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Clinical Rehabilitation

Karin Valkenet, Petra Bor, Lotte van Delft, Cindy Veenhof
OBJECTIVE: To investigate the level of agreement of the behavioural mapping method with an accelerometer to measure physical activity of hospitalized patients. DESIGN: A prospective single-centre observational study. SETTING: A university medical centre in the Netherlands. SUBJECTS: Patients admitted to the hospital. MAIN MEASURES: Physical activity of participants was measured for one day from 9 AM to 4 PM with the behavioural mapping method and an accelerometer simultaneously...
March 13, 2019: Clinical Rehabilitation
Yi-Chun Tung, Chien-Hung Lai, Chun-De Liao, Shih-Wei Huang, Tsan-Hon Liou, Hung-Chou Chen
OBJECTIVE: The aim of this study was to evaluate the effects of repetitive transcranial magnetic stimulation (rTMS) on the post-stroke recovery of lower limb motor function. DATA SOURCES: We searched the databases of PubMed, Cochrane Library, and Embase. The randomized controlled trials were published by 25 January 2019. REVIEW METHODS: We included randomized controlled trials that evaluated the effects of rTMS on lower limb motor recovery in patients with stroke...
March 13, 2019: Clinical Rehabilitation
Ruth H Da-Silva, Sarah A Moore, Helen Rodgers, Lisa Shaw, Louise Sutcliffe, Frederike van Wijck, Christopher I Price
OBJECTIVE: To evaluate the feasibility of a multicentre, observer-blind, pilot randomized controlled trial (RCT) of a wristband accelerometer with activity-dependent vibration alerts to prompt impaired arm use after stroke. DESIGN: Parallel-group pilot RCT. SETTING: Four English stroke services. PARTICIPANTS: Patients 0-3 months post stroke with a new arm deficit. INTERVENTION: Participants were randomized to wear a prompting or 'sham' wristband during a four-week self-directed therapy programme with twice-weekly therapy review...
March 7, 2019: Clinical Rehabilitation
Joyce A Kootker, Caroline M van Heugten, Bart Kral, Sascha Mc Rasquin, Alexander C Geurts, Luciano Fasotti
OBJECTIVE: To investigate the concomitant effects of two patient-directed interventions for post-stroke depressive symptoms on caregivers' well-being. DESIGN: Secondary analyses of the results of a randomized controlled trial. SUBJECTS: Fifty caregivers of stroke patients receiving outpatient rehabilitation. INTERVENTIONS: Stroke patients and their caregivers were randomly allocated to either cognitive-behavioural therapy augmented with movement or occupational therapy ( n = 23) or computerized cognitive training ( n = 27) to alleviate depressive symptoms in patients...
March 7, 2019: Clinical Rehabilitation
Adriana Appau, Raphael Lencucha, Lois Finch, Nancy Mayo
OBJECTIVE: To estimate the construct validity of the Preference-Based Stroke Index and its value added over a generic measure, the EuroQol-5D-3L at three months after stroke. DESIGN: This is a secondary analysis of an existing inception cohort. Pearson correlation coefficients were estimated to test construct validity and Generalized Estimating Equation analysis was conducted to compare the strength of the correlations of the Preference-Based Stroke Index and EuroQol-5D-3L with other measures...
March 5, 2019: Clinical Rehabilitation
Joan Leung, Clayton King, Sarah Fereday
OBJECTIVE: To determine the effectiveness of a programme comprising serial casting, botulinum toxin, splinting and motor training in contracture management. DESIGN: A randomized trial with concealed allocation and assessor blinding, a deferred treatment cross-over design within the control group, was conducted. SETTING: Inpatient Brain Injury Unit of a rehabilitation centre. SUBJECTS: A total of 10 patients with severe acquired brain injury (13 ankles)...
February 27, 2019: Clinical Rehabilitation
Emily Julia Arden-Close, Sarah E Kirby, Lucy Yardley, Anne Bruton, Ben Ainsworth, D Mike Thomas
OBJECTIVE: Explore qualitative differences between interventions (DVD and booklet (DVDB) versus face-to-face and booklet (F2FB) versus usual care) in the BREATHE (Breathing Retraining for Asthma Trial of Home Exercises) trial of breathing retraining for asthma. DESIGN: Quantitative process analysis exploring group expectancy, experience and practice before and after intervention delivery for the main trial. SETTING: Primary care. SUBJECTS: Adults with asthma (DVD and booklet, n = 261; F2FB, n = 132)...
