Jessica Hj Law, Hui Ying Koh, Agnes Kua
OBJECTIVE: This systematic review and meta-analysis investigates the effects optokinetic stimulation in people with vestibular disorders, with a specific focus on people with visually induced dizziness. DATA SOURCES: A systematic review was conducted using three electronic databases, CINAHL, PubMed and Physiotherapy Evidence Database (PEDro), from 2000 up to February 2024. REVIEW METHODS: Randomised controlled trials were included, which compared: (a) adults above 18 years old with vestibular disorders, (b) the study evaluated interventions using optokinetic stimulation, (c) the intervention was compared with usual care; placebo or to no intervention, (d) the study included at least one outcome measure evaluating vestibular symptoms and (e) published in English...
April 7, 2024: Clinical Rehabilitation
Bianca Bigogno Reis Cazeta, Rodrigo Santos de Queiroz, Tais Silva Nacimento, Beatriz Reis Ferreira, Micheli Bernardone Saquetto, Bruno Prata Martinez, Vitor Oliveira Carvalho, Mansueto Gomes-Neto
OBJECTIVE: This systematic review and meta-analysis aimed to analyze the published randomized controlled trials (RCTs) that investigated the effects of exercise interventions on functioning and health-related quality of life following hospital discharge for recovery from critical illness. DESIGN: Systematic review and meta-analysis of RCTs. DATA SOURCES: We searched PubMed/MEDLINE, Cochrane Central Register of Controlled Trials, PEDro data base, and SciELO (from the earliest date available to January 2023) for RCTs that evaluated the effects of physical rehabilitation interventions following hospital discharge for recovery from critical illness...
March 31, 2024: Clinical Rehabilitation
Patrícia Pereira Alfredo, Mark I Johnson, Jan Magnus Bjordal, Adriana Teresa Silva Santos, Giovani Bravin Peres, Washington Steagall Junior, Raquel Aparecida Casarotto
OBJECTIVE: To investigate the effect of diadynamic currents administered prior to exercises on pain and disability in patients with osteoarthritis of the knee. DESIGN: A randomized-controlled trial. SETTING: Special Rehabilitation Services in Taboão da Serra. PARTICIPANTS: Patients with bilateral knee osteoarthritis. INTERVENTION: Participants were randomly allocated to Group I (diadynamic currents and exercises; n = 30, 60 knees) or Group II (exercises alone; n = 30, 60 knees) and were treated three times a week for 8 weeks...
March 27, 2024: Clinical Rehabilitation
Jane L McCaig, Brett A Gordon, Carolyn J Taylor
OBJECTIVE: To evaluate the effectiveness of inpatient medical ward exercise on physical and health outcomes in adults compared with usual care. DATA SOURCES: Medline, CINAHL and EMBASE were searched from inception to 20 April 2023. REVIEW METHODS: Randomised-controlled trials in English that reported physical and health outcomes of adults who received an exercise intervention on an acute medical ward were included. Two reviewers independently extracted data...
March 27, 2024: Clinical Rehabilitation
Emma Patchwood, Hannah Foote, Andy Vail, Sarah Cotterill, Geoff Hill, Audrey Bowen
OBJECTIVE: Feasibility test a co-developed intervention based on Acceptance and Commitment Therapy to support psychological adjustment post-stroke, delivered by a workforce with community in-reach. DESIGN: Observational feasibility study utilising patient, carer, public involvement. SETTING: Online. UK. PARTICIPANTS: Stroke survivors with self-reported psychological distress 4  +  months post-stroke...
March 20, 2024: Clinical Rehabilitation
Edwina Sutherland, Gavin Williams, Fiona Dobson, Bridget Hill, Chi Ching Angie Woo, Belinda Lawford
OBJECTIVE: To determine the common understanding of focal muscle spasticity guidelines amongst clinicians working in spasticity clinics. To examine the facilitators and barriers to their implementation as well as their influence on clinic processes. DESIGN: A qualitative study based on a phenomenological approach. SETTING: Online videoconferencing platform. PARTICIPANTS: Sixteen experienced multi-disciplinary clinicians providing specialised care across 12 spasticity clinics in Victoria, Australia...
