Abstract:
OBJECTIVE:To assess the process of hospital-based stroke rehabilitation. DESIGN:A criterion-based process audit, combined with surveys of patient and staff opinions and basic outcome measures. SETTING:All wards and units treating stroke patients in a health care district, including an acute and a community National Health Service (NHS) trust. SUBJECTS:Process audit: documented notes of 115 stroke patients admitted over a four-month period. Patient satisfaction survey: 93 surviving stroke patients. Staff opinion survey: Hospital doctors, therapists and nurses treating stroke patients throughout the district. RESULTS:A disappointingly poor level of service. The main shortcomings were poor assessment of impairment (pass rate, 46%), inadequate communication between staff and with patients and carers (pass rate, 43%), and an absence of rehabilitation beyond the basic of activities of daily living and indoor mobility (pass rate for assessment of disability and emotional need, 50%). Thirty-three per cent of patients were dissatisfied with the hospital-based service they received, particularly lack of therapy, information and recovery. The main reasons for these shortcomings were low priority given to stroke patients, lack of time, shortage of staff, and lack of knowledge and awareness of stroke amongst the staff. Rehabilitation units and elderly care tended to perform better than general medical units in areas of assessment of impairment, self-care skills and mobility, and wheelchair provision. CONCLUSIONS:Evidence from previous publications suggests that this service was no worse than in other districts, but this audit methodology, by comprehensively examining many aspects of a service together, is better able to reveal inadequacies.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Tyson SF,Turner Gdoi
10.1191/026921599674794965subject
Has Abstractpub_date
1999-08-01 00:00:00pages
322-32issue
4eissn
0269-2155issn
1477-0873journal_volume
13pub_type
杂志文章abstract:OBJECTIVE:A difference in temperature between the affected and normal extremity is one of the signs or symptoms of reflex sympathetic dystrophy (RSD). These temperature differences are scored anamnestically, by palpation, or by measurements. We investigated the relationship between objective and subjective differences ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921599670196521
更新日期:1999-10-01 00:00:00
abstract:OBJECTIVE:We aimed to interrogate the effects of transcranial magnetic stimulation (TMS) on the performance in activities of daily living (ADL) and attention function after stroke. DESIGN:Randomized controlled trial. SETTING:Inpatient rehabilitation hospital. SUBJECTS:We randomized 62 stroke patients with attention ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520946386
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVE:To compare the effectiveness of a 12-month home-based combined strength training and stretching programme against stretching alone in the treatment of chronic neck pain. DESIGN:A randomized follow-up study. PARTICIPANTS:One hundred and one patients with chronic non-specific neck pain were randomized in two ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215507087486
更新日期:2008-07-01 00:00:00
abstract:OBJECTIVE:To examine the sources of stress and the patterns of coping of spouses of persons with spinal cord injuries (SCI) among Hong Kong Chinese. DESIGN:A cross-sectional correlation design. A set of structured questionnaires and semi-structured interviews were administered. SUBJECTS:Forty spouses of persons with ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921500675826560
更新日期:2000-04-01 00:00:00
abstract::The biopsychosocial model outlined in Engel's classic Science paper four decades ago emerged from dissatisfaction with the biomedical model of illness, which remains the dominant healthcare model. Engel's call to arms for a biopsychosocial model has been taken up in several healthcare fields, but it has not been accep...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215517709890
更新日期:2017-08-01 00:00:00
abstract:OBJECTIVE:To evaluate a minimal dose intervention of six 1-hour sessions of task-oriented circuit gait training including a caregiver over a 12-week period to persons post stroke in the South African public health sector. DESIGN:Stratified, single blinded, randomized controlled trial with three intervention groups. P...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215518763969
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVE:To provide evidence for the validity and reliability of a new outcome measure of balance, the Community Balance and Mobility Scale, developed for the ambulatory individual with traumatic brain injury. DESIGN:A validity and reliability study. SETTING:Acute care, in- and outpatient rehabilitation and day hosp...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215506072183
更新日期:2006-10-01 00:00:00
abstract::In an era of inadequate resources for all health services, rehabilitation services providers are frequently asked to produce criteria defining the patients they will accept. In principle rationing of services by ability to benefit is fair. In practice there are many difficulties. The evidence to allow selection of pat...
journal_title:Clinical rehabilitation
pub_type: 社论
doi:10.1191/0269215503cr591ed
更新日期:2003-03-01 00:00:00
abstract:OBJECTIVE:To determine feasibility of a randomised controlled trial (RCT) of home-based Reach-to-Grasp training after stroke. DESIGN:single-blind parallel group RCT. PARTICIPANTS:Residual arm deficit less than 12 months post-stroke. INTERVENTIONS:Reach-to-Grasp training in 14 one-hour therapist's visits over 6 weeks...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215516661751
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVE:To assess the test-retest reliability of two questionnaires for measuring activity limitations in patients with Complex Regional Pain Syndrome type 1 (CRPS I) of the lower extremity. DESIGN:Patients filled out the Walking Stairs Questionnaire and the Questionnaire Rising and Sitting Down twice during a one-w...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215502cr517oa
更新日期:2002-06-01 00:00:00
abstract:OBJECTIVE:To evaluate the effect of modified wheelchair arm-support to mitigate hemiplegic shoulder pain and reduce pain frequency in stroke patients. DESIGN:A single-blind randomized controlled trial using computer-generated simple randomization. SETTING:Participants recruited from inpatients at the Guangdong Provin...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215517714830
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:A pilot study to compare the effectiveness of an individual therapy program with the effects of a general physical therapy program. DESIGN:A randomized, single-blind cross-over design. PARTICIPANTS:Ten ambulant children with bilateral spastic cerebral palsy, age four to nine years. INTERVENTION:Participant...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215514544984
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVE:To assess the sensitivity of the Elderly Mobility Scale (EMS) to detect improvements in mobility after physiotherapy in comparison with the Barthel Index (BI) and Functional Ambulation Category (FAC) in routine clinical day hospital practice. SUBJECTS:Eighty-three patients who completed a course of physiothe...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921501675281708
更新日期:2001-06-01 00:00:00
abstract:OBJECTIVE:The purpose of the study was to evaluate the feasibility and efficacy of robot-assisted hand rehabilitation in improving arm function abilities in sub-acute hemiplegic patients. DESIGN:Randomized controlled pilot study. SETTING:Inpatient rehabilitation centers. PARTICIPANTS:Thirty hemiplegic stroke patient...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215516642606
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVE::We sought to (1) identify the outcome measures currently used across stroke arm rehabilitation randomized trials, (2) identify and compare outcomes important to stroke survivors, carers and clinicians and (3) describe where existing research outcome measures capture outcomes that matter the most to stroke su...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518823248
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVE:To evaluate the effect of intradialytic cycling exercise on physical functional performance with gain in muscle strength and endurance in end-stage renal disease patients with haemodialysis. DESIGN:Randomized controlled trial, with repeated measurements at baseline and after 4, 8, and 12 weeks of intradialyt...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215520921923
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVE:To examine the criterion validity of lower extremity Motricity Index scores. DESIGN:Retrospective cross-sectional comparison of lower extremity Motricity Index scores and hand-held dynamometer measurements obtained from 15 patients with stroke. RESULTS:For individual actions (ankle dorsiflexion, knee extens...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921500675786655
更新日期:2000-04-01 00:00:00
abstract:OBJECTIVE:To assess the psychometric properties of an observational screening measure of depressive symptoms (SADQH-10; 10-item Hospital version of the Stroke Aphasic Depression Questionnaire) for use in stroke patients with aphasia and to determine the convergent and divergent validity of the SADQH-10. DESIGN:Cross-s...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215511422388
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVE:To assess the feasibility and practicalities of using the technique of mental practice as an adjunct in the rehabilitation of the upper limb following stroke. DESIGN:A series of single-case studies. SETTING:A stroke rehabilitation unit in Belfast. SUBJECTS:Fourteen patients admitted for rehabilitation of t...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215504cr702oa
更新日期:2004-02-01 00:00:00
abstract:OBJECTIVE:To examine whether stroke survivors in inpatient rehabilitation with pre-existing cognitive impairment receive less therapy than those without. DESIGN:Prospective observational cohort. SETTING:Four UK inpatient stroke rehabilitation units. PARTICIPANTS:A total of 139 stroke patients receiving rehabilitatio...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215519843984
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVE:To compare spinal manipulation, back school and individual physiotherapy in the treatment of chronic low back pain. DESIGN:Randomized trial, 12-month follow-up. SETTING:Outpatient rehabilitation department. PARTICIPANTS:210 patients with chronic, non-specific low back pain, 140/210 women, age 59 +/- 14 yea...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215509342328
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVE:Structural analysis of the German translation of the "Client-Centered Rehabilitation Questionnaire" (CCRQ). DESIGN:Cross-sectional multicenter study. SETTING:Ten inpatient rehabilitation centers in Germany. SUBJECTS:The CCRQ was completed by patients in the ten rehabilitation centers. MAIN MEASURES:The ps...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1177/0269215516665158
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVE:To examine the evidence base underlying self-management programmes specific to stroke survivors. DATA SOURCES:Eleven electronic databases were searched using combinations of keywords related to stroke and self-management. REVIEW METHODS:Studies involving adults with a clinical diagnosis of stroke, which exp...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215513481045
更新日期:2013-10-01 00:00:00
abstract:OBJECTIVE:To determine whether transferring equipment designed to assist a carer when moving someone who is able to take some weight through their legs is likely to affect the risk of back problems in the carer. DESIGN:Twelve pieces of equipment were tested by nurses transferring patients from commode to wheelchair an...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215502cr499oa
更新日期:2002-05-01 00:00:00
abstract:OBJECTIVE:To establish the feasibility of a randomized, placebo-controlled trial to investigate the effect of a specific immunotherapy bacterial lysate OM-89 (Uro-Vaxom®) in reducing the frequency of urinary tract infections in people with neurogenic bladder dysfunction. DESIGN:A parallel-group, double-blind, randomiz...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520946065
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVE:To describe the practical steps in identifying items and evaluating scoring strategies for a new measure of emotional vitality in informal caregivers of individuals who have experienced a significant health event. DESIGN:The psychometric properties of responses to selected items from validated health-related...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215514552503
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVE:To examine personal characteristics, disease-related impairment variables, activity limitations, and environmental factors as correlates of social participation in older adults with vision loss guided by the World Health Organization's International Classification of Functioning, Disability and Health Model. ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215515624479
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:To determine the effect of a workplace intervention programme on the rate of return to work of previously employed stroke survivors in the Gauteng province of South Africa. DESIGN:A randomised controlled trial. SETTING:Participants' workplaces and three hospitals with stroke rehabilitation facilities. SUBJ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215514554241
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVE:To test the hypothesis that combined aerobic and resistance training and non-invasive ventilatory support result in additional benefits compared with combined aerobic and resistance training alone in heart failure patients. DESIGN:A randomized, single-blind, controlled study. SETTING:Cardiac rehabilitation ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215517704269
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the feasibility and preliminary effectiveness of therapeutic exercise before total hip replacement in frail elderly. DESIGN:A single-blind, randomized clinical pilot trial. SETTING:Outpatient physiotherapy department. SUBJECTS:Frail elderly with hip osteoarthritis awaiting total hip replacement...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215510371427
更新日期:2010-10-01 00:00:00