Rehabilitation outcomes in persons with spina bifida: A randomised controlled trial.
Identifieur interne : 001B58 ( Main/Exploration ); précédent : 001B57; suivant : 001B59Rehabilitation outcomes in persons with spina bifida: A randomised controlled trial.
Auteurs : Fary Khan [Australie] ; Bhasker Amatya ; Louisa Ng ; Mary GaleaSource :
- Journal of rehabilitation medicine [ 1651-2081 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
- rééducation et réadaptation : Dysraphie spinale.
- Adolescent, Adulte, Adulte d'âge moyen, Enquêtes et questionnaires, Femelle, Humains, Jeune adulte, Mâle, Qualité de vie, Résultat thérapeutique, Études de cohortes.
English descriptors
- KwdEn :
- MESH :
- rehabilitation : Spinal Dysraphism.
- Adolescent, Adult, Cohort Studies, Female, Humans, Male, Middle Aged, Quality of Life, Surveys and Questionnaires, Treatment Outcome, Young Adult.
Abstract
OBJECTIVE
To assess the effectiveness of an interdisciplinary ambulatory rehabilitation programme for persons with spina bifida in an Australian community cohort.
METHODS
Fifty-four participants randomized to a treatment group (n = 27) for a high-intensity rehabilitation programme (with cognitive behavioural therapy) or a control group (n = 27) comprising usual care. Outcome measures include: Disability: Urogenital Distress Inventory (UDI6), Incontinence Impact Questionnaire-7 (IIQ7), American Urological Association Symptom Index (AUA), Wexner-Faecal Incontinence Score (WFIS), Neurological Disability Scale (NDS);
PARTICIPATION
Depression, Anxiety Stress Scale (DASS), McGill Quality of Life (MQOL), Brief COPE Scale, Genera-lized Self-efficacy Scale (GSE). Assessments were made at baseline and 3-months post-intervention.
RESULTS
Adjusted for baseline disease and demographic covariates, the intervention group improved significantly at 3-month follow-up for primary and secondary outcomes, with moderate to large effect sizes (r): urinary/bowel dysfunction (AUA, UDI6, IIQ7, WFIS) (p < 0.001 for all, r = 0.4-0.7); and cognitive function: NDS "cognitive" and "mood" (p < 0.01, r = 0.6 for both); DASS "depression", "anxiety" and "stress" (p < 0.001 for all, r = 0.5-0.7); MQOL total (p = 0.013, r = 0.5), "psychological symptoms" (p < 0.001, r = 0.8); "active coping" (p = 0.035) and "self-efficacy" scores (GSE p < 0.001). No difference between groups was noted in other subscales.
CONCLUSION
Targeted rehabilitation can improve clinical outcomes in persons with spina bifida. Further research is needed for longer-term outcomes related to "ageing" and participation restriction.
