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Clinical Rehabilitation

George Ct Mugoya, Lisa M Hooper, Sara Tomek, Safiya George Dalmida, Anneliese Bolland, Joy Ufomadu, John Bolland
OBJECTIVE: To explore the mediating effect of loneliness on the relationship between pain interference and depressive symptoms and to determine whether this mechanism is contingent on employment status. DESIGN: Cross-sectional study. SUBJECTS: A total of 876 adult caregivers of adolescents living in extremely impoverished conditions. ANALYSIS: Mediation and moderated mediation analyses using standard path-analytic approaches...
February 1, 2018: Clinical Rehabilitation
Vicky Booth, Rowan H Harwood, Victoria Hood-Moore, Trevor Bramley, Jennie E Hancox, Kate Robertson, Judith Hall, Veronika Van Der Wardt, Pip A Logan
This series of articles for rehabilitation in practice aims to cover a knowledge element of the rehabilitation medicine curriculum. Nevertheless, they are intended to be of interest to a multidisciplinary audience. The competency addressed in this article is an understanding of how to develop an intervention for people with mild cognitive impairment and dementia to promote their independence, stability, and physical activity. INTRODUCTION: Older adults with dementia are at a high risk of falls...
February 1, 2018: Clinical Rehabilitation
Karlijn Barnhoorn, J Bart Staal, Robert Tm van Dongen, Jan Paul M Frölke, Frank P Klomp, Henk van de Meent, Eddy Adang, Maria Wg Nijhuis-van der Sanden
OBJECTIVE: To analyze cost-effectiveness of Pain Exposure Physical Therapy compared to conventional treatment alongside a randomized controlled trial (NCT00817128) in patients with complex regional pain syndrome type 1, where no clinical difference was shown between the two groups in an intention-to-treat analysis. DESIGN: Randomized controlled trial with 9 months follow-up. SETTING: Patients were recruited from hospitals and general practitioners in the region around a university hospital...
February 1, 2018: Clinical Rehabilitation
Roshan das Nair, Jacqueline R Mhizha-Murira, Pippa Anderson, Hannah Carpenter, Simon Clarke, Sam Groves, Paul Leighton, Brigitte E Scammell, Gogem Topcu, David A Walsh, Nadina B Lincoln
OBJECTIVE: To determine the feasibility of conducting a trial of a pre-surgical psychological intervention on pain, function, and mood in people with knee osteoarthritis listed for total knee arthroplasty. DESIGN: Multi-centre, mixed-methods feasibility randomized controlled trial of intervention plus usual care versus usual care. SETTING: Participants' homes or hospital. PARTICIPANTS: Patients with knee osteoarthritis listed for total knee arthroplasty and score >7 on either subscales of Hospital Anxiety and Depression Scale...
February 1, 2018: Clinical Rehabilitation
Buket Akinci, Ipek Yeldan, Ilhan Satman, Ahmet Dirican, Arzu Razak Ozdincler
OBJECTIVES: To compare the effects of Internet-based exercise on glycaemic control, blood lipids, body composition, physical activity level, functional capacity, and quality of life with supervised group exercise in patients with type 2 diabetes. DESIGN: Single-blind, randomized controlled study. SETTING: A Faculty of Health Sciences. SUBJECTS: A total of 65 patients with type 2 diabetes (47 women, 18 men). INTERVENTION: Group A ( n = 22), control group - physical activity counselling once with a brochure...
February 1, 2018: Clinical Rehabilitation
Marcelo Taglietti, Ligia Maria Facci, Celita Salmaso Trelha, Fernanda Cristiane de Melo, Daniela Wosiack da Silva, Geovane Sawczuk, Thamires Marques Ruivo, Thaisley Barbosa de Souza, Chiarella Sforza, Jefferson Rosa Cardoso
OBJECTIVE: To compare the effectiveness of aquatic exercises with patient-education in individuals with knee osteoarthritis. DESIGN: Randomized controlled trial with blinded assessor and intention-to-treat analysis. SETTING: Aquatic Physiotherapy Centre and Primary Health Care Unit. SUBJECTS: A total of 60 patients, aged 68.3 (SD = 4.8) with clinical symptoms and radiographic grading (Kellgren-Lawrence 1-4) of knee osteoarthritis were included...
