Search Our Scientific Publications & Authors

J Spinal Cord Med 2020 May 22:1-11. Epub 2020 May 22.

Speech Science, University of Auckland, Auckland, New Zealand.

Swallowing difficulties (dysphagia) are well recognized after spinal injury. There are no published rehabilitation efficacy studies to date. This study explored viability and outcomes of swallowing rehabilitation programs for four patients with persisting dysphagia. Read More

Int J Qual Health Care 2020 Mar 31. Epub 2020 Mar 31.

Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, Haifa University, Israel.

Objective: Vocational rehabilitation for people with severe mental illness (SMI) has many benefits. Among the existing models, supported employment has consistently shown to have better impact on vocational outcomes while the findings on non-vocational outcomes are inconsistent. One source of variation with regard to non-vocational outcomes could be related to differences between consumers' self-reports and the providers' point of view. Read More

Vopr Kurortol Fizioter Lech Fiz Kult 2020 ;97(1):51-59

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma of the Department of Healthcare of Moscow, Moscow, Russia.

Introduction: Children who have suffered brain damage form a large group of patients in need of rehabilitation. For rehabilitation, patients require not only surgical, neurosurgical, traumatological, pharmacological and other medical support, but also the creation of special conditions for psychiatric care, psychological and pedagogical correction of their psychophysical potential. Neurological, motor and mental consequences of severe injuries of the nervous system in children lead to a high degree of disability with a subsequent restriction of their life, where social maladaptation and a violation of the quality of life are the primary problems. Read More

J Hand Ther 2020 Mar 17. Epub 2020 Mar 17.

Department of Orthopaedics and Traumatology, Bakırkoy Dr. Sadi Konuk Education and Research Hospital, Istanbul, Turkey.

Background: Video-based rehabilitation programs, which are also used in the treatment of neurological disorders, could be a beneficial treatment option for patients who cannot receive treatment.

Purpose: To determine the efficacy of video-based rehabilitation program in the conservative treatment of partial rotator cuff tears in comparison to a physiotherapist-supervised rehabilitation program.

Study Design: A randomized controlled clinical trial. Read More

Am J Occup Ther 2020 Jan/Feb;74(1):7401185030p1-7401185030p18

Jennifer Kaldenberg, DrPH, MSA, OTR/L, SCLV, FAOTA, is Clinical Assistant Professor of Occupational Therapy, Boston University, College of Health and Rehabilitation Sciences: Sargent College, Boston, MA.

Importance: Low vision affects many older adults and is expected to significantly increase over the next several decades. It has a significant impact on all aspects of daily life, including the reading required for participation in occupations.

Objective: To determine the effectiveness of interventions within the scope of occupational therapy to improve reading required for the performance of occupations by older adults with low vision. Read More

World J Emerg Surg 2020 13;15. Epub 2020 Jan 13.

1Anesthesia and Intensive Care Unit, AUSL Romagna, M.Bufalini Hospital, Viale Ghirotti 286 - 47521, Cesena, Italy.

Background: Major trauma patients experience a 20% mortality rate overall, and many survivors remain permanently disabled.In order to monitor the quality of trauma care in the Trauma System, outcomes assessment is essential. Quality indicators on outcome can be expressed as quality of life, functional outcome, and others. Read More

Braz J Phys Ther 2020 Jan 3. Epub 2020 Jan 3.

Department of Otorhinolaryngology and Head & Neck Surgery, Otoneurology Discipline, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.

Background: Chronic dizziness has a negative impact on emotional aspects, functional capacity, and quality of life of older people.

Objective: To compare the effects of the conventional Cawthorne & Cooksey and the multimodal Cawthorne & Cooksey protocols on patient-reported outcomes in older adults with vestibular disorders.

Methods: This is a single-blind, randomized controlled trial with three-months' follow-up. Read More

Phys Ther 2020 Apr;100(4):687-697

Department of Neurology, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, OR 97239 (USA); Veterans Affairs Portland Health Care System; and National Center for Rehabilitative Auditory Research, Veterans Affairs Portland Health Care System.

Background: Clinical practice for rehabilitation after mild traumatic brain injury (mTBI) is variable, and guidance on when to initiate physical therapy is lacking. Wearable sensor technology may aid clinical assessment, performance monitoring, and exercise adherence, potentially improving rehabilitation outcomes during unsupervised home exercise programs.

