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Auteur Daniel Rhon
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Ajouter le résultat dans votre panier Affiner la rechercheDelayed Rehabilitation Is Associated With Recurrence and Higher Medical Care Use After Ankle Sprain Injuries in the United States Military Health System / Daniel Rhon in Journal of Orthopaedic & Sports Physical Therapy, Vol. 51,12 (décembre 21)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > Vol. 51,12 (décembre 21) . - p. 619-627
Titre : Delayed Rehabilitation Is Associated With Recurrence and Higher Medical Care Use After Ankle Sprain Injuries in the United States Military Health System Type de document : article de périodique Auteurs : Daniel Rhon ; [et al.] Année de publication : 0021 Article en page(s) : p. 619-627 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]Cheville
[Thésaurus Mesh]Traumatismes de la chevilleRésumé : To investigate the influence of time taken to begin musculoskeletal rehabilitation on injury recurrence and ankle-related medical care use at 1 year after ankle sprain.
Design
Retrospective cohort study of all beneficiaries of the US Military Health System seeking care for an ankle sprain over a 4-year period.
Methods
Individuals were classified according to whether they did or did not receive physical rehabilitation. For those who received rehabilitation (n = 6150), linear relationships (with appropriate covariate controls) were analyzed with generalized linear models and generalized additive models to measure the effects of rehabilitation timing on injury recurrence and injury-related medical care use (costs and visits) at 1 year after injury. The nonlinear effect of rehabilitation timing on the probability of recurrence was assessed.
Results
Approximately 1 in 4 people received rehabilitation. The probability of ankle sprain recurrence increased for each day that rehabilitation was not provided during the first week. The probability of ankle sprain recurrence plateaued until about 2 months after initial injury, then increased again, with 2 times greater odds of recurrence compared to those who received physical rehabilitation within the first month. When rehabilitation care was delayed, recurrence (odds ratio [OR] = 1.28), number of foot/ankle-related visits (OR = 1.22), and foot/ankle-related costs increased (OR = 1.13; up to $1400 per episode).
Conclusion
The earlier musculoskeletal rehabilitation care started after an ankle sprain, the lower the likelihood of recurrence and the downstream ankle-related medical costs incurred.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Delayed Rehabilitation Is Associated With Recurrence and Higher Medical Care Use After Ankle Sprain Injuries in the United States Military Health System / Daniel Rhon in Journal of Orthopaedic & Sports Physical Therapy, Vol 51, 12 (Décembre 2021)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > Vol 51, 12 (Décembre 2021) . - p. 619-627
Titre : Delayed Rehabilitation Is Associated With Recurrence and Higher Medical Care Use After Ankle Sprain Injuries in the United States Military Health System Type de document : article de périodique Auteurs : Daniel Rhon ; [et al.] Année de publication : 2021 Article en page(s) : p. 619-627 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:Entorse de la cheville
[Thésaurus HELB]:Paramédical:RéhabilitationRésumé : Objective
To investigate the influence of time taken to begin musculoskeletal rehabilitation on injury recurrence and ankle-related medical care use at 1 year after ankle sprain.
Design
Retrospective cohort study of all beneficiaries of the US Military Health System seeking care for an ankle sprain over a 4-year period.
Methods
Individuals were classified according to whether they did or did not receive physical rehabilitation. For those who received rehabilitation (n = 6150), linear relationships (with appropriate covariate controls) were analyzed with generalized linear models and generalized additive models to measure the effects of rehabilitation timing on injury recurrence and injury-related medical care use (costs and visits) at 1 year after injury. The nonlinear effect of rehabilitation timing on the probability of recurrence was assessed.
Results
Approximately 1 in 4 people received rehabilitation. The probability of ankle sprain recurrence increased for each day that rehabilitation was not provided during the first week. The probability of ankle sprain recurrence plateaued until about 2 months after initial injury, then increased again, with 2 times greater odds of recurrence compared to those who received physical rehabilitation within the first month. When rehabilitation care was delayed, recurrence (odds ratio [OR] = 1.28), number of foot/ankle-related visits (OR = 1.22), and foot/ankle-related costs increased (OR = 1.13; up to $1400 per episode).
