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PubMed · 9253062

Imaging patients with chronic disabilities.

Abstract

For some patients, a chronic disability occurs suddenly, such as when it is the result of an accident or a stroke. For others, the development of a disability is a gradual process, the result of a disease process such as multiple sclerosis or Alzheimer's disease. Regardless of whether a person becomes disabled slowly or gradually, a variety of psychological dynamics are involved. Because a loss has occurred, all disabled patients experience grief and go through denial, depression and the struggle for reintegration. It is essential that the radiology staff carefully assess each patient's feelings and encourage him or her to take control of life. Disabled people do not need to remain in the grieving stage forever. They can learn to adjust and adapt, and the radiologic technologist can help by providing support and encouragement. If the technologist knows what to expect and understands how to react, even the briefest encounter in the radiology department can have a positive effect on the patient's adjustment.

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BibTeXRIS

R Davidhizar, S Dowd. Imaging patients with chronic disabilities.. https://pubmed.ncbi.nlm.nih.gov/9253062/

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The long-term effect of multidisciplinary back training: a systematic review.

STUDY DESIGN: Systematic review of randomized controlled trials. OBJECTIVES: To determine the long-term effect of multidisciplinary back training on the work participation of patients with nonspecific chronic low back pain. SUMMARY OF BACKGROUND DATA: Chronic low back pain is influenced by multiple factors. Multidisciplinary back training represents one of the options to take this multiplicity into account. So far, only evidence of the short-term effectiveness of this approach in terms of work participation is available. METHODS: Electronic databases were searched and the references of various articles were screened for relevant publications. Ten studies met the inclusion criteria. All included studies were evaluated for their methodologic quality. RESULTS: Five of the studies had a low methodologic quality. All high-quality studies found a positive effect on at least one of the 4 outcome measures used. Based on our criteria, effectiveness was found for the outcome measures of work participation and quality of life. No effectiveness was found for experienced pain and functional status. The intensity of the intervention seems to have no substantial influence on the effectiveness of the intervention. CONCLUSION: In the long-term, multidisciplinary back training has a positive effect on work participation in patients with nonspecific chronic low back pain.

Chronic Disease↗