Osteoradionecrosis of the Jaws: A Review of Conservative and Surgical Treatment Options.

Osteoradionecrosis of the Jaws: A Review of Conservative and Surgical Treatment Options.

Filed under: Rehab Centers

J Reconstr Microsurg. 2012 Dec 20;
Cheriex KC, Nijhuis TH, Mureau MA

Although surgery still is the most important treatment modality in the management of head and neck cancer, radiotherapy is increasingly being used. Consequently, the majority of head and neck cancer patients are at risk of developing osteoradionecrosis of the jaws, which is the most serious and important complication of radiotherapy. This review presents the etiology, pathophysiology, diagnosis, classification, and prevention of osteoradionecrosis. In addition, the body of evidence regarding conservative as well as surgical treatment of osteoradionecrosis is reviewed, and studies on complications, tumor recurrence and patient survival, dental rehabilitation, and functional and aesthetic outcome after surgical treatment for osteoradionecrosis are discussed.
HubMed – rehab

Resolving to go forward: the experience of latino/hispanic family caregivers.

Filed under: Rehab Centers

Qual Health Res. 2013 Feb; 23(2): 218-30
Lucke KT, Martinez H, Mendez TB, Arévalo-Flechas LC

Little is known about the experiences and needs of family caregivers of Latino/Hispanic individuals with spinal cord injury (SCI) during the early years of recovery. The purpose of this grounded theory study was to describe the experiences and identify the informational, decisional, interpersonal, and resource support needs of family caregivers of newly injured Latino/Hispanic individuals with SCI during the first 2 years after undergoing rehabilitation. “Resolving to go forward” was the core category that emerged from two simultaneous processes of “learning to care for” and “getting through” during the initial years as the primary informal caregiver. Most caregivers felt alone and abandoned after the injured person returned home, and experienced barriers to services and resources primarily because of language issues and economic status. We recommend that researchers develop and evaluate culturally appropriate, informal caregiving models to improve outcomes for both Latino individuals with SCI and their family caregivers.
HubMed – rehab

Using Generalizability Theory to Develop Clinical Assessment Protocols.

Filed under: Rehab Centers

Phys Ther. 2012 Dec 20;
Preuss RA

Clinical assessment protocols must produce data that are reliable, with a clinically attainable minimal detectable change (MDC). The use of generalizability theory in a reliability study can provide clinicians with information that allows assessment protocols to be adjusted to match individual patient profiles. This is because of two advantages that generalizability theory possesses over classical test theory. First, generalizability theory allows the user to simultaneously consider multiple sources of measurement error variance (facets). Second, it allows the user to generalize the findings of the main study across the different study facets, and to re-calculate the reliability and MDC based on different combinations of facet conditions. In doing so, clinical assessment protocols can be chosen based on minimizing the number of measures that must be taken to achieve a realistic MDC, using repeated measures to minimize the MDC, or simply based on the combination that best allows the clinician to monitor an individual patient’s progress over a specified period of time.
HubMed – rehab

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