Content

Content - Volume 49, Issue 5

Editors choice in this issue

ORIGINAL REPORT
Rehabilitation after traumatic brain injury: A survey in 70 European neurotrauma centres participating in the CENTER-TBI study
Maryse C. Cnossen, Hester F. Lingsma, Olli Tenovuo, Andrew I.R. Maas, David Menon, Ewout W. Steyerberg, Gerard M. Ribbers, Suzanne Polinder
Objective: To describe variation in structural and process characteristics of acute in-hospital rehabilitation and referral to post-acute care for patients with traumatic brain injury across Europe. Design: Survey study, of neurotrauma centres. Methods: A 14-item survey about in-hospital rehabilitation and referral to post-acute care was sent to 71 neurotrauma centres participating in a Europe ...
Pages: 395-401
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REVIEW ARTICLE
Pathophysiology, diagnostic work-up and management of balance impairments and falls in patients with hereditary spastic paraplegia
Jorik Nonnekes, Bas van Lith, Bart P. van de Warrenburg, Vivian Weerdesteyn, Alexander C.H. Geurts
Introduction: Balance impairments are common in patients with hereditary spastic paraplegia and are among the most debilitating symptoms, as they frequently result in falls and fall-related injuries. Several features of hereditary spastic paraplegia contribute to balance impairments and multiple treatment options exist. However, an overview of these underlying mechanisms and their treatment is cur ...
Pages: 369-377
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SPECIAL REPORT
Refugee health and rehabilitation: Challenges and response
Fary Khan, Bhasker Amatya
Background: The current global refugee crisis poses major challenges in providing effective healthcare to refugees, particularly for non-communicable diseases management and disability. This article provides an overview of refugee health and potential challenges from the rehabilitation perspective. Methods: A literature search (both academic and grey literature) was conducted using medical and h ...
Pages: 378-384
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SPECIAL REPORT
Professionals’ perceptions of factors affecting implementation and continuation of a physical activity promotion programme in rehabilitation: A qualitative study
Femke Hoekstra, Florentina J. Hettinga, Marjolein den Breejen, Marjo Duijf, Lucas H.V. van der Woude, Rienk Dekker, Cees P. van der Schans
Objective: To describe professionals’ perceptions of factors that facilitate or hamper the implementation and continuation of a physical activity promotion programme in rehabilitation. Design: This study used a qualitative design. Methods: Semi-structured interviews (n = 22) were conducted with rehabilitation professionals (n = 28) involved in the implementation of a ...
Pages: 385-394
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ORIGINAL REPORT
Rehabilitation after traumatic brain injury: A survey in 70 European neurotrauma centres participating in the CENTER-TBI study
Maryse C. Cnossen, Hester F. Lingsma, Olli Tenovuo, Andrew I.R. Maas, David Menon, Ewout W. Steyerberg, Gerard M. Ribbers, Suzanne Polinder
Objective: To describe variation in structural and process characteristics of acute in-hospital rehabilitation and referral to post-acute care for patients with traumatic brain injury across Europe. Design: Survey study, of neurotrauma centres. Methods: A 14-item survey about in-hospital rehabilitation and referral to post-acute care was sent to 71 neurotrauma centres participating in a Europe ...
Pages: 395-401
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ORIGINAL REPORT
Do clinical assessments, steady-state or daily-life gait characteristics predict falls in ambulatory chronic stroke survivors?
Michiel Punt, Sjoerd M. Bruijn, Harriet Wittink, Ingrid G. van de Port, Jaap H. van Dieën
Objective: This exploratory study investigated to what extent gait characteristics and clinical physical therapy assessments predict falls in chronic stroke survivors. Design: Prospective study. Subjects: Chronic fall-prone and non-fall-prone stroke survivors. Methods: Steady-state gait characteristics were collected from 40 participants while walking on a treadmill with motion capture of sp ...
Pages: 402-409
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ORIGINAL REPORT
