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 searched Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, Allied and Complementary Medicine (AMED), CINAHL, Web of Science, SPORTDiscus, and three Chinese databases (China National Knowledge Infrastructure (CNKI), Wangfang, Journal Integration Platform (VIP)) for articles of randomized and quasi-randomized controlled trials. METHODS:We used the Cochrane tool and the JBI Critical Appraisal checklist to assess randomized controlled trials and quasi-randomized controlled trials, respectively. RESULT:A total of 12 studies and 745 patients were included. Compared with usual care or no exercise, CARE resulted in a significant improvement in the estimated glomerular filtration rate (between-group analysis: mean difference (MD) =5.01, 95% confidence interval (CI): 2.37 to 7.65; within-group analysis: MD = 3.01, 95% CI: 0.86 to 5.16). The serum creatinine levels also showed a significant improvement after CARE (between-group analysis: MD = -8.57, 95% CI: -13.71 to -3.43; within-group analysis: MD = -6.33, 95% CI: -10.23 to -2.44). Patients who performed CARE also demonstrated a decline in the blood pressure in the within-group analysis (systolic blood pressure: MD = -5.24, 95% CI: -7.93 to -2.54; diastolic blood pressure: MD = -3.63, 95% CI: -5.35 to -1.91). However, there were no significant differences in proteinuria, lipid levels, physical composition, and quality of life. CONCLUSION:The study results support the concept that CARE intervention improves renal function. It provides strong evidence for guiding clinical decisions and implementing renal rehabilitation exercises.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Wu X,Yang L,Wang Y,Wang C,Hu R,Wu Ydoi
10.1177/0269215520924459subject
Has Abstractpub_date
2020-07-01 00:00:00pages
851-865issue
7eissn
0269-2155issn
1477-0873journal_volume
34pub_type
杂志文章,meta分析abstract:OBJECTIVE:Constraint-induced movement therapy (CIMT) is a method to improve motor function in the upper extremity following stroke. The aim of this trial was to determine the effect and feasibility of CIMT compared with traditional rehabilitation in short and long term. DESIGN:A randomized controlled trial. SETTING:A...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215507084581
更新日期:2008-05-01 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: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 use data and patient involvement to identify categories within the International Classification of Functioning, Disability and Health (ICF) component activities and participation relevant for patients with affective, somatoform, anxiety and adjustment disorders. DESIGN:The first step was to identify syste...
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
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: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: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 systematically review the evidence on the effect of continuous passive motion, combined with usual physiotherapy management, on increasing shoulder joint range of motion and muscle strength, and reducing shoulder pain in adults following rotator cuff repair, compared with standard physiotherapy. DATA SOUR...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215510380835
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVE:To investigate the effects of a predefined mini-trampoline therapy programme for increasing postural control, mobility and the ability to perform activities of daily living after stroke. DESIGN:Randomized non-blinded controlled pilot study. SETTING:Neurological rehabilitation hospital. SUBJECTS:First-time ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215513485591
更新日期:2013-10-01 00:00:00
abstract:OBJECTIVES:To explore the feasibility of using a stroke-specific toolkit for six-month post-stroke reviews in care homes to identify unmet needs and actions. DESIGN:An observational study including qualitative interviews to explore the process and outcome of reviews. SETTING:UK care homes. PARTICIPANTS:Stroke surviv...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520912515
更新日期:2020-05-01 00:00:00
abstract:PURPOSE:To provide clinical practitioners with a framework for teaching patients Time Pressure Management, a cognitive strategy that aims to reduce disabilities arising from mental slowness due to acquired brain injury. Time Pressure Management provides patients with compensatory strategies to deal with time pressure i...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215508097855
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of early cycling training on balance and motor abilities of stroke patients in their subacute stage. DESIGN:Randomized clinical trial. SETTING:Inpatient rehabilitation. SUBJECTS:Twenty-four patients who had had a first stroke were randomly assigned to a cycling training group (N=1...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1191/0269215505cr960oa
更新日期:2006-05-01 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: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 develop an observational instrument that can be used to evaluate the quality of arm and hand skills in daily functional activities in children with obstetric brachial plexus lesion (OBPL). A set of functional activities was constructed and standardized, and the intra-observer reliability of the assessment ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215506071253
更新日期:2007-02-01 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:This review aimed to determine the effectiveness of personal smart technologies on outcomes in adults with acquired brain injury. DATA SOURCES:A systematic literature search was conducted on 30 May 2019. Twelve electronic databases, grey literature databases, PROSPERO, reference list and author citations wer...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215519865774
更新日期:2019-11-01 00:00:00
abstract:OBJECTIVE:The aim of this review was to systematically assess and meta-analyze the effectiveness of yoga in relieving chronic neck pain. METHODS:PubMed/MEDLINE, the Cochrane Library, Scopus, and IndMED were screened through January 2017 for randomized controlled trials assessing neck pain intensity and/or neck pain-re...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215517698735
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVE:To assess the effect of different aids on the amount of support hemiplegic subjects took from them. The relationship between the amount of support, severity of hemiplegia and walking ability were also assessed. DESIGN:Hemiplegic subjects' gait and the amount of support they took from the aid were measured as...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921598669871795
更新日期:1998-10-01 00:00:00
abstract:OBJECTIVE:To compare the effectiveness of intra-articular injection (IAI) with Botulinum toxin type A (BTA), triamcinolone hexacetonide (TH), and saline in primary knee osteoarthritis. DESIGN:A randomized controlled trial, with blinded patients and assessor. SETTING:Outpatient rheumatology service. SUBJECTS:Patients...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215519827996
更新日期:2019-06-01 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: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 describe the practical steps in identifying items and evaluating scoring strategies for a new measure of emotional vitality in informal caregivers of individuals who have experienced a significant health event. DESIGN:The psychometric properties of responses to selected items from validated health-related...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215514552503
更新日期:2015-07-01 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 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 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: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: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 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 Provin...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215517714830
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:To investigate the effectiveness and safety of Baduanjin training on the cognitive function in stroke survivors with cognitive impairment. DESIGN:A randomized, two-arm parallel controlled trial with allocation concealment and assessors blinding. SETTING:Community centre of Fuzhou city, China. SUBJECTS:A to...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215520930256
更新日期:2020-08-01 00:00:00