Abstract:
OBJECTIVE:To evaluate the effect of very early mobilisation on functional status following acute stroke. DESIGN:Single blind, randomized controlled trial. SETTING:University hospital. SUBJECTS:Eighty-six patients with acute stroke (42 men and 38 women) aged 30-80 years were randomized to an Intervention group and a Standard care group. INTERVENTIONS:All participants received 45 minutes standard care once a day for seven days. In addition, the intervention group (n=43) performed very early mobilisation consisting of early and frequent out of bed activities which started within 24 hours of stroke onset for 5 to 30 minutes at least twice a day, for seven days. OUTCOME MEASURES:Functional status was measured with Barthel ADL Index on admission, discharge and three months follow up. RESULTS:Intervention group showed a significant improvement in Barthel Index change scores (discharge - admission) (median=35, IQR=30-38.75 versus median=17.50, IQR=10-30) than the standard care group. Intervention group showed a significant improvement in Barthel Index change scores (three month follow up - admission) (median=42.50, IQR=35-55) versus (median=30, IQR=20-35) than the standard care group. The Intervention group reported statistically significant improvement in functional status at discharge (P<0.001) and at three months follow up (P<0.001) compared with the Standard care group. CONCLUSIONS:The results indicate that very early mobilisation in addition to the standard care may be effective in improving the functional status following acute stroke.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Chippala P,Sharma Rdoi
10.1177/0269215515596054subject
Has Abstractpub_date
2016-07-01 00:00:00pages
669-75issue
7eissn
0269-2155issn
1477-0873pii
0269215515596054journal_volume
30pub_type
杂志文章,随机对照试验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 determine the acceptability and clinical application of two recently developed goal-setting interventions (Goal Management Training and Identity Oriented Goal Training) in people with traumatic brain injury. DESIGN:A three parallel group, randomized controlled pilot study. SETTING:Inpatient and community...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215509102980
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVE:To test the effects of pulmonary rehabilitation on fatigue, functional status and health perceptions in patients with chronic obstructive pulmonary disease. DESIGN:Randomized controlled trial. SETTING:Pulmonary outpatient department. SUBJECTS:Thirty patients randomly assigned to a rehabilitation (3 men, 9 ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215508096174
更新日期:2009-02-01 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 evaluate the effects of leisure therapy and conventional occupational therapy (OT) on the mood, leisure participation and independence in activities of daily living (ADL) of stroke patients 6 and 12 months after hospital discharge. DESIGN:Multicentre randomized controlled trial. SETTING AND PARTICIPANTS:...
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:10.1191/026921501666968247
更新日期:2001-02-01 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 determine whether transferring equipment designed to assist a carer when moving someone who is able to take some weight through their legs is likely to affect the risk of back problems in the carer. DESIGN:Twelve pieces of equipment were tested by nurses transferring patients from commode to wheelchair an...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215502cr499oa
更新日期:2002-05-01 00:00:00
abstract:OBJECTIVE:To undertake an audit of existing environmental control system (ECS) provision to see what lessons could be applied to developing a new model of service. DESIGN:Structured interviews and assessments making use of questionnaires and algorithms. SUBJECTS:Users of environmental control systems in the inner Lon...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921598671164157
更新日期:1998-02-01 00:00:00
abstract:OBJECTIVE:This systematic review aimed to investigate the effects of interventions intended for retraining leg somatosensory function on somatosensory impairment, and secondary outcomes of balance and gait, after stroke. DATA SOURCES:Databases searched from inception to 16 January 2019 included Cochrane Library, PubMe...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215519836461
更新日期:2019-06-01 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 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 investigate the effects of patellar taping on the electromyographic onset of vastus medialis obliquus and vastus lateralis, and their magnitudes of reflex contraction before and after quadriceps muscle fatigue in subjects with patellofemoral pain. METHODS:Sixteen adults (5 males) diagnosed with patellofem...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215509334835
更新日期:2009-08-01 00:00:00
abstract:OBJECTIVE:To develop an observational instrument that can be used to evaluate the quality of arm and hand skills in daily functional activities in children with obstetric brachial plexus lesion (OBPL). A set of functional activities was constructed and standardized, and the intra-observer reliability of the assessment ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215506071253
更新日期:2007-02-01 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::In an era of inadequate resources for all health services, rehabilitation services providers are frequently asked to produce criteria defining the patients they will accept. In principle rationing of services by ability to benefit is fair. In practice there are many difficulties. The evidence to allow selection of pat...
