MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'International Disability Studies' source. Fri, 16 Apr 2010 17:10:24 +0100 http://www.medworm.com/index.php?rid=3273219&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fsites%2Fentrez%3Fcmd%3DSearch%26db%3Dpubmed%26term%3D%28%2520%28%2522Int%2520Disabil%2520Stud%2522%255Bta%255D%29%2520AND%2520%25222009%252F04%252F06%252015.19%2522%255BEDAT%255D%253A%25222010%252F02%252F15%252018.52%2522%255BEDAT%255D%29 206 new pubmed citations were retrieved for your search. Click on the search hyperlink below to display the complete search results: "Int Disabil Stud"[ta] These pubmed results were generated on 2010/02/15PubMed, a service of the National Library of Medicine, includes over 15 million citations for biomedical articles back to the 1950's. These citations are from MEDLINE and additional life science journals. PubMed includes links to many sites providing full text articles and other related resources. (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=3273219 Mon, 15 Feb 2010 23:52:02 +0100 3273219 http://www.medworm.com/index.php?rid=2000331&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1783574%26dopt%3DAbstract Authors: Shah A, Saluja K Hansen's disease leads to deformities of the lower and upper extremities. Eventually, these deformities become a serious handicap and limit the functional capabilities of the afflicted. This paper defines the characteristics of individuals suffering from Hansen's disease and demonstrates that disabilities caused by Hansen's disease can be overcome by: (i) use of splints, (ii) reconstructive surgery, (iii) modification of the articles and tools of daily use, and (iv) proper job--worker matching. PMID: 1783574 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000331 Tue, 01 Oct 1991 04:00:00 +0100 2000331 http://www.medworm.com/index.php?rid=2000330&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1783575%26dopt%3DAbstract In this study we assessed the usefulness of 24-hour electrocardiographic Holter monitoring in the evaluation of post-CVA patients during daily activities and rehabilitation. Of the 43 post-CVA patients, 24 (55.8%) revealed pathological changes on Holter monitoring and 17 (71%) had a history of coronary artery disease prior to CVA. Holter monitoring revealed mainly ventricular and atrial arrhythmias and in three patients detected transient ischaemic episodes. Only six patients (14%) showed aggravation of arrhythmia during rehabilitation therapy, without aggravation of ST-T changes. The mean maximum heart rate during regular daily activities was 104 +/- 20 beats/min, which was significantly higher than the mean maximum heart rate during physical therapy (100 +/- 18 beats/min; p less than 0.0... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000330 Tue, 01 Oct 1991 04:00:00 +0100 2000330 http://www.medworm.com/index.php?rid=2000329&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1783576%26dopt%3DAbstract Authors: Keller C, Nicolls R The purpose of this exploratory pilot study was to determine the coping strategies used by adolescents with chronic illnesses and compare those strategies with the strategies used by their parents. Adolescent coping strategies were measured by the Jaloweic Coping Scale, while parental perceptions of their coping strategies were assessed using the Hymovich Chronicity Impact and Coping Instruments: Parent Questionnaire (CICI:PQ). Fifteen chronically ill adolescents and their parents were administered the tools. Analysis revealed that there were significant differences between the parent coping strategies and those of the adolescents in the sample. Adolescent responses on the three subscales of the Jaloweic Coping Scale were analysed using ANOVA, resulting in ... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000329 Tue, 01 Oct 1991 04:00:00 +0100 2000329 http://www.medworm.com/index.php?rid=2000328&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1783577%26dopt%3DAbstract Authors: Peckham VC Today more and more children are surviving childhood diseases that had been fatal in a previous generation. Medical advances and technology allow most children with cancer to enjoy long-term survival and cure. Research studies now show that there are late effects of treatment that affect growth, development, and cognitive functioning. Parents and teachers of long-term survivors of childhood cancer share concerns about deficits in cognitive functioning as it affects learning in school. Childhood cancer and the literature on cognitive late effects of treatment are discussed. Recommendations are made for early psychological evaluation and appropriate educational intervention. PMID: 1783577 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000328 Tue, 01 Oct 1991 04:00:00 +0100 2000328 http://www.medworm.com/index.php?rid=2000327&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1783578%26dopt%3DAbstract Authors: Reed SB Cystic fibrosis (CF) is a disease that has profound consequences on a family unit. As a genetically transmitted, chronic illness, it influences every aspect of family life, including time constraints, finances, and relationships among family members. The purpose of this article is to demonstrate the cumulative effect of the nursing diagnoses related to the pathophysiology of CF on the nursing diagnosis, Potential for Alterations in Family Process, when a family has a child with cystic fibrosis. This nursing diagnosis was first recognized by the North American Nursing Diagnosis Association (NANDA) in 1982. It is vital that nurses are able to differentiate between a family having difficulty coping with a child with CF in the home, and one that is coping well on its own. ... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000327 Tue, 01 Oct 1991 04:00:00 +0100 2000327 http://www.medworm.com/index.php?rid=2000326&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1783579%26dopt%3DAbstract Authors: Florian V, Katz S, Lahav V The purpose of this paper is to review the dynamics and functioning of families with a severely head-injured member. In order to stress the unique problems faced by persons with brain damage and their families, a comparison with spinal cord-injured individuals is presented. The review's major conclusion is that a head injury exposes the family to a complex of problems that are unique to this disability and, therefore, necessitates the delivery of special family support services focused on the family, rather than on the head-injured person. PMID: 1783579 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000326 Tue, 01 Oct 1991 04:00:00 +0100 2000326 http://www.medworm.com/index.php?rid=2000325&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1783580%26dopt%3DAbstract Authors: Kreutzer JS, Wehman P, Morton MV, Stonnington HH This paper describes two approaches to improving the employment prospects of those suffering from head injury. It is noted that unemployment within the first 7 years post-head injury is as high as 70% and that this contributes to the long-term difficulties faced by the head-injured and their families. A 'supportive' approach to employment involving the use of job coordinators or job coaches is described and a number of 'compensatory' strategies described. These two approaches are compatible and are derived from the individual needs of the head injured person in relation to retaining or seeking employment. PMID: 1783580 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000325 Tue, 01 Oct 1991 04:00:00 +0100 2000325 http://www.medworm.com/index.php?rid=2000324&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1838366%26dopt%3DAbstract Authors: Müller D PMID: 1838366 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000324 Tue, 01 Oct 1991 04:00:00 +0100 2000324 http://www.medworm.com/index.php?rid=2000323&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1838367%26dopt%3DAbstract Authors: Haslegrave CM Physical handicaps often make it difficult to use an ordinary production car. Access can be a major problem for both driver and passenger, while the design of controls has to be matched to the functional capabilities of the individual driver. Provision of an adequate driving posture and storage for a wheelchair also have to be considered. Many of these problems can be overcome by suitable adaptations to the vehicle. Recent work in this field is reviewed to summarize the ergonomic guidelines that are available. The driving task also requires cognitive skills and adequate speeds of reaction as well as physical skills and capabilities. Better methods of assessing these are gradually being developed, but much further work is necessary in this area. Disabled drivers n... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000323 Tue, 01 Oct 1991 04:00:00 +0100 2000323 http://www.medworm.com/index.php?rid=2000322&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1838368%26dopt%3DAbstract Authors: Abdel-Moty E, Khalil TM This paper describes a personal microcomputer model to match the need of the ambulatory disabled to the physical workplace. It is noted that back pain resulting from working from wheelchairs is the most common complaint of many who continue or return to work. The use of computer-aided design in matching the person to his/her workstation is described. PMID: 1838368 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000322 Tue, 01 Oct 1991 04:00:00 +0100 2000322 http://www.medworm.com/index.php?rid=2000321&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1838369%26dopt%3DAbstract Authors: Crewe NM For the first time in history, numbers of people with severe physical disabilities such as spinal cord injury or polio are surviving to old age. Ageing-related changes combined with pre-existing impairments present new challenges for these individuals and for service providers. Implications for professionals include the need to foster more collaborative relationships between themselves and recipients, to emphasize services that enable independence, to coordinate new services, and to address issues of wellness, not only disability. PMID: 1838369 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000321 Tue, 01 Oct 1991 04:00:00 +0100 2000321 http://www.medworm.com/index.php?rid=2000337&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1774218%26dopt%3DAbstract Authors: Lings S, Jensen PB The importance of illness or disability for traffic safety is unknown. By means of a mock car, 46 individuals suffering from left-sided hemiparesis and 67 with right-sided hemiparesis after stroke were compared with 109 healthy controls. Only patients without complicating disorders were included in the study groups. They coped far worse than the control group in almost all respects. Reaction times were longer, not merely for the paretic but also for the contralateral extremities. Strength in the 'healthy' part of the body was also significantly reduced. Sometimes patients completely failed to react to given signals. In right-sided hemiparesis a high frequency of directional errors was observed. Neuropsychological functional disorders were well in accordance ... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000337 Mon, 01 Jul 1991 04:00:00 +0100 2000337 http://www.medworm.com/index.php?rid=2000336&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1774219%26dopt%3DAbstract CONCLUSIONS: Attendance at a memory group increased the use of memory aids but did not affect memory impairment. PMID: 1774219 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000336 Mon, 01 Jul 1991 04:00:00 +0100 2000336 http://www.medworm.com/index.php?rid=2000335&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1774220%26dopt%3DAbstract Authors: Balogun JA, Olawoye AG, Oladipo VA Normative data on isometric back strength (IBS) are presented. The IBS of both sexes increased with chronological age, peaked at the third decade of life, and gradually declined thereafter. Males were significantly (p less than 0.001) stronger than females in all age groups, the difference ranging between 16 and 56%. A multiple regression equation was derived to predict IBS, as follows: Male IBS (kgf) = -77.71 - 0.91 age (yrs) + 0.67 height (cm) + 1.50 weight (kg) + 0.24 Quetelet index (R2 = 0.78; SE +/- 16.67 kgf) Female IBS (kgf) = -72.42 - 0.39 age (yrs) + 10.65 height (cm) + 0.08 weight (kg) + 1.04 Quetelet index (R2 = 0.62; SE +/- 10.75 kgf). PMID: 1774220 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000335 Mon, 01 Jul 1991 04:00:00 +0100 2000335 http://www.medworm.com/index.php?rid=2000334&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1774221%26dopt%3DAbstract Authors: Quintner J The pain syndrome repetition strain injury (RSI) has been variously interpreted as a psychogenic disorder, an overuse injury of upper limb musculature, and a state of peripheral neural irritability. A review of the history of work-related upper limb disorders was undertaken to ascertain whether RSI is a new medical phenomenon or an older syndrome in a new guise. In the mid-nineteenth century these disorders were known as either craft palsies or writer's and other occupational cramps. Not withstanding clinical evidence suggesting that most were associated with peripheral neural or muscular dysfunction, a body of influential medical opinion considered them all to be disorders of the central nervous system, appropriately termed the occupation(al) neuroses. During the t... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000334 Mon, 01 Jul 1991 04:00:00 +0100 2000334 http://www.medworm.com/index.php?rid=2000333&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1837792%26dopt%3DAbstract Authors: Söderback I, Ekholm J, Caneman G A consecutive series of 195 individuals who had had a stroke or brain trauma in 1986 responded in 1989 to a questionnaire about the consequences of the incident for occupational performance. The questionnaire contained 86 questions organized to correspond to the WHO International Classification of Impairments, Disabilities and Handicaps (ICIDH). The questions were distributed over 11 areas of occupational performance: work, leisure activities/social role, life satisfaction, sensori-motor, perceptual, intellectual, emotional function, sleep, personal care, domestic/housework/gardening, and temporal adaptation. None of the individuals considered they had attained the same level of occupational performance in all 11 areas as before the incide... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000333 Mon, 01 Jul 1991 04:00:00 +0100 2000333 http://www.medworm.com/index.php?rid=2000332&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1837793%26dopt%3DAbstract Authors: Badley EM, Tennant A A population survey with the aim of obtaining information to facilitate the planning of services for younger physically disabled people provided the opportunity to explore the use of physical independence handicap in this context. A Phase 1 sift questionnaire was sent to one in three (25,167) occupied households in Calderdale, a district in Yorkshire, England, with a final 87% response rate. A Phase 2 in-depth interview was carried out on a stratified random sample of those identified as disabled in Phase 1. Interviews were obtained with 570 individuals aged 16-64 years, 93% of those available. The measure of physical independence handicap was derived from data obtained in the interview indicating need for help at infrequent or short intervals and immediat... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000332 Mon, 01 Jul 1991 04:00:00 +0100 2000332 http://www.medworm.com/index.php?rid=2000345&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1757401%26dopt%3DAbstract Authors: Fitzpatrick R, Ziebland S, Jenkinson C, Mowat A, Mowat A Fifty-six patients with rheumatoid arthritis (RA) were assessed on two occasions three months apart. They completed two health status instruments--the Arthritis Impact Measurement Scales (AIMS) and the Nottingham Health Profile (NHP)--and the Beck Depression Inventory. In addition, clinical and serological data were gathered in order to calculate severity of disease according to the Mallya and Mace index. Health status instruments and the severity of disease index showed agreement in the assessment of mobility; similar agreement was found for different assessments of emotions. However, the two instruments provided social interaction scores with little agreement either cross-sectionally or in terms of change over time. It... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000345 Mon, 01 Apr 1991 05:00:00 +0100 2000345 http://www.medworm.com/index.php?rid=2000344&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1757402%26dopt%3DAbstract Authors: Gladman JR, Lomas S, Lincoln NB The provision of rehabilitation for stroke patients discharged from hospital in Nottingham was determined in three ways: a longitudinal study of consecutive stroke patients discharged from hospital, a cross-sectional survey of stroke patients attending physiotherapy (PT) and occupational therapy (OT) outpatient departments (OPDs), and an observational study of patients attending for rehabilitation at day hospitals (DHs) and PT and OT OPDs. In the longitudinal study 17% of patients went to DHs and 20% to OPDs. During the cross-sectional study patients most commonly attended twice weekly. Twenty-four per cent of DH attenders were 18 months post-stroke. In the observational study, the proportion of time spent in therapy was 22% in DHs, 38% in PT OP... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000344 Mon, 01 Apr 1991 05:00:00 +0100 2000344 http://www.medworm.com/index.php?rid=2000343&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1757403%26dopt%3DAbstract This study analyses the proprioceptive effect of wearing a unilateral and then bilateral ankle orthosis on 34 healthy volunteer subjects by posturography. An elastic orthosis with a ligamentous support band was used, and evaluation was performed by a posturographic statokinesimetric platform. Three tests, one without an orthosis, one with one orthosis, and one with two orthoses, were recorded for each volunteer. The results and statistical analyses demonstrated a significant difference in the antero-posterior measurement between the test without ankle orthosis and the tests with one and with two orthoses. This study provides information about the prophylactic effect of wearing a flexible support; it appears that there are important inter-individual variations in postural equilibrium, and t... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000343 Mon, 01 Apr 1991 05:00:00 +0100 2000343 http://www.medworm.com/index.php?rid=2000342&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1757404%26dopt%3DAbstract Authors: Short DJ, Silver JR, Lehr RP An electromyographic investigation of inspiratory respiratory muscles was carried out in six tetraplegic and two normal subjects using needle electrodes. When the normal subjects were using tidal breathing there was no activity present. In the majority of tetraplegic subjects, activity was present in the scalene muscle during tidal breathing. This activity became more marked during deep inspiration. The muscles were hypertrophied and these muscles filled an important respiratory role. PMID: 1757404 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000342 Mon, 01 Apr 1991 05:00:00 +0100 2000342 http://www.medworm.com/index.php?rid=2000341&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1757405%26dopt%3DAbstract This study examined the effect of including trend lines on the visual judgements made from single-subject data. Twenty-four hypothetical single-subject A-B designs were presented to 20 rehabilitation therapists for visual interpretation. The graphs represented traditional single-subject designs, including a baseline and treatment phase. Trend lines were computed and included in both phases of the design as an adjunct to visual analysis. The interrater reliability of the visual judgements was calculated using the intraclass correlation coefficient and ranged from 0.54 to 0.90. The results suggest that adding trend lines to graphed data presented in single-subject designs can improve the consistency of visual judgements. Implications for using adjuncts to graphing data points in single-subje... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000341 Mon, 01 Apr 1991 05:00:00 +0100 2000341 http://www.medworm.com/index.php?rid=2000340&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1757406%26dopt%3DAbstract Authors: Murray-Leslie CF, Jackson A, Oakley-Roberts M The nature, advantages and disadvantages, and cost of a hospital-based self-care unit as part of a rehabilitation service are described. The unit's operational policy is critically examined after analysing the records of 40 patients admitted consecutively over a 2-year period and conducting interviews with 27 patients between 4 and 48 weeks after discharge. It is concluded that, compared with a hospital ward, a self-care unit is inexpensive to run and helps to prevent patients from giving up their homes and being admitted to residential homes prematurely. In addition to an assessment and confidence-building role, the unit provides a more appropriate and acceptable environment for patients waiting housing alteration or rehousing tha... