Abstract:
OBJECTIVE:To evaluate the feasibility and preliminary effectiveness of therapeutic exercise before total hip replacement in frail elderly. DESIGN:A single-blind, randomized clinical pilot trial. SETTING:Outpatient physiotherapy department. SUBJECTS:Frail elderly with hip osteoarthritis awaiting total hip replacement. INTERVENTIONS:A short (3-6 weeks) tailor-made, therapeutic exercise programme was compared with usual care. MAIN MEASURES:Feasibility was assessed through patient satisfaction, adherence, occurrence of adverse events and the number of eligible non-volunteers. Preliminary preoperative effectiveness was assessed with performance and self-reported measures of pain, functioning, physical activity and quality of life. Postoperatively we measured functional recovery and length of hospital stay. RESULTS:Sixty-two eligible patients were approached of whom 21 (mean age 76 years) agreed to participate. Exercisers (n = 10), rated the intervention as very good 8.9 (8-10) (10-point rating scale). No serious adverse events occurred. Forty-one (66%) eligible patients did not participate, mainly because of logistic considerations, resulting in selection bias. The intervention group (trainings sessions participated 91%) showed relevant preoperative improvements on the chair-rise time (delta -2.9 seconds; 95% confidence interval (CI) -6.2 to 0.4) and timed-up-and-go (delta -4.4 seconds; 95% CI -9.3 to 0.5). Postoperatively, no significant differences were seen. CONCLUSIONS:A short, tailor-made, exercise programme is well tolerated and appreciated in elderly patients awaiting total hip replacement. However, a larger randomized clinical trial in the same setting is not warranted, because of the high number of eligible non-volunteers.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Hoogeboom TJ,Dronkers JJ,van den Ende CH,Oosting E,van Meeteren NLdoi
10.1177/0269215510371427subject
Has Abstractpub_date
2010-10-01 00:00:00pages
901-10issue
10eissn
0269-2155issn
1477-0873pii
0269215510371427journal_volume
24pub_type
杂志文章,随机对照试验abstract:OBJECTIVE:To evaluate the short-term effectiveness of an intensive multidisciplinary rehabilitation programme for people with Parkinson's disease and their carers. DESIGN:Observational, with assessments before and after intervention. SETTING:An elderly care day unit in a district general hospital in south-east Englan...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215502cr545oa
更新日期:2002-11-01 00:00:00
abstract:OBJECTIVES:The three objectives of this scoping review were to (1) identify key conceptual/theoretical frameworks and the extent to which they are used to inform goal setting related to rehabilitation goal setting with children with motor disabilities, (2) describe research that has evaluated goal setting processes and...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518758484
更新日期:2018-07-01 00:00:00
abstract:OBJECTIVES:Combined aerobic and resistance exercise (CARE) is beneficial for improving renal function. To confirm this, we conducted a meta-analysis to evaluate the effects of CARE on renal function in adult patients with chronic kidney disease (CKD). DATE SOURCES:The last date of search was 22 February 2020. We searc...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215520924459
更新日期:2020-07-01 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: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 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:OBJECTIVE:We hypothesized that early ambulation with a gutter frame (GF) in elderly patients hospitalized for acute exacerbation of chronic obstructive pulmonary disease (AECOPD) may reduce physical disability and allow earlier discharge. DESIGN:Blinded, randomized parallel groups trial. SUBJECTS:One hundred and ten ...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/0269215503cr637oa
更新日期:2003-08-01 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:OBJECTIVE:Evaluate the effect of a smartphone application on exercise adherence, range of motion and self-efficacy compared to standard rehabilitation after repair of the flexor digitorum profundus tendon. DESIGN:Prospective multi-centre randomised controlled trial. SETTING:Four hand surgery departments in Sweden. S...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520962287
更新日期:2020-10-11 00:00:00
abstract:OBJECTIVE:To study the course of apraxia and daily life functioning (ADL) in left hemisphere stroke patients with apraxia. DESIGN:Prospective cohort study. SETTING:Rehabilitation centres and nursing homes. SUBJECTS:One hundred and eight left hemisphere stroke patients with apraxia, hospitalized in rehabilitation cen...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215506071257
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVE:The objective was to investigate the effect of increased intensity of rehabilitation therapy provided to brain-injured subjects on the rate at which independence was regained and the duration of hospital admission. DESIGN:A two-centre, prospective, controlled study with random allocation to groups. SETTING:...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1191/026921501680425225
更新日期:2001-10-01 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 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 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 effect of pre-emptive swallowing stimulation on the recovery of swallowing function in long-term intubated patients. DESIGN AND SUBJECTS:Patients in the intensive care unit intubated for at least 48 hours due to respiratory distress from March to August 2004 were randomly divided into two gro...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215506071286
