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Journal of Rehabilitation Medicine

Conran Joseph, Björn Stömbäck, Maria Hagströmer, David Conradsson
OBJECTIVE: To investigate the feasibility of using accelerometers to monitor physical activity in persons with stroke admitted to inpatient rehabilitation. DESIGN: Longitudinal observational study. PARTICIPANTS: Persons with stroke admitted to a specialized rehabilitation centre for sub-acute rehabilitation were recruited between August and December 2016. METHODS: Volume and intensity of physical activity were assessed with accelerometers throughout the rehabilitation period...
March 15, 2018: Journal of Rehabilitation Medicine
Wei-Lun Chang, Carit Jacques Andersen, Besa Shatri Berisha, Olena Estrup, Shr-Jie Wang
OBJECTIVE: Post-hoc economic evaluation of a bio-psycho-social intervention in post-war Kosovo from a societal perspective. DESIGN: Cost-effectiveness analysis, cost-utility analysis, and partial cost-benefit analysis using data from a randomized controlled trial. PATIENTS: Thirty-four torture/war victims with comorbid conditions enrolled in 2012-2013. METHODS: Participants were randomly assigned to an "intervention" and a "waiting-list" group...
February 28, 2018: Journal of Rehabilitation Medicine
Oleg N Medvedev, Lynne Turner-Stokes, Stephen Ashford, Richard J Siegert
OBJECTIVES: To determine whether the UK Functional Assessment Measure (UK FIM+FAM) fits the Rasch model in stroke patients with complex disability and, if so, to derive a conversion table of Rasch-transformed interval level scores. METHODS: The sample included a UK multicentre cohort of 1,318 patients admitted for specialist rehabilitation following a stroke. Rasch analysis was conducted for the 30-item scale including 3 domains of items measuring physical, communication and psychosocial functions...
February 28, 2018: Journal of Rehabilitation Medicine
Maxime Geiger, Céline Bonnyaud, Bernard Bussel, Nicolas Roche
OBJECTIVE: To assess temporal congruence (the difference in performance-time and time to imagine) between the sub-tasks of the Expanded Timed Up and Go (ETUG) and imagined ETUG (iETUG) tests in patients with hemiparesis following unilateral hemispheric stroke, and to compare the results with those for with healthy subjects. DESIGN: Case-controlled study. Subject/patients: Twenty patients with chronic stroke and 20 healthy subjects. METHODS: TUG, ETUG and iETUG test performance times were recorded for all participants...
February 28, 2018: Journal of Rehabilitation Medicine
Fary Khan, Bhasker Amatya, Wouter de Groote, Mayowa Owolabi, Ilyas M Syed, Abderrazak Hajjoui, Muhammad N Babur, Tahir M Sayed, Yvonne Frizzell, Amaramalar S Naicker, Maryam Fourtassi, Alaeldin Elmalik, Mary P Galea
OBJECTIVE: Despite the prevalence of disability in low-and middle-income countries, the clinical skills of the rehabilitation workforce are not well described. We report health professionals' perspectives on clinical skills in austere settings and identify context-specific gaps in workforce capacity. METHODS: A cross-sectional pilot survey (Pakistan, Morocco, Nigeria, Malaysia) of health professionals' working in rehabilitation in hospital and community settings...
February 28, 2018: Journal of Rehabilitation Medicine
Boya Nugraha, Christoph Gutenbrunner
OBJECTIVE: In 2013, the Democratic People's Republic of Korea (DPRK) signed the United Nations Convention on the Rights of Persons with Disabilities (UN-CRPD). Since the concept of rehabilitation services in the DPRK did not meet international standards, the government, through the Korean Federation for Protection of the Disabled (KFPD) and Munsu Rehabilitation Hospital (MRH), set up a technical consultation with external experts. METHODS: Two rounds of consultations were performed, in August 2016 and March 2017, with available methodology, as used in previous consultation processes, but excluding site visits...
February 14, 2018: Journal of Rehabilitation Medicine
Tobias Braun, Christian Grüneberg, Anna Coppers, Linda Tofaute, Christian Thiel
OBJECTIVE: To compare the measurement properties of the de Morton Mobility Index (DEMMI) and the Hierarchical Assessment of Balance and Mobility (HABAM) in an older acute medical inpatient population. DESIGN: Cross-sectional. SUBJECTS: Older acute medical inpatients. METHODS: The DEMMI, HABAM and further assessments were performed after hospital admission. Construct validity was assessed by testing 13 hypotheses on convergent and known-groups validity...
