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 pathophysiology of various specific impairments including spasticity'. Spasticity is an extremely common feature of chronic neurological conditions and, if badly managed, it can result in pain, contractures and pressure sores, all of which can impact on function. It is therefore essential that a multidisciplinary management strategy is in place to help the individual manage their particular situation through education with timely access to interventions including instigation of a physical management programme and medication such as baclofen, tizanidine, dantrolene, benzodiazepines and gabapentin. Further treatment options for focal spasticity are botulinum toxin and phenol nerve blocks or intrathecal baclofen or phenol for predominant lower limb spasticity. Ongoing assessment with the use of appropriate outcome measures can both guide choice of treatment and monitor efficacy.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Stevenson VLdoi
10.1177/0269215509353254subject
Has Abstractpub_date
2010-04-01 00:00:00pages
293-304issue
4eissn
0269-2155issn
1477-0873pii
24/4/293journal_volume
24pub_type
杂志文章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:This study validated the Patellofemoral Pain Severity Scale translated into Chinese. DESIGN AND SETTING:The Chinese Patellofemoral Pain Severity Scale was translated from the original English version following standard forward and backward translation procedures recommended by the International Society for P...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215512456309
更新日期:2013-05-01 00:00:00
abstract:OBJECTIVE:To investigate the effects of mirror therapy on walking ability, balance and lower limb motor recovery in patients with stroke. METHOD:MEDLINE, EMBASE, Web of Science, CENTRAL, PEDro Database, CNKI, VIP, Wan Fang, ClinicalTrials.gov, Current controlled trials and Open Grey were searched for randomized contro...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215518766642
更新日期:2018-08-01 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 investigate whether Kinesio taping technique, applied to ankles of healthy people as a preventive intervention and people with ankle injuries, is superior to sham or alternative interventions on ankle function. DATA SOURCES:Medline, Embase, Amed, CINAHL, SPORTDiscus, Cochrane Library and Web of Science, f...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520963846
更新日期:2020-10-20 00:00:00
abstract:OBJECTIVE:The study asked whether an early botulinum toxin A (BTX-A) injection in subacute stroke patients may prevent a disabling finger flexor stiffness six months later. DESIGN:Single-blind, randomized pilot study. SETTING:Inpatient rehabilitation centre. SUBJECTS:Eighteen stroke patients, interval 4-6 weeks, non...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215511421355
更新日期:2012-03-01 00:00:00
abstract:OBJECTIVE:To determine the effects of pre- and postoperative inspiratory muscle training on length of postoperative hospital stay and pulmonary function in patients undergoing cardiac surgery. DESIGN AND METHODS:We conducted a systematic search using databases (MEDLINE, CINAHL, EMBASE, PEDro and the Cochrane) to find ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.1177/0269215516648754
更新日期:2017-04-01 00:00:00
abstract:OBJECTIVES:(1) To examine the feasibility of group physical activity in a day-care routine. (2) To assess the impact of this programme on functional fitness. DESIGN:Ten-week observational period, followed by 12 weeks of intervention in randomized controlled design, followed by 12 weeks of intervention only. SETTING:A...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215507078318
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVE:To replicate the finding that illness perceptions influence quality of life in adults with muscle disease and to explore the additional influence of coping and optimism on quality of life and mood. DESIGN:A postal survey including questionnaires recording quality of life, mood, illness perceptions, optimism,...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1177/0269215513511340
更新日期:2014-05-01 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 objective of this study was to examine the role of social support in predicting depression in caregivers of adults aging with spinal cord injuries. DESIGN:Cross-sectional secondary data analyses were conducted for this study. SETTING:Participants were recruited from multiple community locations in Pitts...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215512464503
更新日期:2013-06-01 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 investigate the effects of sensory perception exercises for discrimination of surface hardness by the soles of the feet on standing postural balance in the elderly. DESIGN:A randomized two-group parallel controlled trial. SUBJECTS:Twenty-four healthy people aged from 61 to 71 years were enrolled and rand...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215508101731
更新日期:2009-06-01 00:00:00
abstract:OBJECTIVES:To describe the immediate effects of diacutaneous fibrolysis on pain and mobility in patients suffering from painful shoulder, and to assess the ability of the placebo technique to blind participants to group allocation. DESIGN:A double-blind before-after randomized placebo-controlled pilot study. SETTING:...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215510385480
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVE:To establish what aspects of group-based cognitive rehabilitation for memory problems are reported, and to develop a checklist for authors, which may to improve reporting of these interventions in future studies. DATA SOURCES:A systematic search was conducted on Web of Knowledge, CINAHL, MEDLINE, AMED, EMBAS...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215515595273
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVE:To describe changes in disability and health-related quality of life in patients with Guillain-Barré syndrome in Sweden during the first two years after onset. SUBJECTS:Forty-four patients were recruited from eight different hospitals, and 42 of them (mean age 52 years) were followed for two years. Evaluatio...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215505cr918oa
更新日期:2005-12-01 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 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 use data and patient involvement to identify categories within the International Classification of Functioning, Disability and Health (ICF) component activities and participation relevant for patients with affective, somatoform, anxiety and adjustment disorders. DESIGN:The first step was to identify syste...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215513475805
更新日期:2013-08-01 00:00:00
abstract:OBJECTIVES:To provide an overview of physical and psychological outcome indicators which have been used to evaluate conservative treatments for chronic oedema. METHODS OF FINDING PAPERS: Papers were located via the MedLine, CINAHL and GEARS databases, and the British Lymphology Interest Group Key References lists. ISSU...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/026921559701100301
更新日期:1997-08-01 00:00:00
abstract:OBJECTIVE:A pilot study to compare the effectiveness of an individual therapy program with the effects of a general physical therapy program. DESIGN:A randomized, single-blind cross-over design. PARTICIPANTS:Ten ambulant children with bilateral spastic cerebral palsy, age four to nine years. INTERVENTION:Participant...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215514544984
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVE:To determine feasibility of a randomised controlled trial (RCT) of home-based Reach-to-Grasp training after stroke. DESIGN:single-blind parallel group RCT. PARTICIPANTS:Residual arm deficit less than 12 months post-stroke. INTERVENTIONS:Reach-to-Grasp training in 14 one-hour therapist's visits over 6 weeks...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215516661751
更新日期:2017-07-01 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 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 evaluate a minimal dose intervention of six 1-hour sessions of task-oriented circuit gait training including a caregiver over a 12-week period to persons post stroke in the South African public health sector. DESIGN:Stratified, single blinded, randomized controlled trial with three intervention groups. P...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215518763969
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVE:To examine the criterion validity of lower extremity Motricity Index scores. DESIGN:Retrospective cross-sectional comparison of lower extremity Motricity Index scores and hand-held dynamometer measurements obtained from 15 patients with stroke. RESULTS:For individual actions (ankle dorsiflexion, knee extens...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921500675786655
更新日期:2000-04-01 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:To evaluate the effect of intradialytic cycling exercise on physical functional performance with gain in muscle strength and endurance in end-stage renal disease patients with haemodialysis. DESIGN:Randomized controlled trial, with repeated measurements at baseline and after 4, 8, and 12 weeks of intradialyt...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215520921923
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVE:To determine whether a combination of constraint-induced movement therapy and physiotherapy in stroke patients using different constraint regimens (sling versus voluntary constraint) changes or reduces motor deficits, the amount of functional use of the arm and whether the effects of treatment continue after ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215512442661
更新日期:2012-11-01 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