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 patients for rehabilitation does not exist and probably the best criterion of ability to benefit from rehabilitation (not 'likely to have a good outcome') is demonstration of benefit within a rehabilitation programme. Basic considerations of epidemiological statistical facts also show that criteria are likely to select too many inappropriate patients into services or exclude too many appropriate patients from services. The solution is for purchasers and providers to develop mutual trust and, in the UK at least, to ensure that patients who do not need rehabilitation can be discharged quickly into appropriate support services.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Wade DTdoi
10.1191/0269215503cr591edsubject
Has Abstractpub_date
2003-03-01 00:00:00pages
115-8issue
2eissn
0269-2155issn
1477-0873journal_volume
17pub_type
社论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 compare the well-being of stroke patients' relatives with that of a reference group, and to identify variables related to the well-being of the relatives. DESIGN:Cross-sectional study. SETTING:Outpatient hospital department and patients' and relatives' own homes. SUBJECTS:Fifty-four patients one year af...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215503cr627oa
更新日期:2003-07-01 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:OBJECTIVE:Investigation of the effects of preoperative physical therapy on pulmonary function and physical performance before and after upper abdominal surgery. DESIGN:Non-blind randomized controlled trial. SETTING:Tertiary public hospital and private university, São Paulo state, Brazil. SUBJECTS:Thirty-two patients...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215512471063
更新日期:2013-07-01 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:To assess the effectiveness of therapeutic exercises alone and in combination with a single physical agent - ultrasound - in patients with lumbar spinal stenosis. DESIGN:Randomized, prospective, controlled trial. SETTING:Department of Physical Medicine and Rehabilitation, University Hospital. SUBJECTS:Fort...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215510367539
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVE:To evaluate the effects of individual or group mirror therapy on sensorimotor function, activities of daily living, quality of life and visuospatial neglect in patients with a severe arm paresis after stroke. DESIGN:Randomized controlled trial. SETTING:Inpatient rehabilitation centre. SUBJECT:Sixty patient...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215512455651
更新日期:2013-04-01 00:00:00
abstract:OBJECTIVE:To determine whether symptoms of urinary incontinence is reduced by pelvic floor muscle training, to determine whether urinary incontinence can be totally eliminated by strengthening the pelvic floor muscle to grade 5 on the Oxford scale. DESIGN:Prospective randomized controlled clinical trial. SETTING:Outp...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215514546768
更新日期:2015-06-01 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 determine whether stroke patients with initial increases in arm motor recovery following low-frequency transcutaneous electrical nerve stimulation (low TENS) treatment go on to show long-term benefits. Also whether the same therapy results in long-term improvements in motor function, spasticity or activiti...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/026921500673534278
更新日期:2000-02-01 00:00:00
abstract:OBJECTIVE:To evaluate medication, rehabilitation and healthcare consumption in adults with CP as a function of Gross Motor Function Classification System (GMFCS) level. DESIGN:Questionnaire-based cross-sectional study. SETTING:Brittany, a French county. SUBJECTS:Adults with cerebral palsy. INTERVENTIONS:Questionnai...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215516663286
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVES:To explore the feasibility of using a stroke-specific toolkit for six-month post-stroke reviews in care homes to identify unmet needs and actions. DESIGN:An observational study including qualitative interviews to explore the process and outcome of reviews. SETTING:UK care homes. PARTICIPANTS:Stroke surviv...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520912515
更新日期:2020-05-01 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: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 characterize environmental barriers to leisure participation among individuals living with stroke; examine relationships between environmental barriers and leisure interest and satisfaction; and investigate participant factors associated with the perception of environmental barriers. DESIGN::Survey. SET...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518818234
更新日期:2019-04-01 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 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:First, to investigate the effects of a telerehabilitation intervention on health status and activity level of patients with Chronic Obstructive Pulmonary Disease (COPD), compared to usual care. Second, to investigate how patients comply with the intervention and whether compliance is related to treatment outc...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215513512495
更新日期:2014-06-01 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
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::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:PURPOSE:To study gender differences in functional outcome unexpectedly observed in a follow-up study of stroke patients. DESIGN:Prospective study of hospitalized stroke patients, with evaluations in the subacute phase and after one year. SETTING:Geriatric and general medical wards, and geriatric outpatient clinic of ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/026921559701100211
更新日期:1997-05-01 00:00:00
abstract:OBJECTIVE:To assess whether the addition of an education programme for primary caregivers to rehabilitation improves daily functioning in children with cerebral palsy. DESIGN:A randomized, single-blind, controlled study. SETTING:This study was conducted in a rehabilitation centre in Salvador, Brazil. PARTICIPANTS:A ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215518757051
更新日期:2018-07-01 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: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:This study validated the Patellofemoral Pain Severity Scale translated into Chinese. DESIGN AND SETTING:The Chinese Patellofemoral Pain Severity Scale was translated from the original English version following standard forward and backward translation procedures recommended by the International Society for P...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215512456309
更新日期:2013-05-01 00:00:00
abstract:OBJECTIVE:To analyse the relationship between the timed 'up and go' (TUG) and gait time in an elderly orthopaedic population, in order to determine whether additional useful information is obtained by measuring both. DESIGN:Observational study. SETTING:Jewish Rehabilitation Hospital, Laval, Quebec. SUBJECTS:Seventy-...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921500675545616
更新日期:2000-02-01 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 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::This series of articles for rehabilitation in practice aims to cover a knowledge element of the rehabilitation medicine curriculum. Nevertheless they are intended to be of interest to a multidisciplinary audience. The competency addressed in this article is 'The trainee consistently demonstrates a knowledge of the pat...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215509353254
更新日期:2010-04-01 00:00:00