Displaying all 11 publications

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  1. Engkasan JP, Sudin SS
    J Rehabil Med, 2013 Feb;45(2):141-4.
    PMID: 23053003 DOI: 10.2340/16501977-1074
    To describe the bowel programmes utilized by individuals with spinal cord injury; and to determine the association between the outcome of the bowel programmes and various interventions to facilitate defecation.
  2. Engkasan JP, Ehsan FM, Chung TY
    J Rehabil Med, 2012 Jan;44(1):19-23.
    PMID: 22124514 DOI: 10.2340/16501977-0904
    The aims of this study were to examine the ability of patients to return to driving cars and riding motorcycles after lower limb amputation, and to explore the factors that significantly affect such ability.
  3. Nugraha B, Paternostro-Sluga T, Schuhfried O, Stucki G, Franchignoni F, Abdul Latif L, et al.
    J Rehabil Med, 2017 Jun 28;49(6):469-474.
    PMID: 28537344 DOI: 10.2340/16501977-2232
    BACKGROUND: Evaluation of the initial list of proposed abstract topics for Congresses of Physical and Rehabilitation Medicine (PRM) was needed in order to ensure its feasibility for use in future congress announcements and invitations for abstract submission.

    METHODS: The initial proposals were based on 5 main areas of PRM research: biosciences in rehabilitation, biomedical rehabilitation sciences and engineering, clinical PRM sciences, integrative rehabilitation sciences, and human functioning sciences. This list became a model for structuring the abstracts for the 9th and 10th World Congresses of PRM, held in Berlin, Germany (2015) and Kuala Lumpur, Malaysia (2016), respectively. The next step was to evaluate the implementation of this model in both congresses.

    RESULTS: It was found that the 5 main research areas were still used as the main principles (chapters) in which to organize the abstracts. However, some modifications have been made to cover topics that were not included in the initial proposal.

    CONCLUSION: A more comprehensive list of topics has been developed, not only for topic list announcements, but also for the structuring and classification of abstracts for future international, regional or national PRM congresses.

  4. Awang H, Tan LY, Mansor N, Tongkumchum P, Eso M
    J Rehabil Med, 2017 Jun 28;49(6):520.
    PMID: 28617522 DOI: 10.2340/16501977-2233
    OBJECTIVE: To examine factors associated with successful return to work among participants in a Social Security Organisation Return To Work programme.

    METHODS: Secondary data for 9,850 participants were obtained from the Social Security Organisation Return To Work database. The dependent variable was the Return To Work programme outcome, successful return to employment (same employer or different employer) or unsuccessful return. Logistic regression analysis with weighted sum contrasts was performed to assess the odds ratios with 95% confidence interval (95% CI) for successful return to employment across the various subgroups of participants.

    RESULTS: Overall, 65.5% of participants successfully returned to employment, either with their former employers or with new employers. Successful return to employment was found to be significantly higher than the overall proportion among those participants who had had commuting accidents, followed by those who had had workplace accidents. Successful return to employment was also associated with injuries of the upper and lower limbs, employers who were interested in hiring disabled workers, motivation to participate in the programme, an intervention period of 3 months or less, age 29 years or younger, and male participants.

    CONCLUSION: A structured multidisciplinary intervention programme provides a positive outcome in terms of returning to work. Related factors have various impacts on successful return to work.

