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Clinical Rehabilitation

Renata Horst, Tomasz Maicki, Rafał Trąbka, Sindy Albrecht, Katharina Schmidt, Sylwia Mętel, Harry von Piekartz
OBJECTIVE: To compare the short- and long-term effects of a structural-oriented (convential) with an activity-oriented physiotherapeutic treatment in patients with frozen shoulder. DESIGN: Double-blinded, randomized, experimental study. SETTING: Outpatient clinic. SUBJECTS: We included patients diagnosed with a limited range of motion and pain in the shoulder region, who had received a prescription for physiotherapy treatment, without additional symptoms of dizziness, a case history of headaches, pain and/or limited range of motion in the cervical spine and/or temporomandibular joint...
January 1, 2017: Clinical Rehabilitation
Leontien Wm Bossink, Annette Aj van der Putten, Aly Waninge, Carla Vlaskamp
OBJECTIVE: To assess the feasibility of conducting a randomised controlled trial to determine the effectiveness of a twenty-week power-assisted exercise intervention in people with profound intellectual and multiple disabilities and to evaluate the potential beneficial effects of this intervention. DESIGN: Pilot randomised controlled trial. SETTING: A large-scale twenty-four-hour residential facility in the Netherlands. SUBJECTS: Thirty-seven persons with profound intellectual and multiple disabilities...
January 1, 2017: Clinical Rehabilitation
Ryota Imai, Michihiro Osumi, Tomoya Ishigaki, Shu Morioka
OBJECTIVES: We investigated the effects of the illusion of motion through tendon vibration on hand function in patients with distal radius fractures. SETTING: Kawachi General Hospital, Japan. SUBJECTS: A total of 22 patients with distal radius fractures were divided into either an illusory kinesthesia group ( n = 11) or a control group ( n = 11). INTERVENTION: We performed the intervention for seven consecutive days after surgery...
January 1, 2017: Clinical Rehabilitation
Helena Gfm van Wijnen, Sascha Mc Rasquin, Caroline M van Heugten, Jeanine A Verbunt, Véronique Rm Moulaert
OBJECTIVE: The purpose was to gain insight in the functioning of caregivers of cardiac arrest survivors at 12 months after a cardiac arrest. Secondly, the course of the wellbeing of the caregivers during the first year was studied. Finally, factors that are associated with a higher care burden at 12 months after the cardiac arrest were investigated. SUBJECTS: A total of 195 family caregivers of cardiac arrest survivors were included. MAIN MEASURES: Quality of life (SF-36, EuroQol-VAS), caregiver strain (CSI) and emotional functioning (HADS, IES) were measured at two weeks, three months and one year after the cardiac arrest...
January 1, 2017: Clinical Rehabilitation
Katherine Golding, Chris Fife-Schaw, Ian Kneebone
OBJECTIVE: To follow up participants in a randomised controlled trial of relaxation training for anxiety after stroke at 12 months. DESIGN: Twelve month follow-up to a randomised controlled trial, in which the control group also received treatment. SETTING: Community. PARTICIPANTS: Fifteen of twenty one original participants with post-stroke anxiety participated in a one year follow-up study. INTERVENTIONS: A self-help autogenic relaxation CD listened to five times a week for one month, immediately in the intervention group and after three months in the control group...
December 8, 2016: Clinical Rehabilitation
Kellie B Emmerson, Katherine E Harding, Nicholas F Taylor
OBJECTIVE: To determine whether patients with stroke receiving rehabilitation for upper limb deficits using smart technology (video and reminder functions) demonstrate greater adherence to prescribed home exercise programmes and better functional outcomes when compared with traditional paper-based exercise prescription. DESIGN: Randomized controlled trial comparing upper limb home exercise programmes supported by video and automated reminders on smart technology, with standard paper-based home exercise programmes...
