A Family Involvement and Patient-Tailored Health Management Program in Elderly Korean Stroke Patients’ Day Care Centers.

A Family Involvement and Patient-Tailored Health Management Program in Elderly Korean Stroke Patients’ Day Care Centers.

Rehabil Nurs. 2013 May 29;
Chang AK, Park YH, Fritschi C, Kim MJ

PURPOSE: This study aimed to examine the effects of a family involvement and functional rehabilitation program in an adult day care center on elderly Korean stroke patients’ perceived health, activities of daily living, instrumental activities of daily living, and cost of health services, and on family caregivers’ satisfaction. DESIGN: Using one-group pre- and posttest design, dyads consisting of 19 elderly stroke patients and family caregivers participated in 12-week intervention, including involvement of family caregivers in day care services and patient-tailored health management. FINDINGS: Outcomes of patients and caregivers were significantly improved (all p < .001). However, the cost of health services did not decrease significantly. CONCLUSIONS: This program improved functional levels and health perception of elderly stroke patients and caregivers' satisfaction. However, results must be interpreted with caution, because this was only a small, single-group pilot study. CLINICAL RELEVANCE: This program may be effective for elderly stroke patients and their caregivers. HubMed – rehab


A case of recurrent complex regional pain syndrome accompanying Raynaud’s disease: a prospective coincidence?

Agri. 2013 Apr; 25(2): 90-92
Kesikburun S, Günendi Z, Aydemir K, Ozgül A, Tan AK

Complex regional pain syndrome (CPRS) and Raynaud’s disease are disorders characterized by vasomotor disturbances associating with abnormal autonomic nervous system. We present a case of CRPS involving a history of recurrence and no initiating event. Raynaud’s disease accompanying CRPS was diagnosed clinically in the patient. We propose that a sympathetic dysfunction underlies the pathophysiologies of both disorders and may be responsible for the coexistence of these two distinct entities. Recurrence and unknown etiology of CRPS might account for temporary alterations in sympathetic function. HubMed – rehab


[Episacral lipoma: a treatable cause of low back pain.]

Agri. 2013 Apr; 25(2): 83-86
Erdem HR, Nac?r B, Ozeri Z, Karagöz A

Episacral lipoma is a small, tender subcutaneous nodule primarily occurring over the posterior iliac crest. Episacral lipoma is a significant and treatable cause of acute and chronic low back pain. Episacral lipoma occurs as a result of tears in the thoracodorsal fascia and subsequent herniation of a portion of the underlying dorsal fat pad through the tear. This clinical entity is common, and recognition is simple. The presence of a painful nodule with disappearance of pain after injection with anaesthetic, is diagnostic. Medication and physical therapy may not be effective. Local injection of the nodule with a solution of anaesthetic and steroid is effective in treating the episacral lipoma. Here we describe 2 patients with painful nodules over the posterior iliac crest. One patient complained of severe lower back pain radiating to the left lower extremity and this patient subsequently underwent disc operation. The other patient had been treated for greater trochanteric pain syndrome. In both patients, symptoms appeared to be relieved by local injection of anaesthetic and steroid. Episacral lipoma should be considered during diagnostic workup and in differential diagnosis of acute and chronic low back pain. HubMed – rehab


Modifiable and Nonmodifiable Risk Factors for Falls After Traumatic Brain Injury: An Exploratory Investigation With Implications for Medication Use.

Rehabil Nurs. 2013 May 29;
Murphy MP, Carmine H, Kolakowsky-Hayner S

PURPOSE: Falls are a challenge for rehabilitation nurses, facilities, families, and individuals. Studies related to the causes of falls and potential strategies for risk management have been conducted across disability groups and with the elderly. Still, a focus on individuals with traumatic brain injuries (TBI), specifically, has been limited. This paper presents a brief review of relevant research and the results of a preliminary investigation. METHODS: This study was a retrospective study of 125 individuals with TBI in residential treatment. Specific risk factors for falls in this population were identified. FINDINGS: Results indicate that age, injury severity, medical complications, specific medications and polypharmacy are significantly linked to falls in individuals with brain injuries. Specifically, the use of anticholinergic medications was associated with falls in this study. CONCLUSIONS: The results of this study are limited both by the use of a convenience sample and the fact that it is an initial exploratory step to future multicenter research. Still, the resulting fall risk profile that emerged is an important consideration for rehabilitation practitioners working in brain injury. CLINICAL RELEVANCE: Identifying those individuals with TBI most at risk for falling and taking appropriate measures to prevent falling, including consideration of both number and type of medication used, are important measures for rehabilitation teams working with this population to take. HubMed – rehab