  5. Mat S, Ng CT, Tan MP
    J Rehabil Med, 2017 Mar 06;49(3):258-263.
    PMID: 28218341 DOI: 10.2340/16501977-2202
    OBJECTIVE: To compare the relationship between postural control and knee and hip osteoarthritis in older adults with and without a history of falls.
    METHODS: Fallers were those with ≥ 2 falls or 1 injurious fall over 12 months. Non-fallers were volunteers with no falls in the past year. Radiological evidence of osteoarthritis with no reported symptoms was considered "asymptomatic osteoarthritis", while "symptomatic osteoarthritis" was defined as radiographic osteoarthritis with pain or stiffness. Dynamic postural control was quantified with the limits of stability test measured on a balance platform (Neurocom® Balancemaster, California, USA). Parameters assessed were end-point excursion, maximal excursion, and directional control.
    RESULTS: A total of 102 older individuals, mean age 73 years (standard deviation 5.7) years were included. The association between falls and poor performance in maximal excursion and directional control was confounded by age and comorbidities. In the same linear equation model with falls, symptomatic osteoarthritis remained independently associated with poor end-point excursion (β-coefficient (95% confidence interval) -6.80 (-12.14 to -1.42)).
    CONCLUSION: Poor performance in dynamic postural control (maximal excursion and directional control) among fallers was not accounted for by hip/knee osteoarthritis, but was confounded by old age and comorbidities. Loss of postural control due to hip/knee osteoarthritis is not a risk factor for falls among community-dwelling older adults.
    Study site: Departments of Emergency Medicine, Primary Care and Geriatric Medicine, in a teaching hospital in Kuala Lumpur, Malaysia
  6. Engkasan JP, Stucki G, Ali S, Yusof YM, Hussain H, Latif LA
    J Rehabil Med, 2018 Apr 18;50(4):346-357.
    PMID: 29159419 DOI: 10.2340/16501977-2283
    In February 2017, the World Health Organization (WHO) launched its historic "Rehabilitation 2030: A Call for Action". Scaling up rehabilitation in health systems requires concerted action across all 6 components of WHO's Health Systems Framework. For rehabilitation, information about functioning is essential, as it is required for effective rehabilitation at all levels of the health system. What is missing is a countrywide demonstration project involving the implementation of a clinical quality management system for the continuous improvement of rehabilitation, both at the level of clinical care for individual patients and at the level of rehabilitation service provision. Consequently, the Department of Rehabilitation Medicine at the University of Malaya and University Malaya Medical Centre, together with the Cheras Rehabilitation Hospital of the Ministry of Health, and the Social Security Organisation (SOCSO) Rehabilitation Centre in Malacca, Malaysia, initiated a project to develop a Malaysian-wide clinical quality management system for rehabilitation (CQM-R Malaysia). The objective of this paper is to describe CQM-R Malaysia. First, a conceptual description of a CQM-R based on the International Classification of Functioning, Disability and Health (ICF) is set out. The methods, results and conclusions of a situation analysis conducted in January 2017 are then reported. Finally, the building blocks and implementation action plan developed for CQM-R Malaysia are presented.
  7. Khan F, Amatya B, de Groote W, Owolabi M, Syed IM, Hajjoui A, et al.
    J Rehabil Med, 2018 May 08;50(5):472-479.
    PMID: 29487941 DOI: 10.2340/16501977-2313
    OBJECTIVE: Despite the prevalence of disability in low-and middle-income countries, the clinical skills of the rehabilitation workforce are not well described. We report health professionals' perspectives on clinical skills in austere settings and identify context-specific gaps in workforce capacity.

    METHODS: A cross-sectional pilot survey (Pakistan, Morocco, Nigeria, Malaysia) of health professionals' working in rehabilitation in hospital and community settings. A situational-analysis survey captured assessment of clinical skills required in various rehabilitation settings. Responses were coded in a line-by-line process, and linked to categories in domains of the International Classification of Functioning, Disability and Health (ICF).

    RESULTS: Respondents (n = 532) from Pakistan 248, Nigeria 159, Morocco 93 and Malaysia 32 included the following: physiotherapists (52.8%), nurses (8.8%), speech (5.3%) and occupational therapists (8.5%), rehabilitation physicians (3.8%), other doctors (5.5%) and prosthetist/orthotists (1.5%). The 10 commonly used clinical skills reported were prescription of: physical activity, medications, transfer-techniques, daily-living activities, patient/carer education, diagnosis/screening, behaviour/cognitive interventions, comprehensive patient-care, referrals, assessments and collaboration. There was significant overlap in skills listed irrespective of profession. Most responses linked with ICF categories in activities/participation and personal factors.

    CONCLUSION: The core skills identified reflect general rehabilitation practice and a task-shifting approach, to address shortages of health workers in low-and middle-income countries.

  8. Yuan CJ, Varathan KD, Suhaimi A, Ling LW
    J Rehabil Med, 2023 Jan 09;55:jrm00348.
    PMID: 36306152 DOI: 10.2340/jrm.v54.2432
    OBJECTIVE: To explore machine learning models for predicting return to work after cardiac rehabilitation.

    SUBJECTS: Patients who were admitted to the University of Malaya Medical Centre due to cardiac events.

    METHODS: Eight different machine learning models were evaluated. The models included 3 different sets of features: full features; significant features from multiple logistic regression; and features selected from recursive feature extraction technique. The performance of the prediction models with each set of features was compared.

