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Clinical Rehabilitation

Freddy Mh Lam, Philip Fl Chan, L R Liao, Jean Woo, Elsie Hui, Charles Wk Lai, Timothy Cy Kwok, Marco Yc Pang
OBJECTIVE: To investigate whether a comprehensive exercise program was effective in improving physical function among institutionalized older adults and whether adding whole-body vibration to the program conferred additional therapeutic benefits. DESIGN: A single-blinded randomized controlled trial was conducted. SETTING: This study was carried out in residential care units. PARTICIPANTS: In total, 73 older adults (40 women, mean age: 82...
October 1, 2017: Clinical Rehabilitation
Camille Chesnel, Claire Jourdan, Eleonore Bayen, Idir Ghout, Emmanuelle Darnoux, Sylvie Azerad, James Charanton, Philippe Aegerter, Pascale Pradat-Diehl, Alexis Ruet, Philippe Azouvi, Claire Vallat-Azouvi
OBJECTIVE: To evaluate the patient's awareness of his or her difficulties in the chronic phase of severe traumatic brain injury (TBI) and to determine the factors related to poor awareness. DESIGN/SETTING/SUBJECTS: This study was part of a larger prospective inception cohort study of patients with severe TBI in the Parisian region (PariS-TBI study). Intervention/Main measures: Evaluation was carried out at four years and included the Brain Injury Complaint Questionnaire (BICoQ) completed by the patient and his or her relative as well as the evaluation of impairments, disability and quality of life...
October 1, 2017: Clinical Rehabilitation
Michelle N McDonnell, Briony Rischbieth, Tenille T Schammer, Chantel Seaforth, Alex J Shaw, Anna C Phillips
OBJECTIVE: The technique called Lee Silverman Voice Treatment (LSVT)-LOUD has previously been used to improve voice quality in people with Parkinson's disease. The objective of this study was to assess the effectiveness of an alternate intervention, LSVT-BIG (signifying big movements), to improve functional mobility. DESIGN: Systematic review with meta-analysis of randomized trials. DATA SOURCES: Medline, Embase, CINAHL, AgeLine, Scopus and Cochrane Library were searched from inception to September 2017 using multiple search terms related to Parkinson's disease and LSVT-BIG...
October 1, 2017: Clinical Rehabilitation
Craig Whitbourne, Nora Shields, Mark Tacey, Kenneth Wz Koh, Katherine Lawler, Keith D Hill
OBJECTIVE: To investigate whether two additional home visits improve outcomes for rehabilitation outpatients with balance impairments compared to usual care. DESIGN: Randomized controlled trial. SETTING: Outpatient rehabilitation. PARTICIPANTS: Fifty with balance impairments. INTERVENTIONS: Both groups received usual care including weekly group exercise over eight weeks. The intervention group received two home visits to individualize home exercises...
September 1, 2017: Clinical Rehabilitation
Christine Glenny, Ayse Kuspinar, Gary Naglie, Paul Stolee
OBJECTIVES: To explore, from the perspective of healthcare providers, the barriers to and facilitators of using standardized outcome measures of physical function in geriatric rehabilitation settings. METHODS: In-depth semi-structured interviews with medical doctors, nurses, physiotherapists and occupational therapists were conducted from three geriatric rehabilitation hospitals in Ontario. Qualitative content analysis through an inductive approach was used to identify barriers to and facilitators of outcome measurement in geriatric rehabilitation settings...
September 1, 2017: Clinical Rehabilitation
Vincent Cm Cox, Vera Pm Schepers, Marjolijn Ketelaar, Willeke J Kruithof, Caroline M van Heugten, Johanna Ma Visser-Meily
OBJECTIVE: To validate the Caregiver Mastery Scale for partners of patients with acquired brain injury. DESIGN: The score distributions, internal consistency and convergent validity of the Caregiver Mastery Scale were determined. SUBJECTS: A total of 92 partners (53% male, age 62 years) of patients with acquired brain injury (91% stroke) discharged from inpatient rehabilitation (time since injury 32 months). MAIN MEASURES: Outcome measure: Caregiver Mastery Scale...
