Abstract:
OBJECTIVES:To investigate the association between amputation, osteoarthritis and osteopenia in male war veterans with major lower limb amputations. Specific questions were to determine whether lower limb amputees following trauma are at subsequent risk of developing osteoarthritis (OA) and osteoporosis of the hip on both the amputated and nonamputated sides. DESIGN:Retrospective cohort study in British Male Second World War veterans with major unilateral lower limb amputations. SUBJECTS:Seventy-five male Second World War veterans with major lower limb amputations known to be alive were invited to participate from a subregional rehabilitation centre. After exclusions, 44 agreed to attend for examination and radiological screening. METHODS:The presence of hip OA was determined from a single anterior posterior pelvic X-ray using two approaches: minimum joint space and the Kellgren and Lawrence (K&L) scoring system. Bone mineral density (BMD) was measured by a dual energy X-ray absorptiometry (DXA) scan and prosthetic rehabilitation outcome measures were recorded. RESULTS:Twenty-seven (61%) hips on the amputated side and 10 (23%) on the nonamputated side were positive for OA (based on Kellgren and Lawrence grade of >2). Using a minimum joint space threshold of below 2.5 mm, 24 (55%) hips on the amputation side and 8 (18%) on the nonamputated side were also positive for OA. There was a threefold increased risk of OA for those with above-knee compared to a below-knee amputation. By contrast, from published general population surveys only 4 (11%) cases of hip OA would have been expected on both the amputated and nonamputated hips. There was a significant decrease in femoral neck BMD in the amputated side (p <0.0001) and significantly lower BMD in above-knee amputees than in below-knee amputees (p = 0.0027) as compared to normal age- and sex-matched population. CONCLUSION:Male war veterans with unilateral major lower limb amputations develop significantly more osteoarthritis of the hip than expected on both ipsi- and contralateral sides. Amputation was also associated with loss of bone density. Above-knee amputees develop significantly more hip osteoarthritis and osteopenia of greater severity in the amputated side than below-knee amputees.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Kulkarni J,Adams J,Thomas E,Silman Adoi
10.1191/026921598672393611subject
Has Abstractpub_date
1998-08-01 00:00:00pages
348-53issue
4eissn
0269-2155issn
1477-0873journal_volume
12pub_type
杂志文章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 investigate the feasibility and the effects on gait of a high intensity task-oriented training, incorporating a high cardiovascular workload and large number of repetitions, in patients with subacute stroke, when compared to a low intensity physiotherapy-programme. DESIGN AND SUBJECTS:Randomized controlle...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215509360647
更新日期:2010-11-01 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 assess whether the addition of an education programme for primary caregivers to rehabilitation improves daily functioning in children with cerebral palsy. DESIGN:A randomized, single-blind, controlled study. SETTING:This study was conducted in a rehabilitation centre in Salvador, Brazil. PARTICIPANTS:A ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215518757051
更新日期:2018-07-01 00:00:00
abstract:OBJECTIVE:To investigate the effects of mirror therapy on walking ability, balance and lower limb motor recovery in patients with stroke. METHOD:MEDLINE, EMBASE, Web of Science, CENTRAL, PEDro Database, CNKI, VIP, Wan Fang, ClinicalTrials.gov, Current controlled trials and Open Grey were searched for randomized contro...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215518766642
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVE:To explore the extent to which practitioners effectively use cues from clients' verbal descriptions of their favourite activities to form accurate impressions of the personality of clients with Parkinson's disease. PARTICIPANTS:Ninety-nine practitioners from disciplines of occupational, physical and speech t...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215505cr897oa
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVE:To study the impact of physical and mental fatigue on cognitive complaints and cognitive performance in patients with multiple sclerosis. DESIGN:Cross-sectional study. SETTING:An outpatient neurology clinic. SUBJECTS:Eighty patients diagnosed with clinically definite multiple sclerosis. MEASURES:The subsc...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215510367540
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVE:To establish the structural validity of the Chinese version of the Modified Barthel Index and to estimate its inter-rater reliability for use with patients who have had a stroke. DESIGN:Prospective study. SETTING:A regional general hospital and a day hospital in Hong Kong. SUBJECTS:One hundred and sixteen ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215507077286
更新日期:2007-10-01 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::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: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:Pilot a definitive randomized controlled trial of speech-language telerehabilitation in poststroke aphasia in addition to usual care with regard to recruitment, drop-outs, and language effects. DESIGN:Pilot single-blinded randomized controlled trial. SETTING:Telerehabilitation delivered from tertiary rehabi...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215519896616
