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نتیجه جستجو - توانبخشی

تعداد مقالات یافته شده: 18
ردیف عنوان نوع
1 Associations of hospital discharge services with potentially avoidable readmissions within 30 days among older adults after rehabilitation in acute care hospitals in Tokyo, Japan
انجمن خدمات ترخیص بیمارستان با بستری مجدد بالقوه قابل اجتناب در عرض 30 روز در میان سالمندان بعد از توانبخشی در بیمارستانهای مراقبت حاد در توکیو ، ژاپن-2020
OBJECTIVE: To examine the associations of three major hospital discharge services covered under health insurance (discharge planning, rehabilitation discharge instruction, and coordination with community care) with potentially avoidable readmissions within 30 days (30-day PAR) in older adults after rehabilitation in acute care hospitals in Tokyo, Japan.
DESIGN: Retrospective cohort study using a large-scale medical claims database of all Tokyo residents aged ≥75 years. SETTING: Acute care hospitals PARTICIPANTS: Patients who underwent rehabilitation and were discharged to home (n=31,247; mean age: 84.1 years, standard deviation: 5.7 years) between October 2013 and July 2014.
INTERVENTIONS: None.
MAIN OUTCOME MEASURE: 30-day PAR.
RESULTS: Among the patients, 883 (2.9%) experienced 30-day PAR. A multivariable logistic generalized estimating equation model (with a logit link function and binominal sampling distribution) that adjusted for patient characteristics and clustering within hospitals showed that the discharge services were not significantly associated with 30-day PAR. The odds ratios were 0.962 (95% confidence interval [CI]: 0.805-1.151) for discharge planning, 1.060 (95% CI: 0.916-1.227) for rehabilitation discharge instruction, and 1.118 (95% CI: 0.817-1.529) for coordination with community care. In contrast, the odds of 30-day PAR among patients with home medical care services were 1.431 times higher than those of patients without these services (P<0.001), and the odds of 30-day PAR among patients with a higher number (median or higher) of rehabilitation units were 2.031 times higher than those of patients with a lower number (below median) (P<0.001). Also, the odds of 30-day PAR among patients with a higher hospital frailty risk score (median or higher) were 1.252 times higher than those of patients with a lower score (below median) (P=0.001).
CONCLUSIONS: The insurance-covered discharge services were not associated with 30-day PAR, and the development of comprehensive transitional care programs through the integration of existing discharge services may help to reduce such readmissions.
Copyright © 2020. Published by Elsevier Inc.
KEYWORDS: Big data; health services for the aged; patient readmission; rehabilitation; transitional care
مقاله انگلیسی
2 Program to improve mobility in aging (PRIMA) study: Methods and rationale of a task-oriented motor learning exercise program
برنامه بهبود تحرک در پیری (PRIMA) مطالعه: روش ها و دلیل منطقی برنامه تمرینی یادگیری حرکتی وظیفه گرا-2020
Walking difficulty is a common and costly problem in older adults. A potentially important yet unaddressed strategy to enhance walking ability through exercise intervention is to add a timing and coordination component in gait training (i.e. task specific timing and coordination exercise intervention) to the usual strength, endurance, and flexibility training. We describe the methods and rationale of a randomized single-blind, physical therapist supervised, exercise intervention trial to compare the effects of a standard strength, endurance, and flexibility program to a standard plus timing and coordination program in community-dwelling older adults walking slower than the desired gait speed of 1.2 m/s. Exercise sessions are twice weekly for 12 weeks. Participants are assessed at baseline, 12 weeks (post intervention), 24 weeks and 36 weeks. The primary outcome is gait speed, secondary outcomes represent components of the interventions (strength, endurance, flexibility, timing and coordination), and tertiary outcomes are measure of activity and participation (Late Life Function and Disability Instrument and physical activity). The findings of this trial will (1) establish if a standard-plus task specific timing and coordination program is superior to a standard strength and endurance program in improving mobility, activity and participation and (2) determine if the improvements are sustained over time. The information derived from this project will provide valuable insight into the prevention and management of walking difficulty, which is so common in older Americans.
