Abstract：
:This consensus paper is derived from a meeting of an international group of 19 neurological rehabilitation specialists with a combined experience of more than 250 years (range 4-25 years; mean 14.1 years) in treating post-stroke spasticity with botulinum toxin A. The group undertook critical assessments of some recurring practical challenges, not yet addressed in guidelines, through an exten-sive literature search. They then discussed the results in the light of their individual clinical experience and developed consensus statements to present to the wider community who treat such patients. The analysis provides a comprehensive overview of treatment with botulinum toxin A, including the use of adjunctive therapies, within a multidisciplinary context, and is aimed at practicing clinicians who treat patients with post-stroke spasticity and require further practical guidance on the use of botulinum toxin A. This paper does not replicate information published elsewhere, but instead aims to provide practical advice to help optimize the use of botulinum toxin A and maximize clinical outcomes. The recommendations for each topic are summarized in a series of statements. Where published high-quality evidence exists, the recommendations reflect this. However, where evidence is not yet conclusive, the group members issued statements and, in some cas-es, made recommendations based on their clinical experience.
journal_name
J Rehabil Medjournal_title
Journal of rehabilitation medicineauthors
Francisco GE,Balbert A,Bavikatte G,Bensmail D,Carda S,Deltombe T,Draulans N,Escaldi S,Gross R,Jacinto J,Ketchum N,Molteni F,Moraleda S,ODell MW,Reebye R,Säterö P,Verduzco-Gutierrez M,Walker H,Wissel Jdoi
10.2340/16501977-2753subject
Has Abstractpub_date
2021-01-01 00:00:00pages
jrm00134issue
1eissn
1650-1977issn
1651-2081journal_volume
53pub_type
杂志文章abstract：OBJECTIVE:To describe pain and recovery of physical functioning after total knee arthroplasty. DESIGN:A longitudinal design with assessments preoperatively, and 1 week, 3 and 9 months postoperatively. SUBJECTS:Sixty-three patients participated. METHODS:Pain was assessed by visual analogue scale. Physical functioning...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章
doi：10.2340/16501977-0568
更新日期：2010-07-01 00:00:00
abstract：OBJECTIVE:Mental illness and chronic pain are common reasons for long-term sick leave, typically more so for women. This study investigated the effects on return to work of 2 vocational rehabilitation programmes. METHODS:In this randomized controlled study, 308 women were allocated to treatment with acceptance and com...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章,随机对照试验
doi：10.2340/16501977-2188
更新日期：2017-01-31 00:00:00
abstract：OBJECTIVE:To examine wheelchair athletes' perceptions of wheelchair configuration in relation to aspects of mobility performance. METHODS:Nine elite wheelchair athletes from wheelchair basketball, wheelchair rugby and wheelchair tennis were interviewed using a semi-structured format. Interview transcripts were analyse...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章
doi：10.2340/16501977-0490
更新日期：2010-02-01 00:00:00
abstract：OBJECTIVE:To compare individual, group and combined intervention formats for improving goal attainment and psychosocial function following acquired brain injury. DESIGN:Randomized controlled trial, waiting list controls. PARTICIPANTS:Thirty-five participants with a mean time of 5.29 years (standard deviation = 3.9) s...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章,随机对照试验
doi：10.2340/16501977-0124
更新日期：2008-02-01 00:00:00
abstract：:Musculoskeletal ultrasound has gained a significant place in the diagnosis and management of various musculoskeletal disorders due to its several advantages (being convenient, inexpensive, non-invasive, repeatable, providing dynamic imaging and not requiring any exposure to radiation). It has also become a valuable to...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章,评审
doi：10.2340/16501977-0959
更新日期：2012-04-01 00:00:00
abstract：:Patients after stroke conventionally receive much of their rehabilitation in hospital. Services have been developed that offer patients an early discharge from hospital with more rehabilitation at home (early supported discharge). This paper sets out a systematic review of all randomized trials of early supported disc...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章,评审
doi：10.2340/16501977-0042
更新日期：2007-03-01 00:00:00
abstract：:Oral baclofen has long been a mainstay in the management of spasticity. This review looks at the clinical evidence for the efficacy and safety of oral baclofen in patients with spasticity of any origin or severity, to determine whether there is a rationale for the use of intrathecal baclofen. Results suggest that oral...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章,评审
doi：10.2340/16501977-2211
更新日期：2017-03-06 00:00:00