March 20, 2024: Clinical Rehabilitation
Jason Grimes, Justin Wager, Casey DiZinno, Thomas Fogarty, Eric Hund, Brendan Rooney, Taylor Roy, Jon Goldfarb, Paul Bauer
OBJECTIVE: The Posterior Standing Overhead Arm Reach (SOAR) test has been previously reported as a reliable clinical measure of closed chain hip extension motion. The proposed Medial SOAR test expands on that testing approach to provide a similar measure of functional hip adduction motion. This was a preliminary intrarater and interrater reliability and validity study of the Medial SOAR test as a measure of functional hip adduction. DESIGN: Cross-sectional. SETTING: University motion analysis laboratory...
March 5, 2024: Clinical Rehabilitation
Tom Steverson, Joseph Marsden, Joshua Blake
OBJECTIVE: To explore the validity, reliability, and clinical utility of the Clinical Outcomes in Routine Evaluation - ten-item version (CORE-10: a ten-item questionnaire designed to measure psychological distress) in a stroke inpatient sample and calculate reliable and clinically significant change scores. SETTING: A post-acute stroke rehabilitation ward in the East of England. PARTICIPANTS: A total of 53 patients with stroke, capable of completing the CORE-10 as part of their routine clinical assessment...
March 5, 2024: Clinical Rehabilitation
Xian Tang, Nan Zhang, Zhiyuan Shen, Xin Guo, Jun Xing, Shujuan Tian, Yuan Xing
OBJECTIVE: To evaluate the efficacy and safety of transcranial direct current stimulation in poststroke patients with upper extremity motor dysfunction using a systematic review and meta-analysis. DATA SOURCES: We searched the Web of Science, Cochrane Library, EMBASE, and PubMed for randomized controlled trials investigating the effects of both active and sham stimulation up until January 27, 2024. REVIEW METHODS: Efficacy, including the upper extremity Fugl-Meyer Assessment, Action Research Arm Test, Barthel Index, and safety, were assessed...
March 1, 2024: Clinical Rehabilitation
Endre Bakke Aakrann, John Brincks
OBJECTIVE: Accurate and reliable balance measures are important for prescribing fall prevention treatments and monitoring their effectiveness. Thus, we aimed to systematically review the psychometric properties of the Six-Spot Step Test, an increasingly used measure of dynamic balance. DATA SOURCES: A literature search using the free-text term "Six-Spot Step Test" was performed on 12 February 2024, in Medline, Embase, Rehabilitation & Sports Medicine and SPORTDiscus...
February 29, 2024: Clinical Rehabilitation
Kathryn Fahy, Rose Galvin, Jeremy Lewis, Karen McCreesh
OBJECTIVE: To explore the treatment experiences of those diagnosed with large to massive rotator cuff tears and the perspectives of healthcare practitioners providing their care. DESIGN: A qualitative descriptive study using reflexive thematic analysis. SETTING: In-person focus groups were undertaken in a clinical setting (private practice [ n  = 1]; public outpatient [ n  = 2]). Semi-structured interviews were conducted online via Microsoft Teams...
February 28, 2024: Clinical Rehabilitation
Blanca De Dios Pérez, Roshan das Nair, Kathryn Radford
OBJECTIVE: To describe the process of developing a job retention vocational rehabilitation intervention for people with multiple sclerosis. DESIGN: We used the person-based approach, to develop interventions through an iterative process incorporating stakeholders' views, resulting in an intervention that is likely to be more acceptable, contextually relevant, and implementable for end-users. Phase 1 combined the results of a systematic review and interview study to develop the guiding principles and intervention logic model...
February 28, 2024: Clinical Rehabilitation
Regina Bendrik, Lena V Kallings, Kristina Bröms, Margareta Emtner
OBJECTIVE: Compare the long-term effects of two different individualised physical activity interventions in hip or knee osteoarthritis patients. DESIGN: Randomised, assessor-blinded, controlled trial. SETTING: Primary care. SUBJECTS: Patients with clinically verified hip or knee osteoarthritis, <150 min/week with moderate or vigorous physical activity, aged 40-74. INTERVENTION: The advice group (n = 69) received a 1-h information and goalsetting session for individualised physical activity...
February 26, 2024: Clinical Rehabilitation
Shaun L Hancock, Tara Purvis, Tharshanah Thayabaranathan, Rene Stolwyk, Jan Cameron, Lachlan L Dalli, Megan Reyneke, Monique F Kilkenny, Kelvin Hill, Dominique A Cadilhac
OBJECTIVE: Post-stroke mental health impairments are common, but under-assessed and under-treated. We aim to describe trends in the provision of mood management to patients with stroke, and describe factors associated with adoption of national mood management recommendations for stroke within Australian hospitals. DESIGN: Secondary analysis of cross-sectional data from the biennial Stroke Foundation Audit Program. SETTING: Participating acute (2011-2021) and rehabilitation hospitals (2012-2020) in Australia...
