Rehabilitation Sciences in the New Millenium
Challenge for Multidisciplinary Research
Collection of works presented at the
8th Congress of European Federation for Research in Rehabilitation

June 13-17, 2004, Ljubljana, Slovenia






The European Federation for Research in Rehabilitation was founded in 1983 and first congress organised in Edinburgh. After Duesseldorf (1985) and Rotterdam (1988), the 4th Congress of European Federation for Research in Rehabilitation was to be held in Ljubljana in 1991. Unfortunately, due to the civil war raging at the time in regions of former Yugoslavia, the Congress had to be postponed and transferred to Newcastle (1992). Congresses in Helsinki (1995), Berlin (1998) and Madrid (2001) followed.
The 8th EFRR Congress held in Ljubljana from June 13 – 17, 2004 brought together more than 400 rehabilitation scientists and clinicians from 41 countries. More than 60 authors accepted the invitation from the organiser and publisher to submit extended version of their works presented in Ljubljana. Publishing a volume and CD Rom will increase the success of the individual presentations and the Congress in general and will also help to publicize the contents of the Congress to a much wider audience.
Many useful updating for all disciplines and professionals working in the field of rehabilitation are provided. With demographic changes in greying countries, increasing violence, conflict and traffic injuries, the need for rehabilitation is increasing. Excellent research in basic sciences is contributing to its evidence based progress and outcome measurement is magnificent tool for clinical work. From ICD (International Classification of Diseases) through ICIDH (International Classification of Impairments, Disabilities and Handicaps) WHO is recognising the importance of rehabilitation by publishing ICF (International Classification of Functioning) recently. Quality of life is just another dimension empowering the elderly and people with disabilities to assess and improve their situation in everyday life.
We hope readers, not only rehabilitation professionals, will find interesting and valuable information in present publication.

Crt Marincek
Helena Burger








I. Policy and legislation

Early and Late Effect of Health Legislation On First Stroke In-patients Rehabilitation Parameters
H. Ring, E. Greenberg, M. Motin, J. Schwartz and A. Tamir

Rehabilitation and a Human Rights Framework
E. Kemppainen

New Perspectives for In-plant Integration: Integration Agreements and their Impact on Integration Management
D. Bernhard, M. Niehaus and A. Schmal

From Acute Intervention to Domiciliary and Social Integration: Research to Built Community Based Rehabilitation (CBR) on Effectiveness
A. Giustini

Pain Clinic Cost Effectiveness and Efficacy
M. Grabois



II. International Classification of Functioning (ICF)

The International Classification of Functioning, Disability and Health (ICF): Experiences and Problems
M.F. Schuntermann

Assessment of Non-motor Impairments in Rehabilitation: Who, When and How?
B.H Sjölund

Austrian Experience with the International Classification of Functioning (ICF) in Breast Cancer (BC)
V. Fialka-Moser



III. Outcome Measurements


Outcomes Measures and Payment in Rehabilitation Practice – Is There an “Optimal” Relationship?
H. Ring

The Co-variation of Performing Tests and Self Reported Tests
B. Langhammer and J.K. Stanghelle

The Meaning of the Term Quality of Life
A. Bergland

Effectiveness of Cervical Nonorganic Signs in Predicting Disability in Patients with Neck Pain
M. Landers, C. Baker, K. Stutelberg and R. Creger

Activity Limitations in Early Knee Osteoarthritis in 34-54 Year Old Population of Estonia
A. Tamm, Ü. Hansen, K. Veske, M. Vija and A. Tamm

Ability To Get Up from the Floor: An Important Screening Test?
A. Bergland

Computer Aided Tool for Arm Workspace Display in Shoulder Pain Patients
N. Klopčar, M. Klopčič-Spevak, S. Bajuk and J. Lenarčič

Motion Control of The Hand in a 4 D.O.F. Artificial Arm
F. Casolo, M. Camposaragna, B. Cattaneo, M. Cocetta and R. Denini

Evaluating the Upper Limb Prosthetic Use by Haptic Interface – Preliminary Results
H. Burger, S. Pangeršič,
D. Brezovar and A. Bardorfer

Assessment of Prosthetic Use in Children After Upper Limb Amputation
D. Brezovar and H. Burger

Adaptive Behavior
S. Santos



IV. Rehabilitation in Neurological Disorders


1. Stroke

Stroke Rehabilitation: Prognosis for Functional Recovery
M. Grabois

Self-managed Walking Program after Stroke Patients Hospital Rehabilitation - A Preliminary Study
I. Treger, K. Rofe, Y. Hutzler and H. Ring

Rate-Responsive Pacemaker Mode has Benefits in Rehabilitation of Stroke Patients with Severe Orthostatic Intolerance: Two Cases Report
H. Muramatsu, K. Koike and R.D. Nathan


2. Traumatic Brain Injury

WHO – ICF Codes of Body Functions After Traumatic Brain Injury
A. Bobinac - Georgievski,
H. Uribazo Garrido, S. Al Mawlawi, A. Travia and Z. Zafa

The “Brain Integration®” Rehabilitation Program A new holistic treatment approach in the Netherlands
G.J. Geurtsen, J.D. Martina and V.F. Voerman