January 31, 2018: Journal of Rehabilitation Medicine
Gyu-Sik Choi, Sang Gyu Kwak, Han Do Lee, Min Cheol Chang
OBJECTIVE: Central pain can occur following traumatic brain injury, leading to poor functional recovery, limitation of activities of daily living, and decreased quality of life. The aim of this study was to determine whether high-frequency (10 Hz) repetitive transcranial magnetic stimulation, applied over the primary motor cortex of the affected hemisphere, can be used to manage chronic central pain after mild traumatic brain injury. DESIGN: Prospective randomized feasibility study...
January 31, 2018: Journal of Rehabilitation Medicine
Sonja de Groot, Sven P Hoekstra, Paul Grandjean Comtesse, Ingrid Kouwijzer, Linda J Valent
OBJECTIVE: To establish the relationship between internal and external handcycling training load for monitoring training in people with paraplegia. DESIGN: Observational study. SUBJECTS: Ten people with paraplegia. METHODS: All participants performed a graded peak exercise test. Power output and heart rate (HR) were measured and the session rating of perceived exertion (sRPE) was determined during a 12-week training period...
January 31, 2018: Journal of Rehabilitation Medicine
Christoph Gutenbrunner, Boya Nugraha
OBJECTIVE: A technical consultation to develop a National Disability, Health and Rehabilitation Plan (NDHRP) for Egypt was carried out in 2015. Its overall goal was to improve health, functioning, well-being, quality of life, and participation of persons with disability in Egypt by supporting the Ministry of Health and Population and other stakeholders to improve access to health services and strengthen health-related rehabilitation services for all persons in need. METHODS: The methodological steps of the technical consultation were as follows: collecting and reviewing accessible documents and data; site visits to state institutions, health and rehabilitation services; discussions with relevant stakeholders in rehabilitation, including persons with disability; drafting recommendations based on the principles of the World Report on Disability and the World Health Organization Global Disability Action Plan and the information collected; discussion with stakeholders in a workshop; and preparation of a final report...
January 31, 2018: Journal of Rehabilitation Medicine
Maja S Sommer, Maja E B Staerkind, Jan Christensen, Jette Vibe-Petersen, Klaus R Larsen, Jesper Holst Pedersen, Henning Langberg
OBJECTIVE: To review the evidence concerning the effects of postoperative exercise interventions on exercise capacity and health-related quality of life following resection for non-small cell lung cancer, and to review whether different initiation times of exercise produce different effects on exercise capacity. DATA SOURCES: Comprehensive literature search of MEDLINE, Embase, CENTRAL, CINAHL and PEDro. STUDY SELECTION: Randomized controlled trials examining the effects of exercise interventions were eligible for inclusion...
January 25, 2018: Journal of Rehabilitation Medicine
Mikhail Saltychev, Rebecca A Dutton, Katri Laimi, Gary S Beaupré, Petri Virolainen, Michael Fredericson
OBJECTIVE: To evaluate the evidence regarding the effectiveness of conservative treatment in reducing patellofemoral pain. DATA SOURCES: CENTRAL, MEDLINE, CINAHL, and PEDro databases. STUDY SELECTION: Adults with patellofemoral pain, randomized controlled trials only, any conservative treatment compared with placebo, sham, other conservative treatment, or no treatment. Two independent reviewers. DATA EXTRACTION: Data were extracted from the full-text of the articles, based on Cochrane Collaboration recommendations...
January 25, 2018: Journal of Rehabilitation Medicine
Madeleine Wikström, Richard Levi, Wolfram Antepohl
OBJECTIVE: To explore whether bladder irrigation with chlorhexidine: (i) can reduce bacteriuria, and (ii) is a practically feasible option in subjects with spinal cord injury practicing intermittent self-catheterization. DESIGN: A prospective, non-controlled, open, multi-centre study. METHODS: Fifty patients with spinal cord injury, practicing intermittent self-catheterization, with a history of recurrent urinary tract infections were screened for bacteriuria at follow-up visits to 4 spinal cord injury centres in Sweden...