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000340 Mon, 01 Apr 1991 05:00:00 +0100 2000340 http://www.medworm.com/index.php?rid=2000339&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1836786%26dopt%3DAbstract Authors: Nieuwenhuijsen ER, Frey WD, Crews JE This paper describes an outcome-based assessment protocol that is used with older individuals who are blind. The assessment process demonstrates how the ICIDH theoretical model can be adapted to address small gains in rehabilitation outcome. The model also illustrates refinements in the ICIDH scaling to create effectiveness measures. A two-dimensional Functional Assessment Scale for measuring personal performance capacities has been found to be quite useful in determining individual needs, in quantifying small gains in rehabilitation intervention, and in evaluating programme effectiveness. PMID: 1836786 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000339 Mon, 01 Apr 1991 05:00:00 +0100 2000339 http://www.medworm.com/index.php?rid=2000338&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1836787%26dopt%3DAbstract Authors: Collen FM, Wade DT, Robb GF, Bradshaw CM This paper reports on a development of the Rivermead Motor Assessment Gross Function scale, the Rivermead Mobility Index (RMI), a new measure of mobility disability which concentrates on body mobility. An early development included a second scale concentrating on elective mobility, but the results showed this to be unreliable. The RMI comprises a series of 14 questions and one direct observation, and covers a range of activities from turning over in bed to running. Its inter-observer reliability was tested on two groups of patients (n = 23 and 20 respectively) and it is reliable to a limit of 2 points (out of 15). Its validity as a measure of mobility after head injury and stroke was tested by concurrent measurement of mobility using ga... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000338 Mon, 01 Apr 1991 05:00:00 +0100 2000338 http://www.medworm.com/index.php?rid=2000352&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1833371%26dopt%3DAbstract Authors: Mattison PG, Aitken RC, Prescott RJ A total of 364 patients attending day centres for the physically disabled had ERSS and Barthel scores recorded during the course of assessment. In addition, 100 of the patients had PULSES profile scores recorded. Correlation of total scores for all three scales confirmed that all three succeeded in measuring disability and all three were significantly related. There were, however, weak correlations between some of the individual subscales of each score, indicating that each of the assessment tools was measuring some dimensions of disability not adequately considered by the other scales. The results suggest that while progress is being made towards better measurement of disability and handicap, further refinement of these particular measureme... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000352 Tue, 01 Jan 1991 05:00:00 +0100 2000352 http://www.medworm.com/index.php?rid=2000351&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1917796%26dopt%3DAbstract This study examines the relationship between falls, postural sway, stance symmetry, and length of hospital admission after stroke. Side of stroke, age, and sex differences are noted. A consecutive sample of 92 stroke patients underwent two assessments, four months apart, at between two and nine months post-stroke. Measurements of weight distribution and sway were made on the Nottingham Balance Platform. Any falls were recorded. A significant relationship was found between sway values at the first assessment and the number of falls (r = 0.27, p less than 0.01). Sway values improved with recovery (z = 2.9, p less than 0.01). Stance symmetry was significantly related to length of stay (r = 0.27, p less than 0.01) and age (r = 0.28, p less than 0.01), but not to falls. A significant difference... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000351 Tue, 01 Jan 1991 05:00:00 +0100 2000351 http://www.medworm.com/index.php?rid=2000350&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1917797%26dopt%3DAbstract This study stresses the relatively low frequency of long-term immobility following stroke directly due to stroke-induced impairments. PMID: 1917797 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000350 Tue, 01 Jan 1991 05:00:00 +0100 2000350 http://www.medworm.com/index.php?rid=2000349&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1917798%26dopt%3DAbstract Authors: Silver JR, Noori Z Five patients with traumatic spinal injury received a course of oral anticoagulant therapy with warfarin, heparin, or phenindione for 90 days following injury. These patients, on discontinuation of anticoagulant therapy, developed pulmonary embolus; two of these were confirmed by ventilation perfusion lung scintigraphy, and two were confirmed at post-mortem. The reasons for this are discussed, in particular the importance of delayed anticoagulation, obesity, operations, and mobilization in wheelchairs. The implications for further treatment are discussed. PMID: 1917798 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000349 Tue, 01 Jan 1991 05:00:00 +0100 2000349 http://www.medworm.com/index.php?rid=2000348&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1917799%26dopt%3DAbstract Authors: Maryniak O, Ovcharenko A, Pelekh L, Palamarchuk L The World Health Organization has promoted the concept of community-based rehabilitation as a means of fulfilling the needs of disabled persons in their home environment, and at the same time decreasing the costs of tertiary rehabilitative care. This paper reports on the 10-year experience of a village rehabilitation hospital in rural Ukraine. The hospital was converted to a rehabilitation facility by provision of rehabilitation space, training of local medical and allied health personnel in the principles of rehabilitation, provision of modalities, exercise, hydrotherapy, apiotherapy, and obtaining the necessary physical medical equipment. The cost of this conversion was quite modest and was more than compensated for by the ef... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000348 Tue, 01 Jan 1991 05:00:00 +0100 2000348 http://www.medworm.com/index.php?rid=2000347&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1917800%26dopt%3DAbstract Authors: Goodwin J, Flack F, Ellis R A simple movement-analysis system is described which provides a video display of the moving image and an easily-observable EMG signal in the form of a time-synchronized light-emitting-diode (LED) display. Its salient feature is the economic and meaningful way in which both data are displayed simultaneously. Its applications in the field of clinical education and training, in diagnosis, and in rehabilitation are discussed. PMID: 1917800 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000347 Tue, 01 Jan 1991 05:00:00 +0100 2000347 http://www.medworm.com/index.php?rid=2000346&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1917801%26dopt%3DAbstract Authors: Cornes P, Roy CW Only a minority of working-age patients referred to rehabilitation medicine services return to work, but could more be helped? A first step is identifying those potentially able to do so. This paper describes the retrospective application of the Vocational Rehabilitation Index (VRI) to 223 patients of working age and with various diagnoses referred to one rehabilitation medicine service. The VRI discriminates between patients who return to work and those who do not, as well as between groups with apparently differing degrees of need for vocational rehabilitation assistance. It also has good face validity. Results suggest that it is feasible to apply the VRI in rehabilitation medicine settings and that further prospective evaluation and practical applications s... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000346 Tue, 01 Jan 1991 05:00:00 +0100 2000346 http://www.medworm.com/index.php?rid=2000360&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1715852%26dopt%3DAbstract Authors: Reyes MR, Valdecanas CM, Reyes OL, Reyes TM The motor, perceptual, and cognitive abilities of 99 Filipino children, aged 4-6 years with a documented history of malnutrition from a nutritionally depressed area of Manila were determined using the Revised Manila Motor-Perceptual Screening Test. They were classified into four groups of: (1) normal; (2) acutely malnourished; (3) stunted but not malnourished; and (4) chronically malnourished using the Waterlow classification. Thirty-one normal children of comparable ages and background from a nationwide pool were similarly tested and served as the control group. Motor (p = 0.001) and perceptual skill (p less than 0.03 to less than 0.001) scores were significantly lower than in their normal counterparts, especially in the chronically... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000360 Mon, 01 Oct 1990 04:00:00 +0100 2000360 http://www.medworm.com/index.php?rid=2000359&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2103565%26dopt%3DAbstract Authors: Woods BM, Jones RD In 1979 a 30-bed spinal injuries unit was opened at Burwood Hospital in Christchurch, New Zealand. The design of the building included built-in environmental control facilities for tetraplegic patients. This paper outlines 10 years of experience with environmental controls in a hospital setting, and discusses some of the problems encountered. Special mention is made of ease of setting up equipment, patient interface switches, patient acceptance, and a major upgrade and modification of the original control system. Although not utilized as much as originally anticipated, a definite need for environmental controls with the spinal injuries unit has become firmly established. PMID: 2103565 [PubMed - indexed for MEDLINE] (Source: International Disability Studi... