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Variability in patient characteristics and service provision of interdisciplinary pain rehabilitation: A study using a swedish national quality registry for pain rehabilitation
Marcelo Rivano Fischer, Marie-Louise Schults, Britt-Marie Stålnacke, Jan Ekholm, Elisabeth B. Persson, Monika Löfgren
Objective: To describe the organization, content and dosage of interdisciplinary pain rehabilitation, and the differences in degree of severity of problems of patients admitted to clinical units reporting to a Swedish national quality pain registry, grouped according to unit size and possible affiliation with a university hospital. Methods: Reports from 31 out of 39 clinical units in Sweden, on i ...
Living situation of family caregivers of persons with spinal cord injury
Armin Gemperli, Sara Rubinelli, Claudia Zanini, Jianan Huang, Mirjam Brach, Diana Pacheco Barzallo
Objective: To describe the living situation of family caregivers of persons with spinal cord injury. Design: Cross-sectional questionnaire. Subjects: Primary family caregivers of persons with chronic spinal cord injury in Switzerland. Methods: Cross-sectional study of family caregivers of persons with spinal cord injury. For comparison, the study population was matched to family caregivers of p ...
Functional changes in the lower extremity after non-immersive virtual reality and physiotherapy following stroke
Pawel Kiper, Carlos Luque-Moreno, Salvatore Pernice, Lorenza Maistrello, Michela Agostini, Andrea Turolla
Objective: To analyse the effect of virtual reality therapy combined with conventional physiotherapy on balance, gait and motor functional disturbances, and to determine whether subacute (<  6 months) or chronic (>  6 months) phases might influence motor recovery. Methods: A total of 59 stroke inpatients (age 60.3±14.8 years; 14.0±25.7 months post-stroke) were stratified into 2 groups: ...
Cognitive and emotional symptoms in patients with first-ever mild stroke - the syndrome of hidden impairments
Georgios Vlachos, Hege Ihle-Hansen, Torgeir Bruun Wyller, Anne Brækhus, Margrete Mangset, Charlotta Hamre, Brynjar Fure
Objective: To evaluate the prevalence of cognitive and emotional impairments one year after first-ever mild stroke in younger patients Design: Prospective, observational, cohort study. Subjects: A consecutive sample of 117 previously cognitively healthy patients aged 18–70 years with mild stroke (National Institutes of Health Stroke Scale score ≤ 3) were included in 2 hospitals in Norway d ...
Factors affecting length of stay in hospital of patients with traumatic spinal cord injury in china
Zhenrong Zhang, Yao Wu, Fangyong Wang
Objective: To investigate factors associated with length of stay in hospital of patients with traumatic spinal cord injury in China, based on recent data spanning a period of 10 years. Methods: The study was conducted in the China Rehabilitation Research Center, Beijing, which is the largest rehabilitation hospital in China. Associated variables were statistically analysed, including sex, age, ma ...
Effect of awareness of being monitored on wearing time and wearing of orthopaedic footwear
Thijs Lutjeboer, Jaap J. van Netten, Klaas Postema, Juha M. Hijmans
Objective: To investigate the effect of awareness of being monitored on wearing time and adherence to wearing orthopaedic footwear. Quantitative assessment of wearing time was made using direct measurement with temperature sensors during the first 3 months after provision of footwear. Design: Randomized controlled trial. Intervention: Awareness of the purpose of the study: measuring wearing time ...
Sustained efficacy of incobotulinumtoxinA in upper-limb post-stroke spasticity: A post hoc analysis
Petr Kaňovský, Elie P. Elovic, Michael C. Munin, Angelika Hanschmann, Irena Pulte , Michael Althaus, Reinhard Hiersemenzel, Christina Marciniak
Objective: This post hoc analysis assessed the impact of repeated incobotulinumtoxinA injections on muscle tone, disability, and caregiver burden in adults with upper-limb post-stroke spasticity. Design: Data from the double-blind, placebo-controlled main period and 3 open-label extension cycles of 2 Phase 3, randomized, multicentre trials were pooled. Methods: Subjects received incobotulinumtox ...
Prevalence of analgesic use in patients with chronic pain referred to a multidisciplinary pain centre and its correlation with patient-reported outcome measures: A cross-sectional, registry-based study
Thomas F. Kallman, Emmanuel Bäckryd
Background: Chronic pain is prevalent in Sweden, nearing 20% in the adult population. Treatment often requires a multimodal approach, with medication, physical therapy and psychological interventions. However, the frequency of medication in patients with chronic pain in Sweden, and its correlation with patient-reported outcome measures (PROMs), are currently unknown. Objectives: To investigate th ...
