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 controlled trials evaluating the effects of pre- and postoperative inspiratory muscle training. RESULTS:Eight studies fulfilled the inclusion criteria. Four were about preoperative inspiratory muscle training (416 patients), three about postoperative inspiratory muscle training (115 patients) and one study about pre- and postoperative inspiratory muscle training (43 patients). Preoperative inspiratory muscle training resulted in improvement in: Reduction in length of postoperative hospital stay of -2 days (95% CI -3.4, -0.7, N = 302), inspiratory pressure of 16.7 cm H2O (95% CI 13.8, 19.5, N = 386), forced expiratory volume in one second of 3% predicted (95% CI 0.1, 6, N = 140), forced vital capacity of 4.6% predicted (95% CI 1.9, 7.4, N = 140). Patients that received preoperative training had an inspiratory muscle training reduced risk of postoperative pulmonary complications, (RR = 0.6; 95% CI 0.5 to 0.8; P = 0.0004, N = 386). Postoperative inspiratory muscle training resulted in improvement in inspiratory pressure of 16.5 cm H2O (95% CI 4.9, 27.8, N = 115), and tidal volume of 185 ml (95% CI 19.7, 349.8, N = 85). CONCLUSION:Pre- and postoperative inspiratory muscle training showed to be a beneficial intervention in the treatment of patients undergoing cardiac surgery.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Gomes Neto M,Martinez BP,Reis HF,Carvalho VOdoi
10.1177/0269215516648754subject
Has Abstractpub_date
2017-04-01 00:00:00pages
454-464issue
4eissn
0269-2155issn
1477-0873pii
0269215516648754journal_volume
31pub_type
杂志文章,meta分析,评审abstract:OBJECTIVES:To determine the effectiveness of early multidisciplinary interventions in promoting work participation and reducing work absence in adults with regional musculoskeletal pain. DATA SOURCES:Seven databases (CENTRAL, CINAHL, EMBASE, MEDLINE, Scopus, OT Seeker, PEDro; 1990 to December 2016) were searched for e...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215517699976
更新日期:2017-11-01 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: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:OBJECTIVE:To compare stroke patients' reports with service providers' reports on the rehabilitation services patients receive. SETTING:Community, predominantly urban. SUBJECTS:Ninety-three stroke patients who had not been admitted to hospital. METHOD:Between August 1994 and August 1996, 54 general practitioner pract...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921598671668617
更新日期:1998-06-01 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: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 effectiveness of a patient education programme for preventing falls in the subacute hospital setting. DESIGN:Randomized controlled trial, subgroup analysis. PARTICIPANTS:Patients of a metropolitan subacute/aged rehabilitation hospital who were recommended for a patient education intervention...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215506070694
更新日期:2006-11-01 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: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 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 examine the scalability of the Rivermead Motor Assessment (RMA) with nonacute stroke patients in the community. DESIGN:This was a prospective study of the patients after discharge from hospital. All subjects were assessed on the RMA at six and 12 months after discharge home from hospital. Coefficients of ...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1177/026921559701100108
更新日期:1997-02-01 00:00:00
abstract:OBJECTIVE:To investigate the effects of movement imagery-assisted electromyography (EMG)-triggered feedback (focused on paretic wrist dorsiflexors) on the arm-hand function of stroke patients. DESIGN:Single-blinded, longitudinal, multicentre randomized controlled trial. Measurements were performed (on average) 54 days...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215507075502
更新日期:2007-07-01 00:00:00
abstract:OBJECTIVE:To compare the immediate effects of an external focus to enhance lateral body weight shift after stroke. DESIGN:Randomized controlled trial. SETTING:Inpatient rehabilitation hospital. SUBJECTS:Twenty patients after stroke (11 males; mean (SD) age 72.2 (7.4) years; duration of illness 56 (14) days; there we...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215513513963
更新日期:2014-07-01 00:00:00
abstract:OBJECTIVE:To evaluate the central haemodynamic responses during position changes from supine to sitting and during 30 min of standing between able-bodied and spinal cord-injured subjects. Also to assess the effects of the physiologic muscle pump in both groups during 30 min of standing. DESIGN:A repeated measure desig...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/0269215502cr570oa
更新日期:2002-12-01 00:00:00
abstract:OBJECTIVE::To compare the effects of diacutaneous fibrolysis with sham in patients with mild to moderate carpal tunnel syndrome. DESIGN::Double-blind (patient and evaluator) randomized controlled trial. SETTING::Miguel Servet University Hospital, Zaragoza, Spain. SUBJECTS::A total of 52 patients (72 wrists) with car...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215518787316
