1
|
Yu H, Southerst D, Wong JJ, Verville L, Connell G, Ead L, Mior S, Hestbaek L, Swain M, Brunton G, Shearer HM, Papaconstantinou E, To D, Germann D, Pohlman K, Cedraschi C, Cancelliere C. Rehabilitation of back pain in the pediatric population: a mixed studies systematic review. Chiropr Man Therap 2024; 32:14. [PMID: 38720355 PMCID: PMC11080233 DOI: 10.1186/s12998-024-00538-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2024] [Accepted: 04/26/2024] [Indexed: 05/12/2024] Open
Abstract
BACKGROUND A significant proportion of children and adolescents experience back pain. However, a comprehensive systematic review on the effectiveness of rehabilitation interventions is lacking. OBJECTIVES To evaluate benefits and harms of rehabilitation interventions for non-specific low back pain (LBP) or thoracic spine pain in the pediatric population. METHODS Seven bibliographic electronic databases were searched from inception to June 16, 2023. Moreover, reference lists of relevant studies and systematic reviews, three targeted websites, and the WHO International Clinical Trials Registry Platform were searched. Paired reviewers independently conducted screening, assessed risk of bias, and extracted data related to study characteristics, methodology, subjects, and results. Certainty of evidence was evaluated based on the GRADE approach. RESULTS We screened 8461 citations and 307 full-text articles. Ten quantitative studies (i.e., 8 RCTs, 2 non-randomized clinical trials) and one qualitative study were included. With very low to moderate certainty evidence, in adolescents with LBP, spinal manipulation (1-2 sessions/week over 12 weeks, 1 RCT) plus exercise may be associated with a greater likelihood of experiencing clinically important pain reduction versus exercise alone; and group-based exercise over 8 weeks (2 RCTs and 1 non-randomized trial) may reduce pain intensity. The qualitative study found information provided via education/advice and compliance of treatment were related to effective treatment. No economic studies or studies examining thoracic spine pain were identified. CONCLUSIONS Spinal manipulation and group-based exercise may be beneficial in reducing LBP intensity in adolescents. Education should be provided as part of a care program. The overall evidence is sparse. Methodologically rigorous studies are needed. TRIAL REGISTRATION CRD42019135009 (PROSPERO).
Collapse
Affiliation(s)
- Hainan Yu
- Institute for Disability and Rehabilitation Research and Faculty of Health Sciences, Ontario Tech University, Oshawa, ON, L1G 0C5, Canada.
| | - Danielle Southerst
- Institute for Disability and Rehabilitation Research and Faculty of Health Sciences, Ontario Tech University, Oshawa, ON, L1G 0C5, Canada
| | - Jessica J Wong
- Institute for Disability and Rehabilitation Research and Faculty of Health Sciences, Ontario Tech University, Oshawa, ON, L1G 0C5, Canada
| | - Leslie Verville
- Institute for Disability and Rehabilitation Research and Faculty of Health Sciences, Ontario Tech University, Oshawa, ON, L1G 0C5, Canada
| | - Gaelan Connell
- Institute for Disability and Rehabilitation Research and Faculty of Health Sciences, Ontario Tech University, Oshawa, ON, L1G 0C5, Canada
| | - Lauren Ead
- Institute for Disability and Rehabilitation Research and Faculty of Health Sciences, Ontario Tech University, Oshawa, ON, L1G 0C5, Canada
- Department of Research and Innovation, Canadian Memorial Chiropractic College, Toronto, Canada
| | - Silvano Mior
- Institute for Disability and Rehabilitation Research and Faculty of Health Sciences, Ontario Tech University, Oshawa, ON, L1G 0C5, Canada
- Department of Research and Innovation, Canadian Memorial Chiropractic College, Toronto, Canada
| | - Lise Hestbaek
- The Chiropractic Knowledge Hub, Odense, Denmark
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
| | - Michael Swain
- Department of Chiropractic, Faculty of Medicine, Health and Human Sciences, Macquarie University, Macquarie Park, Australia
| | - Ginny Brunton
- Institute for Disability and Rehabilitation Research and Faculty of Health Sciences, Ontario Tech University, Oshawa, ON, L1G 0C5, Canada
| | - Heather M Shearer
- Institute for Disability and Rehabilitation Research and Faculty of Health Sciences, Ontario Tech University, Oshawa, ON, L1G 0C5, Canada
- Department of Research and Innovation, Canadian Memorial Chiropractic College, Toronto, Canada
| | - Efrosini Papaconstantinou
- Institute for Disability and Rehabilitation Research and Faculty of Health Sciences, Ontario Tech University, Oshawa, ON, L1G 0C5, Canada
| | - Daphne To
- Department of Research and Innovation, Canadian Memorial Chiropractic College, Toronto, Canada
| | - Darrin Germann
- Department of Research and Innovation, Canadian Memorial Chiropractic College, Toronto, Canada
| | | | - Christine Cedraschi
- Division of General Medical Rehabilitation, University of Geneva, Geneva, Switzerland
- Division of Clinical Pharmacology & Toxicology, Multidisciplinary Pain Centre, Geneva University Hospitals, Geneva, Switzerland
| | - Carol Cancelliere
- Institute for Disability and Rehabilitation Research and Faculty of Health Sciences, Ontario Tech University, Oshawa, ON, L1G 0C5, Canada
| |
Collapse
|
2
|
Xu Q, Lin Y, He Y, Zhou X, Liu J, Shen D, Wu F, Lin X, Zhang Y, Li T, Yan T. Predictive models for perceived convenience of accessing outdoor activities among elderly with physical disabilities in rural China. BMC Public Health 2024; 24:776. [PMID: 38475781 DOI: 10.1186/s12889-024-18311-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2023] [Accepted: 03/08/2024] [Indexed: 03/14/2024] Open
Abstract
BACKGROUND The elderly, especially those with physical disabilities, often encounter barriers that prevent them from accessing outdoor activities. Their perceptions of the convenience of accessing outdoor activities may be influenced by various factors including their health, the social context, and/or planned behavior. This study aimed to develop predictive models that identify the principal determinants of perceived convenience among this demographic, and it also examined the disparities observed between genders. METHODS This was a cross-sectional survey of 1216 community-dwelling older people with physical disabilities in rural China. Grounded on the rehabilitation concepts and the theory of planned behavior, structural equation models integrated health and social behavior factors were constructed to predict perceived convenience of accessing outdoor activities. The standardized coefficients explained the contributions of various factors to the variance. RESULTS The final structural models demonstrated good fit for both female and male participants. Perceptions of the convenience of accessing outdoor activities among both women and men were directly impacted by their physical functioning and their intention to participate, and indirectly by medical expenditure, subjective norms, pain, and role limitation in emotional interactions. Positive mental health was more influential for women, while men were more influenced by subjective norms. CONCLUSIONS Structural equation models have effectively predicted the self-reported convenience of accessing outdoor activities, underscoring the importance of functional and behavioral rehabilitation. Furthermore, gender-sensitive rehabilitation programs are advised to promote engagement in outdoor activities among elderly individuals with physical disabilities.