journal_title:Clinical rehabilitation
pub_type: 社论
doi:10.1191/0269215503cr591ed
更新日期:2003-03-01 00:00:00
abstract:OBJECTIVE:To investigate the effectiveness and safety of Baduanjin training on the cognitive function in stroke survivors with cognitive impairment. DESIGN:A randomized, two-arm parallel controlled trial with allocation concealment and assessors blinding. SETTING:Community centre of Fuzhou city, China. SUBJECTS:A to...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215520930256
更新日期:2020-08-01 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 assess the usage of carbon fibre orthoses in assisting post-polio syndrome patients who reported advancing weakness and difficulty in maintaining their independent ambulatory status. DESIGN AND INTERVENTIONS:Carbon fibre orthoses that are 30% lighter than metal braces were constructed. SUBJECTS:Thirty p...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1177/026921559701100406
更新日期:1997-11-01 00:00:00
abstract:OBJECTIVE:This study investigated the impact of the severity of parental multiple sclerosis, parents' expressed emotion and psychological well-being on offspring's psychological difficulties. DESIGN:A longitudinal study including baseline and 6-month follow-up data collected from parents and children. SUBJECTS:Adoles...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215515580600
更新日期:2016-03-01 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 evaluate medication, rehabilitation and healthcare consumption in adults with CP as a function of Gross Motor Function Classification System (GMFCS) level. DESIGN:Questionnaire-based cross-sectional study. SETTING:Brittany, a French county. SUBJECTS:Adults with cerebral palsy. INTERVENTIONS:Questionnai...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215516663286
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVE:To assess the costs, effects, and cost-utility of an accelerated physiotherapy programme versus a standard physiotherapy programme following resurfacing hip arthroplasty. DESIGN:A cost-utility analysis alongside a randomized controlled trial. SETTING:A UK National Health Service hospital and patients' homes...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215519827628
更新日期:2019-06-01 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 modify a published group intervention for adjustment to multiple sclerosis (MS) to suit an individual format, and to assess the feasibility of a randomised controlled trial (RCT) to compare individual and group intervention for people with multiple sclerosis and low mood. DESIGN:Feasibility randomised con...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215515616446
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVE:To investigate an intensive asynchronous computer-based treatment delivered remotely with clinician oversight to people with aphasia. DESIGN:Single-blind, randomized placebo-controlled trial. SETTING:Free-standing urban rehabilitation hospital. PARTICIPANTS:Adults with aphasia (at least six months post-ons...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520988475
更新日期:2021-01-20 00:00:00
abstract:BACKGROUND:Although cognitive impairments are common following stroke, there is considerable uncertainty about the types of interventions that can reduce activity restrictions and improve quality of life. Indeed, a recent project to identify priorities for research into life after stroke determined that the top priorit...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215514538982
更新日期:2015-02-01 00:00:00
abstract:OBJECTIVE:To assess the process of hospital-based stroke rehabilitation. DESIGN:A criterion-based process audit, combined with surveys of patient and staff opinions and basic outcome measures. SETTING:All wards and units treating stroke patients in a health care district, including an acute and a community National H...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921599674794965
更新日期:1999-08-01 00:00:00
abstract:OBJECTIVE:To assess the effectiveness of diacutaneous fibrolysis in reducing musculoskeletal disorders symptoms such as pain, range of motion and functionality. DATA SOURCES:A systematic review of MEDLINE, Cochrane, PEDro and Science Direct was conducted until September 2020. REVIEW METHODS:Computerized search strate...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520968056
更新日期:2020-10-26 00:00:00
abstract:OBJECTIVE:To evaluate if the Timed Up and Go Test is a useful tool to measure postoperative function and to predict one-year results of rehabilitation in patients operated owing to hip fracture. DESIGN:Prospective cohort study. SETTING:The department of orthopaedic surgery at five hospitals in Norway. Patients were a...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215515591039
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVES:To examine the effect of heat and duration of stretching on the extensibility of hamstring muscles and their electromyographic responses to passive stretch in children with hypertonia and severe mental retardation. DESIGN:Randomized cross-over trial. SETTING:Developmental disability unit in a local hospita...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215508090067
更新日期:2008-09-01 00:00:00