February 22, 2024: Clinical Rehabilitation
Meredith Harrison-Brown, Corey Scholes, Milad Ebrahimi, Christopher Bell, Garry Kirwan
OBJECTIVE: This study aimed to externally validate a reported model for identifying patients requiring extended stay following lower limb arthroplasty in a new setting. DESIGN: External validation of a previously reported prognostic model, using retrospective data. SETTING: Medium-sized hospital orthopaedic department, Australia. PARTICIPANTS: Electronic medical records were accessed for data collection between Sep-2019 and Feb-2020 and retrospective data extracted from 200 randomly selected total hip or knee arthroplasty patients...
February 20, 2024: Clinical Rehabilitation
Claire Mitchell, Kate Woodward-Nutt, Annette Dancer, Stephen Taylor, Joe Bugler, Audrey Bowen, Paul Conroy, Brooke-Mai Whelan, Sarah J Wallace, Sabrina El Kouaissi, Jamie Kirkham
OBJECTIVE: To identify and agree on what outcome domains should be measured in research and clinical practice when working with stroke survivors who have dysarthria. DESIGN: Delphi process, two rounds of an online survey followed by two online consensus meetings. SETTING: UK and Australia. PARTICIPANTS: Stroke survivors with experience of dysarthria, speech and language therapists/pathologists working in stroke and communication researchers...
February 19, 2024: Clinical Rehabilitation
Chien-Lin Lin, Tien-Yow Chuang, Pei-Hsin Lin, Kevin A Wang, Eric Chuang, Jia-Chi Wang
OBJECTIVE: To assess the efficacy of injecting various amounts of fluid into the shoulder joints for capsule distension in patients with adhesive capsulitis. DESIGN: A randomized controlled trial. SETTING: Outpatient clinic of a tertiary care centre. PARTICIPANTS: Eighty-four patients with adhesive capsulitis underwent a baseline (time0), 6 weeks (time1), and 12 weeks (time2) follow-up after hydrodilitation. INTERVENTION: Group 1 (n  =  42) received 20 ml of lidocaine, steroid, and saline hydrodilatation via posterior glenohumeral recess, while Group 2 (n  =  42) received 10 ml of lidocaine, steroid, and saline hydrodilitation...
February 15, 2024: Clinical Rehabilitation
Georgia Fisher, Camila Quel de Oliveira, Peter W Stubbs, Emma Power, Matthew Checketts, Alison Porter-Armstrong, David S Kennedy
OBJECTIVE: There is a large gap between evidence-based recommendations for spatial neglect assessment and clinical practice in stroke rehabilitation. We aimed to describe factors that may contribute to this gap, clinician perceptions of an ideal assessment tool, and potential implementation strategies to change clinical practice in this area. DESIGN: Qualitative focus group investigation. Focus group questions were mapped to the Theoretical Domains Framework and asked participants to describe their experiences and perceptions of spatial neglect assessment...
February 12, 2024: Clinical Rehabilitation
Morten Tange Kristensen, Ruqayyah Turabi, Katie J Sheehan
OBJECTIVE: To determine the association between the extent of mobilisation within the first postoperative day and 30-day mortality after hip fracture. DESIGN: Cohort study. SETTING: Acute orthopaedic hospital ward. PARTICIPANTS: Consecutive sample of 701 patients, 65 years of age or older, 80% from own home, 49% with a trochanteric fracture, and 61% with an American Society of Anesthesiology grade > 2...
February 12, 2024: Clinical Rehabilitation
Hina Tariq, Kathryn Collins, Joel Dunn, Desiree Tait, Sam Porter
OBJECTIVE: Despite rising prevalence rates, no standard tool is available to identify individuals at risk of developing contractures. This study aimed to gain expert consensus on items for the development of the Observational Risk Assessment Tool for Contractures: Longitudinal Evaluation (ORACLE) for care home residents. DESIGN: A two-round, online modified Delphi study. PARTICIPANTS: Panellists were qualified healthcare professionals with a background in physiotherapy, occupational therapy, nursing, and rehabilitation medicine...
February 8, 2024: Clinical Rehabilitation
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