Content - Volume 40, Issue 9

All articles

Evidence-based medicine in physical and rehabilitation medicine: is this evidence-based rehabilitation?
Kristian Borg, Katharina Stibrant Sunnerhagen
Evidence-based medicine (EBM) is, according to Sackett et al. (1), the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. Individual clinical expertise is integrated with the best available external clinical evidence from systematic research in order to achieve the best possible care for the patient. There are 3 factors in ...
Pages: 689-690
Abstract  HTML  PDF
Evidence for the effectiveness of multi-disciplinary rehabilitation following acquired brain injury: a synthesis of two systematic approaches
Lynne Turner-Stokes
Objective: To assimilate the published evidence for the effectiveness of multidisciplinary rehabilitation following acquired brain injury in adults of working age. Design: The evidence derived from 2 contrasting approaches to systematic evaluation of the published literature is compared. Methods: A synthesis of best evidence compiled from a Cochrane Review of randomized controlled trials is co ...
Pages: 691-701
Abstract  HTML  PDF
Sports participation in adolescents and young adults with myelomeningocele and its role in total physical activity behaviour and fitness
Laurien M. Buffart, Hidde P. van der Ploeg, Adrian E. Bauman, Floris W. Van Asbeck, Henk J. Stam, Marij E. Roebroeck, Rita van den Berg-Emons
Objective: To assess sports participation in young adults with myelomeningocele and its association with personal, disease-related and psychosocial factors, physical activity and fitness. Design: Cross-sectional study. Subjects: Fifty-one persons (26 males) with myelomeningocele , mean age 21. 1 (standard deviation 4. 5) years. Methods: We assessed self-reported sports participation, ambulat ...
Pages: 702-708
Abstract  HTML  PDF
Vitality among Swedish patients with post-polio: a physiological phenomenon
Gunilla Östlund, Åke Wahlin, Katharina S. Sunnerhagen, Kristian Borg
Objective: To evaluate vitality and fatigue in post-polio patients, and the relative contributions of physiological and psychological parameters to the level of vitality. Design: Multi-centre study. Subjects: One hundred and forty-three patients with post-polio syndrome. Methods: Inventories of background, quality of life, fatigue and sleep quality were used. Pain was evaluated using a visual ...
Pages: 709-714
Abstract  HTML  PDF
Sensitivity and predictive value of occupational and physical therapy assessments in the functional evaluation of patients with suspected normal pressure hydrocephalus
David Feick, Jennifer Sickmond, Li Liu, Philippe Metellus, Michael Williams, Danielle Rigamonti, Felicia Hill-Briggs
Objective: To examine effectiveness of standardized occupational therapy and physical therapy assessments in detecting functional changes and predicting clinical improvement in patients with suspected normal pressure hydrocephalus undergoing cerebrospinal fluid drainage. Design: Cohort study. Patients: Eighty-seven patients admitted to an inpatient neurology unit for elective cerebrospinal fluid ...
Pages: 715-720
Abstract  HTML  PDF
Relationship between walking function and 1-legged bicycling test in subjects in the later stage post-stroke
Cristiane Carvalho, Carin Willén, Katharina S. Sunnerhagen
Objective: The aim of the present study was to examine the correlation between 1-legged bicycling and the 6-minute walk test (6MWT) in subjects post-stroke. A further aim was to analyse the relationship between specific stroke impairment and walking endurance. Participants: Thirty-four subjects (mean age 60 (standard deviation (SD) 4. 1) years; mean time post-stroke 62 (SD 33) months) with stroke ...
Pages: 721-726
Abstract  HTML  PDF
Excellent cross-cultural validity, intra-test reliability and construct validity of the Dutch Rivermead Mobility Index in patients after stroke undergoing rehabilitation
Leo D. Roorda, John Green, Kiki R.A. De Kluis, Ivo W. Molenaar, Pam Bagley, Jane Smith , Alexander C. H. Geurts
Objective: To investigate the cross-cultural validity of international Dutch-English comparisons when using the Dutch Rivermead Mobility Index (RMI), and the intra-test reliability and construct validity of the Dutch RMI. Methods: Cross-cultural validity was studied in a combined data-set of Dutch and English patients undergoing rehabilitation after stroke, who were assessed with the Dutch versi ...
Pages: 727-732
Abstract  HTML  PDF
Driving behaviour after brain injury: a follow-up of accident rate and driving patterns 6-9 years post-injury.
Anne-Kristine Schanke, Per-Ola Rike, Anette Mølmen, Per Egil Østen
Objective: A follow-up of accident rate and driving patterns of patients 6–9 years after brain injury. Design: Postal questionnaire sent to patients with brain injury who were assessed consecutively in the period 1997–2000 and who were re-issued. Subjects: A total of 93 persons, 69 men and 24 women, mean age 57 years, average 9 years post-injury, 65 persons with brain injury after cerebrovas ...
Pages: 733-736
Abstract  HTML  PDF
The Swedish occupational fatigue inventory in people with multiple sclerosis
Sverker Johansson, Charlotte Ytterberg, Birgitta Back, Lotta Widén Holmqvist, Lena von Koch
Objectives: To investigate the applicability of the Swedish Occupational Fatigue Inventory and its ability to identify different dimensions of fatigue in people with multiple sclerosis with varying degrees of disease severity, and the correlation of each of its 5 dimensions with the Fatigue Severity Scale. Design: An observational, prospective study. Subjects: Two hundred and nineteen outpatient ...