December 5, 2016: Clinical Rehabilitation
Nicole Yh Yang, Kenneth Nk Fong, Cecilia Wp Li-Tsang, D Zhou
OBJECTIVE: To compare the effects of rTMS combined with sensory cueing, rTMS alone, and conventional rehabilitation on unilateral neglect, hemiplegic arm functions and performance of activities of daily living. DESIGN: A single-blinded randomized controlled trial. SETTING: A convalescent hospital. SUBJECTS: Sixty inpatients with left unilateral neglect after stroke. INTERVENTIONS: Patients were randomly assigned to three groups: rTMS combined with sensory cueing, rTMS, and conventional rehabilitation alone...
December 5, 2016: Clinical Rehabilitation
Mansueto Gomes Neto, Cristiano Sena Conceição, Alécio Jorge Alves de Lima Brasileiro, Camila Santana de Sousa, Vitor Oliveira Carvalho, Fabio Luciano Arcanjo de Jesus
OBJECTIVE: To investigate the effects of FIFA 11 training on injury prevention and performance in football players. DESIGN AND METHODS: Systematic review and meta-analysis. We conducted a systematic search using four databases (CINAHL, Cochrane Library, EMBASE, and PubMed) to find controlled trials evaluating the effects of FIFA 11 on injury prevention and performance among football players. Weighted mean differences, standard mean differences, risk ratios, and 95% confidence intervals were calculated, and heterogeneity was assessed using the I(2) test...
November 2, 2016: Clinical Rehabilitation
Thomas M Withers, Sarah Lister, Catherine Sackley, Allan Clark, Toby O Smith
OBJECTIVE: To determine the difference in physical activity levels before and up to one year after unilateral primary total hip replacement. DATA SOURCES: A search was performed on 13 July 2016. Studies were eligible for inclusion if they presented preoperative and up to one year postoperative measures of physical activity for patients who had undergone unilateral primary total hip replacement. REVIEW METHODS: Any article that used a measure of physical activity pre and up to one year post-unilateral primary total hip replacement...
October 23, 2016: Clinical Rehabilitation
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January 2017: Clinical Rehabilitation
Peter B Jørgensen, Søren B Bogh, Signe Kierkegaard, Henrik Sørensen, Anders Odgaard, Kjeld Søballe, Inger Mechlenburg
OBJECTIVE: To examine if supervised progressive resistance training was superior to home-based exercise in rehabilitation after unicompartmental knee arthroplasty. DESIGN: Single blinded, randomized clinical trial. SETTING: Surgery, progressive resistance training and testing was carried out at Aarhus University Hospital and home-based exercise was carried out in the home of the patient. SUBJECTS: Fifty five patients were randomized to either progressive resistance training or home-based exercise...
January 2017: Clinical Rehabilitation
Anne Baker, Samantha Barker, Amanda Sampson, Clarissa Martin
AIM: To identify factors reported with negative and positive outcomes for caregivers of the traumatic brain injury and spinal cord injury cohorts, to investigate what interventions have been studied to support carers and to report what effectiveness has been found. METHODS: Scoping systematic review. Electronic databases and websites were searched from 1990 to December 2015. Studies were agreed for inclusion using pre-defined criteria. Relevant information from included studies was extracted and quality assessment was completed...
January 2017: Clinical Rehabilitation
Shady Alshewaier, Gillian Yeowell, Francis Fatoye
OBJECTIVE: To evaluate the effectiveness of pre-operative exercise physiotherapy rehabilitation on the outcomes of treatment following anterior cruciate ligament injury. METHODS: The following databases were searched: PubMed, Ovid, The Cochrane Library and Web of Science. Studies published between the inception of the databases and December 2015 were sought using appropriate keywords in various combinations. This search was supplemented with a manual search of the references of selected studies...
