Hearing impairment, which affects both peripheral and central structures of the auditory system, is highly prevalent among older adults and has serious consequences both for the people with hearing impairment and for those around them. This article provides an updated overview of the rehabilitation of this population. This article critically ...

Gait retraining approaches and walking aids currently used for patients with recent stoke present limitations regarding their utilization in clinical and real life settings. A rehabilitation facility implemented an innovative approach using a rehabilitation dog for gait retraining and as a walking aid. To explore the effectiveness of rehabilitation dog, ...

In the developed, urban world, professional neuropsychological rehabilitation services have increasingly tried to move into the community to facilitate community integration, acceptance of rehabilitation, acceptance of the person with disabilities in the community, and the generalisation of cognitive, emotional, and social skills. This promising trend has only partially realised its ...

Many people experience identity change after brain injury. Impaired self-awareness after acquired brain injury is also common and can, along with other factors, affect the identity change a person may experience. Holistic rehabilitation programmes attempt to address both cognitive and emotional difficulties and specifically problems of self-awareness after brain injury. ...

Tracheo-oesophageal fistula and voice prosthesis have revolutionised voice rehabilitation, but are not without their complications. The most significant problem is widening of the tracheo-oesophageal fistula relative to the voice prosthesis and subsequent leaking. Three-layer surgical closure is a means of permanently closing a problematic fistula. Use of an interposition in ...

OBJECTIVE: To evaluate whether the needs and principal problems of children with cerebral palsy (CP) as formulated in their interdisciplinary rehabilitation reports are integrated into the goal descriptions and whether this depends on the nature of the needs and problems. DESIGN: Descriptive multiple-case study. SETTING: Five Dutch paediatric rehabilitation facilities. ...

Rehabilitation of long-stay hospitalised schizophrenic

Leisure as a tool for rehabilitating people with neuro-disabilities is well established. Yet, despite significant progress in this area, problems remain in the way leisure is used for this purpose. One, as yet, unresolved problem is how to determine which leisure activity or activities will be attractive to people with ...

This article discusses the growing population of women with HIV/AIDS as an emergent disability group with unique needs for vocational rehabilitation services. Data from the National Working Positive Coalition Employment Needs Survey for people living with HIV/AIDS was used to describe the demographic, economic, health, and employment characteristics of a ...

Rehabilitation of leprosy-affected persons extends beyond the physical domain of prevention and treatment of impairments. A holistic rehabilitative approach should include addressing those problems that people may have in activities and difficulties that may prevent people from fully participating in social functions, i.e. being fully accepted as integrated members of ...

A sample of 199 persons with spinal cord injury (SCI) were assessed on Big Five personality dimensions using the NEO Five-Factor Inventory (NEO-FFI; Costa & McCrae, 1992) at admission to an inpatient medical rehabilitation program. A cluster analysis of the baseline NEO-FFI yielded 3 cluster prototypes that resemble resilient, undercontrolled, ...

Traumatic brain injury (TBI) is a major health problem in civilian, military, and veteran populations. Individuals experiencing moderate to severe TBI require a continuum of care involving acute hospitalization and postacute rehabilitation, including community reintegration and, one would hope, a return home to function as a productive member of the ...

Our ability to provide in-home rehabilitation is limited by distance and available personnel. We may be able to meet some rehabilitation needs with videoconferencing technology. This article describes the feasibility of teletechnology for delivering multifactorial, in-home rehabilitation interventions to community-dwelling adults recently prescribed a mobility aid. We used standard telephone ...

Summary (En)Job number added acc. to DOCREP assignment

Reports about current residential demolition practices received from residents and plans for large-scale urban redevelopment in East Baltimore provided impetus for this study to assess community concerns and develop approaches to addressing them. This article describes the following themes regarding residents' experiences with demolition and gut rehabilitation of older housing ...

Managing axillary burns with an Aeroplane Splint has been known for its effectiveness for years. However, poor compliance in using the various models of currently available aeroplane splints leads to an inadequate outcome, because of the discomfort produced not only in wearing but also while ambulating within the community. In ...

Summary (En)Job number added acc. to DOCREP assignment

In the post-disaster context, following the initial shock of the disaster, returning lives and livelihoods to normality becomes a primary concern of the affected communities and nations. Traditionally, this has been known as recovery phase, where "normalcy" referred to the same situation as when the disaster occurred. Recovery is defined ...

