OBJECTIVE This pilot study examined collaborative, goal-focused therapy to determine its effects on performance of self-care activities, including eating, grooming, bathing, upper body dressing, lower-body dressing, and toileting. METHOD Thirty-one patients at a rehabilitation hospital, divided between control and experimental groups, comprised the sample. Participants' performances on self-c...

In the 1800s, humoral understandings of leprosy successively give way to disease models based on morbid anatomy, physiopathology, and bacteriology. Linkages between these disease models were reinforced by the ubiquitous seed/soil metaphor deployed both before and after the identification of M. leprae. While this metaphor provided a continuous link between medical descriptions, Henry Vandyke Car...

BACKGROUND AND PURPOSE The aim of this study was to verify whether the presence of anosognosia (A) affects the rehabilitative prognosis of hemiplegic subjects with neglect (N). METHODS This study was carried out on 30 patients with left hemiplegia: 15 patients had neglect (group N) and 15 had neglect and anosognosia (group N+A). Mean age was 68.2+/-6.3 in group N (9 men and 6 women) and 72.1+...

OBJECTIVE The purpose of this study was to (a) identify and describe the subpopulation of rehabilitation inpatients who receive specialized occupational therapy home evaluation services, and (b) examine these data for evidence of inequalities in access to services based on patient gender, race, age, and health insurance status. METHOD An archival review was conducted of all inpatient admissio...

BACKGROUND Stroke is not gender-discriminatory. Yet, the subject of stroke among females has apparently not received significant attention from clinical researchers. The consequences of stroke include functional and psychosocial sequelae which may cause disability, hinder community reintegration and restrict participation. The inter-relationships among functional ability, community reintegratio...

The study objective was to examine postacute changes in bowel and bladder continence and cognition after severe traumatic brain injury (TBI) in persons with long-term functional recovery to full independence. This case series included nine patients initially admitted to inpatient rehabilitation (IR) with severe TBI who had returned to prior responsibilities and functional independence by 8 to 1...

OBJECTIVE To increase our knowledge of neurological recovery and functional outcome of patients with spinal cord injuries in order to make more successful rehabilitation programmes based on realistic goals. DESIGN Descriptive analysis of data gathered in an information system. SETTING Rehabilitation centre in The Netherlands with special department for patients with spinal cord injuries. ...

The aim of this cross-sectional study was to evaluate the fear of falling of 52 chronic post-stroke individuals and to assess its relationship with measures of functional independence and quality of life (QOL). Fear of falling was assessed by the Brazilian version of Falls Efficacy Scale International (FES-I-BRAZIL) and functional independence by the Functional Independence Measure (FIM) and QO...

Skinner's (1957) analysis of verbal behavior suggests the functional independence of the verbal operants. However, only a few empirical studies have directly examined the nature of these operants, and their independence. The present study evaluated whether teaching topographies as tacts would lead to their emission as mands. The results indicated that manding only occurred reliably after direct...

[Purpose] The newly developed Functional Independence and Difficulty Scale is a tool for assessing the performance of basic activities of daily living in terms of both independence and difficulty. The aim of this study was to examine the predictive validity of the scale for decline of instrumental activities of daily living ability and multiple falls during a 24-month follow-up period. [Subject...