January 2017: Clinical Rehabilitation
Lone R Mikkelsen, Annemette K Petersen, Inger Mechlenburg, Søren Mikkelsen, Kjeld Søballe, Thomas Bandholm
OBJECTIVE: To describe a progressive resistance training intervention implemented shortly after total hip arthroplasty, including a detailed description of load progression, pain response and adverse events to the training. DESIGN: Secondary analyses of data from the intervention group in a randomized controlled trial. SUBJECTS: This study reports data from the intervention group ( n = 37). INTERVENTIONS: The protocol described supervised progressive resistance training of the operated leg two days/week in addition to home-based exercise five days/week and for 10 weeks...
January 2017: Clinical Rehabilitation
Marie Villain, Igor Sibon, Pauline Renou, Mathilde Poli, Joel Swendsen
OBJECTIVE: To investigate whether social contact and support received during hospitalization for acute ischemic stroke predict depression and daily life functioning three months later. DESIGN: Prospective observational study using Ecological Momentary Assessments to evaluate the number of social contacts as well as social support received from family, friends and medical staff within 24 hours following admission for stroke. Patients also monitored depression symptoms and behavior in real-time and in daily life contexts three months later...
January 2017: Clinical Rehabilitation
Molly Trammell, Priyanka Kapoor, Chad Swank, Simon Driver
BACKGROUND: Early initiation of rehabilitation following stroke promotes better long-term outcomes than delayed onset, emphasizing the importance of inpatient therapy. However, literature indicates that following stroke individuals in inpatient rehabilitation spend the majority of their day in their bedroom and inactive. Consequently, since amount of functional activity is posited to relate to outcomes, the current rehabilitation model needs to be challenged with innovative solutions to maximize recovery...
January 2017: Clinical Rehabilitation
Birgit Abberger, Anne Haschke, Phillip J Tully, Thomas Forkmann, Janna Berger, Markus Wirtz, Juergen Bengel, Harald Baumeister
OBJECTIVE: To develop and validate parallel short forms for the assessment of general anxiety in cardiovascular rehabilitation patients, that facilitate repeated measurement over time without contamination from residual practice effect variance. DESIGN: Development of the parallel short forms using Rasch analysis. Validation study. SETTING: Cardiac rehabilitation centres in Germany. SUBJECTS: Cardiovascular rehabilitation patients...
January 2017: Clinical Rehabilitation
Verena R Cimarolli, Kathrin Boerner, Joann P Reinhardt, Amy Horowitz, Hans-Werner Wahl, Oliver Schilling, Mark Brennan-Ing
OBJECTIVE: To examine personal characteristics, disease-related impairment variables, activity limitations, and environmental factors as correlates of social participation in older adults with vision loss guided by the World Health Organization's International Classification of Functioning, Disability and Health Model. DESIGN: Baseline data of a larger longitudinal study. SETTING: Community-based vision rehabilitation agency. SUBJECTS: A total of 364 older adults with significant vision impairment due to age-related macular degeneration...
January 2017: Clinical Rehabilitation
Jie Gao, Meiqing Lin, Jiuhan Zhao, Siwei Bi, Ziyan Ni, Xiuli Shang
OBJECTIVE: To determine the appropriate treatments for post-ischaemic stroke depression at different times after stroke. DESIGN: A single-blind, randomized, controlled trial that compared three intervention groups, with subgroups stratified by time after stroke. SETTING: Outpatient clinic. SUBJECTS: Eligible patients were recruited at discharge ( n = 73) and three ( n = 67), six ( n = 65), and nine months ( n = 69) after discharge, and patients completed mood questionnaires...
January 2017: Clinical Rehabilitation
Janet Darby, Tracey Williamson, Pip Logan, John Gladman
OBJECTIVE: This qualitative study was imbedded in a randomized controlled trial evaluating the addition of geriatricians to usual care to enable the comprehensive geriatric assessment process with older patients on acute medical units. The qualitative study explored the perspectives of intervention participants on their care and treatment. DESIGN: A constructivist study incorporating semi-structured interviews that were conducted in patients' homes within six weeks of discharge from the acute medical unit...
January 2017: Clinical Rehabilitation
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