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Clinical Rehabilitation

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https://www.readbyqxmd.com/read/30306805/is-manual-therapy-based-on-neurodynamic-techniques-effective-in-the-treatment-of-carpal-tunnel-syndrome-a-randomized-controlled-trial
#1
Tomasz Wolny, Pawel Linek
OBJECTIVE: The aim of this study was to evaluate the efficacy of manual therapy based on neurodynamic techniques in conservative treatment of carpal tunnel syndrome. DESIGN: Randomized controlled trial. SETTING: Several medical outpatient clinics in the south of Poland. PARTICIPANTS: The study included 103 patients with mild and moderate carpal tunnel syndrome (mean age = 53.95, SD = 9.5) years, who were randomly assigned to a neurodynamic techniques group (experimental group, n = 58) or a group without treatment (control group, n = 45)...
October 11, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/30304958/a-structured-exercise-programme-combined-with-proprioceptive-neuromuscular-facilitation-stretching-or-static-stretching-in-posttraumatic-stiffness-of-the-elbow-a-randomized-controlled-trial
#2
Tansu Birinci, Arzu Razak Ozdincler, Suleyman Altun, Cemal Kural
OBJECTIVES: To compare the different stretching techniques, proprioceptive neuromuscular facilitation (PNF) stretching and static stretching, in patients with elbow stiffness after a treated elbow fracture. DESIGN: Randomized-controlled, single-blind study. SETTING: Department of physiotherapy and rehabilitation. SUBJECTS: Forty patients with posttraumatic elbow stiffness (24 women; mean age, 41.34 ± 7.57 years)...
October 10, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/30255716/partially-dead-partially-separated-establishing-the-mechanism-between-ambiguous-loss-and-grief-reaction-among-caregivers-of-patients-with-prolonged-disorders-of-consciousness
#3
Yael Zaksh, Einat Yehene, Maya Elyashiv, Arie Altman
OBJECTIVES: To trace the psychological mechanism underlying caregivers' emotional experience in prolonged disorders of consciousness, by examining the mediating role of boundary ambiguity in the relationship between ambiguous loss and grief. DESIGN: Cross-sectional design. SETTING: The Respiratory Rehabilitation Division of a long-term medical and rehabilitation institute. SUBJECTS: A total of 64 primary caregivers (69% female) of patients in a vegetative state ( n = 49) or minimally conscious state ( n = 15), with a mean age of 55...
September 26, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/30255715/pain-management-strategies-among-persons-with-long-term-shoulder-pain-after-stroke-a-qualitative-study
#4
Ingrid Lindgren, Christina Brogårdh, Gunvor Gard
OBJECTIVE: To explore strategies that persons with persistent shoulder pain after stroke use to manage their pain in daily life. DESIGN: A qualitative study using semi-structured face-to-face interviews, analysed by content analysis. SETTING: A university hospital. SUBJECTS: Thirteen community-dwelling persons (six women; median age: 65 years; range 57-77) with shoulder pain after stroke were interviewed median two years after the pain onset...
September 26, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/30246557/cost-effectiveness-of-the-hibalance-training-program-for-elderly-with-parkinson-s-disease-analysis-of-data-from-a-randomized-controlled-trial
#5
Conran Joseph, Nina Brodin, Breiffni Leavy, Maria Hagströmer, Niklas Löfgren, Erika Franzén
OBJECTIVE: To determine the cost-effectiveness of the HiBalance training program for managing Parkinson's disease (PD)-related balance and gait disorders. DESIGN: Cost comparison design following the randomized controlled trial comparing a novel balance training intervention with care as usual. SUBJECTS: A total of 100 participants with mild-moderate PD were randomized to either the intervention ( n = 51) or the control group ( n = 49)...
