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. SUBJECTS:A total of 80 male resurfacing hip arthroplasty patients randomized post procedure to one of the two programmes. INTERVENTIONS:The accelerated physiotherapy programme commenced in hospital with patients being fully weight bearing, without hip precautions, and following a range of exercises facilitating gait re-education, balance, and lower limb strength. Standard physiotherapy commenced in hospital, but hip precautions were used and exercises were only partially weight bearing. In both groups, patients continued with their exercises at home for an eight-week period. MAIN MEASURES:Data on healthcare contacts were collected from patients to 12 months and costed using unit costs from national sources. Information was also collected on patients' costs. Health-related quality of life was measured using the EuroQol EQ-5D questionnaire and used to estimate quality-adjusted life years (QALYs) to 12 months. Mean costs and QALYs for each trial arm were compared. RESULTS:On average, the accelerated physiotherapy programme was less expensive (mean cost difference -£200; 95% confidence interval: -£656 to £255) and more effective (mean QALY difference 0.13; 95% confidence interval: 0.05 to 0.21) than standard physiotherapy and had a high probability of being cost-effective. CONCLUSION:From the National Health Service perspective, an accelerated physiotherapy programme for male patients undergoing revision of total hip arthroplasty (RHA) is very likely to be cost-effective when compared to a standard physiotherapy programme.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Fusco F,Campbell H,Barker Kdoi
10.1177/0269215519827628subject
Has Abstractpub_date
2019-06-01 00:00:00pages
1003-1014issue
6eissn
0269-2155issn
1477-0873journal_volume
33pub_type
杂志文章,随机对照试验abstract:OBJECTIVE:To evaluate a minimal dose intervention of six 1-hour sessions of task-oriented circuit gait training including a caregiver over a 12-week period to persons post stroke in the South African public health sector. DESIGN:Stratified, single blinded, randomized controlled trial with three intervention groups. P...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215518763969
更新日期:2018-08-01 00:00:00
abstract:OBJECT:The majority of research focusing on lifestyle risks in the spinal cord-injured population to date has mainly been descriptive in nature. Limited research has examined the relationships between lifestyle risks and morbidity. This study was undertaken to quantify the associations between selected lifestyle risks ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215502cr443oa
更新日期:2002-02-01 00:00:00
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 ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215515596054
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVE:To describe the experience of physical activity maintenance in patients with rheumatoid arthritis. DESIGN:A qualitative salutogenic-oriented interview study. SETTING:A rheumatology outpatient clinic. SUBJECTS:A purposive sample of 16 physically active patients (mean age 50, range 37-67) diagnosed with rheu...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215513501526
更新日期:2014-03-01 00:00:00
abstract:OBJECTIVE:To examine the criterion validity of lower extremity Motricity Index scores. DESIGN:Retrospective cross-sectional comparison of lower extremity Motricity Index scores and hand-held dynamometer measurements obtained from 15 patients with stroke. RESULTS:For individual actions (ankle dorsiflexion, knee extens...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921500675786655
更新日期:2000-04-01 00:00:00
abstract:OBJECTIVE:This systematic review aimed to examine the effects of dual-task balance and mobility training in people with stroke. METHODS:An extensive electronic databases literature search was conducted using MEDLINE, PubMed, EBSCO, The Cochrane Library, Web of Science, SCOPUS, and Wiley Online Library. Randomized cont...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518758482
更新日期:2018-07-01 00:00:00
abstract:OBJECTIVE:To investigate whether the Australian National Sub-acute and Non-acute Patient Casemix Classification (SNAP) and Functional Independence Measure and Functional Related Group (Version 2) (FIM-FRG2) casemix systems can be used to predict functional outcome, and reduce the variance of length of stay (LOS) of pat...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215500cr357oa
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVE:To explore how technologies are used and experienced in rehabilitation. DESIGN:A qualitative study using a grounded theory approach within a randomized controlled trial investigating the effectiveness of tailored, affordable technologies to improve mobility and physical activity. SETTINGS:Aged care and neur...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215518771820
更新日期:2018-09-01 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: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: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::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 compare the efficacy of three-dimensional (3D) Schroth exercises in patients with adolescent idiopathic scoliosis. DESIGN:A randomised-controlled study. SETTING:An outpatient exercise-unit and in a home setting. SUBJECTS:Fifty-one patients with adolescent idiopathic scoliosis. INTERVENTIONS:Forty-five ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215515575745
更新日期:2016-02-01 00:00:00
abstract:OBJECTIVE:To provide a theoretical background, to review existing literature and to present new case material relevant to the treatment of phantom limb pain using hypnotic imagery. METHOD:This paper presents two new case reports involving the use of hypnotic imagery procedures in the alleviation of phantom limb pain a...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1191/0269215502cr507oa
更新日期:2002-06-01 00:00:00
abstract:OBJECTIVE:To investigate the long-term effect of expanded cardiac rehabilitation on a composite end-point, consisting of cardiovascular death, myocardial infarction or readmission for cardiovascular disease, in patients with coronary artery disease. DESIGN:Single-centre prospective randomized controlled trial. SETTIN...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215510376006
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVE:To compare self-report measures of daily activities with objective activity data to determine whether patients with chronic lower back pain report their activity levels as accurately as controls do. DESIGN:A cross-sectional study was performed in patients and controls. SETTING:The study was carried out in t...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215510380828
更新日期:2011-03-01 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: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 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: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 determine if exercise benefits patients with multiple sclerosis. DESIGN:Randomized controlled trial. SETTINGS:Participants exercised at home and also attended exercise classes held in a hospital physiotherapy gym. SUBJECTS:Thirty patients, diagnosed and independently mobile, were recruited in the Dublin...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215507082283
更新日期:2008-03-01 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: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 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 determine feasibility of a randomised controlled trial (RCT) of home-based Reach-to-Grasp training after stroke. DESIGN:single-blind parallel group RCT. PARTICIPANTS:Residual arm deficit less than 12 months post-stroke. INTERVENTIONS:Reach-to-Grasp training in 14 one-hour therapist's visits over 6 weeks...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215516661751
更新日期:2017-07-01 00:00:00
abstract::As in other areas of rehabilitation, relatively small numbers and diversity--both of condition and of patients' goals--hinder the assimilation of robust evidence for the effectiveness of rehabilitation. Patients with spinal cord injury (SCI) tend to be gathered together in a small number of regional services, each wit...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1191/026921599674943310
更新日期:1999-01-01 00:00:00
abstract:OBJECTIVE:To develop a self-report measure for assessment of the stage of change in patients with osteoarthritis, in order to identify patients who would benefit from a self-management programme. METHODS:According to the 'stages of change' model a questionnaire was developed with three groups of items corresponding to...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215505cr814oa
更新日期:2005-05-01 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 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:OBJECTIVE:To examine the sources of stress and the patterns of coping of spouses of persons with spinal cord injuries (SCI) among Hong Kong Chinese. DESIGN:A cross-sectional correlation design. A set of structured questionnaires and semi-structured interviews were administered. SUBJECTS:Forty spouses of persons with ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921500675826560
更新日期:2000-04-01 00:00:00