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Outcomes for older adults in inpatient specialist neurorehabilitation / Teng Cheng Khoo in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)
[article]
Titre : Outcomes for older adults in inpatient specialist neurorehabilitation Type de document : texte imprimé Auteurs : Teng Cheng Khoo ; Alasdair FitzGerald ; Elizabeth MacDonald ; Lloyd Bradley Année de publication : 2020 Article en page(s) : p. 340-343 Note générale : doi.org/10.1016/j.rehab.2019.05.001 Langues : Anglais (eng) Mots-clés : Neurorehabilitation Rehabilitation Rehabilitation potential Older adults UK FIM + FAM Résumé : Background
Inpatient specialist neurorehabilitation in the United Kingdom is based on providing a service to “working-age” adults (<65 years), with little evidence for outcomes for older adults involved with these services.
Objective
The aim of this study is to determine any difference in outcome after inpatient neurorehabilitation between younger and older adults assessed as having rehabilitation potential.
Methods
A two-centre retrospective review was performed comparing patients aged < 65 and ≥ 65 years by diagnostic group in terms of length of stay, changes in UK Functional Independence Measure + Functional Assessment Measure (UK FIM + FAM) scores and discharge destination.
Results
Six hundred and sixteen patients (32% ≥ 65 years) were included. The 2 age groups did not differ in length of stay (median difference 7 days, 95% confidence interval [CI] −2 to 15, P = 0.112), but both UK FIM + FAM change and efficiency were higher for the older than younger group (median difference 7, 95% CI 2–13, P = 0.006 and 0.10, 0.01–0.19, P = 0.031 respectively). Older age was associated with discharge to long-term care (6% < 65 years; 11% ≥ 65 years, x2 = 4.10, P = 0.043). Results and trends were similar in patients with acquired brain injury (n = 429), spinal cord injury (n = 59) and peripheral neuropathy (n = 34) but not progressive neurological disorders (n = 70).
Conclusion
Older adults considered to have rehabilitation potential may have greater functional gains from inpatient specialist inpatient rehabilitation than younger adults. Age alone should not exclude admission to inpatient specialist neurorehabilitation.Permalink : ./index.php?lvl=notice_display&id=90880
in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 340-343[article] Outcomes for older adults in inpatient specialist neurorehabilitation [texte imprimé] / Teng Cheng Khoo ; Alasdair FitzGerald ; Elizabeth MacDonald ; Lloyd Bradley . - 2020 . - p. 340-343.
doi.org/10.1016/j.rehab.2019.05.001
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 340-343
Mots-clés : Neurorehabilitation Rehabilitation Rehabilitation potential Older adults UK FIM + FAM Résumé : Background
Inpatient specialist neurorehabilitation in the United Kingdom is based on providing a service to “working-age” adults (<65 years), with little evidence for outcomes for older adults involved with these services.
Objective
The aim of this study is to determine any difference in outcome after inpatient neurorehabilitation between younger and older adults assessed as having rehabilitation potential.
Methods
A two-centre retrospective review was performed comparing patients aged < 65 and ≥ 65 years by diagnostic group in terms of length of stay, changes in UK Functional Independence Measure + Functional Assessment Measure (UK FIM + FAM) scores and discharge destination.
Results
Six hundred and sixteen patients (32% ≥ 65 years) were included. The 2 age groups did not differ in length of stay (median difference 7 days, 95% confidence interval [CI] −2 to 15, P = 0.112), but both UK FIM + FAM change and efficiency were higher for the older than younger group (median difference 7, 95% CI 2–13, P = 0.006 and 0.10, 0.01–0.19, P = 0.031 respectively). Older age was associated with discharge to long-term care (6% < 65 years; 11% ≥ 65 years, x2 = 4.10, P = 0.043). Results and trends were similar in patients with acquired brain injury (n = 429), spinal cord injury (n = 59) and peripheral neuropathy (n = 34) but not progressive neurological disorders (n = 70).
