Abstract:
OBJECTIVE:To investigate accidental falls and near fall incidents in people with multiple sclerosis with respect to clinical variables and the predictive values of four tests. DESIGN:A longitudinal, multi-centred cohort study with prospectively collected falls. PROCEDURES:Self-reported incidents during the three months following a standardized test procedure. SUBJECTS:Seventy-six people with multiple sclerosis and an Expanded Disability Status Scale score between 3.5 and 6.0. MAIN OUTCOME MEASURES:Berg Balance Scale, Timed Up and Go cognitive, Four Square Step Test (FSST) and 12-item Multiple Sclerosis Walking Scale. RESULTS:Forty-eight people (63%) registered 270 falls. Most falls occurred indoors during activities of daily life. We found a correlation of r(s)=0.57 between near falls and falls, and of r(s) = 0.82 between registered and retrospectively recalled falls. Fallers and non-fallers differed significantly regarding Expanded Disability Status Score (odds ratio (OR) 1.99, 95% confidence interval (CI) 1.22; 3.40), spasticity (OR 1.14, CI 1.02; 1.31), proprioception (OR 2.50, CI 1.36; 5.12) and use of walking aids (OR 2.27, CI 1.23; 4.37). Reported use of walking aids both indoors and outdoors increased the odds of falling fivefold while disturbed proprioception increased the odds 2.5-15.6 times depending on severity. The odds of falling were doubled for each degree of increased Expanded Disability Status Score and more than doubled for each degree of increased spasticity. The Berg Balance Scale, use of walking aids and Timed Up and Go cognitive best identified fallers (73-94%) and proprioception, Expanded Disability Status Score, 12-item Multiple Sclerosis Walking Scale and Four Square Step Test best identified non-fallers (75-93%). CONCLUSIONS:In clinical practice, looking at the use of walking aids, investigating proprioception and spasticity, rating Expanded Disability Status Score and using Berg Balance Scale or Timed Up and Go cognitive all contribute when identifying fallers.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Nilsagård Y,Lundholm C,Denison E,Gunnarsson LGdoi
10.1177/0269215508095087subject
Has Abstractpub_date
2009-03-01 00:00:00pages
259-69issue
3eissn
0269-2155issn
1477-0873pii
23/3/259journal_volume
23pub_type
杂志文章,多中心研究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 central haemodynamic responses during position changes from supine to sitting and during 30 min of standing between able-bodied and spinal cord-injured subjects. Also to assess the effects of the physiologic muscle pump in both groups during 30 min of standing. DESIGN:A repeated measure desig...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/0269215502cr570oa
更新日期:2002-12-01 00:00:00
abstract:OBJECTIVE:To undertake an audit of existing environmental control system (ECS) provision to see what lessons could be applied to developing a new model of service. DESIGN:Structured interviews and assessments making use of questionnaires and algorithms. SUBJECTS:Users of environmental control systems in the inner Lon...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921598671164157
更新日期:1998-02-01 00:00:00
abstract:OBJECTIVE:To systematically review the available evidence for the effectiveness of sensory re-education to improve the sensibility of the hand in patients with a peripheral nerve injury of the upper limb. DATA SOURCES:Studies were identified by an electronic search in the databases MEDLINE, Cumulative Index to Nursing...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215507074395
更新日期:2007-06-01 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 test the effectiveness of an educational intervention including "face to face" training, compared to a standard information program, to reduce microstomia in women with systemic sclerosis. DESIGN:Single-blind, two-arm, randomized controlled study with a 12-month follow-up period. SETTING:Hospital wards o...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215519858395
更新日期:2019-11-01 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:This study aims to evaluate the prevalence and determinants of inadequate physical activity and excessive sedentary behaviour before and after total knee replacement. DESIGN, SETTING AND SUBJECTS:Secondary analysis was performed on data from a cohort of 422 adults (45-74 years), drawn from 12 public or priva...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518769986
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVE:To enhance our understanding of coping and rehabilitation in the context of adaptation to disability by examining how coping may change over a two-year time period, and how different vision rehabilitation services may affect coping over time. DESIGN:Longitudinal two-wave study (baseline and two-year follow-u...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215506cr965oa
更新日期:2006-06-01 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 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 identify the extent to which exercise intervention studies in multiple sclerosis rehabilitation are addressing comorbidities and if researchers consider comorbidities as possible moderators or mediators of exercise outcomes. METHODS:Five databases were searched from inception to January 8, 2016, for exerc...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215517698734
更新日期:2017-10-01 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 investigate the effect of gradual attention training on language function with aphasia. DESIGN:Randomized controlled trial. PARTICIPANTS:A total of 40 patients (mean age: 53.47 years) with post-stroke aphasia came from the stroke rehabilitation unit of rehabilitation department in the First Hospital of J...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215519864715
更新日期:2019-11-01 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 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: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: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. DESI...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215503cr692oa
更新日期:2003-12-01 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: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
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
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, 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 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:To describe and compare current practice in diagnosis and treatment of depression following acquired brain injury in two countries (UK and the Netherlands) which have different sets of guidelines. SETTING AND DESIGN:A cross-sectional survey of reported practice among rehabilitation physician members of the B...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215507079129
更新日期:2007-09-01 00:00:00
abstract:OBJECTIVE:Pilot a definitive randomized controlled trial of speech-language telerehabilitation in poststroke aphasia in addition to usual care with regard to recruitment, drop-outs, and language effects. DESIGN:Pilot single-blinded randomized controlled trial. SETTING:Telerehabilitation delivered from tertiary rehabi...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215519896616
更新日期:2020-03-01 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
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:Identify the environmental factors that influence stroke-survivors' reengagement in personally valued activities and determine what specific environmental factors are related to specific valued activity types. DATA SOURCES:PubMed, CINAHL and PsycINFO were searched until June 2016 using multiple search-terms ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215516671013
更新日期:2017-07-01 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