Abstract:
OBJECTIVE:To analyze cost-effectiveness of Pain Exposure Physical Therapy compared to conventional treatment alongside a randomized controlled trial (NCT00817128) in patients with complex regional pain syndrome type 1, where no clinical difference was shown between the two groups in an intention-to-treat analysis. DESIGN:Randomized controlled trial with 9 months follow-up. SETTING:Patients were recruited from hospitals and general practitioners in the region around a university hospital. SUBJECTS:A total of 56 patients, 45 (80.4%) female, were randomized. About 4 patients in the intervention and 11 patients in the conventional group switched groups. The mean (SD) age was 44.3 (16.6) years, and in 37 (66.1%) patients, the upper extremity was affected. INTERVENTIONS:Patients received either Pain Exposure Physical Therapy (maximum of five sessions), or conventional treatment conforming with the Dutch multidisciplinary guideline. MAIN MEASURES:For the economic evaluation difference between the groups in health-related quality of life (quality-adjusted life years (QALYs)), and the clinical outcomes Impairment level Sum Score-Restricted Version and Pain Disability was determined based on the intention-to-treat analysis as well as differences in both healthcare-related costs and travel expenses. Cost-effectiveness planes were constructed using bootstrapping to compare effects and costs. RESULTS:No significant effects were found for QALYs (mean difference = -0.02; 95% confidence interval (CI) -0.10 to 0.04) and clinical outcomes. A cost minimization analysis showed a significant difference in costs between groups. The conventional treatment was 64% more expensive than the Pain Exposure Physical Therapy. CONCLUSION:This economic analysis shows that Pain Exposure Physical Therapy compared to conventional treatment is cost-effective.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Barnhoorn K,Staal JB,van Dongen RT,Frölke JPM,Klomp FP,van de Meent H,Adang E,Nijhuis-van der Sanden MWdoi
10.1177/0269215518757050subject
Has Abstractpub_date
2018-06-01 00:00:00pages
790-798issue
6eissn
0269-2155issn
1477-0873journal_volume
32pub_type
杂志文章,随机对照试验abstract:OBJECTIVE:To investigate whether social contact and support received during hospitalization for acute ischemic stroke predict depression and daily life functioning three months later. DESIGN:Prospective observational study using Ecological Momentary Assessments to evaluate the number of social contacts as well as soci...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215515623600
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:To compare the effectiveness of a 12-month home-based combined strength training and stretching programme against stretching alone in the treatment of chronic neck pain. DESIGN:A randomized follow-up study. PARTICIPANTS:One hundred and one patients with chronic non-specific neck pain were randomized in two ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215507087486
更新日期:2008-07-01 00:00:00
abstract:OBJECTIVE:(1) To evaluate constraint-induced movement therapy for chronic stroke patients modified into group practice to limit the demand on therapist resources. (2) To explore whether extended mitt use alone may enhance outcome. DESIGN:A combined case-control and randomized controlled study with pre- and post-treatm...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1191/0269215506cr937oa
更新日期:2006-03-01 00:00:00
abstract:OBJECTIVE::We sought to (1) identify the outcome measures currently used across stroke arm rehabilitation randomized trials, (2) identify and compare outcomes important to stroke survivors, carers and clinicians and (3) describe where existing research outcome measures capture outcomes that matter the most to stroke su...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518823248
更新日期:2019-04-01 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:OBJECTIVES:To determine whether there is a difference in global dependency and functional independence in patients with stroke associated with different approaches to physiotherapy treatment. DATA SOURCES:We searched the Cochrane Stroke Group Trials Register (last searched May 2005), Cochrane Central Register of Contr...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215507073438
更新日期:2007-05-01 00:00:00
abstract:BACKGROUND:The Action Research Arm (ARA) test is a performance test of upper extremity motor function which consists of 19 items divided into four hierarchical subtests. This multidimensionality has not yet been tested empirically. OBJECTIVE:To investigate the dimensionality of the ARA test. DESIGN:Cross-sectional st...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215502cr534oa
更新日期:2002-09-01 00:00:00
abstract:OBJECTIVE:To analyze the clinical significance of postoperative back muscle exercises after percutaneous vertebroplasty for spinal osteoporotic compression fracture patients. DESIGN:Clinical randomized controlled trials of parallel group nonpharmacologic study. SETTING:Patients practised back muscle exercises in the ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215511423557
