Abstract:
OBJECTIVE:The aim of the study was to assess the efficacy of a patient-focused professionally guided self-care programme for the management of multiple sclerosis (MS) in the community. DESIGN:This was a single-blind randomized controlled trial. SETTING:The study was conducted with people with MS living in the community. PARTICIPANTS:Two hundred and seventy-eight people with MS were invited to take part in the study. One hundred and eighty-nine people consented to take part (68%). Of these 183 began the study and 169 (92.3%) completed it. Seventy-three individuals were in the intervention group and 96 were in the control group. INTERVENTION:The intervention comprised discussion of self-care based on client priorities, using an information booklet about self-care. MAIN OUTCOME MEASURES:These included the Barthel Index, a measure of mobility, the SF-36, and the Standard Day Dependency Record (SDDR) which measures the need for assistance with daily activities. Assessments were conducted at baseline and again six months later. RESULTS:Changes in health status were small. However, at follow-up the intervention group had better SF-36 health scores, in mental health (p = 0.04), and vitality (p = 0.05) and considered help with daily activities to be less essential, as measured by the SDDR (p = 0.04), than the control group. Participants in the intervention group had maintained levels of independence at follow-up (p = 0.62) while the control group showed a significant decrease in independence (p= 0.001). CONCLUSION:This intervention could be a useful aid for health professionals who are supporting people with MS living in the community.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
O'Hara L,Cadbury H,De SL,Ide Ldoi
10.1191/0269215502cr478oasubject
Has Abstractpub_date
2002-03-01 00:00:00pages
119-28issue
2eissn
0269-2155issn
1477-0873journal_volume
16pub_type
临床试验,杂志文章,随机对照试验abstract:OBJECTIVE:To compare the efficacy of three-dimensional (3D) Schroth exercises in patients with adolescent idiopathic scoliosis. DESIGN:A randomised-controlled study. SETTING:An outpatient exercise-unit and in a home setting. SUBJECTS:Fifty-one patients with adolescent idiopathic scoliosis. INTERVENTIONS:Forty-five ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215515575745
更新日期:2016-02-01 00:00:00
abstract:OBJECTIVE:To identify psychometrically robust and clinically feasible measures of walking and mobility in people with neurological conditions. DATA SOURCES:MEDLINE, CINAHL, EMBASE, PEDro and AMED. REVIEW METHODS:Independent reviewers selected and extracted data from articles that assessed the reliability, validity, s...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215509339004
更新日期:2009-11-01 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:OBJECTIVE:To investigate the internal consistency, the domain structure and the influence of social desirability with regard to a questionnaire translated and adapted to assess the quality of rehabilitation team conferences in the Netherlands. STUDY DESIGN:A questionnaire to determine group decision-making processes w...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921501674553635
更新日期:2001-04-01 00:00:00
abstract:OBJECTIVE:To examine the health benefits of a bedroom window view to natural surroundings for patients undergoing a residential rehabilitation programme. DESIGN:Longitudinal quasi-experiment. SETTING:A residential rehabilitation centre. SUBJECTS:Two-hundred and seventy-eight coronary and pulmonary patients provided ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215511412800
更新日期:2012-01-01 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 assess the effect of different aids on the amount of support hemiplegic subjects took from them. The relationship between the amount of support, severity of hemiplegia and walking ability were also assessed. DESIGN:Hemiplegic subjects' gait and the amount of support they took from the aid were measured as...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921598669871795
更新日期:1998-10-01 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:BACKGROUND:Goal achievement has been considered to be an important measure of outcome by clinicians working with patients in physical and neurological rehabilitation settings. This systematic review was undertaken to examine the reliability, validity and sensitivity of goal setting and goal attainment scaling approache...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215506070793
更新日期:2006-09-01 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 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:This systematic review aimed to examine the effects of dual-task balance and mobility training in people with stroke. METHODS:An extensive electronic databases literature search was conducted using MEDLINE, PubMed, EBSCO, The Cochrane Library, Web of Science, SCOPUS, and Wiley Online Library. Randomized cont...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518758482
更新日期:2018-07-01 00:00:00
abstract:OBJECTIVE:To evaluate cost, adherence and effects on cardiovascular function and quality of life of a home-based cardiac rehabilitation programme for patients with coronary disease. DESIGN:A randomized, prospective controlled trial. SETTING:Department of Rehabilitation, University Hospital, Brazil. SUBJECTS:Thirty-n...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215508093331
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVE:The present study aimed to assess the effectiveness of oral citalopram, compared with fluoxetine and a placebo, in patients with post-stroke motor disabilities. DESIGN:A randomized double-blind placebo-controlled clinical trial was conducted between January 2015 and January 2016. SETTING:The neurology depar...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215518777791
