Posts that are old or withdrawn, as out-of-date, superseded or just not worth staying in view but kept for historical reasons.
I am currently leading a working party looking at the website of the British Society of Rehabilitation Medicine (BSRM). Members of the BSRM who read their electronic, emailed newsletter should be aware of this. Only one person responded to the President’s request for volunteers. I do not know if this reflects satisfaction with the site, …
The syllabus for the Rehabilitation Medicine curriculum is being developed by a working party under the aegis of the Specialist Advisory Committee, which is responsible for the training programmes. A first draft has been completed, and we are putting it out for review by anyone interested. This post gives a little background information, explains the …
Virtual reality is a term used very loosely in rehabilitation research. It often, probably usually refers to computer games with block designs not unlike Minecraft, Wii games, Kinect and X-Box, and similar programmes with more, or often much less realistic images on a flat computer screen. The product used is rarely virtual, nor is is …
Whatever the cause, many people with a long-term disability move less than other people of a similar age. Short-term measurement with accelerometers can measure this, but it is a snap-shot and daily fluctuations will lead to difficulties in interpretation. In a study on 56 (reducing to 48 over 30 months) people with multiple sclerosis, activity …
Ten days ago I spent time commenting on the forthcoming Post-Covid syndrome clinical guideline being developed (rapidly) by the National Institute for Health and Care Excellence (NICE). It was full of references. Today (15th December 2020) I received notification of a useful Canadian Rapid Evidence Review from Alberta Healthcare. It will obviously go out of …
This is an update on December 15th 2020 to state where matters are. The curriculum is now fully written and agreed by the General Medical Council, but it is not yet formally signed off and published. There will be a launch event in February 2021, date to be fixed. It will be notified on this …
This is a controversial topic that is of direct relevance to rehabilitation. Many of our patients have lives that, to an outside observer at least, seem impoverished and lacking meaning and quality. Luckily often we are incorrect (or insufficiently imaginative), and patients do consider they have both a purpose, and a good quality of life. …
A recently published paper gave “Occupational therapy consensus recommendations for functional neurological disorder”. So what is this? Do occupation therapists have so much more experience, knowledge etc that recommendation by them have greater credibility? Not really, and the authors included many people who were not occupational therapists (and who were experts). Do occupational therapists have …
It might be assumed that, if a trial showed no clinical benefit, then an economic evaluation would not be warranted. Not always true. There is no reason why an trial intervention might not be superior, but might be achieved at less cost. Of course, some studies set out explicitly to test that hypothesis. But in …
We, the rehabilitation world including especially managers and commissioners, love to talk about pathways which patients will follow. The reality is more like water flowing down hill. The patient goes where the flow takes him, and often there is no flow, no road to travel. This lovely piece of research from Jade Kettlewell and colleagues …
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