Objective: The objectives of this study were to: (1) determine whether initiating rehabilitation earlier than typical will improve outcomes after mTBI, and (2) examine whether using wearable sensors during a home-exercise program will improve outcomes in participants with mTBI. Read More

PLoS One 2020 16;15(1):e0227298. Epub 2020 Jan 16.

C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, Ottawa, ON, Canada.

Background: Substance use is disproportionately high among people who are homeless or vulnerably housed. We performed a systematic overview of reviews examining the effects of selected harm reduction and pharmacological interventions on the health and social well-being of people who use substances, with a focus on homeless populations.

Methods And Findings: We searched MEDLINE, EMBASE, PsycINFO, Joanna Briggs Institute EBP, Cochrane Database of Systematic Reviews and DARE for systematic reviews from inception to August 2019. Read More

Arch Phys Med Rehabil 2020 Apr 2;101(4):650-657. Epub 2020 Jan 2.

Capri Cardiac Rehabilitation Rotterdam, Rotterdam.

Objective: To examine the strength of the association between exercise capacity and health-related quality of life (HRQOL) during and after cardiac rehabilitation (CR) in patients with acute coronary syndrome (ACS) who completed CR.

Design: Prospective cohort study.

Setting: Outpatient CR center. Read More

BMC Musculoskelet Disord 2019 Dec 27;20(1):624. Epub 2019 Dec 27.

Physical Agents and Rehabilitation Research Group GPRAE, Universidade Federal de São Paulo - UNIFESP, campus Baixada Santista, Santos, SP, 11015-029, Brazil.

Background: Patellar tendinopathy is an extremely debilitating condition and its treatment usually requires a combination of clinical approaches. Therapeutic ultrasound (TUS) is one of the most available electrophysical agent in rehabilitation settings; however, there is also a lack of high-quality studies that test different dosimetric aspects of TUS. Thus, the purpose of this study is to evaluate the short-, medium-, and long-term effects of the combination of high-energy TUS with a rehabilitation program for patellar tendinopathy. Read More

Ann Phys Rehabil Med 2019 Dec 9. Epub 2019 Dec 9.

IFRH, Euromov, University of Montpellier, Montpellier, France.

Background: Few rehabilitation methods have proven their efficacy in increasing sensori-motor recovery and/or function of the upper limb (UL) after stroke. Video games (VGs) are promising tools in this indication.

Objective: To compare UL rehabilitation by using VGs and conventional rehabilitation (CR) in patients with sub-acute stroke. Read More

Biomed Res Int 2019 13;2019:7106951. Epub 2019 Nov 13.

University of São Paulo, School of Arts, Sciences and Humanities-EACH-USP, São Paulo, Brazil.

Background: Spinal cord injury (SCI) is often associated with long-term impairments related to functional limitations in the sensorimotor system. The use of virtual reality (VR) technology may lead to increased motivation and engagement, besides allowing a wide range of possible tasks/exercises to be implemented in rehabilitation programs. The present review aims to investigate the possible benefits and efficacy of VR-based rehabilitation in individuals with SCI. Read More

Ther Umsch 2019 Nov;76(6):323-327

Klinik Barmelweid, Pneumologie, Barmelweid.

Pulmonary Rehabilitation Pulmonary rehabilitation is a comprehensive therapeutic approach for patients with advanced chronic lung diseases which leads to a decline of dyspnea, an increase of exercise capacity and an increase of quality of life. Further effects are a reduction of frequency of hospitalisations and an increase of physical activity, if a self management education program is integrated. Pulmonary rehabilitation incorporates an individualised training program with focus on endurance, strength and mobility, further a disease specific education with the goal to improve self efficacy and self management of the patients, specially with the goal to improve their daily physical activity. Read More

Bratisl Lek Listy 2019 ;120(11):864-866

Aim: The aim of the work was to evaluate the voice quality of 10 adult patients after thyroplasty type I using a silicone block. Preoperatively patients suffered from unilateral vocal fold paralysis.

Material And Methods: We evaluated selected preoperative and postoperative patient findings (RBH according to Wendler classification, videolaryngostroboscopy and maximum phonation time MPT). Read More

BMC Neurol 2019 Nov 12;19(1):280. Epub 2019 Nov 12.

Department of Neurobiology, Care sciences and Society, Division of Physiotherapy, Karolinska Institutet, Stockholm, Sweden.

