Abstract:
OBJECTIVES:To examine gender, diagnosis, age, reasons for feeding, nutritional status, complications, outcome and duration of feeding in patients who have required a percutaneous endoscopic gastrostomy (PEG) for nutritional support at a district rehabilitation unit in the six years since the service was established. To identify potential for improvements in the management of future patients. DESIGN:Retrospective case note review of cases from 1992 to 1998. SETTING:District rehabilitation service for ages 16-64 serving the population of Fife, Scotland (population circa 350 000). SUBJECTS:All patients (n = 42) who had been fed via a PEG feeding tube in the previous six years. RESULTS:Forty-four PEG tube insertions had been conducted for 43 episodes of feeding in 42 patients. Five episodes of feeding were because of persistent vegetative state or low awareness state and 38 because of neurological swallowing impairment. Twenty-six (60%) patients were nutritionally depleted when PEG feeding was commenced. Twenty-seven (64%) patients experienced minor complications and 15 (34%) had no complications. At three months post procedure four (9.5%) patients had died and 21 (50%) had been discharged home. The mean duration of feeding on 31 October 1998 of the 20 patients (48%) who continued feeding at that date was 3.19+/-1.89 (mean +/- SD) years. CONCLUSIONS:Patients requiring PEG feeding in a district rehabilitation service have a range of diagnoses and the main indication for intervention is neurological swallowing impairment. The majority of patients were nutritionally depleted when feeding commenced and the reasons for this require further investigation.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Thomson MA,Carver AD,Sloan RLdoi
10.1191/0269215502cr476oasubject
Has Abstractpub_date
2002-03-01 00:00:00pages
215-20issue
2eissn
0269-2155issn
1477-0873journal_volume
16pub_type
杂志文章abstract:OBJECTIVE:To compare the outcome of day hospital to day centre rehabilitation. DESIGN:Single blind randomized controlled trial with home assessments at baseline (twice), six weeks and three months. SETTING:Mainly rural health district. Day hospital and social services day centres in market towns. SUBJECTS:One hundre...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/026921599671803291
更新日期:1999-04-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to examine the role of social support in predicting depression in caregivers of adults aging with spinal cord injuries. DESIGN:Cross-sectional secondary data analyses were conducted for this study. SETTING:Participants were recruited from multiple community locations in Pitts...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215512464503
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVES:To establish the measurement properties of TURN180, a test of dynamic postural stability. DESIGN:One physiotherapist conducted three trials of TURN 180, one of which was also observed by a second therapist. SETTING:A day unit for elderly people accepting both inpatients and outpatients. SUBJECTS:Sixty-six...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215505cr783oa
更新日期:2005-06-01 00:00:00
abstract:OBJECTIVE:To delineate the facilitatory and/or inhibitory influence of relevant and irrelevant sensory afferent information to the motor cortex. The study is based on the assumption that sensorimotor coupling is crucial for motor learning and recovery. DESIGN:The interaction of a standard transcranial magnetic stimulu...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215503cr660oa
更新日期:2003-09-01 00:00:00
abstract:OBJECTIVE:Evaluate the effect of a smartphone application on exercise adherence, range of motion and self-efficacy compared to standard rehabilitation after repair of the flexor digitorum profundus tendon. DESIGN:Prospective multi-centre randomised controlled trial. SETTING:Four hand surgery departments in Sweden. S...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520962287
更新日期:2020-10-11 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 evaluate the short-term effectiveness of an intensive multidisciplinary rehabilitation programme for people with Parkinson's disease and their carers. DESIGN:Observational, with assessments before and after intervention. SETTING:An elderly care day unit in a district general hospital in south-east Englan...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215502cr545oa
更新日期:2002-11-01 00:00:00
abstract:OBJECTIVE:To determine the effectiveness of sit-to-stand training in individuals with stroke. DESIGN:Randomized controlled trial. SETTING:Rehabilitation medical centre. PARTICIPANTS:Thirty-two subjects with stroke were randomly assigned to the control and experimental groups (n = 16 for each group). INTERVENTIONS:S...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215509360751
更新日期:2010-06-01 00:00:00
abstract:OBJECTIVE:To study the effects of augmented exercise therapy time for arm rehabilitation as either Bobath therapy or the impairment-oriented training (Arm BASIS training) in stroke patients with arm severe paresis. DESIGN:Single blind, multicentre randomized control trial. SETTING:Three inpatient neurorehabilitation ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1191/0269215505cr904oa
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVE:To replicate the finding that illness perceptions influence quality of life in adults with muscle disease and to explore the additional influence of coping and optimism on quality of life and mood. DESIGN:A postal survey including questionnaires recording quality of life, mood, illness perceptions, optimism,...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1177/0269215513511340
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVE::To explore the feasibility of a rehabilitation program and its effect on the performance-related musculoskeletal symptoms and functional limitations of orchestral musicians. DESIGN::Single-blind pilot randomized controlled trial with exercise group and control group. SETTING::Workplace of professional symp...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215518785000