September 24, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/30246555/addition-of-blood-flow-restriction-to-passive-mobilization-reduces-the-rate-of-muscle-wasting-in-elderly-patients-in-the-intensive-care-unit-a-within-patient-randomized-trial
#6
Matheus Barbalho, Angel Caroline Rocha, Thamires Lorenzet Seus, Rodolfo Raiol, Fabrício Boscolo Del Vecchio, Victor Silveira Coswig
OBJECTIVE: To evaluate the addition of blood flow restriction to passive mobilization in patients in the intensive care unit. DESIGN: The study was a within-patient randomized trial. SETTING: Two intensive care units in Belém, from September to October 2017. SUBJECTS: In total, 34 coma patients admitted to the intensive care unit sector, and 20 patients fulfilled the study requirements. INTERVENTIONS: All participants received the passive mobilization protocol for lower limbs, and blood flow restriction was added only for one side in a concurrent fashion...
September 24, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/30229667/the-effectiveness-of-backward-walking-as-a-treatment-for-people-with-gait-impairments-a-systematic-review-and-meta-analysis
#7
Tharani Balasukumaran, Benita Olivier, Mokgobadibe Veronica Ntsiea
OBJECTIVE: To investigate the effectiveness of backward walking in the treatment of people with gait impairments related to neurological and musculoskeletal disorders. DESIGN: Systematic review and meta-analysis of randomized and quasi-randomized control studies. DATA SOURCES: Searched from the date of inception to March 2018, and included PubMed, Scopus, Cochrane Library, PEDro, CINAHL, and the MEDLINE databases. METHODS: Investigating the effects of backward walking on pain, functional disability, muscle strength, gait parameters, balance, stability, and plantar pressure in people with gait impairments...
September 19, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/30180769/how-is-sexuality-after-stroke-experienced-by-stroke-survivors-and-partners-of-stroke-survivors-a-systematic-review-of-qualitative-studies
#8
Margaret McGrath, Sandra Lever, Annie McCluskey, Emma Power
OBJECTIVE: To synthesise how post-stroke sexuality is experienced by stroke survivors and partners of stroke survivors. METHODS: MEDLINE, PubMed, SCOPUS, CINAHL and PsycINFO were searched from inception to May 2018 using a combination of relevant Medical Subject Headings and Free Text Terms. Only papers published in English reporting original qualitative research were included. Methodological quality was assessed using the Critical Appraisal Skills Programme Qualitative Research Checklist...
September 5, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/30175601/comparative-study-of-psychometric-properties-of-three-assessment-tools-for-degenerative-rotator-cuff-disease
#9
Etienne James-Belin, Anne Laure Roy, Sandra Lasbleiz, Agnès Ostertag, Alain Yelnik, Philippe Orcel, Johann Beaudreuil
OBJECTIVE: To compare psychometric properties of Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, Shoulder Pain and Disability Index (SPADI) and Constant-Murley scale, in patients with degenerative rotator cuff disease (DRCD). DESIGN: Longitudinal cohort. SETTING: One French university hospital. METHODS: The scales were applied twice at one-week interval before physiotherapy and once after physiotherapy two months later...
September 3, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/30168362/a-study-of-the-influence-of-cognitive-complaints-cognitive-performance-and-symptoms-of-anxiety-and-depression-on-self-efficacy-in-patients-with-acquired-brain-injury
#10
Ingrid Mh Brands, Inge Verlinden, Gerard M Ribbers
OBJECTIVE: To examine the relationship between self-efficacy for managing brain injury-specific symptoms and cognitive performance, subjective cognitive complaints and anxiety and depression symptoms in patients with acquired brain injury (ABI). DESIGN: Clinical cohort study. SETTING: General hospitals, rehabilitation centres. SUBJECTS: A total of 122 patients with newly ABI (mean age = 54.4 years (SD, 12.2)) were assessed at discharge home from inpatient neurorehabilitation or at start of outpatient neurorehabilitation after discharge home from acute hospital...
