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JBI Database System Rev Implement Rep 2019 Apr;17(4):520-547

Joanna Briggs Institute, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, Australia.

Objective: The objective of this review was to examine the economic cost of robotic therapy compared to conventional therapy for adult stroke patients, from the perspective of hospitals.

Introduction: It is important to identify appropriate treatment methods that not only reduce the disability experienced by stroke survivors but also do so cost effectively. While robotic devices enable a high-intensity training regime for patients, robotic training equipment involves a significant capital outlay for healthcare providers. Read More

J Geriatr Psychiatry Neurol 2019 Apr 9:891988719841721. Epub 2019 Apr 9.

2 Hyogo College of Medicine, Mukogawa-cho, Nishinomiya, Hyogo, Japan.

Objectives: To compare the effects of inpatient enhanced multidisciplinary care (EMC) and multidisciplinary rehabilitation (MR) on the symptoms and quality of life (QOL) of patients with Parkinson disease (PD) and to clarify the relation between reduction in symptoms and the improved QOL.

Methods: This study was a quasi-randomized controlled (alternate allocation), assessor-blinded, single-center study. We recruited 80 patients with idiopathic Parkinson disease, Hoehn and Yahr stage 2 to 4, on stable medication. Read More

Phys Ther 2019 Feb 21. Epub 2019 Feb 21.

Department of Orthopaedics at Sahlgrenska Academy, Institute of the Clinical Sciences, University of Gothenburg; Department of Orthopaedics, Sahlgrenska University Hospital; Division of Physiotherapy, Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, University of Gothenburg, Box 455, 405 30 Göteborg, Sweden; and Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.

Background: Prehabilitation programs have led to improved postoperative outcomes in several surgical contexts, but there are presently no guidelines for the prehabilitation phase before lumbar fusion surgery.

Objective: The objective was to investigate whether a person-centered physiotherapeutic prehabilitation program, based on a cognitive-behavioral approach, reduces disability and improves functioning after lumbar fusion surgery more than conventional care does in patients with degenerative disc disease.

Design: This study was a randomized controlled trial. Read More

Cochrane Database Syst Rev 2019 Apr 1;4:CD004149. Epub 2019 Apr 1.

Victorian Paediatric Rehabilitation Service, Monash Children's Hospital, 246 Clayton Rd, Clayton, Victoria, Australia, 3168.

Background: Unilateral cerebral palsy (CP) is a condition that affects muscle control and function on one side of the body. Children with unilateral CP experience difficulties using their hands together secondary to disturbances that occur in the developing fetal or infant brain. Often, the more affected limb is disregarded. Read More

Patient Relat Outcome Meas 2019 27;10:59-66. Epub 2019 Feb 27.

Center for Clinical Outcomes Development and Application (CODA), Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA.

Purpose: Caregivers have expressed interest in survey research, yet there is limited information available about survey response burden, ie, the time, effort, and other demands needed to complete the survey. This may be particularly important for caregivers due to excessive time demands and/or stress associated with caregiving.

Method: Survey response burden indicators were collected as part of a study to develop and validate a patient-reported outcome (PRO) measurement system for caregivers of civilians or service members/veterans (SMVs) with traumatic brain injury (TBI). Read More

Eur J Phys Rehabil Med 2019 Mar 11. Epub 2019 Mar 11.

Past-President UEMS-PRM Section.

Introduction: Effectiveness in health services is achieved if desired clinical outcomes are reached. In rehabilitation the relevant clinical outcome is functioning, with the International Classification of Functioning, Disability and Health (ICF) as the reference system for the standardized reporting of functioning outcomes. To foster the implementation of the ICF in clinical quality management (CQM) across the rehabilitation services continuum, the UEMS-PRM Section and Board approved an ICF implementation action plan that includes the identification of types of currently provided rehabilitation services in Europe. Read More

BMC Neurol 2019 Mar 8;19(1):37. Epub 2019 Mar 8.

Deparment of Neurology, Kliniken-Valens, Rehabilitationsklinik-Valens, Taminaplatz 1, 7317, Valens, Switzerland.

