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  4. The NHV Rehabilitation Services Program Improves Long-Term Physical Functioning in Survivors of the 2008 Sichuan Earthquake: A Longitudinal Quasi Experiment

The NHV Rehabilitation Services Program Improves Long-Term Physical Functioning in Survivors of the 2008 Sichuan Earthquake: A Longitudinal Quasi Experiment

PLoS ONE, 2013 · DOI: 10.1371/journal.pone.0053995 · Published: January 7, 2013

TraumaRehabilitation

Simple Explanation

This study evaluates the effectiveness of the NHV program, a rehabilitation service comprised of NGOs, local health departments and rehabilitation volunteers, in improving long-term physical functioning of survivors. The NHV program provided institutional-based rehabilitation (IBR) followed by community-based rehabilitation (CBR) to earthquake survivors with disabling injuries in the Sichuan province. The study found that the NHV program significantly improved the long-term physical functioning of Sichuan earthquake survivors with disabling injuries.

Study Duration
Not specified
Participants
510 earthquake survivors
Evidence Level
Longitudinal quasi-experimental study

Key Findings

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    Physical functioning was significantly increased in the NHV–E and NHV–L groups at follow-up but not in the control group.
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    The effect of NHV-E (11.3, 95% CI 9.0–13.7) was marginally greater than that of NHV-L (10.7, 95% CI 7.9–13.6).
  • 3
    The positive effect on physical functioning due to NHV is nearly twice that of recovery over time.

Research Summary

The NHV rehabilitation services program improved long-term physical functioning of severely disabled survivors of the 2008 Sichuan earthquake. Statistically meaningful improvement in physical functioning was thus shown in both early and late intervention groups, demonstrating benefit from rehabilitation delivered nearly 1.5 years after injury. The comprehensive rehabilitation program benefitted the individual and society, rehabilitation services in China, and international rehabilitation disaster relief planning.

Practical Implications

Improved Daily Activities

Sichuan earthquake victims with improved physical functioning are able to perform daily activities more independently, requiring less assistance.

Development of Rehabilitation Infrastructure

The significant development of rehabilitation infrastructure via NHV demonstrates how large-scale natural disasters present an opportunity to expand rehabilitation services in low-resource regions.

Coordination Between Stakeholders

The rapid, close, and continued coordination between multiple rehabilitation stakeholders serves as an example to guide future disaster responses in China and internationally.

Study Limitations

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