Abstract:
OBJECTIVE:To determine if exercise benefits patients with multiple sclerosis. DESIGN:Randomized controlled trial. SETTINGS:Participants exercised at home and also attended exercise classes held in a hospital physiotherapy gym. SUBJECTS:Thirty patients, diagnosed and independently mobile, were recruited in the Dublin area. INTERVENTION:For three months, classes were held twice-weekly and participants exercised independently once-weekly. The control group was monitored monthly and management remained unchanged. MEASUREMENTS:Measurements were taken at baseline, three and six months. The Modified Fatigue Impact Scale (MFIS), Multiple Sclerosis Impact Scale-29 (MSIS-29) and Functional Assessment of Multiple Sclerosis (FAMS) were used to measure fatigue and quality of life (QOL). Heart rate (HR) and the Borg's Rating of Perceived Exertion (RPE) were recorded during an incremental exercise test. The change from baseline scores between groups was compared using the Mann-Whitney U-test. RESULTS:Twenty-four participants completed the programme (n = 12 in each group). Based on the change in scores at three months, the exercise group had significantly greater improvements in exercise capacity (HR: -14 [-18.5, -2.5] versus 0.5 [-4, 5.5], P= 0.009), QOL (FAMS: 23 [9.5, 42.5] versus -3.5 [-16, 5], P=0.006) and fatigue (MFIS: -13 [-20, -3] versus 1 [-4, 4.5], P=0.02). At six months, the difference in change scores remained significant for FAMS (19 [14, 31] versus -4.5 [-25, 8], P=0.002) and MFIS (-8.5 [-19.5, -1] versus 0.5 [-2.5, 6.5], P=0.02) only. CONCLUSIONS:A three-month exercise programme improved participants' exercise capacity, QOL and fatigue, with the improvements in QOL and fatigue lasting beyond the programme.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
McCullagh R,Fitzgerald AP,Murphy RP,Cooke Gdoi
10.1177/0269215507082283subject
Has Abstractpub_date
2008-03-01 00:00:00pages
206-14issue
3eissn
0269-2155issn
1477-0873pii
22/3/206journal_volume
22pub_type
杂志文章,随机对照试验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 determine the factors associated with physical activity participation in adults with hip or knee osteoarthritis. METHODS:A systematic review was conducted including searches of AMED, PsycINFO, CINAHL, MEDLINE, EMBASE, PubMed and the Cochrane Library from inception until October 2013. Studies presenting qu...
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: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::This editorial considers how healthcare systems should approach the problems associated with ongoing, persistent symptoms and limitations on a person's ability to undertake activities. It starts from the premise, established in the first editorial, that the current reliance on the biomedical model of health and illnes...
journal_title:Clinical rehabilitation
pub_type: 社论
doi:10.1177/0269215515601175
更新日期:2015-12-01 00:00:00
abstract:OBJECTIVE:To investigate an intensified transition concept between neurological inpatient rehabilitation and home care for long-term effects on the care situation two and a half years after stroke patients' discharge. DESIGN:Controlled clinical trial allocating patients to intervention group (intensified transition on...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215506cr978oa
更新日期:2006-07-01 00:00:00
abstract:OBJECTIVE:To assess the feasibility of a randomized controlled trial to evaluate music therapy as a home-based intervention for arm hemiparesis in stroke. DESIGN:A pilot feasibility randomized controlled trial, with cross-over design. Randomization by statistician using computer-generated, random numbers concealed in ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215517717060
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:To determine effects of Whole Body Vibration Exercise (WBVE) associated with quadriceps resistance exercises (QRE) versus QRE only on pain, physical function, biomarkers in serum and urine, activities of daily living (ADL), and quality of life in patients with knee osteoarthitis (OA). DESIGN:Randomized-contr...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215515607970
更新日期:2016-11-01 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: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:BACKGROUND:Although cognitive impairments are common following stroke, there is considerable uncertainty about the types of interventions that can reduce activity restrictions and improve quality of life. Indeed, a recent project to identify priorities for research into life after stroke determined that the top priorit...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215514538982
更新日期:2015-02-01 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:(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 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 evaluate the effects of community-based rehabilitation therapy on neurological function deficit in stroke patients. DESIGN:Prospective, single-blind, randomized controlled multicentre trial. SETTING:At home, in Shanghai, China. SUBJECTS:A total of 737 stroke patients in the community. INTERVENTION:The ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215508091870
更新日期:2009-05-01 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 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 ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1191/0269215505cr904oa
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVE:To investigate whether the Australian National Sub-acute and Non-acute Patient Casemix Classification (SNAP) and Functional Independence Measure and Functional Related Group (Version 2) (FIM-FRG2) casemix systems can be used to predict functional outcome, and reduce the variance of length of stay (LOS) of pat...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215500cr357oa
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVE:Evaluation of the efficacy of Le Bon Départ (LBD) treatment and Sensory Integration (SI) treatment on motor performance of children with developmental coordination disorder. DESIGN:A single subject design with multiple baseline and alternating treatments. Order of treatment and length of phase were randomize...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/026921500674930367
更新日期:2000-06-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
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更新日期:2018-06-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518815233
更新日期:2019-03-01 00:00:00
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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 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::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 investigate the service users' (stroke survivors and care-givers) experiences and views of the rehabilitation assessment process. DESIGN:Qualitative data analysis from three focus groups using a content analysis to identify the major themes. SETTING:Participants were recruited from stroke support groups ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215514523300
更新日期:2014-08-01 00:00:00
abstract:OBJECTIVE:To assess the feasibility and practicalities of using the technique of mental practice as an adjunct in the rehabilitation of the upper limb following stroke. DESIGN:A series of single-case studies. SETTING:A stroke rehabilitation unit in Belfast. SUBJECTS:Fourteen patients admitted for rehabilitation of t...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215504cr702oa
更新日期:2004-02-01 00:00:00
abstract:OBJECTIVE:To determine the feasibility of three fall prevention programs delivered over 12 weeks among individuals with multiple sclerosis: (A) a home-based exercise program targeting physiological risk factors; (B) an educational program targeting behavioral risk factors; and (C) a combined exercise-and-education prog...
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
abstract:OBJECTIVE:Life goals are desired states that people seek to obtain maintain or avoid. These goals may influence motivation to participate in the rehabilitation process. The aim of this paper is to review the literature on life goals and the influence of life goals on the rehabilitation process. METHODS:The MEDLINE, EM...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1191/0269215503cr599oa
更新日期:2003-03-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章
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更新日期:2019-10-01 00:00:00
abstract:OBJECTIVE:To investigate the effects of movement imagery-assisted electromyography (EMG)-triggered feedback (focused on paretic wrist dorsiflexors) on the arm-hand function of stroke patients. DESIGN:Single-blinded, longitudinal, multicentre randomized controlled trial. Measurements were performed (on average) 54 days...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215507075502
更新日期:2007-07-01 00:00:00
abstract:OBJECTIVE:To assess the costs, effects, and cost-utility of an accelerated physiotherapy programme versus a standard physiotherapy programme following resurfacing hip arthroplasty. DESIGN:A cost-utility analysis alongside a randomized controlled trial. SETTING:A UK National Health Service hospital and patients' homes...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215519827628
更新日期:2019-06-01 00:00:00