Background: Studies have shown positive effects of therapeutic exercise on motor- and cognitive function as well as on psychosocial outcomes in persons with multiple sclerosis (MS). A reduction of inflammatory stress through physical exercise has been suspected as one key mechanism, mediating the positive effects of exercise in the context of MS. The primary objective of this trial is to investigate the acute and chronic effects of different exercise modalities on (anti-)inflammatory immune signalling as well as on cognitive and functional capacity in persons with MS. Read More

J Cardiopulm Rehabil Prev 2019 Mar;39(2):73-84

School of Medicine and Public Health, Faculty of Health, Callaghan Campus, The University of Newcastle, Newcastle, New South Wales, Australia (Ms van Rotterdam); Director of Medical Services, John Hunter Hospital, Newcastle, New South Wales, Australia (Dr Hensley); and School of Nursing and Midwifery, Faculty of Health, The University of Newcastle, Newcastle, New South Wales, Australia (Dr Hazelton).

Background: Cardiac and pulmonary rehabilitation have been shown to reduce the symptoms of disease, as well as reducing health care utilization. To ensure the continuation of these programs, patient outcome measures (POMs) are essential to map treatment effectiveness. This review is a comparative effectiveness literature review of studies with a pre- to post-POM assessment of responsiveness (ie, change in health status over time). Read More

J Headache Pain 2019 Feb 14;20(1):16. Epub 2019 Feb 14.

Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.

Background: In patients with frequent migraine, prophylactic treatments are used. Patients often request non-pharmacological alternatives. One treatment option can be aerobic exercise. Read More

Expert Rev Cardiovasc Ther 2019 Mar 19;17(3):185-192. Epub 2019 Feb 19.

a Department of Cardiology , Leiden University Medical Center , Leiden , The Netherlands.

Introduction: Cardiac rehabilitation is aimed at risk factor modification and improving quality of life. eHealth has a couple of potential benefits to improve this aim. The primary purpose of this review is to summarize available literature for eHealth strategies that have been investigated in randomized controlled trials in post-myocardial infarction (MI) patients. Read More

PM R 2019 Feb 6. Epub 2019 Feb 6.

Courage Kenny Rehabilitation Institute, Allina Health, Minneapolis, MN.

Background: Studies have shown that rehabilitation and fitness throughout cancer treatment interventions have been linked to improved outcomes for morbidity and mortality of cancer patients. This study serves to detail the efficacy of the Cancer Rehabilitation Physical Therapy Fitness and Debility (Ca PT) Program in cancer patients.

Objective: To describe the clinical population of cancer patients referred to the Ca PT Program and evaluate the efficacy of the program's therapy protocol in improving cardiopulmonary performance and cancer-related fatigue and pain. Read More

Addict Sci Clin Pract 2019 Feb 4;14(1). Epub 2019 Feb 4.

Western Sydney University, Sydney, NSW, Australia.

Background: Residential opioid rehabilitation aims to improve the mental health and quality of life of opioid users through abstinence and residential program participation. This study aimed to determine the depression, anxiety, stress and quality of life amongst maintenance to abstinence (MTA) program residents. Secondary study aims were to assess the personal characteristics of MTA clients, addiction and risk taking behaviours, factors associated with program completion, as well as to assess the reliable change in participants' mental health and quality of life on exit. Read More

Patient Educ Couns 2019 Jan 21. Epub 2019 Jan 21.

Singapore Eye Research Institute, Singapore National Eye Centre, Singapore; Duke-NUS Medical School, Singapore. Electronic address:

Objective: To determine the effectiveness of the "Living Successfully with Low Vision" (LSLV) self-management program to improve patient-reported outcomes in Singaporeans.

Methods: In this randomized controlled trial, 165 participants with low vision (LV) were recruited and assigned to usual care (LV aid training only; N = 82) or LSLV program (N = 83). The LSLV program focuses on problem solving, coping mechanism and anticipation/preparation for future needs. Read More

Cochrane Database Syst Rev 2019 02 1;2:CD007131. Epub 2019 Feb 1.

School of Kinesiology and Health Science, York University, 4700 Keele Street, Toronto, Ontario, Canada, M4P 2L8.

Background: International clinical practice guidelines routinely recommend that cardiac patients participate in rehabilitation programmes for comprehensive secondary prevention. However, data show that only a small proportion of these patients utilise rehabilitation.

Objectives: First, to assess interventions provided to increase patient enrolment in, adherence to, and completion of cardiac rehabilitation. Read More

Surv Ophthalmol 2019 Jan 28. Epub 2019 Jan 28.

Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Ophthalmology, Amsterdam Public Health research institute, PO Box 7057, 1007 MB Amsterdam, the Netherlands.

Visual impairment in childhood often has lifelong implications. In order to aim for the highest levels of functioning, participation and quality of life and to ensure children's wellbeing, children should be entitled to the most effective rehabilitation programs. We review evidence for the effectiveness of rehabilitation interventions for children with visual impairment to improve skills and behavior, thereby improving participation and quality of life as an ultimate goal. Read More

BMJ Open 2019 Jan 24;9(1):e021283. Epub 2019 Jan 24.

Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.

Objective: To evaluate the effectiveness of a government-regulated rehabilitation guideline compared with education and activation by general practitioners, and to a preferred-provider insurance-based rehabilitation programme on self-reported global recovery from acute whiplash-associated disorders (WAD) grade I-II.

Design: Pragmatic randomised clinical trial with blinded outcome assessment.

Setting: Multidisciplinary rehabilitation clinics and general practitioners in Ontario, Canada. Read More

Occup Ther Health Care 2019 Jan 8:1-27. Epub 2019 Jan 8.

c Department of Occupational Therapy, School of Medicine , University of Dublin , Trinity College , Dublin , Ireland.

An occupational therapy memory strategy education group (MSEG) was developed to assist clients with varying levels of memory impairment to adopt strategies to manage memory impairment in their daily lives. Participants were healthy older adults presenting with subjective memory complaints (SMC, n = 14), mild cognitive impairment (MCI, n = 33), or early stages of dementia (n = 13). Clients and their caregivers attended a one-hour session each week for six weeks. Read More

Phys Ther 2018 Dec 17. Epub 2018 Dec 17.

Department of Physical Therapy, Ohio University, Athens, Ohio.

Background: Clinical education curricular models specifically related to integrated clinical education (ICE) are quite variable across physical therapist education programs. A need exists to investigate the interconnectedness of ICE to the advancement of a shared vision for clinical education in professional physical therapist (PT) education.

Purpose: The purpose of this scoping review was to: (1) define ICE; (2) define baseline expectations and parameters of ICE; and (3) discern and describe current ICE models. Read More

BMC Musculoskelet Disord 2018 Nov 29;19(1):418. Epub 2018 Nov 29.

Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.

Background: Clinical guidelines recommend that people with back pain be given information and education about their back pain, advice to remain active and at work, and exercises to improve mobility and physical activity. Guidelines, however, rarely describe how this is best delivered. The aim of this paper is to present the development, theories, and underlying evidence for 'GLA:D Back' - a group education and exercise program that translates guideline recommendations into a clinician-delivered program for the promotion of self-management in people with persistent/recurrent back pain. Read More

Arch Phys Med Rehabil 2018 Nov 19. Epub 2018 Nov 19.

School of Occupational Therapy, Texas Woman's University, Dallas, TX.

Based on a review of the evidence, members of the American Congress of Rehabilitation Medicine Stroke Group's Movement Interventions Task Force offer these 5 recommendations to help improve transitions of care for patients and their caregivers: (1) improving communication processes; (2) using transition specialists; (3) implementing a patient-centered discharge checklist; (4) using standardized outcome measures; and (5) establishing partnerships with community wellness programs. Because of changes in health care policy, there are incentives to improve transitions during stroke rehabilitation. Although transition management programs often include multidisciplinary teams, medication management, caregiver education, and follow-up care management, there is a lack of a comprehensive and standardized approach to implement transition management protocols during poststroke rehabilitation. Read More

Am J Speech Lang Pathol 2018 Nov 16:1-18. Epub 2018 Nov 16.

Aphasia Research Laboratory, Speech and Hearing Sciences, Boston University, MA.

Purpose: This study investigated the effects of an intensive cognitive-communication rehabilitation (ICCR) program for young individuals with chronic acquired brain injury.

Method: ICCR included classroom lectures; metacognitive instruction, modeling, and application; technology skills training; and individual cognitive-linguistic therapy. Four individuals participated in the intensive program (6 hr with 1-hr lunch break × 4 days × 12 weeks of treatment): 3 participants completed 3 consecutive semesters, and 1 participant completed 1 semester. Read More

Res Nurs Health 2019 02 16;42(1):29-38. Epub 2018 Nov 16.

