Abstract:
OBJECTIVE:To evaluate the effect of modified wheelchair arm-support to mitigate hemiplegic shoulder pain and reduce pain frequency in stroke patients. DESIGN:A single-blind randomized controlled trial using computer-generated simple randomization. SETTING:Participants recruited from inpatients at the Guangdong Provincial Hospital of Chinese Medicine. SUBJECTS:A total of 120 patients with stroke were divided into two groups. INTERVENTIONS:All subjects underwent basic rehabilitation training and wheelchair assistance with eight weeks follow-up period. Patients in the treatment group additionally received modified wheelchair arm-support for at least 60 minutes a day, six days a week, for four weeks. OUTCOME MEASURES:Primary outcome was measured by the Visual Analogue Pain Scale or Numeric Pain Rating Scale. Secondary outcome was measured using the Upper Extremity Fugl-Meyer Assessment scale, Modified Barthel Index and Quality of Life Index. Measurements were made at 4 weeks and 12 weeks, following the intervention. RESULTS:Patients age from 21 to 83 years (mean ± SD = 62.41 ± 12.26). The average duration of disease was 1.9 ± 1.3 months. At four weeks, the median of pain intensity was higher in the control group (median, interquartile range = 3, 5.75 vs. 2, 3.75; P = 0.059). At 12 weeks, the median of pain intensity was higher in the control group (median, interquartile range = 3, 5.00 vs. 0, 1.00; P < 0.001). At 12 weeks, patients with shoulder pain were higher in the control group (6 vs. 1; P < 0.05). CONCLUSION:Using the modified wheelchair arm-support could lead to the mitigation of hemiplegic shoulder pain and reduction in pain incidence in stroke patients. It may also improve the patients' quality of life.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Pan R,Zhou M,Cai H,Guo Y,Zhan L,Li M,Yang Z,Zhu L,Zhan J,Chen Hdoi
10.1177/0269215517714830subject
Has Abstractpub_date
2018-01-01 00:00:00pages
37-47issue
1eissn
0269-2155issn
1477-0873journal_volume
32pub_type
杂志文章,随机对照试验abstract::The biopsychosocial model outlined in Engel's classic Science paper four decades ago emerged from dissatisfaction with the biomedical model of illness, which remains the dominant healthcare model. Engel's call to arms for a biopsychosocial model has been taken up in several healthcare fields, but it has not been accep...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215517709890
更新日期:2017-08-01 00:00:00
abstract:OBJECTIVE:We aimed to interrogate the effects of transcranial magnetic stimulation (TMS) on the performance in activities of daily living (ADL) and attention function after stroke. DESIGN:Randomized controlled trial. SETTING:Inpatient rehabilitation hospital. SUBJECTS:We randomized 62 stroke patients with attention ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520946386
更新日期:2020-12-01 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: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 day hospital to day centre rehabilitation using scales to measure mobility, activities of daily living and quality of life. DESIGN:Single blind randomized controlled trial with home assessments at baseline (twice), six weeks and three months. SETTING:Mainly rural health district. Day hospital and...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/0269215500cr334oa
更新日期:2000-08-01 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:Investigation of the effects of preoperative physical therapy on pulmonary function and physical performance before and after upper abdominal surgery. DESIGN:Non-blind randomized controlled trial. SETTING:Tertiary public hospital and private university, São Paulo state, Brazil. SUBJECTS:Thirty-two patients...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215512471063
更新日期:2013-07-01 00:00:00
abstract:OBJECTIVE:Errorless learning is an effective strategy for the cognitive rehabilitation of memory impairment, but there is little evidence to support its use for skill learning. This preliminary study investigates whether errorless learning is superior to treatment as usual (trial and error), when teaching people with a...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215509353270
更新日期:2010-03-01 00:00:00
abstract:OBJECTIVE:The use of wearable motion-sensing technology offers important advantages over conventional methods for obtaining measures of physical activity and/or physical functioning in aged individuals. This review aims to identify the actual state of applying wearable systems for monitoring mobility-related activity i...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215508090675
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVE:To evaluate the effectiveness of lifestyle group intervention on well-being, occupation and social participation. DESIGN:A randomized controlled trial. SETTING:Senior centres in the community. SUBJECTS:Of 204 stroke survivors screened, 99 (49%) were randomized three months after stroke whereby 86 (87%) par...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215511429473
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVE:To examine the effect of constraint-induced movement therapy and modified constraint-induced movement therapy on activity and participation of patients with stroke (i.e. the effect of different treatment durations and frequency) by reviewing the results of randomized controlled trials. DATA SOURCES:A systema...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.1177/0269215511420306
更新日期:2012-03-01 00:00:00
abstract:OBJECTIVE:To examine whether two different physiotherapy regimes caused any differences in outcome in rehabilitation after acute stroke. DESIGN:A double-blind study of patients with acute first-ever stroke. Sixty-one patients were consecutively included, block randomized into two groups, and stratified according to ge...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/0269215500cr338oa
更新日期:2000-08-01 00:00:00
abstract:OBJECTIVE:To examine whether stroke survivors in inpatient rehabilitation with pre-existing cognitive impairment receive less therapy than those without. DESIGN:Prospective observational cohort. SETTING:Four UK inpatient stroke rehabilitation units. PARTICIPANTS:A total of 139 stroke patients receiving rehabilitatio...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215519843984
