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Journal of Rehabilitation Medicine

Matteo Zago, Claudia Condoluci, Massimiliano Pau, Manuela Galli
OBJECTIVE: Sex-specific medicine requires understanding of the specific therapeutic needs and patho-physiology of men and women. In these terms, we investigated sex-related differences in the gait kinematics of patients with Down syndrome. DESIGN: Retrospective observational cohort study. SUBJECTS: A sample of 230 patients (103 females) aged 7-50 years underwent a standard gait-analysis test from 2000 to 2015. METHODS: Spatiotemporal gait parameters and synthetic indexes were computed as Gait Profile Score (GPS) and pelvis/lower limbs as Gait Variable Scores...
December 19, 2018: Journal of Rehabilitation Medicine
Janke Oosterhaven, Harriet Wittink, Jurgen Mollema, Cas Kruitwagen, Walter Devillé
OBJECTIVE: Systematic review to identify predictors for dropout during interdisciplinary pain management programmes. DATA SOURCES: PubMed, PsycINFO, CINAHL, Embase, and SPORTDiscus were searched from inception to 22 June 2017. STUDY SELECTION: Screening, data-extraction and quality assessment was carried out independently by 2 researchers. DATA SYNTHESIS: Eight studies with low methodological quality were included in this review...
December 4, 2018: Journal of Rehabilitation Medicine
Jonas Schröder, Steven Truijen, Tamaya Van Criekinge, Wim Saeys
BACKGROUND: Pre-clinical evidence suggests a period early after stroke during which the brain is most receptive to rehabilitation, if it is provided as high-dose motor training. OBJECTIVE: To evaluate the feasibility of repetitive gait training within the first 3 months post-stroke and the effects on gait-specific outcomes. METHODS: PubMed, Web of Science, Cochrane Library, Rehab Data and PEDro databases were searched systematically. Randomized controlled trials were included to descriptively analyse the feasibility and quantitatively investigate the effectiveness of repetitive gait training compared with conventional therapy...
December 4, 2018: Journal of Rehabilitation Medicine
Anu Piira, Anne M Lannem, Marit Sørensen, Thomas Glott, Raymond Knutsen, Lone Jørgensen, Knut Gjesdal, Nils Hjeltnes, Synnøve F Knutsen
OBJECTIVE: To assess the effects of manually assisted body-weight supported locomotor training in subjects with chronic incomplete spinal cord injury. DESIGN: Randomized controlled clinical trial. SUBJECTS: Twenty subjects with American Spinal Injury Association Impairment Scale grades C or D and > 2 years post-injury. METHODS: Random allocation to 60 days of body-weight supported locomotor training, or usual care, which might include over-ground walking...
November 28, 2018: Journal of Rehabilitation Medicine
Megan Banky, Ross A Clark, Yong-Hao Pua, Benjamin F Mentiplay, John H Olver, Gavin Williams
OBJECTIVE: To establish the variability of fast testing velocity and joint range of motion and position when assessing lower-limb spasticity in individuals following neurological injury. DESIGN: Observational study of people with lower-limb spasticity. SUBJECTS: Patients with an upper motor neurone lesion (n = 35) and clinicians experienced in spasticity assessment (n = 34) were included. METHODS: The Modified Tardieu scale (MTS) was completed on the quadriceps, hamstrings (2 positions), gastrocnemius and soleus for each participant's more affected lower limb by 3 assessors...
November 28, 2018: Journal of Rehabilitation Medicine
Ida Elisabeth Højskov, Philips Moons, Ingrid Egerod, Peter Skov Olsen, Lau Caspar Thygesen, Niels Viggo Hansen, Søren La Cour, Krisitna Hindhede Bech, Britt Borregaard, Christian Gluud, Per Winkel, Jane Lindschou, Selina Kikkenborg Berg
OBJECTIVES: Rehabilitation of patients following coronary artery bypass grafting (CABG) has been widely studied; however, research into early rehabilitation after CABG is sparse. The aim of this trial was to assess the impact of early rehabilitation, compared with usual care in patients following CABG. DESIGN: Randomized controlled trial. PATIENTS: A total of 326 patients treated with CABG. METHODS: Patients treated with CABG were randomized 1:1 to 4 weeks of comprehensive early rehabilitation or usual care...
