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 centres. SUBJECTS:Sixty-two anterior circulation ischaemic stroke patients. INTERVENTIONS:Random assignment to three group: (A) no augmented exercise therapy time, (B) augmented exercise therapy time as Bobath therapy and (C) augmented exercise therapy time as Arm BASIS training. MAIN MEASURES: MAIN OUTCOME MEASURE:Fugl-Meyer arm motor score. Secondary measure: Action Research Arm Test (ARA). Ancillary measures: Fugl-Meyer arm sensation and joint motion/pain scores and the Ashworth Scale (elbow flexors). RESULTS:An overall effect of augmented exercise therapy time on Fugl-Meyer scores after four weeks was not corroborated (mean and 95% confidence interval (CI) of change scores: no augmented exercise therapy time (n=20) 8.8, 5.2-12.3; augmented exercise therapy time (n=40) 9.9, 6.8-13.9; p = 0.2657). The group who received the augmented exercise therapy time as Arm BASIS training (n=20) had, however, higher gains than the group receiving the augmented exercise therapy time as Bobath therapy (n=20) (mean and 95% CI of change scores: Bobath 7.2, 2.6-11.8; BASIS 12.6, 8.4-16.8; p = 0.0432). Passive joint motion/pain deteriorated less in the group who received BASIS training (mean and 95% CI of change scores: Bobath -3.2, -5.2 to -1.1; BASIS 0.1, -1.8-2.0; p = 0.0090). ARA, Fugl-Meyer arm sensation, and Ashworth Scale scores were not differentially affected. CONCLUSIONS:The augmented exercise therapy time as Arm BASIS training enhanced selective motor control. Type of training was more relevant for recovery of motor control than therapeutic time spent.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Platz T,Eickhof C,van Kaick S,Engel U,Pinkowski C,Kalok S,Pause Mdoi
10.1191/0269215505cr904oasubject
Has Abstractpub_date
2005-10-01 00:00:00pages
714-24issue
7eissn
0269-2155issn
1477-0873journal_volume
19pub_type
杂志文章,多中心研究,随机对照试验abstract:OBJECTIVE:To compare day hospital to day centre rehabilitation using scales to measure mobility, activities of daily living and quality of life. 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...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/0269215500cr334oa
更新日期:2000-08-01 00:00:00
abstract:OBJECTIVE:The purpose of the study was to evaluate the feasibility and efficacy of robot-assisted hand rehabilitation in improving arm function abilities in sub-acute hemiplegic patients. DESIGN:Randomized controlled pilot study. SETTING:Inpatient rehabilitation centers. PARTICIPANTS:Thirty hemiplegic stroke patient...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215516642606
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVE:Meaning-making is a way of coping when facing adverse events. A paucity of literature suggests other possible factors (e.g. delivery of knowledge) can influence how chronic illness survivors (i.e. stroke survivors in rehabilitation) cope with illness. This article explores the importance and significance of m...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215517708604
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVE:To investigate the efficacy of intermittent cervical traction in the treatment of chronic neck pain over a 12-week follow-up. DESIGN:A randomized controlled trial. SETTING:Hospital-based outpatient practice. SUBJECTS:Seventy-nine patients with chronic neck pain. INTERVENTIONS:Subjects were randomly assign...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215511399590
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVE:To explore the effects of weighted garments on the balance and gait of stroke patients. DESIGN:A pilot randomized controlled study with blinded measurement. SETTING:Weighted garments were worn by patients living in the community and measurement was made in a hospital-based gait laboratory. SUBJECTS:Twenty-...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/026921501678310199
更新日期:2001-08-01 00:00:00
abstract:OBJECTIVE:To investigate the level of agreement of the behavioural mapping method with an accelerometer to measure physical activity of hospitalized patients. DESIGN:A prospective single-centre observational study. SETTING:A university medical centre in the Netherlands. SUBJECTS:Patients admitted to the hospital. M...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215519836454
更新日期:2019-07-01 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: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:OBJECTIVE:To further validate the simplified modified Rankin Scale questionnaire (smRSq), we compare it here to a well-established predictor of functional outcome after stroke, the initial stroke severity. DESIGN:Retrospective correlation analysis. PARTICIPANTS:Forty patients identified from a registry of stroke pati...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215512470674