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000359 Mon, 01 Oct 1990 04:00:00 +0100 2000359 http://www.medworm.com/index.php?rid=2000358&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2103566%26dopt%3DAbstract Authors: Jones RD, Donaldson IM, Parkin PJ, Coppage SA Graphical analysis procedures have been developed to improve interpretation of sensory-motor tests from individual subjects following acute brain damage. The procedures have been applied to 11 unilateral stroke patients assessed serially over 12 months on a computerized quantitative sensory-motor test battery of which grip strength, arm speed, and tracking have been chosen for illustrative purposes. The results indicate that four graphs are necessary to fully demonstrate neurologic impairment and recovery of each sensory-motor function, although fewer graphs would be satisfactory in some applications. Such analyses have proven valuable in the display of serial performance of individual patients but demonstration of impairment and r... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000358 Mon, 01 Oct 1990 04:00:00 +0100 2000358 http://www.medworm.com/index.php?rid=2000357&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2103567%26dopt%3DAbstract Authors: Drummond A Patients were questioned 40-78 weeks after stroke to ascertain their previous and current levels of leisure participation. The results indicate a decrease with regard to both the number of activities and the frequency of participation when compared to reported pre-stroke leisure activity. PMID: 2103567 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000357 Mon, 01 Oct 1990 04:00:00 +0100 2000357 http://www.medworm.com/index.php?rid=2000356&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2103568%26dopt%3DAbstract We describe a simple and effective method for at-home or community gait testing, ELGAM (extra-laboratory gait assessment method). ELGAM was field-tested as part of a study of 36 community-dwelling elderly in Beer Sheba, Israel. The ELGAM parameters studied included step length, walking speed, initial starting style of walking, ability to turn head while walking, and static balance. Slow walking speed (less than 0.5 m/s), small steps, difficulty in turning the head, and impaired balance were significantly associated (chi-square analyses, p less than 0.01) with unstable gait. The parameters were also positively associated one with another, except for head turning. The ELGAM parameters were significantly related to self-assessed fall frequency, and reported 'near falls' among women only. In a... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000356 Mon, 01 Oct 1990 04:00:00 +0100 2000356 http://www.medworm.com/index.php?rid=2000355&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2103569%26dopt%3DAbstract Authors: Okajima Y, Chino N, Noda Y, Takahashi H Two-dimensional (fore-aft and vertical) acceleration of locomotion was measured in 10 normal subjects and 13 patients with idiopathic olivopontocerebellar atrophy who were ataxic but able to walk without any assistance. Accelerometers were tightly placed on the third lumbar vertebra. Asymmetry and unsmoothness indices of locomotion defined from the line spectra of the accelerometric data were computed. Reproducibility of the indices was checked in the normal subjects and patients. The index values were significantly correlated with visual rating of gait unsteadiness in the patients. The indices for vertical components were significantly increased when subjects walked slowly. Effects of weights and bandages on gait were analysed by the fo... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000355 Mon, 01 Oct 1990 04:00:00 +0100 2000355 http://www.medworm.com/index.php?rid=2000354&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2103570%26dopt%3DAbstract This study suggests that the FAI is appropriate for measuring levels of activity in community-dwelling older people and that such activity is related to current cognitive abilities. PMID: 2103570 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000354 Mon, 01 Oct 1990 04:00:00 +0100 2000354 http://www.medworm.com/index.php?rid=2000353&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2151739%26dopt%3DAbstract Authors: Altman BM, Smith RT The focus of this paper is the opportunity structure for rehabilitation and subsequent outcome for disabled women, in comparison with disabled men. From evidence cited in the literature the differential provision of rehabilitation and other supportive services to disabled women suggests variation in outcome, based on two analytic service utilization models of rehabilitation: medical and psychosocial. Aggregate trend data (1972 and 1978) were used in the analysis of adult disabled groups, by gender and selected disabling conditions. There are two striking results from the analysis of these data sets. One indicates that receipt of rehabilitation is greatly influenced by sociodemographic factors, particularly gender and age. A detailed examination of the combi... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000353 Mon, 01 Oct 1990 04:00:00 +0100 2000353 http://www.medworm.com/index.php?rid=2000367&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2096116%26dopt%3DAbstract This study explored epilepsy-specific stressors, coping strategies used, level of trait anxiety, and perception of health in 107 adults who had had epilepsy for 1 year or longer. 'Need to take medications regularly' and 'Uncertainty about when a seizure will occur' were the stressors subjects ranked highest. 'Try to maintain some control over the situation', 'Hope things will get better', and 'Think through different ways to solve the problem' were the top coping strategies used. Persons who perceived their health as better used more problem-oriented strategies than did those who rated their health as poor. The mean level of trait anxiety was 42.1, which is higher than that for a normal population. Continued studies are needed to more clearly identify stressors experienced at various times... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000367 Sun, 01 Jul 1990 04:00:00 +0100 2000367 http://www.medworm.com/index.php?rid=2000366&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2096117%26dopt%3DAbstract CONCLUSIONS: there is a need to address the problems of anxiety and depression directly by screening and treatment, and to provide more psychologically-orientated cardiac rehabilitation programmes. PMID: 2096117 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000366 Sun, 01 Jul 1990 04:00:00 +0100 2000366 http://www.medworm.com/index.php?rid=2000365&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2096118%26dopt%3DAbstract Authors: Nykvist F, Knuts LR, Alaranta H, Hurme M, Törmä T, Rönnemaa T, Kallio V The study consisted of 276 patients who were hospitalized between 1980 and 1982 because of suspected lumbar disc herniation. No randomization of treatment was used. On the basis of clinical indications 179 patients were operated on and 97 had further conservative treatment. Results of physical, social, and psychological examinations performed after 1 year were related to the 5-year outcome defined by occupation handicap of the WHO system. For operated patients, subjective working incapacity, sensory deficit of leg, tightness of hamstrings, age, and pain in lumbar extension predicted a poor outcome. Predictive factors for non-operated patients were increased occurrence of occupational hazards... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000365 Sun, 01 Jul 1990 04:00:00 +0100 2000365 http://www.medworm.com/index.php?rid=2000364&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2096119%26dopt%3DAbstract This study aimed to examine physical and psychosocial changes after injury in a range of trauma patients. Three groups were selected for comparison purposes: severely head-injured patients, patients with major trauma, and those with minor trauma (n = 102). Outcomes were assessed by questionnaires and inventories administered to a family member or friend of the trauma survivor, approximately 1 year post-injury. Severely head-injured patients were reported to have the greatest degree of difficulty in self-care and mobility, and in community living skills, followed by other major trauma patients and then minor trauma patients. Severely head-injured patients also had relatively more frequent reports of behavioural changes than the other two groups. None the less, more than half of the major tr... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000364 Sun, 01 Jul 1990 04:00:00 +0100 2000364 http://www.medworm.com/index.php?rid=2000363&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2096120%26dopt%3DAbstract Authors: Friedman PJ We prospectively evaluated gait recovery in 197 elderly subjects after hemiplegic stroke by measuring serial walking speed. Fifty-seven per cent of subjects (113/197) could not walk without human assistance on day 7 post-stroke. About 40% of this group achieved gait independence at months 1, 2, 3, and 4 post-stroke. In contrast, about 95% of those walking on day 7 maintained gait independence 1, 2, 3, and 4 months post-stroke. Using multiple logistic regression, the best predictors of independent ambulation among the 113 subjects not walking on day 7 were age, line bisection error, and leg power. PMID: 2096120 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000363 Sun, 01 Jul 1990 04:00:00 +0100 2000363 http://www.medworm.com/index.php?rid=2000362&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2096121%26dopt%3DAbstract CONCLUSIONS: letter and star cancellation offer an adequate yet brief screening test for determining which patients might benefit from administration of the complete neglect test battery. PMID: 2096121 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000362 Sun, 01 Jul 1990 04:00:00 +0100 2000362 http://www.medworm.com/index.php?rid=2000361&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2151390%26dopt%3DAbstract Authors: Chermak GD Disability has emerged as a major public health problem worldwide, common to nations presenting disparate levels of socioeconomic development. Failure to integrate social welfare programmes within national development planning exacerbates difficulties arising from limited resources, with a disproportionate impact on disabled persons and other vulnerable groups. Such policy failure allows flagrant inequalities and social injustice to persist. Strategies are emerging, however, that are useful for solving common international problems. Community-based disability prevention and rehabilitation is one emerging solution that has attracted considerable attention worldwide, including in the United States. Following a review of global estimates of disability, which reveal the... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000361 Sun, 01 Jul 1990 04:00:00 +0100 2000361 http://www.medworm.com/index.php?rid=2000377&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D1701425%26dopt%3DAbstract Authors: Ager A The need for early intervention with regard to children with developmental disabilities is of increasingly universal relevance. The means adopted in pursuit of this end will, however, vary appropriately across cultures. All intervention programmes will inevitably share many features in common, but to be truly effective, programmes need to take into account circumstances in the locality in which they operate. This notion is frequently paid 'lip-service', but many programmes across the globe still retain the essential character of services developed in the context of Europe or North America. What is required is a radical appreciation of the importance of service programmes reflecting the structure and functions of indigenous culture. A concept useful in this regard is tha... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000377 Sun, 01 Apr 1990 05:00:00 +0100 2000377 http://www.medworm.com/index.php?rid=2000376&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2147675%26dopt%3DAbstract Authors: Badley EM, Tennant A, Wood PH Two approaches to the ascertainment of physical independence handicap have been explored using data from a survey of disablement in the population. The survey used a two-stage methodology with an initial postal shift to ascertain those with selected disabilities, a stratified random sample of whom were followed-up with an in-depth interview. The first approach to handicap was direct ascertainment of the scale categories by means of a question in the interview schedule. The second approach was to synthesize the scale categories from the answers to interview questions about disabilities in activities of daily living and other relevant factors. The final synthesized algorithm gave a 75% match within one scale point with the direct question and 85% ag... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000376 Sun, 01 Apr 1990 05:00:00 +0100 2000376 http://www.medworm.com/index.php?rid=2000375&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2147676%26dopt%3DAbstract Authors: Diderichsen J, Ferngren H, Hansen FJ, Lindman C, Kallio T, Lagergren J, Lou H, Sjögren O The handicap section of the ICIDH was developed with the experience of adults in mind. In its original form the H Code is not immediately applicable to young children with disabilities. The Classification Group of the Nordic Neuropediatric Association has developed an adaptation of the H Code for use in children aged 6-7 years, and the adaptation is presented in this paper. PMID: 2147676 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000375 Sun, 01 Apr 1990 05:00:00 +0100 2000375 http://www.medworm.com/index.php?rid=2000374&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2147677%26dopt%3DAbstract CONCLUSIONS: reliability of assessments of most of the categories considered was reliable; in two categories the reliability was poor, and the categories were modified. PMID: 2147677 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000374 Sun, 01 Apr 1990 05:00:00 +0100 2000374 http://www.medworm.com/index.php?rid=2000373&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2254233%26dopt%3DAbstract This report describes the reasons given by group leaders for wanting to start such groups and analyses what was discussed in them. The observations reported suggest that the groups provided social-psychological support. PMID: 2254233 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000373 Sun, 01 Apr 1990 05:00:00 +0100 2000373 http://www.medworm.com/index.php?rid=2000372&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2254234%26dopt%3DAbstract Authors: Líndal E Factors pertaining to post-surgical rehabilitation were investigated. These included personality, mental, and pain issues. The investigation covered the first year of bypass operations. SUBJECTS: 60 patients undergoing coronary artery bypass graft (CABE) operations. INSTRUMENTS: a questionnaire, a personality inventory (MMPI), and a test of mental status (Raven's). The questionnaire was first administered a few days before and then after surgery and then repeated at intervals of 3, 6, and 12 months after surgery. RESULTS: 76% were within normal limits on the Raven while 54% of those tested had significant depression. Both the depressed patients' dates of surgery and their ages were evenly distributed, and no significant differences were found between these and th... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000372 Sun, 01 Apr 1990 05:00:00 +0100 2000372 http://www.medworm.com/index.php?rid=2000371&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2254235%26dopt%3DAbstract CONCLUSIONS: elderly blind patients with motor impairments should be offered a trial by physical rehabilitation. PMID: 2254235 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000371 Sun, 01 Apr 1990 05:00:00 +0100 2000371 http://www.medworm.com/index.php?rid=2000370&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2254236%26dopt%3DAbstract Authors: Annoni JM, Ackermann D, Kesselring J Dynamic spirometry was examined in 23 non-smoking hemiplegic patients after the acute phase. The decrease of slow inspiratory forced capacity is related to motor impairment and does not vary with time. The forced inspiratory and expiratory vital capacities are similar to the slow inspiratory vital capacity in the first 6 months of the disease, but significantly decrease later independent of the motor impairment. The peak expiratory flow is highly variable but is clearly decreased, and is related to motor impairment. These results point to a restrictive respiratory syndrome due to mechanical limitation of thorax excursions caused by weakness, hypotonicity, and incoordination of the trunk musculature. The importance of long-term physiotherapy... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000370 Sun, 01 Apr 1990 05:00:00 +0100 2000370 http://www.medworm.com/index.php?rid=2000369&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2254237%26dopt%3DAbstract CONCLUSIONS: opportunities for preventive initiatives have not always been grasped, and more attention should be directed to such possibilities. PMID: 2254237 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000369 Sun, 01 Apr 1990 05:00:00 +0100 2000369 http://www.medworm.com/index.php?rid=2000368&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2254238%26dopt%3DAbstract Authors: Pentland B PMID: 2254238 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000368 Sun, 01 Apr 1990 05:00:00 +0100 2000368 http://www.medworm.com/index.php?rid=2000387&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2145257%26dopt%3DAbstract Authors: Lundgren-Lindquist B, Jette AM This paper draws on a unique longitudinal study, '70-year-old people in Gothenburg, Sweden', to augment available knowledge of the incidence of physical disability in an ageing cohort. Among women the incidence of mobility disability was 0.12 between age 70 and 75 years, and 0.19 from age 75 to 79 years. One in 10 males became mobility disabled from age 70 to 75 years while the risk increased to 0.18 between age 75 and 79 years. Cohort members disabled at age 70 years were at significantly increased risk of dying by age 79 years compared with their non-disabled counterparts. The data were consistent with other research revealing a substantial annual risk of disability or death for people in their eighth decade of life. PMID: 2145257 [PubMed -... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000387 Mon, 01 Jan 1990 05:00:00 +0100 2000387 http://www.medworm.com/index.php?rid=2000386&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2145258%26dopt%3DAbstract In this study the instrument was used to screen the functional status and perceived problems of 284 rehabilitation patients. The mean time needed for assignment was 3 min (range 1-6). Computer software was developed, which permitted easy comparison of disabilities versus the related problems in individuals and at group level. PMID: 2145258 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000386 Mon, 01 Jan 1990 05:00:00 +0100 2000386 http://www.medworm.com/index.php?rid=2000385&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2145259%26dopt%3DAbstract This study shows that in a teaching hospital very satisfactory inter-rater and intra-rater reliabilities using a short instrument based on the D Code of the ICIDH can be achieved. It can therefore be recommended as a method for global disability rating. PMID: 2145259 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000385 Mon, 01 Jan 1990 05:00:00 +0100 2000385 http://www.medworm.com/index.php?rid=2000384&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2145260%26dopt%3DAbstract Authors: Vetter NJ, Lewis PA, Ford D A total of 2705 people aged 60 years and over were sent a postal questionnaire requesting information about the symptoms of four common conditions--exertional chest pain, chronic productive cough, breathlessness, and exertional pain in the calves. These were elicited using a standardized questionnaire. The effect of these symptoms on the dependence of those suffering them was assessed in relation to a series of activities associated with normal daily living. There was a consistent rank order in the activities that people were unable to perform for the different symptoms studied, but this order altered with increasing severity and multiple symptoms. There was a consistency about the activities which changed order. It is suggested that symptoms and th... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000384 Mon, 01 Jan 1990 05:00:00 +0100 2000384 http://www.medworm.com/index.php?rid=2000383&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2145261%26dopt%3DAbstract Authors: Robinson N Little work has been carried out on diabetes and disability. A questionnaire survey on the employment of people with diabetes aged 17-65 years was carried out in the UK. Data were also collected from a questionnaire sent to a random sample of employers. A comparison between those diabetic patients registered as disabled and those not so registered showed that men were more likely to be registered than women. The disabled group were also older, lower down the social scale, more likely to rent their house, to have left school before the age of 17 years, and to live in the north of the country. Significantly fewer disabled patients were currently working compared with those not registered as disabled (30% versus 65%, p less than 0.0001). Registered disabled patients wh... