Abstract:
UNLABELLED:To examine effectiveness of botulinum toxin therapy (BoNT), accurate quantification of the neurological component of underlying spasticity is needed. PURPOSE:Systematically identify and summarize literature on neurophysiological methods to test the effectiveness of BoNT, discuss methodological aspects, and recommend best techniques for clinical and research settings. METHODS:Electronic databases were searched using specific keywords. Reviews and reference lists were hand-checked to find relevant studies. Studies in adults with focal limb spasticity were included. RESULTS:Over 300 articles were scanned for relevance, and a list of 90 relevant articles was made. After excluding reviews and studies in healthy controls or non-spasticity related BoNT, 22 articles were reviewed. Neurophysiological techniques included electromyography (EMG; n = 11), electrical nerve stimulation (n = 13), transcranial magnetic stimulation (TMS; n = 1), functional magnetic resonance imaging (fMRI; n = 1), reflex threshold (n = 4), Achilles tendon reflex (n = 1), reflex latency (n = 1). DISCUSSION:Maximum M-wave amplitude (M-max) and stretch reflex threshold techniques were successfully used to measure the neurophysiological effects of BoNT and have high test-retest reliability. EMG techniques require effective magnitude normalization techniques and establishing test-retest reliability. CONCLUSION:Serial electrical nerve stimulation can be incorporated into clinical practice to assist in follow-up. We recommend using M-max and stretch reflex threshold techniques to assess the neurophysiological effects.
journal_name
Disabil Rehabiljournal_title
Disability and rehabilitationauthors
Phadke CP,Ismail F,Boulias Cdoi
10.3109/09638288.2011.591882subject
Has Abstractpub_date
2012-01-01 00:00:00pages
91-100issue
2eissn
0963-8288issn
1464-5165journal_volume
34pub_type
杂志文章,评审abstract:PURPOSE:Evidence regarding everyday life activities in people living with COPD is limited. Such evidence can improve our understanding when designing interventions for pulmonary rehabilitation that aim at increasing or maintaining participation in these activities. The aim of this study was to describe how people livin...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2020.1862314
更新日期:2021-01-20 00:00:00
abstract::The prevalence and economic cost of the low-back pain problem hardly needs to be mentioned in this journal. Disability ensuing from bouts of low-back pain claims a significant proportion of payments by Worker's Compensation Boards and national treasuries. Any attempt which may enhance our understanding of any aspect o...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638289609166325
更新日期:1996-12-01 00:00:00
abstract::A combined objective-oriented and subjective-oriented method for evaluating accessibility and usability of web pages for students with disability was tested. The objective-oriented approach is devoted to verifying the conformity of interfaces to standard rules stated by national and international organizations respons...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280400014766
更新日期:2005-07-08 00:00:00
abstract:PURPOSE:To review the literature on cognitive functioning in persons with lower limb amputations. METHOD:A search of the MEDLINE, PsycINFO and Web of Science databases was carried out. RESULTS:Thirty papers were found that met the inclusion criteria. The studies were characterised by heterogeneity of design, methodol...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.3109/09638288.2012.667190
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Few functional outcomes scales have used Item Response Theory (IRT) for validation. IRT allows individual line item validations and offers substantial advantages over classic methods of scale validation or the simplest from of IRT known as Rasch. Rasch analysis reduces data to dichotomous variables thus decr...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280500404263
更新日期:2006-08-15 00:00:00
abstract:PURPOSE:The purpose of this study is to evaluate the impact of the structured bowel management program (SBMP) in an inpatient rehabilitation service. METHOD:Prospective recruitment of consecutive patients admitted to the rehabilitation unit (n = 100). Each patient was assessed for bowel dysfunction on admission and an...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2015.1047970
更新日期:2016-01-01 00:00:00
abstract::Purpose: Psychological factors and pain intensity are associated with wrist function. However, the mediating role of psychological factors in the relationship between pain intensity and wrist function in distal radius fractures remains unclear. We performed mediation analysis to investigate how psychological factors m...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2019.1676318
更新日期:2019-10-10 00:00:00
