Posts Tagged ‘UK’

Rehabilitation of traumatic and non-traumatic spinal cord injuries (SCI)

Kennedy P et al. working at the National Spinal Injuries Centre, Stoke Mandeville Hospital, UK discuss whether patients with traumatic spinal cord injuries and patients with non-traumatic spinal cord injuries benefitted from the same rehabilitation programme. The research published in Spinal Cord, 05/07/2013 found that the two groups has the same rehabilitation outcome. The Needs Assessment Checklist (NAC) was used as the outcome measure. The group concluded that it is effective to admit and rehabilitate patients with injuries resulting from both traumatic and non-traumatic aetiologies in the same specialised in patient and out patient rehabilitation setting.



The impact of rehabilitative services in the lives of adults and children with disabilities

What is the impact of rehabilitative services in the lives of adults and children with disabilities and is their a relationship between amount of treatment and functional gains. This question was asked by Dr. Patel from St. Bartholomew’s Hospital , London , UK in Disability & Rehabilitation, 05/06/2013. Occupational therapy and physical therapy were the primary rehabilitation services received by patients across impairment groups. The authors failed to find enough evidence in the literature to answer these questions and concluded that better systematic reporting of type and quantity of rehabilitation therapies along with functional assessments is needed.

Upper limb arm and hand home-based exercise training for people after stroke in the UK

New research in the UK will be conducted on administering Physiotherapy at home after stroke. Neuro physical therapists from Bristol, Birmingham and Newcastle will recruit patients with upper-limb motor impairment including shoulder  and hand movement deficits after discharge from hospital post-stroke. The stroke patients will be up to 12 months post stroke. The primary outcome measures for assessment of arm function will be the Action Research Arm Test (ARAT) and Wolf Motor Function Test (WMFT). The secondary measures will be the Motor Activity Log, Stroke Impact Scale, Carer Strain Index, and health and social care resource use.

Who benefits from residential intensive neurorehabilitation as opposed to community therapy in the UK

Answering this question Foy CML et al from the Rehabilitation Services, Brain Injury Centre, Banstead, Surrey, UK and Sutton Hospital, look at patient functional ability following rehabilitation at a mixed therapy and educational residential programme. The clients received 5 hours of education and/or physiotherapy and occupational therapy each day.
BothTBI and nonTBI made clinically and statistically significant improvements in their functional abilities during their neurorehabilitation and benefited from a mixed inpatient neurorehabilitation programme. The movement and functional improvements was predicted by the patients functional abilities at admission and the length of stay. Therefore preinjury and injury variables do give insight into functional recovery in traumatic brain injury (TBI) and non traumatic brain injury (nonTBI) patients.

Telerehabilitation in the UK a solution for timely access to physiotherapy

Writing in the January edition of the BMJ  Dr Salisbury – professor of primary healthcare and his colleagues Dr. Hall – lead for outpatient physiotherapy and Dr.Foster – professor of musculoskeletal health in primary care show that telephone assessment and advice services for patients with musculoskeletal problems is as clinically effective as usual care and provides faster access to physiotherapy. Therefore tele rehabilitation has the potential of providing timely access to physiotherapy (a problem in the National Health Service (NHS). In the UK General practitioners refer about 1.23 million patients for physiotherapy each year in the U.K. The referrals are mostly for lower limb, back, upper limb and cervical pain, respectively.