Collapse
Affiliation(s)
- Qi Xu
- The Fifth Hospital of Xiamen, 361101, Xiamen, China
| | - Youyi Lin
- The Fifth Hospital of Xiamen, 361101, Xiamen, China
| | - Yiqi He
- The Fifth Hospital of Xiamen, 361101, Xiamen, China
| | | | - Jinhai Liu
- The Fifth Hospital of Xiamen, 361101, Xiamen, China
| | - Dewang Shen
- The Fifth Hospital of Xiamen, 361101, Xiamen, China
| | - Fan Wu
- The Fifth Hospital of Xiamen, 361101, Xiamen, China
| | - Xin Lin
- The Fifth Hospital of Xiamen, 361101, Xiamen, China
- Macau University of Science and Technology, Macao, China
| | - Yun Zhang
- The Fifth Hospital of Xiamen, 361101, Xiamen, China
| | - Taibiao Li
- The Fifth Hospital of Xiamen, 361101, Xiamen, China.
| | - Tiebin Yan
- Department of Rehabilitation Medicine, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 510120, Guangzhou, China.
- The Engineering Technology Research Center of Rehabilitation and Elderly Care of Guangdong Province, 510120, Guangzhou, China.
- Renowned Physician Tiebin Yan Office, XiaMen, China.
| |
Collapse
|
3
|
Côté P, Negrini S, Donzelli S, Kiekens C, Arienti C, Ceravolo MG, Gross DP, Battel I, Ferriero G, Lazzarini SG, Dan B, Shearer HM, Wong JJ. Introduction to target trial emulation in rehabilitation: a systematic approach to emulate a randomized controlled trial using observational data. Eur J Phys Rehabil Med 2024; 60:145-153. [PMID: 38420907 PMCID: PMC10938938 DOI: 10.23736/s1973-9087.24.08435-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2024] [Accepted: 01/26/2024] [Indexed: 03/02/2024]
Abstract
Rehabilitation providers and policymakers need valid evidence to make informed decisions about the healthcare needs of the population. Whenever possible, these decisions should be informed by randomized controlled trials (RCTs). However, there are circumstances when evidence needs to be generated rapidly, or when RCTs are not ethical or feasible. These situations apply to studying the effects of complex interventions, including rehabilitation as defined by Cochrane Rehabilitation. Therefore, we explore using the target trial emulation framework by Hernán and colleagues to obtain valid estimates of the causal effects of rehabilitation when RCTs cannot be conducted. Target trial emulation is a framework guiding the design and analysis of non-randomized comparative effectiveness studies using observational data, by emulating a hypothetical RCT. In the context of rehabilitation, we outline steps for applying the target trial emulation framework using real world data, highlighting methodological considerations, limitations, potential mitigating strategies, and causal inference and counterfactual theory as foundational principles to estimating causal effects. Overall, we aim to strengthen methodological approaches used to estimate causal effects of rehabilitation when RCTs cannot be conducted.