DOI: 10.2340/16501977-1999
PubMed: 26181910
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Rehabilitation outcomes in persons with spina bifida: A randomised controlled trial.</title><author><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name><affiliation wicri:level="1"><nlm:affiliation>Department of Rehabilitation Medicine, Royal, Melbourne Hospital, 34-54 Poplar Road, Parkville, Melbourne VIC 3052, Australia. fary.khan@mh.org.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Rehabilitation Medicine, Royal, Melbourne Hospital, 34-54 Poplar Road, Parkville, Melbourne VIC 3052</wicri:regionArea><wicri:noRegion>Melbourne VIC 3052</wicri:noRegion></affiliation></author><author><name sortKey="Amatya, Bhasker" sort="Amatya, Bhasker" uniqKey="Amatya B" first="Bhasker" last="Amatya">Bhasker Amatya</name></author><author><name sortKey="Ng, Louisa" sort="Ng, Louisa" uniqKey="Ng L" first="Louisa" last="Ng">Louisa Ng</name></author><author><name sortKey="Galea, Mary" sort="Galea, Mary" uniqKey="Galea M" first="Mary" last="Galea">Mary Galea</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:26181910</idno><idno type="pmid">26181910</idno><idno type="doi">10.2340/16501977-1999</idno><idno type="wicri:Area/Main/Corpus">001C11</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001C11</idno><idno type="wicri:Area/Main/Curation">001C11</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">001C11</idno><idno type="wicri:Area/Main/Exploration">001C11</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Rehabilitation outcomes in persons with spina bifida: A randomised controlled trial.</title><author><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name><affiliation wicri:level="1"><nlm:affiliation>Department of Rehabilitation Medicine, Royal, Melbourne Hospital, 34-54 Poplar Road, Parkville, Melbourne VIC 3052, Australia. fary.khan@mh.org.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Rehabilitation Medicine, Royal, Melbourne Hospital, 34-54 Poplar Road, Parkville, Melbourne VIC 3052</wicri:regionArea><wicri:noRegion>Melbourne VIC 3052</wicri:noRegion></affiliation></author><author><name sortKey="Amatya, Bhasker" sort="Amatya, Bhasker" uniqKey="Amatya B" first="Bhasker" last="Amatya">Bhasker Amatya</name></author><author><name sortKey="Ng, Louisa" sort="Ng, Louisa" uniqKey="Ng L" first="Louisa" last="Ng">Louisa Ng</name></author><author><name sortKey="Galea, Mary" sort="Galea, Mary" uniqKey="Galea M" first="Mary" last="Galea">Mary Galea</name></author></analytic><series><title level="j">Journal of rehabilitation medicine</title><idno type="eISSN">1651-2081</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Cohort Studies (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Quality of Life (MeSH)</term><term>Spinal Dysraphism (rehabilitation)</term><term>Surveys and Questionnaires (MeSH)</term><term>Treatment Outcome (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Dysraphie spinale (rééducation et réadaptation)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Qualité de vie (MeSH)</term><term>Résultat thérapeutique (MeSH)</term><term>Études de cohortes (MeSH)</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Spinal Dysraphism</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Dysraphie spinale</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Cohort Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Quality of Life</term><term>Surveys and Questionnaires</term><term>Treatment Outcome</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Qualité de vie</term><term>Résultat thérapeutique</term><term>Études de cohortes</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To assess the effectiveness of an interdisciplinary ambulatory rehabilitation programme for persons with spina bifida in an Australian community cohort.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Fifty-four participants randomized to a treatment group (n = 27) for a high-intensity rehabilitation programme (with cognitive behavioural therapy) or a control group (n = 27) comprising usual care. Outcome measures include: Disability: Urogenital Distress Inventory (UDI6), Incontinence Impact Questionnaire-7 (IIQ7), American Urological Association Symptom Index (AUA), Wexner-Faecal Incontinence Score (WFIS), Neurological Disability Scale (NDS);</p></div><div type="abstract" xml:lang="en"><p><b>PARTICIPATION</b></p><p>Depression, Anxiety Stress Scale (DASS), McGill Quality of Life (MQOL), Brief COPE Scale, Genera-lized Self-efficacy Scale (GSE). Assessments were made at baseline and 3-months post-intervention.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Adjusted for baseline disease and demographic covariates, the intervention group improved significantly at 3-month follow-up for primary and secondary outcomes, with moderate to large effect sizes (r): urinary/bowel dysfunction (AUA, UDI6, IIQ7, WFIS) (p < 0.001 for all, r = 0.4-0.7); and cognitive function: NDS "cognitive" and "mood" (p < 0.01, r = 0.6 for both); DASS "depression", "anxiety" and "stress" (p < 0.001 for all, r = 0.5-0.7); MQOL total (p = 0.013, r = 0.5), "psychological symptoms" (p < 0.001, r = 0.8); "active coping" (p = 0.035) and "self-efficacy" scores (GSE p < 0.001). No difference between groups was noted in other subscales.