Keywords: Aging | Exercise | Physical therapy | Disability | Rehabilitation
مقاله انگلیسی
3 A breakthrough in urban rain-harvesting schemes through planning for urban greening: Case studies from Stockholm and Barcelona
دستیابی به موفقیت در طرح های بارش باران شهری از طریق برنامه ریزی برای فضای سبز شهری: مطالعات موردی از استکهلم و بارسلونا-2020
A plethora of socioenvironmental issues, and growing concerns over the effects of climate change, are forcing cities to rethink conventional urban water management practices. However, change towards more sustainable practices has been remarkably slow. This paper examines two cases of greening projects aimed at urban rehabilitation in Stockholm and Barcelona, which have turned into examples of innovative approaches to urban rain management. Both cities share high densities and flooding problems in certain neighborhoods. Specifically, the paper attempts to answer three questions: 1) what were the driving forces and key factors that facilitated the breakthrough of urban rainwater-harvesting (URH) schemes based on the two cases?; 2) who were the actors involved and what were their roles in moving towards URH schemes?; and 3) how can URH schemes become part of multifunctional, sustainable urban systems? To answer these questions, the paper uses concepts of adaptive context and capacity, and of actor agency, drawn from the transitions literature, and opportunistic and guided flexibility planning drawn from the planning literature. Empirical material for both case studies was obtained from policy documents and semi-structured interviews with key actors. The main results show first political support for flexibility in public planning, the adaptive context and the capacity of the actors, especially in taking advantage of windows of opportunity for the materialisation of new ideas. Second, the design and implementation of these systems widened the number and scope of actors in urban water management, incorporating new professionals such as architects and involving more city agencies and organizations. Third, small scale URH systems contributed not only to control urban drainage but performed other functions such as the much-needed greening of dense areas in both cities.
Keywords: Barcelona | Opportunistic planning | Stockholm | Transition theory | Urban rainwater-harvesting systems | Urban rehabilitation
مقاله انگلیسی
4 Serious games for rehabilitation: Gestural interaction in personalized gamified exercises through a recommender system
بازی های جدی برای توانبخشی: تعامل حرکاتی در تمرینات شخصی سازی شده شخصی از طریق سیستم توصیه کننده-2019
One of the principal problems of rehabilitation is that therapy sessions can be boring due the repetition of exercises. Serious games, and in particular exergames in rehabilitation, can motivate, engage and increase patients’ adherence to their treatment. Also, the automatic personalization of exercises to each patient can help therapists. Thus, the main objective of this work is to build an intelligent exergame-based rehabilitation system consisting of a platform with an exergame player and a designer tool. The intelligent platform includes a recommender system which analyzes user interactions, along with the user’s history, to select new gamified exercises for the user. The main contributions of this paper focus, first, on defining a recommender system based on different difficulty levels and user skills. The recommender system offers the ability to provide the user with a personalized game mode based on his own history and preferences. The results of a triple validation with experts, users and rehabilitation center professionals reveal a positive impact on gestural interaction and rehabilitation uses. Also, different methods are presented for testing the rehabilitation recommender system.
Keywords: Recommender systems | Exergames | Rehabilitation | Gamification | Serious games
مقاله انگلیسی
5 The rehabilitation of the mentally disabled in the community act in Israel: Entrepreneurship, leadership, and capitalizing on opportunities in policy making
بازسازی معلول ذهنی در عمل جامعه در اسرائیل: کارآفرینی، رهبری، و سرمایه گذاری در فرصت ها در سیاست گذاری-2019
This paper examines the role of policy entrepreneurs in the formation of a rehabilitation program in the field of mental health in Israel, shedding light on their role in general and specifically in mental health policy formation. Our research is based on a historical case study. The legislation process was examined through interviews with key actors in the legislative process and archival materials. While in general our findings reinforced existing literature, our research also revealed new information on several topics: organizations as policy entrepreneurs; inter-sectorial coalitions of entrepreneurs; and possible problems arising from the concept of ‘leadership by example.