Collapse
Affiliation(s)
- Pierre Côté
- Institute for Disability and Rehabilitation Research, Faculty of Health Sciences, Ontario Tech University, Oshawa, ON, Canada
| | - Stefano Negrini
- Department of Biomedical, Surgical and Dentals Sciences, University "La Statale", Milan, Italy
- IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
| | - Sabrina Donzelli
- Department of Orthopedics, University Medical Center, Utrecht, the Netherlands
- Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | | | | | - Maria G Ceravolo
- Department of Experimental and Clinical Medicine, Polytechnic University of Marche University, Ancona, Italy
| | - Douglas P Gross
- Department of Physical Therapy, University of Alberta, Edmonton, AB, Canada
| | - Irene Battel
- Department of Biomedical, Surgical and Dentals Sciences, University "La Statale", Milan, Italy -
| | - Giorgio Ferriero
- Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy
- Physical Rehabilitation Medicine Unit, Scientific Institute of Tradate IRCCS, Istituti Clinici Scientifici Maugeri, Tradate, Varese, Italy
| | | | - Bernard Dan
- Faculty of Psychology and Educational Sciences, Université Libre de Bruxelles, Brussels, Belgium
- Inkendaal Rehabilitation Hospital, Vlezenbeek, Belgium
| | - Heather M Shearer
- Institute for Disability and Rehabilitation Research, Faculty of Health Sciences, Ontario Tech University, Oshawa, ON, Canada
- Division of Research, Canadian Memorial Chiropractic College, Toronto, ON, Canada
| | - Jessica J Wong
- Institute for Disability and Rehabilitation Research, Faculty of Health Sciences, Ontario Tech University, Oshawa, ON, Canada
| |
Collapse
|
4
|
Sivan M, Negrini S. An expanded workforce is needed to strengthen rehabilitation in health systems. BMJ 2024; 384:q60. [PMID: 38212055 DOI: 10.1136/bmj.q60] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/13/2024]
Affiliation(s)
- Manoj Sivan
- Academic Department of Rehabilitation Medicine, University of Leeds, Leeds, UK
- Leeds Teaching Hospitals NHS Trust and Leeds Community Healthcare NHS Trust, Leeds, UK
| | - Stefano Negrini
- Department of Biomedical, Surgical and Dental Sciences, University "La Statale," Milan, Italy
- IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
| |
Collapse
|
5
|
Frontera WR, DeGroote W, Ghaffar A. Importance of health policy and systems research for strengthening rehabilitation in health systems: A call to action to accelerate progress. Prosthet Orthot Int 2024; 48:2-4. [PMID: 38334502 PMCID: PMC10855990 DOI: 10.1097/pxr.0000000000000334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Accepted: 12/20/2023] [Indexed: 02/10/2024]
Affiliation(s)
| | | | - Abdul Ghaffar
- World Health Organization Alliance for Health Policy and Systems Research
| |
Collapse
|
6
|
Frontera WR, DeGroote W, Ghaffar A. The importance of health policy and systems research for strengthening rehabilitation in health systems: a call to action to accelerate progress. BMC Health Serv Res 2023; 23:1439. [PMID: 38115084 PMCID: PMC10729324 DOI: 10.1186/s12913-023-10477-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2023] Open
Affiliation(s)
- Walter R Frontera
- American Journal of Physical Medicine and Rehabilitation, University of Puerto Rico School of Medicine, San Juan, PR, 00936-5067, Puerto Rico.
| | - Wouter DeGroote
- Rehabilitation Programme, World Health Organization, Geneva, Switzerland
| | - Abdul Ghaffar
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
| |
Collapse
|
7
|
Frontera WR, DeGroote W, Ghaffar A. The importance of health policy and systems research for strengthening rehabilitation in health systems: a call to action to accelerate progress. Chiropr Man Therap 2023; 31:50. [PMID: 38082400 PMCID: PMC10712136 DOI: 10.1186/s12998-023-00519-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2023] Open
Affiliation(s)
- Walter R Frontera
- American Journal of Physical Medicine and Rehabilitation, University of Puerto Rico School of Medicine, San Juan, PR, 00936-5067, Puerto Rico.
| | - Wouter DeGroote
- Rehabilitation Programme, World Health Organization, Geneva, Switzerland
| | - Abdul Ghaffar
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
| |
Collapse
|
8
|
Frontera WR, DeGroote W, Ghaffar A. Importance of Health Policy and Systems Research for Strengthening Rehabilitation in Health Systems. J Rehabil Med 2023; 55:1-3. [PMID: 38044811 PMCID: PMC11247514 DOI: 10.2340/jrm.v55.34002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Indexed: 12/05/2023] Open
Abstract
Abstract missing (Editorial)
Collapse
Affiliation(s)
- Walter R Frontera
- Department of Physical Medicine, Rehabilitation, and Sports Medicine School of Medicine, University of Puerto Rico GPO Box 365067, San Juan, Puerto Rico.
| | | | - Abdul Ghaffar
- World Health Organization Alliance for Health Policy and Systems Research
| |
Collapse
|
9
|
Frontera WR, Degroote W, Ghaffar A. Importance of health policy and systems research for strengthening rehabilitation in health systems. A call to action to accelerate progress. Eur J Phys Rehabil Med 2023; 59:657-659. [PMID: 37847248 PMCID: PMC10795070 DOI: 10.23736/s1973-9087.23.08225-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2023] [Accepted: 09/11/2023] [Indexed: 10/18/2023]
Affiliation(s)
- Walter R Frontera
- Department of Physical Medicine, Rehabilitation, and Sports Medicine School of Medicine, University of Puerto Rico, San Juan, Puerto Rico -
| | | | | |
Collapse
|
10
|
Frontera WR, DeGroote W, Ghaffar A. Importance of Health Policy and Systems Research for Strengthening Rehabilitation in Health Systems: A Call to Action to Accelerate Progress. Arch Phys Med Rehabil 2023; 104:2178-2180. [PMID: 37907162 DOI: 10.1016/j.apmr.2023.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2023]
