Rehab Centers: Internal Consistency and Construct Validity of the Revised Illness Perception Questionnaire Adapted for Work Disability Following a Musculoskeletal Disorder.

Internal consistency and construct validity of the Revised Illness Perception Questionnaire adapted for work disability following a musculoskeletal disorder.

Filed under: Rehab Centers

Disabil Rehabil. 2012 Aug 14;
Albert V, Coutu MF, Durand MJ

Purpose: To assess internal consistency and construct validity of the French version of the Revised Illness Perception Questionnaire adapted for Work Disability (IPQR-WD). Method: A cross sectional study was conducted in rehabilitation centers and private clinics in the Montreal region of Canada, involving 43 men and women, French speaking, absent from work between 3 months and a year due to musculoskeletal disorders. The 9 dimension IPQR-WD and the following eight-related instruments for construct validity were administered: Tampa Scale for Kinesiophobia (TSK), Pain Catastrophizing Scale (PCS), Psychological Distress Index (PDI-14), Pain Disability Index (PDI), Self-Efficacy for Return to Work Scale (SERWS), Pain Beliefs and Perceptions Inventory (PBPI), Implicit Models of Illness Questionnaire (IMIQ) and a Visual Analog Scale for pain intensity (VAS). Results: Calculations of Cronbach’s ? (from 0.58 to 0.87) revealed satisfactory internal consistency of the IPQR-WD dimensions. Multiple regression analyses were performed with each IPQR-WD dimension and significant independent variables. Final models explained a good proportion of the variance (adjusted r(2) = 0.33-0.70) for each dimension, except for the Cyclical timeline dimension for which associations became non-significant after adjusting for gender, age and length of sick leave. The SERWS and the VAS were not significantly associated to any of the IPQR-WD dimensions. Conclusions: Moderate to strong correlations were found with six-related instruments which support the multidimensional nature of the IPQR-WD and its unique contribution as one simple questionnaire that can assess representations related to work disability. [Box: see text].
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[The problems of modern rehabilitology (proceedings of VII International Conference)].

Filed under: Rehab Centers

Vopr Pitan. 2012; 81(3): 70-3

The article is devoted to rendering of the proceedings of the VII International conference on scientific and practical arrangements of the modern rehabilitology. Over 300 specialists participated in the conference, among them a big number of physicians and prominent scientists. The main report was made by a corresponding member of RAMS A. Romanov, who dwelled upon the problems of development and quality of specialized multi-field rehabilitation centers, specializing in providing modern highly qualified medical aid and extending human professional longevity. The report of full member of RAMS, prof V. Tutelyan, was devoted to problems of nutrition, first of all, to fundamentals of nutriology, modern methods of diagnostics of human nutrition status and ways of dietary correction, performed with the use of computer programs. 2 symposia were held within the framework of the conference. One symposium was devoted to actual problems of rehabilitology in rehabilitation centers affiliated to the Department of Presidential Affairs of the Russian Federation, the other one–to an adverse influence of weather on human health.
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Cardiovascular Risk of High- Versus Moderate-Intensity Aerobic Exercise in Coronary Heart Disease Patients.

Filed under: Rehab Centers

Circulation. 2012 Aug 9;
Rognmo O, Moholdt T, Bakken H, Hole T, Mølstad P, Myhr NE, Grimsmo J, Wisløff U

BACKGROUND: Exercise performed at higher relative intensities has been found to elicit greater increase in aerobic capacity and greater cardioprotective effects than exercise at moderate intensities. It has also been detected an inverse association between the relative intensity of physical activity and the risk of developing coronary heart disease, independent of the total volume of physical activity. Despite that higher levels of physical activity is effective in reducing cardiovascular events, it is also advocated that vigorous exercise could acutely and transiently increase the risk of sudden cardiac death and myocardial infarction in susceptible persons. This issue may affect cardiac rehabilitation. METHODS AND RESULTS: We examined the risk of cardiovascular events during organized high-intensity interval exercise training and moderate-intensity training among 4846 CHD patients in four Norwegian cardiac rehabilitation centers. Of a total of 175 820 exercise training hours where all patient performed both types of training we found one fatal cardiac arrest during moderate-intensity exercise (129 456 exercise hours), and two non-fatal cardiac arrests during high-intensity interval exercise (46 364 exercise hours). There were no myocardial infarctions in the data material. As the number of high-intensity training hours was 36% of the number of moderate-intensity hours, the rates of complications to the number of patient-exercise hours were 1 per 129 456 of moderate-intensity exercise and 1 per 23 182 of high-intensity exercise . CONCLUSIONS: The results of the current study indicate that the risk of a cardiovascular event is low after both high-intensity exercise and moderate-intensity exercise in a cardiovascular rehabilitation setting. Considering the significant cardiovascular adaptations associated with high-intensity exercise, such exercise should be considered among CHD patients.
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Establishing End-to-End Security in a Nationwide Network for Telecooperation.

Filed under: Rehab Centers

Stud Health Technol Inform. 2012; 180: 512-6
Staemmler M, Walz M, Weisser G, Engelmann U, Weininger R, Ernstberger A, Sturm J

Telecooperation is used to support care for trauma patients by facilitating a mutual exchange of treatment and image data in use-cases such as emergency consultation, second-opinion, transfer, rehabilitation and out-patient aftertreatment. To comply with data protection legislation a two-factor authentication using ownership and knowledge has been implemented to assure personalized access rights. End-to-end security is achieved by symmetric encryption in combination with external trusted services which provide the symmetric key solely at runtime. Telecooperation partners may be chosen at departmental level but only individuals of that department, as a result of checking the organizational assignments maintained by LDAP services, are granted access. Data protection officers of a federal state have accepted the data protection means. The telecooperation platform is in routine operation and designed to serve for up to 800 trauma centers in Germany, organized in more than 50 trauma networks.
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