abstract：OBJECTIVE:To assess the effectiveness of an interdisciplinary ambulatory rehabilitation programme for persons with spina bifida in an Australian community cohort. METHODS:Fifty-four participants randomized to a treatment group (n = 27) for a high-intensity rehabilitation programme (with cognitive behavioural therapy) ...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章,随机对照试验
doi：10.2340/16501977-1999
更新日期：2015-09-01 00:00:00
abstract：BACKGROUND:Cognitive behavioural therapy does not reduce fatigue in post-polio syndrome, but is effective in facioscapulohumeral dystrophy. This difference in efficacy might be explained by a different role of cognitions in these conditions. OBJECTIVE:To compare fatigue-related cognitions between patients with post-po...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章
doi：10.2340/16501977-2247
更新日期：2017-07-07 00:00:00
abstract：BACKGROUND:Theory-based approaches provide explanations of the impact of components of the International Classification of Functioning, Disability and Health (ICF) classification on outcomes such as health and wellbeing. METHODS:Here, one such approach is proposed, focusing on social participation and its association ...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章
doi：10.2340/16501977-2106
更新日期：2016-06-13 00:00:00
abstract：OBJECTIVE:To identify baseline risk factors associated with hemiplegic shoulder pain during the first 6 months after a stroke and to investigate changes in these risk factors over time. DESIGN:Longitudinal observational study. PATIENTS:A total of 94 patients with first-ever unilateral stroke lesion within 1 month aft...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章
doi：10.2340/16501977-1238
更新日期：2014-01-01 00:00:00
abstract：OBJECTIVES:The objectives of this prospective study, undertaken in elderly patients with stroke undergoing rehabilitation, were to determine to what extent fall-related self-efficacy changes over time, its relationships to objectively assessed functions and activities, and the predictive capacity of self-efficacy at di...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章
doi：10.1080/16501970310000836
更新日期：2003-09-01 00:00:00
abstract：OBJECTIVE:The main objective of this study was to link the Klein-Bell activities of daily living (KB) Scale to the International Classification of Functioning, Disability and Health (ICF), in order to validate the KB Scale content-wise. DESIGN:A qualitative approach was used with directed content analysis. METHODS:Co...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章
doi：10.2340/16501977-1111
更新日期：2013-04-01 00:00:00
abstract：OBJECTIVE:Assess the effects of daily neuroprosthetic (NESS Handmaster) functional electrical stimulation in sub-acute stroke. DESIGN:Controlled study, patients clinically stratified to 2 groups; no active finger movement, and partial active finger movements, and then randomized to control and neuroprosthesis groups. ...
journal_title：Journal of rehabilitation medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1080/16501970410035387
更新日期：2005-01-01 00:00:00
abstract：OBJECTIVE:Guild boards and pulleys are apparatus commonly used to train cervical muscle function for their purported benefit in facilitating activity of the deeper muscle layers, although this effect has not been substantiated. The objective of this study was to compare the activity of the different layers of cervical ...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章
doi：10.2340/16501977-1196
更新日期：2013-09-01 00:00:00
abstract：:Recent neuroscientific evidence has revealed that the adult brain is capable of substantial plastic change in such areas as the primary somatosensory cortex that were formerly thought to be modifiable only during early experience. These findings have implications for our understanding of chronic pain. Functional reorg...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章,评审
doi：10.1080/16501960310010179
更新日期：2003-05-01 00:00:00
abstract：OBJECTIVE:To determine reliability of maximal grip strength, muscle coordination and muscle endurance. To compare these parameters in young adults with unilateral cerebral palsy and healthy subjects. To evaluate the correlation of these variables with functional activities. SUBJECTS:Twenty-six healthy subjects and 26 ...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章
doi：10.2340/16501977-0095
更新日期：2007-10-01 00:00:00
abstract：OBJECTIVE:To evaluate the efficacy of classical pulsed electromagnetic field therapy on patients with knee osteoarthritis. METHODS:The databases PubMed, EMBASE, Web of Science and Cochrane Library were searched for relevant studies. Randomized controlled trials comparing classical pulsed electromagnetic field with pla...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章,meta分析
doi：10.2340/16501977-2613
更新日期：2019-12-16 00:00:00
abstract：:The responsiveness of the Action Research Arm (ARA) test and the upper extremity motor section of the Fugl-Meyer Assessment (FMA) scale were compared in a cohort of 22 chronic stroke patients undergoing intensive forced use treatment aimed at improvement of upper extremity function. The cohort consisted of 13 men and ...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章