Influence of physician empathy on the outcome of botulinum toxin treatment for upper limb spasticity in patients with chronic stroke: A cohort study
Alessandro Picelli, Gabriella Vallies, Elena Chemello, Alessandro Gavras, Paola Castellazzi, Andrea Meschieri, Anna Serina, Marialuisa Gandolfi, Alessio Baricich, Andrea Santamato, Carlo Cisari, Nicola Smania
Objective: To examine the relationship between patient-rated physician empathy and outcome of botulinum toxin treatment for post-stroke upper limb spasticity. Design: Cohort study. Subjects: Twenty chronic stroke patients with upper limb spasticity. Methods: All patients received incobotulinumtoxinA injection in at least one muscle for each of the following patterns: flexed elbow, flexed wri ...
Pages: 410-415
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ORIGINAL REPORT
Establishing score equivalence of the Functional Independence Measure motor scale and the Barthel Index, utilising the International Classification of Functioning, Disability and Health and Rasch measurement theory
Birgit Prodinger, Rory J. O’Connor, Gerold Stucki, Alan Tennant
Introduction: Two widely used outcome measures to assess functioning in neurological rehabilitation are the Functional Independence Measure (FIM™) and the Barthel Index. The current study aims to establish the equivalence of the total score of the FIM™ motor scale and the Barthel Index through the application of the International Classification of Functioning, Disability and Health, and Rasch ...
Pages: 416-422
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ORIGINAL REPORT
Interdisciplinary spasticity management clinic outcomes using the Goal Attainment Scale: A retrospective chart review
Amy Hanlan, Patricia Mills, Rachel Lipson, Heather Finlayson
Objective: To generate practice-based evidence of outcomes in an interdisciplinary spasticity management clinic using practical application of the Goal Attainment Scale (GAS). Design: Retrospective chart review. Patients: A total of 225 adult patients who were referred for spasticity management at a tertiary rehabilitation hospital and returned for follow-up between 2010 and 2013. Methods: G ...
Pages: 423-430
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ORIGINAL REPORT
Incidence, aetiology and injury characteristics of traumatic spinal cord injury in Stockholm, Sweden: A prospective, population-based update
Conran Joseph, Nina Andersson, Sapko Bjelak, Kajsa Giesecke, Claes Hultling, Lena Nilsson Wikmar, Julie Phillips , Åke Seiger, Vasilios Stenimahitis, Katarzyna Trok, Elisabet Åkesson, Kerstin Wahman
Objectives: To update the incidence rate, aetiology and injury characteristics of acutely-injured adults with traumatic spinal cord injury in Stockholm, Sweden, using international standards of reporting. Study design: Prospective, (regional) population-based observation. Subjects: Forty-nine consecutively enrolled individuals. Methods: A surveillance system of newly-injured adults with trau ...
Pages: 431-436
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ORIGINAL REPORT
Do postural changes affect balance in patients with ankylosing spondylitis?
Elif Balevi Batur, Gülçin Kaymak Karataş
Objective: To investigate the effect on balance control of postural changes related to ankylosing spondylitis. Design: Thirty-four subjects with ankylosing spondylitis and 34 healthy individuals were enrolled. Examination of postural alignment was conducted using lumbar Schober, hand to ground distance, tragus to wall distance and occiput to wall distance measurements, and Bath Ankylosing Spondy ...
Pages: 437-440
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ORIGINAL REPORT
Aerobic fitness in adolescents with chronic pain or chronic fatigue: parallels and mechanisms?
Paolo T. Pianosi, Eric Emerling, Kristin C. Mara, Amy L. Weaver, Philip R. Fischer
Objective: Chronic fatigue and chronic pain both deter people from participating in exercise, even though exercise is often a key component of treatment. While reasons for this may seem obvious, the extent and mechanism(s) of reduced exercise performance among affected individuals, particularly those with chronic pain, are not well described. We hypothesized that patients with chronic fatigue are ...
Pages: 441-446
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