Disability and rehabilitation
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To investigate swallowing problems in patients with Duchenne muscular dystrophy (DMD) using a questionnaire and videofluorography (VF). ⋯ Because oropharyngeal dysphagia in DMD was evident in teenage patients as well as those without clinical symptoms, VF is recommended in patients with DMD.
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A fundamental prerequisite for applying the International Classification of Functioning, Disability and Health (ICF) in practice and research is its demonstration of reliability and applicability. The aim of this study was to examine the inter-rater and intra-rater reliability in assigning ICF codes to physiotherapists' descriptions of problems, resources and goals in rehabilitation of severely injured persons, and to explore the feasibility of the ICF for capturing the described functional status. ⋯ The results showed at least moderate inter-rater and excellent intra-rater reliability for the ICF classification of physiotherapist's descriptions of problems, resources and goals in persons with multiple injuries. The ICF also proved to be applicable for use in clinical practice. Results from this study might contribute to development of core sets for use in rehabilitation of this patient group.
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Feeding and swallowing impairments are key predictors of increased morbidity and mortality in adults with learning disabilities. This postal survey and interview study sought to identify risk factors in adults with learning disabilities who have histories of choking. ⋯ Choking is a serious hazard for many adults with learning disabilities. This study establishes many of the characteristics associated with swallowing problems in this population. Clinicians and carers should benefit from awareness of these predictors, leading to better management of eating behaviours and habits. A choking and swallowing risk assessment should be included in routine health assessments of adults with learning disability, paying especial attention to the condition of a person's teeth; possible side effects from prescribed medication, and abnormal eating behaviour.
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Multicenter Study
The Pain Belief Screening Instrument (PBSI): predictive validity for disability status in persistent musculoskeletal pain.
To evaluate the predictive validity of a screening instrument measuring disability, self-efficacy, fear of movement and catastrophizing, for disability status in patients with musculoskeletal pain in primary health care physical therapy. Development over time of pain-related disability, pain intensity, self-reported work capacity and overall daily function for subgroups of patients was also investigated. ⋯ The predictive validity of the PBSI for disability was confirmed. In clinical use the PBSI could serve as a mean to obtain supplementary and clinically useful information.
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To report on the present option for management of tendinopathy of the main body of the Achilles tendon. ⋯ Further studies are needed to discern the optimal non-operative and surgical management of midsubstance Achilles tendinopathy.