International rehabilitation medicine (Int Rehabil Med)

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Other titles International disability studies, Disability studies
ISSN 0379-0797
OCLC 16660019
Material type Periodical
Document type Journal / Magazine / Newspaper

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: The extent and type of care provided by relatives and friends living with a stroke patient was studied among 120 6-month survivors. Eighty-one (68%) carers felt that they had to give more help than before the stroke. The patients looked after by these 81 carers were more functionally disabled, more cognitively impaired, more often had speech impairment and urinary incontinence than the 39 patients whose companions did not give any extra help. Only a third of patients had been left unattended for all or part of the day prior to the interview and 18 per cent required attention every night. The majority (85%) of patients receiving help from companions were under regular review by health or social services. Over two-thirds of carers felt that providing support had had an adverse effect on their lives.
    International rehabilitation medicine 02/1987; 8(4):171-3. DOI:10.3109/03790798709166211
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    ABSTRACT: This paper reviews evidence relating to the incidence, prevalence, and likely workload upon the NHS in relation to neurological diseases, particularly those causing long-term disability. Three studies suggest that a population of 250,000 people will contain about 5000 people with disabling neurological disease, of whom 1500 will be sufficiently disabled to require daily assistance. The review highlights the scarcity of reliable information concerning the epidemiology of neurological diseases and their disabilities, and emphasizes the need to plan neurological services at the level of the district general hospital serving a population of 250,000 people.
    International rehabilitation medicine 02/1987; 8(3):129-37. DOI:10.3109/03790798709166197
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    ABSTRACT: Secondary analysis of data carried out in a national survey of the disabled is used to explore the relationship between underlying condition, impairment and disability, where the conditions are considered in three groups depending on whether they affect control, mechanical performance or energy. Comparison of impairment and disability profiles highlights the role of functional limitation in mediating between disease and disability. Disability profiles were found to be less associated with the underlying condition than were impairment profiles, but this can to some extent be explained by the nature of the functional limitation.
    International rehabilitation medicine 02/1987; 8(4):174-81. DOI:10.3109/03790798709166212
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    ABSTRACT: A study to measure the prevalence of motor disability and impairment using an interview survey and a follow-up medical examination has been carried out in a rural area in KwaZulu, South Africa. A 10% random cluster sample yielded 1659 individuals of all ages. One hundred and forty-three were reported to have motor disability, giving a crude motor disability rate of 86/1000. One hundred and twenty-six were followed up and 86 had demonstrable impairment, giving a crude motor impairment rate of 52/1000. The commonest impairment was osteoarthritis of the hips (20/1000) which may be the same disease as has been reported in neighbouring areas and to which the name Mseleni joint disease (MJD) has been applied.
    International rehabilitation medicine 02/1987; 8(3):98-104. DOI:10.3109/03790798709166189
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    ABSTRACT: The conceptual scheme put forward in the International Classification of Impairments, Disabilities, and Handicaps suggests that impairment should be related to disability. This paper examines the proposition that disability should be related to impairment in terms of parts of the body involved, both in the physical requirements to carry out a given activity and as regards the site and types of functional limitation, by secondary analysis of data collected in a survey of disabled people in Great Britain. Factor analysis of data on functional limitations showed that these impairments could be considered in four groups representing manual dexterity, movements of the arm, strength, and lower limb function. These were found to be correlated with ability in self-care activities depending on the part of the body involved in the activity.
    International rehabilitation medicine 02/1987; 8(3):113-7.
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    ABSTRACT: This is a prospective study of recovery of aphasia in 19 stroke patients selected from 117 consecutive hospital admissions by virtue of having significant aphasia and surviving 13 weeks. Aphasia was measured using the Frenchay Aphasia Screening Test (FAST) at frequent intervals from early after stroke. A wide variation in speed and extent of recovery was seen, particularly when compared with mean scores. Patients who made the most recovery had started to improve by 40 days post-stroke. An aphasic patient's FAST score at 13 weeks post-stroke could be predicted from his first score (within 2 weeks).
    International rehabilitation medicine 02/1987; 8(4):162-5. DOI:10.3109/03790798709166207
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    ABSTRACT: New users in Scotland of Possum PSU3 environmental control equipment were investigated over a 2-year period. At the conclusion of the study, of 48 disabled people, some 9 months after installation, 29 (60%) were still using the equipment, seven (15%) still had the equipment but were not using it, seven (15%) had had the equipment removed or cancelled at their request, and five (10%) had died. Of the 29 users eight (28%) were having specific operational difficulties. Analysis of a series of factors which could have influenced the outcome of the study did not reveal any one statistically significant factor affecting the success or failure of the use of the equipment for the whole sample. Individual case studies did reveal some problems which should be attended to, and which are relevant to occupational therapists.
    International rehabilitation medicine 02/1987; 8(3):105-12. DOI:10.3109/03790798709166190

  • International rehabilitation medicine 02/1987; 8(3):138-41. DOI:10.3109/03790798709166199
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    ABSTRACT: This paper presents a further exploration of the conceptual scheme proposed in the International Classification of Impairments, Disabilities, and Handicaps which links underlying condition, impairment and disability. It examines the proposal that three general patterns of impairment profile might be expected depending on whether the underlying condition affects control (as in stroke or multiple sclerosis), mechanical performance (as in arthritis) or energy (as in cardiorespiratory conditions). Examination of patterns of functional limitation shows more resemblance between conditions in each of these groups than between the groups lending support to the proposal.
    International rehabilitation medicine 02/1987; 8(3):118-24.
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    ABSTRACT: This paper describes preliminary studies on a screening test for aphasia which takes 3-10 minutes to complete and which is suitable for use by general practitioners, junior medical staff and other non-specialists. Data are presented to show that it is a reliable, valid assessment. Using cut-off values derived from normal people, the test is sensitive, but its specificity is limited by such associated factors as hemianopia. Using cut-off values derived from patients known to have aphasia, its specificity is improved. An abnormal result needs to be interpreted in the light of all available clinical information. The test should help identify patients with linguistic disturbance.
    International rehabilitation medicine 02/1987; 8(4):166-70. DOI:10.3109/03790798709166209
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    ABSTRACT: A survey was undertaken on use of bath seats, and whether diagnosis, age, sex, living conditions and payment for the aid(s) influenced their use. Eighty-two per cent of patients were found to use their aids. Only diagnosis influenced the use significantly (p = 0.008). With correspondence analysis those with joint disease showed closest relationship with permanent use. Those with spinal cord injury showed closest relationship with no use.
    International rehabilitation medicine 02/1987; 8(4):182-4. DOI:10.3109/03790798709166214