    RESULTS: The AdaBoost model with the top 20 features obtained the highest performance score of 92.4% (area under the curve; AUC) compared with other prediction models.

    CONCLUSION: The findings showed the potential of using machine learning models to predict return to work after cardiac rehabilitation.

  9. Seow SR, Mat S, Teoh JJ, Mohamad Yusup A, Rajab NF, Ismail IS, et al.
    J Rehabil Med, 2024 Sep 03;56:jrm39986.
    PMID: 39225040 DOI: 10.2340/jrm.v56.39986
    OBJECTIVE: This study delves into the intriguing connection between knee osteoarthritis and diabetes in Malaysia. Specifically, the exacerbation of knee osteoarthritis in the presence of diabetes in terms of symptoms, physical performance, physical activity, psychological status, social participation, and quality of life was discussed.

    DESIGN: This cross-sectional study recruited adults aged 50 and above by convenient sampling and grouped them into: knee osteoarthritis-diabetes-, knee osteoarthritis+diabetes-, knee osteoarthritis-diabetes+, and knee osteoarthritis+diabetes+.

    SUBJECTS/PATIENTS: Of 436 recruited participants, 261 (59.8%) participants reported knee osteoarthritis.

    METHODS: Handgrip strength, Timed Up and Go test, 6 Meter Walk Test, and 5 Times Sit to Stand Test were measured using standardized procedures. Six questionnaires were administered for the remaining parameters.

    RESULTS: Across groups, there were significant differences: 6 Meter Walk Test (p = 0.024), Timed Up and Go test (p = 0.020), and 5 Times Sit to Stand Test (p 

  10. Ahmedy F, Yin KN, Sybil Shah S, Darsin Singh SK, Amat NAF, Francis FA, et al.
    J Rehabil Med, 2025 Feb 05;57:jrm40166.
    PMID: 39907216 DOI: 10.2340/jrm.v57.40166
    OBJECTIVE: This paper aims to outline the foundational framework for strengthening rehabilitation services in Sabah, Malaysia, through a collaborative capacity-building initiative between Hospital Universiti Malaysia Sabah (HUMS) and the Sabah State Health Department (JKNS). By focusing on academic, research, and service capacity-building, this partnership seeks to address the rehabilitation needs of the local population, particularly for individuals with functional limitations.

    METHODS: The collaboration integrates HUMS's academic and clinical strengths with JKNS's existing rehabilitation services. Key components include developing postgraduate training for rehabilitation medicine, expanding community-based rehabilitation outreach services, and establishing a referral network between hospitals and community healthcare providers.

    RESULTS: The partnership has resulted in the implementation of a comprehensive framework that enhances academic capacity, fosters research collaboration, and improves rehabilitation service delivery across Sabah. This approach is aligned with the WHO's Rehabilitation 2030 initiative, advocating for stronger integration of rehabilitation into healthcare systems.

    CONCLUSION: The collaborative efforts between HUMS and JKNS demonstrate the critical role of partnerships between academic institutions and public health departments in strengthening rehabilitation services. This model offers a replicable strategy for influencing policy development and ensuring resource allocation to meet the growing rehabilitation needs in underserved regions.

  11. Zainudin MF, Hashim NM, Zohdi WNWM, Hasnan N, Engkasan JP
    J Rehabil Med, 2025 Feb 25;57:jrm40621.
    PMID: 39998490 DOI: 10.2340/jrm.v57.40621
    PURPOSE: To explore healthcare utilization patterns and healthcare services satisfaction among individuals with spinal cord injury in Malaysia.

    METHODS: This cross-sectional study utilized the International Spinal Cord Injury (InSCI) Community Survey and involved 8 hospitals and 1 spinal cord injury organization. A total of 285 participants met the inclusion criteria. Subsequently, 6/11 sections of the InSCI questionnaire were analysed through a path analysis.

    RESULTS: The 3 most utilized healthcare providers reported were physical and rehabilitation medicine specialists (76.5%), physiotherapists (36.8%), and primary care physicians (27.4%). The top 3 most severe health problems reported were sexual dysfunction, muscle spasm and spasticity, and contractures. Healthcare services satisfaction was high. Health problems predicted healthcare utilization (β = 0.443), while activity limitation and participation restriction predicted healthcare services satisfaction (β = -0.202). The activity limitation and participation restriction in male participants was moderated by the spinal cord injury severity (B = 2.330, p  

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