February 1, 2018: Clinical Rehabilitation
Narelle J Watson, Sally A Martin, Jennifer L Keating
OBJECTIVE: To investigate patients' experience following wrist fracture, surgical repair and immobilization. DESIGN: A qualitative investigation involving individual participant interviews. SETTING: A metropolitan trauma service. SUBJECTS: In all, 31 participants were consecutively recruited from three groups within a randomized controlled trial comparing immobilization for one ( n = 11), three ( n = 10) or six weeks ( n = 10) following surgical treatment for wrist fracture...
February 1, 2018: Clinical Rehabilitation
Masashi Kanai, Kazuhiro P Izawa, Miki Kobayashi, Akira Onishi, Hiroki Kubo, Masafumi Nozoe, Kyoshi Mase, Shinichi Shimada
OBJECTIVE: To evaluate the effect of accelerometer-based feedback on physical activity in hospitalized patients with ischemic stroke. DESIGN: Randomized controlled trial. SETTING: Acute care hospital. SUBJECTS: A total of 55 patients with ischemic stroke who could walk without assistance were randomly assigned to the intervention group ( n = 27) or the control group ( n = 28). INTERVENTIONS: At the baseline measurement, patients did not receive accelerometer-based feedback...
February 1, 2018: Clinical Rehabilitation
(no author information available yet)
At the request of the Journal Editor and the Publisher, the following article has been retracted: Lee I. (2015) The effect of postural control intervention for congenital muscular torticollis: a randomized controlled trial. Clinical Rehabilitation 29(8): 795-802. DOI: 10.1177/0269215514555037. This article demonstrates a high level of unreferenced overlap with the following article: Rahlin, M. (2005) TAMO Therapy as a Major Component of Physical Therapy Intervention for an Infant With Congenital Muscular Torticollis: A Case Report...
January 1, 2018: Clinical Rehabilitation
Juan Francisco Lisón, Borja Ortega-Santana, Álvaro Antón-Nogués, Palmy González-Requena, Cristina Vera-Hervás, Julio Doménech-Fernández, Daniel Sánchez-Zuriaga, Pablo Salvador-Coloma
OBJECTIVE: To investigate the effects that wearing unstable shoes has on disability, trunk muscle activity, and lumbar spine range of motion (ROM) in patients with chronic lower back pain (CLBP). DESIGN: Randomized controlled trial. SETTING: Orthopedic Surgery Service. PARTICIPANTS: We randomized 40 adults with nonspecific CLBP either to an unstable shoes group ( n = 20) or to the control group ( n = 20). INTERVENTION: The participants in the unstable shoes group were advised to wear these shoes for a minimum of six hours a day for four weeks...
January 1, 2018: Clinical Rehabilitation
Dhinu J Jayaseelan, David A Scalzitti, Geoff Palmer, Alex Immerman, Carol A Courtney
OBJECTIVE: To investigate and synthesize the effects of joint mobilization on individuals with patellofemoral pain syndrome. DATA SOURCES: Five electronic databases (CINAHL, the Cochrane Central Register of Controlled Trials, PubMed, Scopus, and SPORTDiscus) were used. REVIEW METHODS: Each database was searched from inception to 1 November 2017. Randomized controlled trials investigating a manual therapy intervention, with or without co-interventions, for persons with patellofemoral pain were included...
January 1, 2018: Clinical Rehabilitation
Lisa J Cameron, Lisa M Somerville, Catherine E Naismith, Dina Watterson, Valentina Maric, Natasha A Lannin
OBJECTIVE: To explore the ways clinicians engage rehabilitation patients in patient-centered goal setting and identify factors influencing the goal-setting process. DESIGN: Ethnographic study utilizing observed practice-thematic analysis. SETTING: Four rehabilitation wards of a large metropolitan hospital in Melbourne, Australia. SUBJECTS: Participants included 17 rehabilitation patients, 18 allied health clinicians and one family member...