September 1, 2017: Clinical Rehabilitation
Katri Laimi, Annika Mäkilä, Esa Bärlund, Niina Katajapuu, Airi Oksanen, Valpuri Seikkula, Jari Karppinen, Mikhail Saltychev
OBJECTIVE: To evaluate the evidence on the effectiveness of myofascial release therapy to relieve chronic musculoskeletal pain and to improve joint mobility, functioning level, and quality of life in pain sufferers. Data sources and review: Randomized controlled trials were systematically gathered from CENTRAL, Medline, Embase, CINAHL, Scopus, and PEDro databases. The methodological quality of articles was assessed according to the Cochrane Collaboration's domain-based framework. In addition, the effect sizes of main outcomes were calculated based on reported means and variances at baseline and in follow-up...
September 1, 2017: Clinical Rehabilitation
Anne Oikarinen, Janne Engblom, Helvi Kyngäs, Maria Kääriäinen
OBJECTIVE: To identify associations between lifestyle counselling quality and adherence to lifestyle changes during the 12-month period after discharge. SETTING: Neurology unit. SUBJECTS: Stroke and transient ischaemic attack (TIA) patients ( n = 98). DESIGN: Longitudinal explorative study that utilized data initially collected for quasi-experimental study. MAIN MEASURES: The exploratory measures of Counselling Quality were collected at the hospital on the day of discharge between January 2010 and October 2011, and the outcome measures of Adherence to Lifestyle Change and clinical values were collected 3, 6 and 12 months after discharge...
September 1, 2017: Clinical Rehabilitation
Andrew Sawers, Brian J Hafner
OBJECTIVE: To evaluate the feasibility of fixed-width beam walking for assessing balance in lower limb prosthesis users. DESIGN: Cross-sectional. SETTING: Laboratory. SUBJECTS: Lower limb prosthesis users. METHODS: Participants attempted 10 walking trials on three fixed-width beams (18.6, 8.60, and 4.01 wide; 5.5 m long; 3.8 cm high). MAIN MEASURES: Beam-walking performance was quantified using the distance walked to balance failure...
September 1, 2017: Clinical Rehabilitation
Stephen Spreadborough, Kate Radford, Roshan das Nair, Adam Brooks, Miriam Duffy
OBJECTIVE: To assess return to work outcomes of major trauma patients treated at a level 1 UK major trauma centre and evaluate factors associated with improved outcomes. DESIGN: Cross-sectional cohort design. SUBJECTS: In total, 99 patients at one, two or three years post-discharge from a Major Trauma Centre with an injury severity score above 9, in full-time work or education prior to injury, aged 18-70 and discharged between April 2012 and June 2015...
September 1, 2017: Clinical Rehabilitation
Anouck N Bletterman, Marcella E de Geest-Vrolijk, Johanna E Vriezekolk, Maria W Nijhuis-van der Sanden, Nico Lu van Meeteren, Thomas J Hoogeboom
OBJECTIVE: To evaluate the predictive value of preoperative psychosocial factors on the perceived and observed postoperative patient's functional recovery during the post-hospital phase and up to 12 months after hospital discharge of patients who underwent total knee or total hip arthroplasty. METHODS: A systematic review was performed. MEDLINE, CINAHL, EMBASE and PsychINFO were systematically screened in order to find prospective longitudinal studies. Risk of bias was assessed using a modified version of a 27-item checklist for prognostic studies, as previously used by Veerbeek...
September 1, 2017: Clinical Rehabilitation
An De Groef, Marijke Van Kampen, Nele Vervloesem, Evi Dieltjens, Marie-Rose Christiaens, Patrick Neven, Lore Vos, Tessa De Vrieze, Inge Geraerts, Nele Devoogdt
OBJECTIVE: To investigate the effect of myofascial therapy in addition to a standard physical therapy program for treatment of persistent arm pain after finishing breast cancer treatment. DESIGN: Double-blinded (patient and assessor) randomized controlled trial. SETTING: University Hospitals Leuven, Belgium. PATIENTS: A total of 50 patients with persistent arm pain and myofascial dysfunctions after breast cancer treatment...
September 1, 2017: Clinical Rehabilitation
Le Peng, Chao Zhang, Lan Zhou, Hong-Xia Zuo, Xiao-Kuo He, Yu-Ming Niu
OBJECTIVE: To investigate the effectiveness of traditional manual acupuncture combined with rehabilitation therapy versus rehabilitation therapy alone for shoulder hand syndrome after stroke. DATA SOURCES: PubMed, EMBASE, the Cochrane Library, Chinese Biomedicine Database, China National Knowledge Infrastructure, VIP Information Database, Wan Fang Database and reference lists of the eligible studies were searched up to July 2017 for relevant studies. METHODS: Randomized controlled trials that compared the combined effects of traditional manual acupuncture and rehabilitation therapy to rehabilitation therapy alone for shoulder hand syndrome after stroke were included...