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Targeted rehabilitation can improve clinical outcomes in persons with spina bifida. Further research is needed for longer-term outcomes related to "ageing" and participation restriction.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">26181910</PMID><DateCompleted><Year>2016</Year><Month>04</Month><Day>06</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1651-2081</ISSN><JournalIssue CitedMedium="Internet"><Volume>47</Volume><Issue>8</Issue><PubDate><Year>2015</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Journal of rehabilitation medicine</Title><ISOAbbreviation>J Rehabil Med</ISOAbbreviation></Journal><ArticleTitle>Rehabilitation outcomes in persons with spina bifida: A randomised controlled trial.</ArticleTitle><Pagination><MedlinePgn>734-40</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.2340/16501977-1999</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To assess the effectiveness of an interdisciplinary ambulatory rehabilitation programme for persons with spina bifida in an Australian community cohort.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Fifty-four participants randomized to a treatment group (n = 27) for a high-intensity rehabilitation programme (with cognitive behavioural therapy) or a control group (n = 27) comprising usual care. Outcome measures include: Disability: Urogenital Distress Inventory (UDI6), Incontinence Impact Questionnaire-7 (IIQ7), American Urological Association Symptom Index (AUA), Wexner-Faecal Incontinence Score (WFIS), Neurological Disability Scale (NDS);</AbstractText><AbstractText Label="PARTICIPATION" NlmCategory="METHODS">Depression, Anxiety Stress Scale (DASS), McGill Quality of Life (MQOL), Brief COPE Scale, Genera-lized Self-efficacy Scale (GSE). Assessments were made at baseline and 3-months post-intervention.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Adjusted for baseline disease and demographic covariates, the intervention group improved significantly at 3-month follow-up for primary and secondary outcomes, with moderate to large effect sizes (r): urinary/bowel dysfunction (AUA, UDI6, IIQ7, WFIS) (p < 0.001 for all, r = 0.4-0.7); and cognitive function: NDS "cognitive" and "mood" (p < 0.01, r = 0.6 for both); DASS "depression", "anxiety" and "stress" (p < 0.001 for all, r = 0.5-0.7); MQOL total (p = 0.013, r = 0.5), "psychological symptoms" (p < 0.001, r = 0.8); "active coping" (p = 0.035) and "self-efficacy" scores (GSE p < 0.001). No difference between groups was noted in other subscales.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Targeted rehabilitation can improve clinical outcomes in persons with spina bifida. Further research is needed for longer-term outcomes related to "ageing" and participation restriction.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Khan</LastName><ForeName>Fary</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Rehabilitation Medicine, Royal, Melbourne Hospital, 34-54 Poplar Road, Parkville, Melbourne VIC 3052, Australia. fary.khan@mh.org.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Amatya</LastName><ForeName>Bhasker</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Ng</LastName><ForeName>Louisa</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Galea</LastName><ForeName>Mary</ForeName><Initials>M</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Sweden</Country><MedlineTA>J Rehabil Med</MedlineTA><NlmUniqueID>101088169</NlmUniqueID><ISSNLinking>1650-1977</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="N">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016135" MajorTopicYN="N">Spinal Dysraphism</DescriptorName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>7</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>7</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>4</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26181910</ArticleId><ArticleId IdType="doi">10.2340/16501977-1999</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li></country></list><tree><noCountry><name sortKey="Amatya, Bhasker" sort="Amatya, Bhasker" uniqKey="Amatya B" first="Bhasker" last="Amatya">Bhasker Amatya</name><name sortKey="Galea, Mary" sort="Galea, Mary" uniqKey="Galea M" first="Mary" last="Galea">Mary Galea</name><name sortKey="Ng, Louisa" sort="Ng, Louisa" uniqKey="Ng L" first="Louisa" last="Ng">Louisa Ng</name></noCountry><country name="Australie"><noRegion><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Bois/explor/PoplarV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001B58 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 001B58 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Bois
|area= PoplarV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:26181910
|texte= Rehabilitation outcomes in persons with spina bifida: A randomised controlled trial.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:26181910" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a PoplarV1
| This area was generated with Dilib version V0.6.37. |  |