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Clinical Rehabilitation for Multimorbidity and Multiple Disabilities

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Clinical Rehabilitation".

Deadline for manuscript submissions: closed (31 December 2024) | Viewed by 2033

Special Issue Editor

Special Issue Information

Dear Colleagues,

With the worldwide aging of society, there are increasing numbers of people experiencing more than one or multiple disabilities (multimorbidity and multiple disabilities (MMD)). MMD is the state of the coexistence of two or more disabilities, including visual impairment, hearing or balance impairment, voice/speech impairment, impairment to masticatory function, mobility impairment, internal organ impairments, intellectual disabilities, and a mental health disorder or higher brain dysfunction, and the state of the coexistence of two or more disabilities including the following seven internal organ impairments: cardiac disorder, renal disorder, liver function impairment, respiratory disorder, bladder or anorectal disorder, small intestinal disorder, and AIDS via HIV.

Patients with MMD are more likely to experience obstructions to activities in daily life, frequent hospitalization, a long hospitalization period, low quality of life, severe psychological burden, frequent complications after surgery, and high hospital costs. The number of people with MMD who need rehabilitation has increased dramatically.

However, there is not sufficient scientific evidence related to the treatment of patients with MMD, and the clinical guidelines for the various individual diseases do not fully address MMD.

Considering this situation, this volume aims to focus on advances in rehabilitation in MMD. We need to respond to MMD not only by providing the correct services for each disability, but by comprehensively considering the state of the coexistence of disabilities. Furthermore, to respond to the rehabilitation needs of people with MMD, human resources need to be utilized and a scientific basis needs to be established.

We are soliciting cutting-edge research reports and overviews in relation to clinical rehabilitation, in order to propose a promising model for this new field of rehabilitation.

Prof. Dr. Masahiro Kohzuki
Guest Editor

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Keywords

  • multimorbidity and multiple disabilities (MMDs)
  • neuro- and visceral rehabilitation
  • neuro- and orthopedic rehabilitation
  • orthopedic and visceral rehabilitation
  • cardiac and pulmonary rehabilitation
  • cardiac and renal rehabilitation
  • renal and hepatic rehabilitation
  • rehabilitation for multiorgan diseases
  • fitness
  • peak VO2
  • adding life to years and years to life

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Published Papers (2 papers)

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Research

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10 pages, 874 KiB  
Article
Acquired Deforming Hypertonia in Afro-Caribbeans: A Cross-Sectional Analysis in Long-Term Care Units
by Nicolas Kerjean, Rishika Banydeen, Bertrand Glize, Michel Bonnet, Patrick Rene-Corail, Maturín Tabue Teguo, Moustapha Dramé, Patrick Dehail and Jose-Luis Barnay
J. Clin. Med. 2025, 14(4), 1192; https://doi.org/10.3390/jcm14041192 - 12 Feb 2025
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Abstract
Background: Osteoarticular deformities or contractures in institutionalized elderly individuals, described as acquired deforming hypertonia (ADH), have a multifactorial origin. The reported prevalence of ADH in French Caucasian patients in long-term care units (LTCUs) is 25.6%. To date, ADH in the Caribbean population has [...] Read more.
Background: Osteoarticular deformities or contractures in institutionalized elderly individuals, described as acquired deforming hypertonia (ADH), have a multifactorial origin. The reported prevalence of ADH in French Caucasian patients in long-term care units (LTCUs) is 25.6%. To date, ADH in the Caribbean population has never been studied. We aimed to assess the prevalence and characteristics of ADH in such a population. Materials and Methods: This was a cross-sectional observational study of a French Caribbean population in Martinique in which patients aged 75 years or older were institutionalized in LTCUs during the study period. Data extraction from the medical files of eligible LTCU patients was conducted to assess the prevalence, clinical characteristics, and impact of ADH on patients’ daily care. The assessments were performed collaboratively between the patients’ geriatric team and a PM&R physician. Results: In total, 81 patients were included, with an ADH prevalence of 77.8%. Reported ADH was bilateral (86%) or multiple (66% of patients had ≥5 ADH) and was responsible for major alterations in terms of hygiene, dressing, pain, and skin damage. ADH patients had a high level of dependence (GMP = 924), and this level of dependence was significantly associated with the presence of at least one ADH (p < 0.001) regardless of prior disease. Conclusions: The incidence of ADH in our Caribbean population seems twice as high as that in Caucasian patients, underlining the necessity for this nosological framework to be better recognized, particularly in an insular context. Local campaigns for the prevention and recognition of ADH must be considered, and targeted multidisciplinary protocols need to be established for adapted care in all institutions receiving elderly people. Full article
(This article belongs to the Special Issue Clinical Rehabilitation for Multimorbidity and Multiple Disabilities)
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Review

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11 pages, 1518 KiB  
Review
Multimorbidity and Multiple Disabilities: Present Status and the Roles of Rehabilitation
by Masahiro Kohzuki
J. Clin. Med. 2024, 13(21), 6351; https://doi.org/10.3390/jcm13216351 - 23 Oct 2024
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Abstract
The world is aging, and an increasing number of countries are becoming aged or super-aged societies. Japan has already become the world’s first super-aged society, with an aging rate of 29.1% of the entire population of the country. As of 15 September 2021, [...] Read more.
The world is aging, and an increasing number of countries are becoming aged or super-aged societies. Japan has already become the world’s first super-aged society, with an aging rate of 29.1% of the entire population of the country. As of 15 September 2021, there were approximately 36.40 million people aged 65 years and over. The advent of the super-aged society has increased the possibility of multimorbidity and multiple disabilities (MMDs) in the elderly population. According to a survey by the Ministry of Health, Labour and Welfare, the percentage of people with multiple disabilities of all people with physical disabilities has fluctuated between 4.0 and 7.0%, but rapidly increased to 8.9% in 2006 and 17.7% in 2016. This review aimed to establish the present status of MMDs and the rehabilitation for MMDs. In rehabilitation settings, patients with MMDs are more common than patients with a single disease or disability; however, evidence on MMD rehabilitation is insufficient. Inexperienced and unconfident medical professionals are overly cautious in providing rehabilitation; therefore, adequate rehabilitation is not provided. Furthermore, to respond to the rehabilitation needs of patients with MMDs, human resources need to be cultivated, and a scientific basis needs to be built. It is expected that MMD guidelines will soon be developed based on various case studies and surveys. In MMD rehabilitation, it is important to provide “wider, earlier, more intimate, and more connected rehabilitation”; for this, the training and cooperation of rehabilitation medical professionals is necessary. Full article
(This article belongs to the Special Issue Clinical Rehabilitation for Multimorbidity and Multiple Disabilities)
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