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 England. SUBJECTS:One hundred and eighteen people with Parkinson's disease and no cognitive impairment, and their carers. INTERVENTION:Participants attended the day hospital in groups of six patients with their carers for one day per week over six consecutive weeks. After assessment, they received individual treatment from a specialist team. Weekly group activities included relaxation and talks from experts. OUTCOME MEASURES:Patients and carers were assessed for: health-related quality of life, psychological well-being, social services need, perceptions of the programme. Patients were additionally assessed for mobility, gait and speech. Carers were assessed for strain. RESULTS:After treatment significant improvements were recorded in patients' mobility and gait (p < 0.05), speech (p < 0.001), depression (p = 0.029), health-related quality of life (p = 0.001). People with more advanced disease at baseline gained significantly more from treatment (p < or = 0.04). Carers were less depressed and had higher health-related quality of life than patients at baseline (p < 0.001) and no improvements in these indicators were recorded after treatment. A high unmet need for social services was identified in 31% of participants, and 10% of carers were found in danger of being unable to continue caring. Participants reported knowledge gains and high levels of satisfaction with both individual therapies and group activities. CONCLUSIONS:This intensive co-ordinated programme provided immediate benefits to people with Parkinson's disease and their carers.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Trend P,Kaye J,Gage H,Owen C,Wade Ddoi
10.1191/0269215502cr545oasubject
Has Abstractpub_date
2002-11-01 00:00:00pages
717-25issue
7eissn
0269-2155issn
1477-0873journal_volume
16pub_type
杂志文章abstract:OBJECTIVE:To evaluate if the Timed Up and Go Test is a useful tool to measure postoperative function and to predict one-year results of rehabilitation in patients operated owing to hip fracture. DESIGN:Prospective cohort study. SETTING:The department of orthopaedic surgery at five hospitals in Norway. Patients were a...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215515591039
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:To identify the extent to which exercise intervention studies in multiple sclerosis rehabilitation are addressing comorbidities and if researchers consider comorbidities as possible moderators or mediators of exercise outcomes. METHODS:Five databases were searched from inception to January 8, 2016, for exerc...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215517698734
更新日期:2017-10-01 00:00:00
abstract::This editorial considers how healthcare systems should approach the problems associated with ongoing, persistent symptoms and limitations on a person's ability to undertake activities. It starts from the premise, established in the first editorial, that the current reliance on the biomedical model of health and illnes...
journal_title:Clinical rehabilitation
pub_type: 社论
doi:10.1177/0269215515601175
更新日期:2015-12-01 00:00:00
abstract:OBJECTIVE:To evaluate the effects of leisure therapy and conventional occupational therapy (OT) on the mood, leisure participation and independence in activities of daily living (ADL) of stroke patients 6 and 12 months after hospital discharge. DESIGN:Multicentre randomized controlled trial. SETTING AND PARTICIPANTS:...
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:10.1191/026921501666968247
更新日期:2001-02-01 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 systematically review the available evidence for the effectiveness of sensory re-education to improve the sensibility of the hand in patients with a peripheral nerve injury of the upper limb. DATA SOURCES:Studies were identified by an electronic search in the databases MEDLINE, Cumulative Index to Nursing...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215507074395
更新日期:2007-06-01 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:This systematic review aimed to investigate the effects of interventions intended for retraining leg somatosensory function on somatosensory impairment, and secondary outcomes of balance and gait, after stroke. DATA SOURCES:Databases searched from inception to 16 January 2019 included Cochrane Library, PubMe...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215519836461
更新日期:2019-06-01 00:00:00
abstract::Registration of randomized controlled trials is essential to reduce the risk of biased data being used when judging the effectiveness of an intervention. This journal will in future require that all randomized trials submitted are registered on a recognized register. This editorial explains why. ...
journal_title:Clinical rehabilitation
pub_type: 社论
doi:10.1177/0269215515612209
更新日期:2016-03-01 00:00:00
abstract:OBJECTIVES:To determine the effectiveness of an Early Rehabilitation Intervention (ERI ) versus a Brief Education Intervention (BEI) following road trauma. PRIMARY OBJECTIVE:return to work or usual activities at 12 weeks (for minor/moderate injury) and 24 weeks for major injury. SECONDARY OBJECTIVES:Reduction in pain...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215514552083
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVE:To investigate the feasibility and the effects on gait of a high intensity task-oriented training, incorporating a high cardiovascular workload and large number of repetitions, in patients with subacute stroke, when compared to a low intensity physiotherapy-programme. DESIGN AND SUBJECTS:Randomized controlle...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215509360647
更新日期:2010-11-01 00:00:00
abstract:OBJECTIVE:To assess whether intraarticular corticosteroids improve the outcome of a comprehensive home exercise programme in patients with adhesive capsulitis. SETTING:The study was undertaken in the Physical Therapy and Rehabilitation Department of a Ministry of Health hospital in Turkey. SUBJECTS:Eighty patients wi...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215508086179
更新日期:2008-06-01 00:00:00
abstract:OBJECTIVE:To evaluate the efficacy of a perceptive rehabilitative approach, based on a new device, with regard to pain and disability in patients with chronic nonspecific low back pain. DESIGN:Single blind, randomized, controlled trial. SETTING:An outpatient academic hospital. PATIENTS:Seventy-five patients with chr...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215511414443
更新日期:2012-04-01 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 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 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: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 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:The purpose of this study was to determine the benefits and harms of low-level laser therapy for Achilles tendinopathy. DATA SOURCES:Search strategies were conducted (from inception to February 2020) in Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, Cumulative Index to Nursing and...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215520912820
更新日期:2020-06-01 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 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 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 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 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:The study asked whether an early botulinum toxin A (BTX-A) injection in subacute stroke patients may prevent a disabling finger flexor stiffness six months later. DESIGN:Single-blind, randomized pilot study. SETTING:Inpatient rehabilitation centre. SUBJECTS:Eighteen stroke patients, interval 4-6 weeks, non...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215511421355
更新日期:2012-03-01 00:00:00
abstract:OBJECTIVE:To evaluate the effects of community-based rehabilitation therapy on neurological function deficit in stroke patients. DESIGN:Prospective, single-blind, randomized controlled multicentre trial. SETTING:At home, in Shanghai, China. SUBJECTS:A total of 737 stroke patients in the community. INTERVENTION:The ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215508091870
更新日期:2009-05-01 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 evaluate evidence on the effectiveness of Mulligan techniques on low back pain. DATA SOURCES:PubMed/Medline, Scopus, Ovid, CINAHL, Embase, PEDro, Google Scholar, and Cochrane Library were searched from inception to 31 March 2018 for randomized clinical trials reporting outcomes of pain or disability in ad...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518778321
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVE::To compare the effects of diacutaneous fibrolysis with sham in patients with mild to moderate carpal tunnel syndrome. DESIGN::Double-blind (patient and evaluator) randomized controlled trial. SETTING::Miguel Servet University Hospital, Zaragoza, Spain. SUBJECTS::A total of 52 patients (72 wrists) with car...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215518787316
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of cognitive problems and other factors on the capacity to make a decision about discharge destination and to compare the impressions of multidisciplinary team (MDT) members regarding capacity with a formal assessment. DESIGN:Between-subjects comparison design. SETTING:One stroke r...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215508096175
更新日期:2008-12-01 00:00:00