Department of Physiotherapy, Faculty of Health Science, University of Granada, Granada, Spain.

Home-based tele-rehabilitation programs are under development and may be a future option for some patients. The objectives of this non-randomized clinical trial are to design a home-based multidisciplinary tele-rehabilitation protocol for patients with hip fracture, and to compare this protocol versus the home-based usual outpatient rehabilitation protocol. Seventy patients treated for an acute hip fracture, aged 65 years or older, with a high pre-fracture functional level (Functional Independence Measure score >90), without severe cognitive impairment, absence of terminal disease, discharged to their own home or a relativés home postoperatively, allowed weight-bearing, and with signed informed consent, will be allocated into a tele-rehabilitation group (n = 35) or a control group (n = 35). Read More

Arch Phys Med Rehabil 2019 Feb 9;100(2):327-335. Epub 2018 Nov 9.

Parkwood Institute Research, Lawson Health Research Institute, London, ON, Canada.

Objective: To use the theoretical frameworks of implementation science to implement pressure injury (PI) prevention best practices in spinal cord injury (SCI) rehabilitation.

Design: Quality improvement.

Setting: Six Canadian SCI rehabilitation centers. Read More

Psychiatr Rehabil J 2019 Mar 8;42(1):48-56. Epub 2018 Nov 8.

Department of Psychiatry, McLean Hospital.

Objective: Evidence concerning the effectiveness of yoga in partial hospital programs is limited. Yet, partial hospitals provide treatment at a critical juncture by bridging inpatient and outpatient care. The present study tested the effectiveness of a single-session group yoga intervention for short-term mood and psychiatric symptom change in participants attending a 1- to 2-week partial hospital program. Read More

Complement Ther Clin Pract 2018 Nov 24;33:149-155. Epub 2018 Sep 24.

2001 Newburg Road, Nolen C. Allen Hall, Physical Therapy Program, School of Movement and Rehabilitation Sciences, College of Health Professions, Bellarmine University, Louisville, KY, 40205, USA. Electronic address:

Individuals with Parkinson's disease (PD) typically display symptoms of rigidity, bradykinesia, and postural instability that can limit participation in recreational activities. The purpose of this clinical report is to describe the development, implementation, and outcomes of a novel and innovative community-based golf and exercise program for individuals with PD. In response to community interest, the program was developed through a unique partnership that blended the expertise of physical therapists and golf professionals. Read More

Support Care Cancer 2019 Apr 3;27(4):1497-1507. Epub 2018 Nov 3.

Centre for Medical Psychology and Evidence-Based Decision-Making, School of Psychology, University of Sydney, Sydney, NSW, Australia.

Introduction: Increasing numbers of metastatic melanoma (MM) patients are receiving immunotherapy treatment, including pembrolizumab, and the impact on their well-being is underexplored.

Objectives: To assess the feasibility of a multimodal supportive care program to MM patients being treated with pembrolizumab.

Methods: This pre-post-test feasibility cohort study recruited MM participants treated with pembrolizumab: (i) supportive care intervention with usual care and (ii) usual care. Read More

Int J Behav Nutr Phys Act 2018 10 30;15(1):106. Epub 2018 Oct 30.

Department of Psychology and Educational Sciences, Open University of the Netherlands, PO Box 2960, 6401 DL, Heerlen, The Netherlands.

Background: Physical activity (PA) is beneficial in improving negative physical and psychological effects of cancer and cancer treatment, but adherence to PA guidelines is low. Computer-tailored PA interventions can reach large populations with little resources. They match with patients' preference for home-based, unsupervised PA programs and are thus promising for the growing population of cancer survivors. Read More

BMC Cancer 2018 Oct 23;18(1):1031. Epub 2018 Oct 23.

University of Calgary, Calgary, AB, T2N 1N4, Canada.

Background: Androgen deprivation therapy (ADT) is commonly used to treat prostate cancer. However, side effects of ADT often lead to reduced quality of life and physical function. Existing evidence demonstrates that exercise can ameliorate multiple treatment-related side effects for men on ADT, yet adherence rates are often low. Read More

Pediatr Rheumatol Online J 2018 Oct 22;16(1):67. Epub 2018 Oct 22.