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVE:To investigate the level of agreement of the behavioural mapping method with an accelerometer to measure physical activity of hospitalized patients. DESIGN:A prospective single-centre observational study. SETTING:A university medical centre in the Netherlands. SUBJECTS:Patients admitted to the hospital. M...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215519836454
更新日期:2019-07-01 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:OBJECTIVES:To describe the immediate effects of diacutaneous fibrolysis on pain and mobility in patients suffering from painful shoulder, and to assess the ability of the placebo technique to blind participants to group allocation. DESIGN:A double-blind before-after randomized placebo-controlled pilot study. SETTING:...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215510385480
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVE:To determine the feasibility of three fall prevention programs delivered over 12 weeks among individuals with multiple sclerosis: (A) a home-based exercise program targeting physiological risk factors; (B) an educational program targeting behavioral risk factors; and (C) a combined exercise-and-education prog...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215514564899
更新日期:2015-10-01 00:00:00
abstract:OBJECTIVE:To evaluate the effect of very early mobilisation on functional status following acute stroke. DESIGN:Single blind, randomized controlled trial. SETTING:University hospital. SUBJECTS:Eighty-six patients with acute stroke (42 men and 38 women) aged 30-80 years were randomized to an Intervention group and a ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215515596054
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVE:To develop an adaptive measure, the Stroke Arm Ladder, to parsimoniously quantify upper extremity function post stroke. SETTING:Various studies conducted in Montreal and elsewhere in Canada. SUBJECTS:A total of 4058 persons with stroke who participated in various studies were assessed on different occasions...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215510389496
更新日期:2011-08-01 00:00:00
abstract:OBJECTIVES:To provide an overview of physical and psychological outcome indicators which have been used to evaluate conservative treatments for chronic oedema. METHODS OF FINDING PAPERS: Papers were located via the MedLine, CINAHL and GEARS databases, and the British Lymphology Interest Group Key References lists. ISSU...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/026921559701100301
更新日期:1997-08-01 00:00:00
abstract:OBJECTIVE:To compare the immediate effects of an external focus to enhance lateral body weight shift after stroke. DESIGN:Randomized controlled trial. SETTING:Inpatient rehabilitation hospital. SUBJECTS:Twenty patients after stroke (11 males; mean (SD) age 72.2 (7.4) years; duration of illness 56 (14) days; there we...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215513513963
更新日期:2014-07-01 00:00:00
abstract:OBJECTIVE:To establish what aspects of group-based cognitive rehabilitation for memory problems are reported, and to develop a checklist for authors, which may to improve reporting of these interventions in future studies. DATA SOURCES:A systematic search was conducted on Web of Knowledge, CINAHL, MEDLINE, AMED, EMBAS...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215515595273
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVES:A systematic review and meta analysis using the Grades of Recommendation, Assessment, Development and Evaluation (GRADE) approach. The aim was to evaluate the efficacy of Botulinum Toxin type A for limb spasticity on improving activity restriction and quality of life outcomes. DATA SOURCES:Pubmed, Cinahl, A...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.1177/0269215515593609
更新日期:2016-06-01 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:AIM:To investigate the effects of the water-based exercise on balance, mobility, mobility and functional independence, functional performance, fear of falling and quality of life in people with Parkinson's disease. METHODS:We searched pubmed/MEDLINE, Cochrane Central Register of Controlled Trials, PEDro data base and ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520943660
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVE:To describe the content and delivery of the adapted London Stroke Carers Training Course intervention evaluated in the Training Caregivers after Stroke (TRACS) trial. SETTING:The London Stroke Carers Training Course is a structured training programme for caregivers of inpatients who are likely to return home...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215514543334
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVE:Identify the environmental factors that influence stroke-survivors' reengagement in personally valued activities and determine what specific environmental factors are related to specific valued activity types. DATA SOURCES:PubMed, CINAHL and PsycINFO were searched until June 2016 using multiple search-terms ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215516671013
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVE:To investigate the effects of sensory perception exercises for discrimination of surface hardness by the soles of the feet on standing postural balance in the elderly. DESIGN:A randomized two-group parallel controlled trial. SUBJECTS:Twenty-four healthy people aged from 61 to 71 years were enrolled and rand...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215508101731
更新日期:2009-06-01 00:00:00
abstract:OBJECTIVE:To explore the effects of weighted garments on the balance and gait of stroke patients. DESIGN:A pilot randomized controlled study with blinded measurement. SETTING:Weighted garments were worn by patients living in the community and measurement was made in a hospital-based gait laboratory. SUBJECTS:Twenty-...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/026921501678310199
更新日期:2001-08-01 00:00:00