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Content - Volume 39, Issue 2

Editors choice in this issue

All articles

REVIEW ARTICLE
Facilitating recovery: Evidence for organized stroke care
Lalit Kalra and Peter Langhorne
Despite dramatic advances in the management of thrombo­lysis and acute stroke, organized rehabilitation remains the cornerstone of recovery from stroke. The importance of organized stroke care in facilitating recovery has been recognized for the last 10 years, but it is still unclear how organized rehabilitation contributes to improved outcomes. This paper presents a synthesis of evidence of the ...
Pages: 97-102
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REVIEW ARTICLE
Early supported discharge after stroke
Peter Langhorne and Lotta Widen-Holmqvist
Patients after stroke conventionally receive much of their rehabilitation in hospital. Services have been developed that offer patients an early discharge from hospital with more rehabilitation at home (early supported discharge). This paper sets out a systematic review of all randomized trials of early supported discharge services that included 12 trials (1659 patients). There was a reduced odds ...
Pages: 103-108
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SPECIAL REPORT
Stroke, complex regional pain syndrome and phantom limb pain: Can commonalities direct future management?
Nicole E. Acerra, Tina Souvlis and G. Lorimer Moseley
Despite being different conditions, complex regional pain syndrome type 1, phantom limb pain and stroke share some potentially important similarities. This report examines experimental and clinical findings from each patient population. It identifies common aspects of symptomatic presentation, sensory phenomena and patterns of cortical reorganization. Based on these common findings, we argue that ...
Pages: 109-114
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ORIGINAL REPORT
Evaluation of botulinum toxin therapy of spastic equinus in paediatric patients with cerebral palsy
Paolo Manganotti, Fabio Zaina, Maurizio Falso, Franco Milanese and Antonio Fiaschi
Objective: To develop a clinical and instrumental protocol to assess the postural and dynamic effects following treatment with botulinum neurotoxin A in children with cerebral palsy affected by spastic equinus. Design: Open study, in which every patient served as his or her own control. Patients: Ten sequential children with cerebral palsy and spastic dynamic equinus foot. Methods: Botulinum ne ...
Pages: 115-120
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ORIGINAL REPORT
Analysing the favourable effects of physical exercise: relationships between physical fitness, fatigue and functioning in Guillain-Barré syndrome and chronic inflammatory demyelinating polyneuropathy
Johannes B. Bussmann, Marcel P. Garssen, Pieter A. van Doorn and Henk J. Stam
Objective: To elucidate the effects of physical exercise in severely fatigued patients with Guillain-Barré syndrome and chronic inflammatory demyelinating polyneuropathy, and to clarify the mutual relationships between 5 domains studied in these patients: physical fitness, fatigue, objectively measured actual mobility, perceived physical functioning, and perceived mental functioning. Design: Ca ...
Pages: 121-125
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ORIGINAL REPORT
Stretching exercises vs manual therapy in treatment of chronic neck pain: a randomized, controlled cross-over trial
Jari Ylinen, Hannu Kautiainen, Kaija Wirén and Arja Häkkinen
Objective: To compare the effects of manual therapy and stretching exercise on neck pain and disability. Design: An examiner-blinded randomized cross-over trial. Patients: A total of 125 women with non-specific neck pain. Methods: Patients were randomized into 2 groups. Group 1 received manual therapy twice weekly and Group 2 perform­ed stretching exercises 5 times a week. After 4 weeks the ...
Pages: 126-132
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ORIGINAL REPORT
Test-retest reliability of psychophysical lift capacity in patients with non-specific chronic low back pain and healthy subjects
Audy P. Hodselmans, Pieter U. Dijkstra, Cees van der Schans and Jan H. B. Geertzen
Objective: Psychophysical lift capacity tests are lifting tests in which the performance, expressed in Newtons, is divided by the perceived exertion, expressed on a Borg scale. The aim of this study was to analyse test-retest reliability of psycho­physical lift capacity tests. Subjects: Patients with non-specific chronic low back pain (n=20) and healthy subjects (n=20). Methods: Psychophysical ...
Pages: 133-137
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ORIGINAL REPORT
Measuring mobility in people with lower limb amputation: Rasch analysis of the mobility section of the prosthesis evaluation questionnaire
Franco Franchignoni, Andrea Giordano, Giorgio Ferriero, Duccio Orlandini, Amedeo Amoresano and Laura Perucca
Objective: To assess the psychometric properties of the Mobility Section of the Prosthesis Evaluation Questionnaire (PEQ-MS). Design: A postal survey, including self-report assessment of prosthetic capability and performance with the PEQ-MS and the Locomotor Capabilities Index, and of other variables associated with prosthetic wear and use. The PEQ-MS data underwent Rasch analysis for rating scal ...
Pages: 138-144
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ORIGINAL REPORT