January 22, 2018: Journal of Rehabilitation Medicine
Po-Cheng Chen, Lin-Yi Wang, Ya-Ping Pong, Yi-Jung Hsin, Mei-Yun Liaw, Chia-Wei Chiang
OBJECTIVE: To compare the outcomes of ultrasound-guided vs direct approach corticosteroid injection in patients with idiopathic carpal tunnel syndrome. METHODS: A double-blind randomized controlled study. Wrists affected by carpal tunnel syndrome were randomized to the ultrasound-guided (n = 22 wrists) or direct approach injection group (n = 17 wrists) before receiving 1 ml Betamethasone. Outcome measures were physical findings and electrodiagnostic parameters assessed at 1, 3 and 6 months after injection...
January 22, 2018: Journal of Rehabilitation Medicine
Jonas Stenberg, Alison K Godbolt, Marika C Möller
OBJECTIVE: To explore whether the use of personally relevant stimuli, for some tasks in the Coma Recovery Scale - Revised (CRS-R), generates more responses in patients with prolonged disorders of consciousness compared with neutral stimuli. DESIGN: Multiple single-case design. SUBJECTS: Three patients with prolonged disorders of consciousness recruited from an inpatient department at a regional brain injury rehabilitation clinic in Stockholm, Sweden...
January 9, 2018: Journal of Rehabilitation Medicine
Ingrid Poulsen, Svend Kreiner, Aase W Engberg
OBJECTIVE: The Early Functional Abilities scale assesses the restoration of brain function after brain injury, based on 4 dimensions. The primary objective of this study was to evaluate the validity, objectivity, reliability and measurement precision of the Early Functional Abilities scale by Rasch model item analysis. A secondary objective was to examine the relationship between the Early Functional Abilities scale and the Functional Independence Measurement™, in order to establish the criterion validity of the Early Functional Abilities scale and to compare the sensitivity of measurements using the 2 instruments...
January 9, 2018: Journal of Rehabilitation Medicine
Clement P Provost, Sophie Tasseel-Ponche, Pierre Lozeron, Giulia Piccinini, Victorine Quintaine, Bertrand Arnulf, Nathalie Kubis, Alain P Yelnik
OBJECTIVE: To investigate the weight of visual and proprioceptive inputs, measured indirectly in standing position control, in patients with chronic acquired demyelinating polyneuropathy (CADP). DESIGN: Prospective case study. SUBJECTS: Twenty-five patients with CADP and 25 healthy controls. METHODS: Posture was recorded on a double force platform. Stimulations were optokinetic (60°/s) for visual input and vibration (50 Hz) for proprioceptive input...
January 9, 2018: Journal of Rehabilitation Medicine
Emma Rosalie Driehuis, Lizanne Eva van den Akker, Vincent de Groot, Heleen Beckerman
OBJECTIVE: To investigate whether aerobic capacity explains the level of self-reported physical activity, physical functioning, and participation and autonomy in daily living in persons with multiple sclerosis-related fatigue. DESIGN: A cross-sectional study. PATIENTS: Sixty-two participants with multiple sclerosis-related fatigue. METHODS: Aerobic capacity was measured with a leg ergometer and was expressed as maximal oxygen uptake (VO2max, in ml/kg/min)...
January 9, 2018: Journal of Rehabilitation Medicine
Sarah Prenton, Kristen L Hollands, Laurence P J Kenney, Pornsuree Onmanee
OBJECTIVE: To compare the randomized controlled trial evidence for therapeutic effects on walking of functional electrical stimulation and ankle foot orthoses for foot drop caused by central nervous system conditions. DATA SOURCES: MEDLINE, CINAHL, Cochrane Central Register of Controlled Trials, REHABDATA, PEDro, NIHR Centre for Reviews and Dissemination, Scopus and STUDY SELECTION: One reviewer screened titles/abstracts...
February 13, 2018: Journal of Rehabilitation Medicine
Sehim Kutlay, Aysun Genç, Haydar Gök, Derya Öztuna, Ayşe A Küçükdeveci
OBJECTIVE: To investigate the effects of kinaesthetic ability training with the Kinesthetic Ability Trainer (KAT) on unilateral neglect and functional outcomes in stroke patients. STUDY DESIGN: An assessor-blinded, randomized controlled, clinical trial. METHODS: A total of 64 stroke patients with unilateral neglect (mean age 61 (standard deviation (SD) 12) years, 60.4% male, mean time since stroke 6.4 (SD 10.4) months, left hemiplegia 92.5%) were randomly assigned to a conventional rehabilitation programme (control group, n = 32) or KAT plus a conventional rehabilitation programme (KAT group, n = 32) for 4 weeks...
February 13, 2018: Journal of Rehabilitation Medicine
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