abstract:PURPOSE:To assess the current status of computerized gait analysis techniques in the management of children with cerebral palsy or spina bifida who have significant walking disorders. METHOD:Synthesis of available data from a review of the literature, drawing on MEDLINE, EMBASE, PRE-MEDLINE, HealthStar and PsychInfo. ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.1080/096382800296737
更新日期:2000-04-15 00:00:00
abstract:PURPOSE:Effective communication in interprofessional rehabilitation teams is essential for optimal patient care. Despite the established importance, it remains unclear how interprofessional communication (IPC) within teams contributes to rehabilitation service delivery. The aim of this scoping review was to investigate...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2020.1836271
更新日期:2020-10-23 00:00:00
abstract::Purpose To examine the implications of chronic shoulder pain on quality of life and occupational engagement in spinal cord injury (SCI). The Ecology of Human Performance Model and Self-Efficacy Theory will be used to further examine the interplay of shoulder pain, quality of life and engagement in this population. Met...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2016.1140829
更新日期:2017-01-01 00:00:00
abstract:PURPOSE:To understand the journey of care in the prevention and management of secondary health conditions (SHCs) following spinal cord injury (SCI). METHOD:This was a case study design with 'Ontario' as the case. The Network Episode Model was used as the conceptual framework. Data sources included in depth interviews ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2012.721048
更新日期:2013-06-01 00:00:00
abstract:PURPOSE:The purpose of this study was to learn more about individual beliefs and personal strategies used to support the period of recovery after stroke. It sought to identify the factors that were perceived to be enablers as well as challenges to recovery. Personal actions or experiences, which were perceived to be ef...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280701355561
更新日期:2008-01-01 00:00:00
abstract:PURPOSE:The purpose of this study is to estimate the associations of psychosocial factors with pain and disability outcomes among neck-pain patients enrolled in a randomized clinical trial of chiropractic treatments. METHODS:Neck-pain patients were randomized to one of 8 modes of chiropractic treatment. Health status ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1080/09638280600641509
更新日期:2006-11-15 00:00:00
abstract:PURPOSE:To assess and compare the levels of walking symmetry in ambulatory participants with spinal cord injury (SCI) who had different degrees of lesion severity, levels of walking ability, and fall history. In addition, the study explored the relationship between the levels of walking symmetry and variables related t...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2016.1277398
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Surveys have been the conventional methods used for identification of people with disabilities; however, they have been observed to be expensive and time-consuming that may not be affordable or practical. As a result, the participatory rural appraisal (PRA) and key informant (KI) approaches have been develop...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.3109/09638280903023397
更新日期:2010-01-01 00:00:00
abstract:PURPOSE:To describe activity level, operationalized as ADL capacity and performance of occupations, and occupational balance, operationalized as time use and satisfaction with occupations, in women with limited systemic sclerosis, and to investigate the relationship between these occupational factors and disease charac...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280701190083
更新日期:2008-01-01 00:00:00
abstract:PURPOSE:The article considers the extent to which disability has been recognized and included in two main documents produced to date as part of the United Nations Post-2015 Development agenda process. This is the process that is defining the Sustainable Development Goals (SDGs), which will succeed the UN Millennium Dev...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2014.972589
更新日期:2015-01-01 00:00:00
abstract:PURPOSE:Recent debates about the epistemological origins of Universal Design (UD) have questioned how far universalist design approaches can address the particularities and diversities of the human form through a series of standardised, technical responses. This article contributes to these debates by discussing an eme...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2014.913710
更新日期:2014-01-01 00:00:00
abstract:PURPOSE:To systematically review research investigating measurement properties of the Personal Care Participation Assessment and Resource Tool (PC-PART), formerly the Handicap Assessment and Resource Tool (HART). DATA SOURCES:Seven databases were searched using (i) HART or PC-PART terms and (ii) known authors. Referen...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.3109/09638288.2012.690819
