Content - Volume 46, Issue 10

Objective: Ventilator dependent patients with neuromuscular disorders and high level spinal cord injury have been extubated and decanulated to continuous noninvasive intermittent positive pressure ventilatory support after mechanical insufflation-exsufflation was used to achieve specific criteria for tube removal. The purpose of this study is to report changes in extent of need for ventilator use ...

Objective: To assess the effectiveness of currently available treatment options for idiopathic toe walking on the 3 main levels of the World Health Organization International Classification of Functioning, Disability, and Health for Children and Youth (ICF-CY). Design: A systematic search from 1966 to December 2013 in MEDLINE, Current Contents, CINAHL and the Cochrane Library of full-length arti ...

Background: The healthcare sector needs to deliver evidence-based care and be cost-effective. This can be monitored in part via a national quality registry containing individualized data concerning patient problems, medical interventions, outcomes of treatment, and patient-reported outcomes. With this aim, WebRehab Sweden was launched in 1997 and has been available online since 2007. The aim of th ...

Objective: To examine data collected using the Stroke Impact Scale 3. 0 (SIS) at 3 and 12 months post-stroke, and to explore any clinically meaningful changes in everyday life in relation to age, gender and stroke severity. Design: Prospective longitudinal study. Methods: A total of 204 persons were assessed using the SIS at 3 and 12 months after onset of stroke. Changes in domain scores were ...

Objective: (i) To investigate the intra-rater, inter-rater and test-retest reliability and minimal detectable change of the Alternate Step Test (AST) when assessing people with chronic stroke. (ii) To quantify the correlation between AST times and stroke-specific impairments. Design: Cross-sectional study. Setting: University-based rehabilitation centre. Participants: A convenience sample of 86 ...

Objective: Explore the individual, adolescent phenomeno-logy of quality of life after traumatic brain injury. Subjects/Patients: Adolescent survivors of traumatic brain injury. Methods: Qualitative interviews with 10 adolescents, mean age at assessment 17. 09 years (SD 1. 81). Mean time since injury 4. 62 years (SD 2. 89). Data were analysed using a primarily interpretative phenomenological an ...

Objectives: To examine the employment situation and predictors of return to work for individuals with spinal cord injury 5 years after discharge from inpatient rehabilitation. Design: Prospective cohort study. Subjects: A total of 114 subjects who were employed before the injury and who completed a 5-year follow-up. Methods: Work was defined as having paid work ≥ 1 h/week or X ...

Objective: To determine the prevalence of hand- and wrist-related symptoms and impairments, with resulting activity limitations and participation restrictions in children being treated for juvenile idiopathic arthritis. Design and patients: Cohort study of children, diagnosed in our hospitals between 2003 and 2008 with juvenile idiopathic arthritis, who received standard treatment with regular f ...

Objective: To investigate the reliability and agreement of measures of lower extremity muscle strength, power and functional performance in patients with hip osteoarthritis at different time intervals, and to compare these with the same measures in healthy peers. Design: Intra-rater test-retest separated by 1, 2, or 2. 5 weeks in patients, and 1 week in healthy peers. Subjects: Patients with hip ...

Objectives: To determine whether coping profile changes after rehabilitation, assessed with the Multidimensional Pain Inventory (MPI), can predict which persons disabled by chronic musculoskeletal pain will be in receipt of sick leave benefits in the long term. Methods: Study of MPI data from 2,784 patients (709 men and 2,075 women) collected from the Swedish Quality Register for Pain Rehabilitat ...

Objective: To evaluate the relationships between key outcome variables, classified according to the International Classification of Functioning, Disability and Health (ICF), and observed and self-reported functional ability in patients with chronic widespread pain. Design: Cross-sectional with systematic data collection in a clinical setting. Subjects: A total of 257 consecutively enrolled wom ...

Objective: To explore perceptions of spinal manipulative therapy and exercise among adults aged 65 years and older with chronic neck pain. Design: Mixed methods study embedded within a randomized clinical trial. Subjects/Patients: Interviews were conducted with 222 of 241 randomized clinical trial participants. They had a mean age of 72. 2 years and they had neck pain of moderate severity and ...

Objectives: To investigate the effect of manual physiotherapy and exercises compared with exercises alone in patients with shoulder impingement syndrome one year after inclusion. Design: Randomized controlled trial. Subjects: Patients with shoulder impingement of more than 4 weeks. Methods: The intervention group received individualized manual physiotherapy plus individualized exercises; the co ...

Objective: Ventilator dependent patients with neuromuscular disorders and high level spinal cord injury have been extubated and decanulated to continuous noninvasive intermittent positive pressure ventilatory support after mechanical insufflation-exsufflation was used to achieve specific criteria for tube removal. The purpose of this study is to report changes in extent of need for ventilator use ...

Objective: To investigate the accuracy of manual needle placement for injection of botulinum toxin type A into the forearm muscles of adults with spastic flexed wrist and clenched fist as a consequence of stroke. Design: Prospective clinical study. Patients: A total of 41 adults with chronic stroke who were scheduled to receive botulinum toxin type A injection into the following forearm muscle ...

Objectives: To determine whether repetitive tibial nerve stimulation (RTNS) affects neurogenic claudication and F-wave conduction in lumbar spinal stenosis. Design: An intervention study: before/after trial. Subjects: Data for 12 central lumbar spinal stenosis patients were compared with 13 age- and sex-matched healthy volunteers. Methods: A conditioning RTNS at the ankle, 0. 3-ms duration s ...

Objective: To assess the effect of a 4-month high-intensity interval training programme on cognitive functioning, cerebral oxygenation, central haemodynamic and cardiometabolic parameters and aerobic capacity in obese patients. Methods: Cognitive functioning, cerebral oxygenation, central haemodynamic, cardiometabolic and exercise para-meters were measured before and after a 4-month high-intensi ...