Abstract:
:Purpose. Commencing an early and active mobilisation programme in the acute stages of stroke may have important physical and psychological benefits that might improve long-term quality of life. We hypothesised that patients who received very early mobilisation (VEM) would experience better quality of life than those receiving standard care (SC). Methods. The study was a Phase II single-blind randomised controlled trial: VEM patients received earlier (within 24 h of stroke onset) and more intensive physical therapy than SC patients for the first 14 days (or until discharge). Quality of life was measured using the Assessment of Quality of Life (AQoL) questionnaire, administered face-to-face by a blinded assessor at 12 months post-stroke. Results. Seventy-one individuals with stroke (VEM 38, SC 33) were recruited. At follow-up, the median overall AQoL score was higher in VEM patients (0.32) than SC patients (0.24). This group difference was not significant (p = 0.17), but it was significant at the 75th percentile (p = 0.003) in favour of VEM. VEM patients also reported higher quality of life than SC patients in the physical function related 'Independent Living' domain of the AQoL (p = 0.03 adjusted for age; p = 0.04 adjusted for stroke severity). Conclusions. VEM may help improve long-term quality of life after stroke, particularly in relation to functional independence, but this requires further examination.
journal_name
Disabil Rehabiljournal_title
Disability and rehabilitationauthors
Tyedin K,Cumming TB,Bernhardt Jdoi
10.3109/09638280903349552subject
Has Abstractpub_date
2010-01-01 00:00:00pages
875-84issue
11eissn
0963-8288issn
1464-5165pii
10.3109/09638280903349552journal_volume
32pub_type
杂志文章,随机对照试验abstract:PURPOSE:his study evaluated the effectiveness of a recently developed, low-cost 'over-the-counter' style hearing aid with elderly people, who had mild to moderate mixed or sensorineural hearing losses. Two aspects were focused upon, objective change in the participants' aided hearing measures and the self-reported perf...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
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journal_title:Disability and rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
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journal_title:Disability and rehabilitation
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pub_type: 共识发展会议,杂志文章,评审
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journal_title:Disability and rehabilitation
pub_type: 杂志文章,多中心研究
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更新日期:2017-05-01 00:00:00
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
pub_type: 杂志文章,随机对照试验
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
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journal_title:Disability and rehabilitation
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