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AWARD
The European Academy of Rehabiiltation Medicine Scientific Prize 2016
Dr Kristine Oostra
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ORIGINAL REPORT
Paediatric cerebral palsy prevalence and high-risk factors in Henan province, Central China
Junying Yuan, Jun Wang, Jieqiong Ma, Dengna Zhu, Zhenhuan Zhang, Jianan Li
Objective: To evaluate the prevalence of, and risk factors for, cerebral palsy in Henan province, China. Methods: The prevalence of cerebral palsy in children aged 0–6 years between September 2011 and September 2012 was investigated using a stratified-clustered-random sampling method. An age-, sex- , and residence-matched control group of typically developing children was recruited. Univariate ...
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ORIGINAL REPORT
Psychological factors after stroke: Are they stable over time?
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-repor ...
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ORIGINAL REPORT
Effect of long-term use of ankle-foot orthoses on tibialis anterior muscle electromyography in patients with sub-acute stroke: A randomized controlled trial
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. Su ...
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ORIGINAL REPORT
Therapeutic and economic effects of multimodal back exercise: A controlled multicentre study
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 particip ...
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ORIGINAL REPORT
Utility of the World Health Organization Disability Assessment Schedule and the World Health Organization minimal generic set of domains of functioning and health in spinal cord injury
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 u ...
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ORIGINAL REPORT
Usefulness of an unstable board balance test to accurately identify community-dwelling elderly individuals with a history of falls
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 ...
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ORIGINAL REPORT
Impact of unilateral spatial neglect with or without other cognitive impairments on independent gait recovery in stroke survivors
Yosuke Kimura, Minoru Yamada, Daisuke Ishiyama, Naohito Nishio, Yota Kunieda, Shingo Koyama, Atsushi Sato, Yuhei Otobe, Shunsuke Ohji, Mizue Suzuki, 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 Impai ...
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ORIGINAL REPORT
System complexities affecting recovery after a minor transport-related injury: The need for a person-centred approach
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 ...
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ORIGINAL REPORT
Effects of mechanical inspiration and expiration exercise on velopharyngeal incompetence in subacute stroke patients
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 videofluoros ...
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ORIGINAL REPORT
Early physical and psycho-educational rehabilitation in patients with coronary artery bypass grafting: A randomized controlled trial
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. Met ...
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ORIGINAL REPORT
Factors associated with persistent post-concussion symptoms following mild traumatic brain injury in adults
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 followi ...
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ORIGINAL REPORT
Manually assisted body-weight supported locomotor training does not re-establish walking in non-walking subjects with chronic incomplete spinal cord injury: A randomized clinical trial
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 ...
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REVIEW ARTICLE
Clinical practice guidelines for the management of brain tumours: A rehabilitation perspective
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 e ...
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REVIEW ARTICLE
Predictors of dropout in interdisciplinary chronic pain management programmes: A systematic review
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 q ...
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ORIGINAL REPORT
Inter- and intra-rater variability of testing velocity when assessing lower limb spasticity
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 ...
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REVIEW ARTICLE
Feasibility and effectiveness of repetitive gait training early after stroke: A systematic review and meta-analysis
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 PEDr ...
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SHORT COMMUNICATION
Sex differences in the gait kinematics of patients with down syndrome: A preliminary report
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 ...
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CASE REPORT
Analysis of gait during independent and paired walking in adults with an intellectual disability: A case report.
Guillaume Fumery, Vincent Fourcassié, Pierre Moretto, PhD, Véronique Bourg
Objective: Gait rehabilitation is a major concern for adults with an intellectual disability or a neuropsychological disorder. This study evaluated a collective task exercise that could complement an individual rehabilitation routine in such individuals. The movements of 3 individuals (2 patients and 1 healthy individual) were measured while walking alone and in pairs. The recovery rate, amplitude ...
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