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Clinical Rehabilitation

Ruud A Leijendekkers, Gerben van Hinte, Jan Paul Frölke, Hendrik van de Meent, Femke Atsma, Maria Wg Nijhuis-van der Sanden, Thomas J Hoogeboom
OBJECTIVES: (1) To compare level of function, activity, health-related quality of life (HRQoL) and satisfaction in persons with a lower extremity amputation before surgery and 6- and 12-months after implantation of an osseointegration implant and (2) to report adverse events. DESIGN: Prospective cohort study. SETTING: University medical centre. SUBJECTS: A total of 40 consecutive persons (median age: 56 years) who received a transfemoral (31) or transtibial (9) osseointegration implant, between April 2014 and March 2016...
December 12, 2018: Clinical Rehabilitation
Ewout B Smit, Hylco Bouwstra, Cees Mpm Hertogh, Elizabeth M Wattel, Johannes C van der Wouden
OBJECTIVE: To explore the effect of goal-setting on physical functioning, quality of life and duration of rehabilitation in geriatric rehabilitation compared to care as usual. DATA SOURCES: Medline, Embase, CINAHL, PsycINFO and the Cochrane Library were searched from initiation to October 2018. METHODS: We included randomized controlled trials (RCTs), controlled before-after studies and studies using historic controls of older patients (mean age ⩾55 years) receiving rehabilitation for acquired disabilities...
December 12, 2018: Clinical Rehabilitation
Ada Tang, Billy Sun, Marco Yc Pang, Jocelyn E Harris
OBJECTIVE: To characterize environmental barriers to leisure participation among individuals living with stroke; examine relationships between environmental barriers and leisure interest and satisfaction; and investigate participant factors associated with the perception of environmental barriers. DESIGN: Survey. SETTING: Community. PARTICIPANTS: Convenience sample of 51 community-dwelling adults less than six months post stroke...
December 12, 2018: Clinical Rehabilitation
Melanie Kleynen, Li-Juan Jie, Kyra Theunissen, Sascha Mc Rasquin, Rich Sw Masters, Kenneth Meijer, Anna J Beurskens, Susy M Braun
OBJECTIVES: To investigate immediate changes in walking performance associated with three implicit motor learning strategies and to explore patient experiences of each strategy. DESIGN: Participants were randomly allocated to one of three implicit motor learning strategies. Within-group comparisons of spatiotemporal parameters at baseline and post strategy were performed. SETTING: Laboratory setting. SUBJECTS: A total of 56 community-dwelling post-stroke individuals...
December 12, 2018: Clinical Rehabilitation
Yuejie Li, Ying Yin, Gongwei Jia, Hong Chen, Lehua Yu, Dandong Wu
OBJECTIVE: To explore the effects of kinesiotape on pain and disability in individuals with chronic low back pain. DATA SOURCES: PubMed, Embase and the Cochrane Central Register of Controlled Trials were searched for English language publications from inception to 13 February 2018. REVIEW METHODS: This study was registered in PROSPERO (CRD42018089831). Our key search terms were ((kinesio taping) OR (kinesiotaping) OR (kinesiotape)) AND (low back pain)...
December 11, 2018: Clinical Rehabilitation
Sergio Hernández-Sanchez, Vasileios Korakakis, Nikos Malliaropoulos, Víctor Moreno-Perez
OBJECTIVE: To cross-culturally adapt and validate the Functional Assessment Scale for acute hamstring injury for professional Spanish-speaking soccer players. DESIGN: Clinical measurement study. Cross-cultural adaptation was conducted following international recommendations. Indicators of validity, reliability and responsiveness are provided. SUBJECTS: The Spanish version of the Functional Assessment Scale for acute hamstring injury scale was administered to 165 participants: 45 professional soccer players with acute hamstring muscle injury diagnosis, 40 healthy subjects, 40 individuals at-risk for a hamstring muscle injury and 40 patients with injuries of the lower limb other than hamstring muscle injury...
December 10, 2018: Clinical Rehabilitation
Younggeun Choi, Jihoon Nam, Dongseok Yang, Whanik Jung, Hwa-Ryeong Lee, Sae Hoon Kim
OBJECTIVES: To evaluate the clinical efficacy of smartphone-assisted self-rehabilitation in patients with frozen shoulder. DESIGN: A single-center, randomized controlled trial. SETTING: Orthopedic department of a university hospital. SUBJECTS: A total of 84 patients with frozen shoulder were recruited. INTERVENTION: Patients were randomly divided into two groups: a smartphone-assisted exercise group ( n = 42) and a conventional self-exercise group ( n = 42)...