Background: Parkinson's disease (PD) affects many physiological systems essential for balance control. Recent studies suggest that intensive and cognitively demanding physical exercise programs are capable of inducing plastic brain changes in PD. We have developed a highly challenging balance training (the HiBalance) program that emphasizes critical aspects of balance control through progressively introducing more challenging exercises which incorporates dual-tasking. Read More

Pneumologie 2019 Nov 12;73(11):677-685. Epub 2019 Nov 12.

Medizinische Fakultät, Universitätsklinik "Klinikum rechts der Isar", Technische Universität München (TUM), Zentrum für Prävention, Rehabilitation und Sportmedizin.

Background:  Pulmonary hypertension (PH) is defined as an elevation of mean pulmonary-arterial pressure by > 20 mmHg at rest, which may lead to right heart failure. Physical exercise has not been regularly recommended for PH patients for fear of symptom deterioration or occurrence of exercise-induced adverse events.

Methods:  Three electronic databases were searched for randomized, controlled trials investigating exercise training in PH patients using the following keywords: "pulmonary hypertension" OR "pulmonary arterial hypertension" AND "exercise" OR "pulmonary rehabilitation" AND "randomized". Read More

Trials 2019 Oct 29;20(1):614. Epub 2019 Oct 29.

MS Expert Centre, Department of Neurology, Caen University Hospital Centre, Avenue de la Côte de Nacre CS 30001, 14033, Caen, Cedex 9, France.

Background: Cognitive and mood disorders negatively impact daily life in patients with multiple sclerosis (MS). Pharmacological treatments did not demonstrate any effect on cognition compared with cognitive rehabilitation (CR). However, if CR programs offer promising results on cognition, they are less consistent concerning mood and quality of life (QoL). Read More

BMC Musculoskelet Disord 2019 Oct 27;20(1):493. Epub 2019 Oct 27.

Osteoarthritis Foundation International OAFI, Barcelona, Spain.

Background: Knee osteoarthritis (KOA) is a prevalent form of chronic joint disease associated with functional restrictions and pain. Activity limitations negatively impact social connectedness and psychological well-being, reducing the quality of life (QoL) of patients. The purpose of this review is to summarize the existing information on QoL in KOA patients and share the reported individual factors, which may influence it. Read More

Vopr Kurortol Fizioter Lech Fiz Kult 2019 ;96(5):51-60

Dnipropetrovsk Medical Academy, Ministry of Health of Ukraine, Dnipro, Ukraine.

Pulmonary arterial hypertension (PAH) is characterized by characterized by a continuous increase in precapillary pulmonary vascular resistance with a progressive decrease in cardiac output, which leads to progressive dyspnea, fatigue, and deterioration of exercise capacity. Traditionally, the patients have been advised to limit physical exercises. Recent studies suggest that there are improvements in exercise capacity, quality of life, muscle function, and pulmonary circulation when cardiovascular and pulmonary rehabilitation programs are implemented. Read More

BMC Public Health 2019 Oct 15;19(1):1287. Epub 2019 Oct 15.

Department of Obstetrics and Gynecology, National University Hospital, National University of Singapore, Republic of Singapore.

Background: Gestational diabetes (GDM) is a known risk factor for type 2 diabetes mellitus (T2DM), and women with a history of GDM have a 7-fold increased risk of developing the disease. Achieving a healthy weight post-delivery is key in reducing the risk of future diabetes in these women. The aim of this trial is to investigate the use of an interactive smartphone application (APP) to restore women to optimal weight following delivery. Read More

BMC Musculoskelet Disord 2019 Oct 10;20(1):439. Epub 2019 Oct 10.

Division of Rheumatology, University Hospitals of Geneva, Beau Séjour Hospital, CH-1205, 14, Geneva, Switzerland.

Background: Chronic low back pain (LBP) is a leading cause of disability worldwide. Biopsychosocial rehabilitation programs have been advocated for its management, especially since the widespread acceptance of the biopsychosocial model of chronic pain. Despite extensive evidence of its short-term benefits, few studies have reported on its long-term effect and more specifically on indirect outcomes such as return to work and quality of life (QoL). Read More

Phys Ther 2020 01;100(1):168-179

Faculty of Medicine, Health Sciences Center, Lund University.

