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Content - Volume 40, Issue 1

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ORIGINAL REPORT
High cost-benefit of early team-based biomedical and cognitive-behaviour intervention for long-term pain-related sickness absence
John Ektor-Andersen, Elisabet Ingvarsson, Marianne Kullendorff, Palle Ørbæk
Objective: To report the results from a prospective, cognitive-behavioural team-based, individually geared, low-­intensity, rehabilitation programme, randomly assigned to care-seekers in primary care physiotherapy with new pain-related sick leave, and to examine a possible reduction in social security expenditure. Methods: A total of 194 care-seekers were included in a stepwise procedure from ...
Pages: 1-8
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ORIGINAL REPORT
Reliability and validity of the PAD questionnaire: A measure to assess pain-related decline in physical activity
Jeanine A. Verbunt
Objective: To examine the reliability and validity of the physical activity decline (PAD) score: a measure for assessing a decline in the level of physical activity in patients with chronic pain. Design: This study was embedded in a prognostic cohort study based on an inception cohort of patients with sub-acute low back pain. Patients: Sixty-two patients who developed chronic pain participated ...
Pages: 9-14
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ORIGINAL REPORT
Evaluation of a multiprofessional rehabilitation programme for persistent musculoskeletal-related pain: Economic benefits of return to work
Jan-Rickard Norrefalk, Karolina Ekholm, Jürgen Linder, Kristian Borg, Jan Ekholm
Objective: The aim of this study was to evaluate the economic consequences of an 8-week multiprofessional rehabilitation programme for patients with persistent pain. Subjects: A group of 67 patients following the programme and a comparison group of 322 patients. Methods: The effect on return to work was estimated using 3 different methods: (i) a matched sample approach; (ii) regression analysi ...
Pages: 15-22
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ORIGINAL REPORT
Community ambulation in patients with chronic stroke: how is it related to gait speed?
Ingrid G.van de Port, Gert Kwakkel and Eline Lindeman
Objective: To explore the strength of the association between gait speed and community ambulation and whether this association is significantly distorted by other variables. Design: Cross-sectional study conducted 3 years after stroke. Subjects: A total of 102 patients after first-ever stroke following inpatient rehabilitation who are now living in the community. Methods: Community ambulation ...
Pages: 23-27
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ORIGINAL REPORT
Participation after stroke: Comparing proxies’ and patients’ perceptions
Valérie Poulin and Johanne Desrosiers
Objective: This study aimed: (i) to determine the level of agreement between responses of people with stroke and their proxies on a participation questionnaire, and (ii) to explore patient and proxy characteristics related to disagreement between their responses. Design: Cross-sectional study. Subjects: A total of 40 community-dwelling people with stroke and their proxies (total n = 80). Meth ...
Pages: 28-35
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ORIGINAL REPORT
Associated reactions after stroke: A randomized controlled trial of the effect of botulinum toxin type A
Bipin B. Bhakta, Rory J. O’Connor1 and J. Alastair Cozens
Objective: To measure the impact of botulinum toxin A on associated reactions in patients following stroke. Design: Randomized placebo-controlled trial. Patients: Forty patients with spasticity in their paretic arm (median time since stroke: 2.7 years) were randomized to botulinum toxin A (Dysport® 1000 mouse units (MU) divi­ded between elbow, wrist and finger flexors) or placebo. Met ...
Pages: 36-41
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ORIGINAL REPORT
Progressive resistance training after stroke: Effects on muscle strength, muscle tone, gait performance and perceived participation
Ulla-Britt Flansbjer, Michael Miller, David Downham, Jan Lexell
Objective: To evaluate the effects of progressive resistance training on muscle strength, muscle tone, gait performance and perceived participation after stroke. Design: A randomized controlled trial. Subjects: Twenty-four subjects (mean age 61 years (standard deviation 5)) 6–48 months post-stroke. Methods: The training group (n = 15) participated in super­vised progressive ...
Pages: 42-48
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ORIGINAL REPORT
Transcranial magnetic stimulation synchronized with maximal movement effort of the hemiplegic hand after stroke: A double-blinded controlled pilot study
Shin-Ichi Izumi, Takeo Kondo, Keiichiro Shindo
Objective: The aim of this study was to evaluate the effects of transcranial magnetic stimulation synchronized with maximal effort to make a target movement in patients with chronic hemiplegia involving the hand. Design: Non-randomized double-blinded controlled trial. Subjects: Nine chronic patients with hemiplegia who were unable to fully extend the affected fingers following stroke. Methods: ...
Pages: 49-54
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ORIGINAL REPORT
Outcomes during and after inpatient rehabilitation: Comparison between adults and older adults
Suzanne Gosselin, Johanne Desrosiers, Hélène Corriveau, Réjean Hébert, Annie Rochette, Véronique Provencher, Sylvie Côté, Michel Tousignant
Objective: To compare changes on biopsychosocial variables between adults (< 65 years) and older adults (≥ 65 years) during and after an inpatient rehabilitation program. Design: Comparative study. Participants: A total of 165 people 18 years and over admitted to an inpatient rehabilitation unit. Methods: The participants were evaluated 3 times: at admission and discharg ...
Pages: 55-60
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ORIGINAL REPORT
Sexuality and sexual life in women with spinal cord injury: A controlled study
Margareta Kreuter, Agneta Siösteen, Fin Biering-Sørensen
Objective: To describe sexual life in women with spinal cord injury. Design: Controlled cross-sectional, questionnaire. Participants and methods: Women, 18–65 years, treated at spinal cord centres in Sweden, Denmark, Norway, Finland and Iceland. 545 women (57%) completed the questionnaires. The age-matched control group consisted of 507 women. The 104-item Spinal Cord Injury Women Questi ...
Pages: 61-69
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ORIGINAL REPORT
Triad of physical activity, aerobic fitness and obesity in adolescents and young adults with myelomeningocele
Laurien M. Buffart, Marij E. Roebroeck, Mathilde Rol, Henk J. Stam, Rita JG van den Berg-Emons
Objective: Comprehensively and objectively assess physical activity, aerobic fitness and body fat in adolescents and young adults with myelomeningocele and to investigate their relationships. Design: Cross-sectional study. Subjects: Fifty-one persons (26 males) with myelomeningo­cele aged 21.1 (standard deviation) 4.5) years. Methods: Physical activity was measured with an accelero­metry ...
Pages: 70-75
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