August 31, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/30168348/are-the-effects-of-internal-focus-instructions-different-from-external-focus-instructions-given-during-balance-training-in-stroke-patients-a-double-blind-randomized-controlled-trial
#11
Elmar Kal, Han Houdijk, John van der Kamp, Manon Verhoef, Rens Prosée, Erny Groet, Marinus Winters, Coen van Bennekom, Erik Scherder
OBJECTIVE: This study aimed to assess if external focus instructions result in greater improvements in motor skill and automaticity compared to internal focus instructions in stroke patients. DESIGN: Double-blind randomized controlled trial. SETTING: Inpatient stroke rehabilitation unit. SUBJECTS: A total of 63 stroke patients (Meanage  = 59.6 ± 10.7 years; Meandays since stroke  = 28.5 ± 16.6; MedianFunctional Ambulation Categories  = 4)...
August 31, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/30103642/discriminative-ability-and-clinical-utility-of-the-timed-up-and-go-tug-in-identifying-falls-risk-in-people-with-multiple-sclerosis-a-prospective-cohort-study
#12
Gillian Quinn, Laura Comber, Chris McGuigan, Rose Galvin, Susan Coote
OBJECTIVE: To investigate discriminative ability and clinical utility of the Timed Up and Go under single- and dual-task conditions between fallers and non-fallers in multiple sclerosis (MS). DESIGN: Prospective cohort study. SETTING: Neurology service in a tertiary hospital. SUBJECTS: Participants were 101 people with MS and Expanded Disability Status Scale score of 3-6.5. One participant withdrew after the baseline assessment, and hence the data were analysed for 100 participants...
August 14, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/30103621/a-qualitative-study-of-patient-centered-goal-setting-in-geriatric-rehabilitation-patient-and-professional-perspectives
#13
Rosanne van Seben, Susanne M Smorenburg, Bianca M Buurman
OBJECTIVE: To characterize how rehabilitation goals of older patients change over time and to explore professionals' attitudes toward patient-centered goal-setting and their perspectives on rehabilitation goals. DESIGN: Qualitative interview study. SETTING: Three geriatric rehabilitation centers. SUBJECTS: Ten patients (aged ⩾ 80), who had recently received inpatient geriatric rehabilitation, and seven professionals were purposively recruited...
August 14, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/30088421/effects-of-motomed-movement-therapy-on-the-mobility-and-activities-of-daily-living-of-stroke-patients-with-hemiplegia-a-systematic-review-and-meta-analysis
#14
Cuiling Shen, Fang Liu, Liqun Yao, Zhongyuan Li, Li Qiu, Suzhu Fang
OBJECTIVE: To estimate the effectiveness of MOTOmed® movement therapy in increasing mobility and activities of daily living in stroke patients with hemiplegia. DESIGN: Systematic review. DATA SOURCES: English- and Chinese-language articles published from the start of database coverage through 20 June 2018 were retrieved from the Embase, Web of Science, PubMed, OVID, Cochrane Central Register of Controlled Trials, Cochrane Systematic Reviews, Wanfang, Chinese National Knowledge Infrastructure, VIP, and Chinese Biomedicine databases...
August 8, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/30086676/inter-rater-and-intra-rater-reliability-of-the-brief-bestest-in-people-with-chronic-obstructive-pulmonary-disease
#15
Regina Wai Man Leung, Jennifer A Alison, Zoe J McKeough
OBJECTIVE: To investigate the inter-rater and intra-rater reliability of the Brief Balance Evaluation System Test (Brief-BESTest) in people with chronic obstructive pulmonary disease and its correlation between the Brief-BESTest score and lung function, functional exercise capacity, functional lower limb strength, and fear of falling. DESIGN: Prospective, single-group, observational study. SETTING: Outpatient pulmonary rehabilitation program...
