Abstract:
OBJECTIVES:To estimate the point prevalence of pressure sores in a community sample of spinal cord injured patients who were followed up by a spinal injuries unit and to evaluate whether self-management strategies were associated with decreased risk of pressure sores. SETTING:A regional spinal injuries unit, UK. DESIGN:Postal questionnaire survey. MAIN OUTCOME MEASURE:Presence of pressure sores. SUBJECTS:All patients who were being followed up on a regular basis by the unit. RESULTS:Out of 760, 520 replied to the questionnaire; 472 were eligible for analysis. Point prevalence of pressure sores was 23% (99). Failure to inspect the skin daily for pressure damage was associated with decreased prevalence of pressure sores (odds ratio (OR) 0.5; 95% confidence interval (CI) 0.2-0.83). Those who inspected their skin daily, however, had a higher proportion of stage I pressure sores, but this was not statistically significant. Smoking (OR 1.8; 95% CI 1-3.3) and pre-existing medical problems (OR 1.8; 95% CI 1-3) were associated with increased prevalence of pressure sores. Regular lifting of weight at least once in an hour while seated, age, gender, neurological level, employment status, living alone and faecal and urinary incontinence were not significant predictors of pressure sores. CONCLUSIONS:Nearly one-quarter of participants had pressure sores at the time of the survey. Periodic weight lifts and daily inspection of skin for pressure damage were not associated with decreased prevalence of pressure sores in this sample. However, those who inspected skin daily tended to detect pressure damage early.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Raghavan P,Raza WA,Ahmed YS,Chamberlain MAdoi
10.1191/0269215503cr692oasubject
Has Abstractpub_date
2003-12-01 00:00:00pages
879-84issue
8eissn
0269-2155issn
1477-0873journal_volume
17pub_type
杂志文章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 determine the effect of a workplace intervention programme on the rate of return to work of previously employed stroke survivors in the Gauteng province of South Africa. DESIGN:A randomised controlled trial. SETTING:Participants' workplaces and three hospitals with stroke rehabilitation facilities. SUBJ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215514554241
更新日期:2015-07-01 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: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:BACKGROUND:The Action Research Arm (ARA) test is a performance test of upper extremity motor function which consists of 19 items divided into four hierarchical subtests. This multidimensionality has not yet been tested empirically. OBJECTIVE:To investigate the dimensionality of the ARA test. DESIGN:Cross-sectional st...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215502cr534oa
更新日期:2002-09-01 00:00:00
abstract:OBJECTIVE:(1) To evaluate constraint-induced movement therapy for chronic stroke patients modified into group practice to limit the demand on therapist resources. (2) To explore whether extended mitt use alone may enhance outcome. DESIGN:A combined case-control and randomized controlled study with pre- and post-treatm...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1191/0269215506cr937oa
更新日期:2006-03-01 00:00:00
abstract:OBJECTIVE:To evaluate the immediate effects of individually designed functional in-shoe ankle-foot orthoses (AFO) made of soft and hard cast on balance, standing, and gait parameters in hemiparetic patients. DESIGN:Crossover design with randomized order of the intervention. SETTING:A rehabilitation centre for adults ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1191/0269215506cr951oa
更新日期:2006-04-01 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:The aim of this review was to systematically assess and meta-analyze the effectiveness of yoga in relieving chronic neck pain. METHODS:PubMed/MEDLINE, the Cochrane Library, Scopus, and IndMED were screened through January 2017 for randomized controlled trials assessing neck pain intensity and/or neck pain-re...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215517698735
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVE:To provide a theoretical background, to review existing literature and to present new case material relevant to the treatment of phantom limb pain using hypnotic imagery. METHOD:This paper presents two new case reports involving the use of hypnotic imagery procedures in the alleviation of phantom limb pain a...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1191/0269215502cr507oa
更新日期:2002-06-01 00:00:00
abstract:OBJECTIVE:To use data and patient involvement to identify categories within the International Classification of Functioning, Disability and Health (ICF) component activities and participation relevant for patients with affective, somatoform, anxiety and adjustment disorders. DESIGN:The first step was to identify syste...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215513475805
更新日期:2013-08-01 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 study the impact of physical and mental fatigue on cognitive complaints and cognitive performance in patients with multiple sclerosis. DESIGN:Cross-sectional study. SETTING:An outpatient neurology clinic. SUBJECTS:Eighty patients diagnosed with clinically definite multiple sclerosis. MEASURES:The subsc...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215510367540
