Content - Volume 37, Issue 4

All articles

Clinimetrics in rehabilitation medicine: current issues in developing and applying measurement instruments 1
Joost Dekker A1, Annet J. Dallmeijer A1, Gustaaf J. Lankhorst A1
Clinimetrics in rehabilitation medicine, i. e. the field of developing, evaluating and applying measurement instruments, has undergone considerable progress. Despite this progress, however, several issues remain. These include: (i) selection of an instrument out of the wide range available; (ii) using an instrument in a variety of diagnostic groups; (iii) using an instrument in individual patients ...
Pages: 193-201
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Effect of augmented feedback on motor function of the affected upper extremity in rehabilitation patients: a systematic review of randomized controlled trials
Henk Van Dijk A1, Michiel J. A. Jannink A1, Hermie J. Hermens A1, A2
Objective: Assessment of the available evidence regarding the effect of augmented feedback on motor function of the upper extremity in rehabilitation patients. Methods: A systematic literature search was performed to identify randomized controlled trials that evaluated the effect of augmented feedback on motor function. Two reviewers systematically assessed the methodological quality of the trials ...
Pages: 202-211
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ICF linking rules: an update based on lessons learned
Alarcos Cieza A1, Szilvia Geyh A1, Somnath Chatterji A2, Nenad Kostanjsek A2, Bedirhan Üstün A2, Gerold Stucki A1, A3
Objective: Outcome research seeks to understand the end results of health services. Researchers use a wide variety of outcome measures including technical, clinical and patient-oriented measures. The International Classification of Functioning, Disability and Health (ICF) as a common reference framework for functioning may contribute to improved outcome research. The objective of this paper is to ...
Pages: 212-218
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Smooth pursuit neck torsion test in whiplash-associated disorders: relationship to self-reports of neck pain and disability, dizziness and anxiety
Julia Treleaven A1, Gwendolen Jull A1, Nancy Lowchoy A1
Objective: The smooth pursuit neck torsion test is thought to be a measure of neck afferent influence on eye movement control and is useful in assessing subjects with whiplash, especially those complaining of dizziness. Nevertheless, it is not known whether impairments identified relate only to abnormal cervical afferentation or are influenced by levels of anxiety or neck pain. Design: A prospecti ...
Pages: 219-223
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Standing balance in persistent whiplash: a comparison between subjects with and without dizziness
Julia Treleaven A1, Gwendolen Jull A1, Nancy Lowchoy A1
Objective: Dizziness and unsteadiness, associated with altered balance, are frequent complaints in subjects suffering persistent whiplash associated disorders. Research has been inconclusive with respect to possible aetiology. This study assessed balance responses in subjects with whiplash associated disorders, taking into account several possible causes. Design: A prospective, 3 group, observatio ...
Pages: 224-229
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Occupational disorders and return to work: a randomized controlled study
Jens Peter Bonde A1, Mette Skou Rasmussen A1, Henrik Hjøllund A1, Susanne Wulf Svendsen A1, Henrik A. Kolstad A1, Lone Donbæk Jensen A1, Joanna Wieclaw A1
Objective: Goal setting and motivational factors are strongly associated with maintaining a job and return to work after sick leave, but research into the effects of interventions targeting these factors is limited. We conducted a randomized controlled study to examine the vocational effect of intervention focusing on motivation, goal setting and planning for return to work. Design and methods: Of ...
Pages: 230-235
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Children's adjustment to a parent's stroke: determinants of health status and psychological problems, and the role of support from the rehabilitation team
Anne Visser-Meily A1, Marcel Post A1, A2, Anne Marie Meijer A3, Cora Maas A4, Marjolijn Ketelaar A1, Eline Lindeman A1
Objective: To investigate the support given to young children of patients with stroke by rehabilitation teams and to identify characteristics of the patients, spouses and children that relate to children's adjustment 2 months after the patient's discharge. Subjects and methods: Seventy-seven children (≤18 years of age) of patients with stroke consecutively admitted to inpatient rehabilitation we ...
Pages: 236-241
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Weight-bearing on the lower limbs in a sitting position during bilateral movement of the upper limbs in post-stroke hemiparetic subjects
Sylvie Messier A1, Daniel Bourbonnais A1, Johanne Desrosiers A2, A3, Yves Roy A3
Objective: Verify weight-bearing on the feet in a sitting position during pointing in different directions with 1 or both upper limbs. Design: Comparative study. Subjects: Fifteen subjects with post-stroke hemiparesis with good to very good motor recovery and 13 healthy subjects participated in the study. Methods: The subjects were seated on a chair with each foot resting on a force plate. They ha ...
Pages: 242-246
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Identification of a simple screening tool for dysphagia in patients with stroke using factor analysis of multiple dysphagia variables
Kaori Nishiwaki A1, Tetsuya Tsuji A2, Meigen Liu A1, Kimitaka Hase A1, Naofumi Tanaka A1, Toshiyuki Fujiwara A1
Objective: To identify a most useful and simple clinical screening tool to predict videofluoroscopic aspiration in patients with stroke. Design: Factor analysis of multiple dysphagia variables and sensitivity and specificity testing with chi-square test. Patients: Sixty-one consecutive stroke patients with symptoms suggestive of dysphagia admitted to a university hospital and its 4 affiliated hosp ...
Pages: 247-251
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Cost-effectiveness of botulinum toxin type a in the treatment of post-stroke spasticity
Anthony Ward A1, Graeme Roberts A2, Juliet Warner A3, Samantha Gillard A3
Objective: Treatment strategies for post-stroke spasticity include oral anti-spastic drugs, surgery, physiotherapy and botulinum toxin type A injection. The objective of this study was to compare the cost-effectiveness and outcomes of oral therapy vs. botulinum toxin type A treatment strategies in patients with flexed wrist/clenched fist spasticity. Methods: Treatment outcome and resource use data ...
Pages: 252-257
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Physical complaints in ageing persons with spinal muscular atrophy
Imelda J. M. De Groot A1, A2 and Luc P. De Witte A1
Objective: While life expectancy is improving for persons with spinal muscular atrophy, new physical complaints may arise. To investigate this, we studied persons with a long duration and severe course (high functional limitations) of the disease. Design: Cross-sectional descriptive study. Subjects/Patients: Persons with spinal muscular atrophy. Methods: Questionnaires and structured interviews on ...
Pages: 258-262
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Effectiveness of intensive training for children with cerebral palsy – a comparison between child and youth rehabilitation and conductive education
Pia Ödman A1 and Birgitta Öberg A1
Objectives: To compare the short-term effectiveness of 1 intensive training period in child and youth rehabilitation with Move&Walk conductive education and describe the effects of 1 intensive training period in terms of changes at 1 year. The amount and influence of additional consumption of training during the 1-year follow-up was also analysed. Design: Quasi-experimental with 2 groups: Lemo ...
Pages: 263-270
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