Abstract:
OBJECTIVE:To compare the effects on gait and balance of aquatic physiotherapy versus on-land training, in the context of an inpatient rehabilitation treatment tailored for peripheral neuropathies. DESIGN:Parallel-group, single-center, single-blind randomized controlled trial. SUBJECTS AND SETTING:Consecutive patients affected by peripheral neuropathy admitted in our Neuro-Rehabilitation Unit. INTERVENTIONS:Patients received a four-week rehabilitation program composed by daily sessions of conventional physiotherapy and three sessions/week of specific treatment (aquatic vs. on-land). MAIN MEASURES:Primary outcome measures were Berg Balance Scale and Dynamic Gait Index. Secondary outcome measures were Neuropathic Pain Scale, Overall Neuropathy Limitations Scale, Functional Independence Measure, Functional Ambulation Classification, Conley Scale and Medical Research Council Scale score for the strength of hip and ankle flexor and extensor muscles. For each scale, we calculated the difference between the scores at discharge and admission and compared it between the two groups. RESULTS:Forty patients were enrolled: 21 in the water-based rehabilitation group and 19 in the land-based one. Patients were similar between groups. When comparing the groups, we found that "in-water" patients had a significant better improvement in the Dynamic Gait Index score (6.00 (4.00, 7.25) vs. 4.00 (1.25, 6.00), P = 0.0433). On the opposite, the "on-land" group showed a better improvement of the Functional Ambulation Classification score (1.0 (0.75, 1.0) vs. 1.0 (1.0, 2.0), P = 0.0386). CONCLUSION:Aquatic physiotherapy showed an effect comparable to the land-based rehabilitation on gait and balance dysfunctions of neuropathic patients.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Zivi I,Maffia S,Ferrari V,Zarucchi A,Molatore K,Maestri R,Frazzitta Gdoi
10.1177/0269215517746716subject
Has Abstractpub_date
2018-05-01 00:00:00pages
663-670issue
5eissn
0269-2155issn
1477-0873journal_volume
32pub_type
杂志文章,随机对照试验abstract:OBJECTIVE:To investigate the short-term effects of the life goal concept on subjective well-being and treatment engagement, and to determine the sample size required for a larger trial. DESIGN:A quasi-randomized controlled trial that was not blinded. SETTING:A subacute rehabilitation ward. SUBJECTS:A total of 66 pat...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215515622671
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVE:To investigate the effects of high-velocity resistance training on muscle function, muscle properties, and physical performance in patients with hip osteoarthritis by comparison with those of low-velocity resistance training. DESIGN:Single-blind randomized controlled trial. SETTING:Home-based exercise progr...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215513492161
更新日期:2014-01-01 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 test the effectiveness of an educational intervention including "face to face" training, compared to a standard information program, to reduce microstomia in women with systemic sclerosis. DESIGN:Single-blind, two-arm, randomized controlled study with a 12-month follow-up period. SETTING:Hospital wards o...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215519858395
更新日期:2019-11-01 00:00:00
abstract::Registration of randomized controlled trials is essential to reduce the risk of biased data being used when judging the effectiveness of an intervention. This journal will in future require that all randomized trials submitted are registered on a recognized register. This editorial explains why. ...