Mortality after spinal cord injury in Norway
Ingeborg Beate Lidal, Hildegun Snekkevik, Geir Aamodt, Nils Hjeltnes, Johan Kvalvik Stanghelle and Fin Biering-Sørensen
Objectives: To study mortality, cause of death and risk indicators for death in Norwegian patients with spinal cord injury. Design: A cross-sectional study with retrospective data. Subjects: All patients (n=387) with traumatic spinal cord injury admitted to Sunnaas Rehabilitation Hospital, Norway, during the period 1961–82. Methods: Medical records were reviewed retrospectively. Causes of ...
Pages: 145-151
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ORIGINAL REPORT
Sexual activity and satisfaction in men with traumatic spinal cord lesion
Antti Dahlberg, Hannu Alaranta, Hannu Kautiainen and Mervi Kotila
Objective: To estimate sexual activity and sexual satisfaction in men with spinal cord lesion. Design: Cross-sectional study. Subjects: All adult citizens in Helsinki with traumatic spinal cord lesion were identified. The final study group comprised 92 male subjects, corresponding to a participation rate of 79%. Methods: A structured questionnaire was sent to all subjects and they were invited ...
Pages: 152-155
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ORIGINAL REPORT
Impact on participation and autonomy questionnaire: internal scale validity of the Swedish version for use in people with spinal cord injury
Maria Larsson Lund, Anne G. Fisher, Jan Lexell and Birgitta Bernspång
Objective: To evaluate aspects of internal scale validity and reliability of the Swedish version of the Impact on Participation and Autonomy questionnaire (IPA-S) for use in people with spinal cord injury. Subjects: A total of 161 persons with spinal cord injury. Method: IPA-S psychometric properties were evaluated using Rasch rating scale analysis. Results: The results show that the IPA-S h ...
Pages: 156-162
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ORIGINAL REPORT
Cross-diagnostic validity of the SF-36 physical functioning scale in patients with stroke, multiple sclerosis and amyotrophic lateral sclerosis: A study using rasch analysis
Annet J. Dallmeijer, Vincent de Groot, Leo D. Roorda, Vera P. M. Schepers, Eline Lindeman, Leonard H. van den Berg, Anita Beelen, Joost Dekker on behalf of the FuPro study group
Objective: The aim of this study was to investigate uni­dimensionality and differential item functioning of the SF-36 physical functioning scale (PF10) in patients with various neurological disorders. Patients: Patients post-stroke (n = 198), with multiple sclero­sis (n = 151) and amyotrophic lateral sclerosis (n = 193) partici­pated. Methods: Unidimensionality of the PF10 within the patien ...
Pages: 163-169
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ORIGINAL REPORT
Gait in hemiplegia: evaluation of clinical features with the wisconsin gait scale
Assunta Pizzi, Giovanna Carlucci, Catuscia Falsini, Francesco Lunghi, Sonia Verdesca and Antonello Grippo
Objective: To assess the ability of the Wisconsin Gait Scale to evaluate qualitative features of changes in hemiplegic gait in post-stroke patients. Design: A prospective observational study. Subjects: Ten healthy subjects and 56 hemiplegic outpatients, more than 12 months post-stroke, consecutively admitted in a rehabilitation centre. Methods: Patients were videotaped while walking at a comfo ...
Pages: 170-174
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ORIGINAL REPORT
Disability in a 4-year follow-up study of people with post-polio syndrome
Carin Willén, Anna-Lisa Thoren-Jönsson, Gunnar Grimby and Katarina Stibrant Sunnerhagen
Objective: To evaluate changes over time in a clinically based cohort of individuals with post-polio syndrome. Design: A prospective longitudinal study. Subjects: A total of 106 individuals with poliomyelitis sequelae were included in the study. They were self-referred or had been referred to the post-polio clinic. After 4 years subjects were called for a follow-up and underwent the same measur ...
Pages: 175-180
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CASE REPORT
Gait recovery in a distal spinal muscular atrophy patient wearing a patellar tendon-bearing orthosis and orthopaedic shoes
Mathieu Luc, Laurent Bensoussan, Jean-Michel Viton, Virginie Milhe de Bovis, Hervé Collado, Jean Pouget and Alain Delarque
Objective: To illustrate that a patient with distal spinal muscular atrophy can recover gait with a combination of orthoses and orthopaedic shoes. Subject: A 28-year-old man with distal spinal muscular atrophy affecting only the distal muscles of the lower limbs. Clinical examination showed a bilateral pes cavus with a varus and a 90° equinus of the ankle joint. Methods: The patient was fitted ...
Pages: 181-184
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CASE REPORT
A new procedure for communication with a patient with minimal motor function and fatigability
Go Uruma, Keiji Hashimoto, Kenji Onouchi, Yoshiyuki Nishio, Akira Kurita and Kiyoharu Inoue
As with eye movements in locked-in syndrome, severe motor dysfunction should be coped with by an agreed system of interpretation to express feelings and needs. However, it is possible that such patients might make errors in the agreed system of interpretation through fatigue, which would cause misunderstandings. We report here a new questioning and verifying strategy for an agreed system of interp ...
Pages: 185-188
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