January 1, 2018: Clinical Rehabilitation
Orlando Flores, Zephanie Tyack, Kellie Stockton, Robert Ware, Jennifer D Paratz
OBJECTIVES: To determine the effectiveness of different modalities of exercise and to evaluate the safety of exercise-based interventions post-burns. DATA SOURCES: Six databases were searched from inception to October 2017 using "burn," "exercise" and synonyms as keywords. Relevant authors, key journals and reference lists of included studies were hand-searched. REVIEW METHODS: Articles reporting on exercise interventions in patients post-burn and considering physical, physiological or psychological outcomes were considered...
January 1, 2018: Clinical Rehabilitation
Ibai López-de-Uralde-Villanueva, Pablo Candelas-Fernández, Beatriz de-Diego-Cano, Orcález Mínguez-Calzada, Tamara Del Corral
OBJECTIVE: The objective of this study was to evaluate whether the addition of manual therapy and therapeutic exercise protocol to inspiratory muscle training was more effective in improving maximum inspiratory pressure than inspiratory muscle training in isolation. DESIGN: This is a single-blinded, randomized controlled trial. SUBJECTS: In total, 43 patients with asthma were included in this study. INTERVENTIONS: The patients were allocated into one of the two groups: (1) inspiratory muscle training ( n = 21; 20-minute session) or (2) inspiratory muscle training (20-minute session) combined with a program of manual therapy (15-minute session) and therapeutic exercise (15-minute session; n = 22)...
January 1, 2018: Clinical Rehabilitation
Nicole Theresa Lorthioir
No abstract text is available yet for this article.
January 1, 2018: Clinical Rehabilitation
Claire Mitchell, Audrey Bowen, Sarah Tyson, Paul Conroy
OBJECTIVE: To evaluate the feasibility of a multicentre randomized controlled trial of ReaDySpeech, an online speech therapy programme for people with dysarthria. DESIGN: Feasibility randomized controlled trial, 2:1 minimization procedure. SETTING: Four UK NHS services across hospital and community. PARTICIPANTS: Forty participants with dysarthria at least one week post-stroke. Interventions/comparator: ReaDySpeech with usual care ( n = 26) versus usual care only ( n = 14)...
December 1, 2017: Clinical Rehabilitation
Dipankar Dutta, Daniel Thornton, Emily Bowen
OBJECTIVES: We investigated factors associated with Care Home (CH) discharge following stroke using routinely collected data in unselected patients and assessed the relevance of previous research findings to such patients seen in routine clinical practice. DESIGN: Retrospective analysis of data from the Sentinel Stroke National Audit Programme using univariate analysis and logistic regression. SETTING: A large acute and rehabilitation UK stroke unit with access to early supported discharge...
December 1, 2017: Clinical Rehabilitation
Gillian Quinn, Laura Comber, Rose Galvin, Susan Coote
OBJECTIVE: To determine the ability of clinical measures of balance to distinguish fallers from non-fallers and to determine their predictive validity in identifying those at risk of falls. DATA SOURCES: AMED, CINAHL, Medline, Scopus, PubMed Central and Google Scholar. First search: July 2015. Final search: October 2017. REVIEW METHODS: Inclusion criteria were studies of adults with a definite multiple sclerosis diagnosis, a clinical balance assessment and method of falls recording...
December 1, 2017: Clinical Rehabilitation
Georgia Iatridou, Henrietta-Syngliti Pelidou, Dimitrios Varvarousis, Alexandra Stergiou, Alexander Beris, Panagiotis Givissis, Avraam Ploumis
OBJECTIVE: To summarize evidence on the effects of hydrokinesiotherapy (HT) on postural balance in hemiplegic patients after stroke and compare them with conventional land therapy. DATA SOURCES: A literature search until October 2017 was conducted on CINAHL, PubMed, Cochrane EBM Reviews, Cochrane Clinical Trials, DARE, MEDLINE, Physiotherapy Evidence Database (PEDro), PsycInfo and Rehabilitation and Sports Medicine Source. REVIEW METHODS: Only randomized controlled trials with pre-intervention and post-intervention assessment on postural control have been included...
December 1, 2017: Clinical Rehabilitation
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