Disability and rehabilitation
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Purpose: To examine the measurement properties of the 15-item Arabic Lower Extremity Functional Scale (LEFS-Ar) in patients with lower extremity musculoskeletal disordersMaterials and Methods: Patients with lower extremity musculoskeletal disorders (N = 116) completed the 15-item LEFS-Ar, Global Assessment of Function, RAND 36-item Health Survey, and Numeric Pain Rating Scale. A subset of participants completed a retest session within 2 to 7 days that also involved completion of the Global Rating of Change Scale. Internal consistency, test-retest reliability, measurement error, floor and ceiling effects of 15-item LEFS-Ar were examined. ⋯ Conclusion: The 15-item LEFS-Ar demonstrated evidence supporting its internal consistency, test-retest reliability and construct validity as a measure of lower extremity function in Arabic-speaking patients with lower extremity musculoskeletal disorders. Implications for RehabilitationThe 15-item LEFS-Ar demonstrated evidence supporting its internal consistency, test-retest reliability and construct validity as a measure of lower extremity function in patients with lower extremity musculoskeletal disorders. The 15-item LEFS-Ar can be used to measure lower extremity function in Arabic-speaking patients with lower extremity musculoskeletal disorders.
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Purpose: To determine if preoperative physical and psychological health risk factors are influential on physical function and satisfaction scores in a cohort of relatively younger adults one year post-total knee arthroplasty. Methods: Sixty-five patients were recruited pre- and one year post-total knee arthroplasty. Physical (i.e., body mass index, sex, physical activity level, number of comorbidities) and psychological (i.e., depression, expectations, pain inference) health risk factors were obtained pre-total knee arthroplasty and compared to Patient-Reported Outcomes Measurement Information System physical function computerized adaptive testing and satisfaction scores one year post-total knee arthroplasty. ⋯ This study provides evidence that relatively younger adults with greater comorbidities, lower physical activity level and higher pain interference scores preoperatively result in poorer functional recovery one year post-total knee arthroplasty. The results also suggest greater comorbidities identified preoperatively have the largest influence on one year satisfaction scores in younger adults post-total knee arthroplasty. Modifiable characteristics such as improving physical activity level, incorporating pain management strategies and reducing comorbidities preoperatively or adopting into postoperative rehabilitative care may influence the postoperative physical function and satisfaction scores in relatively younger adults undergoing total knee arthroplasty.
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Purpose: This qualitative study explores the barriers, personal characteristics/resources, and environmental factors that experienced physiotherapists identify as relevant in the assessment and treatment of persons living with schizophrenia, and whether the identified aspects are represented in the International Classification of Functioning, Disability and Health Core Sets for schizophrenia. Methods: A three-round Delphi study with physiotherapists was conducted between April and July 2018. In the first round, participants had to list all the aspects they considered to be relevant when assessing and/or treating individuals with schizophrenia, and they were asked six open-ended questions. ⋯ Implications for rehabilitationThis study shows which barriers, personal characteristics/resources, and environmental factors in persons with schizophrenia are relevant from physiotherapists' perspective and should be integrated in the rehabilitation process. The content validity of the Comprehensive and Brief Core Sets for schizophrenia is largely supported from the physiotherapists' perspective and therefore could be used in the assessment of functioning in persons with schizophrenia. The Comprehensive and Brief ICF Core Sets for schizophrenia could be used to plan and assess multidisciplinary rehabilitation interventions.
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Purpose: To synthesize evidence on the effectiveness of mass media campaigns for the management of LBP on beliefs of the general public and health care providers, LBP-related disability, health utilization, and LBP clinical outcomes. Materials and Methods: Five electronic databases were searched from inception to December 17, 2019. Any studies evaluating the effectiveness of mass media campaigns for LBP were eligible. ⋯ Rehabilitation professionals should be aware of and seek to support public education initiatives in their communities related to LBP and other disabling health conditions. Rehabilitation professionals can highlight and reinforce campaign messages when providing education and reassurance to individual patients. Several campaign resources (i.e., posters, pamphlets, electronic resources, etc.) are available for rehabilitation professionals to use in their efforts to reduce disability related to LBP.
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Purpose: Prolonged wait times for total hip and knee arthroplasty have deleterious effects on functional status for the awaiting patients. Telerehabilitation interventions can optimize the delivery of perioperative care. This pilot single-blind randomized controlled trial evaluates the feasibility and the potential impact on pain and disability of a telerehabilitation prehabilitation program, compared to in-person prehabilitation or usual care. ⋯ Prehabilitation interventions can optimize the delivery of perioperative care, but accessibility to such interventions can be limited by geographic situation, lack of transportation and financial issues. Using video conferencing mobile technologies can help overcome those obstacles. Tele-prehabilitation using mobile technology appears safe, feasible and generates good satisfaction with subjects awaiting a total hip or knee arthroplasty.