A diverse set of conditions affect the lower extremities in athletes. Good history taking and knowledge of the anatomy of the affected areas can aid in accurate diagnosis. Most conditions can be treated conservatively with great success. Familiarity with rehabilitation strategies can assist physicians in working with physical therapists. New ...

This article examines the various vision rehabilitation procedures that are available for early and late blindness. Depending on the pathology involved, several vision rehabilitation procedures exist, or are in development. Visual aids are available for low vision individuals, as are sensory aids for blind persons. Most noninvasive sensory substitution prostheses ...

In 1994 the Come Back Programme (CBP) started in the rehabilitation centre, Groot Klimmendaal, in Arnhem, The Netherlands. The CBP is a rehabilitation programme for (young) adults with brain injury (BI) having problems with their psychosocial functioning despite having undergone a rehabilitation programme previously. The main goal of the CBP ...

The implementation of the Ilizarov method in the treatment of diseases and post-traumatic injuries to the locomotor system has opened up new possibilities for the management of unequal limb length and limb deformity. The final treatment outcome depends on many factors, one of the most important of which is proper ...

PURPOSE: This commentary provides both theoretical and practical insights into the concept of community-based rehabilitation (CBR) and its application in developing countries. In doing so it explores current practices in CBR and the debate surrounding them, namely the ethical question and how this may impact on future CBR. The main ...

This article highlights the physical, social and emotional problems faced by persons with insensitive hands and problems of disuse, misuse and overuse. Evaluation of sensation and residual functional capabilities is the first step in planning the process of rehabilitation. Acceptance of disability by the patients and their attitude are important ...

OBJECTIVE: To evaluate the frequency of occurrence of the main causes of poor stance and gait in patients with Charcot-Marie-Tooth disease (footdrop graded as mild or severe, rotation, and plantarflexor failure) both as single and associated problems. DESIGN: Observational. SETTING: A neuromuscular disorders department in a specialized Italian rehabilitation hospital. ...

Shoulder problems are frequently noted in hemiplegic shoulders and compromise rehabilitation. Many tools were used to evaluate the etiology of shoulder problems but most of them are either nonspecific to the evaluation of soft tissue or not convenient. In order to evaluate soft tissue and joint change in hemiplegic shoulders, ...

Our objective was to describe the progression of ambulation aid use by people with lower limb amputations during their initial rehabilitation. We prospectively studied 37 people with recent lower limb amputations and a mean (SD) age of 68 (13) years. Subjects were evaluated each weekday during gait-training physiotherapy sessions, and ...

The decision, whether and how to rehabilitate a damaged sewer is a complex one. Detailed information available from sewer inspection can be used for evaluating its condition and determining the urgency of rehabilitation. There are various rehabilitation techniques, from conventional open trenching to newer trenchless construction. Municipal waste water departments ...

PURPOSE: According to many researchers, rehabilitation is being prevented from developing as a distinct profession due to two major problems. First, it has been claimed that rehabilitation is in need of a professional identity and a sense of cohesion if it is to emerge as a discipline. Second, it has ...

The field of audiological rehabilitation in adults faces an array of opportunities. Some of these are technological, as with the advent of fully digital hearing-aids, and some involve clinical practice, such as opportunities for true multidisciplinary working, and for changes in hearing-aid prescription and provision. The development of well-validated questionnaire ...

The objectives of this project were to examine how members of a colocated rehabilitation engineering team communicate during their work and hence deduce the implications of these communications for the design of video-based technologies to support communication among members of a virtual rehabilitation engineering team. Twenty-four assessment clinic sessions conducted ...

This article discusses the impact of cognitive-communicative and behavior problems on oral intake. Data on the swallowing outcomes of a group of patients in an acute rehabilitation facility are presented. These data illustrate the relationships among severity of dysphagia, admission and discharge Functional Independence Measure (FIM) scores, admission and discharge ...

The problems of rehabilitating traumatized refugee children are considered in the light of Swedish experience in aiding victims of the Holocaust of the Second World War. An active rehabilitation programme, taking into account changes in family relationships, is needed. It is important to break the silence of repression, but also ...

Although the literature documents the considerable problems acquired brain injury causes for the survivor's family and close relationships, and the corresponding significantly inflated rate of separation and divorce, few papers offer practical solutions. The objective of this paper is to respond to this gap in the literature by presenting some ...