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVE:To follow up participants in a randomised controlled trial of relaxation training for anxiety after stroke at 12 months. DESIGN:Twelve month follow-up to a randomised controlled trial, in which the control group also received treatment. SETTING:Community. PARTICIPANTS:Fifteen of twenty one original partici...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215516682820
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVE:To review peer-reviewed literature relating to postoperative physiotherapy for degenerative cervical myelopathy (DCM), to determine efficacy in improving clinical outcome and recovery. DATA SOURCES:MEDLINE, EMBASE, CENTRAL, PEDro, ISRCTN registry, WHO ICTRP and Clinicaltrials.gov . References and citations o...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518766229
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVES:To describe the immediate effects of diacutaneous fibrolysis on pain and mobility in patients suffering from painful shoulder, and to assess the ability of the placebo technique to blind participants to group allocation. DESIGN:A double-blind before-after randomized placebo-controlled pilot study. SETTING:...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215510385480
更新日期:2011-04-01 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 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: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 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 investigate whether Kinesio taping technique, applied to ankles of healthy people as a preventive intervention and people with ankle injuries, is superior to sham or alternative interventions on ankle function. DATA SOURCES:Medline, Embase, Amed, CINAHL, SPORTDiscus, Cochrane Library and Web of Science, f...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520963846
更新日期:2020-10-20 00:00:00
abstract:OBJECTIVE:To compare the effect of the Chignon ankle-foot orthosis on gait versus a standard ankle-foot orthosis. METHOD:A multicentre randomized study was conducted in seven rehabilitation centres. Hemiplegic patients were recruited after unilateral stroke lasting less than six months. Exclusion criteria were: imposs...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215511410730
更新日期:2011-11-01 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: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 estimate the effectiveness of ultrasonophoresis and iontophoresis with sodium diclofenac used in addition to an exercise program for patients with impingement syndrome. DESIGN:Multicentre, double-blind, placebo randomized controlled trial. SETTING:"Mancha Centro" Outpatient primary care clinic (Spain). ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215515578293
更新日期:2016-04-01 00:00:00
abstract::This series of articles for rehabilitation in practice aims to cover a knowledge element of the rehabilitation medicine curriculum. Nevertheless they are intended to be of interest to a multidisciplinary audience. The competency addressed in this article is 'The trainee consistently demonstrates a knowledge of the pat...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215509353254
更新日期:2010-04-01 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 investigate an intensified transition concept between neurological inpatient rehabilitation and home care for long-term effects on the care situation two and a half years after stroke patients' discharge. DESIGN:Controlled clinical trial allocating patients to intervention group (intensified transition on...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215506cr978oa
更新日期:2006-07-01 00:00:00
abstract:OBJECTIVE:To evaluate the reliability of assessing infants' general movements (GMs) using a new classification and its validity in predicting complex minor neurological dysfunction (MND) at toddler and at school age. DESIGN:Prospective study of two groups of infants, each consisting of a mix of low-risk and high-risk ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215504cr730oa
更新日期:2004-05-01 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 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: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:The purpose of the study was to evaluate the feasibility and efficacy of robot-assisted hand rehabilitation in improving arm function abilities in sub-acute hemiplegic patients. DESIGN:Randomized controlled pilot study. SETTING:Inpatient rehabilitation centers. PARTICIPANTS:Thirty hemiplegic stroke patient...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215516642606
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVE:We hypothesized that early ambulation with a gutter frame (GF) in elderly patients hospitalized for acute exacerbation of chronic obstructive pulmonary disease (AECOPD) may reduce physical disability and allow earlier discharge. DESIGN:Blinded, randomized parallel groups trial. SUBJECTS:One hundred and ten ...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/0269215503cr637oa
更新日期:2003-08-01 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