8.7 AE 5.3) were significantly improved (p<0.05). After training, only 18.8% of patients required digitations during bowel opening. The Bristol Stool Score was significantly improved with 40% of type 3, 26.7% of type 4 and 20% of type 5 (p<0.05). Conclusion: The study provides preliminary data that biofeedback training in managing patients may be effective in improving the clinical outcomes with functional constipation patients. Interpretation of the results requires caution due to the lack of a control group.
8.7 AE 5.3) were significantly improved (p<0.05). After training, only 18.8% of patients required digitations during bowel opening. The Bristol Stool Score was significantly improved with 40% of type 3, 26.7% of type 4 and 20% of type 5 (p<0.05). Conclusion: The study provides preliminary data that biofeedback training in managing patients may be effective in improving the clinical outcomes with functional constipation patients. Interpretation of the results requires caution due to the lack of a control group.Background and Purpose: It has been reported that 9%-40% of patients who underwent abdominal surgeries suffered from postoperative pulmonary complications (PPCs) which contributed to morbidity and additional health care costs. Chest physiotherapy is one of the strategies to reduce PPCs. A modified risk assessment model was used to triage high risk patients for appropriate interventions. Methods: Patients admitted for elective abdominal surgery were screened pre-operatively. 1. Patient-related Risk Factors: ageS60, smoker, obesity, pulmonary diseases and functional dependence. Patient with 2 or more factors was categorized as high risk. 2. Procedure-related Risk Factors are surgical site and extent of surgery. Upper abdominal or major open procedures were categorized as high risk. Patients were triaged into Category I to III with appropriate physiotherapy interventions. Category I: Low risk patient underwent low risk procedure, no intervention or brief treatment. Category II: High risk patient underwent low risk procedure or low risk patient underwent high risk procedure, pre-operative and routine postoperative interventions were provided. Category III: High risk patient underwent high risk procedure, pre-operative and intensive postoperative chest physiotherapy and training were provided. Results: Forty-eight patients participated in the study. Mean age was 63 AE11 years. Twenty-seven percent of patients were stratified as Category I, 63% as II and 10% as III. The mean SpO 2 on day 1 to day 3 ranged from 98.1 to 98.7%; 46 (95%) patients regained their pre-morbid functional status upon discharge. Five (10.4%) patients received upper abdominal surgery were diagnosed with PPCs. Among these, 60% were stratified as Category III and with pre-disposing pulmonary disease. Conclusion: Our study supported the previous studies that Category III patients were at high risk of developing PPCs and hence intensive physiotherapy intervention should be implemented in peri-operative phases. This model is a useful tool for risk stratification and formulation of physiotherapy care. As a preliminary study, further review in the future was suggested.
Purpose: This historical cohort study aims to determine the relationship between premorbid functional status and functional decline in hip fracture patients. Methods: Eighty-two hip fracture patients were divided into Group A (good rehabilitation potential) and Group B (fair rehabilitation potential) based on four premorbid functional assessments: Modified Functional Ambulation Category (MFAC), Modified Barthel Index (MBI), Hong Kong Montreal Cognitive Assessment 5-Minute and functional prognosis predictive score. Declines in MFAC and MBI after rehabilitation were compared. Results: Sixty-seven percent of patients in Group A had up to one category decline in final MFAC, whereas 66% in Group B had more than one category decline. Similarly, median decline in final MBI was seven in Group A versus 22 in Group B. Conclusion: Hip fracture patients with good rehabilitation potential have significantly fewer functional declines. It is possible for them to be directly discharged from acute hospital for outpatient rehabilitation.
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