Head injury is a common disabling condition but regrettably facilities for rehabilitation are sparse. There is now increasing evidence of the efficacy of a comprehensive multidisciplinary rehabilitation team compared to natural recovery following brain injury. This chapter outlines some basic concepts of rehabilitation and emphasises the importance of valid and ...

Virtual Reality (VR) technology is a relatively new application to rehabilitation medicine, yet it offers considerable potential to achieve significant successes in assessment, treatment and improved outcome, thereby increasing our knowledge of neuroplasticity. The capabilities of VR are especially evident in neurological rehabilitation, where cognitive and behavioural problems often interact ...

The exact role and the function of the scapula are misunderstood in many clinical situations. This lack of awareness often translates into incomplete evaluation and diagnosis of shoulder problems. In addition, scapular rehabilitation is often ignored. Recent research, however, has demonstrated a pivotal role for the scapula in shoulder function, ...

Our goal is to apply robotics and automation technology to assist, enhance, quantify, and document neurorehabilitation. This paper reviews a clinical trial involving 20 stroke patients with a prototype robot-aided rehabilitation facility developed at the Massachusetts Institute of Technology, Cambridge, (MIT) and tested at Burke Rehabilitation Hospital, White Plains, NY. ...

The likelihood that a period of sick-leave will result in a temporary disability pension is about three times greater for unemployed people than for those with jobs. The aim of this study was 1) to compare the vocational rehabilitation of the employed with the rehabilitation of the unemployed in the ...

Community-Based Rehabilitation (CBR) has been recommended by the World Health Organization as an antidote to the poor coverage of rehabilitation facilities in the developing countries. This attempt is to make it possible for disabled people to receive the help they need to be able to go about their daily activities ...

Encounters are one of the basic dynamics of society, although this does not imply that macro-phenomena do not have ontological status. Encounters involve interaction and hence communication, and interaction and communication generate emotions. Emotions are of great significance to our well-being. Disturbed communication is by far the most commonly reported ...

/ The purpose of the study was to investigate the extent to which strategies of environmental organizations depend on contexts. I examined this dependence by analyzing the strategies of five environmental organizations in the Netherlands with regard to climate change. These strategies were investigated over time and compared with the ...

25 older adults with vision loss participated in a communication screen which included hearing, speech-language, and a self-assessment of communication. 64% failed at least two of the three screenings, suggesting that routine screening might identify older adults with vision loss who need rehabilitation in communication as a complement to visual ...

Tennis elbow occurs as a result of repetitive microtrauma to the musculotendinous unit causing inflammatory and degenerative tissue damage. A good understanding of the aetiology and pathoanatomy will aid the clinician in preventing and recognising this condition. Early recognition with a quality rehabilitative programme, and the judicious use of surgical ...

In this article a model is presented to deal with motivational problems of rehabilitation patients. The problem of motivation is not covered yet in relevant psychological disciplines like rehabilitation psychology, neuropsychology and health psychology. An important source of the model is cognitive psychology. Applications are presented in the communication between ...

A multidisciplinary total quality management (TQM) environment committee was formed to create a more accessible, home-like environment for patients on a geriatric rehabilitation unit. Problems in semiprivate rooms related to wheelchair use and age-related changes in the elderly were identified. After using the TQM process to find solutions to these ...

The objective of the study was to determine the inter- and intra-rater agreement of the Rehabilitation Activities Profile (RAP). The RAP is an assessment method that covers the domains of communication, mobility, personal care, occupation and relationships. Each domain consists of items which are further divided in sub-items for in-depth ...

Despite the occurrence of approximately 10,000 transmetatarsal amputations (TMAs) a year in the United States, there are few reports describing rehabilitation for this patient group. The purposes of this clinical perspective are (1) to identify common problems encountered during rehabilitation of patients with TMA, (2) to identify factors that may ...

A healthy 38-year-old technician aircrewman gave a 3-month history of recurrent loss of consciousness. Treatment for presumptive post-traumatic epilepsy was unsuccessful. Repeated cardiac investigation was negative until an episode of unconsciousness while instrumentated with a "Cardio-memo" recorder showed that an attack was accompanied by cardiac asystole. Further (invasive) cardiac investigations ...

We explore the possibility of exploiting the phenomenon of the resonant drift of autowave vortices in the design of low-voltage cardiac defibrillators. The problem of reflection of resonantly drifting vortices by inexcitable boundaries is overcome by using feedback. Numerical studies show that the voltage needed for defibrillation by this method ...