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVE:To evaluate the consistency of balance control, mobility and perceived difficulties with functional tasks by people on carefully controlled anti-parkinsonian medication programmes, between doses on a single day and across days using standard clinical measures. DESIGN:Small group prospective study. SETTING:A...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215503cr614oa
更新日期:2003-05-01 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 enhance our understanding of coping and rehabilitation in the context of adaptation to disability by examining how coping may change over a two-year time period, and how different vision rehabilitation services may affect coping over time. DESIGN:Longitudinal two-wave study (baseline and two-year follow-u...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215506cr965oa
更新日期:2006-06-01 00:00:00
abstract:OBJECTIVE:To investigate the effectiveness of forward head correction on three-dimensional posture parameters and functional level in adolescent idiopathic scoliotic patients. DESIGN:A randomized controlled study with three-month follow-up. SETTING:University research laboratory. SUBJECTS:Seventy-six adolescent idio...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215512447085
更新日期:2012-12-01 00:00:00
abstract:OBJECTIVE::To compare the effect of Kinesio taping on ankle functional performance with that of other taping methods (non-elastic taping) in healthy individuals and patients with ankle sprain. METHODS::A search was performed in electronic databases (MEDLINE, Embase, Cochrane Library, and China National Knowledge Infra...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215518780443
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVE::To evaluate the effectiveness of theta-burst stimulation for the treatment of stroke-induced unilateral spatial neglect. DATA SOURCES::A systematic literature search was conducted from the inception of each database to 30 June 2018 using CINAHL, EMBASE, PubMed, PsycINFO, and Scopus. REVIEW METHODS::Article...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518804018
更新日期:2019-02-01 00:00:00
abstract:OBJECTIVE:To evaluate the effect of pre-emptive swallowing stimulation on the recovery of swallowing function in long-term intubated patients. DESIGN AND SUBJECTS:Patients in the intensive care unit intubated for at least 48 hours due to respiratory distress from March to August 2004 were randomly divided into two gro...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215506071286
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVE:To determine whether aerobic exercise improves aerobic capacity in individuals with stroke. DESIGN:A systematic review of randomized controlled trials. DATABASES SEARCHED: MEDLINE, CINAHL, EMBASE, Cochrane Database of Systematic Reviews and Physiotherapy Evidence Database were searched. INCLUSION CRITERIA:D...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.1191/0269215506cr926oa
更新日期:2006-02-01 00:00:00
abstract:OBJECTIVE:To explore how technologies are used and experienced in rehabilitation. DESIGN:A qualitative study using a grounded theory approach within a randomized controlled trial investigating the effectiveness of tailored, affordable technologies to improve mobility and physical activity. SETTINGS:Aged care and neur...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215518771820
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVE:To evaluate the reliability of assessing infants' general movements (GMs) using a new classification and its validity in predicting complex minor neurological dysfunction (MND) at toddler and at school age. DESIGN:Prospective study of two groups of infants, each consisting of a mix of low-risk and high-risk ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215504cr730oa
更新日期:2004-05-01 00:00:00
abstract:OBJECTIVE:To describe the experience of physical activity maintenance in patients with rheumatoid arthritis. DESIGN:A qualitative salutogenic-oriented interview study. SETTING:A rheumatology outpatient clinic. SUBJECTS:A purposive sample of 16 physically active patients (mean age 50, range 37-67) diagnosed with rheu...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215513501526
更新日期:2014-03-01 00:00:00
abstract:OBJECTIVE:The objective was to investigate the effect of increased intensity of rehabilitation therapy provided to brain-injured subjects on the rate at which independence was regained and the duration of hospital admission. DESIGN:A two-centre, prospective, controlled study with random allocation to groups. SETTING:...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1191/026921501680425225
更新日期:2001-10-01 00:00:00
abstract:OBJECTIVE:To assess the feasibility of a randomized controlled trial to evaluate music therapy as a home-based intervention for arm hemiparesis in stroke. DESIGN:A pilot feasibility randomized controlled trial, with cross-over design. Randomization by statistician using computer-generated, random numbers concealed in ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215517717060
更新日期:2018-01-01 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 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: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 review peer-reviewed literature relating to postoperative physiotherapy for degenerative cervical myelopathy (DCM), to determine efficacy in improving clinical outcome and recovery. DATA SOURCES:MEDLINE, EMBASE, CENTRAL, PEDro, ISRCTN registry, WHO ICTRP and Clinicaltrials.gov . References and citations o...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518766229
更新日期:2018-09-01 00:00:00
abstract:PRIMARY OBJECTIVE:To appraise recent studies regarding the needs and experiences of caregivers of individuals with multiple sclerosis (MS). DESIGN:The following computerized databases were searched: CINAHL, BIDS IBSS, ASSIA, MEDLINE, PSYCHINFO, British Nursing Index, ISI Web of Science, Zetoc, AMED (1990-April 2002). ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1191/0269215503cr618oa
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVE::To examine the effect of prolonged slow expiration respiratory physiotherapy treatment on the acute bronchiolitis severity scale and O2 saturation at short-time and at medical discharge in infants and the hospital stay. DESIGN::Randomized controlled trial. SETTING::Infants' unit of university hospital. PA...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215518809815
更新日期:2019-03-01 00:00:00