Since 1994 the German Pension Fund has developed a systematic and centralized quality control system. Central components are a structural analysis of hospitals and rehab centers, a peer review instrument based on the treatment protocols and reports, and an outcome questionaire based on a follow-up 6 months after discharge from hospital or the rehab center. In order to improve the well established peer review instrument a new protocol document named RehaProDok was established. Based on a preexisting electronic report system, the new document can be generated automatically. Without additional work for the hospital or center a short discharge report for physicians is produced with this instrument. The use of ICF is strengthened by standardized use of rehab goals and its systematic input into the final report, which in turn improves patient orientation. Other quality important features (e. g. Team approach, changes in therapy protocol due to progress within of the rehab process) may be examined directly and added in the future. All technical improvements can be easily adapted to other clinical information systems.
Purpose. A number of mental and physical benefits arise from leading an active lifestyle. Many forms of therapies make use of physical activity to reinforce rehabilitation as well as improve the condition of the body and mind. It is in this way that an individual can improve their well-being through cleansing the body of negative emotions and seek inner harmony, which is one of the most important features of mental health. However, the question arises whether all forms of physical activity improve the emotional state of an individual in the same way. A qualitative change in mood may be in fact related to the methodical factors present in physical activity (the type of exercise, the training method or its intensity and frequency) but also an instructor's personality, the age and gender of the participant as well as their physical fitness and motor skills, the subject's current social and mental state, environmental factors or other factors related to everyday life such as work, family, etc. The aim of this study was to determine the changes in mood of physically active and highly fit people, aged 22-25 years, after various forms of physical activity and with different training methodologies. Methods. The Mood Adjective Check List (UMACL) was admini stered to 84 students before and after completing a course in a number of physical activities. Statistical methods were then applied to the results to measure the size of the differences and for any statistical significance. Results. The results found that regardless of the form of physical activity or class duration, there was a positive change in the mood of participants. Differences in size of the changes, when compared to the forms of physical activity and gender, were not found. Conclusions. The improvement in mood of fit and regularly physically active adults is observed regardless what form of physical activity is practiced.
Background:The authors assume that 8-month systematic physical activity with individually selected resistance of progressively increasing volume and intensity will counteract the processes related to regress of motricity and the unfavourable change of body composition in people over 40 years old. Material and methods: The research involved 178 persons (92 women and 86 men) aged 40-61 years old. The participants pursued training with small and medium weights, broken down into a younger (40-50 years) and an older (51-61 years) group. The workout plan was modelled on the adaptive strength training method (ASTM), which is used by weightlifters and bodybuilders. The change in overall physical fitness was assessed by means of the Pilicz test, body mobility and changes in selected parameters of body composition.Results: In both groups (51-61 years old and 40-50 years old), a decrease in body weight and the adipose tissue and improved physical fitness and body mobility were noted. The most significant result was an increase by 18% of the lower limbs strength in women and men, while in the case of the upper limbs, the increase in strength in males was by 19% and in women by as much as 31%. Furthermore, levelling of overall fitness among the ASTM participants occurred.Conclusions: Extensive mobilisation of the motor apparatus that is ensured by adaptive training offers highly beneficial effects in the fight against the symptoms of aging. After consultation with a doctor, this workout may be found useful in the prevention of injuries, the motor system dysfunctions, overweight and cardiovascular diseases in adults.
The Federal German Pension Insurance in cooperation with professional organisations developed a curriculum for further socio-medical education of psychologists/psychotherapists, occupational therapists, physiotherapists, sports therapists and social workers/social pedagogues involved in medical rehabilitation. This curriculum aims to improve the professional competence of the therapeutic groups named above with regards to their contributions to the socio-medical capacity evaluation and related communication within the rehabilitation team. The curriculum was implemented for the first time in 2013. Using the results of the usibility evaluation the continued education concept was revised and manualised. The manual allows for a wide dissemination of the education concept.
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