No abstract available.
Disability Evaluation*

No abstract available.
Disability Evaluation*

No abstract available.
Disability Evaluation*

OBJECTIVE: To analyze the relevant factors of determining the degree of mental disability after brain injuries in the traffic accidents. METHODS: A total of 157 forensic psychiatry cases involving the assessment of mental disability caused by traffic accidents were collected and divided into three groups (mild, moderate and severe) according to the conclusion of the forensic identification. The demographic, clinical and forensic data were compared in the three groups and analyzed with ordinal logistic regression. RESULTS: There was no statistically significant difference in the demographic data among three groups (P > 0.05). While there was statistically significant difference in the coma duration, severity of intracranial hemorrhage, working capacity, family duties, social functions, self care capacity and intelligence quotient (P < 0.05) among the groups. Intracranial hemorrhage, family duties, social functions and self care capacity were chosen as the factors in the logistic regression equation. CONCLUSION The degree of the brain damage influenced the mental disability. Family duties, social functions and self care capacity are the major factors for determining the degree of mental disability after injured.
Accidents, Traffic ; Adult ; Brain Injuries/pathology* ; Disability Evaluation ; Female ; Forensic Psychiatry ; Humans ; Injury Severity Score ; Male ; Mental Disorders/etiology* ; Middle Aged ; Work Capacity Evaluation

INTRODUCTIONThe purpose of the study was to examine the determinants of self-reported disability - MODQ (Modified Oswestry Low Back Pain Disability Questionnaire) in patients with low back pain (LBP); and to examine the level of FABQ (Fear-Avoidance Belief Questionnaires) scores in an ambulatory clinical population referred to physiotherapy management. We believe that identifying potentially modifiable determinants of disability in patients with LBP provides an opportunity to broaden the strategies to reduce its socioeconomic burden.

MATERIALS AND METHODSA retrospective study was designed to be conducted in the physiotherapy department of a local hospital. The data were taken from standard examination of patients [n = 162, female 15.4%, male 84.6%, age mean = 30.6 years [standard deviation (SD), 11.4; range, 17 to 68)] presenting to the department with acute or chronic LBP. The data included physical examination of back, self-reported disability by MODQ, fear-avoidance beliefs by FABQ, pain intensity and demographic information.

RESULTSThe final model generated by hierarchical regression analysis revealed that MODQ scores included self-reported symptom aggravation with all movements, pain medication usage, average straight leg raise (SLR), pain intensity, and Fear-Avoidance Belief Questionnaire-Work (FABQ-W). Overall, these variables account for approximately 40% of variance. The mediational analysis indicated that the relationship between the FABQ-W and MODQ scores may be partially mediated by pain intensity, average SLR values and pain medication usage.

CONCLUSIONIn this correlational study of physical impairments, psychosocial factors and self-reported disability, disability was driven primarily by measures of pain and fear-avoidance beliefs. Because the FABQ is a simple and useful clinical tool, we suggest that physicians and physiotherapists alike should make it a routine attempt to characterise the fear-avoidance beliefs of patients with LBP.

Adolescent ; Adult ; Aged ; Disability Evaluation ; Fear ; psychology ; Female ; Health Knowledge, Attitudes, Practice ; Health Status Indicators ; Health Surveys ; Humans ; Low Back Pain ; physiopathology ; psychology ; Male ; Middle Aged ; Pain Measurement ; Retrospective Studies ; Surveys and Questionnaires ; Work Capacity Evaluation

No abstract available.
Disability Evaluation* ; Spine*

No abstract available.
Disability Evaluation* ; Spinal Fractures*

No abstract available.
Disability Evaluation* ; Spinal Injuries*

Stroke is one of the leading causes of mortality in the world. Most of researchers concern about prognostic factors of stroke outcome. Objectives: Evaluate some factors influencing on stroke functional outcome. Methods: Neurologic impairments of 337 postroke patients at admission was quanlified by Orgogozo Scale. At admission, patients were rated as Group A, severe stroke patients (Orgogozo<25) and group B, less severe stroke patients (Orgogozo>25). The patients also divided into two age groups: Group I (less than 60 years old) and Group II (60 years old or more). Outcomes were assessed one year after stroke using the Rankin Scale. Results: 337 cases of poststroke patients entrolled in the study. Functional recovery was closely related to the severity of neutrologic deficits at admission and patients' age as well. By one year, poor outcomes were noted in 85% poststroke patients with Orgogozo Scores<25 at admission. Conclusion: Outcomes were closely associated with stroke severity at admission and patients' age as well. The Orgogozo Scale can predict the likelihood of a patients' recovery after the event. A Orgogozo score<25 at admission may forecast a hight probability of death or severe disability.
Stroke, Disability Evaluation, Risk Factors

In psychiatry, the remission of diseases and the recovery of disabilities have been the critical points of treatment. And the scales which evaluate the functions and disabilities of patients were needed to see the remission of diseases and the recovery of disabilities. Among these functional scales, Global Assessment of Functioning Scale (GAF) and Social and Occupational Functioning Scale (SOFAS) were widely used to indicate psychosocial functions. GAF and SOFAS are 100 point single-item global scale to evaluate the functions of patients, and have advantages to apply in short time. And these scales have high reliability, predict the course of subjects, and reflect the patients' changes sensitively. Therefore, these scales were used frequently in clinical situation. To use GAF more effectively, clinician training and constructive use of GAF-total, GAF-symptom, and GAF-disability are needed.
Disability Evaluation ; Humans ; Weights and Measures