Abstract:
OBJECTIVE:To investigate the effect of cognitive problems and other factors on the capacity to make a decision about discharge destination and to compare the impressions of multidisciplinary team (MDT) members regarding capacity with a formal assessment. DESIGN:Between-subjects comparison design. SETTING:One stroke rehabilitation unit. SUBJECTS:Thirty-four stroke patients. PROCEDURE:For six months, all patients admitted to a stroke rehabilitation unit were asked to take part after one week and assessed on the outcome measures. MAIN OUTCOME MEASURES:The multidisciplinary team completed questionnaires regarding risk, capacity and referral plans. All participants had a cognitive assessment. Capacity was assessed blind to the results of the cognitive assessment and independently rated by another assessor. Clinical and demographic information were collated. RESULTS:No significant association was found between cognitive functioning and capacity (P>0.05). Age, weeks post-stroke, Barthel and dysphasia were not significantly associated with capacity (P>0.05). Multidisciplinary team members were often unsure about the capacity of people to make decisions. Inter-rater reliability for the capacity assessment was reasonable (72%; P=0.06). CONCLUSIONS:The preliminary conclusions are that cognitive test scores, age and dysphasia are not good predictors of capacity to decide about discharge destination in stroke patients receiving rehabilitation. Impressions of capacity should not be used to determine the need for a formal capacity assessment.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Mackenzie J,Lincoln N,Newby Gdoi
10.1177/0269215508096175subject
Has Abstractpub_date
2008-12-01 00:00:00pages
1116-26issue
12eissn
0269-2155issn
1477-0873pii
22/12/1116journal_volume
22pub_type
杂志文章abstract:OBJECTIVES:To examine the effect of heat and duration of stretching on the extensibility of hamstring muscles and their electromyographic responses to passive stretch in children with hypertonia and severe mental retardation. DESIGN:Randomized cross-over trial. SETTING:Developmental disability unit in a local hospita...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215508090067
更新日期:2008-09-01 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: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::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
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 compare disability between two patient groups using short validated tools based on International Classification of Functioning, Disability and Health (ICF). DESIGN::Cross-sectional study. SETTING::University hospital specialist outpatient clinic. SUBJECTS::A total of 94 patients with traumatic brain in...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518785945
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVE:To investigate whether social contact and support received during hospitalization for acute ischemic stroke predict depression and daily life functioning three months later. DESIGN:Prospective observational study using Ecological Momentary Assessments to evaluate the number of social contacts as well as soci...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215515623600
更新日期:2017-01-01 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
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 evaluate the effect of modified wheelchair arm-support to mitigate hemiplegic shoulder pain and reduce pain frequency in stroke patients. DESIGN:A single-blind randomized controlled trial using computer-generated simple randomization. SETTING:Participants recruited from inpatients at the Guangdong Provin...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215517714830
更新日期:2018-01-01 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 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: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:OBJECTIVE:To evaluate the efficacy of a perceptive rehabilitative approach, based on a new device, with regard to pain and disability in patients with chronic nonspecific low back pain. DESIGN:Single blind, randomized, controlled trial. SETTING:An outpatient academic hospital. PATIENTS:Seventy-five patients with chr...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215511414443
更新日期:2012-04-01 00:00:00
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 stimulu...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215503cr660oa
更新日期:2003-09-01 00:00:00
abstract:PROBLEM:Many services and professionals refer to themselves as providing rehabilitation. There is no agreed method for determining whether someone has specific expertise in rehabilitation. This makes it difficult for patients and payers to know whether professionals who claim to provide rehabilitation are specifically ...
journal_title:Clinical rehabilitation
pub_type: 社论
doi:10.1177/0269215520925869
更新日期:2020-08-01 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 compare the effectiveness of intra-articular injection (IAI) with Botulinum toxin type A (BTA), triamcinolone hexacetonide (TH), and saline in primary knee osteoarthritis. DESIGN:A randomized controlled trial, with blinded patients and assessor. SETTING:Outpatient rheumatology service. SUBJECTS:Patients...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215519827996
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVE:To systematically examine the research literature on the effectiveness of constraint-induced movement therapy on improving arm function in children with cerebral palsy, and to assess the association between the study effect size and the characteristics of the patients and intervention protocol. DATA SOURCES:...
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
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 examine the health benefits of a bedroom window view to natural surroundings for patients undergoing a residential rehabilitation programme. DESIGN:Longitudinal quasi-experiment. SETTING:A residential rehabilitation centre. SUBJECTS:Two-hundred and seventy-eight coronary and pulmonary patients provided ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215511412800
更新日期:2012-01-01 00:00:00
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...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215507082283
更新日期:2008-03-01 00:00:00
abstract:OBJECTIVE:To investigate the feasibility, acceptability, and safety of a supervised video game exercise program administered via Dance Dance Revolution in individuals with Huntington's disease. DESIGN:A cross-over, controlled, single-blinded, six-week trial. SETTING:Home-based. PARTICIPANTS:Eighteen ambulatory indiv...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215513487235
更新日期:2013-11-01 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: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:PURPOSE:To study gender differences in functional outcome unexpectedly observed in a follow-up study of stroke patients. DESIGN:Prospective study of hospitalized stroke patients, with evaluations in the subacute phase and after one year. SETTING:Geriatric and general medical wards, and geriatric outpatient clinic of ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/026921559701100211
更新日期:1997-05-01 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
abstract:OBJECTIVE:The 'repetition effect' stipulates that recall ability improves as the number of learning trials that a person receives increases. While the repetition effect has been supported through many empirical investigations in healthy individuals, it has not yet been applied to clinical populations. The present study...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1191/0269215503cr586oa
更新日期:2003-02-01 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:The aim of this study was to investigate the psychometric properties of the shortened version of the Functional Difficulties Questionnaire (FDQ). DESIGN:This is a multisite observational study. SETTING:The study was conducted in four tertiary care hospitals in Australia. SUBJECTS:A total of 225 participant...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1177/0269215519879476
更新日期:2020-01-01 00:00:00