Guidelines for Vocational Evaluation Following Burns: Integrated Review of Relevant Process and Factors.
Guidelines for Vocational Evaluation Following Burns: Integrated Review of Relevant Process and Factors.
Filed under: Rehab Centers
J Occup Rehabil. 2013 Feb 20;
Stergiou-Kita M, Grigorovich A
Purpose A systematic literature review was undertaken to gather evidence to develop a guideline for vocational evaluation following burn injuries (BI). This review aimed to identify the key processes evaluators should follow and the key factors they should consider when completing such evaluations. Methods Steps outlined in Cochrane Handbook of Systematic Review were followed including: development of review question; search strategies and selection criteria; quality appraisal; data extraction; analysis & synthesis; drawing conclusions. Four databases (Pubmed, Medline, CINHAL, PsycINFO) and 14 websites were searched for relevant articles and studies (quantitative, qualitative), reviews and guidelines. Two reviewers independently completed reviews, performed quality assessments and extracted data into evidence tables. Using the ICF model and directed content analysis, key processes and factors were analyzed and synthesized across the evidence. Results A total of 138 articles were identified using the key words (e.g. burns, work). Studies, reviews and guidelines were retrieved if they focused on adults and discussed the processes relevant to vocational evaluation and/or factors associated with successful return to work (RTW) following a BI. Items were excluded if they did not address adults who had suffered a burn, the process of work or RTW, or challenges related to work after a BI. Using the above criteria 76 items were retrieved for full review. Fifty-six items remained after the quality appraisal. Results were integrated to develop the Evidence-based Framework for Vocational Evaluation Following Burn Injury. Conclusions This framework outlines 7 key processes relevant to vocational evaluation following burn injuries.
HubMed – rehab
[Compression Glove has Advantages in the Functional Aftercare of Distal Radius Fractures].
Filed under: Rehab Centers
Z Orthop Unfall. 2013 Feb; 151(1): 80-4
Schmidt J, Tessmann UJ, Schmidt I
Introduction: The beneficial effect of compression treatment for soft tissue swelling is undisputed. Yet it is only a subordinated option in trauma therapy and is used if at all preferably for the lower extremities. In a preliminary study we were able to show that fitted compression gloves had a positive effect. Materials and Method: In a prospective randomised study the effect of compression treatment on the rehabilitation period was examined. Results: In this study including 57 patients it was shown that due to a quicker reduction of swelling, measured via the circumference and volume of the forearm the range of motion increased faster than in the control group without compression treatment. Volume differed by 16 % between the injured and healthy arm in the compression group, yet by 25 % in the control group, representing a significant difference. An improvement in range of motion was seen, but did not reach statistical significance. Conclusion: Fitted compression gloves as a rehabilitation means after surgical treatment of distal radius fractures can lead to a quicker restoration of function and thereby decrease the treatment duration.
HubMed – rehab
[Dihydrotestosterone improves the osseointegration of cobalt-chromium implants].
Filed under: Rehab Centers
Z Orthop Unfall. 2013 Feb; 151(1): 25-30
Maus UM, Lühmann M, Ohnsorge JA, Andereya S, Schmidt H, Zombory G, Siebert C, Niedhart C
Background: The osseointegration of actually rarely implanted cobalt-chromium implants can be critical in an elderly population. The aim of our study was to evaluate the effect of preoperative testosterone treatment on the osseointegration of cobalt-chromium implants. Materials and Methods: Press-fit implantation of 1.6 mm-diameter cobalt-chromium-molybdenum (CoCrMo) implants was performed in rats without pre-treatment in one group (n = 10) and after pre-treatment with 1 mg dihydrotestosterone (DHT) 2 days before surgery in the other group (n = 10). After 14 days, the specimens were examined by a pull-out test, histology and histomorphometry. Results: The biomechanical testing delivered inconsistent data leading to no significant difference (6.45 ± 6.94 N vs. 4.66 ± 3.77 N). Histology showed closed contact between surrounding tissue and the implants in both groups. The bone/implant contact area was significantly enhanced after treatment with DHT (42.23 % ± 9.25 vs. 57.57 % ± 16.71, p < 0.05), while the ratio of osteoid was reduced (38.68 % ± 16.7 vs. 27.38 % ± 13.02, not significant). Conclusions: Pre-treatment with DHT enhances osseointegration of cobalt-chromium implants through enhanced mineralisation of peri-implant tissue. The treatment might additionally shorten postoperative rehabilitation due to its positive effects on musculature. HubMed – rehab
Microvascular damage is involved in the pathogenesis of heroin induced spongiform leukoencephalopathy.
Filed under: Rehab Centers
Int J Med Sci. 2013; 10(3): 299-306
Yin R, Lu C, Chen Q, Fan J, Lu J
Objective: To investigate whether microvascular damage is involved in the pathogenesis of heroin induced spongiform leukoencephalopathy (HSLE).Methods: The brain tissues were collected from 4 HSLE patients and 5 controls and then fixed in 4% paraformaldehyde. The frontal lobe, corpus callosum and cerebellum were separated. The expressions of myelin base protein (MBP) and CD34 were detected by immunohistochemistry. TUNEL staining was applied to detect cell apoptosis. The correlation between microvascular changes and pathological vacuoles was evaluated.Results: No obvious abnormalities were found in the brain of controls. Immunohistochemistry for MBP showed the collapse and fracture of myelin sheath and vacuole formation in the subcortical white matter, corpus callosum, and cerebellar white matter of HSLE patients. TUNEL staining showed the number of apoptotic cells in the cerebellar white matter and corpus callosum of HSLE patients was significantly higher than that in controls (F=389.451, P<0.001). Masson's trichrome staining revealed vacuolar degeneration in the cerebral white matter of HSLE patients, and the vacuoles were distributed around the microvessels. Immunohistochemistry revealed CD34 positive cells were seldom found besides the vessels in the cerebellar white matter and corpus callosum of HSLE patients, but a variety of CD34 positive cells was found in the vascular wall of controls (F=838.500, P<0.001).Conclusion: Apoptosis of oligodendrocytes may be related to the HSLE. Cerebral vascular injury and microcirculation dysfunction are involved in the pathogenesis of HSLE. The interrelation between apoptosis of oligodendrocytes and the microvascular damage are required to be studied in future investigations. HubMed – rehab
More Rehab Centers Information…