title: Evaluation of daily outpatient multidisciplinary rehabilitative treatment of patients with musculoskeletal, neurological and traumatic disorders in a municipality outpatient setting.
abstract: OBJECTIVE
  Musculoskeletal, neurological, and traumatic injuries are a considerably increasing problem. There is a lack of studies evaluating the results of outpatient rehabilitative treatment of patients with the abovementioned diseases. The aim of this study was to determine the effectiveness of daily outpatient multidisciplinary rehabilitation.
  
  
  METHODS
  This observational study enrolled 223 adult people undergoing outpatient rehabilitation performed in a municipality outpatient clinic during 14 days. The functional assessment of disability was performed by using the Barthel index (BI), functional performance was estimated by the modified Keitel functional test (MKFT), and pain perception was evaluated by the visual analogue scale (VAS). The mean scores of the tests were compared before and after outpatient multidisciplinary rehabilitation.
  
  
  RESULTS
  Significantly reduced disability and pain perception as well as increased functional performance were documented after outpatient rehabilitation. The mean scores of BI, MKFT, and VAS before and after rehabilitation did not differ significantly among patients ranked to each cluster of diseases. Increased functional performance of patients had a moderate-to-weak association with decreased disability and pain perception. The positive changes in health status considering disability, functional performance, and pain perception were documented after 14-day rehabilitation.
  
  
  CONCLUSIONS
  Multidisciplinary outpatient rehabilitation can be considered as effective treatment. However, it is necessary to implement specific, well-adapted consuming assessment instruments in order to evaluate the outcomes of daily multidisciplinary outpatient rehabilitative treatment.
authors.affiliation: Institute of Physiology and Pharmacology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania; Kaunas Šilainiai Outpatient Clinic, Kaunas, Lithuania. Electronic address: giedre2006@gmail.com.
authors.forename: Giedrė
authors.initials: G
authors.lastname: Sakalauskienė
authors.affiliation: Kaunas Šilainiai Outpatient Clinic, Kaunas, Lithuania.
authors.forename: Vidmantas
authors.initials: V
authors.lastname: Obelienius
authors.affiliation: Institute of Physiology and Pharmacology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.
authors.forename: Rugilė
authors.initials: R
authors.lastname: Pilvinienė
authors.affiliation: Chirurgijos Technologijos UAB, Kaunas, Lithuania.
authors.forename: Dovilė
authors.initials: D
authors.lastname: Jauniškienė
mesh_terms: D000328:Adult; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D010045:Outpatients; D010147:Pain Measurement; D010348:Patient Care Team; D012046:Rehabilitation; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000628:therapy*
keywords: Barthel index; Modified Keitel functional test; Outpatient multidisciplinary rehabilitation; Visual analog pain scale