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KCE Reports 57 Musculoskeletal & Neurological Rehabilitation 1
Table of contents
Scientific summary
SCIENTIFIC SUMMARY ................................................................................................... 1
LIST OF ABBREVIATIONS ............................................................................................... 7
INTRODUCTION ............................................................................................................ 9
1 CONCEPTUAL DEFINITION OF MUSCULOSKELETAL AND NEUROLOGICAL
REHABILITATION................................................................................................ 11
1.1 DEVELOPMENT OF A CONCEPTUAL DEFINITION OF MUSCULOSKELETAL AND NEUROLOGICAL
REHABILITATION ............................................................................................................................................11
1.1.1 Introduction.....................................................................................................................................11
1.1.2 Critical view on the current published literature....................................................................11
1.1.3 Methodology ...................................................................................................................................11
1.1.4 Definition of musculoskeletal and neurological rehabilitation ..............................................12
1.1.5 Interpretation rules for the definition of musculoskeletal and neurological rehabilitation
13
1.1.6 Discussion........................................................................................................................................17
1.2 CONCLUSIONS ..............................................................................................................................................17
2 SELECTION OF PATHOLOGIES AND EPIDEMIOLOGY .......................................... 19
2.1 SELECTION OF DIAGNOSES ...........................................................................................................................19
2.2 EPIDEMIOLOGY ..............................................................................................................................................23
2.2.1 Methodology ...................................................................................................................................23
2.2.2 Results ..............................................................................................................................................23
2.3 CONCLUSION ................................................................................................................................................27
3 OUTCOME MEASURES, OUTCOME MODELS AND PATIENT CLASSIFICATION
SYSTEMS............................................................................................................. 29
3.1 INTRODUCTION ............................................................................................................................................29
3.2 OUTCOME MEASURES ...................................................................................................................................29
3.2.1 Introduction.....................................................................................................................................29
3.2.2 Outcome measures used in rehabilitation................................................................................30
3.2.3 Discussion........................................................................................................................................30
3.3 OUTCOME MODELS.......................................................................................................................................30
3.3.1 International Classification of Functioning, Disability and Health (ICF)..............................30
3.3.2 Conclusion.......................................................................................................................................32
3.4 ‘ASSESSMENT’ INSTRUMENTS.........................................................................................................................32
3.4.1 Minimal Data Set - Post Acute Care (MDS-PAC)...................................................................32
3.4.2 Pathos-Aggir-Socios.......................................................................................................................33
3.4.3 Conclusion.......................................................................................................................................33
3.5 PATIENT CLASSIFICATION SYSTEMS .............................................................................................................33
3.5.1 Inpatient or Outpatient Rehabilitation?.....................................................................................33