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVE:To investigate the hypoalgesic effects of transcutaneous electrical nerve stimulation (TENS) upon low back pain (LBP) in people with multiple sclerosis (MS). DESIGN:A randomized double-blind placebo controlled clinical pilot study. SUBJECTS AND SETTING:Fifteen people with MS were recruited and randomly allo...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/0269215503cr672oa
更新日期:2003-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the feasibility and concurrent validity of a new, mail-administered, stroke-specific outcome measure, the Stroke Impact Scale (SIS). DESIGN:Observational cohort study. SETTING AND PATIENTS:Stroke patients who had lived independently in the community prior to their stroke and who were candidates ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215502cr510oa
更新日期:2002-08-01 00:00:00
abstract:OBJECTIVES::To explore the experiences of occupational therapists and physiotherapists and to reveal any factors that can facilitate delivering a complex care home intervention promoting meaningful activity. DESIGN::Qualitative interview study using data from three focus groups conducted longitudinally post interventi...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518815233
更新日期:2019-03-01 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 explore the extent to which practitioners effectively use cues from clients' verbal descriptions of their favourite activities to form accurate impressions of the personality of clients with Parkinson's disease. PARTICIPANTS:Ninety-nine practitioners from disciplines of occupational, physical and speech t...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215505cr897oa
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVE:Many papers describe vestibular rehabilitation programmes to reduce vertigo and disequilibrium caused by peripheral vestibular disorders, but few studies have assessed performance on purposeful activities. This study determined if performance on a purposeful activity improves after vestibular rehabilitation e...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/0269215504cr707oa
更新日期:2004-03-01 00:00:00
abstract:OBJECTIVE:To assess the psychometric properties of an observational screening measure of depressive symptoms (SADQH-10; 10-item Hospital version of the Stroke Aphasic Depression Questionnaire) for use in stroke patients with aphasia and to determine the convergent and divergent validity of the SADQH-10. DESIGN:Cross-s...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215511422388
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVE:This study aims to evaluate the prevalence and determinants of inadequate physical activity and excessive sedentary behaviour before and after total knee replacement. DESIGN, SETTING AND SUBJECTS:Secondary analysis was performed on data from a cohort of 422 adults (45-74 years), drawn from 12 public or priva...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518769986
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVE:To compare spinal manipulation, back school and individual physiotherapy in the treatment of chronic low back pain. DESIGN:Randomized trial, 12-month follow-up. SETTING:Outpatient rehabilitation department. PARTICIPANTS:210 patients with chronic, non-specific low back pain, 140/210 women, age 59 +/- 14 yea...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215509342328
更新日期:2010-01-01 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:To determine the factors associated with physical activity participation in adults with hip or knee osteoarthritis. METHODS:A systematic review was conducted including searches of AMED, PsycINFO, CINAHL, MEDLINE, EMBASE, PubMed and the Cochrane Library from inception until October 2013. Studies presenting qu...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215514538069
更新日期:2015-01-01 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:PRIMARY OBJECTIVE:To appraise recent studies regarding the needs and experiences of caregivers of individuals with multiple sclerosis (MS). DESIGN:The following computerized databases were searched: CINAHL, BIDS IBSS, ASSIA, MEDLINE, PSYCHINFO, British Nursing Index, ISI Web of Science, Zetoc, AMED (1990-April 2002). ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1191/0269215503cr618oa
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVE:To determine whether stroke patients with initial increases in arm motor recovery following low-frequency transcutaneous electrical nerve stimulation (low TENS) treatment go on to show long-term benefits. Also whether the same therapy results in long-term improvements in motor function, spasticity or activiti...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/026921500673534278
更新日期:2000-02-01 00:00:00
abstract:OBJECTIVE:Does early treatment of spasticity with botulinum-toxin (BoNTA), in (hyper)acute stroke patients without arm-function, reduce contractures and improve function. DESIGN:Randomised placebo-controlled-trial. SETTING:Specialised stroke-unit. PARTICIPANTS & INTERVENTION:Patients with an Action Research Arm Test...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520963855
更新日期:2020-10-11 00:00:00
abstract:OBJECTIVE:To analyse the relationship between the timed 'up and go' (TUG) and gait time in an elderly orthopaedic population, in order to determine whether additional useful information is obtained by measuring both. DESIGN:Observational study. SETTING:Jewish Rehabilitation Hospital, Laval, Quebec. SUBJECTS:Seventy-...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921500675545616
更新日期:2000-02-01 00:00:00
abstract:OBJECTIVE:To determine the effect of a workplace intervention programme on the rate of return to work of previously employed stroke survivors in the Gauteng province of South Africa. DESIGN:A randomised controlled trial. SETTING:Participants' workplaces and three hospitals with stroke rehabilitation facilities. SUBJ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215514554241
更新日期:2015-07-01 00:00:00