Abstract:
OBJECTIVES:To determine whether there is a difference in global dependency and functional independence in patients with stroke associated with different approaches to physiotherapy treatment. DATA SOURCES:We searched the Cochrane Stroke Group Trials Register (last searched May 2005), Cochrane Central Register of Controlled Trials (CENTRAL) (Cochrane Library Issue 2, 2005), MEDLINE (1966 to May 2005), EMBASE (1980 to May 2005) and CINAHL (1982 to May 2005). We contacted experts and researchers with an interest in stroke rehabilitation. REVIEW METHODS:Inclusion criteria were: (a) randomized or quasi-randomized controlled trials; (b) adults with a clinical diagnosis of stroke; (c) physiotherapy treatment approaches aimed at promoting postural control and lower limb function; (d) measures of disability, motor impairment or participation. Two independent reviewers categorized identified trials according to the inclusion/exclusion criteria, documented the methodological quality and extracted the data. RESULTS:Twenty trials (1087 patients) were included in the review. Comparisons included: neurophysiological approach versus other approach; motor learning approach versus other approach; mixed approach versus other approach for the outcomes of global dependency and functional independence. A mixed approach was significantly more effective than no treatment control at improving functional independence (standardized mean difference (SMD) 0.94, 95% confidence interval (CI) 0.08 to 1.80). There were no significant differences found for any other comparisons. CONCLUSIONS:Physiotherapy intervention, using a 'mix' of components from different 'approaches' is more effective than no treatment control in attaining functional independence following stroke. There is insufficient evidence to conclude that any one physiotherapy 'approach' is more effective in promoting recovery of disability than any other approach.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Pollock A,Baer G,Langhorne P,Pomeroy Vdoi
10.1177/0269215507073438subject
Has Abstractpub_date
2007-05-01 00:00:00pages
395-410issue
5eissn
0269-2155issn
1477-0873pii
21/5/395journal_volume
21pub_type
杂志文章,评审abstract:OBJECTIVE:To compare stroke patients' reports with service providers' reports on the rehabilitation services patients receive. SETTING:Community, predominantly urban. SUBJECTS:Ninety-three stroke patients who had not been admitted to hospital. METHOD:Between August 1994 and August 1996, 54 general practitioner pract...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921598671668617
更新日期:1998-06-01 00:00:00
abstract:OBJECTIVE:To modify a published group intervention for adjustment to multiple sclerosis (MS) to suit an individual format, and to assess the feasibility of a randomised controlled trial (RCT) to compare individual and group intervention for people with multiple sclerosis and low mood. DESIGN:Feasibility randomised con...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215515616446
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVE:To analyse the feasibility of Basic Body Awareness Therapy in people with eating disorders. DESIGN:A randomized controlled trial; the assessors were not blinded to the group allocation. SETTING:The eating disorders department within a hospital setting. SUBJECTS:Twenty-eight outpatients with eating disorder...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215510394223
更新日期:2011-07-01 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:To estimate the effectiveness of ultrasonophoresis and iontophoresis with sodium diclofenac used in addition to an exercise program for patients with impingement syndrome. DESIGN:Multicentre, double-blind, placebo randomized controlled trial. SETTING:"Mancha Centro" Outpatient primary care clinic (Spain). ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215515578293
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:Goal achievement has been considered to be an important measure of outcome by clinicians working with patients in physical and neurological rehabilitation settings. This systematic review was undertaken to examine the reliability, validity and sensitivity of goal setting and goal attainment scaling approache...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215506070793
更新日期:2006-09-01 00:00:00
abstract:OBJECTIVE:To evaluate the reliability of assessing infants' general movements (GMs) using a new classification and its validity in predicting complex minor neurological dysfunction (MND) at toddler and at school age. DESIGN:Prospective study of two groups of infants, each consisting of a mix of low-risk and high-risk ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215504cr730oa
更新日期:2004-05-01 00:00:00
abstract:OBJECTIVE:We hypothesized that early ambulation with a gutter frame (GF) in elderly patients hospitalized for acute exacerbation of chronic obstructive pulmonary disease (AECOPD) may reduce physical disability and allow earlier discharge. DESIGN:Blinded, randomized parallel groups trial. SUBJECTS:One hundred and ten ...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/0269215503cr637oa
更新日期:2003-08-01 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: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:To systematically review the evidence on the effect of continuous passive motion, combined with usual physiotherapy management, on increasing shoulder joint range of motion and muscle strength, and reducing shoulder pain in adults following rotator cuff repair, compared with standard physiotherapy. DATA SOUR...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215510380835
更新日期:2011-04-01 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 test the hypothesis that combined aerobic and resistance training and non-invasive ventilatory support result in additional benefits compared with combined aerobic and resistance training alone in heart failure patients. DESIGN:A randomized, single-blind, controlled study. SETTING:Cardiac rehabilitation ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215517704269
更新日期:2017-11-01 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 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 compare the outcome of day hospital to day centre rehabilitation. 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 social services day centres in market towns. SUBJECTS:One hundre...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/026921599671803291
更新日期:1999-04-01 00:00:00
abstract:OBJECTIVE:To describe the experience of physical activity maintenance in patients with rheumatoid arthritis. DESIGN:A qualitative salutogenic-oriented interview study. SETTING:A rheumatology outpatient clinic. SUBJECTS:A purposive sample of 16 physically active patients (mean age 50, range 37-67) diagnosed with rheu...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215513501526
更新日期:2014-03-01 00:00:00
abstract:OBJECTIVE:To explore the inter-observer reliability of bedside observations of stroke patients' posture using two versions of a pictorial tool. DESIGN:Three projects were conducted. The initial version of the tool was used in project 1. The modified version was used in projects 2 and 3. In each project a pair of obser...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1177/026921559901300307
更新日期:1999-06-01 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 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 determine whether transferring equipment designed to assist a carer when moving someone who is able to take some weight through their legs is likely to affect the risk of back problems in the carer. DESIGN:Twelve pieces of equipment were tested by nurses transferring patients from commode to wheelchair an...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215502cr499oa
更新日期:2002-05-01 00:00:00
abstract:OBJECTIVE:To systemically review the psychometric properties and clinical utility (feasibility) of tools to measure fatigue in neurological conditions. DATA SOURCES:AMED, CINAHL, MEDLINE, Science Direct and Web of Knowledge were searched for studies of the psychometric properties of fatigue measures in adults with cen...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215514521043
更新日期:2014-08-01 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: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:To explore, following a literature review, whether there is a consistent definition and a unified assessment framework for the term 'spasticity'. The congruence between the definitions of spasticity and the corresponding methods of measurement were also explored. DATA SOURCES:The search was performed on the ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215508101747
更新日期:2009-07-01 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 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::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: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 evaluate the effect of pre-emptive swallowing stimulation on the recovery of swallowing function in long-term intubated patients. DESIGN AND SUBJECTS:Patients in the intensive care unit intubated for at least 48 hours due to respiratory distress from March to August 2004 were randomly divided into two gro...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215506071286
更新日期:2007-01-01 00:00:00