November 28, 2018: Journal of Rehabilitation Medicine
Woo-Jin Kim, Klara Novotna, Bhasker Amatya, Fary Khan
OBJECTIVE: To critically appraise published clinical practice guidelines (CPGs) for brain tumours, and to synthesize evidence-based recommendations from a rehabilitation perspective. METHODS: A comprehensive literature search included: health science databases, CPG clearinghouse/developer websites, and grey literature up to March 2018. All brain tumour CPGs that reported systematic methods for evidence search, and clearly defined recommendations supporting evidence for rehabilitation interventions were included...
November 28, 2018: Journal of Rehabilitation Medicine
Stella Samoborec, Darshini Ayton, Rasa Ruseckaite, Gary Winbolt, Sue M Evans
OBJECTIVE: To understand clients' experiences of the recovery journey through the compensation system and to identify areas and strategies for quality improvement. METHODS: A qualitative study of 23 participants with physical or mental disabilities caused by traffic accidents, which occurred, on average, 4 years ago. Purposive sampling of long-term recovery clients who made a compensation claim after their injuries was applied until data saturation was reached. Data were collected using semi-structured interviews and analysed through conventional thematic analysis...
November 14, 2018: Journal of Rehabilitation Medicine
Kyung Won Jang, Sook Joung Lee, Sang Beom Kim, Kyeong Woo Lee, Jong Hwa Lee, Jin Gee Park
OBJECTIVE: To investigate the therapeutic effects of mechanical inspiration and expiration exercise using mechanical cough assist on velopharyngeal incompetence in patients with subacute stroke. DESIGN: Pilot, randomized controlled study. SETTING: University-based rehabilitation centre. SUBJECTS: Thirty-six patients with subacute stroke diagnosed with velopharyngeal incompetence by videofluoroscopic swallowing study...
November 14, 2018: Journal of Rehabilitation Medicine
Gerhard Müller, Manuela Pfinder, Michael Clement, Andreas Kaiserauer, Guido Deis, Timm Waber, Stefanie Rieger, Dana Schwarz, Monika Heinzel-Gutenbrunner, Michael Straif, Klaus Bös, Thomas Kohlmann
To compare the cost-effectiveness of a multimodal back exercise programme for non-specific back pain with that of standard treatment. Medical costs were measured in euros (EUR) and effectiveness was measured using Graded Chronic Pain Status (GCPS). A controlled multicentre study (39 sites) with a 6-month intervention phase and follow-up at 6, 12 and 18 months. The study included 1,829 participants in an intervention group and 495 individuals in a control group. The multimodal back exercise programme comprises 36 exercise sessions for optimizing the spine stabilizing muscles and everyday motor func-tions...
November 8, 2018: Journal of Rehabilitation Medicine
Yosuke Kimura, Minoru Yamada, Daisuke Ishiyama, Naohito Nishio, Yota Kunieda, Shingo Koyama, Atsushi Sato, Yuhei Otobe, Shunsuke Ohji, Mizue Szuki, Hideyuki Ogawa, Daisuke Ito, Takeo Ichikawa, Koji Hamanaka, Naoki Tanaka, Yasushi Muroh
OBJECTIVE: To investigate the impact of unilateral spatial neglect with or without other cognitive impairments on recovery of independent gait in stroke survivors. DESIGN: A prospective cohort study. SUBJECTS: Ninety-four stroke survivors in an inpatient rehabilitation ward. METHODS: The presence of unilateral spatial neglect was assessed by the visuospatial perception score of the Stroke Impairment Assessment Set, and other cognitive impairments were assessed by Mini-Mental State Examination...
November 8, 2018: Journal of Rehabilitation Medicine
Kazunori Akizuki, Yuki Echizenya, Tatsuya Kaneno, Yukari Ohashi
OBJECTIVE: To determine the usefulness of an un-stable board balance test in identifying a fall history among high-functioning community-dwelling elderly individuals. DESIGN: Case-control study. SUBJECTS: Sixty-one community-dwelling elderly aged ≥ 65 years and having the capacity to walk independently without an assistive device. METHODS: Subjects completed 3 balance performance tests: the Unstable Board Balance Test, Functional Reach Test, and Timed Up and Go...
November 8, 2018: Journal of Rehabilitation Medicine
Sinikka Tarvonen-Schröder, Anne Kaljonen, Katri Laimi
OBJECTIVE: To compare easy-to-use International Classification of Functioning, Disability and Health (ICF)-based measures of functioning with the level and severity of spinal cord injury. METHODS: Cross-sectional study. Patients (n = 142) and their significant others completed the 12-item World Health Organization Disability Assessment Schedule (WHODAS 2.0) questionnaire. A physician at the university hospital outpatient clinic assessed functioning with the 7-item World Health Organization (WHO) minimal generic set...