Division of Rheumatology, K4-123 ACB, British Columbia Children's Hospital, 4480 Oak Street, Vancouver, BC, V6H 3V4, Canada.

Background: Arthritis in childhood can be associated with muscle weakness around affected joints, low bone mass and low bone strength. Exercise is recognized as an important part of management of children with juvenile idiopathic arthritis (JIA) but the exercise prescription to best promote bone and muscle health is unknown. We therefore aimed to: 1. Read More

Lancet Oncol 2018 Nov 18;19(11):e588-e653. Epub 2018 Oct 18.

European Palliative Care Research Centre, Department of Oncology, Oslo University Hospital and Institute of Clinical Medicine, University of Oslo, Oslo, Norway.

Full integration of oncology and palliative care relies on the specific knowledge and skills of two modes of care: the tumour-directed approach, the main focus of which is on treating the disease; and the host-directed approach, which focuses on the patient with the disease. This Commission addresses how to combine these two paradigms to achieve the best outcome of patient care. Randomised clinical trials on integration of oncology and palliative care point to health gains: improved survival and symptom control, less anxiety and depression, reduced use of futile chemotherapy at the end of life, improved family satisfaction and quality of life, and improved use of health-care resources. Read More

Arch Phys Med Rehabil 2019 Feb 12;100(2):289-299. Epub 2018 Oct 12.

Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA; Department of Family Medicine and Community Health, Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA. Electronic address:

Objective: To examine the association between activity limitation stages and patient satisfaction and perceived quality of medical care among younger Medicare beneficiaries.

Design: Cross-sectional study.

Setting: Medicare Current Beneficiary Survey (MCBS) for calendar years 2001-2011. Read More

Psychiatry Res 2018 11 29;269:753-762. Epub 2018 Aug 29.

Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Depressive symptoms are common, yet only a subgroup of individuals receive adequate treatment. To reduce the treatment gap, several online self-help programs have been developed, yielding small to moderate effects. We developed a smartphone self-help application addressing depressive symptoms. Read More

PLoS One 2018 27;13(9):e0203943. Epub 2018 Sep 27.

Gallipoli Medical Research Institute, Veteran Mental Health Initiative, Greenslopes Private Hospital, Brisbane, Queensland, Australia.

The aim of this study was to evaluate outcomes of an equine-assisted therapy program for Defence Force veterans and their partners across the psychological domains of depression, anxiety, stress, posttraumatic stress, happiness, and quality of life, as well as compare the outcomes of an Individual and Couples program. A non-controlled, within-subjects longitudinal design was utilized with assessment at three time points (pre-intervention, post-intervention, and three months follow-up). Between-subjects analysis with two groups was also conducted to compare the outcomes of the Individual and Couples programs. Read More

High Blood Press Cardiovasc Prev 2018 Dec 24;25(4):361-368. Epub 2018 Sep 24.

Cardiology Unit, Igualatorio Médico Quirúrgico (IMQ-Amárica), Vitoria-Gasteiz, Araba/Álava, Basque Country, Spain.

Introduction: The EXERDIET-HTA study was a multi-arm parallel, a randomized, single-blind controlled experimental trial comparing the effects of 16 weeks of different aerobic exercise programs two days per week, and dietary intervention in a hypertensive, overweight/obese and non-physically active population.

Aim: To evaluate the influence of diet and aerobic exercise program intervention on cardiovascular risk (CVR) factors and predicted CVR and vascular age (VA) profiles in overweight/obese people with primary hypertension (HTN), and to analyze the potential sex differences in the ability to predict VA and CVR via different methods.

Methods: The CVR and VA determined (n = 167, 53. Read More

Respir Res 2018 Sep 20;19(1):182. Epub 2018 Sep 20.

University Hospitals Leuven, Department of Respiratory Diseases, B-3000, Leuven, Belgium.

Background: Few data are available on the long-term effect of pulmonary rehabilitation (PR) and on long PR programs in interstitial lung diseases (ILD). We aimed to evaluate the effects of PR on exercise capacity (6-Minute Walking Distance, 6MWD; Peak Work Rate, W), quality of life (St George's Respiratory Questionnaire, SGRQ), quadriceps force (QF) and objectively measured physical activity in ILD after the 6-month PR-program and after 1 year.