Affiliation(s)
| | | | - Abdul Ghaffar
- World Health Organization Alliance for Health Policy and Systems Research
| |
Collapse
|
11
|
Frontera WR, DeGroote W, Ghaffar A. Importance of Health Policy and Systems Research for Strengthening Rehabilitation in Health Systems: A Call to Action to Accelerate Progress. Ann Geriatr Med Res 2023; 27:277-279. [PMID: 37872665 PMCID: PMC10772332 DOI: 10.4235/agmr.23.0173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2023] [Accepted: 10/20/2023] [Indexed: 10/25/2023] Open
Affiliation(s)
- Walter R. Frontera
- Department of Physical Medicine, Rehabilitation, and Sports Medicine, School of Medicine, University of Puerto Rico, San Juan, Puerto Rico
| | - Wouter DeGroote
- Rehabilitation Programme, World Health Organization, Geneva, Switzerland
| | - Abdul Ghaffar
- Alliance for Health Policy and Systems Research, World Health Organization, Geneva, Switzerland
| | - the Health Policy & Systems Research for Rehabilitation Group
- Department of Physical Medicine, Rehabilitation, and Sports Medicine, School of Medicine, University of Puerto Rico, San Juan, Puerto Rico
- Rehabilitation Programme, World Health Organization, Geneva, Switzerland
- Alliance for Health Policy and Systems Research, World Health Organization, Geneva, Switzerland
| |
Collapse
|
12
|
Frontera WR, De Groote W, Ghaffar A. Importance of health policy and systems research for strengthening rehabilitation in health systems: a call to action to accelerate progress. FRONTIERS IN REHABILITATION SCIENCES 2023; 4:1303135. [PMID: 38078069 PMCID: PMC10702237 DOI: 10.3389/fresc.2023.1303135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Accepted: 10/31/2023] [Indexed: 02/12/2024]
Affiliation(s)
- Walter R Frontera
- Department of Physical Medicine, Rehabilitation and Sports Medicine, School of Medicine, University of Puerto Rico, Río Piedras, Puerto Rico
| | - Wouter De Groote
- Rehabilitation Programme, Non-Communicable Diseases Department, WHO, Geneva, Switzerland
| | - Abdul Ghaffar
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States
| |
Collapse
|
13
|
Frontera WR, DeGroote W, Ghaffar A. Importance of Health Policy and Systems Research for Strengthening Rehabilitation in Health Systems: A Call to Action to Accelerate Progress. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2023; 66:4177-4179. [PMID: 37838980 DOI: 10.1044/2023_jslhr-23-00493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/17/2023]
Affiliation(s)
- Walter R Frontera
- Department of Physical Medicine and Rehabilitation, University of Puerto Rico School of Medicine, San Juan, Puerto Rico
| | - Wouter DeGroote
- Rehabilitation Programme, World Health Organization, Geneva, Switzerland
| | - Abdul Ghaffar
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD
| |
Collapse
|
14
|
Frontera Roura W, Ghaffar A, De Groote W. Importance of health policy and systems research for strengthening rehabilitation in health systems: A call to action to accelerate progress. SOUTH AFRICAN JOURNAL OF PHYSIOTHERAPY 2023; 79:1968. [PMID: 38077265 PMCID: PMC10699090 DOI: 10.4102/sajp.v79i1.1968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2024] Open
Affiliation(s)
- Walter Frontera Roura
- American Journal of Physical Medicine and Rehabilitation, San Juan, Puerto Rico
- Department of Physical Medicine and Rehabilitation, University of Puerto Rico, San Juan, Puerto Rico
| | - Abdul Ghaffar
- WHO Alliance for Health Policy and Systems Research, World Health Organization, Geneva, Switzerland
| | - Wouter De Groote
- WHO Health Policy and Systems Research for Rehabilitation Group, World Health Organization, Geneva, Switzerland
| |
Collapse
|
15
|
Frontera WR, DeGroote W, Ghaffar A. Importance of Health Policy and Systems Research for Strengthening Rehabilitation in Health Systems: A Call to Action to Accelerate Progress. Am J Phys Med Rehabil 2023; 102:951-952. [PMID: 37820054 PMCID: PMC10581430 DOI: 10.1097/phm.0000000000002326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/13/2023]
|
16
|
Frontera WR, DeGroote W, Ghaffar A. Importance of Health Policy and Systems Research for Strengthening Rehabilitation in Health Systems: A Call to Action to Accelerate Progress. BRAIN & SPINE 2023; 3:102691. [PMID: 38105802 PMCID: PMC10724195 DOI: 10.1016/j.bas.2023.102691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 12/19/2023]
|
17
|
Frontera WR, DeGroote W, Ghaffar A. Importance of Health Policy and Systems Research for Strengthening Rehabilitation in Health Systems: A Call to Action to Accelerate Progress. Neurorehabil Neural Repair 2023; 37:679-681. [PMID: 38116601 PMCID: PMC10666518 DOI: 10.1177/15459683231200755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2023]
Affiliation(s)
- Walter R. Frontera
- Department of Physical Medicine, Rehabilitation, and Sports Medicine, University of Puerto Rico, San Juan, PR
| | - Wouter DeGroote
- Department for Noncommunicable Diseases, World Health Organization, Geneva, Switzerland
| | - Abdul Ghaffar
- Alliance for Health Policy and Systems Research, World Health Organization, Geneva, Switzerland
| |
Collapse
|
18
|
Frontera WR, DeGroote W, Ghaffar A. [Importance of health policy and systems research for strengthening rehabilitation in health systems: A call to action to accelerate progress]. Rehabilitacion (Madr) 2023; 57:100824. [PMID: 37844393 DOI: 10.1016/j.rh.2023.100824] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Accepted: 09/27/2023] [Indexed: 10/18/2023]
Affiliation(s)
- W R Frontera
- American Journal of Physical Medicine and Rehabilitation (WRF).