Conclusion
The earlier musculoskeletal rehabilitation care started after an ankle sprain, the lower the likelihood of recurrence and the downstream ankle-related medical costs incurred.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible J Périodique Erasme - périodiques Périodiques Disponible Leveraging the Short-Term Benefits of Manual Therapy Which Includes Exercise Over Exercise Therapy Alone Appears Justified for Knee Osteoarthritis / Daniel Rhon in Journal of Orthopaedic & Sports Physical Therapy, vol. 53,01 (Janvier 2023)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > vol. 53,01 (Janvier 2023) . - p. 49-50
Titre : Leveraging the Short-Term Benefits of Manual Therapy Which Includes Exercise Over Exercise Therapy Alone Appears Justified for Knee Osteoarthritis Type de document : article de périodique Auteurs : Daniel Rhon ; [et al.] Année de publication : 2023 Article en page(s) : p. 49-50 Langues : Français (fre) Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Manual Therapy: Always a Passive Treatment? / Daniel Rhon in Journal of Orthopaedic & Sports Physical Therapy, vol 51, 10 (octobre 2021)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > vol 51, 10 (octobre 2021) . - p. 474-477
Titre : Manual Therapy: Always a Passive Treatment? Type de document : article de périodique Auteurs : Daniel Rhon ; Gail D. Deyle Année de publication : 2021 Article en page(s) : p. 474-477 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:thérapie manuelle Résumé : The use of manual therapy as an intervention has garnered intense debate, one that is often mired in a straw-man argument that manual therapy is a purely passive intervention. When passive interventions are equated with low-value care, it is easy to deride manual therapy as low-value care. However, manual therapy describes a wide variety of treatments, some with passive components and some that are primarily passive in certain scenarios. But manual therapy can be an integral part of highly active treatment strategies. We implore investigators to describe manual therapy interventions in sufficient detail so that they can be reproduced and thereby help the end users of research (including clinicians) to better assess the value of such interventions. This Viewpoint challenges the assumption that manual therapy is always a passive treatment of low value. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité JOU Périodique Erasme - périodiques Périodiques Disponible Nonoperative Management Prior to Hip Arthroscopy for Femoroacetabular Impingement Syndrome: An Investigation Into the Utilization and Content of Physical Therapy / Jodi Young in Journal of Orthopaedic & Sports Physical Therapy, vol. 49, 8 (Août 2019)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > vol. 49, 8 (Août 2019) . - p. 593-600
Titre : Nonoperative Management Prior to Hip Arthroscopy for Femoroacetabular Impingement Syndrome: An Investigation Into the Utilization and Content of Physical Therapy Type de document : article de périodique Auteurs : Jodi Young ; Alexis A. Wright, Auteur ; Daniel Rhon, Auteur Année de publication : 2019 Article en page(s) : p. 593-600 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Arthroscopie
[Thésaurus Mesh]Traitement conservateurRésumé : Background
There has been a significant increase in surgeries for femoroacetabular impingement syndrome in recent years, but little is known about the use of physical therapy prior to surgery.
Objectives
To investigate the use of physical therapy prior to hip arthroscopy for femoroacetabular impingement syndrome, by assessing the number of visits and use of exercise. A secondary objective was to evaluate whether comorbidities prior to surgery were associated with the use of physical therapy.
Methods
In this retrospective observational cohort study, eligible participants between the ages of 18 and 50 years undergoing hip arthroscopy between 2004 and 2013 in the Military Health System were included. Patients were categorized based on whether they saw a physical therapist for their hip in the year prior to surgery. For physical therapy patients, dosing variables were identified, including total number of visits and visits that included an exercise therapy procedure code.
Results
Of 1870 participants, 1106 (59.1%) did not see a physical therapist for their hip prior to surgery. For those who did, the median number of visits was 2. Only 220 (11.8%) had 6 or more unique visits with an exercise therapy procedure code. Exercise was coded in 43.4% to 63.0% of the total visits in each individual course of care (mean, 52.3%). There was an association between substance abuse and exercise utilization. No other comorbidities were associated with physical therapy or exercise therapy utilization.
Conclusion
Physical therapy was not commonly used before undergoing arthroscopic hip surgery by patients seeking care in the Military Health System. Further research is needed to understand the reasons for poor utilization and better define failed nonoperative management.
Level of Evidence
Therapy, level 2b.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible Unique Contributions of Body Diagram Scores and Psychosocial Factors to Pain Intensity and Disability in Patients With Musculoskeletal Pain / Daniel Rhon in Journal of Orthopaedic & Sports Physical Therapy, vol.47, 2 (Fevrier 2017)
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