Keywords: Policy formation | Policy entrepreneurs | Mental health policy | Mental health rehabilitation
مقاله انگلیسی
6 Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and neuromuscular, rehabilitation, endocrine, and gastrointestinal and nutritional management
تشخیص و درمان دیستروفی عضلانی دوچنانی، بخش 1: تشخیص و درمان عصبی-عضلانی، توانبخشی، غدد درون ریز و دستگاه گوارش و تغذیه-2018
Since the publication of the Duchenne muscular dystrophy (DMD) care considerations in 2010, multidisciplinary care of this severe, progressive neuromuscular disease has evolved. In conjunction with improved patient survival, a shift to more anticipatory diagnostic and therapeutic strategies has occurred, with a renewed focus on patient quality of life. In 2014, a steering committee of experts from a wide range of disciplines was established to update the 2010 DMD care considerations, with the goal of improving patient care. The new care considerations aim to address the needs of patients with prolonged survival, to provide guidance on advances in assessments and interventions, and to consider the implications of emerging genetic and molecular therapies for DMD. The committee identified 11 topics to be included in the update, eight of which were addressed in the original care considerations. The three new topics are primary care and emergency management, endocrine management, and transitions of care across the lifespan. In part 1 of this three-part update, we present care considerations for diagnosis of DMD and neuromuscular, rehabilitation, endocrine (growth, puberty, and adrenal insufficiency), and gastrointestinal (including nutrition and dysphagia) management.
مقاله انگلیسی
7 تاثیر تحریک زیرپوستی با جریان مستقیم روی کارکرد شناختی در بیماران سکته ای
سال انتشار: 2018 - تعداد صفحات فایل pdf انگلیسی: 8 - تعداد صفحات فایل doc فارسی: 20
پیش زمینه: اختلال شناختی پس از سکته، رایج و معمول است و می تواند باعث ایجاد ناتوانی شده و تاثیرات مهمی روی کیفیت زندگی و استقلال داشته باشد. تحریک زیرپوستی با جریان مستقیم می تواند بیانگر یک ابزار نویدبخش برای شکل گیری مجدّد کارکردهای شناختی در بیماران سکته ای باشد.
اهداف: هدف این مطالعه بررسی تاثیر تحریک زیرپوستی با جریان مستقیم روی کارکردهای شناختی در بیماران سکته ای می باشد.
بیماران و روشها: 40 بیمار سکته ای مرد مشمول این مطالعه شدند. بیماران به صورت تصادفی به دو گروه یکسان (A و B) تقسیم شدند. گروه A تحریک زیرپوستی با جریان مستقیم را در ترکیب با برنامه آموزشی شناختی انتخاب شده توسط رِهاکام (RehaCom) دریافت کرد. گروه B تحریک ساختگی زیرپوستی با جریان مستقیم را در ترکیب با همان برنامه آموزشی شناختی دریافت کرد. بررسی شناختی و سنجش استقلال کارکردی برای همه بیماران قبل و بعد از عمل تحریک انجام شد.
نتایج: یک بهبود قابل توجهی در نمرات توجه و تمرکز، حافظه ی شکلی، استدلال منطقی، رفتار واکنشی و رفتارهای پس از سنجش استقلال کارکردی در هردو گروه وجود داشت؛ این بهبود در گروه A در مقایسه با گروه B به صورت قابل توجهی بالاتر بود.
نتیجه گیری: تحریک زیرپوستی با جریان مستقیم یک روش توانبخشی عصبی موثر است که کارکردهای نامناسب شناختی پس از سکته را بهبود می بخشد. به علاوه، تحریک زیرپوستی با جریان مستقیم دارای یک تاثیر مثبت روی عملکرد فعالیتهای روزمره است.