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVE:To identify the nature and extent of perceived unmet needs of people with spinal cord injury (SCI) living in the community and to determine their preferences regarding multidisciplinary outreach service delivery. DESIGN:Structured telephone interviews. SETTING:Spinal Injuries Unit, Queensland, Australia. S...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215501cr453oa
更新日期:2001-12-01 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 characterize environmental barriers to leisure participation among individuals living with stroke; examine relationships between environmental barriers and leisure interest and satisfaction; and investigate participant factors associated with the perception of environmental barriers. DESIGN::Survey. SET...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518818234
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:The Action Research Arm (ARA) test is a performance test of upper extremity motor function which consists of 19 items divided into four hierarchical subtests. This multidimensionality has not yet been tested empirically. OBJECTIVE:To investigate the dimensionality of the ARA test. DESIGN:Cross-sectional st...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215502cr534oa
更新日期:2002-09-01 00:00:00
abstract:OBJECTIVE:To examine the ethical principle of respect for autonomy within the context of neurological rehabilitation. DISCUSSION:The nature of the principle of respect for autonomy is examined, and specific difficulties to which it may give rise in this area of practice are identified. These concern difficulties of co...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921598670782549
更新日期:1998-02-01 00:00:00
abstract:OBJECTIVE:To describe the experience of physical activity maintenance in patients with rheumatoid arthritis. DESIGN:A qualitative salutogenic-oriented interview study. SETTING:A rheumatology outpatient clinic. SUBJECTS:A purposive sample of 16 physically active patients (mean age 50, range 37-67) diagnosed with rheu...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215513501526
更新日期:2014-03-01 00:00:00
abstract::Aerobic exercise training has demonstrated positive effects after brain injury. However, therapists express concern regarding the use of effortful exercise in individuals presenting with spasticity or involuntary muscle activity. This study aimed to address this concern and to evaluate whether an intervention of maxim...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215500cr363oa
更新日期:2000-12-01 00:00:00
abstract:OBJECTIVE:To evaluate the consistency of balance control, mobility and perceived difficulties with functional tasks by people on carefully controlled anti-parkinsonian medication programmes, between doses on a single day and across days using standard clinical measures. DESIGN:Small group prospective study. SETTING:A...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215503cr614oa
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVES:To assess the impact of information packs on patients with stroke and their carers, and to pilot some of the methodology for a trial of a Family Support Organiser (FSO). SUBJECTS:Seventy-one patients admitted to Oxford hospitals with acute stroke during February-July 1995, and 49 informal carers of these pa...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1191/026921598668972226
更新日期:1998-12-01 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:To evaluate the feasibility, internal consistency and reproducibility of the French version of the Nottingham Health Profile (NHP) completed by adults with hereditary neuromuscular disease. DESIGN:Cross-sectional study with evaluation at 15 +/- 7 days for NHP test-retest. SETTING:Multidisciplinary rehabilit...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215505cr858oa
更新日期:2005-09-01 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 determine whether symptoms of urinary incontinence is reduced by pelvic floor muscle training, to determine whether urinary incontinence can be totally eliminated by strengthening the pelvic floor muscle to grade 5 on the Oxford scale. DESIGN:Prospective randomized controlled clinical trial. SETTING:Outp...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215514546768
更新日期:2015-06-01 00:00:00
abstract:OBJECTIVE:To pilot a method for routine outcome data collection one year after admission to a major trauma centre, to determine current outcomes, and to identify possible methodological improvements. DESIGN:A postal questionnaire audit. SETTING:A major trauma centre in the United Kingdom. SUBJECTS:In total, 355 pati...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215517712044
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVE:To determine the effectiveness of sit-to-stand training in individuals with stroke. DESIGN:Randomized controlled trial. SETTING:Rehabilitation medical centre. PARTICIPANTS:Thirty-two subjects with stroke were randomly assigned to the control and experimental groups (n = 16 for each group). INTERVENTIONS:S...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215509360751
更新日期:2010-06-01 00:00:00