Background: Girls and women with Rett Syndrome (RTT) have low levels of daily physical activity and high levels of sedentary time. Reducing sedentary time and enhancing "uptime" activities, such as standing and walking, could be an important focus for interventions to address long-term health and quality of life in RTT.

Objective: The aim of the study was to evaluate the feasibility and health-related effects of an individualized 12-week uptime participation (U-PART) intervention in girls and women with RTT. Read More

Prof Case Manag 2019 Nov/Dec;24(6):297-305

Vivian Campagna, MSN, RN-BC, CCM, is the Chief Industry Relations Officer (CIRO) for the Commission for Case Manager Certification, the first and largest nationally accredited organization that certifies more than 45,000 professional case managers and more than 2,600 disability management specialists. Vivian has been involved in case management for more than 25 years, holding staff and administrative positions on both the independent and acute care side of the industry. Sheila A. Nelson, MSN, RN, CCM, is a CCMC Commissioner and also a Clinical Practice Specialist, Care Management Programs and Strategies, for Kaiser Permanente Washington, supporting clinical practice innovation, education, and program development to achieve cost, quality, safety, and service outcomes. Sheila has been involved in case management for more than 18 years, including holding leadership positions with large national health plans. Jean Krsnak, MSN/MBA, RN, CCM, is a CCMC Commissioner. She is also an Acute Care Case Manager at UC Irvine Medical Center, the only Level I trauma and burn center in Orange County, California. Her experience is primarily in academic centers and across settings including critical care, medical and surgical telemetry, and oncology.

Purpose: The purpose of this article is to examine how case managers can support positive outcomes during care transitions by focusing on the goals of the Triple Aim () and Coleman's Four Pillars (). Case managers can play a pivotal role to ensure high-quality transitions by assessing patients and identifying those who are at high risk; coordinating care and services among providers and settings; reconciling medications; and facilitating education of patients and their support systems to improve self-management. These activities are congruent with an underlying value of case management as defined by the Code of Professional Conduct for Case Managers: "improving client [i. Read More

Adv Orthop 2019 2;2019:2586034. Epub 2019 Sep 2.

University of Iowa, Department of Orthopaedics and Rehabilitation, Iowa City, IA, USA.

Simulation-based surgical skills training is recognized as a valuable method to improve trainees' performance and broadly perceived as essential for the establishment of a comprehensive curriculum in surgical education. However, there needs to be improvement in several areas for meaningful integration of simulation into surgical education. The purpose of this focused review is to summarize the obstacles to a comprehensive integration of simulation-based surgical skills training into surgical education and board certification and suggest potential solutions for those obstacles. Read More

Eur J Phys Rehabil Med 2019 Dec 23;55(6):845-851. Epub 2019 Sep 23.

Unit of Integrative Rehabilitation Research, Institute for Epidemiology, Social Medicine and Health Systems Research, Hannover, Germany -

This paper aims to provide an insight into the quality management approach for medical rehabilitation services of the German statutory pension insurance scheme. In the 1990s, the German statutory pension insurance scheme initiated a quality management programme in rehabilitation, which is subject to continuous development. The main objective of implementing quality management in rehabilitative care was quality control and quality improvement. Read More

J Stroke Cerebrovasc Dis 2019 Nov 18;28(11):104341. Epub 2019 Sep 18.

Department of Physical Therapy, Federal University of Bahia, Salvador, Bahia, Brazil; Physical Therapy Research Group, Federal University of Bahia, Salvador, Bahia, Brazil; Post Graduate Program Medicine and Health, Federal University of Bahia, Salvador, Bahia, Brazil.

Objective: To investigate the effects of water-based exercise on functioning and quality of life in poststroke persons.

Data Sources: We searched the following electronic database: MEDLINE, PeDro, Scielo, and the Cochrane Central Register of Controlled Trials up to September 2018 Study Selection: Only randomized controlled trials were included. Two review authors screened the titles and abstracts and selected the trials independently. Read More

Int J Nurs Stud 2019 Nov 15;99:103395. Epub 2019 Aug 15.

Faculty of Pedagogy and Welfare Studies, Department of Health Science, Åbo Akademi University, Strandgatan 2, 65100, Vasa, Finland; Faculty of Health and Social Sciences, University of South-Eastern Norway, PO 235, 3603, Kongsberg, Norway.