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000383 Mon, 01 Jan 1990 05:00:00 +0100 2000383 http://www.medworm.com/index.php?rid=2000382&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2211465%26dopt%3DAbstract Authors: Roth EJ, Merbitz CT, Grip JC, Bogolub M, Mroczek K, Dugan S, Donadio K A portable microprocessor-based device, the timer-logger-communicator (TLC), was adapted and connected to footswitches to monitor and record temporal gait parameters in 25 hemiplegic and 30 normal subjects. Controls walked at 1.36 m/s with symmetric gait. Hemiplegic subjects had a mean walking speed of 0.43 m/s, asymmetric gait, and varying proportions of time spent in each phase, consistent with previously reported gait parameters. Trends in objective gait measures more closely paralleled trends in functional ambulation classification than in Brunnstrom motor recovery stages. The TLC gait monitor is a useful instrument to measure temporal parameters of gait in the clinical setting. PMID: 2211465 [PubMe... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000382 Mon, 01 Jan 1990 05:00:00 +0100 2000382 http://www.medworm.com/index.php?rid=2000381&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2211466%26dopt%3DAbstract Authors: Cornes P The Vocational Rehabilitation Index (VRI) is an easily administered, seven-item, ordinally scaled assessment, developed from analysis of variables associated with early return to work in a representative sample of 194 persons who received compensation for injuries at work or in road traffic accidents. The VRI discriminates between persons who return to work and those who do not. It can be used to identify, amongst non-returners, those whose return to work might be assisted by referral to rehabilitation. It may also indicate the kind of assistance that would be most helpful. PMID: 2211466 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000381 Mon, 01 Jan 1990 05:00:00 +0100 2000381 http://www.medworm.com/index.php?rid=2000380&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2211467%26dopt%3DAbstract Authors: Walker MF, Lincoln NB A group of stroke patients were assessed over four occasions using the Nottingham stroke dressing assessment. A similar pattern of difficulty in dressing was found for both males and females. The consistency of ordering of problems was highly significantly correlated in each of the four assessments. PMID: 2211467 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000380 Mon, 01 Jan 1990 05:00:00 +0100 2000380 http://www.medworm.com/index.php?rid=2000379&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2211468%26dopt%3DAbstract Authors: Collen FM, Wade DT, Bradshaw CM This paper investigates the reliability of six measures of impairment and disability related to mobility after stroke: the Rivermead Motor Assessment (RMA, gross function subsection); gait speed (over 5 and 10 m); the motricity index (leg scores only); functional ambulation categories; sitting to standing (by observation); and mobility categories. Twenty-five patients who had suffered a stroke 2-6 years earlier leaving them with mobility disability were seen as part of a home-based physiotherapy trial. Assessments were made by three people on three occasions over 5 weeks. All six measures were reliable in statistical terms. A variation in gait speed of up to 25% and a difference of 3 points in the RMA were the actual limits of reliability. P... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000379 Mon, 01 Jan 1990 05:00:00 +0100 2000379 http://www.medworm.com/index.php?rid=2000378&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2268383%26dopt%3DAbstract Authors: Jones LE A study has been made of lower limb amputation statistics from morbidity data from the State Health Departments in New South Wales, Queensland, and Western Australia. The incidence of lower limb amputation in these three States was 22.6 in 1981, 22.5 in 1983, and 23.6 in 1984. Incidence was lowest in New South Wales and highest in Western Australia. Below-knee amputation was more common than above-knee except in Western Australia in the years 1981 and 1983. Males had slightly more amputations than females. Incidence increased steadily with age, rising rapidly after 55 years. Vascular disease was the most common cause of major amputation. Of malignancies, skin cancers, both malignant melanoma and other forms, were causes of major and minor amputations in addition to bo... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000378 Mon, 01 Jan 1990 05:00:00 +0100 2000378 http://www.medworm.com/index.php?rid=2000397&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2518366%26dopt%3DAbstract Authors: Forster A, Young J Geriatric day hospitals are commonly used in the rehabilitation of stroke. However, there is little objective evidence about its effect for this condition. The potential advantages and disadvantages are finely balanced and further research, including cost-effectiveness analysis, is needed to define more clearly the role of this expensive facility. PMID: 2518366 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000397 Sun, 01 Oct 1989 04:00:00 +0100 2000397 http://www.medworm.com/index.php?rid=2000396&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2534963%26dopt%3DAbstract Authors: Mitchell RA, Zhuo DH, Watts GH A study based on the WHO model of community-based rehabilitation in Guangzhou City, China, is described. Preliminary epidemiological data are reported, and compared with analogous data from Korea, Vietnam, Malaysia, Mexico, Indonesia, and Pakistan. Confidence levels for estimates of the prevalence of limb dysfunction, visual dysfunction, hearing and/or speech dysfunction, and mental retardation are also reported. PMID: 2534963 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000396 Sun, 01 Oct 1989 04:00:00 +0100 2000396 http://www.medworm.com/index.php?rid=2000395&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2577125%26dopt%3DAbstract This report describes how the difficulties were surmounted, and how the National Technical Centre then proceeded to undertake activities to extend awareness of the ICIDH. The impact of the classification is reviewed, and applications in social administration, rehabilitation and geriatrics, epidemiological surveys, and education and training are discussed. In 1989 the National Centre was appointed as a WHO collaborating centre for the ICIDH, and future aims are described. PMID: 2577125 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000395 Sun, 01 Oct 1989 04:00:00 +0100 2000395 http://www.medworm.com/index.php?rid=2000394&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2641942%26dopt%3DAbstract Authors: Lincoln NB, Gamlen R, Thomason H Stroke patients were observed in hospital over 3 days and their behaviour recorded. Patients were observed to spend a high proportion of their time inactive and solitary. This occurred most frequently in the ward day-room and reception area. There was little variation throughout the day in the distribution of different behaviours. The results indicate that on a stroke unit, designed to provide intensive rehabilitation, patients spend much of their time in non-therapeutic activities. PMID: 2641942 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000394 Sun, 01 Oct 1989 04:00:00 +0100 2000394 http://www.medworm.com/index.php?rid=2000393&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2641943%26dopt%3DAbstract Authors: Williams SJ This paper offers an overview of problems involved in assessing respiratory disablement. Health status and quality of life research have become of increasing importance but critical gaps remain, especially in relation to the multidimensional consequences of chronic obstructive airways disease (COAD). It is argued that much existing psychosocial research has been long on the 'psycho' and short on the wider social consequences and dimensions of respiratory disablement. Many general measures of quality of life and disability are not well suited to assessment of these problems. There is a need to supplement general instruments with more disease-specific measures--many for breathlessness, the most disabling symptom of COAD, have been crude and insensitive. There is also... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000393 Sun, 01 Oct 1989 04:00:00 +0100 2000393 http://www.medworm.com/index.php?rid=2000392&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2641944%26dopt%3DAbstract Authors: Datta D, Kingston J, Ronald J Experience of myoelectric prostheses for unilateral below-elbow amputees in a large region of Great Britain is presented. Of the cases considered, 14 were adults and 29 were 16 years of age or less. The rejection rate was 25% overall but it was lower in adults, at 17%. Comparisons with published data and other aspects of myoelectric prostheses are discussed. Just over half the 37 amputees interviewed were independent in activities of daily living; independence was more common in the adults, at 77%. A very large proportion of myoelectric prosthesis users also used body-powered prostheses, demonstrating a need for both types of prosthesis for optimum rehabilitation. It is recommended that myoelectric prosthetic programmes should be carried out from ... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000392 Sun, 01 Oct 1989 04:00:00 +0100 2000392 http://www.medworm.com/index.php?rid=2000391&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2641945%26dopt%3DAbstract Authors: Ibrahim SS Vaccination against poliomyelitis in Egypt is described, including a historical perspective. Mass vaccination programmes have significantly reduced the incidence of the diseases, although it is far from being eradicated. Much disability has been prevented, though more work is needed to verify seroconversion rates in children after vaccination and to clarify the effect of environmental factors on success. PMID: 2641945 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000391 Sun, 01 Oct 1989 04:00:00 +0100 2000391 http://www.medworm.com/index.php?rid=2000390&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2641946%26dopt%3DAbstract Authors: Drewes AM, Olsson AT, Slot O, Andreasen A A follow-up study of 58 patients with spinal cord injury was conducted. As measure of function the Barthel index was used. There was correlation between functional capacity and ability of self-care as well as some social determinants. However, no association was found with employment rate or certain other determinants of independent living, such as going on a holiday. We conclude that the severity of the lesion is a fundamental factor in determining the outcome, but factors related to personal and psychosocial variables, not easily measured, also have great influence on the rehabilitation process. PMID: 2641946 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000390 Sun, 01 Oct 1989 04:00:00 +0100 2000390 http://www.medworm.com/index.php?rid=2000389&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2641947%26dopt%3DAbstract Authors: Eldar R, Ring H This paper considers an old topic from a newer perspective, that of current management theory. A high degree of differentiation is intrinsic to most rehabilitation inpatient facilities. At Loewenstein, patients are accommodated according to medical categories in purpose departments, of which medical and nursing staff are a part. Allied health professionals are organized in functional departments. Care is provided by a team derived from both types of department. A matrix organization is thus established, superimposing a patient care team (for lateral horizontal co-ordination) on the organization of functional departments (for vertical hierarchical co-ordination) and built around a temporary project, the individual patient. This organizational structure maximizes... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000389 Sun, 01 Oct 1989 04:00:00 +0100 2000389 http://www.medworm.com/index.php?rid=2000388&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2701823%26dopt%3DAbstract Authors: Crow JL, Lincoln NB, Nouri FM, De Weerdt W The study was designed to evaluate the effect of electromyographic (EMG) biofeedback on the recovery of arm function after stroke. Patients who had impaired arm function and were between 2 and 8 weeks after stroke were randomly allocated to receive either treatment incorporating EMG biofeedback or a control treatment in addition to their routine physiotherapy. The two groups of 20 patients were compared before and after 6 weeks of treatment and at follow-up 6 weeks later. There were no significant differences between the groups before treatment or at follow-up, but at the end of treatment those who received EMG biofeedback scored significantly higher on tests of arm function. Patients with severe impairment were shown to benefit most ... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000388 Sun, 01 Oct 1989 04:00:00 +0100 2000388 http://www.medworm.com/index.php?rid=2000405&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2517504%26dopt%3DAbstract Authors: Durance JP, Warren WK, Kerbel DB, Stroud TW The components of three different rehabilitation programmes were analysed to determine the factors that influence functional outcomes and prosthetic costs. Age and additional health problems showed little relationship to inpatient activity level while the physical health status score had a significant relationship. The level of expectation in the rehabilitation programmes for walking independently with canes or without aids at discharge was shown to have a strong influence on the activity level attained and the length of rehabilitation stay. The style of socket did not appear to affect fitting success but had some effect on the efficiency of the prosthetic fitting process and the length of stay. PMID: 2517504 [PubMed - indexed fo... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000405 Sat, 01 Jul 1989 04:00:00 +0100 2000405 http://www.medworm.com/index.php?rid=2000404&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2534514%26dopt%3DAbstract Authors: Charpentier P The case dossiers of 950 patients attending a rehabilitation centre were reviewed to permit appraisal of the value of the ICIDH for monitoring changes in disablement status under treatment. The approach was valuable for identifying people in need of rehabilitation services and for evaluating the care dispensed to such individuals. Certain problems in application of the ICIDH in practice are noted. PMID: 2534514 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000404 Sat, 01 Jul 1989 04:00:00 +0100 2000404 http://www.medworm.com/index.php?rid=2000403&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2534515%26dopt%3DAbstract Authors: Speakman HG The ATDPs have been the instruments most commonly used for the measurement of attitudes toward disabled persons. However, it has become increasingly apparent that these scales have serious shortcomings and that a new scale is due. A New Scale was developed for the purpose of measuring attitudes towards permanently and seriously physically disabled adults. The subjects used for the development of this scale consisted of students studying for a Bachelor of Science degree in physiotherapy. The scale has 50 scored statements and 25 interest statements. The scored statements were created so that they could not be answered on the basis of factual knowledge, and would be difficult to answer on the basis of remembered experience and reasonable argument. The interest statem... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000403 Sat, 01 Jul 1989 04:00:00 +0100 2000403 http://www.medworm.com/index.php?rid=2000402&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2634675%26dopt%3DAbstract Authors: Hartung GH, Kelly SM, Okamoto GA A description of a unique programme designed to train and support hospital-based rehabilitation generalists on remote Pacific islands is presented. The rationale for the training is discussed, the curriculum is described and the outcomes thus far are presented. The programme consists mainly of on-site training of indigenous health personnel centred around mobility aspects of physical rehabilitation. The project has been successful in enhancing local capabilities to deal with the needs of acutely and chronically disabled persons and reducing the need for off-island referrals. PMID: 2634675 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000402 Sat, 01 Jul 1989 04:00:00 +0100 2000402 http://www.medworm.com/index.php?rid=2000401&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2634676%26dopt%3DAbstract CONCLUSIONS: Many patients are reluctant to see the DRO. Only a minority either attend or find work on referral. A modified system is needed to improve the employment prospects of patients with locomotor disorders. PMID: 2634676 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000401 Sat, 01 Jul 1989 04:00:00 +0100 2000401 http://www.medworm.com/index.php?rid=2000400&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2634677%26dopt%3DAbstract Authors: Williams SJ, Bury MR Chronic obstructive airways disease (COAD) is a major, though neglected, medical and social problem in the United Kingdom today. Dyspnoea is one of the most distressing and disabling symptoms of COAD, which is itself the largest single cause of absence from work in the United Kingdom. This paper reports on 92 patients suffering from COAD, who were interviewed in order to assess impairment, disability and handicap, and a smaller subsample of 24 of these patients who were followed-up using open-ended, semi-structured, tape-recorded interviews in order to cover in more detail some of the issues raised in the first quantitative stage of the study. Low correlations were found between lung function and disability (-0.38 p less than 0.001), accounting for only 14... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000400 Sat, 01 Jul 1989 04:00:00 +0100 2000400 http://www.medworm.com/index.php?rid=2000399&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2634678%26dopt%3DAbstract Authors: Jeppsson-Grassman E The study (n = 261) focused on employment chances of Swedish visually impaired persons aged 25-45 years at the onset of their visual impairment, and who were employed at that time. It concerned persons who became visually impaired after 1974, the year when the Act on Security of Employment was passed. Although the Act has had an impact on employment opportunities, it is, however, no guarantee per se. Factors in the work environment accounted for improved chances of keeping the pre-disability employment. Individual factors were decisive in a person's chances of obtaining new employment. The least competitive groups of visually impaired were, in spite of the law, 'eliminated' from the labour market. PMID: 2634678 [PubMed - indexed for MEDLINE] (Source: In... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000399 Sat, 01 Jul 1989 04:00:00 +0100 2000399 http://www.medworm.com/index.php?rid=2000398&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2634679%26dopt%3DAbstract Authors: Ebrahim S PMID: 2634679 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000398 Sat, 01 Jul 1989 04:00:00 +0100 2000398 http://www.medworm.com/index.php?rid=2000416&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2534310%26dopt%3DAbstract Authors: Williams GH This review paper uses three recent publications from Independent Living Research Utilisation in Texas as an opportunity for examining social and cultural differences between USA and Great Britain in their responses to disablement. The paper suggests that there is much to admire in the voluntarism of political life in the USA, but that the social disadvantages experienced by many disabled people require a consistent public commitment to provide the resources necessary for living independently. PMID: 2534310 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000416 Sat, 01 Apr 1989 05:00:00 +0100 2000416 http://www.medworm.com/index.php?rid=2000415&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2534311%26dopt%3DAbstract Authors: Periquet AO Rehabilitation in the Philippines has in the past been based on the Western model, with an emphasis on hospital departments located in the major cities. This approach is inappropriate for the majority of disabled people in the Republic as 70% of the population live in rural areas. A community-based programme was devised using local volunteers who had simple training. These volunteers can identify and support disabled people in their own villages, avoiding long journeys and expensive institutional care. PMID: 2534311 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000415 Sat, 01 Apr 1989 05:00:00 +0100 2000415 http://www.medworm.com/index.php?rid=2000414&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2534312%26dopt%3DAbstract We report the purpose of this facility and the effects of day-care programmes. PMID: 2534312 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000414 Sat, 01 Apr 1989 05:00:00 +0100 2000414 http://www.medworm.com/index.php?rid=2000413&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2630551%26dopt%3DAbstract Authors: Kollegger H, Zeiler K, Oder W, Dal-Bianco P, Schmidbauer M, Deecke L Seventy-two adult patients suffering spontaneous subarachnoid haemorrhage (SAH) were investigated concerning early mortality. Five patients died within 3 weeks after the onset of clinical symptoms. A demonstrable bleeding source and a Hunt-Hess score greater than 2 were found to be powerful predictive factors for early mortality. Sixty-seven survivors of SAH were examined at an average of 85 months after their first bleeding with regard to working capacity. Various clinical variables and different rating scales during the acute and subacute stage of SAH were identified retrospectively, and their prognostic value for working capacity was investigated. We found that all clinical features at the acute stage of S... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000413 Sat, 01 Apr 1989 05:00:00 +0100 2000413 http://www.medworm.com/index.php?rid=2000412&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2630552%26dopt%3DAbstract Authors: Nykvist F, Hurme M, Alaranta H, Einola S The study consists of 276 patients who were hospitalized between 1980 and 1982 because of suspected lumbar disc herniation. Treatment choice was based on clinical indications only; no randomization was used. A total of 179 patients were treated surgically and 97 had continued conservative treatment. Both groups were followed-up 1 and 5 years later. Five-year follow-up results showed that 68% of operated patients still had pain in sciatic distribution and 21% were retired. Re-operation frequency was 13.8%. Of non-operated patients, 82% still had sciatica and 26% were retired. Reasons for outcome differences between the study groups are discussed. PMID: 2630552 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000412 Sat, 01 Apr 1989 05:00:00 +0100 2000412 http://www.medworm.com/index.php?rid=2000411&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2630553%26dopt%3DAbstract Authors: Sweeney GM, Harrison RA, Clarke AK This paper describes a study to establish values for gradients which could be achieved by wheelchair users whilst using two different lengths of otherwise identical portable ramps. Sixty subjects each tested gradients of between 1:14 and 1:6 on portable ramps of 1 metre and 1.8 metres length. The results demonstrated that the majority of attendant-propelled, self-propelling, and powered wheelchair users could negotiate gradients of 1:8 and 1:6 on the shorter ramp with varying degrees of effort. A gradient of 1:10 on a short ramp presented few difficulties for the majority of wheelchair users. Although this work relates specifically to portable ramps, there is little to suggest that the results could not be applied to permanent ramps, includin... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000411 Sat, 01 Apr 1989 05:00:00 +0100 2000411 http://www.medworm.com/index.php?rid=2000410&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2630554%26dopt%3DAbstract Authors: Balogun JA, Martin DA, Clendenin MA Controversy exists in the literature as to the accuracy of the formulae used in predicting oxygen consumption (VO2) during level walking. The purpose of this study was to develop an equation for use at speeds of 54-130 m min-1. The VO2 and energy expenditure (EE) of 25 healthy subjects were measured while walking on a level, motor-driven treadmill at four varying speeds (54, 81, 107 and 130 m min-1). The regression analyses revealed that a quadratic model was a better predictor (p less than 0.05) of both the VO2 and EE than a linear model. The quadratic equation relating VO2 and EE to walking speed (X) is as follows: VO2 (ml kg-1 min-1) = 17.77 - 0.3023X(m min-1) + 0.0027X2 (R2 = 0.935, SEE = 1.5) EE (kcal min-1) = 6.14 - 0.1076X (m min-1) +... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000410 Sat, 01 Apr 1989 05:00:00 +0100 2000410 http://www.medworm.com/index.php?rid=2000409&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2630555%26dopt%3DAbstract In conclusion, SCI is usually accompanied by considerable sexual dysfunction, but most patients are still capable of functioning sexually. Thus, in the rehabilitation process after SCI, sexual counselling and information may be valuable. PMID: 2630555 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000409 Sat, 01 Apr 1989 05:00:00 +0100 2000409 http://www.medworm.com/index.php?rid=2000408&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2630556%26dopt%3DAbstract Authors: Monks J This paper examines the various ways in which symptoms of chronic illness may be experienced. With particular reference to fatigue in multiple sclerosis, it discusses how the conceptualization of symptoms as discrete entities requiring targeted action (common in much current writing on chronic illness) is only one form in which physical disorder may be recognized by those directly affected, and one which probably applies little in the course of everyday life. The paper draws attention to the significance of personal and social context in symptom definition and to the implications for the measurement of symptoms and for advice to patients on management. PMID: 2630556 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000408 Sat, 01 Apr 1989 05:00:00 +0100 2000408 http://www.medworm.com/index.php?rid=2000407&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2630557%26dopt%3DAbstract Authors: Rigby AS, Rudolfer SM, Badley EM, Brayshaw NC We investigated the relationship between impairment, as represented by limitation in range of movement and pain in the knee joint, and disability as measured by a series of activities of daily living in 123 patients with either rheumatoid arthritis or osteoarthrosis. A log-linear modelling technique found there was a positive association between functional limitation, as measured by reduction in angle of flexion, and disability. However, there was only a marginal relationship between pain in the knee joint and disability, and no association between pain and range of movement, which suggests that conventional beliefs that pain is a key factor in assessing health outcomes may need to be reassessed. PMID: 2630557 [PubMed - indexed... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000407 Sat, 01 Apr 1989 05:00:00 +0100 2000407 http://www.medworm.com/index.php?rid=2000406&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2698395%26dopt%3DAbstract Authors: Wade DT This is a review of the problems of assessing impairments and disabilities affecting the arm after stroke, and of the various published measures already available. In routine clinical practice, motor impairment is best assessed using grip strength or the Motricity Index, and dexterity disability is best assessed using the Nine-Hole Peg Test or Ten-Hole Peg Test. No measures of sensation and tone are specifically recommended, primarily because validity and reliability has not been well established for the measures available. Other more complex tests appropriate for more detailed use in planning treatment or in research are discussed. PMID: 2698395 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000406 Sat, 01 Apr 1989 05:00:00 +0100 2000406 http://www.medworm.com/index.php?rid=2000420&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2768138%26dopt%3DAbstract Authors: McLay P A survey of 15 members of branches of the Parkinson's Disease Society was undertaken by a medical student as part of a course in social medicine. Most of the individuals had given up driving a car but only a third of the group had notified the Driving and Vehicle Licensing Centre of their disorder, which they are required to do; similarly, most had neglected to inform their insurance companies of the diagnosis. Four people admitted that Parkinson's disease had been a contributory factor in an accident involving another vehicle, and anxiety over being a hazard was admitted by most of the group. Giving up driving exacerbated the premature social ageing encountered in Parkinson's disease, and those afflicted should be encouraged to liaise more closely with arrangements fo... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000420 Sun, 01 Jan 1989 05:00:00 +0100 2000420 http://www.medworm.com/index.php?rid=2000419&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2768139%26dopt%3DAbstract Authors: Pentland B PMID: 2768139 [PubMed - indexed for MEDLINE] (Source: International Disability Studies) International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000419 Sun, 01 Jan 1989 05:00:00 +0100 2000419 http://www.medworm.com/index.php?rid=2000418&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2768140%26dopt%3DAbstract Authors: Kinsella G, Ford B, Moran C A retrospective search through the medical records at a rehabilitation hospital in Melbourne, Australia, identified 38 subjects (within the age range 19-34 years) suffering the effect of a severe closed-head injury 2-10 years post-trauma. In regard to social relationships, availability of post-trauma close attachment figures and looser social networks were markedly reduced for the head-injured group in relation to a matched community control group. However, they did not generally perceive these social relationships as inadequate when compared to a normal control sample. Moreover, within the head-injured group the perception of inadequate social relationships was not significantly associated with minor psychiatric disturbance. The implications of the... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000418 Sun, 01 Jan 1989 05:00:00 +0100 2000418 http://www.medworm.com/index.php?rid=2000417&cid=s_38177_179_f&fid=38177&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D2788640%26dopt%3DAbstract Authors: Girgis FL, Parry CB The authors report on a series of patients with severely painful disorders of peripheral nerves--they review the modern theories on the nature of causalgia and reflex sympathetic dystrophy. Peripheral causes include spontaneous discharges from neuroma sprouts, their sensitivity to adrenergic compounds, ectopic generator activity in abnormally myelinated fires and increased firing in dorsal root ganglia. Central causes include spontaneous activity of deafferented nerves in the dorsal horn and development of response to new receptive fields. The natural history of such disorders is poor--many patients suffering pain for 10 years or more--the clinical picture is characterized by spontaneous burning pain and allodynia and hyperpathia, chronicity, osteoporosis, ... International Disability Studies journals http://www.medworm.com/rss/comments.php?id=2000417 Sun, 01 Jan 1989 05:00:00 +0100 2000417