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVE:A difference in temperature between the affected and normal extremity is one of the signs or symptoms of reflex sympathetic dystrophy (RSD). These temperature differences are scored anamnestically, by palpation, or by measurements. We investigated the relationship between objective and subjective differences ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921599670196521
更新日期:1999-10-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of early cycling training on balance and motor abilities of stroke patients in their subacute stage. DESIGN:Randomized clinical trial. SETTING:Inpatient rehabilitation. SUBJECTS:Twenty-four patients who had had a first stroke were randomly assigned to a cycling training group (N=1...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1191/0269215505cr960oa
更新日期:2006-05-01 00:00:00
abstract:OBJECTIVE:To evaluate the effectiveness of lifestyle group intervention on well-being, occupation and social participation. DESIGN:A randomized controlled trial. SETTING:Senior centres in the community. SUBJECTS:Of 204 stroke survivors screened, 99 (49%) were randomized three months after stroke whereby 86 (87%) par...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215511429473
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVE:To test the measurement properties (reliability, interpretability, and validity) of the Life-Space Assessment questionnaire for older adults with chronic obstructive pulmonary disease. DESIGN:Clinimetric study. SETTING:Pneumology service, ambulatory care, São Paulo, SP, Brazil. PARTICIPANTS:Consecutive sam...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518780488
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVE:To evaluate the feasibility and concurrent validity of a new, mail-administered, stroke-specific outcome measure, the Stroke Impact Scale (SIS). DESIGN:Observational cohort study. SETTING AND PATIENTS:Stroke patients who had lived independently in the community prior to their stroke and who were candidates ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215502cr510oa
更新日期:2002-08-01 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: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
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
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 communi...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/0269215502cr478oa
更新日期:2002-03-01 00:00:00
abstract:OBJECTIVE:To investigate the effectiveness and safety of Baduanjin training on the cognitive function in stroke survivors with cognitive impairment. DESIGN:A randomized, two-arm parallel controlled trial with allocation concealment and assessors blinding. SETTING:Community centre of Fuzhou city, China. SUBJECTS:A to...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215520930256
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVE:To compare spinal manipulation, back school and individual physiotherapy in the treatment of chronic low back pain. DESIGN:Randomized trial, 12-month follow-up. SETTING:Outpatient rehabilitation department. PARTICIPANTS:210 patients with chronic, non-specific low back pain, 140/210 women, age 59 +/- 14 yea...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215509342328
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVE:To investigate an intensive asynchronous computer-based treatment delivered remotely with clinician oversight to people with aphasia. DESIGN:Single-blind, randomized placebo-controlled trial. SETTING:Free-standing urban rehabilitation hospital. PARTICIPANTS:Adults with aphasia (at least six months post-ons...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520988475
更新日期:2021-01-20 00:00:00
abstract:OBJECTIVE:To systematically investigate how fatigue, depression, anxiety, sleep quality, and life quality are influenced by the Internet-based self-management program (IBSMP) among cancer patients. DATA SOURCES:Eight databases (Cochrane Library, Ovid, Web of Science, Medline, Embase, Chinese biomedical database (CBM),...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215519889394
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:To compare the effect of early customized vestibular rehabilitation with general instructions in patients after acoustic neuroma surgery. SETTING:Tertiary referral centre. SUBJECTS:Fifty-three patients after surgery. DESIGN:A prospective assessor-blinded, randomized controlled trial. INTERVENTIONS:After s...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215508089066
更新日期:2008-08-01 00:00:00
abstract:OBJECTIVE:To develop a self-report measure for assessment of the stage of change in patients with osteoarthritis, in order to identify patients who would benefit from a self-management programme. METHODS:According to the 'stages of change' model a questionnaire was developed with three groups of items corresponding to...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215505cr814oa
更新日期:2005-05-01 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::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