Lynne Turner-Stokes

..To assimilate the published evidence for the effectiveness of multidisciplinary rehabilitation following acquired brain injury in adults of working age...

..The results have been used to update the BSRM 'basket of recommended measures'...

..It includes both verbal and visual graphic rating scale questions, simply presented for patients with language/visuo-spatial deficits following stroke...

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..There was also a marked lack of coordination between services. Perhaps not surprisingly, each specialty reported greater ease of access to services within their own field, which further emphasises the need to work closely together...

..To describe the extended Rehabilitation Complexity Scale (RCS-E) and its factor structure, and to determine whether it provides added value over the RCS-version 2 to identify patients with highly complex rehabilitation needs...

..A range of casemix and payment models is required to cater for different healthcare cultures, and casemix tools must capture all the key cost-determinants of treatment for patients with complex needs...

..Conclusions: Expected variations in cost are largely due to differences in staff costs. Total staff costs projected by 150% provided a reasonable estimate of total unit costs...

..Clinicians will have greater credibility if they routinely collect and share outcomes that demonstrate the economic benefits of intervention, as well the impact on health, function and quality of life...

..To examine the cost-efficiency of longer stay rehabilitation in patients with complex neurological disabilities...

..As NHS services tackle the challenges posed by Payment by Results for management of patients with complex needs, it is suggested that this approach may have application in other fields of clinical practice...

..To examine functional outcomes from a rehabilitation programme and to compare two methods for evaluating cost efficiency of rehabilitation in patients with severe complex disability...

..Preliminary testing and application in development of the evidence base for the NSF are described...

..This article reviews a small case series, gathered in a post-acute neuro-rehabilitation setting, to evaluate the use of serial botulinum toxin injection in terms of goal achievement and clinical evidence for toxicity or resistance...

..This article provides a brief summary. Full details of the methods and literature evaluation, as well as tools for implementation, are available in the full guideline...

..Of those who expressed a preference for one tool over the other, 70% preferred the SPIN. The study provides support for application of the SPIN-screen as a routine screening tool in this group of patients...

..to examine the extent of agreement between Barthel Index scores derived from Northwick Park Dependency Scores (NPDS) and the Functional Independence Measure (FIM) ratings, in an inpatient setting...

..to develop and test an algorithm for conversion of the Northwick Park Dependency Scale (NPDS) to a Barthel Index...

..To examine goal attainment scaling for evaluation of treatment for upper limb post-stroke spasticity with botulinum toxin-A...

..To compare two alternative rating systems for goal attainment scaling (GAS) intended to improve capture of goal underachievement...

..To describe the development and initial validation of the Northwick Park Therapy Dependency Assessment (NPTDA) as a measure of therapy interventions in neurorehabilitation...

..To evaluate the clinimetric properties of the Rehabilitation Complexity Scale (RCS) in a neurorehabilitation inpatient sample...

..Some practical tips are offered, as well as a simple spreadsheet (in Microsoft Excel) allowing easy calculation of the T-scores...

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..To compare the efficacy of 2 models of chronic pain management...

..While RSD is traditionally associated with pain in the extremities, the possibility is raised that the same process may underlie chronic pain syndromes affecting more central structures, such as testicular or pelvic pain...

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..To develop a set of clinical standards for specialist community rehabilitation services in the UK and to undertake a preliminary survey of consultants who provide those services...

..To explore possible candidates for a common outcome measure for brain injury rehabilitation in younger adults...

..It was designed to be used together with a short set of additional questions to inform care needs in the community and facilitate discharge planning...

..The aim of this study was to develop and evaluate the UK version of the Functional Assessment Measure (UK FIM+FAM)...

..This paper is a report of a study to establish which timings and assumptions of the Northwick Park Dependency Scale and Care Needs Assessment are appropriate to the inpatient rehabilitation setting and which, if any, require adjustment...

..To examine the psychometric properties of the Northwick Park Dependency Scale (NPDS)...