Background: Due to vague, initial symptoms, persons with Parkinson's disease (PD) usually receive a definitive diagnosis after a prolonged period of time. At the time of diagnosis, they have already experienced limitations in activities of daily living and quality of life and are thus in need of immediate rehabilitation.

Objective: To describe the existing knowledge on the rehabilitation of persons with PD suitable to a home environment and to describe the person-centeredness, interprofessionality and clinical effectiveness of existing rehabilitation activities. Read More

Vopr Kurortol Fizioter Lech Fiz Kult 2019 ;96(4):63-68

AO Elatma Instrumental-Making Plant, Elatma, Kasimov District, Ryazan Region, Russia.

This article provides information on currently proven effective treatment methods for patients with joint diseases, by using magnetic fields with various physical characteristics. A wide range of biotropic parameters allows obtaining various primary physicochemical changes in biological tissues, which was a rationale for including magnetic therapy (MT) in the combination treatment of degenerative-dystrophic and inflammatory diseases. Analysis of scientific publications suggests that there are a large number of randomized, placebo-controlled studies providing evidence for reduced pain, improved joint functional activity and quality of life in patients with knee osteoarthritis under magnetic fields with varying inductions, frequencies, and exposures. Read More

BMC Health Serv Res 2019 Sep 10;19(1):656. Epub 2019 Sep 10.

Department of Psychiatry and Neurology, Phramongkutklao Hospital, Royal Thai Army, Bangkok, Thailand.

Background: In Thailand, two community-based drug treatment approaches are common. The first one is the traditional community-based treatment program (FAST) which brings the principles of community therapy as a guideline for treatment. The second one is the military hospital-based drug treatment program (PMK), derived from the basic military training, the Buddhist Twelve Steps, CBT and the Minnesota Rehabilitation Model. Read More

Psychiatr Danub 2019 Sep;31(Suppl 3):455-461

Istituto Serafico di Assisi, Viale Guglielmo Marconi, 6, 06081 Assisi, Perugia, Italy.

Complex disability is very difficult to manage. It usually subtends very serious clinical pictures, because it affect several body systems, or because it is associated with intellectual disability and behavioral disorders. Often affected patients are unable to communicate their basic needs. Read More

Cochrane Database Syst Rev 2019 Sep 2;9:CD013419. Epub 2019 Sep 2.

School of Rehabilitation Science, University of Saskatchewan, Health Sciences Building, 104 Clinic Place, Room 3410, Saskatoon, SK, Canada, S7N 2Z4.

Background: Exercise training is commonly recommended for adults with fibromyalgia. We defined flexibility exercise training programs as those involving movements of a joint or a series of joints, through complete range of motion, thus targeting major muscle-tendon units. This review is one of a series of reviews updating the first review published in 2002. Read More

J Foot Ankle Surg 2019 Sep;58(5):822-827

Assistant Professor, Department of Orthopedics and Traumatology, Pamukkale University Medical Faculty, Denizli, Turkey.

Ankle fractures are common fractures of the lower extremities that have an incidence rate of 101 fractures per 100.000 person-years. It is not clear which rehabilitation intervention should be performed after an ankle fracture. Read More

Trials 2019 Aug 23;20(1):529. Epub 2019 Aug 23.

Department of Social Work Programs, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.

Background: Systemic lupus erythematosus (SLE or lupus) is a chronic autoimmune disease that is associated with increased morbidity, mortality, healthcare costs and decreased quality of life. African Americans in the USA have three to four times greater prevalence of SLE, risk of developing SLE at an earlier age, and SLE-related disease activity, damage, and mortality compared with Caucasians, with the highest rates experienced by African American women. There is strong evidence that patient-level factors are associated with outcomes, which justifies targeting them with intervention. Read More

Implement Sci 2019 08 16;14(1):82. Epub 2019 Aug 16.

Faculty of Health Sciences, University of Ontario Institute of Technology, 2000 Simcoe Street North, Science building, Room 3000, Oshawa, Ontario, L1H 7K4, Canada.

Background: Musculoskeletal disorders are common in the active military and are associated with significant lost duty days and disability. Implementing programs of care to manage musculoskeletal disorders can be challenging in complex healthcare systems such as in the military. Understanding how programs of care for musculoskeletal disorders have been implemented in the military and how they impact outcomes may help to inform future implementation interventions in this population. Read More

Trials 2019 Aug 13;20(1):495. Epub 2019 Aug 13.