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVES:To establish the measurement properties of TURN180, a test of dynamic postural stability. DESIGN:One physiotherapist conducted three trials of TURN 180, one of which was also observed by a second therapist. SETTING:A day unit for elderly people accepting both inpatients and outpatients. SUBJECTS:Sixty-six...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215505cr783oa
更新日期:2005-06-01 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 describe the content and delivery of the adapted London Stroke Carers Training Course intervention evaluated in the Training Caregivers after Stroke (TRACS) trial. SETTING:The London Stroke Carers Training Course is a structured training programme for caregivers of inpatients who are likely to return home...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215514543334
更新日期:2015-03-01 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
abstract:OBJECTIVE:The present study aimed to assess the effectiveness of oral citalopram, compared with fluoxetine and a placebo, in patients with post-stroke motor disabilities. DESIGN:A randomized double-blind placebo-controlled clinical trial was conducted between January 2015 and January 2016. SETTING:The neurology depar...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215518777791
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVE:To assess the feasibility and practicalities of using the technique of mental practice as an adjunct in the rehabilitation of the upper limb following stroke. DESIGN:A series of single-case studies. SETTING:A stroke rehabilitation unit in Belfast. SUBJECTS:Fourteen patients admitted for rehabilitation of t...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215504cr702oa
更新日期:2004-02-01 00:00:00
abstract:OBJECTIVE:To systematically investigate how fatigue, depression, anxiety, sleep quality, and life quality are influenced by the Internet-based self-management program (IBSMP) among cancer patients. DATA SOURCES:Eight databases (Cochrane Library, Ovid, Web of Science, Medline, Embase, Chinese biomedical database (CBM),...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215519889394
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:To explore, following a literature review, whether there is a consistent definition and a unified assessment framework for the term 'spasticity'. The congruence between the definitions of spasticity and the corresponding methods of measurement were also explored. DATA SOURCES:The search was performed on the ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215508101747
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVE:To describe the practical steps in identifying items and evaluating scoring strategies for a new measure of emotional vitality in informal caregivers of individuals who have experienced a significant health event. DESIGN:The psychometric properties of responses to selected items from validated health-related...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215514552503
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVE:Identify the environmental factors that influence stroke-survivors' reengagement in personally valued activities and determine what specific environmental factors are related to specific valued activity types. DATA SOURCES:PubMed, CINAHL and PsycINFO were searched until June 2016 using multiple search-terms ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215516671013
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVE:To determine whether aerobic exercise improves aerobic capacity in individuals with stroke. DESIGN:A systematic review of randomized controlled trials. DATABASES SEARCHED: MEDLINE, CINAHL, EMBASE, Cochrane Database of Systematic Reviews and Physiotherapy Evidence Database were searched. INCLUSION CRITERIA:D...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.1191/0269215506cr926oa
更新日期:2006-02-01 00:00:00
abstract:OBJECTIVE:To explore constructs relevant to self-efficacy in neurological rehabilitation. DESIGN:Qualitative methods using semi-structured interviews. SETTING:Specialist neurological rehabilitation unit, Liverpool, UK. SUBJECTS:Twenty-four patients (12 male) with experience of inpatient rehabilitation, aged 17-59 (m...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215506071784
更新日期:2007-03-01 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:OBJECTIVE:To describe and compare current practice in diagnosis and treatment of depression following acquired brain injury in two countries (UK and the Netherlands) which have different sets of guidelines. SETTING AND DESIGN:A cross-sectional survey of reported practice among rehabilitation physician members of the B...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215507079129
更新日期:2007-09-01 00:00:00
abstract:OBJECTIVE:To establish the feasibility of a randomized, placebo-controlled trial to investigate the effect of a specific immunotherapy bacterial lysate OM-89 (Uro-Vaxom®) in reducing the frequency of urinary tract infections in people with neurogenic bladder dysfunction. DESIGN:A parallel-group, double-blind, randomiz...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520946065
更新日期:2020-12-01 00:00:00