Methods: 60 patients (64 ± 11 years; 62% males; 23% with IPF) were randomly assigned to receive a 6 month-PR program or usual medical care. Read More

JBI Database System Rev Implement Rep 2018 Dec;16(12):2304-2329

School of Nursing, University of Wollongong, Wollongong, Australia.

Review Objective: The objective of this review was to investigate the effectiveness of nurse-led cardiac rehabilitation programs following coronary artery bypass graft surgery on patients' health-related quality of life and hospital readmission.

Introduction: Coronary heart disease is a major cause of death and disability worldwide, putting a great strain on healthcare resources. For the past two decades, population-wide primary prevention and individual healthcare approaches have resulted in a dramatic decline in overall cardiac mortality. Read More

Arch Phys Med Rehabil 2019 Jan 27;100(1):1-8. Epub 2018 Aug 27.

Department of Emergency Medicine, Singapore General Hospital, Singapore.

Objective: To perform a cost-effectiveness analysis of a multifactorial, tailored intervention to reduce falls among a heterogeneous group of high-risk elderly people.

Design: Randomized control trial.

Settings: Communities. Read More

Pilot Feasibility Stud 2018 6;4:134. Epub 2018 Aug 6.

The Department of the Elderly and Disabled, Ørbækvej 100, SØ 5220 Odense, Denmark.

Background: Community-dwelling older adults receiving support at home such as meals-on-wheels may lose the ability to preserve social, cognitive, and functional abilities, when becoming accustomed to and dependent of community aged care. When still able to cook older adults often hold some control over the foods that are prepared and which they eat, and which helps to foster identity. The purpose of this study is to assess feasibility of outcome measurements and sample size when conducting a pilot cluster randomized trial to evaluate community-dwelling older adults being involved in activities in relation to meals in a rehabilitation program. Read More

Holist Nurs Pract 2018 Sep/Oct;32(5):253-260

School of Psychology, Faculty of Health, Deakin Univeristy, Geelong, Australia (Dr Evans); and Pediatric Pain Program, Department of Pediatrics, David Geffen School of Medicine, University of California, Los Angeles (Mss Seidman, Lung, and Sternlieb and Dr Zeltzer).

Irritable bowel syndrome (IBS) is a common condition associated with recurrent abdominal pain and altered bowel habits. It is particularly pernicious to youth, who may withdraw from life tasks due to pain, diarrhea, and/or fear of symptoms. Emotional stress exacerbates IBS symptoms, and mind-body interventions may be beneficial. Read More

Hormones (Athens) 2018 Sep 15;17(3):397-403. Epub 2018 Aug 15.

1st Medical Propedeutic Dept. of Internal Medicine, AHEPA University Hospital, Aristotle University of Thessaloniki, 1 Kiriakidi, 54621, Thessaloniki, Greece.

Objective: Type 1 diabetes mellitus (T1DM) constitutes a real challenge in everyday practice for both physicians and patients. Due to the complexity of the disease and its unpredictable nature, structured education and training programs are nowadays implemented that ensure active patient involvement and self-care behaviors to achieve adequate glycemic control, prevent diabetic complications, and improve the quality of life of patients. These programs provide patients with the necessary knowledge and skills to self-monitor and self-manage the disease and its associated metabolic conditions. Read More

PLoS One 2018 15;13(8):e0200720. Epub 2018 Aug 15.

Department of Occupational and Public Health, VU University medical center, Amsterdam Public Health research institute, Amsterdam, The Netherlands.

Background: Colorectal cancer is diagnosed progressively in employed patients due to screening programs and increasing retirement age. The objective of this study was to identify prognostic factors for return to work and work disability in patients with colorectal cancer.

Methods: The research protocol was published at PROSPERO with registration number CRD42017049757. Read More

Games Health J 2018 Aug 8;7(4):253-261. Epub 2018 Aug 8.

2 School of Kinesiology, Recreation, and Sport, Western Kentucky University , Bowling Green, Kentucky.

Objective: A significant barrier to improving the health and well-being of older adults is that they often do not adhere to health-promoting programs. The present study examined whether Bingocize, a game-centered mobile app that can combine bingo with healthy activities such as exercise and/or health topic education, could (1) engender high rates of adherence among sedentary community-dwelling older adults, and (2) potentially improve aspects of physical and cognitive performance.