Conclusion
Older adults considered to have rehabilitation potential may have greater functional gains from inpatient specialist inpatient rehabilitation than younger adults. Age alone should not exclude admission to inpatient specialist neurorehabilitation.Permalink : ./index.php?lvl=notice_display&id=90880 Exemplaires (1)
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Exclu du prêtHand-Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE), cadre de pratique et effets de la thérapie : une revue de la portée / Julie Paradis in Ergothérapies, 85 (avril 2022)
[article]
Titre : Hand-Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE), cadre de pratique et effets de la thérapie : une revue de la portée Type de document : texte imprimé Auteurs : Julie Paradis ; Daniela Ebner-Karestinos ; Rodrigo Araneda ; Geoffroy Saussez ; Yannick Bleyenheuft Année de publication : 2022 Article en page(s) : p. 7-22 Note générale : Cet article fait partie du dossier "Les occupations des enfants et de leurs aidants". Langues : Français (fre) Mots-clés : Apprentissage moteur structuré Ergothérapie Neuroréhabilitation Occupational Therapy Paralysie cérébrale Revue de littérature Revue de portée Résumé : Background. Hand-Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE) is one of the recommended interventions to improve motor function of children with unilateral (UCP) and bilateral (BCP) cerebral palsy. As this is a recent intervention, its effects and practice setting have not yet been reviewed. This is the objective of this work.
Method. Three electronic databases (CINAHL, Embase, and Medline) were examined. The methodological framework for scoping reviews was followed (Arksey & O’Malley, 2005 ; Levac et al., 2010), as well as the Preferred Reporting Items for Systematic Review and Meta-analysis recommendations for reviews (Page et al., 2021).
Results. Of the 63 studies identified, 15 studies were included. The population consisted of children with UCP and BCP aged 1 to 18 years with mild to severe activity limitations. The HABIT-ILE methodology was adapted in terms of number of hours of practice and type of activity according to the age and topography of the impairment. Improvements in manual ability, gross motor skills and performance in daily life were observed after HABIT-ILE. Preliminary results show improvements in cognitive function and other body structures and functions after HABIT-ILE.
Conclusion. Improvements in motor function following HABIT-ILE were observed in a large panel of children with cerebral palsy. These results could pave the way for a better understanding of the potential clinical application of this type of approach despite organizational barriers.Permalink : ./index.php?lvl=notice_display&id=103762
in Ergothérapies > 85 (avril 2022) . - p. 7-22[article] Hand-Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE), cadre de pratique et effets de la thérapie : une revue de la portée [texte imprimé] / Julie Paradis ; Daniela Ebner-Karestinos ; Rodrigo Araneda ; Geoffroy Saussez ; Yannick Bleyenheuft . - 2022 . - p. 7-22.
Cet article fait partie du dossier "Les occupations des enfants et de leurs aidants".
Langues : Français (fre)
in Ergothérapies > 85 (avril 2022) . - p. 7-22
Mots-clés : Apprentissage moteur structuré Ergothérapie Neuroréhabilitation Occupational Therapy Paralysie cérébrale Revue de littérature Revue de portée Résumé : Background. Hand-Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE) is one of the recommended interventions to improve motor function of children with unilateral (UCP) and bilateral (BCP) cerebral palsy. As this is a recent intervention, its effects and practice setting have not yet been reviewed. This is the objective of this work.
Method. Three electronic databases (CINAHL, Embase, and Medline) were examined. The methodological framework for scoping reviews was followed (Arksey & O’Malley, 2005 ; Levac et al., 2010), as well as the Preferred Reporting Items for Systematic Review and Meta-analysis recommendations for reviews (Page et al., 2021).
Results. Of the 63 studies identified, 15 studies were included. The population consisted of children with UCP and BCP aged 1 to 18 years with mild to severe activity limitations. The HABIT-ILE methodology was adapted in terms of number of hours of practice and type of activity according to the age and topography of the impairment. Improvements in manual ability, gross motor skills and performance in daily life were observed after HABIT-ILE. Preliminary results show improvements in cognitive function and other body structures and functions after HABIT-ILE.
Conclusion. Improvements in motor function following HABIT-ILE were observed in a large panel of children with cerebral palsy. These results could pave the way for a better understanding of the potential clinical application of this type of approach despite organizational barriers.Permalink : ./index.php?lvl=notice_display&id=103762 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêt