Abstract:
:As in other areas of rehabilitation, relatively small numbers and diversity--both of condition and of patients' goals--hinder the assimilation of robust evidence for the effectiveness of rehabilitation. Patients with spinal cord injury (SCI) tend to be gathered together in a small number of regional services, each with their own philosophy and each with different attitudes to outcome measurement, and thus collection of the existing trials for meta-analysis is problematic. The marked improvement in outcome from SCI that has occurred with the development of specialist rehabilitation programmes argues strongly for the effectiveness of rehabilitation, and we have progressed beyond the point where randomized controlled trials that deny a group such intervention could be considered ethical. Current research is aimed at teasing apart the aspects of different care models that are most effective, or the evidence for the usefulness of interventions for control of symptoms such as spasticity and pain. This evidence is reviewed and discussed.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Inman Cdoi
10.1191/026921599674943310subject
Has Abstractpub_date
1999-01-01 00:00:00pages
25-31eissn
0269-2155issn
1477-0873journal_volume
13 Suppl 1pub_type
杂志文章,评审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:OBJECTIVES:This study hypothesized that higher caregiving demands are related to higher perceived injustice. Furthermore, this study investigated the mediating role of perceived injustice in the link between caregiving demands and caregivers' psychological well-being. DESIGN:A cross-sectional design. SETTING:The Pain...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215516643846
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVE:To describe and compare current practice in diagnosis and treatment of depression following acquired brain injury in two countries (UK and the Netherlands) which have different sets of guidelines. SETTING AND DESIGN:A cross-sectional survey of reported practice among rehabilitation physician members of the B...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215507079129
更新日期:2007-09-01 00:00:00
abstract:OBJECTIVE:To investigate the long-term effect of expanded cardiac rehabilitation on a composite end-point, consisting of cardiovascular death, myocardial infarction or readmission for cardiovascular disease, in patients with coronary artery disease. DESIGN:Single-centre prospective randomized controlled trial. SETTIN...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215510376006
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVE:To study the course of apraxia and daily life functioning (ADL) in left hemisphere stroke patients with apraxia. DESIGN:Prospective cohort study. SETTING:Rehabilitation centres and nursing homes. SUBJECTS:One hundred and eight left hemisphere stroke patients with apraxia, hospitalized in rehabilitation cen...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215506071257
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVE:Evaluation of the efficacy of Le Bon Départ (LBD) treatment and Sensory Integration (SI) treatment on motor performance of children with developmental coordination disorder. DESIGN:A single subject design with multiple baseline and alternating treatments. Order of treatment and length of phase were randomize...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/026921500674930367
更新日期:2000-06-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of gradual attention training on language function with aphasia. DESIGN:Randomized controlled trial. PARTICIPANTS:A total of 40 patients (mean age: 53.47 years) with post-stroke aphasia came from the stroke rehabilitation unit of rehabilitation department in the First Hospital of J...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215519864715
更新日期:2019-11-01 00:00:00
abstract:OBJECTIVE:Meaning-making is a way of coping when facing adverse events. A paucity of literature suggests other possible factors (e.g. delivery of knowledge) can influence how chronic illness survivors (i.e. stroke survivors in rehabilitation) cope with illness. This article explores the importance and significance of m...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215517708604
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVE:To investigate accidental falls and near fall incidents in people with multiple sclerosis with respect to clinical variables and the predictive values of four tests. DESIGN:A longitudinal, multi-centred cohort study with prospectively collected falls. PROCEDURES:Self-reported incidents during the three mont...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1177/0269215508095087
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVE:To compare the effect of the Chignon ankle-foot orthosis on gait versus a standard ankle-foot orthosis. METHOD:A multicentre randomized study was conducted in seven rehabilitation centres. Hemiplegic patients were recruited after unilateral stroke lasting less than six months. Exclusion criteria were: imposs...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215511410730
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVE:To examine the internal consistency and test-retest reliability of the Energy Conservation Strategies Survey (ECSS), a tool that was specifically designed to determine if people with multiple sclerosis who attended the six-week energy conservation course actually implemented the strategies taught to them. DE...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1191/0269215505cr789oa
更新日期:2005-08-01 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:OBJECTIVES:To determine whether there is a difference in global dependency and functional independence in patients with stroke associated with different approaches to physiotherapy treatment. DATA SOURCES:We searched the Cochrane Stroke Group Trials Register (last searched May 2005), Cochrane Central Register of Contr...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215507073438
更新日期:2007-05-01 00:00:00
abstract:OBJECTIVE:To examine the ethical principle of respect for autonomy within the context of neurological rehabilitation. DISCUSSION:The nature of the principle of respect for autonomy is examined, and specific difficulties to which it may give rise in this area of practice are identified. These concern difficulties of co...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921598670782549
更新日期:1998-02-01 00:00:00
abstract:OBJECTIVE:To follow up participants in a randomised controlled trial of relaxation training for anxiety after stroke at 12 months. DESIGN:Twelve month follow-up to a randomised controlled trial, in which the control group also received treatment. SETTING:Community. PARTICIPANTS:Fifteen of twenty one original partici...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215516682820
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVE:To provide a theoretical background, to review existing literature and to present new case material relevant to the treatment of phantom limb pain using hypnotic imagery. METHOD:This paper presents two new case reports involving the use of hypnotic imagery procedures in the alleviation of phantom limb pain a...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1191/0269215502cr507oa
更新日期:2002-06-01 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 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 H...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921599674794965
更新日期:1999-08-01 00:00:00
abstract:OBJECTIVE:To explore whether goal-setting for rehabilitation with acute stroke survivors is patient-centred and identify factors which influence the adoption of patient-centredness in goal-setting practice. SETTING:Acute stroke unit in a large teaching hospital in England. PARTICIPANTS:Patients with stroke who had no...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215515584167
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:To assess the effectiveness of diacutaneous fibrolysis in reducing musculoskeletal disorders symptoms such as pain, range of motion and functionality. DATA SOURCES:A systematic review of MEDLINE, Cochrane, PEDro and Science Direct was conducted until September 2020. REVIEW METHODS:Computerized search strate...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520968056
更新日期:2020-10-26 00:00:00
abstract:OBJECTIVE:To investigate the effects of patellar taping on the electromyographic onset of vastus medialis obliquus and vastus lateralis, and their magnitudes of reflex contraction before and after quadriceps muscle fatigue in subjects with patellofemoral pain. METHODS:Sixteen adults (5 males) diagnosed with patellofem...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215509334835
更新日期:2009-08-01 00:00:00
abstract:OBJECTIVE:Errorless learning is an effective strategy for the cognitive rehabilitation of memory impairment, but there is little evidence to support its use for skill learning. This preliminary study investigates whether errorless learning is superior to treatment as usual (trial and error), when teaching people with a...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215509353270
更新日期:2010-03-01 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 explore, following a literature review, whether there is a consistent definition and a unified assessment framework for the term 'spasticity'. The congruence between the definitions of spasticity and the corresponding methods of measurement were also explored. DATA SOURCES:The search was performed on the ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215508101747
更新日期:2009-07-01 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 analyze the clinical significance of postoperative back muscle exercises after percutaneous vertebroplasty for spinal osteoporotic compression fracture patients. DESIGN:Clinical randomized controlled trials of parallel group nonpharmacologic study. SETTING:Patients practised back muscle exercises in the ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215511423557
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVES:(1) To examine the feasibility of group physical activity in a day-care routine. (2) To assess the impact of this programme on functional fitness. DESIGN:Ten-week observational period, followed by 12 weeks of intervention in randomized controlled design, followed by 12 weeks of intervention only. SETTING:A...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215507078318
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVE:To investigate whether social contact and support received during hospitalization for acute ischemic stroke predict depression and daily life functioning three months later. DESIGN:Prospective observational study using Ecological Momentary Assessments to evaluate the number of social contacts as well as soci...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215515623600
更新日期:2017-01-01 00:00:00
abstract:PURPOSE:The aim was to describe experiences of disability in everyday life and managing the recovery process two years after falling ill with Guillain-Barré syndrome. DESIGN:Qualitative interview study. METHODS:Interviews were conducted with 35 persons (22 male, mean age 50 years) two years after the onset of Guillai...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215514549564
更新日期:2015-06-01 00:00:00
abstract:OBJECTIVE:To determine the probability of spontaneous disc regression among each type of lumbar herniated disc, using a systematic review. DATA SOURCES:Medline, Cochrane Library, CINAHL, and Web of Science were searched using key words for relevant original articles published before March 2014. Articles were limited t...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215514540919
更新日期:2015-02-01 00:00:00