更新日期:2013-02-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to identify the treatment packages (combinations of interventions) used to treat postural control and mobility problems for patients with stroke. METHOD:A convenience sample of 74 physiotherapists from 34 National Health Service hospitals recorded the interventions used to treat pos...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280802627686
更新日期:2009-01-01 00:00:00
abstract:PURPOSE:To compare falls event rates and risk factors for falls across three rehabilitation settings. METHODS:A multi-centre prospective longitudinal cohort study was conducted of 1682 participants referred for rehabilitation from 18 sites (across two Australian states) and receiving physiotherapy treatment. Falls ris...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.3109/09638288.2010.514019
更新日期:2011-01-01 00:00:00
abstract:AIMS:A retrospective case series was performed to determine which measures of complexity, dependency and function most accurately predict inpatient neurorehabilitation length of stay for individuals with post-acute neurological disorders. METHODS:Sociodemographic, medical and functional variables were extracted from d...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2016.1261419
更新日期:2018-03-01 00:00:00
abstract:PURPOSE:To develop a test that identified fallers from their turning strategies, as people with Parkinson's Disease (PD) commonly fall turning. METHOD:We compared (1) Turn Types demonstrated when turning 180 degrees during the Timed Up and Go Test (TUG Test) by 19 non-fallers and 29 fallers (median age 71) and (2) Tur...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280410001663085
更新日期:2004-04-22 00:00:00
abstract:PURPOSE:To investigate how well visually impaired individuals can learn to use mobility scooters and which parts of the driving task deserve special attention. MATERIALS AND METHODS:A mobility scooter driving skill test was developed to compare driving skills (e.g. reverse driving, turning) between 48 visually impaire...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2017.1295471
更新日期:2018-06-01 00:00:00
abstract:PURPOSE:To describe and identify various perspectives on eating difficulties following stroke to enable theory development and facilitate advancement of interventions. METHODS:Concept analysis in line with Morse's principles of exploring pragmatic utility was used throughout the data collection and analysis. Peer-revi...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2012.736012
更新日期:2013-08-01 00:00:00
abstract:PURPOSE:The aim of this paper is to describe and analyse the current situation of the physiotherapy component of the Rehabilitation of Afghans with Disability (RAD) programme, in order to identify the needs and challenges for further development. METHOD:The study was conducted as a field study with an anthropological ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280701257205
更新日期:2008-01-01 00:00:00
abstract:PURPOSE:To compare the characteristics of elderly patients hospitalized for rehabilitation following stroke with those following hip fracture (HF). METHODS:A prospective study in a geriatrics department of a general university hospital in southern Israel. Five hundred and sixteen hospitalized elderly patients were inc...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/096382899297198
更新日期:1999-12-01 00:00:00
abstract:PURPOSE:A path analytic model conceptualizing self efficacy as a mediator of disability was tested. This model could help explain the circumstances under which disability develops more in some chronic pain patients than in others. METHOD:Questionnaires from 479 chronic pain patients were collected prior to an initial ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280050200296
更新日期:2000-11-20 00:00:00
abstract::Objective: The main objective of this study was to evaluate the results of an in-hospital Self-Management program in addition to physiotherapy in severe patients with Chronic Obstructive Pulmonary Disease (COPD) compared to a physiotherapy program.Methods: In this randomized clinical trial, 66 acute exacerbation COPD ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2019.1609099
更新日期:2020-12-01 00:00:00
abstract:PURPOSE:In the future, budget constraints will make efficient care for stroke patients more important. The cost of hospitalization for stroke is high. It is desirable to consider a patient's discharge destination soon after onset and thereby screen patients for further care. This study aims to review the evidence of fa...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.3109/09638288.2014.961655
更新日期:2015-01-01 00:00:00