| | - W DeGroote
- Programa de Rehabilitación, Organización Mundial de la Salud (OMS) (WDG)
| | - A Ghaffar
- Alianza para la Investigación en Políticas y Sistemas de Salud de la Organización Mundial de la Salud (AG)
| |
Collapse
|
19
|
Frontera WR, DeGroote W, Ghaffar A. Importance of health policy and systems research for strengthening rehabilitation in health systems: A Call to Action to Accelerate Progress. Neuropsychol Rehabil 2023; 33:1457-1461. [PMID: 37818746 DOI: 10.1080/09602011.2023.2255797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/13/2023]
Affiliation(s)
| | - Wouter DeGroote
- The Health Policy & Systems Research for Rehabilitation Group
| | - Abdul Ghaffar
- The Health Policy & Systems Research for Rehabilitation Group
| |
Collapse
|
20
|
Frontera WR, DeGroote W, Ghaffar A. Importance of Health Policy and Systems Research for Strengthening Rehabilitation in Health Systems: A Call to Action to Accelerate Progress. JOURNAL OF PROSTHETICS AND ORTHOTICS : JPO 2023; 35:239-241. [PMID: 37791005 PMCID: PMC10545072 DOI: 10.1097/jpo.0000000000000488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 10/05/2023]
|
21
|
Frontera WR, DeGroote W, Ghaffar A. Importance of Health Policy and Systems Research for Strengthening Rehabilitation in Health Systems. DIE REHABILITATION 2023; 62:265-267. [PMID: 37848040 PMCID: PMC10581780 DOI: 10.1055/a-2154-9546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2023]
|
22
|
Arntz A, Weber F, Handgraaf M, Lällä K, Korniloff K, Murtonen KP, Chichaeva J, Kidritsch A, Heller M, Sakellari E, Athanasopoulou C, Lagiou A, Tzonichaki I, Salinas-Bueno I, Martínez-Bueso P, Velasco-Roldán O, Schulz RJ, Grüneberg C. Technologies in Home-Based Digital Rehabilitation: Scoping Review. JMIR Rehabil Assist Technol 2023; 10:e43615. [PMID: 37253381 PMCID: PMC10415951 DOI: 10.2196/43615] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Revised: 03/10/2023] [Accepted: 05/25/2023] [Indexed: 06/01/2023] Open
Abstract
BACKGROUND Due to growing pressure on the health care system, a shift in rehabilitation to home settings is essential. However, efficient support for home-based rehabilitation is lacking. The COVID-19 pandemic has further exacerbated these challenges and has affected individuals and health care professionals during rehabilitation. Digital rehabilitation (DR) could support home-based rehabilitation. To develop and implement DR solutions that meet clients' needs and ease the growing pressure on the health care system, it is necessary to provide an overview of existing, relevant, and future solutions shaping the constantly evolving market of technologies for home-based DR. OBJECTIVE In this scoping review, we aimed to identify digital technologies for home-based DR, predict new or emerging DR trends, and report on the influences of the COVID-19 pandemic on DR. METHODS The scoping review followed the framework of Arksey and O'Malley, with improvements made by Levac et al. A literature search was performed in PubMed, Embase, CINAHL, PsycINFO, and the Cochrane Library. The search spanned January 2015 to January 2022. A bibliometric analysis was performed to provide an overview of the included references, and a co-occurrence analysis identified the technologies for home-based DR. A full-text analysis of all included reviews filtered the trends for home-based DR. A gray literature search supplemented the results of the review analysis and revealed the influences of the COVID-19 pandemic on the development of DR. RESULTS A total of 2437 records were included in the bibliometric analysis and 95 in the full-text analysis, and 40 records were included as a result of the gray literature search. Sensors, robotic devices, gamification, virtual and augmented reality, and digital and mobile apps are already used in home-based DR; however, artificial intelligence and machine learning, exoskeletons, and digital and mobile apps represent new and emerging trends. Advantages and disadvantages were displayed for all technologies. The COVID-19 pandemic has led to an increased use of digital technologies as remote approaches but has not led to the development of new technologies. CONCLUSIONS Multiple tools are available and implemented for home-based DR; however, some technologies face limitations in the application of home-based rehabilitation. However, artificial intelligence and machine learning could be instrumental in redesigning rehabilitation and addressing future challenges of the health care system, and the rehabilitation sector in particular. The results show the need for feasible and effective approaches to implement DR that meet clients' needs and adhere to framework conditions, regardless of exceptional situations such as the COVID-19 pandemic.
Collapse
Affiliation(s)
- Angela Arntz
- Division of Physiotherapy, Department of Applied Health Sciences, University of Applied Health Sciences Bochum, Bochum, Germany
- Faculty of Human Sciences, University of Cologne, Cologne, Germany
| | - Franziska Weber
- Division of Physiotherapy, Department of Applied Health Sciences, University of Applied Health Sciences Bochum, Bochum, Germany
- Department of Rehabilitation, Physiotherapy Science & Sports, University Medical Center Utrecht, Utrecht, Netherlands
| | - Marietta Handgraaf
- Division of Physiotherapy, Department of Applied Health Sciences, University of Applied Health Sciences Bochum, Bochum, Germany
| | - Kaisa Lällä
- Institute of Rehabilitation, Jamk University of Applied Sciences, Jyväskylä, Finland
| | - Katariina Korniloff
- Institute of Rehabilitation, Jamk University of Applied Sciences, Jyväskylä, Finland
| | - Kari-Pekka Murtonen
- Institute of Rehabilitation, Jamk University of Applied Sciences, Jyväskylä, Finland
| | - Julija Chichaeva
- Institute of Rehabilitation, Jamk University of Applied Sciences, Jyväskylä, Finland