February 27, 2019: Clinical Rehabilitation
Amanda Williams, Hopin Lee, Steven J Kamper, Kate M O'Brien, John Wiggers, Luke Wolfenden, Sze L Yoong, Rebecca K Hodder, Emma K Robson, Robin Haskins, James H McAuley, Christopher M Williams
PURPOSE: To assess the causal mechanisms of a healthy lifestyle intervention for patients with chronic low back pain and knee osteoarthritis, who are overweight or obese. METHODS: We conducted causal mediation analyses of aggregated data from two randomized controlled trials (RCTs); which included 160 patients with chronic low back pain, and 120 patients with knee osteoarthritis. The intervention consisted of brief advice and referral to a six-month telephone-based healthy lifestyle coaching service...
February 27, 2019: Clinical Rehabilitation
Dana Wong, Nicci Grace, Katharine Baker, Genevieve McMahon
OBJECTIVE: Group-based intervention formats are common in rehabilitation, but no tool for objectively measuring clinical competencies in group facilitation currently exists. We aimed to develop a psychometrically sound group facilitation competency checklist for use in clinical, training, and research settings. METHOD: The Delphi method of expert consensus was used to establish checklist items that clearly describe competencies considered important for effective group facilitation...
February 26, 2019: Clinical Rehabilitation
Megan L Turville, Liana S Cahill, Thomas A Matyas, Jannette M Blennerhassett, Leeanne M Carey
OBJECTIVE: The aim of this study was to evaluate if somatosensory retraining programmes assist people to improve somatosensory discrimination skills and arm functioning after stroke. DATA SOURCES: Nine databases were systematically searched: Medline, Cumulative Index to Nursing and Allied Health Literature, PsychInfo, Embase, Amed, Web of Science, Physiotherapy Evidence Database, OT seeker, and Cochrane Library. REVIEW METHODS: Studies were included for review if they involved (1) adult participants who had somatosensory impairment in the arm after stroke, (2) a programme targeted at retraining somatosensation, (3) a primary measure of somatosensory discrimination skills in the arm, and (4) an intervention study design (e...
February 25, 2019: Clinical Rehabilitation
John Brincks, Jacob Callesen, Erik Johnsen, Ulrik Dalgas
OBJECTIVE: The aim of this study was to evaluate the concurrent and divergent validity of the Six-Spot Step Test in mild to moderately impaired people with Parkinson's disease. DESIGN: Cross-sectional cohort study. SETTING: Outpatient clinics. SUBJECTS: Fifty-eight people with Parkinson's disease. MAIN MEASURE: The Six-Spot Step Test, the Timed "Up and Go" test, the mini-Balance Evaluation Systems Test (mini-BESTest), and postural sway were tested on the same day, and the Spearman's Rank Correlation Coefficient (ρ) was used for data analysis...
February 25, 2019: Clinical Rehabilitation
Herma J Westerhof-Evers, Annemarie C Visser-Keizer, Luciano Fasotti, Jacoba M Spikman
BACKGROUND: Many patients with moderate to severe traumatic brain injury have deficits in social cognition. Social cognition refers to the ability to perceive, interpret, and act upon social information. Few studies have investigated the effectiveness of treatment for impairments of social cognition in patients with traumatic brain injury. Moreover, these studies have targeted only a single aspect of the problem. They all reported improvements, but evidence for transfer of learned skills to daily life was scarce...
February 25, 2019: Clinical Rehabilitation
Tamaya Van Criekinge, Steven Truijen, Jonas Schröder, Zoë Maebe, Kyra Blanckaert, Charlotte van der Waal, Marijke Vink, Wim Saeys
OBJECTIVE: To investigate the effectiveness of trunk training on trunk control, sitting and standing balance and mobility. DATA SOURCES: PubMed/MEDLINE, Web of Science, Physiotherapy Evidence Database (PEDro), Cochrane Library, Rehab+ and ScienceDirect were searched until January 2019. REVIEW METHODS: Randomized controlled trials were included if they investigated the effect of trunk exercises on balance and gait after stroke. Four reviewers independently screened and performed data extraction and risk of bias assessment with the PEDro scale...
February 22, 2019: Clinical Rehabilitation
Felicity A Baker, Jeanette Tamplin, Nikki Rickard, Jennie Ponsford, Peter W New, Young-Eun C Lee
OBJECTIVE: To determine the size of the effects and feasibility (recruitment and retention rates) of a therapeutic songwriting protocol for in-patients and community-dwelling people with acquired brain injury or spinal cord injury. DESIGN: Randomized controlled trial with songwriting intervention and care-as-usual control groups, in a mixed measures design assessed at three time points. PARTICIPANTS: A total of 47 participants (3 in-patients with acquired brain injury, 20 community participants with acquired brain injury, 12 in-patients with spinal cord injury, and 12 community participants with spinal cord injury: 23 1208 days post injury)...
