background: providing a self-care program appropriate for patient needs in a supportive educative nursing system format could reduce migraine-induced disability. this study was designed to determine the effectiveness of orem's self-care program on headache related disability in migraine patients. methods: in this randomized clinical trial, episodic migraine patients with or without aura who sig...

AIM The present study used two-step analyses to examine the effect of acceptance of disability or 'insistence on recovery' in Japanese stroke patients: first on their functional improvement and second, on their psychological symptoms. METHODS Disability was assessed using functional independence measurements (FIM), examining the stage of acceptance of disability by observation using Fink's th...

Results: The relapse number, Expanded Disability Status Scale (EDSS) score at initial diagnosis, and EDSS score at last visit were significantly higher in NMO patients with brain abnormalities than those in NMO patients without brain abnormalities, respectively. NMO patients with brainstem involvement had higher relapse number, EDSS score at initial diagnosis, and EDSS score at last visit than ...

Predictors of outcome following whiplash injury are limited to socio-demographic and symptomatic factors, which are not readily amenable to secondary and tertiary intervention. This prospective study investigated the predictive capacity of early measures of physical and psychological impairment on pain and disability 6 months following whiplash injury. Motor function (ROM; kinaesthetic sense; a...

BACKGROUND AND PURPOSE We assessed the prevalence and potential association of hypertension with multiple sclerosis (MS)-related disability progression. METHODS This was a retrospective study of 2,813 patients who were followed for 20 years. We modeled the associations of several risk factors with the pattern of disability progression. The primary end point was the rate of disability progress...

BACKGROUND although non-motor symptoms of Parkinson's disease (PD) are known to adversely affect disability and health-related quality of life, the impact that specific disorders of reward and motivation have remains unclear. Impulse control disorders are more likely in those with a younger disease onset although there is no strong evidence to date that apathy is related to age of onset or corr...

BACKGROUND Multiple sclerosis (MS) is associated with significant impairment. OBJECTIVE The objective of this article is to identify and compare clinical measures that can predict self-rated disability in patients with MS using the World Health Organization Disability Assessment Schedule II (WHODAS-II). METHODS Patients with MS and healthy controls were consecutively recruited at one center...

BACKGROUND Lower extremity physical performance measured at one point in time is a powerful predictor of future disability. Whether information on previous lower extremity performance adds independent information to disability prediction compared to a single measure alone is unknown. METHODS Data are from community-dwelling men and women aged greater than or equal to 65 years enrolled in the ...