| | - Anita Kidritsch
- Institute of Health Sciences, St. Pölten University of Applied Sciences, St. Pölten, Austria
| | - Mario Heller
- Department of Media & Digital Technologies, St. Pölten University of Applied Sciences, St. Pölten, Austria
| | - Evanthia Sakellari
- Department of Public and Community Health, Laboratory of Hygiene and Epidemiology, University of West Attica, Athens, Greece
| | | | - Areti Lagiou
- Department of Public and Community Health, Laboratory of Hygiene and Epidemiology, University of West Attica, Athens, Greece
| | - Ioanna Tzonichaki
- Department of Occupational Therapy, University of West Attica, Athens, Greece
| | - Iosune Salinas-Bueno
- Health Research Institute of the Balearic Islands (IdISBa), Palma de Mallorca, Spain
- Department of Nursing and Physiotherapy, University of the Balearic Islands, Palma de Mallorca, Spain
| | - Pau Martínez-Bueso
- Health Research Institute of the Balearic Islands (IdISBa), Palma de Mallorca, Spain
- Department of Nursing and Physiotherapy, University of the Balearic Islands, Palma de Mallorca, Spain
| | - Olga Velasco-Roldán
- Health Research Institute of the Balearic Islands (IdISBa), Palma de Mallorca, Spain
- Department of Nursing and Physiotherapy, University of the Balearic Islands, Palma de Mallorca, Spain
| | | | - Christian Grüneberg
- Division of Physiotherapy, Department of Applied Health Sciences, University of Applied Health Sciences Bochum, Bochum, Germany
| |
Collapse
|
23
|
Navarro-Meléndez A, Gimenez MJ, Robledo-Donascimento Y, Río-González A, Lendínez-Mesa A. Physiotherapy applied to palliative care patients: a descriptive practice-based study. BMC Palliat Care 2023; 22:99. [PMID: 37474943 PMCID: PMC10357741 DOI: 10.1186/s12904-023-01188-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Accepted: 05/30/2023] [Indexed: 07/22/2023] Open
Abstract
BACKGROUND Over the last few years, the presence of physiotherapists in Palliative Care Units (PCU) has considerably grown based on evidence from studies supporting the use of non-pharmacological measures as part of Palliative Care (PC) treatments. However, more accumulated data are needed to definitively establish its added value. The present study describes the type of patients receiving physiotherapy in a PCU and the benefits obtained in relation to their degree of functional dependence. METHODS An observational, prospective, descriptive, practice-based study was undertaken involving patients admitted to the PCU of Fundación Instituto San José (Madrid, Spain), who according to the PCU´s clinical practice, met the criteria for physiotherapy intervention. Daily clinical practice was unchanged for study reasons. Participants were assessed prior to initiating and at the end of the physiotherapy program using the following standard scales: the Barthel Index, the Functional Ambulation Categories scale, the Palliative Performance Scale, and the Braden scale. A descriptive analysis was performed and scale scores prior to and after treatment were compared using the Wilcoxon signed-rank test. Significance was set at 0.05. RESULTS A total of 63 patients were included (mean age 71.98 ± 12.72; 61.9% males). Fifty-eight patients (92.1%) were oncological patients; of them, 35 (60.3%) had metastases. Prior to treatment, 28 (44.4%) participants had total dependence according to the Barthel index, and 37 (58.7%) were non-functional ambulator according to the FAC scale. At the end of treatment, the number of patients with total dependence decreased to 15 (23.8%) and those non-functional ambulator to 12 (19.0%). CONCLUSIONS Patients who benefited from physical therapy during their admission to our PCU were predominantly males with oncological processes, mainly lung cancer. PC including physiotherapy improved their functionality, independence and skills for activities of daily living in this sample of PCU patients.
Collapse
Affiliation(s)
- A Navarro-Meléndez
- Rehabilitation area, Hospital Fundación Instituto San José, Avenida de la Hospitalidad s/n, Madrid, 28054 Spain
- Department of Health Sciences, “San Juan de Dios” School of Nursing and Physical Therapy, Comillas Pontifical University, Avenida San Juan de Dios, 1, Ciempozuelos, 28350 Spain
- Department of Physiotherapy, Faculty of Sport Sciences, Universidad Europea de Madrid, Calle Tajo s/n, Villaviciosa de Odón, 28670 Spain
| | - MJ Gimenez
- Department of Physiotherapy, Faculty of Sport Sciences, Universidad Europea de Madrid, Calle Tajo s/n, Villaviciosa de Odón, 28670 Spain
| | - Y Robledo-Donascimento
- Department of Physiotherapy, Faculty of Sport Sciences, Universidad Europea de Madrid, Calle Tajo s/n, Villaviciosa de Odón, 28670 Spain
- Hospital Universitario del Henares and Centro de Investigación Fisioterapia y Dolor, Avenida de Marie Curie 0, Coslada, 28822 Spain
| | - A Río-González
- Department of Physiotherapy, Faculty of Sport Sciences, Universidad Europea de Madrid, Calle Tajo s/n, Villaviciosa de Odón, 28670 Spain
| | - A Lendínez-Mesa
- Department of Nursing, Neurology Service. Grupo de Investigación en Cuidados (InveCuid), Hospital 12 de Octubre, Avenida de Córdoba s/n, Madrid, 28041 Spain
| |
Collapse
|
24
|
Frontera WR, DeGroote W, Ghaffar A. Importance of Health Policy and Systems Research for Strengthening Rehabilitation in Health Systems: A Call to Action to Accelerate Progress. ADVANCES IN REHABILITATION SCIENCE AND PRACTICE 2023; 12:27536351231214307. [PMID: 38034066 PMCID: PMC10683378 DOI: 10.1177/27536351231214307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/18/2023] [Accepted: 08/25/2023] [Indexed: 12/02/2023]
Affiliation(s)
- Walter R Frontera
- Walter R Frontera, Department of Physical Medicine, Rehabilitation, and Sports Medicine School of Medicine, University of Puerto Rico, GPO Box 365067, San Juan, Puerto Rico PR 00936-5067.
