predictors of disablement. ⋯ Young traffic victims, severely injured children in terms of high ISS scores, and children with injuries affecting the head/neck/face or thorax/abdomen carry the highest risk of hospitalization.
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Clinical rehabilitation · Dec 2001
Multicenter Study Comparative StudyHome-based rehabilitation for people with stroke: a comparative study of six community services providing co-ordinated, multidisciplinary treatment.
To describe and compare six community services providing co-ordinated, multidisciplinary rehabilitation to people with stroke. ⋯ Community rehabilitation teams differed in their target populations, in the timing and duration of intervention. A taxonomy of four types of co-ordinated community-based rehabilitation for people with stroke is proposed: (1) Early-supported discharge rehabilitation aimed to reduce length of hospital stay and offered an alternative to hospital rehabilitation. (2) Post-discharge rehabilitation provided additional rehabilitation and aimed for a seamless transfer of patients from hospital to community. (3) General practitioner-oriented post-stroke rehabilitation provided an alternative to hospital admission and rehabilitation. (4) Late community rehabilitation provided patients with the opportunity of an autonomous service, unconnected with hospital or GP referral. Purchasers need to decide for what purpose a team is to be set up. Researchers need to be similarly aware of diversity in community rehabilitation before comparisons are made.
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Clinical rehabilitation · Oct 2001
Randomized Controlled Trial Clinical TrialEffects of balance training in elderly people with nonperipheral vertigo and unsteadiness.
To evaluate the effect of balance training in group in elderly people with nonperipheral vertigo and unsteadiness. ⋯ Balance training in elderly people with nonperipheral vertigo and unsteadiness seems to improve both objective and perceived balance.
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Clinical rehabilitation · Oct 2001
Comparative StudyRegional variations in stroke care in England, Wales and Northern Ireland: results from the National Sentinel Audit of Stroke. Royal College of Physicians Intercollegiate Stroke Working Party.
To identify the variations between regions in England, Wales and Northern Ireland in the case-mix, organization and process of care for stroke. ⋯ There were widespread variations in specialist service provision for stroke in different regions. Regional variation in 30-day mortality and in institutionalization after stroke is not explained by clinical factors and therefore may represent different local health care policies and expectations.