September 1, 2017: Clinical Rehabilitation
Anna Carling, Anette Forsberg, Ylva Nilsagård
OBJECTIVES: The aim was to describe falls and the perceived causes, experienced by people with multiple sclerosis shortly after falling. DESIGN: A qualitative study using content analysis and quantitative data to illustrate where and why people report falls most commonly. Semi-structured telephone interviews were performed. Interviews were conducted shortly (0-10 days) after a fall. SUBJECTS: In all, 67 informants who had reported at least one fall during the previous three-month period and who used a walking aid participated...
September 1, 2017: Clinical Rehabilitation
Feddrik Broersma, Barth Oeseburg, Jacob Dijkstra, Klaske Wynia
OBJECTIVE: To examine the impact of perceived limitations, stigma and sense of coherence on quality of life in multiple sclerosis patients. DESIGN: Cross-sectional survey. SETTING: Department of Neurology, University Medical Center Groningen, the Netherlands. SUBJECTS: Multiple sclerosis patients. MAIN MEASURES: World Health Organization Quality of Life - abbreviated version, Stigma Scale for Chronic Illness, Sense of Coherence Scale, background and disease-related questions...
September 1, 2017: Clinical Rehabilitation
Carina U Persson, Sigvar Kjellberg, Bodil Lernfelt, Ellen Westerlind, Malin Cruce, Per-Olof Hansson
OBJECTIVE: This study aimed to investigate incidence of falls and different baseline variables and their association with falling during hospitalization in a stroke unit among patients with acute stroke. DESIGN: Prospective observational study. SETTING: A stroke unit at a university hospital. SUBJECTS: A consecutive sample of stroke patients, out of which 504 were included, while 101 declined participation. METHODS: The patients were assessed a mean of 1...
September 1, 2017: Clinical Rehabilitation
Karin Gehring, Corelien Jj Kloek, Neil K Aaronson, Kasper W Janssen, Lee W Jones, Margriet M Sitskoorn, Martijn M Stuiver
OBJECTIVE: In this pilot study, we investigated the feasibility of a home-based, remotely guided exercise intervention for patients with gliomas. DESIGN: Pilot randomized controlled trial (RCT) with randomization (2:1) to exercise or control group. SUBJECTS: Patients with stable grade II and III gliomas. INTERVENTION: The six-month intervention included three home-based exercise sessions per week at 60%-85% of maximum heart rate...
September 1, 2017: Clinical Rehabilitation
Ming-Yen Hsiao, Chia-Ming Li, I-Shu Lu, Yu-Hung Lin, Tyng-Guey Wang, Der-Sheng Han
OBJECTIVE: To investigate the reliability and correlations of Kinect-derived valuables of forward reach distance and velocity with the traditional functional reach distance, scores on posturography, and other measures of physical fitness. DESIGN: Observational study. SETTING: Community hospital. SUBJECTS: Individuals >65 years who attended a geriatric health examination were enrolled. MAIN MEASURES: The Kinect system was used to record the reach distance and velocity of the forward reach test...
September 1, 2017: Clinical Rehabilitation
Sheila M Clemens, Robert S Gailey, Christopher L Bennett, Paul F Pasquina, Neva J Kirk-Sanchez, Ignacio A Gaunaurd
OBJECTIVE: Using a custom mobile application to evaluate the reliability and validity of the Component Timed-Up-and-Go test to assess prosthetic mobility in people with lower limb amputation. DESIGN: Cross-sectional design. SETTING: National conference for people with limb loss. SUBJECTS: A total of 118 people with non-vascular cause of lower limb amputation participated. Subjects had a mean age of 48 (±13.7) years and were an average of 10 years post amputation...
August 1, 2017: Clinical Rehabilitation
Sarah F Tyson, Andy Vail, Nessa Thomas, Kate Woodward-Nutt, Sarah Plant, Pippa J Tyrrell
OBJECTIVE: The aim of the study was to compare the effect of two designs of ankle-foot orthosis on people with stroke. DESIGN: The study design was an assessor-blind, multicentre randomized controlled trial. SETTING: The setting was community stroke services. PARTICIPANTS: A total of 139 community-dwelling stroke survivors with limited mobility were recruited. INTERVENTIONS: The two most commonly used types of ankle-foot orthosis (bespoke and off-the-shelf) were chosen...
August 1, 2017: Clinical Rehabilitation
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