  • International rehabilitation medicine 02/1987; 8(3):97. DOI:10.3109/03790798709166188
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    ABSTRACT: Fifty patients who underwent total hip replacement were examined within 3 months by two independent investigators with respect to functional impairment of the sacroiliac joint. Several well-defined clinical tests were used, e.g. spine test, standing flexion test, Menell's sign, tenderness of the sacroiliac joint. The results of both investigators were comparable, with corresponding results in 94 per cent. Nearly 30 per cent of the patients showed functional impairment of one sacroiliac joint. This finding may partly cause the gluteal or low back pains which are reported by patients after hip replacement.
    International rehabilitation medicine 02/1987; 8(4):145-7. DOI:10.3109/03790798709166202
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    ABSTRACT: The strength of 16 muscle groups was measured bilaterally in 38 hemiparetic stroke patients. The relationship between the strengths and gender, weight, age, side of paresis and time since onset were calculated for each muscle group. Although often correlated with the strength of the non-paretic muscle groups; gender, weight and age were very rarely correlated with the strength of the paretic muscle groups. Side of paresis was only correlated with the strength of four non-paretic muscle groups. Time since onset was generally unrelated to strength. Final strength was always correlated with initial strength on the paretic side. These results suggest that cerebrovascular accidents disrupt some of the normal strength relationships on the hemiparetic side, and that the severity of the hemiparesis early in rehabilitation may provide a good indication of the severity to be expected later in rehabilitation.
    International rehabilitation medicine 02/1987; 8(3):125-8. DOI:10.3109/03790798709166195
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    ABSTRACT: Waiting to receive coronary graft surgery presents patients and their spouses with a stressful episode which nevertheless holds out the possibilities of symptom relief and improved quality of life. This study examines differences between couples in their experience of waiting, approach to surgery and expectations of treatment benefit. These differences, conceptualized in terms of a theory of adjustment to illness, are discussed in relation to their practical implications for helping patients and spouses to prepare for surgery and its possible outcomes.
    International rehabilitation medicine 01/1987; 8(4):154-61. DOI:10.3109/03790798709166206
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    ABSTRACT: 439 acute, male, spinal injury patients were admitted over an 11-year period at the National Spinal Injuries Centre: 206 cervical, 182 dorsal, and 51 lumbar cord injuries. 27 patients had gastrointestinal bleeds; 20 bled on one occasion, 7 had more than one episode; 22 bled within 4 weeks of injury. The mean was 22.5 days. The presentation was mostly malaena. A diagnosis was made in 19 cases; 12 had duodenal ulcers, 4 gastric ulcers, 1 had gastritis, 1 had a gastric carcinoma, 1 had oesophagitis with a possible Mallory-Weiss tear; 4 died. The incidence was higher in cervical patients. Causation was thought to be due to patients being sick from severe intercurrent illnesses and injuries. Implications for further research are discussed.
    International rehabilitation medicine 09/1986; 8(1):44-7.
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    ABSTRACT: This study was designed to assess whether physiotherapy exercises administered for low back pain have the physiological effects that they purport to have (increase spinal mobility and muscle strength) and whether these effects are of clinical relevance (related to changes in pain and function). Thirty-six patients were allocated to three treatment conditions, mobilizing exercises, isometric exercises or an attention-placebo control procedure. The results did not support the hypotheses concerning the effects of physiotherapy exercises, and hence challenge widely held views concerning the mechanism by which some patients suffering from low back pain improve whilst undergoing physiotherapy exercises.
    International rehabilitation medicine 02/1986; 8(1):34-8.
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    ABSTRACT: An accurate assessment of muscle size and tissue density can be obtained by X-ray computed tomography. CAT scans of the extensor and flexor muscle compartments of the leg and forearm were performed on normal subjects to establish: normal ranges of muscle densities, and the effect of sex and side dominance on muscle size and density. The same muscle groups were studied in patients with nerve damage resulting in either total or very extensive denervation of the corresponding muscle compartments. In normal subjects muscle density is significantly lower in females and the effect of side dominance is more marked in the upper extremity. Denervated muscle compartments show reduced cross-section and density. Electrotherapy does not appear to be effective in preventing muscle atrophy.
    International rehabilitation medicine 02/1986; 8(2):82-9. DOI:10.3109/03790798609166183
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    ABSTRACT: The Thomas De La Rue School caters for adolescents with cerebral palsy, many being severely disabled. Over the 10-year period (1967-77) out of a total of 355 pupils, 97 underwent surgery, a total of 147 operations, 145 orthopaedic, being performed, the majority on the lower limbs. The pupils involved, their parents, teachers and house-parents were invited to complete a questionnaire concerning the effectiveness of the operations, the anxieties and psychological problems resulting from surgery, and the effect on schooling. The results are discussed.
    International rehabilitation medicine 02/1986; 8(2):93-5. DOI:10.3109/03790798609166187