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 stimulus (TMS) with the facilitatory and/or inhibitory influence that proprioceptive afferent information exerts on the motor cortex was investigated. SETTING:A neurological rehabilitation hospital. SUBJECTS:Sixteen healthy subjects and 14 stroke patients. MAIN OUTCOME MEASURES:Amplitudes and latencies of motor-evoked potentials (MEPs) recorded from the extensor carpi radialis muscle. The influence of a sensory discrimination task was compared with the influence of a sensory input irrelevant for the task and to a verbal memory task. Recordings were taken after the hand had been moved passively in one of four different positions. RESULTS:In the first trial, TMS was applied without any demand on the subjects. In the second trial, subjects were asked to identify the respective hand position and in the third trial a noun presented at a respective hand position had to be memorized and reproduced after TMS. The sensory discrimination task exerted by far the most prominent facilitatory effect on MEP amplitudes and latencies. An unspecific, albeit reproducible influence on MEP amplitudes was observed when a noun presented at a respective hand position had to be remembered. CONCLUSIONS:Using a neurophysiological approach the study demonstrates that a sensory discrimination task based on relevant afferent information to motor centres of the brain forms a prominent facilitatory intervention for those muscle groups that are involved in the task. This holds true for healthy subjects and for hemiparetic stroke patients.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Lackner E,Hummelsheim Hdoi
10.1191/0269215503cr660oasubject
Has Abstractpub_date
2003-09-01 00:00:00pages
648-55issue
6eissn
0269-2155issn
1477-0873journal_volume
17pub_type
杂志文章abstract:OBJECTIVE:To assess the psychometric properties of an observational screening measure of depressive symptoms (SADQH-10; 10-item Hospital version of the Stroke Aphasic Depression Questionnaire) for use in stroke patients with aphasia and to determine the convergent and divergent validity of the SADQH-10. DESIGN:Cross-s...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215511422388
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVE:To investigate the effects of a predefined mini-trampoline therapy programme for increasing postural control, mobility and the ability to perform activities of daily living after stroke. DESIGN:Randomized non-blinded controlled pilot study. SETTING:Neurological rehabilitation hospital. SUBJECTS:First-time ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215513485591
更新日期:2013-10-01 00:00:00
abstract:OBJECTIVES::To explore the experiences of occupational therapists and physiotherapists and to reveal any factors that can facilitate delivering a complex care home intervention promoting meaningful activity. DESIGN::Qualitative interview study using data from three focus groups conducted longitudinally post interventi...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518815233
更新日期:2019-03-01 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 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: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:OBJECTIVES:Combined aerobic and resistance exercise (CARE) is beneficial for improving renal function. To confirm this, we conducted a meta-analysis to evaluate the effects of CARE on renal function in adult patients with chronic kidney disease (CKD). DATE SOURCES:The last date of search was 22 February 2020. We searc...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215520924459
更新日期:2020-07-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215515622671
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVE:To compare the cost effectiveness of two occupational therapy-led discharge planning interventions from the HOME trial. DESIGN:An economic evaluation was conducted within the superiority randomized HOME trial to assess the difference in costs and health-related outcomes associated with the enhanced program a...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215518764249
更新日期:2018-07-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215510371427
更新日期:2010-10-01 00:00:00
abstract:OBJECTIVE:To compare self-report measures of daily activities with objective activity data to determine whether patients with chronic lower back pain report their activity levels as accurately as controls do. DESIGN:A cross-sectional study was performed in patients and controls. SETTING:The study was carried out in t...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215510380828
更新日期:2011-03-01 00:00:00
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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 identify the nature and extent of perceived unmet needs of people with spinal cord injury (SCI) living in the community and to determine their preferences regarding multidisciplinary outreach service delivery. DESIGN:Structured telephone interviews. SETTING:Spinal Injuries Unit, Queensland, Australia. S...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215501cr453oa
更新日期:2001-12-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215519837582
更新日期:2019-07-01 00:00:00
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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
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journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215503cr623oa
更新日期:2003-08-01 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:UNLABELLED: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 cognitive rehabilitation. BACKGROUND:There is a pa...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215510395791
更新日期:2011-08-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.1177/0269215514544982
更新日期:2014-10-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215506071253
更新日期:2007-02-01 00:00:00
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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
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journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520968056
更新日期:2020-10-26 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215514538069
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:To establish the structural validity of the Chinese version of the Modified Barthel Index and to estimate its inter-rater reliability for use with patients who have had a stroke. DESIGN:Prospective study. SETTING:A regional general hospital and a day hospital in Hong Kong. SUBJECTS:One hundred and sixteen ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215507077286
更新日期:2007-10-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921598672393611
更新日期:1998-08-01 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: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:The use of wearable motion-sensing technology offers important advantages over conventional methods for obtaining measures of physical activity and/or physical functioning in aged individuals. This review aims to identify the actual state of applying wearable systems for monitoring mobility-related activity i...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215508090675
更新日期:2008-10-01 00:00:00
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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:Does early treatment of spasticity with botulinum-toxin (BoNTA), in (hyper)acute stroke patients without arm-function, reduce contractures and improve function. DESIGN:Randomised placebo-controlled-trial. SETTING:Specialised stroke-unit. PARTICIPANTS & INTERVENTION:Patients with an Action Research Arm Test...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520963855
更新日期:2020-10-11 00:00:00