December 10, 2018: Clinical Rehabilitation
Donguk Jo, Michael J Del Bel, Daniel McEwen, Jennifer O'Neil, Olivia S Mac Kiddie, Inmaculada C Álvarez-Gallardo, Lucie Brosseau
RATIONALE: Exercise programs for the management of fibromyalgia are well recognized as being effective. However, the incomplete descriptions of exercise programs make replication and implementation difficult. Also, existing reporting tools have not been validated in relation to pain relief as well as with each other. OBJECTIVES: This study aimed to evaluate the description of exercise programs in randomized control trials for the management of fibromyalgia using different assessment tools, and the correlations of each tool in relation to effectiveness of pain relief of fibromyalgia, and the correlations between each tool...
December 5, 2018: Clinical Rehabilitation
Chandra da Silveira Langoni, Thais de Lima Resende, Andressa Bombardi Barcellos, Betina Cecchele, Juliana Nunes da Rosa, Mateus Soares Knob, Tatiane do Nascimento Silva, Tamiris de Souza Diogo, Irenio Gomes da Silva, Carla Helena Augustin Schwanke
OBJECTIVE: To determine the effects of group exercises on balance, mobility, and depressive symptoms in community-dwelling older adults with mild cognitive impairment. DESIGN: Single blinded, randomized, matched pairs clinical trial. SETTING: Four primary healthcare units. SUBJECTS: Fifty-two sedentary subjects with mild cognitive impairment were paired (age, sex, body mass index, and Addenbrooke's Cognitive Examination Revised score), tested, and then randomized into an intervention group ( n = 26) and a control group ( n = 26)...
December 4, 2018: Clinical Rehabilitation
Marguerite Harvey, Kathryn L Weston, William K Gray, Ailish O'Callaghan, Lloyd L Oates, Richard Davidson, Richard W Walker
OBJECTIVES: To investigate whether people with Parkinson's disease can exercise at a high-intensity across a 12-week intervention and to assess the impact of the intervention on cardiorespiratory fitness. DESIGN: This is a randomized, controlled, feasibility study with waiting list control. Assessors were blinded to group allocation. SETTING: The intervention took place at an exercise centre and assessments at a district general hospital. SUBJECTS: This study included 20 people with idiopathic Parkinson's disease...
December 4, 2018: Clinical Rehabilitation
Gul Devrimsel, Yavuz Metin, Munevver Serdaroglu Beyazal
OBJECTIVE: To determine the effects of ultrasound therapy and neuromuscular electrical stimulation (NMES) application on the muscle architecture and functional capacity in patients with knee osteoarthritis. DESIGN: A randomized study. SUBJECTS: A total of 60 patients with knee osteoarthritis. INTERVENTIONS: Participants were randomized into one of the following two intervention groups, five days a week, for three weeks: the combination of NMES application, hot pack, and exercise therapy was applied to the NMES group...
December 4, 2018: Clinical Rehabilitation
Alice Rose, Sheeba Rosewilliam, Andy Soundy
OBJECTIVES: To assess the extent of shared decision-making within goal-setting meetings and explore patient-reported factors that influenced their participation to shared decision-making about their goals. DESIGN: A two-phase explanatory sequential mixed-methods study, using questionnaires and interviews. SETTING: A rehabilitation centre and patients' homes. SUBJECTS: Frail elderly patients. MAIN MEASURES: Quantitative data were collected after every patient's goal-setting meeting using the Multifocal Approach to Sharing in Shared Decision Making (MAPPIN'SDM) questionnaire that assesses competencies relevant to shared decision-making...
December 4, 2018: Clinical Rehabilitation
Raymond Smith, Julia Wood, Fiona Jones, Sue Turner, Michael Hurley
OBJECTIVES: To explore the experiences of occupational therapists and physiotherapists and to reveal any factors that can facilitate delivering a complex care home intervention promoting meaningful activity. DESIGN: Qualitative interview study using data from three focus groups conducted longitudinally post intervention implementation. Data were analysed thematically. SETTING: Three residential care homes in South London, UK. SUBJECTS: All therapists involved in the implementation of the intervention: three occupational therapists and three physiotherapists...
December 4, 2018: Clinical Rehabilitation
Elke Rammant, Valérie Fonteyne, Karel Decaestecker, Renée Bultijnck, Benedicte Deforche, Ronny Pieters, Piet Ost, Sofie Verhaeghe, Ann Van Hecke
OBJECTIVE: To explore the determinants of physical activity in patients with bladder cancer before and after radical cystectomy. DESIGN: A qualitative research design using semi-structured face-to-face interviews. SETTING AND SUBJECTS: A total of 30 interviews were conducted with people diagnosed with bladder cancer and treated with radical cystectomy at Ghent University Hospital. MAIN MEASURES: The interviews were audiotaped and transcribed verbatim...