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:To assess the test-retest reliability of two questionnaires for measuring activity limitations in patients with Complex Regional Pain Syndrome type 1 (CRPS I) of the lower extremity. DESIGN:Patients filled out the Walking Stairs Questionnaire and the Questionnaire Rising and Sitting Down twice during a one-w...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215502cr517oa
更新日期:2002-06-01 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 investigate the short-term effects of the life goal concept on subjective well-being and treatment engagement, and to determine the sample size required for a larger trial. DESIGN:A quasi-randomized controlled trial that was not blinded. SETTING:A subacute rehabilitation ward. SUBJECTS:A total of 66 pat...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215515622671
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVE:To determine whether transferring equipment designed to assist a carer when moving someone who is able to take some weight through their legs is likely to affect the risk of back problems in the carer. DESIGN:Twelve pieces of equipment were tested by nurses transferring patients from commode to wheelchair an...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215502cr499oa
更新日期:2002-05-01 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:A difference in temperature between the affected and normal extremity is one of the signs or symptoms of reflex sympathetic dystrophy (RSD). These temperature differences are scored anamnestically, by palpation, or by measurements. We investigated the relationship between objective and subjective differences ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921599670196521
更新日期:1999-10-01 00:00:00
abstract:OBJECTIVE:To test the effectiveness of an educational intervention including "face to face" training, compared to a standard information program, to reduce microstomia in women with systemic sclerosis. DESIGN:Single-blind, two-arm, randomized controlled study with a 12-month follow-up period. SETTING:Hospital wards o...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215519858395
更新日期:2019-11-01 00:00:00
abstract:OBJECTIVE:This study validated the Patellofemoral Pain Severity Scale translated into Chinese. DESIGN AND SETTING:The Chinese Patellofemoral Pain Severity Scale was translated from the original English version following standard forward and backward translation procedures recommended by the International Society for P...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215512456309
更新日期:2013-05-01 00:00:00
abstract:BACKGROUND:Goal achievement has been considered to be an important measure of outcome by clinicians working with patients in physical and neurological rehabilitation settings. This systematic review was undertaken to examine the reliability, validity and sensitivity of goal setting and goal attainment scaling approache...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215506070793
更新日期:2006-09-01 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 determine the effects of pre- and postoperative inspiratory muscle training on length of postoperative hospital stay and pulmonary function in patients undergoing cardiac surgery. DESIGN AND METHODS:We conducted a systematic search using databases (MEDLINE, CINAHL, EMBASE, PEDro and the Cochrane) to find ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.1177/0269215516648754
更新日期:2017-04-01 00:00:00
abstract:OBJECTIVE:To compare the outcome of day hospital to day centre rehabilitation. DESIGN:Single blind randomized controlled trial with home assessments at baseline (twice), six weeks and three months. SETTING:Mainly rural health district. Day hospital and social services day centres in market towns. SUBJECTS:One hundre...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/026921599671803291
更新日期:1999-04-01 00:00:00
abstract:OBJECTIVES:To estimate the point prevalence of pressure sores in a community sample of spinal cord injured patients who were followed up by a spinal injuries unit and to evaluate whether self-management strategies were associated with decreased risk of pressure sores. SETTING:A regional spinal injuries unit, UK. DESI...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215503cr692oa
更新日期:2003-12-01 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: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: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 examine the evidence base underlying self-management programmes specific to stroke survivors. DATA SOURCES:Eleven electronic databases were searched using combinations of keywords related to stroke and self-management. REVIEW METHODS:Studies involving adults with a clinical diagnosis of stroke, which exp...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215513481045
更新日期:2013-10-01 00:00:00
abstract:OBJECTIVE:To systematically examine the research literature on the effectiveness of constraint-induced movement therapy on improving arm function in children with cerebral palsy, and to assess the association between the study effect size and the characteristics of the patients and intervention protocol. DATA SOURCES:...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.1177/0269215514544982
更新日期:2014-10-01 00:00:00