Materials And Methods: Participants used the app for ∼1 hour, twice per week, for 10 weeks. Read More

Rehabilitation (Stuttg) 2018 Jul 26. Epub 2018 Jul 26.

Neurologische Klinik, Philipps Universität Marburg und Paracelsus-Elena Klinik Kassel.

Active fall prevention requires analysis of the mechanisms provoking falls and the subsequent initiation of appropriate counteracting measures. This is crucial for the quality management of all rehabilitation programs. There is primary and secondary fall prevention. Read More

Medicine (Baltimore) 2018 Jul;97(29):e11540

Department of Nursing, the First People's Hospital of Yunnan Province.

Background: Ankylosing spondylitis (AS) is an important factor to not only cause employment obstacle, but also result in serious social economic load. Several randomized controlled trials investigated the efficacy of group- versus home-based exercise programs in patients with AS. This systematic review will collect and summarize the available evidence to realize the effectiveness of group- and home-based programs in patients with AS. Read More

Int J Stroke 2019 Jan 16;14(1):80-86. Epub 2018 Jul 16.

2 Rehabilitation Research Program, Vancouver Coastal Health Research Institute, Vancouver, Canada.

Rationale: A top priority in stroke rehabilitation research is determining the appropriate exercise dose to optimize recovery. Although more intensive rehabilitation very early after stroke may be deleterious to recovery, inpatient rehabilitation, occurring after acute care, may be a more appropriate setting to assess therapeutic dose on neurological recovery.

Hypothesis: Individuals receiving higher intensity and dose exercise programs will yield greater improvements in walking ability over usual inpatient physical therapy care. Read More

Pulmonology 2018 Jul - Aug;24(4):211-218. Epub 2018 Mar 12.

Istituti Clinici Scientifici Maugeri: Scientific Institute, IRCCS, Montescano, Italy.

Background And Objective: There are barriers to providing pulmonary rehabilitation for chronic obstructive pulmonary disease (COPD) such as the high number of patients, difficult access to health facilities and high costs of programs. Pedometers can monitor and improve physical activity (PA). The aim of this study was to evaluate benefits and costs of home pedometer assisted PA, as compared to a standard outpatient supervised exercise training program in patients with COPD. Read More

Eur J Phys Rehabil Med 2018 Dec 6;54(6):890-899. Epub 2018 Jul 6.

Neuroengineering and Medical Robotics Laboratory, Department of Electronics, Information and Bioengineering, Polytechnic University of Milan, Milan, Italy.

Background: Current models of pain behavior suggest that kinesiophobia prevents the reacquisition of normal function, promotes the development of maladaptive coping strategies, and contributes to the disability associated with chronic neck pain (NP).

Aim: Comparing two brief cognitive-behavioral programs aimed at managing kinesiophobia to understand which one induces better short-term improvements in disability, fear of movement, catastrophizing, adaptive coping strategies, quality of life (QoL), and pain intensity of chronic NP.

Design: Pilot, randomized, controlled trial, 3-months follow-up. Read More

Encephale 2018 Dec 6;44(6):538-547. Epub 2018 Jul 6.

Service de psychiatrie, CHU de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France; UFR de médecine, UNICAEN, Normandie université, 14000 Caen, France; ISTS, UNICAEN, Normandie université, 14000 Caen, France.

Schizophrenia is a severe chronic mental disorder that mainly manifests by positive symptoms, negative symptoms, disorganized behavior and thought and cognitive impairments. Taken together, these symptoms have substantial impact on quality of life, well-being and functional outcome. Patients with schizophrenia have dramatically higher levels of cardiovascular and metabolic morbidity than the general population due to poor physical fitness and to sedentary lifestyle. Read More

Methodist Debakey Cardiovasc J 2018 Apr-Jun;14(2):77-88

HOUSTON METHODIST HOSPITAL, HOUSTON, TEXAS.

The perioperative care of the surgical patient is undergoing a paradigm shift. Enhanced Recovery After Surgery (ERAS) programs are becoming the standard of care and best practice in many surgical specialties throughout the world. ERAS is a multimodal, multidisciplinary, evidence-based approach to care of the surgical patient that aims to optimize perioperative management and outcomes. Read More