Detection of Contractile Properties of Chronically Spastic Muscles in Subjects After Traumatic Brain Injury with Tensiomyography® (TMG) Method
K. Grabljevec, B. Simunič, K. Kersevan, D. Krizaj, V. Kosorok and M. Gregorič


3. Spinal Cord Injury

What Does the Human Brain Tell to the Spinal Cord to Generate Standing and Walking?
M.R. Dimitrijevic, K. Minassian
and I. Persy

Control of the Functional Electrical Stimulation in Treadmill Rehabilitation
I. Cikajlo, Z. Matjačić and T. Bajd


4. Neurogenic Bladder Dysfunction

Lower Urinary Tract Dysfunction in Patients with Cauda Equina Lesions
S. Podnar


5. Neuromuscular Disorders


Exploiting the Adaptive Potential of Skeletal Muscle for Treatment of DMD
G. Vrbová

The Signs of Delayed Maturation in Childhood Spinal Muscular Atrophy (SMA)
I. Hausmanowa-Petrusewicz


6. Paediatric Rehabilitation


Enhancing Children’s Performance and Participation
M. Law, G. King, S. King, P. Hurley, M. Kertoy, P. Rosenbaum, N. Young and S. Hanna

Rehabilitation of Children with Aphasic Disorders
J. Grossman and P. Targosiński


7. Pain Rehabilitation


Strategies for Transfering Neurologic Patients from Inpatient Rehabilitation to Home Nursing and Care – Experiences from a Controlled Evaluation Study
W. Schupp, R. Schmidt, J. Brehler and E. Gräßel

Painful Neuropathy – Small Nerve Fibre Disorder
D. Meh, M. Moharic and C. Marincek

Transcutaneous Electrical Nerve Stimulation as Treatment of Painful Neuropathy
D. Meh, P. Novak, M. Moharic and C. Marincek



V. Rehabilitation in Musculoskeletal Disorders


1. Posture

Dysfunction of Pelvic Floor Muscles and Its Influence on Postural Control – Pilot Study
P. Bendová, I. Špringrová and M. Tichý

The Second Graviceptive System – Another System for Determining the Verticality of the Body: Therapeutic Applications
E. Panturin


2. Lower Limbs


Analysis of the Viscoelastic Behaviour of the Soft Tissue Response to External Load and Sensitivity Map of the Lower Limb
J. Baydal, R. Barberŕ, M. Vivas, J. Sánchez-Lacuesta, J. Belda-Lois, F. Peydro and J. Prat

Reduction of Plantar Pressures in Rheumatoid Arthritis Patients
P. Novak, H. Burger and C. Marincek

Kinematic and Surface EMG Analysis of the Lumbar-Pelvic Rhythm
C.O. Silva, J.A.F. Lopes, C.A. Kavamoto, J.C.P. Vasconcelos and L.R. Battistella


3. Upper Limbs


Early Hand Rehabilitation After Primary Surgical Care or Recostruction of Flexor Tendons
A. Höfferle Felc

Effectiveness of Ultrasound in the Treatment of Epicondylitis
M. Łyp, W. Maciak and P. Targosiński

Modern Two-Phase Biomechano-electrophysiological Model of Bone Tissue. Implications for Rehabilitation and Orthopaedic Research and Practice
W. Stryła, R. Uklejewski and P. Rogala


4. Geriatric Rehabilitation


Expectations of Elderly People that May Influence their Participation in Rehabilitation
L. Kullmann and T. Tróznai

Effectiveness of a Network-based Geriatric Rehabilitation Programme (‘Age’ Study). Description of Methods and Participants
S.-L. Karppi, K. Hinkka, K. Ollonqvist and T. Aaltonen

A Risk Model for Prediction of Serious Falls – A Prospective Study
A. Bergland


5. Prosthetics and Orthotics

Computer Automated Design – Computer Automated Manufacturing Systems (CAD-CAM) in Orthotics and Prosthetics
Č. Marinček, I. Cikajlo, D. Gorec and J. Horvat

The Most Frequent Problems in Rehabilitation of Children Using Myoelectric Prostheses – A Prosthetist’s Prospective
M. Mlakar, M. Burgar and H. Burger

Rational Design and Clinical Application of Four Orthotic Knee Joints that Allow Knee Flexion in Individuals with Quadriceps Paralysis
J. Campbell and W. Neumann

Intelligent Knee-Ankle-Foot Orthosis: The GAIT Project Approach
J. Moreno, B. Freriks, F. Thorsteinsson, J. Sánchez and J. Pons



VI. Cardiovascular and Pulmonary Rehabilitation


Evaluation of the Changes of Measurements of The Cardiorespiratory System in High-risk Myocardial Infarction Patients During Rehabilitation
J. Sameniene, A. Krisčiűnas and G. Ziliukas

The Influence of Extremely Weak Pulsed Electromagnetic Field Typed BEMER 3000 on Ratings of Perceived Exertion at Ventilatory Threshold
K. Spodaryk and W.A. Kafka



VI. Enhancement of Functioning


Speech Rehabilitation After Laryngectomy
M. Sereg-Bahar, C. Marincek and J. Fischinger

Auditory Performance of Cochlear Implant Users
J. Vatovec and A. Gros

The Need for a Better Assessment System for Disabled Driving Ability. The CONSENSUS Codification Scheme Initiative
J. Dols and B. Peters

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