August 8, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/30084264/validity-and-reproducibility-of-the-functional-gait-assessment-in-persons-after-stroke
#16
Maijke Van Bloemendaal, Walter Bout, Sicco A Bus, Frans Nollet, Alexander Ch Geurts, Anita Beelen
OBJECTIVE: To evaluate construct validity and reproducibility of the Functional Gait Assessment (FGA) for measuring walking balance capacity in persons after stroke. DESIGN: Cross-sectional study. SETTING: Inpatient and outpatient rehabilitation center. SUBJECTS: Fifty-two persons post-stroke (median (25% and 75% percentiles)) time post-stroke 6 (5-10) weeks) with independent walking ability (mean gait speed 1.1 ± ...
August 7, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/30073856/effects-of-supervised-exercise-compared-to-non-supervised-exercise-early-after-total-hip-replacement-on-patient-reported-function-pain-health-related-quality-of-life-and-performance-based-function-a-systematic-review-and-meta-analysis-of-randomized-controlled
#17
Sebrina Hansen, Jens Aaboe, Inger Mechlenburg, Søren Overgaard, Lone Ramer Mikkelsen
BACKGROUND: The rehabilitation after a total hip replacement varies in degree of supervision; however, it remains unknown whether supervised programmes are more effective than non-supervised. OBJECTIVE: This study compared the effectiveness of supervised exercise compared to non-supervised home-based exercise after total hip replacement on patient-reported function, hip-pain, health-related quality of life and performance-based function. METHODS: A systematic review and meta-analysis of randomized controlled trials investigating the effect of supervised exercise compared to non-supervised home-based exercise...
August 3, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/30064268/effects-of-combined-intervention-of-physical-exercise-and-cognitive-training-on-cognitive-function-in-stroke-survivors-with-vascular-cognitive-impairment-a-randomized-controlled-trial
#18
Wang Bo, Mao Lei, Shen Tao, Liu Tuan Jie, Li Qian, Fang Qi Lin, Wang Xiao Ping
OBJECTIVE: This study evaluated the possible effect of the combined intervention of physical exercise and cognitive training on cognitive function in stroke survivals with vascular cognitive impairment. DESIGN: A single-blind (investigator-blinded but not subject-blinded) randomized controlled trial. SETTING: Medical Rehabilitation Center of Shanghai General Hospital, China. SUBJECTS: A total of 225 patients (mean age 64...
August 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/30064264/effects-of-geriatric-interdisciplinary-home-rehabilitation-on-complications-and-readmissions-after-hip-fracture-a-randomized-controlled-trial
#19
Monica Berggren, Åsa Karlsson, Nina Lindelöf, Undis Englund, Birgitta Olofsson, Peter Nordström, Yngve Gustafson, Michael Stenvall
OBJECTIVE: This pre-planned secondary analysis of geriatric interdisciplinary home rehabilitation, which was initially found to shorten the postoperative length of stay in hospital for older individuals following hip fracture, investigated whether such rehabilitation reduced the numbers of complications, readmissions, and total days spent in hospital after discharge during a 12-month follow-up period compared with conventional geriatric care and rehabilitation. DESIGN: Randomized controlled trial...
August 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/30064262/is-four-week-underwater-treadmill-exercise-regimen-compared-to-home-exercise-efficacious-for-pain-relief-and-functional-improvement-in-obese-patients-with-knee-osteoarthritis-a-randomized-controlled-trial
#20
Vilai Kuptniratsaikul, Chawalit Kittichaikarn, Phitsanu Suntornpiyapan, Kriangkrai Kovintaset, Suwicha Inthibal
OBJECTIVE: To investigate the efficacy of a four-week underwater treadmill exercise regimen compared to a home exercise regimen relative to pain relief and functional improvement in obese patients with knee osteoarthritis. DESIGN: Single-blind randomized controlled trial. SETTING: Outpatient. PARTICIPANTS: Eighty primary knee osteoarthritis with pain ⩾5/10 and body mass index ⩾25 kg/m2 . INTERVENTIONS: Daily quadriceps exercise at home for 30 minutes (control group) or underwater treadmill exercise (study group) for 30 minutes/day, three times/week for four weeks...
August 1, 2018: Clinical Rehabilitation
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