December 4, 2018: Clinical Rehabilitation
Lorna Paul, Linda Renfrew, Jennifer Freeman, Heather Murray, Belinda Weller, Paul Mattison, Alex McConnachie, Robert Heggie, Olivia Wu, Elaine H Coulter
OBJECTIVE: To examine the feasibility of a trial to evaluate web-based physiotherapy compared to a standard home exercise programme in people with multiple sclerosis. DESIGN: Multi-centre, randomized controlled, feasibility study. SETTING: Three multiple sclerosis out-patient centres. PARTICIPANTS: A total of 90 people with multiple sclerosis (Expanded Disability Status Scale 4-6.5). INTERVENTIONS: Participants were randomized to a six-month individualized, home exercise programme delivered via web-based physiotherapy ( n = 45; intervention) or a sheet of exercises ( n = 45; active comparator)...
December 4, 2018: Clinical Rehabilitation
Irene Cabrera-Martos, Araceli Ortiz-Rubio, Irene Torres-Sánchez, Janet Rodríguez-Torres, Laura López-López, Marie Carmen Valenza
OBJECTIVE: To evaluate the effects of an intervention based on a specific set of goals on goal attainment, manual dexterity, hand grip strength and finger prehension force compared to a standardized approach in patients with Parkinson's disease. DESIGN: Randomized controlled trial. SETTING: Home-based. PARTICIPANTS: Fifty patients with a clinical diagnosis of Parkinson's disease acknowledging impaired manual ability were randomized into two groups...
December 3, 2018: Clinical Rehabilitation
Sarah Souza Pontes, Ana Louise Reis de Carvalho, Katna de Oliveira Almeida, Murilo Pires Neves, Ingara Fernanda Silva Ribeiro Schindler, Iura Gonzalez Nogueira Alves, Fabio Luciano Arcanjo, Mansueto Gomes-Neto
OBJECTIVE: To investigate whether isokinetic muscle strengthening improves muscle strength, mobility, and gait in post-stroke patients. METHODS: We searched for randomized controlled trials at PubMed/Medline, SciELO, PEDro, and Cochrane Central Register of Controlled Trials, from the earliest date available to June 2018. Randomized controlled trials that examined the effects of isokinetic muscle strengthening versus other rehabilitation interventions or control in post-stroke patients were included...
November 28, 2018: Clinical Rehabilitation
Tamina Levy, Kate Laver, Maggie Killington, Natasha Lannin, Maria Crotty
OBJECTIVE: To review methods for measuring adherence to exercise or physical activity practice recommendations in the stroke population and evaluate measurement properties of identified tools. DATA SOURCES: Two systematic searches were conducted in eight databases (MEDLINE, CINAHL, PsycINFO, Cochrane Library of Systematic Reviews, Sports Discus, PEDro, PubMed and EMBASE). Phase 1 was conducted to identify measures. Phase 2 was conducted to identify studies investigating properties of these measures...
November 21, 2018: Clinical Rehabilitation
Piotr Tederko, Marek Krasuski, Beata Tarnacka
OBJECTIVES: To present a synopsis of evidence on the efficacy of rehabilitation after cervical disk surgery performed for neck pain and radiculopathy. DATA SOURCES: The databases of Medline, EMBASE, and Cochrane Central were searched for studies reporting effects of rehabilitation interventions in patients undergoing surgery due to cervical disk disease with pain and radicular syndrome, published before 31 August 2018. REVIEW METHODS: Project was registered with PROSPERO database (number CRD42018085937)...
November 21, 2018: Clinical Rehabilitation
Mahsa Abolfazli, Laleh Lajevardi, Leila Mirzaei, Hosein Ali Abdorazaghi, Akram Azad, Ghorban Taghizadeh
OBJECTIVE: To determine the effect of mirror visual feedback (MVF) on disability, pain, and motor function on patients who underwent hand reconstructive surgery. DESIGN: Randomized, single-blinded controlled trial. SETTING: Rehabilitation center. SUBJECTS: A total of 40 patients who were randomly assigned into the intervention group ( n = 20) and control group ( n = 20) participated in this study. INTERVENTIONS: The rehabilitation sessions took place twice a week for eight weeks...
November 21, 2018: Clinical Rehabilitation
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