Pages: 737-743
Abstract  HTML  PDF
Effect of single botulinum toxin A injection to the external urethral sphincter for treating detrusor external sphincter dyssynergia in spinal cord injury
Sung-Lang Chen, Liu-Ing Bih, Yu-Hui Huang, Su-Ju Tsai, Tzer-Bin Lin, Yu-Lin Kao
Objective: To evaluate the effect of a single cystoscopic injection of botulinum toxin to the external urethral sphincter in treating detrusor external sphincter dyssynergia. Design: An open treatment trial with pre- and post-treatment evaluations. Subjects: A total of 20 suprasacral spinal cord injured patients with pure detrusor external sphincter dyssynergia. Methods: A single dose of 100 I ...
Pages: 744-748
Abstract  HTML  PDF
Effectiveness of a night-time hand positioning splint in rheumatoid arthritis: a randomized controlled trial
Ana Carolina Silva, Anamaria Jones, Paula Gabriel Silva, Jamil Natour
Objective: To evaluate the effectiveness of a night-time hand positioning splint in patients with rheumatoid arthritis. Design: Randomized controlled trial. Methods: Fifty patients with rheumatoid arthritis were divided randomly into 2 groups. The study group used a night-time splint starting at baseline, while the control group used the splint only during evaluations. All patients attended ev ...
Pages: 749-754
Abstract  HTML  PDF
Dysphagia in elderly nursing home residents with severe cognitive impairment can be attenuated by cervical spine mobilization
Ivan Bautmans, Jeroen Demarteau , Bjorn Cruts, Jean-Claude Lemper Geriatrics, Tony Mets
Objective: To investigate the feasibility of cervical spine mobilization in elderly dementia patients with dysphagia, and its effect on swallowing capacity. Methods: Fifteen nursing home residents (9 women, 6 men, age range 77–98 years) with severe dementia (median Mini Mental State Examination score=8/30, percentile (P)25–75=4–13) and known dysphagia participated in a randomized controlle ...
Pages: 755-760
Abstract  HTML  PDF
An orthosis and physiotherapy programme for camptocormia: A prospective case study
Mathieu-Panchoa de Sèze, Alexandre Creuzé, Marianne de Sèze, Jean-Michel Mazaux
Objective: Camptocormia, or bent spine syndrome, is an acquired postural disease leading to lumbar kyphosis observed when the patient stands up. Classic orthoses and physiotherapy programmes provide little correction and are often poorly tolerated. The aim of this study was to evaluate the effectiveness and tolerance of a new orthosis combined with physiotherapy for treating camptocormia. Method ...
Pages: 761-765
Abstract  HTML  PDF
Towards an instrument targeting mobility-related participation: Nordic cross-national reliability
Åse Brandt, Charlotte Löfqvist, Inga Jónsdottir, Terje Sund, Anna-Liisa Salminen, Monica Werngren-Elgström, Susanne Iwarsson
Objective: To investigate test-retest reliability and internal consistency of a new instrument for evaluation of mobility device interventions. Material and Methods: The instrument comprised 4 scales and one summed index. Two test-retest interviews involved 147 mobility device users (mean age 60 years) with a broad range of functional limitations, living at home. Results: For 2 scales and the s ...
Pages: 766-772
Abstract  HTML  PDF
Effects of resistance training in combination with coenzyme Q10 supplementation in patients with post-polio: a pilot study
Katarina Skough, Charlott Krossén, Susanne Heiwe, Henning Theorell, Kristian Borg
Objective: Coenzyme Q10 supplementation leads to increased muscle metabolism in patients with post-polio syndrome. The aim of this study was to investigate the effect of resistance training in combination with oral supplementation with coenzyme Q10 in patients with post-polio syndrome regarding muscle strength and endurance as well as functional capacity and health-related quality of life. Desig ...
Pages: 773-775
Abstract  HTML  PDF
Effects of 6 months exercise training on ventricular remodelling and autonomic tone in patients with acute myocardial infarction and percutaneous coronary intervention
Zheng Huan, Luo Ming, Shen Yi, Ma Yuan, Kang Wenhui
Objective: To study the effects of 6 months exercise training on ventricular remodelling and autonomic tone in patients with acute myocardial infarction and percutaneous coronary intervention. Design: Single-blinded randomized control trial. Participants: Sixty patients with acute myocardial infarction who had undergone percutaneous coronary intervention. Methods: The exercise group followed a ...
Pages: 776-779
Abstract  HTML  PDF
Autonomic dysreflexia triggered by breastfeeding in a tetraplegic mother
Fras Dakhil-Jerew, Susan Brook, Fadel Derry
Objective: To highlight an unusual cause of autonomic dysreflexia in tetraplegia and present a review of the literature. Study design: Case report of a patient in Stoke Mandeville Hospital, UK. Methods: A 33-year-old woman with C6 incomplete tetraplegia presented with signs and symptoms of autonomic dysreflexia attributed to breastfeeding. Results: Cessation of breastfeeding was effective in ...
Pages: 780-782
Abstract  HTML  PDF
Evidence-based Practice for Occupational Therapists, 2nd edition
M. Clare Taylor, pp. 224, 2007. Price £25. 99. ISBN: 9781405137003, ISBN10: 1405137002. Wiley-Blackwell, Oxford, UK. This second edition of the book Evidence-based Practice for Occupational Therapists does not concentrate merely on the basic skills of evidence-based practice (EBP) in occupational therapy; it also explores the implementation and development of an evidence-based culture wit ...
Page: 783
Abstract  PDF