American journal of physical medicine & rehabilitation
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Am J Phys Med Rehabil · Mar 2010
Psychosocial factors and adjustment to pain in individuals with postpolio syndrome.
The purpose of the current study was to examine the associations among measures of psychosocial factors, pain, and adjustment in persons with postpoliomyelitis syndrome. ⋯ The overall results of the current study are consistent with a biopsychosocial framework for understanding pain and functioning in individuals with postpoliomyelitis syndrome. Although additional research is needed to clarify the nature of the relationships between individual psychosocial variables and functional indices, the findings suggest the need for a multidisciplinary approach to pain management in individuals with postpoliomyelitis syndrome.
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Am J Phys Med Rehabil · Mar 2010
Impact of Medicare's prospective payment system for inpatient rehabilitation facilities on stroke patient outcomes.
To estimate the effect of Medicare's prospective payment system for inpatient rehabilitation facilities on discharge functional status, community discharge, and length of stay. ⋯ Further research is needed to determine whether the small reductions in patient function are persistent over time. This short-term evaluation of prospective payment system suggests minimal negative impact on stroke patient function at discharge because of the change in Medicare reimbursement but a decrease in likelihood of discharge to the community.