November 8, 2018: Journal of Rehabilitation Medicine
Corien Nikamp, Jaap Buurke, Leendert Schaake, Job van der Palen, Johan Rietman, Hermie Hermens
OBJECTIVE: To determine: (i) whether the use of ankle-foot orthoses over a period of 26 weeks affects tibialis anterior muscle activity; (ii) whether the timing of provision of ankle-foot orthoses (early or delayed) affects the results; (iii) whether the provision of ankle-foot orthoses affects tibialis anterior muscle activity within a single measurement. DESIGN: Randomized controlled trial. SUBJECTS: Unilateral hemiparetic subjects, a maximum of 6 weeks post-stroke...
October 26, 2018: Journal of Rehabilitation Medicine
Melloney L M Wijenberg, Caroline M van Heugten, Maria L van Mierlo, Johanna M A Visser-Meily, Marcel W M Post
OBJECTIVE: Psychological factors influence stroke outcomes, such as participation and quality of life. Although important for clinical practice, not much is known about the temporal stability of these factors. This study explored whether psychological factors are stable post-stroke. METHODS: Prospective longitudinal cohort study. The following psychological factors were assessed using self-report questionnaires at 2 months and at 2 years post-stroke: proactive coping, self-efficacy, extraversion, optimism, passive coping, neuroticism and pessimism...
October 26, 2018: Journal of Rehabilitation Medicine
Henk Stam Borg
Missing (Editorial).
December 25, 2018: Journal of Rehabilitation Medicine
Jennifer Ponsford, Sylvia Nguyen, Marina Downing, Marije Bosch, Joanne E McKenzie, Simon Turner, Marisa Chau, Duncan Mortimer, Russell L Gruen, Jonathan Knott, Sally Green
OBJECTIVES: Debate regarding factors associated with persistent symptoms following mild traumatic brain injury continues. Nested within a trial aiming to change practice in emergency department management of mild traumatic brain injury, this study investigated the nature of persistent symptoms, work/study outcomes, anxiety and quality of life and factors associated with persistent symptoms following injury, including the impact of receiving information about mild traumatic brain injuries in the emergency department...
December 25, 2018: Journal of Rehabilitation Medicine
Jie Xiang, Wei Wang, Weifeng Jiang, Qiuchen Qian
OBJECTIVE: To evaluate whether extracorporeal shock wave therapy significantly improves spasticity in post-stroke patients. DESIGN: Systematic review and meta-analysis. DATA SOURCES: PubMed, EMBASE, EBSCO, Web of Science, Cochrane CENTRAL electronic databases. STUDY SELECTION: Randomized controlled trials assessing the effect of extracorporeal shock wave therapy on post-stroke patients with spasticity were selected for inclusion...
November 7, 2018: Journal of Rehabilitation Medicine
Naoki Maki, Harumi Sakamoto, Yu Takata, Naohiro Kobayashi, Shinji Kikuchi, Yukinobu Goto, Hideo Ichimura, Yukio Sato, Hisako Yanagi
OBJECTIVE: To investigate the effects of respiratory rehabilitation on respiratory function, swallowing in community-dwelling frail older patients with musculoskeletal disorders. DESIGN: Randomized open-label controlled trial. SETTING: Day-care facility in a rehabilitation hospital in Japan. SUBJECTS: A total of 63 participants with musculoskeletal disorders (intervention group: n = 31; control group: n = 32) completed the randomized controlled trial...
October 17, 2018: Journal of Rehabilitation Medicine
Chien-Yi Chuang, Mei-Yun Liaw, Lin-Yi Wang, Yu-Chi Huang, Ya-Ping Pong, Chien-Wei Chen, Re-Wen Wu, Yiu-Chung Lau
OBJECTIVE: To evaluate the relationships among spino-pelvic parameters, trunk balance and functional disability in patients with degenerative lumbar spondylolisthesis. DESIGN:  Cross-sectional study. SUBJECTS: Forty-five patients with degenerative lumbar spondylolisthesis and 32 patients without degenerative lumbar spondylolisthesis. METHODS: Spino-pelvic parameters (pelvic incidence, pelvic tilt, sacral slope, lumbar lordosis) and pain severity were evaluated...
October 11, 2018: Journal of Rehabilitation Medicine
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