Abstract:
OBJECTIVES:The aim of this study was to determine the efficacy of cycling to improve function and reduce activity limitations in children with cerebral palsy; the optimal training parameters for improved function; and whether improvements in function can be retained. METHOD:Six databases were searched (until February 2019) and articles were screened in duplicate. Randomized or quasi-randomized controlled trials and pre-post studies were included. Methodological quality was assessed using the Downs and Black scale. Outcomes were reported under the International Classification of Functioning, Disability and Health domains of body functions and activity limitations. Quantitative analyses were completed using RevMan V5.3. RESULTS:A total of 533 articles were identified and 9 studies containing data on 282 participants met full inclusion criteria. Methodological quality ranged from low (14 of 32) to high (28 of 32). Significant improvements were reported for hamstring strength (effect size = 0.77-0.93), cardiorespiratory fitness (effect size = 1.13-1.77), balance (effect size = 1.03-1.29), 3-minute walk test distance (effect size = 1.14) and gross motor function (effect size = 0.91). Meta-analysis suggested that cycling can improve gross motor function (standardized mean difference = 0.35; 95% confidence interval = (-0.01, 0.70); P = 0.05); however, the effect was insignificant when a poor-quality study was omitted. CONCLUSION:Cycling can improve muscle strength, balance and gross motor function in children with cerebral palsy; however, optimal training doses are yet to be determined. There was insufficient data to determine whether functional improvements can be retained. Conclusions were limited by small sample sizes, inconsistent outcome measures and a lack of follow-up testing.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Armstrong EL,Spencer S,Kentish MJ,Horan SA,Carty CP,Boyd RNdoi
10.1177/0269215519837582subject
Has Abstractpub_date
2019-07-01 00:00:00pages
1113-1129issue
7eissn
0269-2155issn
1477-0873journal_volume
33pub_type
杂志文章,meta分析abstract:OBJECTIVE:To gain a better understanding about the nature of fear of falling, this study analyzed associations between psychological and physical aspects related to fear of falling and falls efficacy in hip/pelvic fracture patients. DESIGN:Baseline data of a randomized controlled trial. SETTING:Geriatric inpatient re...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215519891233
更新日期:2020-03-01 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 analyse the feasibility of Basic Body Awareness Therapy in people with eating disorders. DESIGN:A randomized controlled trial; the assessors were not blinded to the group allocation. SETTING:The eating disorders department within a hospital setting. SUBJECTS:Twenty-eight outpatients with eating disorder...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215510394223
更新日期:2011-07-01 00:00:00
abstract:OBJECTIVE::To compare disability between two patient groups using short validated tools based on International Classification of Functioning, Disability and Health (ICF). DESIGN::Cross-sectional study. SETTING::University hospital specialist outpatient clinic. SUBJECTS::A total of 94 patients with traumatic brain in...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518785945
更新日期:2018-12-01 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:OBJECTIVES:A systematic review and meta analysis using the Grades of Recommendation, Assessment, Development and Evaluation (GRADE) approach. The aim was to evaluate the efficacy of Botulinum Toxin type A for limb spasticity on improving activity restriction and quality of life outcomes. DATA SOURCES:Pubmed, Cinahl, A...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.1177/0269215515593609
更新日期:2016-06-01 00:00:00
abstract:PURPOSE:To study gender differences in functional outcome unexpectedly observed in a follow-up study of stroke patients. DESIGN:Prospective study of hospitalized stroke patients, with evaluations in the subacute phase and after one year. SETTING:Geriatric and general medical wards, and geriatric outpatient clinic of ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/026921559701100211
更新日期:1997-05-01 00:00:00
abstract:OBJECTIVE::To compare the effect of Kinesio taping on ankle functional performance with that of other taping methods (non-elastic taping) in healthy individuals and patients with ankle sprain. METHODS::A search was performed in electronic databases (MEDLINE, Embase, Cochrane Library, and China National Knowledge Infra...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215518780443
更新日期:2018-11-01 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
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:A pilot study to compare the effectiveness of an individual therapy program with the effects of a general physical therapy program. DESIGN:A randomized, single-blind cross-over design. PARTICIPANTS:Ten ambulant children with bilateral spastic cerebral palsy, age four to nine years. INTERVENTION:Participant...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215514544984
更新日期:2014-10-01 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 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
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:The purpose of this study was to determine the benefits and harms of low-level laser therapy for Achilles tendinopathy. DATA SOURCES:Search strategies were conducted (from inception to February 2020) in Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, Cumulative Index to Nursing and...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215520912820
更新日期:2020-06-01 00:00:00
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. DES...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215518757050
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVE:To evaluate medication, rehabilitation and healthcare consumption in adults with CP as a function of Gross Motor Function Classification System (GMFCS) level. DESIGN:Questionnaire-based cross-sectional study. SETTING:Brittany, a French county. SUBJECTS:Adults with cerebral palsy. INTERVENTIONS:Questionnai...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215516663286
更新日期:2017-07-01 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 further validate the simplified modified Rankin Scale questionnaire (smRSq), we compare it here to a well-established predictor of functional outcome after stroke, the initial stroke severity. DESIGN:Retrospective correlation analysis. PARTICIPANTS:Forty patients identified from a registry of stroke pati...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215512470674
更新日期:2013-08-01 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 examine personal characteristics, disease-related impairment variables, activity limitations, and environmental factors as correlates of social participation in older adults with vision loss guided by the World Health Organization's International Classification of Functioning, Disability and Health Model. ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215515624479
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:To describe changes in disability and health-related quality of life in patients with Guillain-Barré syndrome in Sweden during the first two years after onset. SUBJECTS:Forty-four patients were recruited from eight different hospitals, and 42 of them (mean age 52 years) were followed for two years. Evaluatio...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215505cr918oa
更新日期:2005-12-01 00:00:00
abstract:OBJECTIVE:To delineate the facilitatory and/or inhibitory influence of relevant and irrelevant sensory afferent information to the motor cortex. The study is based on the assumption that sensorimotor coupling is crucial for motor learning and recovery. DESIGN:The interaction of a standard transcranial magnetic stimulu...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215503cr660oa
更新日期:2003-09-01 00:00:00
abstract:OBJECTIVE:To identify the nature and extent of perceived unmet needs of people with spinal cord injury (SCI) living in the community and to determine their preferences regarding multidisciplinary outreach service delivery. DESIGN:Structured telephone interviews. SETTING:Spinal Injuries Unit, Queensland, Australia. S...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215501cr453oa
更新日期:2001-12-01 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: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: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: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 compare the cost effectiveness of two occupational therapy-led discharge planning interventions from the HOME trial. DESIGN:An economic evaluation was conducted within the superiority randomized HOME trial to assess the difference in costs and health-related outcomes associated with the enhanced program a...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215518764249
更新日期:2018-07-01 00:00:00
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