February 22, 2019: Clinical Rehabilitation
Liesbet De Baets, Thomas Matheve, Mira Meeus, Filip Struyf, Annick Timmermans
OBJECTIVE: To examine the predictive, moderating and mediating role of cognitive, emotional and behavioral factors on pain and disability following shoulder treatment. DATA SOURCES: Electronic databases (PubMed, Web of Science, Embase and PsycINFO) were searched until 14 January 2019. STUDY SELECTION: Studies including persons with musculoskeletal shoulder pain that describe the predictive, moderating or mediating role of baseline cognitive, emotional or behavioral factors on pain or disability following treatment were selected...
February 22, 2019: Clinical Rehabilitation
Jamille Godoy Mendes, Jamil Natour, José Carlos Nunes-Tamashiro, Sandra Regina Toffolo, André Rosenfeld, Rita Nely Vilar Furtado
OBJECTIVE: To compare the effectiveness of intra-articular injection (IAI) with Botulinum toxin type A (BTA), triamcinolone hexacetonide (TH), and saline in primary knee osteoarthritis. DESIGN: A randomized controlled trial, with blinded patients and assessor. SETTING: Outpatient rheumatology service. SUBJECTS: Patients with knee osteoarthritis grades II and III. INTERVENTIONS: Patients received IAI with 100 IU BTA, 40 mg TH, or isotonic saline solution (SS) 0...
February 19, 2019: Clinical Rehabilitation
Huifang Xiang, Jing Sun, Xiang Tang, Kebin Zeng, Xiushu Wu
OBJECTIVE: The primary aim of this meta-analysis was to evaluate the effects of repetitive transcranial magnetic stimulation (rTMS) on limb movement recovery post-stroke and cortex excitability, to explore the optimal parameters of rTMS and suitable stroke population. Second, adverse events were also included. DATA SOURCES: The databases of PubMed, EBSCO, MEDLINE, the Cochrane Central Register of Controlled Trials, EBM Reviews-Cochrane Database, the Chinese National Knowledge Infrastructure, and the Chinese Science and Technology Journals Database were searched for randomized controlled trials exploring the effects of rTMS on limb motor function recovery post-stroke before December 2018...
February 18, 2019: Clinical Rehabilitation
Jayne Lesley Anderson, L Samantha Yoward, Angela J Green
OBJECTIVE: To determine the validity of the ActiGraph GT3X accelerometer in step count quantification when compared to observed step count in hospitalised adults recovering from critical illness. SETTING: Large National Health Service (NHS) Hospitals Trust. SUBJECTS: In total, 20 hospital ward-based adults (age: mean 62.3, SD 11.5) who had required greater than 48 hours of mechanical ventilation in the intensive care unit. MAIN MEASURES: Participants walked self-selected distances and speeds as part of a semi-structured movement protocol not exceeding 3 hours...
February 14, 2019: Clinical Rehabilitation
Mehmet Resul Kadı, Simin Hepgüler, Funda Calıs Atamaz, Emine Dede, Semih Aydoğdu, Kemal Aktuglu, Nadir Ozkayın, Cihat Ozturk
OBJECTIVE: To investigate the effectiveness of interferential current implementation following total knee arthroplasty surgery. DESIGN: Double-blind randomized controlled study. SETTING: Orthopedics and traumatology in-patient clinic. PARTICIPANTS: From an initial enrollment of 132 patients, 113 who met the study inclusion criteria were randomly separated into two groups: the interferential current group ( n = 57) and the sham current group ( n = 56)...
February 14, 2019: Clinical Rehabilitation
Angelo Cacchio, Giancarlo Di Carlo, Cofini Vincenza, De Blasis Elisabetta
OBJECTIVE: To evaluate the effectiveness and safety of oral administration of Linfadren® in addition to conventional treatment in patients with post-trauma/surgery persistent hand edema. DESIGN: Parallel-group randomized controlled trial. SETTING: Outpatient rehabilitation center. SUBJECTS: A total of 60 outpatients (mean age 48.5 (standard deviation (SD) = 12.3) years) with post-trauma/surgery persistent hand edema...
February 13, 2019: Clinical Rehabilitation
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