Department of Sporttraumatology, Knee, and Shoulder Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Frankfurt am Main, Germany.

Background: Although anterior cruciate ligament (ACL) tear-prevention programs may be effective in the (secondary) prevention of a subsequent ACL injury, little is known, yet, on their effectiveness and feasibility. This study assesses the effects and implementation capacity of a secondary preventive motor-control training (the Stop-X program) after ACL reconstruction.

Methods And Design: A multicenter, single-blind, randomized controlled, prospective, superiority, two-arm design is adopted. Read More

Arch Phys Med Rehabil 2020 01 8;101(1):154-165. Epub 2019 Aug 8.

Allied Health Clinical Research Office, Eastern Health, Victoria, Australia.

Objective: To determine if prescribing a combined aerobic and resistance training exercise program in accordance with American Stroke Association physical activity guidelines improves mobility and physical activity levels of people after stroke.

Data Sources: Online database search from earliest available date to August 27, 2018.

Study Selection: Randomized controlled trials evaluating the effectiveness of exercise programs prescribed in accordance with guidelines for improving mobility and physical activity levels in adults with subacute or chronic stroke. Read More

Transplant Proc 2019 Jul - Aug;51(6):1822-1830

Department of Nephrology, Hypertension and Kidney Transplantation, Medical University of Lodz, University Hospital and Teaching Center, Lodz, Poland.

Objectives: The aim of the study was to compare the effects of a physical activity program on daily physical activity and quality of life in kidney transplant (KTx) recipients and in patients with chronic kidney disease (CKD).

Materials And Methods: The study group consisted of 24 KTx recipients and 15 patients with stage 3 to 4 CKD. Habitual physical activity was monitored for 72 hours. Read More

Health Soc Care Community 2019 11 1;27(6):1438-1450. Epub 2019 Aug 1.

Department of Health Sciences, University of York, York, UK.

Reablement - or restorative care - is a central feature of many western governments' approaches to supporting and enabling older people to stay in their own homes and minimise demand for social care. Existing evidence supports this approach although further research is required to strengthen the certainty of conclusions being drawn. In countries where reablement has been rolled out nationally, an additional research priority - to develop an evidence base on models of delivery - is emerging. Read More

J Am Geriatr Soc 2019 09 27;67(9):1960-1969. Epub 2019 Jul 27.

Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom.

Objectives: To review the evidence evaluating the effectiveness of informal caregiver interventions to facilitate the recovery of older people discharged from the hospital.

Design: Systematic review and meta-analysis.

Setting: Hospital and community. Read More

Rev Assoc Med Bras (1992) 2019 Jul 22;65(6):851-856. Epub 2019 Jul 22.

School of Sports and Leisure, Polytechnic Institute of Viana do Castelo, Portugal.

Objectives: The study aims to improve the functional capacity and quality of life (QOL) of nonagenarian women by implementing an individualized muscle strength training program in a geriatric residential care home.

Study Design: A randomized controlled trial.

Methods: Twenty-six elderly women were randomized into a control group (CG) and an intervention group (SG). Read More

Vopr Kurortol Fizioter Lech Fiz Kult 2019 ;96(3):50-59

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia.

Background: The problem of ensuring long-term well-being and high quality of life for older women is becoming the most important goal of modern medicine. The initial presence of metabolic syndrome complicates the course of menopause; and menopausal hormone therapy cannot always be used. The urgency for finding the effective ways of non-drug correction of menopausal disorders in this category of patients is obvious. Read More

BMC Geriatr 2019 07 9;19(1):189. Epub 2019 Jul 9.

Agaplesion Bethanien Hospital Heidelberg, Geriatric Center at the Heidelberg University, Heidelberg, Germany.

Background: Selecting appropriate outcome measures for vulnerable, multimorbid, older patients with acute and chronic impairments poses specific challenges, which may have caused inconsistent findings of previous intervention trials on early inpatient rehabilitation in acutely hospitalized older patients. The aim of this review was to describe primary outcome measures that have been used in randomized controlled trials (RCTs) on early rehabilitation in acutely hospitalized older patients, to analyze their matching, and to evaluate the effects of matching on the main findings of these RCTs.

Methods: A systematic literature search was conducted in PubMed, Cochrane CENTRAL, CINAHL, and PEDro databases. Read More

J Thorac Cardiovasc Surg 2020 04 7;159(4):1393-1402.e7. Epub 2019 Jun 7.

Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins Medical Institutions, Baltimore, Md; Armstrong Institute for Patient Safety and Quality, The Johns Hopkins Medical Institutions, Baltimore, Md; Sobolev Institute of Mathematics, Novosibirsk, Russia; Novosibirsk State University, Novosibirsk, Russia; Department of Surgery, Division of Cardiac Surgery, The Johns Hopkins Medical Institutions, Baltimore, Md; Department of Anesthesiology, Cardiovascular Division, Baylor College of Medicine at BTGH, Houston, Tex; Department of Neurosurgery, The Johns Hopkins Medical Institutions, Baltimore, Md; Department of Surgery, Division of Cardiac Surgery, Pennsylvania State University Milton S Hershey Medical Center, Hershey, Pa.

Objective: Enhanced recovery programs are multidisciplinary perioperative bundles of evidence-based process measures. Following the design and implementation of preanesthesia and intraoperative enhanced recovery programs for cardiac surgery guidelines, we evaluated the association between compliance and key clinical outcomes.

Methods: Consecutive patients undergoing cardiac surgery at a single tertiary medical center from September 2017 to June 2018 were included. Read More

Int J Nurs Pract 2019 Oct 2;25(5):e12745. Epub 2019 Jul 2.

School of Nursing, Nanjing University of Chinese Medicine, Nanjing, China.

Aim: The review aimed to evaluate the effects of pulmonary rehabilitation in elderly patients with chronic obstructive pulmonary disease (COPD).

Background: With an increase in published reports on pulmonary rehabilitation, there is a need for a meta-analysis to measure the effects of pulmonary rehabilitation in elderly COPD patients.

Design: A systematic review and meta-analysis. Read More

Drug Alcohol Depend 2019 08 20;201:227-235. Epub 2019 Jun 20.

School of Psychology, Lives Lived Well Research Group, The University of Queensland, St. Lucia Campus, Sir Fred Schonell Drive, St. Lucia, 4067, Queensland, Australia.

Background: Residential treatment is a standard treatment for individuals with severe and complex substance use problems. However, there is limited evidence on best practice approaches to treatment in these settings. This review provides a comprehensive update on the evidence base for residential treatment, and directions for future research and clinical practice. Read More

Pain Manag 2019 Jul 25;9(4):417-429. Epub 2019 Jun 25.

Department of Exercise Science, Arnold School of Public Health, University of South Carolina, 1300 Wheat Street, Columbia, SC 29208, USA.

To explore the overall effectiveness of interdisciplinary intensive outpatient treatment programs in adults with chronic pain. The secondary aim was to examine the effect of the intervention on individual outcome measures including pain intensity, pain catastrophizing, depressive symptoms, quality of life and describe its effect on medication use. The preferred reporting items for systematic review and meta-analysis protocols reporting guidelines were followed in this systematic review and meta-analysis. Read More

BMC Musculoskelet Disord 2019 Jun 18;20(1):291. Epub 2019 Jun 18.

Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Melbourne, VIC, Australia.

Background: Clinical guidelines recommend exercise as a core treatment for individuals with knee osteoarthritis (OA). However, the best type of exercise for clinical benefits is not clear, particularly in different OA subgroups. Obesity is a common co-morbidity in people with knee OA. Read More

Pain Pract 2019 09 7;19(7):767-784. Epub 2019 Jul 7.

Toi Ohomai Institute of Technology, Tauranga, New Zealand.

Objectives: Multidisciplinary pain management programs (PMPs) were established in the 1970s and are widely regarded as the gold standard management for people with chronic, noncancer pain. However, the recommended content of PMPs is not well described. The aim of the study was to determine the most common content and structure of inpatient PMPs, and describe how these have changed over time. Read More

Heart Lung Circ 2019 Oct 25;28(10):1560-1570. Epub 2019 May 25.

Department of Health Professions, Swinburne University of Technology, Melbourne, Vic, Australia; Department of Surgery, University of Melbourne, Melbourne, Vic, Australia.

Objective: The aim of this systematic review was to identify exercise parameters and outcome measures used in cardiac rehabilitation programs following median sternotomy, in the elderly cardiac population.

Data Sources: Five (5) electronic databases were searched for relevant studies published in English after 1997.

Study Selection: The screening process was completed by two independent researchers, with a third independent reviewer for overall agreement. Read More