Subjective Assessment of Rehabilitation Protocol by Patients After ACL Reconstruction – Preliminary Report.
Subjective Assessment of Rehabilitation Protocol by Patients after ACL Reconstruction – Preliminary Report.
Ortop Traumatol Rehabil. 2013 Jun 28; 15(3): 215-25
Chrzan D, Kusz D, Bo?tu? W, Bry?a A, Kusz B
Randomized Controlled Trial of a Structured Intervention to Facilitate End-of-Life Decision Making in Patients With Advanced Cancer.
J Clin Oncol. 2013 Jul 29;
Stein RA, Sharpe L, Bell ML, Boyle FM, Dunn SM, Clarke SJ
PURPOSEThis study tested the efficacy of an intervention on end-of-life decision making for patients with advanced cancer. PATIENTS AND METHODSOne hundred twenty patients with metastatic cancer who were no longer being treated with curative intent (and 87 caregivers) were randomly assigned to the intervention (n = 55) or treatment as usual (n = 65). Primary outcome measures were the proportion of patients with do-not-resuscitate (DNR) orders, timing of DNR orders, and place of death. Secondary outcome measures were completed at study enrollment, 3 weeks later, and 3 months later, including patients’ knowledge, mood, and caregiver burden.ResultsHigh, but equivalent, rates of DNR orders were observed in both groups. In per-protocol analyses, DNR orders were placed earlier for patients who received the intervention (median, 27 v 12.5 days; 95% CI, 1.1 to 5.9; P = .03) and they were more likely to avoid a hospital death (19% v 50% (95% CI, 11% to 50%; P = .004). Differences between the groups over time were evident for estimates of cardiopulmonary rehabilitation (CPR) success rates (P = .01) but not knowledge of CPR (P = .2). There was no evidence that the intervention resulted in more anxious or depressive symptoms. Caregivers experienced less burden in terms of disruption to schedule if the patient received the intervention (P = .05). CONCLUSIONAn intervention, consisting of an informational pamphlet and discussion, was associated with earlier placement of DNR orders relative to death and less likelihood of death in hospital. There was no negative impact of the intervention on secondary outcomes, although the sample may have been too small to detect differences. HubMed – rehab
The effect of feedback respiratory training on pulmonary function of children with cerebral palsy: a randomized controlled preliminary report.
Clin Rehabil. 2013 Jul 29;
Lee HY, Cha YJ, Kim K
Objective:To investigate the effect of feedback respiratory training on pulmonary function of children with cerebral palsy.Design:Randomized controlled experimental study.Setting:Outpatient rehabilitation hospital.Subjects:Twenty-two children with cerebral palsy were randomly assigned to two groups: the experimental group (feedback respiratory training) and the control group.Interventions:Feedback respiratory training and comprehensive rehabilitation therapy were performed by children in the experimental group. Comprehensive rehabilitation therapy was performed by children in the control group. Children in both groups received training three times per week for a period of four weeks.Outcome measures:Forced vital capacity, forced expiratory volume at one second, peak expiratory flow, vital capacity, tidal volume, inspiratory reserve volume and expiratory reserve volume were assessed before and after four weeks training period.Results:Significant improvements in pulmonary function were observed after training in the experimental group (P < 0.05). Greater gains were observed in the experimental group than in the control group (P < 0.05). Values of forced vital capacity increased by 50%, forced expiratory volume at one second increased by 40% as a result of training in the experimental group. The control group showed no significant changes in pulmonary function after training (P > 0.05).Conclusion:Participation in feedback respiratory training resulted in improvement of pulmonary function of children with cerebral palsy. HubMed – rehab
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