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 communication with neurologically impaired patients, issues of competence related to patient decision-making, problems of consensus between patient and professional, and the role of the patient's family in the rehabilitation process. CONCLUSION:A number of strategies, based on a client-centred model of practice, are suggested which may counteract these difficulties and assist in respecting the patient's autonomy to the appropriate degree, while seeking to attain high-quality clinical outcomes.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Sim Jdoi
10.1191/026921598670782549subject
Has Abstractpub_date
1998-02-01 00:00:00pages
3-10issue
1eissn
0269-2155issn
1477-0873journal_volume
12pub_type
杂志文章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:To replicate the finding that illness perceptions influence quality of life in adults with muscle disease and to explore the additional influence of coping and optimism on quality of life and mood. DESIGN:A postal survey including questionnaires recording quality of life, mood, illness perceptions, optimism,...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1177/0269215513511340
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVE:To investigate accidental falls and near fall incidents in people with multiple sclerosis with respect to clinical variables and the predictive values of four tests. DESIGN:A longitudinal, multi-centred cohort study with prospectively collected falls. PROCEDURES:Self-reported incidents during the three mont...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1177/0269215508095087
更新日期:2009-03-01 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: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: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 service users' (stroke survivors and care-givers) experiences and views of the rehabilitation assessment process. DESIGN:Qualitative data analysis from three focus groups using a content analysis to identify the major themes. SETTING:Participants were recruited from stroke support groups ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215514523300
更新日期:2014-08-01 00:00:00
abstract:OBJECTIVE:To investigate the effects of kinesiology taping and different types of application techniques of kinesiology taping in addition to therapeutic exercises in the treatment of congenital muscular torticollis. DESIGN:Prospective, single blind, randomized controlled trial. SETTING:An outpatient rehabilitation c...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215516673885
更新日期:2017-08-01 00:00:00
abstract:OBJECTIVE:To evaluate the consistency of balance control, mobility and perceived difficulties with functional tasks by people on carefully controlled anti-parkinsonian medication programmes, between doses on a single day and across days using standard clinical measures. DESIGN:Small group prospective study. SETTING:A...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215503cr614oa
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVE::To examine the effect of prolonged slow expiration respiratory physiotherapy treatment on the acute bronchiolitis severity scale and O2 saturation at short-time and at medical discharge in infants and the hospital stay. DESIGN::Randomized controlled trial. SETTING::Infants' unit of university hospital. PA...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215518809815
更新日期:2019-03-01 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: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: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 assess the feasibility of a randomized controlled trial to evaluate music therapy as a home-based intervention for arm hemiparesis in stroke. DESIGN:A pilot feasibility randomized controlled trial, with cross-over design. Randomization by statistician using computer-generated, random numbers concealed in ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215517717060
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:To investigate the efficacy of intermittent cervical traction in the treatment of chronic neck pain over a 12-week follow-up. DESIGN:A randomized controlled trial. SETTING:Hospital-based outpatient practice. SUBJECTS:Seventy-nine patients with chronic neck pain. INTERVENTIONS:Subjects were randomly assign...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215511399590
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVE:The objective was to investigate the effect of increased intensity of rehabilitation therapy provided to brain-injured subjects on the rate at which independence was regained and the duration of hospital admission. DESIGN:A two-centre, prospective, controlled study with random allocation to groups. SETTING:...
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:10.1191/026921501680425225
更新日期:2001-10-01 00:00:00
abstract:OBJECTIVE:To evaluate the effect of accelerometer-based feedback on physical activity in hospitalized patients with ischemic stroke. DESIGN:Randomized controlled trial. SETTING:Acute care hospital. SUBJECTS:A total of 55 patients with ischemic stroke who could walk without assistance were randomly assigned to the in...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215518755841
更新日期:2018-08-01 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: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 ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215519837582
更新日期:2019-07-01 00:00:00
abstract:OBJECTIVE:To systematically investigate how fatigue, depression, anxiety, sleep quality, and life quality are influenced by the Internet-based self-management program (IBSMP) among cancer patients. DATA SOURCES:Eight databases (Cochrane Library, Ovid, Web of Science, Medline, Embase, Chinese biomedical database (CBM),...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215519889394
更新日期:2020-03-01 00:00:00
abstract::In an era of inadequate resources for all health services, rehabilitation services providers are frequently asked to produce criteria defining the patients they will accept. In principle rationing of services by ability to benefit is fair. In practice there are many difficulties. The evidence to allow selection of pat...
journal_title:Clinical rehabilitation
pub_type: 社论
doi:10.1191/0269215503cr591ed
更新日期:2003-03-01 00:00:00
abstract:OBJECTIVE:To evaluate the feasibility, internal consistency and reproducibility of the French version of the Nottingham Health Profile (NHP) completed by adults with hereditary neuromuscular disease. DESIGN:Cross-sectional study with evaluation at 15 +/- 7 days for NHP test-retest. SETTING:Multidisciplinary rehabilit...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215505cr858oa
更新日期:2005-09-01 00:00:00
abstract:OBJECTIVE:To investigate the sensitivity of three commonly used functional outcome measures to detect change over time in subjects receiving inpatient rehabilitation post stroke. DESIGN:Subjects were assessed within one week of admission and one week of discharge from an inpatient rehabilitation facility. Several para...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215506cr877oa
更新日期:2006-01-01 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 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 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 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:OBJECTIVE:To evaluate the effects of community-based rehabilitation therapy on neurological function deficit in stroke patients. DESIGN:Prospective, single-blind, randomized controlled multicentre trial. SETTING:At home, in Shanghai, China. SUBJECTS:A total of 737 stroke patients in the community. INTERVENTION:The ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215508091870
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVE:To modify a published group intervention for adjustment to multiple sclerosis (MS) to suit an individual format, and to assess the feasibility of a randomised controlled trial (RCT) to compare individual and group intervention for people with multiple sclerosis and low mood. DESIGN:Feasibility randomised con...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215515616446
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVES:To establish the measurement properties of TURN180, a test of dynamic postural stability. DESIGN:One physiotherapist conducted three trials of TURN 180, one of which was also observed by a second therapist. SETTING:A day unit for elderly people accepting both inpatients and outpatients. SUBJECTS:Sixty-six...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215505cr783oa
更新日期:2005-06-01 00:00:00