| | - Wouter DeGroote
- Abdul Ghaffar (Bloomberg School of Public Health, Johns Hopkins University Baltimore, MD, USA)
- American Journal of Physical Medicine and Rehabilitation (WRF); Rehabilitation Programme, World Health Organization (WDG); World Health Organization Alliance for Health Policy and Systems Research (AG); and The Health Policy and Systems Research for Rehabilitation Group (Editors-in-Chief of collaborating journals listed in alphabetical order): Iben Axen, DC, PhD (Chiropractic and Manual Therapies), Muhammad Ehab Azim, DPT, MS-NMPT (Foundation University Journal of Rehabilitation Sciences), Linamara Battistella, MD, PhD (Acta Fisiatrica), Kristian Borg, MD, PhD (Journal of Rehabilitation Medicine), Ines Campos, MD, MSc (Portuguese Journal of Physical and Rehabilitation Medicine), Rodrigo Castro, MD (Revista Colombiana de Medicina Física y Rehabilitación), Joaquim Chaler, MD, PhD (Rehabilitación), Leighton Chan, MD, MPH (Archives of Physical Medicine and Rehabilitation), Ignacio Devesa, MD (Revista Mexicana de Medicina Física y Rehabilitación), Deniz Evcik, MD (Turkish Journal of Physical Medicine and Rehabilitation), Giorgio Ferriero, MD, PhD (European Journal of Physical and Rehabilitation Medicine), Gerard E. Francisco, MD (The Journal of the International Society of Physical and Rehabilitation Medicine), Simon French, PhD (Chiropractic and Manual Therapies), Steven A. Gard, PhD (Journal of Prosthetics and Orthotics), Douglas P. Gross, PhD, BScPT (Journal of Occupational Rehabilitation), Matthieu Guemann, PT, PhD (European Rehabilitation Journal), Louise Gustafsson, PhD (Australian Occupational Therapy Journal), Allen Heinemann, PhD (Archives of Physical Medicine and Rehabilitation), Claire D. Johnson, DC, PhD (Journal of Manipulative and Physiological Therapeutics), Frank Kandziora, MD, PhD (Brain and Spine), Carlotte Kiekens, MD (Frontiers in Rehabilitation Sciences), Jae-Young Lim, MD, PhD (Annals of Geriatric Medicine and Research), Thorsten Meyer, PhD (Die Rehabilitation), Peggy Nelson, PhD (Journal of Speech, Language, and Hearing Research), Randolph J. Nudo, PhD (Neurorehabilitation and Neural Repair), Tamara Ownsworth, PhD (Executive Editor—Neuropsychological Rehabilitation), Wilco Peul, MD, PhD (Brain and Spine), Farooq Azam Rathore, MD, MSc (Section Editor—Journal of Pakistan Medical Association), Stefano Respizzi, MD (Medicina Riabilitativa), Christine Rolland, PhD (Revue Santé Publique), Carla Sabariego, PhD (Frontiers in Rehabilitation Sciences), Furqan Ahmed Siddiqi, DPT, PhD (Foundation University Journal of Rehabilitation Sciences), Manoj Sivan, MD (Advances in Rehabilitation Science and Practice), Birkan Sonel Tur, MD (Turkish Journal of Physical Medicine and Rehabilitation), Henk J. Stam, MD, PhD (Journal of Rehabilitation Medicine), Aimee Stewart, PhD (South African Journal of Physiotherapy) (HPSRRG). This editorial is being published almost simultaneously in all journals listed to reach as many readers as possible. Acta Fisiatrica; Advances in Rehabilitation Science and Practice; American Journal of Physical Medicine and Rehabilitation; Annals of Geriatric Medicine and Research; Archives of Physical Medicine and Rehabilitation; Australian Occupational Therapy Journal; Brain and Spine; Chiropractic and Manual Therapies; Die Rehabilitation; European Journal of Physical and Rehabilitation Medicine; European Rehabilitation Journal; Foundation University Journal of Rehabilitation Sciences; Frontiers in Rehabilitation Sciences; Journal of Manipulative and Physiological Therapeutics; Journal of Occupational Rehabilitation; Journal of Pakistan Medical Association; Journal of Prosthetics and Orthotics; Journal of Rehabilitation Medicine; Journal of Speech, Language, and Hearing Research; Medicina Riabilitativa; Neuropsychological Rehabilitation; Neurorehabilitation and Neural Repair; Portuguese Journal of Physical and Rehabilitation Medicine; Rehabilitación; Revista Colombiana de Medicina Física y Rehabilitación; Revista Mexicana de Medicina Física y Rehabilitación; Revue Santé Publique; South African Journal of Physiotherapy; The Journal of the International Society of Physical and Rehabilitation Medicine; Turkish Journal of Physical Medicine and Rehabilitation. Department of Physical Medicine, Rehabilitation, and Sports Medicine School of Medicine, University of Puerto Rico, San Juan, Puerto Rico
| | - Abdul Ghaffar
- Abdul Ghaffar (Bloomberg School of Public Health, Johns Hopkins University Baltimore, MD, USA)
- American Journal of Physical Medicine and Rehabilitation (WRF); Rehabilitation Programme, World Health Organization (WDG); World Health Organization Alliance for Health Policy and Systems Research (AG); and The Health Policy and Systems Research for Rehabilitation Group (Editors-in-Chief of collaborating journals listed in alphabetical order): Iben Axen, DC, PhD (Chiropractic and Manual Therapies), Muhammad Ehab Azim, DPT, MS-NMPT (Foundation University Journal of Rehabilitation Sciences), Linamara Battistella, MD, PhD (Acta Fisiatrica), Kristian Borg, MD, PhD (Journal of Rehabilitation Medicine), Ines Campos, MD, MSc (Portuguese Journal of Physical and Rehabilitation Medicine), Rodrigo Castro, MD (Revista Colombiana de Medicina Física y Rehabilitación), Joaquim Chaler, MD, PhD (Rehabilitación), Leighton Chan, MD, MPH (Archives of Physical Medicine and Rehabilitation), Ignacio Devesa, MD (Revista Mexicana de Medicina Física y Rehabilitación), Deniz Evcik, MD (Turkish Journal of Physical Medicine and Rehabilitation), Giorgio