..In particular, psychological support was notably absent. A possible relationship between late onset seizures and the use of anti-depressant medication requires further exploration, which is currently underway...

..An Extended Activities of Daily Living (EADL) module was included in its original development, but has never been formally evaluated. This study evaluated its scoring accuracy and reliability using vignettes (short clinical scenarios)...

..To complete a third round audit of management of shoulder pain using an integrated care pathway, to evaluate pro forma documentation and to determine outcome...

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..To use data generated from an integrated care pathway (ICP) to describe the characteristics of patients presenting with depression in a brain injury rehabilitation programme and to assess their response to treatment with sertraline...

..Further development is underway...

..To examine the dimensionality of the Zarit Burden Interview in a sample of carers of adults with acquired brain injury...

..To identify valid and reliable outcome measures reflective of "real-life" active and passive function for application following focal rehabilitation interventions in the hemiparetic upper limb after stroke or brain injury...

..Although originally developed and validated for dementia, its items are relevant to acquired brain injury (ABI). This study evaluated its validity in this population...

..To explore the role of Botulinum Toxin type A (BoNT-A) in the management of the spastic hemiplegic shoulder and identify the common achievable goals for treatment...

..To determine whether goal attainment scaling (GAS) can demonstrate functional gains following injection of botulinum toxin (BTX) for spasticity in severely disabled patients...

..This systematic review was undertaken to inform the development of an evidence-based integrated care pathway (ICP) for the management of hemiplegic shoulder pain (HSP)...

..To apply Rasch analysis to the Beck Depression Inventory-II (BDI-II) responses of a mixed neurorehabilitation sample to determine its suitability for assessing depression among this group...

..CONCLUSIONS: This ICP raised staff awareness of depression, leading to improved documentation and possibly also standards of care...

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..This article serves as an introduction to make physicians aware of the guidelines, and to highlight in particular the advice to doctors in the acute services regarding early discharge and referral to rehabilitation...

..To compare goal attainment scaling (GAS) and standardized measures in evaluation of person-centred outcomes in neurorehabilitation...

..It is divided into two parts...

..In part 1 we reviewed the frequency of depression in stroke, its impact on functional recovery and the different methods for assessment...

..To determine whether the Northwick Park Care Needs Assessment (NPCNA) could be used to estimate nursing staff requirements in an inpatient rehabilitation setting...

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..As their differential needs are unknown and to inform service planning, this study (a) examined experiences of caring for adults with acquired brain injury (ABI) and (b) compared these with carers of adults with dementia...

..To avoid confusing the common symptoms of neurological disability with depression in neurorehabilitation, clinicians need to consider all three scores carefully. (JINS, 2009, 15, 142-147.)...

..Preliminary data from one unit are presented to illustrate how this weighted costing model will be applied to derive a multilevel banded payment model, based on serial complexity ratings, to allow for change over time...

..The guidance given here to clinicians involved in the management of spasticity covers the types of patient suitable for treatment using BTX, the appropriate dosage, and the necessary follow-up procedures and documentation...

..There were higher reported rates of depression and poor quality of life. Opportunities may possibly exist to re-deploy resources to develop vocational support, counselling and rehabilitation...

..It also summarises the work undertaken to date by the British Society for Rehabilitation Medicine towards implementation of clinical governance, to improve the quality of care offered to patients...

..To describe and compare current practice in diagnosis and treatment of depression following acquired brain injury in two countries (UK and the Netherlands) which have different sets of guidelines...

..We conclude that the SPIN provides a valid measure of pain intensity in patients fully able to communicate their views and experiences. Investigation in patients with cognitive or communication impairments is now required...

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..The guidance given here to clinicians involved in the management of patients with IE briefly covers diagnosis, antibiotic prophylaxis, medical treatment and the indications for surgery...

..The latest in this series--the NSF for Long Term Conditions--was published recently. This editorial discusses some of the challenges for its development and implementation...