journal_title:Clinical rehabilitation
pub_type: 社论
doi:10.1177/0269215515612209
更新日期:2016-03-01 00:00:00
abstract:OBJECTIVE:To investigate the level of agreement of the behavioural mapping method with an accelerometer to measure physical activity of hospitalized patients. DESIGN:A prospective single-centre observational study. SETTING:A university medical centre in the Netherlands. SUBJECTS:Patients admitted to the hospital. M...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215519836454
更新日期:2019-07-01 00:00:00
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:To investigate the feasibility, acceptability, and safety of a supervised video game exercise program administered via Dance Dance Revolution in individuals with Huntington's disease. DESIGN:A cross-over, controlled, single-blinded, six-week trial. SETTING:Home-based. PARTICIPANTS:Eighteen ambulatory indiv...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215513487235
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVE:To investigate the effects of mirror therapy on walking ability, balance and lower limb motor recovery in patients with stroke. METHOD:MEDLINE, EMBASE, Web of Science, CENTRAL, PEDro Database, CNKI, VIP, Wan Fang, ClinicalTrials.gov, Current controlled trials and Open Grey were searched for randomized contro...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215518766642
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVES:This study evaluated the capacity of cardiac risk stratification protocols on simple complications that occur during activities of a cardiovascular rehabilitation program. DESIGN:Observational longitudinal cohort study. SETTING:Outpatient clinic of cardiovascular rehabilitation. SUBJECT:Patients diagnosed...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520978499
更新日期:2020-12-08 00:00:00
abstract:OBJECTIVE:To compare the outcome of day hospital to day centre rehabilitation. 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 social services day centres in market towns. SUBJECTS:One hundre...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/026921599671803291
更新日期:1999-04-01 00:00:00
abstract:OBJECTIVE:First, to investigate the effects of a telerehabilitation intervention on health status and activity level of patients with Chronic Obstructive Pulmonary Disease (COPD), compared to usual care. Second, to investigate how patients comply with the intervention and whether compliance is related to treatment outc...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215513512495
更新日期:2014-06-01 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: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:AIM:To investigate the effects of the water-based exercise on balance, mobility, mobility and functional independence, functional performance, fear of falling and quality of life in people with Parkinson's disease. METHODS:We searched pubmed/MEDLINE, Cochrane Central Register of Controlled Trials, PEDro data base and ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520943660
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVE:To investigate the internal consistency, the domain structure and the influence of social desirability with regard to a questionnaire translated and adapted to assess the quality of rehabilitation team conferences in the Netherlands. STUDY DESIGN:A questionnaire to determine group decision-making processes w...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921501674553635
更新日期:2001-04-01 00:00:00
abstract:OBJECTIVE:To study the course of apraxia and daily life functioning (ADL) in left hemisphere stroke patients with apraxia. DESIGN:Prospective cohort study. SETTING:Rehabilitation centres and nursing homes. SUBJECTS:One hundred and eight left hemisphere stroke patients with apraxia, hospitalized in rehabilitation cen...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215506071257
更新日期:2006-12-01 00:00:00
abstract:PURPOSE:The aim was to describe experiences of disability in everyday life and managing the recovery process two years after falling ill with Guillain-Barré syndrome. DESIGN:Qualitative interview study. METHODS:Interviews were conducted with 35 persons (22 male, mean age 50 years) two years after the onset of Guillai...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215514549564
更新日期:2015-06-01 00:00:00
abstract:OBJECTIVE:To examine the effect of additional cognitive demand on cycling performance in individuals with acquired brain injury (ABI). DESIGN:Prospective observational study. SETTING:Rivermead Rehabilitation Centre. PARTICIPANTS:Ten individuals with ABI (7 men, 3 women) (traumatic brain injury 7, tumour 1, stroke 2)...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215503cr623oa
更新日期:2003-08-01 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: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
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215513475805
更新日期:2013-08-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215506cr965oa
更新日期:2006-06-01 00:00:00
abstract:OBJECTIVE:To evaluate the effect of home versus in-hospital exercise (under supervision) programmes on hip strength, gait speed and cadence in patients with total hip arthroplasty at least one year after operation. SETTING:Physical therapy and rehabilitation department. SUBJECTS:Twenty-six patients who had had a tota...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215507077302
更新日期:2007-08-01 00:00:00
abstract:PROBLEM:Many services and professionals refer to themselves as providing rehabilitation. There is no agreed method for determining whether someone has specific expertise in rehabilitation. This makes it difficult for patients and payers to know whether professionals who claim to provide rehabilitation are specifically ...
journal_title:Clinical rehabilitation
pub_type: 社论
doi:10.1177/0269215520925869
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVE:To evaluate the effects of individual or group mirror therapy on sensorimotor function, activities of daily living, quality of life and visuospatial neglect in patients with a severe arm paresis after stroke. DESIGN:Randomized controlled trial. SETTING:Inpatient rehabilitation centre. SUBJECT:Sixty patient...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215512455651
更新日期:2013-04-01 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: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::The total extent of sickness in the population has increased while disease has decreased. Being sick is a role that offers the patient many advantages both directly, in terms of being absolved from undertaking many daily activities if necessary, and indirectly, through additional financial and other resources that may...
journal_title:Clinical rehabilitation
pub_type: 社论
doi:10.1177/0269215507077799
更新日期:2007-04-01 00:00:00
abstract:OBJECTIVE:The purpose of this study is to produce insight in the explanations for declining pulmonary rehabilitation given by patients with chronic obstructive pulmonary disease. SETTING:The participants were recruited from a hospital in Denmark, among patients hospitalized due to an exacerbation of chronic obstructiv...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215517708821
更新日期:2017-12-01 00:00:00