Ferriero, MD, PhD (European Journal of Physical and Rehabilitation Medicine), Gerard E. Francisco, MD (The Journal of the International Society of Physical and Rehabilitation Medicine), Simon French, PhD (Chiropractic and Manual Therapies), Steven A. Gard, PhD (Journal of Prosthetics and Orthotics), Douglas P. Gross, PhD, BScPT (Journal of Occupational Rehabilitation), Matthieu Guemann, PT, PhD (European Rehabilitation Journal), Louise Gustafsson, PhD (Australian Occupational Therapy Journal), Allen Heinemann, PhD (Archives of Physical Medicine and Rehabilitation), Claire D. Johnson, DC, PhD (Journal of Manipulative and Physiological Therapeutics), Frank Kandziora, MD, PhD (Brain and Spine), Carlotte Kiekens, MD (Frontiers in Rehabilitation Sciences), Jae-Young Lim, MD, PhD (Annals of Geriatric Medicine and Research), Thorsten Meyer, PhD (Die Rehabilitation), Peggy Nelson, PhD (Journal of Speech, Language, and Hearing Research), Randolph J. Nudo, PhD (Neurorehabilitation and Neural Repair), Tamara Ownsworth, PhD (Executive Editor—Neuropsychological Rehabilitation), Wilco Peul, MD, PhD (Brain and Spine), Farooq Azam Rathore, MD, MSc (Section Editor—Journal of Pakistan Medical Association), Stefano Respizzi, MD (Medicina Riabilitativa), Christine Rolland, PhD (Revue Santé Publique), Carla Sabariego, PhD (Frontiers in Rehabilitation Sciences), Furqan Ahmed Siddiqi, DPT, PhD (Foundation University Journal of Rehabilitation Sciences), Manoj Sivan, MD (Advances in Rehabilitation Science and Practice), Birkan Sonel Tur, MD (Turkish Journal of Physical Medicine and Rehabilitation), Henk J. Stam, MD, PhD (Journal of Rehabilitation Medicine), Aimee Stewart, PhD (South African Journal of Physiotherapy) (HPSRRG). This editorial is being published almost simultaneously in all journals listed to reach as many readers as possible. Acta Fisiatrica; Advances in Rehabilitation Science and Practice; American Journal of Physical Medicine and Rehabilitation; Annals of Geriatric Medicine and Research; Archives of Physical Medicine and Rehabilitation; Australian Occupational Therapy Journal; Brain and Spine; Chiropractic and Manual Therapies; Die Rehabilitation; European Journal of Physical and Rehabilitation Medicine; European Rehabilitation Journal; Foundation University Journal of Rehabilitation Sciences; Frontiers in Rehabilitation Sciences; Journal of Manipulative and Physiological Therapeutics; Journal of Occupational Rehabilitation; Journal of Pakistan Medical Association; Journal of Prosthetics and Orthotics; Journal of Rehabilitation Medicine; Journal of Speech, Language, and Hearing Research; Medicina Riabilitativa; Neuropsychological Rehabilitation; Neurorehabilitation and Neural Repair; Portuguese Journal of Physical and Rehabilitation Medicine; Rehabilitación; Revista Colombiana de Medicina Física y Rehabilitación; Revista Mexicana de Medicina Física y Rehabilitación; Revue Santé Publique; South African Journal of Physiotherapy; The Journal of the International Society of Physical and Rehabilitation Medicine; Turkish Journal of Physical Medicine and Rehabilitation. Department of Physical Medicine, Rehabilitation, and Sports Medicine School of Medicine, University of Puerto Rico, San Juan, Puerto Rico
| |
Collapse
|
25
|
Inpatient Geriatric Rehabilitation: Definitions and Appropriate Admission Criteria, as Established by Maltese National Experts. J Clin Med 2022; 11:jcm11237230. [PMID: 36498804 PMCID: PMC9736396 DOI: 10.3390/jcm11237230] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Revised: 11/30/2022] [Accepted: 12/03/2022] [Indexed: 12/12/2022] Open
Abstract
(1) Background: The importance of having an appropriate admissions system for geriatric rehabilitation is on the increase. However, the process of admitting patients to inpatient rehabilitation is a complex process. This is yet to be standardised across the European Union, as the approach to geriatric rehabilitation tends to vary from one Member State to another. (2) Objective: To discuss evidence-based practice with clinical experts, in order to define geriatric rehabilitation and admission criteria based on the Maltese population. (3) Method: The study entailed conducting four panel sessions using a purposive sample of thirteen local clinicians with extensive knowledge in clinical rehabilitation and healthcare management. A total of 48 items, based on the literature and clinical experience, were presented to the panel. Data analysis was done quantitatively and qualitatively, using IBM SPSS Statistics Version 24 and thematic analysis. (4) Results: The panel formulated a definition of rehabilitation, which shared common elements with the definition provided by the World Health Organization (WHO) and other sources/literature. The panel agreed on a list of eight criteria for appropriate inpatient geriatric rehabilitation admission in Malta. Consensus was also reached on: the need for a consultant-led multidisciplinary approach to assessment; the adoption of a standardised assessment processes for an equitable chance for all older adults assessed; the benefit of digital health in assessments; and the consideration that most patients would have some form of rehabilitation potential, depending on availability of resources. (5) Conclusion: Inpatient geriatric rehabilitation hospitals should have a unified strategy for rehabilitation services. The conclusions reached by the panel, could be useful in supporting the clinical evidence and establishing future rehabilitation guidelines and standards for inpatient rehabilitation.
Collapse
|