doi：10.1080/165019701750165916
更新日期：2001-03-01 00:00:00
abstract：OBJECTIVE:Goal attainment scaling represents a unique approach to identifying and quantifying individualized, meaningful treatment outcomes, and its use in the rehabilitation medicine setting is increasing. The aim of this paper is to discuss the available literature for goal attainment scaling in patients with acquire...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章
doi：10.2340/16501977-0664
更新日期：2011-01-01 00:00:00
abstract：OBJECTIVE:To determine the prevalence of hand- and wrist-related symptoms and impairments, with resulting activity limitations and participation restrictions in children being treated for juvenile idiopathic arthritis. DESIGN AND PATIENTS:Cohort study of children, diagnosed in our hospitals between 2003 and 2008 with ...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章
doi：10.2340/16501977-1879
更新日期：2014-11-01 00:00:00
abstract：OBJECTIVES:To determine whether the addition of deep or superficial heating to stretching produces better clinical outcomes than stretching alone in the management of frozen shoulder. DESIGN:A single-blinded, randomized controlled study. SUBJECTS:Thirty subjects suffering from the stiffness phase of frozen shoulder. ...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章,随机对照试验
doi：10.2340/16501977-0146
更新日期：2008-02-01 00:00:00
abstract：OBJECTIVE:To evaluate inpatient rehabilitation in public facilities in Australia against a utilization review tool used in the USA. DESIGN:Prospective cohort study. SUBJECTS:Patients identified in the acute wards of a regional referral hospital and subsequently transferred to a public inpatient rehabilitation facilit...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章
doi：10.2340/16501977-0506
更新日期：2010-03-01 00:00:00
abstract：OBJECTIVE:To examine the test-retest reliability, convergent validity, and predictive validity of the comprehensive activities of daily living (CADL) measure in patients with stroke. DESIGN:A repeated-assessments design, 10-14 days apart, was used to examine test-retest reliability in 70 patients. In the validity stud...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章
doi：10.2340/16501977-1004
更新日期：2012-07-01 00:00:00
abstract：OBJECTIVE:A recurring complication in trans-tibial prosthetic limb users is "poor socket fit" with painful residuum-socket interfaces, a consequence of excess pressure. This is due to both poor socket fit and poor socket alignment; however, the interaction of these factors has not been quantified. Through evaluation of...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章
doi：10.2340/16501977-2075
更新日期：2016-04-01 00:00:00
abstract：OBJECTIVE:The interhemispheric competition model proposes that the functional recovery of motor deficits in patients after stroke can be achieved by increasing the excitability of the affected hemisphere or decreasing the excitability of the unaffected hemisphere. We investigated whether bilateral repetitive transcrani...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章,随机对照试验
doi：10.2340/16501977-0454
更新日期：2009-11-01 00:00:00
abstract：OBJECTIVE:To evaluate the effects of repetitive transcranial magnetic stimulation (rTMS) on mobility among patients with substantial leg impairment after subacute stroke. DESIGN:Double-blinded, stratified, randomized trial involving a sham control group. PARTICIPANTS:Patients who developed unilateral hemiplegia after...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章,随机对照试验
doi：10.2340/16501977-1943
更新日期：2015-04-01 00:00:00
abstract：OBJECTIVE:To report on the results of the consensus process integrating evidence from preliminary studies to develop the first version of a Comprehensive ICF Core Set and a Brief ICF Core Set for depression. METHODS:A formal decision-making and consensus process integrating evidence gathered from preliminary studies w...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章
doi：10.1080/16501960410016055
更新日期：2004-07-01 00:00:00
abstract：OBJECTIVE:To determine whether transcranial direct current stimulation augments the analgesic effect of breathing-controlled electrical stimulation in patients with spinal cord injury who have chronic neuropathic pain. DESIGN:Sham-controlled, single-blinded, single-centre, cross-over study of 12 participants with inco...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章
doi：10.2340/16501977-2379
更新日期：2018-09-28 00:00:00
abstract：OBJECTIVE:To examine restrictions in daily functioning from a rehabilitation perspective in patients one year after discharge from the intensive care unit, and to identify prognostic factors for functional status. DESIGN:Cross-sectional design. PATIENTS:Consecutive patients who were admitted to the intensive care uni...
journal_title：Journal of rehabilitation medicine
pub_type： 杂志文章
doi：10.2340/16501977-0333
更新日期：2009-04-01 00:00:00
