Effect of a Group Intervention to Promote Older Adults’ Adjustment to Driving Cessation on Community Mobility: A Randomized Controlled Trial.

Effect of a Group Intervention to Promote Older Adults’ Adjustment to Driving Cessation on Community Mobility: A Randomized Controlled Trial.

Gerontologist. 2013 Mar 19;
Liddle J, Haynes M, Pachana NA, Mitchell G, McKenna K, Gustafsson L

Objectives: The UQDRIVE program, a group education and support program, was developed to meet the needs associated with driving cessation for older adults. The current study investigated the effect of the program on community mobility. DESIGN AND METHODS: A prospective, parallel, stratified randomized controlled trial was undertaken with a waitlist control group receiving current clinical practice (no intervention). Data were collected pre, post, and 3 months following the intervention. Participants were adults aged 60 years or older who had ceased driving or planned to cease driving within 12 months. RESULTS: A total of 131 participants were included in analyses (67 intervention, 64 control). Participating in the intervention was significantly associated with a higher number of episodes away from home per week at immediately postintervention (z = 2.56, p = .01). This was not significantly maintained at 3-month follow-up. Participation in the intervention also significantly predicted higher use of public transport at immediately postintervention (z = 2.12, p = .034), higher use of walking at immediately postintervention (z = 2.69, p = .007), increased aspects of community mobility self-efficacy (z = 3.81, p = .0001), and higher satisfaction with transport at 3-month follow-up (z = 2.07, p = .038). IMPLICATIONS: The program increased community mobility immediately postintervention and transport satisfaction at 3 months postintervention. Due to a high attrition rate, further research is required to clarify the long-term impact of the intervention. HubMed – rehab


Correlating ultrasound findings of carpal tunnel syndrome with nerve conduction studies.

Muscle Nerve. 2013 Mar 20;
Kim JM, Kim MW, Ko YJ

Objective: To determine correlations between ultrasonographic findings of thenar muscle and flexor retinaculum, and nerve conduction studies (NCS) in carpal tunnel syndrome (CTS). Methods: Ultrasound and NCS were performed on 92 wrists with CTS and on 40 wrists from healthy individuals. Ultrasound of thenar and hypothenar muscles, flexor retinaculum, and median nerve were assessed. The ultrasonographic findings were compared between the 2 groups, and correlation analysis between median latency and ultrasonographic findings was performed. Results: Motor latency correlated positively with flexor retinaculum thickness (FRT) and correlated negatively with the ratio of thenar to hypothenar muscle. FRT and motor latency were found to be significantly increased in CTS. The ratio of thenar to hypothenar muscle was found to be significantly decreased in CTS when compared with controls. Conclusions: The ultrasonographic findings of FRT and thenar muscle reflect the severity of disease in patients with CTS and are valuable for the diagnosis of CTS. © 2013 Wiley Periodicals, Inc. HubMed – rehab


Factors Affecting Employment Outcomes for People with Disabilities Who Received Disability Employment Services in Taiwan.

J Occup Rehabil. 2013 Mar 20;
Jang Y, Wang YT, Lin MH

Purpose. One of the most important rehabilitation goals is to return people with disabilities to paid employment. The purposes of this study were (1) to explore employment status and (2) to identify factors that may affect the employment outcomes of people with disabilities who received Disability Employment Services (DES). Methods. A retrospective study was conducted on clients who commenced and closed DES between January 2008 and December 2010 in a metropolitan city in Taiwan, using the files from the National Vocational Rehabilitation Services Documentary System. Results. Sixty-nine percent (1,684 out of 2,452) of the clients in this study were engaged in paid employment after receiving DES. Logistic regression analyses indicated that clients with no psychiatric disability or mild impairment and with useful vocational qualifications, typical work experience, more post-employment services, and less pre-employment services were associated with a higher rate of successful employment outcomes. Conclusion. This study provides empirical evidence of the association between person- and DES-related factors and the employment outcomes of people with disabilities. Future improvements in health, school-to-work transition services, and vocational rehabilitation for people with disabilities should place more emphasis on providing work-based work experience, professional vocational training, access to college/professional education, career exploration, effective supported employment services, and other post-employment services. HubMed – rehab


[In Process Citation].

Schweiz Monatsschr Zahnmed. 2013; 123(2): 111-29
Perrin P, Zimmerli B, Jacky D, Lussi A, Helbling C, Ramseyer S

The indications for direct resin composite restorations are nowadays extended due to the development of modern resin materials with improved material properties. However, there are still some difficulties regarding handling of resin compos- ite material, especially in large restorations. The reconstruction of a functional and individual occlusion is difficult to achieve with direct application techniques. The aim of the present publication was to introduce a new “stamp”-technique for placing large composite restorations. The procedure of this “stamp”-technique is presented by three typical indications: large single-tooth restoration, occlusal rehabilitation of a compromised occlusal surface due to erosions and direct fibre-re-inforced fixed partial denture. A step-by-step description of the technique and clinical figures illustrates the method. Large single-tooth restorations can be built-up with individual, two- piece silicone stamps. Large occlusal abrasive and/or erosive defects can be restored by copying the wax-up from the dental technician using the “stamp”-technique. Even fiber-reinforced resin-bonded fixed partial dentures can be formed with this intraoral technique with more precision and within a shorter treatment time. The presented “stamp”-technique facilitates the placement of large restoration with composite and can be recommended for the clinical use. HubMed – rehab