[Regional Classification of Office Specialists’ Partial Labour Market for Use in Vocational Rehabilitation.]
[Regional Classification of Office Specialists’ Partial Labour Market for Use in Vocational Rehabilitation.]
Filed under: Rehab Centers
Rehabilitation (Stuttg). 2013 Feb 8;
Hetzel C, Schmidt C
The core objective of all those involved in vocational rehabilitation is integration into the primary labour market. In order to achieve this effectively and efficiently the disparities of regional and occupational partial labour markets have to be transparent. On the example of vocational retraining centres for adults with disabilities (Berufsförderungswerke) and of office specialists’ partial labour market this paper selects relevant labour market indicators, calculates an empirical regional classification using relative niveau data and describes implications. Data base are statistics of the Federal Employment Agency for office specialists (profession ID 781). Cluster analytic results are 6 stable and valid regional clusters.
HubMed – rehab
Effects of different local cryotherapies on systemic levels of TNF-?, IL-6, and clinical parameters in active rheumatoid arthritis.
Filed under: Rehab Centers
Rheumatol Int. 2013 Feb 10;
Jastrz?bek R, Straburzy?ska-Lupa A, Rutkowski R, Romanowski W
Cryotherapies are frequently used to supplement the rehabilitation of patients with rheumatoid arthritis (RA) owing to their analgesic and anti-inflammatory effects. Forty patients with active RA were recruited and received 10 days of comprehensive therapy with different local cryotherapies. None of the respondents were subjected to biological treatment. They were divided into two groups according to the therapy received: nitrogen vapour at -160 °C (group I) or cold airflow at -30 °C (group II). Levels of tumour necrosis factor ? (TNF-?), interleukin 6 (IL-6), disease activity score (DAS28), and functional variables were used to assess the outcomes. After the therapy, both groups exhibited similar improvements. Significant reduction in TNF-? level (nitrogen: p < 0.01; cold air: p < 0.05) and no change in IL-6 were observed. DAS28, the clinical severity of pain, duration of morning stiffness, degree of self-reported fatigue, and health assessment questionnaire (HAQ) scores improved significantly. In addition, the active range of knee extension, time, and the number of steps in the 50-m walk test also clearly got better in both groups. The 10-day comprehensive therapies including different local cryotherapies for the patients with RA cause significant decrease in TNF-? systemic levels, meaningly improve DAS28, HAQ scores, and some functional parameters, but do not change IL-6 levels. However, there were no differences in the effectiveness of either cryotherapy. HubMed – rehab
High-Intensity Aerobic Interval Exercise in Chronic Heart Failure.
Filed under: Rehab Centers
Curr Heart Fail Rep. 2013 Feb 10;
Meyer P, Gayda M, Juneau M, Nigam A
Aerobic exercise training is strongly recommended in patients with heart failure (HF) and reduced left ventricular ejection fraction (LVEF) to improve symptoms and quality of life. Moderate-intensity aerobic continuous exercise (MICE) is the best established training modality in HF patients. For about a decade, however, another training modality, high-intensity aerobic interval exercise (HIIE), has aroused considerable interest in cardiac rehabilitation. Originally used by athletes, HIIE consists of repeated bouts of high-intensity exercise interspersed with recovery periods. The rationale for its use is to increase exercise time spent in high-intensity zones, thereby increasing the training stimulus. Several studies have demonstrated that HIIE is more effective than MICE, notably for improving exercise capacity in patients with HF. The aim of the present review is to describe the general principles of HIIE prescription, the acute physiological effects, the longer-term training effects, and finally the future perspectives of HIIE in patients with HF.
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Left shoulder pain in a violinist, related to extensor tendon adhesions in a small scar on the back of the wrist.
Filed under: Rehab Centers
Clin Rheumatol. 2013 Feb 10;
Leijnse JN, Rietveld AB
A female professional orchestra violin player, age 54, with an 8-year history of severe left shoulder problems, presented with reproducible, acute, incapacitating left shoulder pain when playing the lowest violin string. This complaint was found caused by compensatory left arm positions for unnoticed finger extensor excursion limitations in a well-healed scar bed from two dorsal wrist ganglion operations 11 and 13 years before. Immediately after extensor tendon mobilization in the scar bed, the patient could assume a normal playing position, which was pain free, and could return to orchestral duties without further major shoulder complaints (follow-up of 10 years). The case study presents finger extensor excursion limitations at the wrist as an unusual extra-regional risk factor for a shoulder complaint and analyses the biomechanics linking these limitations to the complaint. The case illustrates the importance of long-term post-operative hand surgery rehabilitation in musicians.
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Closure of defects after resection of tumors of the oral cavity and the pharynx: medium- to long-term oncologic and functional results with the myocutaneous platysma flap.
Filed under: Rehab Centers
Eur Arch Otorhinolaryngol. 2013 Feb 9;
Künzel J, Iro H, Psychogios G, Zenk J, Koch M
The aim of this study was to assess the medium- to long-term functional and oncologic results when the myocutaneous platysma flap (MPF) was used for defect reconstruction of the oral cavity and the pharynx in selected patients. The MPF was used in 70 patients for closure of small to medium-sized defects. 37.1 % of the tumors were in the oral cavity, 24.3 % in the oropharynx and 38.6 % in the hypopharynx. Histopathological risk factors, adjuvant therapy, recurrence rates, and survival rates were assessed. Rehabilitation of swallowing and airways function was analyzed. UICC staging was I in 18.6 %, II in 15.7 %, III in 18.6 %, and IV in 47.1 %. Histopathological risk factors were noted in 51.4 and 84.3 % patients received adjuvant treatment. Recurrences were observed in 27.2 %. The 5-year recurrence-free survival rate was 63.1 %, and the disease-specific survival rate was 66.7 %. Permanent tracheostomy closure was achieved in 74.4 %, and complete recovery of swallowing in 57.4 %. Analysis of the functional and oncologic data after defect closure with the MPF showed acceptable results. The MPF should be included in the range of surgical methods for closure of small to medium-sized defects in the head and neck region in selected patients.
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