•The COVID-19 outbreak has had a significant impact on caregiver strain compared to perceived strain before the pandemic.•Prevalence of depressive symptoms is high among caregivers of children with ...special needs.•Negative perception of homecare therapy is associated with higher perceived strain and poor mental health.•Not using tele-rehabilitation and perception of it being a poor medium for rehabilitation pose greater mental health risks.
While COVID-19 outbreak has had adverse psychological effects in children with special needs, the mental state and burden on their caregivers during this pandemic has yet to be reported.
The objectives of this study were to describe the mental health status and the change in perceived strain among caregivers during the COVID-19 outbreak.
Two hundred sixty four caregivers completed an online survey that assessed demographics, use and perspective on tele-rehabilitation, homecare therapy, caregiver’s strain and mental health.
The prevalence of depression, anxiety and stress symptoms were found to be 62.5 %, 20.5 % and 36.4 % respectively. A significant difference in caregiver strain (p < 0.001, effect size = 0.93) was observed during the outbreak compared to levels pre-outbreak (pre-outbreak strain was measured retrospectively). Caregivers not using tele-rehabilitation along with a perception of it being a poor medium for rehabilitation were at greater risks for poor mental health whereas a negative perception on homecare therapy were strongly associated with higher psychological symptoms and strain.
This study identified a high prevalence of depression and significant change in strain displayed by caregivers during the COVID-19 outbreak. We identified several factors associated with poor mental health and perceived strain that can be used to help safeguard caregivers.
Abstract
Introduction
The COVID-19 pandemic thrusted many burn therapists into the world of telehealth overnight. While telehealth has been widely utilized since and has played a vital role in burn ...care overall, adaptation of platform has been minimal amongst burn therapists. As more hospital systems integrate telehealth as a service delivery mode, there is a need for guidelines on how to capture data collection and recommended documentation language which indicates progress and justifies therapy.
Methods
The following virtual visit documentation and objective data collection guidance form was created in an effort to capture ability, disabilities, limitations and barriers of the burn survivor participating in the burn rehabilitative virtual visits. The guidance form is intended to demonstrate examples of data collection can be captured in the virtual environment along with pointers to enhance the experience and recommended documentation language. It is not all inclusive, nor are all the tests listed necessarily required for a successful virtual interaction. (Attachment A)
Results
Despite the inability to perform formal standardized objective measurements, a burn therapist is still able to measure and document gains and losses. Posture, gait, range of motion, skin integrity, strength, motor control, body mechanics, coordination, adl’s, functional mobility, transfers are a few of the many categories which a burn therapist can focus their documentation.
Conclusions
When appropriately administered and thoroughly documented telehealth can not only provide quality care to burn survivors but also demonstrate gains to optimal outcome goals and return to baseline levels of independence with ADLs, IADL’s, mobility, transfers, range of motion, strength and sensation.
Background: There has been increasing attention and understanding of sport-related concussions. Recent studies show that neurocognitive testing and symptom clusters may predict protracted recovery in ...concussed athletes. On-field signs and symptoms have not been examined empirically as possible predictors of protracted recovery.
Purpose: This study was undertaken to determine which on-field signs and symptoms were predictive of a protracted (≥21 days) versus rapid (≤7 days) recovery after a sports-related concussion. On-field signs and symptoms included confusion, loss of consciousness, posttraumatic amnesia, retrograde amnesia, imbalance, dizziness, visual problems, personality changes, fatigue, sensitivity to light/noise, numbness, and vomiting.
Study Design: Cohort study (prognosis); Level of evidence, 2.
Methods: The sample included 107 male high school football athletes who completed computerized neurocognitive testing within an average 2.4 days after injury, and who were followed until returned to play as determined by neuropsychologists using international clinical concussion management guidelines. Athletes were then grouped into rapid (≤7 days, n = 62) or protracted (≥21 days, n = 36) recovery time groups. The presence of on-field signs and symptoms was determined at the time of injury by trained sports medicine professionals (ie, ATC certified athletic trainer, team physician). A series of odds ratios with χ2 analyses and subsequent logistic regression were used to determine which on-field signs and symptoms were associated with an increased risk for a protracted recovery.
Results: Dizziness at the time of injury was associated with a 6.34 odds ratio (95% confidence interval = 1.34-29.91, χ2 = 5.44, P = .02) of a protracted recovery from concussion. Surprisingly, the remaining on-field signs and symptoms were not associated with an increased risk of protracted recovery in the current study.
Conclusion: Assessment of on-field dizziness may help identify high school athletes at risk for a protracted recovery. Such information will improve prognostic information and allow clinicians to manage and treat concussion more effectively in these at-risk athletes.
The article discusses modern therapeutic approaches to the rehabilitation of patients after neurosurgical intervention. The authors note that neurosurgery patients, even after successful operations, ...may have certain complications that significantly reduce the quality of life of patients. In addition, the specifics of rehabilitation of patients who have undergone various neurosurgical operations are of a special nature also for the reason that it is often called upon to restore the most important functions of the body - motor, speech, etc. Accordingly, special attention should be paid to therapeutic procedures aimed at restoring the health of patients who have undergone neurosurgical surgery In modern conditions, the most important trend in this direction has become the use of non-traditional methods of rehabilitation, as well as achievements in the field of information technology and artificial intelligence. Practice shows that the success of innovations is undeniable, since they not only allow achieving the necessary effect here and now, but also allow, if necessary, prolonged support for the patient at the end of the active rehabilitation period, creating comfortable living conditions for him and allowing him to actively participate in society
Motivation to learn during adolescence Del Ciampo, Luiz Antonio; Del Ciampo, Ieda Regina Lopes
Revista CEFAC,
2024, Letnik:
26, Številka:
4
Journal Article
As a combination of sports, medicine and human health, sports rehabilitation will have great potential and market prospects in the future. As people pay more and more attention to their health and ...their education level is getting higher and higher, the sports rehabilitation industry will develop rapidly and effectively. The sports rehabilitation industry has also received strong support from national policies, with broad market prospects and continuous enrichment of market elements. This paper retrieves a large number of literature, using the method of comparative analysis, mainly from the analysis of the current development and management mode of China's sports rehabilitation industry, through the comparison with other countries in the world sports rehabilitation industry, draw experience, found that China's sports rehabilitation industry is different from other countries in the world, so as to explore the development mode and road suitable for China's sports rehabilitation industry, and promote the development of China's sports rehabilitation industry.
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