8 research outputs found

    Evidence-based rehabilitation therapy following surgery for (peri-)articular fractures:A systematic review

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    Objective: To assess the availability of explicitly reported protocols describing post-surgery rehabilitation of (peri-) articular fractures of the proximal humerus, acetabulum and/or tibial plateau, and to critically review any scientific evidence on the effectiveness of these protocols. Data sources: MEDLINE (PubMed), Cochrane databases, CINAHL, PEDro and Embase (Ovid) were searched to November 2018. Furthermore, stakeholder internet sites, clinical guidelines and standard textbooks were searched. Study selection: Screening was performed independently by 2 researchers based on a priori defined eligibility criteria. Data synthesis: Five papers addressed post-surgical rehabilitation of proximal humerus fractures, one paper addressed acetabulum fractures. No eligible information was found on stakeholder sites or in standard textbooks. Overall, the main focus of the protocols identified was on the International Classification of Functioning, Disability and Health (ICF) "Body Functions and Structures" level. In general, little information about therapy dosage was reported. None of the protocols provided scientific evidence on which the content of described rehabilitation programmes was based. Conclusion: This review reveals a paucity of explicitly formulated protocols focussing on post-surgical rehabilitation of common (peri-) articular fractures targeting patient-centred care at all ICF levels. There is a need for more scientific evidence on which to base protocols regarding common (peri-) articular fracture rehabilitation

    Laboratory Tests of a Motivational-Perceptual Model of Conflict Escalation

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    We present a model suggesting that international conflicts escalate to violence when countries (a) express higher levels of power motive imagery, (b) exaggerate levels of perceived power motive imagery in communications and statements from the “other” side, and (c) express still higher levels of power motive imagery as a result of such exaggerated perceptions. The model is supported by three studies. In the first two, participants wrote replies to one of two versions of the same letter taken from a real crisis. The third study explored conditions that affect the exaggerated perception of power motive imagery of the other side by asking participants to highlight the important points of a letter from a real crisis, under neutral conditions and under conditions arousing power motivation. The role of psychological variables in the escalation of conflicts to violence is discussed.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/67662/2/10.1177_0022002794038004007.pd
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