Transition from inpatient rehabilitation to the home environment in cognitively impaired older persons after hip fracture
Bastian Abel, Tobias Eckert, Rebekka Pomierksy, Anja Dautel, Martina Schäufele, Klaus Pfeifer, Klaus Hauer and the PROFinD2 Study Group
Objective: To investigate short-term changes in clinical characteristics in the transition period between geriatric inpatient rehabilitation and independent living at home in older patients with hip/pelvic fracture and cognitive impairment. Design: Longitudinal observational study. Subjects: A total of 127 multi-morbid, older patients with hip/pelvic fracture and cognitive impairment. Methods: ...
A team approach to applying the international classification of functioning, disability and health rehabilitation set in clinical evaluation
Malan Zhang, Yun Zhang, Yun Xiang, Ziling Lin, Wei Shen, Yingmin Wang, Liyin Wang, Jiani Yu, Tiebin Yan
Objective: To develop a team approach to applying the International Classification of Functioning, Disability and Health Rehabilitation Set (ICF-RS) in clinical evaluation. Design: A Delphi study. Subjects: Experts from rehabilitation institutions in China including physicians, nurses, physiotherapists and occupational therapists. Methods: A 2-round Delphi survey and expert panel discussion wer ...
Use of virtual reality-based training in different fields of rehabilitation: A systematic review and meta-analysis
Sebastan Rutkowski, Pawel Kiper, Luisa Cacciante, Błażej Cieślik, Justyna Mazurek, Andrea Turolla, Joanna Szczepańska-Gieracha
Objectives: To analyse the effectiveness of virtual reality-based interventions within several fields of rehabilitation, and to investigate whether the outcomes of virtual reality-based interventions, in terms of upper or lower limb function, gait and balance, differ with respect to the virtual reality system used. Methods: A search of MEDLINE database resulted in an initial total of 481 records. ...
A practical guide to optimising the benefits of post-stroke spasticity interventions with botulinum toxin-A: an international group consensus
Gerard E. Francisco, Alexander Balbert, Ganesh Bavikatte, Djamel Bensmail, Stefano Carda, Thierry Deltombe, Nathalie Draulans, Steven Escaldi, Raphael Gross, Jorge Jacinto, Nicholas Ketchum, Franco Molteni, Susana Moraleda Perez, Michael W. O’Dell, Rajiv Reebye, Patrik Säterö, Monica Verduzco-Gutierrez, Heather Walker, Jörg Wissel
This consensus paper is derived from a meeting of an international group of 19 neurological rehabilitation specialists with a combined experience of more than 250 years (range 4–25 years; average 14.1 years) in treating post-stroke spasticity with botulinum toxin A. The group undertook critical assessments of some recurring practical challenges, not yet addressed in guidelines, through an extens ...
Elastic bands training after triamcinolone acetonide injection in subacromial bursitis: A randomized clinical trial
Pengfei Zhu, Bokai Liao, Zhengchao Wang, Zhenxing Sun, Yang Wei, Yu Cai
Objective: To investigate the effect of progressive resistance training using resistance (elastic) bands on subacromial bursitis following triamcinolone acetonide injection. Design: Randomized clinical trial. Patients: A total of 68 patients with subacromial bursitis were randomized to a triamcinolone acetonide group or a triamcinolone acetonide plus resistance band training group. Methods: Vi ...
Tolerability and psychological effects of a multimodal day-care rehabilitation programme for persons with Huntington's Disease
Karin Ringqvist, Kristian Borg, Marika C. Möller
Objective: To determine whether the psychological benefits of intense, inpatient, multimodal rehabil-itation for persons with Huntington’s disease (HD), as found in earlier studies, also apply in a shorter, day-care setting. Design: Prospective, non-randomized cohort study. Subjects: Twenty patients attending a group-based 8-week (3 days/week) rehabilitation programme aimed at persons in early ...
Personalized predictions of treatment outcome in patients with post-stroke depressive symptoms
Johanne C.C. Rauwenhoff, Suzanne C. Bronswijk, Frenk Peeters, Yvonne Bol, Alexander C. H. Geurts, Caroline M. van Heugten
Objective: Post-stroke depressive symptoms have a vast individual and societal impact. However, research into interventions for such symptoms show contradictory results; it is unclear what works for which patients. In addition, clinical prediction tools are lacking. This study aimed to develop a prognostic index model for treatment outcome in patients with post-stroke depressive symptoms. Methods ...
Effectiveness of non-surgical interventions for rotator cuff calcific tendinopathy: A systematic review
Mitchell Simpson, Tania Pizzari, Tim Cook, Stuart Wildman, Jeremy Lewis
Objective: To evaluate the effectiveness of non-surgical interventions for rotator cuff calcific tendinopathy. Data sources: Medline, EMBASE, CINAHL, Cochrane Register of Clinical Trials, PEDro and SPORTDiscus from inception to March 2018, and accompanying reference lists. Peer-reviewed randomized clinical trials of non-surgical interventions for adults with rotator cuff calcific tendinopathy wer ...