更新日期:2013-08-01 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 effects of patellar taping on the electromyographic onset of vastus medialis obliquus and vastus lateralis, and their magnitudes of reflex contraction before and after quadriceps muscle fatigue in subjects with patellofemoral pain. METHODS:Sixteen adults (5 males) diagnosed with patellofem...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215509334835
更新日期:2009-08-01 00:00:00
abstract:OBJECTIVE:To evaluate the effects of visual cues combined with treadmill training on gait performance in patients with Parkinson's disease and to compare the strategy with pure treadmill training. DESIGN:Pilot, exploratory, non-blinded, randomized controlled trial. SETTING:University Hospital of Munich, Germany. SUB...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215515588836
更新日期:2016-05-01 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: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 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:OBJECTIVES:This study hypothesized that higher caregiving demands are related to higher perceived injustice. Furthermore, this study investigated the mediating role of perceived injustice in the link between caregiving demands and caregivers' psychological well-being. DESIGN:A cross-sectional design. SETTING:The Pain...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215516643846
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVE:To identify predictors of long-term pain and disability in knee osteoarthritis. DESIGN:A longitudinal cohort study of five years. SETTING:Primary care providers. SUBJECTS:In all, 108 patients (mean age = 63.6 years, standard deviation (SD) = 7.2 years) with knee pain (⩾40 mm on a 100 mm visual analogue sca...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215519900533
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:To develop and validate parallel short forms for the assessment of general anxiety in cardiovascular rehabilitation patients, that facilitate repeated measurement over time without contamination from residual practice effect variance. DESIGN:Development of the parallel short forms using Rasch analysis. Valid...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215515627288
更新日期:2017-01-01 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 compare the feasibility, convergent and clinical validity of three commonly used burden scales: Caregiver Strain Index (CSI), Caregiver Reaction Assessment (CRA) and Sense of Competence Questionnaire (SCQ), with a self-developed single question on self-rated burden (SRB). SUBJECTS:Stroke patients receivin...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215504cr723oa
更新日期:2004-03-01 00:00:00
abstract:OBJECTIVE:We aimed to interrogate the effects of transcranial magnetic stimulation (TMS) on the performance in activities of daily living (ADL) and attention function after stroke. DESIGN:Randomized controlled trial. SETTING:Inpatient rehabilitation hospital. SUBJECTS:We randomized 62 stroke patients with attention ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520946386
更新日期:2020-12-01 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: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 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 develop an observational instrument that can be used to evaluate the quality of arm and hand skills in daily functional activities in children with obstetric brachial plexus lesion (OBPL). A set of functional activities was constructed and standardized, and the intra-observer reliability of the assessment ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215506071253
更新日期:2007-02-01 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:OBJECTIVE:To investigate the effects of body awareness therapy on balance, mobility, balance confidence, and subjective health status in persons with stroke. DESIGN:A pilot randomized controlled study with follow-up at one and 4-6 weeks after the intervention period. SETTING:Four primary healthcare centres in Örebro ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215514527994
更新日期:2014-12-01 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:OBJECTIVE:This review aimed to determine the effectiveness of personal smart technologies on outcomes in adults with acquired brain injury. DATA SOURCES:A systematic literature search was conducted on 30 May 2019. Twelve electronic databases, grey literature databases, PROSPERO, reference list and author citations wer...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215519865774
更新日期:2019-11-01 00:00:00
abstract:OBJECTIVE:To develop an adaptive measure, the Stroke Arm Ladder, to parsimoniously quantify upper extremity function post stroke. SETTING:Various studies conducted in Montreal and elsewhere in Canada. SUBJECTS:A total of 4058 persons with stroke who participated in various studies were assessed on different occasions...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215510389496
更新日期:2011-08-01 00:00:00