title: [Rehabilitative and economic effectiveness of an outpatient rehabilition practice].
abstract: Up to date studies have assessed costs and outcomes of rehabilitation in outpatients. Aim of the current prospective study was to evaluate the rehabilitative and economical effectiveness of an outpatient rehabilitative practice.
  
  
  METHODS
  The study was performed in 349 patients admitted for rehabilitation due to sequelae of orthopaedic surgery (repair of rotator cuff tear, anterior cruciate ligament reconstruction), limbs fracture (should, wrist, foot), whiplash neck pain, and chronic spinal pain (low back pain and neck pain). All patients were submitted to rehabilitation. Before and after rehabilitation, range of motion of joint or pain were assessed. Economical effectiveness and rehabilitative effectiveness in range of motion and pain were considered as outcome measures.
  
  
  RESULTS
  Rehabilitative effectiveness was 71.9%+/-30%. Length of rehabilitation (beta=0.29) and initial joint status (beta=0.36) had the strongest relationship with rehabilitative effectiveness. Rehabilitative effectiveness was higher in patients with sequelae of anterior cruciate ligament reconstruction. Economical effectiveness was 48.0%+01 and was related to length of rehabilitation (beta=0.11) only. Economical effectiveness was higher in low back pain carried out in group (136%+/-0.0).
  
  
  CONCLUSIONS
  The study gives evidence that in outpatient rehabilitation the rehabilitative effectiveness is higher than economical one. In addition, the study shows that rehabilitative treatments carried out in group only have higher economical effectiveness. These data must be considered useful in planning the ambulatory rehabilitation.
authors.affiliation: Fondazione Salvatore Maugeri, Clinica del Lavoro e della Riabilitazione, IRCCS, Centro di Riabilitazione di Lumezzane, U.O. Recupero e Rieducazione Funzionale. bernardo.gialanella@fsm.it
authors.forename: Bernardo
authors.initials: B
authors.lastname: Gialanella
authors.forename: Paola
authors.initials: P
authors.lastname: Prometti
authors.forename: Jean Pierre
authors.initials: JP
authors.lastname: Ramponi
authors.forename: Alessandro
authors.initials: A
authors.lastname: Lazzarini
authors.forename: Gianpietro
authors.initials: G
authors.lastname: Bonometti
mesh_terms: D000328:Adult; D000368:Aged; D000553:Ambulatory Care / Q000191:economics; D016118:Anterior Cruciate Ligament / Q000601:surgery; D059549:Anterior Cruciate Ligament Reconstruction / Q000191:economics* / Q000379:methods; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D007558:Italy; D017116:Low Back Pain / Q000191:economics* / Q000534:rehabilitation* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D019547:Neck Pain / Q000191:economics* / Q000534:rehabilitation* / Q000601:surgery; D010045:Outpatients / Q000706:statistics & numerical data; D016059:Range of Motion, Articular; D016896:Treatment Outcome