کلیدواژه ها: سکته | تحریک زیرپوستی با جریان مستقیم | کارکردهای شناختی
مقاله ترجمه شده
8 An Adaptive Interface Design (AID) for enhanced computer accessibility and rehabilitation
طراحی رابط انطباق (AID) برای افزایش دسترسی به کامپیوتر و توانبخشی-2017
This study was aimed at the development of a non-intrusive, biosensor based, Adaptive Interface Design (AID) that utilizes its users physical abilities (rather than focusing on their disabilities), while simultaneously honoring their integrity and needs. The target users for this study were patients with arthritis in the hand. The AID comprises of eye tracking and data glove technologies, the latter of which will be used to measure the users physical ability as it translates hand gestures into computer controls. By developing accessible computer interfaces and exploring their use for telerehabilitation purposes, we want to ultimately impact the inclusion and health outcomes of those who experience disability on a daily basis.
Keywords:Adaptive Interface Design | Computer accessibility | Rehabilitation
مقاله انگلیسی
9 A three-layer planning architecture for the autonomous control of rehabilitation therapies based on social robots
معماری برنامه ریزی سه لایه برای کنترل مستقل درمان های توانبخشی مبتنی بر ربات های اجتماعی-2017
This manuscript focuses on the description of a novel cognitive architecture called NAOTherapist, which provides a social robot with enough autonomy to carry out a non-contact upper limb rehabilitation therapy for patients with physical impairments, such as cerebral palsy and obstetric brachial plexus palsy. NAOTherapist comprises three levels of Automated Planning. In the high-level planning, the physician establishes the parameters of the therapy such as the scheduling of the sessions, the therapeutic objectives to be achieved and certain constraints based on the medical records of the patient. This information is used to establish a customized therapy plan. The objective of the medium-level planning is to execute and monitor every previous planned session with the humanoid robot. Finally, the low-level planning involves the execution of path-planning actions by the robot to carry out different low-level instructions such as performing poses. The technical evaluation shows an accurate definition and monitoring of the therapies and sessions and a fluent interaction with the robot. This automated process is expected to save time for the professionals while guaranteeing the medical criteria.‌© 2016 Elsevier B.V. All rights reserved.
Keywords: Robotic architecture | Human-Robot Interaction | Rehabilitation therapies | Automated Planning | Socially Assistive Robotics
مقاله انگلیسی
10 Interactive Scenario Development of Robot-assisted Therapy for Cerebral Palsy: A Face Validation Survey
توسعه سناریوی تعاملی درمان رباتی برای فلج مغزی: بررسی اعتبارسنجی صورت-2017
Humanoids have potential in the augmentation of rehabilitation programme for children with cerebral palsy. To make the humanoid programme applicable and clinically compliant, correct interactive scenarios had to be developed. Development of Human Robot Interaction (HRI) scenario is the main focus of this study. Through discussions with clinicians and therapists, four interactive scenarios have been formulated. The researchers have designed and developed the interactive scenarios concerning the suitability of measuring items in the Gross Motor Function Measure (GMFM) that is suitable to be applied by humanoid robot NAO. Choregraphe software, a programming tool that allows programmer to create and compile the behavior of the robot was used in this study. Choregraphe Suite is a multi-platform desktop application, to create animations, behaviors and dialogs. The developed interactive scenario had undergone a face validity process. This method of validation is used to confirm through peer reviews that the content of the interactive scenario is suitable to be used for children with cerebral palsy. Thirty peer reviewers, made up by a group of physiotherapists and occupational therapists validated the suitability of the interactive scenario. The result of the validation will be explained in this paper.© 2016 The Authors. Published by Elsevier B.V.Peer-review under responsibility of organizing committee of the 2016 IEEE International Symposium on Robotics and Intelligent Sensors (IRIS 2016).© 2017 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).Peer-review under responsibility of organizing committee of the 2016 IEEE International Symposium on Robotics and Intelligent Sensors(IRIS 2016).
Keywords: Human-robot interaction | humanoid robot | cerebral palsy | rehabilitation robot | social robot
مقاله انگلیسی
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