Content - Volume 41, Issue 13

All articles

Research and publishing in rehabilitation medicine
Gunnar Grimby
A number of papers has been published in recent years on aspects of publication specifically related to Physical and Rehabilitation Medicine (PRM). There are a number of specific problems in research design in rehabilitation, especially when it comes to randomized controlled studies. Some of these problems are discussed in this Editorial. Moreover, some of the information presented at the last con ...
Pages: 1021-1023
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Strategies for rehabilitation professionals to move evidence-based knowledge into practice: A systematic review
Anita Menon, Nicol Korner-Bitensky, Monika Kastner, Ann McKibbon, Sharon Straus
Rationale: Rehabilitation clinicians need to stay current regarding best practices, especially since adherence to clinical guidelines can significantly improve patient outcomes. However, little is known about the benefits of knowledge translation interventions for these professionals. Objectives: To examine the effectiveness of single or multi-component knowledge translation interventions for ...
Pages: 1024-1032
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Commentary on strategies for rehabilitation professionals to move evidence-based knowledge into practice: A systematic review
Katharina S. Sunnerhagen
Why do people not always do the right thing, when it is quite clear what it is? This fundamental question (as every parent asks when their children cross the road without looking) is approached by Menon et al. (1). Similar thoughts enter the mind of the physician when the patient with an ischaemic stroke continues to smoke after discharge with full knowledge of the harm it causes. Since the Cochra ...
Pages: 1033-1033
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Implementation of evidence-based prevention of falls in rehabilitation units: A staff’s interactive approach
Anna Cristina Åberg, Lillemor Lundin-Olsson, Erik Rosendahl
Objective: To provide strategies to assist healthcare professionals in the area of rehabilitation to improve prevention of falls. Design: A conceptual framework is described as a foundation for the proposal of 2 intertwined strategies, of intervention and implementation, which target the questions: Which strategies for intervention represent the current best evidence? and: How can these strategi ...
Pages: 1034-1040
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Poor functional recovery after a critical illness: A longitudinal study
Marike van der Schaaf, Anita Beelen, Dave A. Dongelmans, Margreeth B. Vroom, Frans Nollet
Objective: To determine the time course of functional health status, and to inventory impairments in body functions, limitations in activities, and restrictions in participation after critical illness. Design: Prospective observational cohort study. Setting: Mixed medical and surgical closed format; intensive care unit of an academic medical hospital. Patients: Consecutive patients over a pe ...
Pages: 1041-1048
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Repetitive transcranial magnetic stimulation over bilateral hemispheres enhances motor function and training effect of paretic hand in patients after stroke
Naoyuki Takeuchi, Takeo Tada, Masahiko Toshima, Yuichiro Matsuo, Katsunori Ikoma
Objective: The interhemispheric competition model proposes that the functional recovery of motor deficits in patients after stroke can be achieved by increasing the excitability of the affected hemisphere or decreasing the excitability of the unaffected hemisphere. We investigated whether bilateral repetitive transcranial magnetic stimulation might improve the paretic hand in patients after stroke ...
Pages: 1049-1054
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Psychometric properties of the Rivermead Motor Assessment: Its utility in stroke
Yeşim Kurtaiş, Ayse Küçükdeveci, Atilla Elhan, Ahmet Yılmaz, Tuğba Kalli, Birkan Sonel Tur, Alan Tennant
Objective: To investigate the psychometric properties of the Rivermead Motor Assessment by Rasch analysis and conventional statistics to improve its clinical utility. Methods: A total of 107 patients after stroke were evaluated using the Rivermead Motor Assessment and Functional Independence Measure (FIMTM). Scaling properties were assessed using Mokken scaling, internal construct validity using ...
Pages: 1055-1061
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Factors influencing self-rated health in traffic-related mild traumatic brain injury
Sharon Zhang, Linda Carroll, J. David Cassidy, Chris Paniak
Objective: To report self-rated health and factors influencing health after traffic-related mild traumatic brain injury. Design: Population-based, cross-sectional study of traffic-related mild traumatic brain injury occurring between 1 December 1997 and 31 November 1999 in Saskatchewan, Canada. Subjects: Subjects were 929 adults making a personal injury claim after a traffic collision. Inclusi ...
Pages: 1062-1067
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Association of depression and pain interference with disease-management self-efficacy in community-dwelling individuals with spinal cord injury
Marco Y.C. Pang, Janice J. Eng, Kwan-Hwa Lin, Pei-Fang Tang, Chihya Hung, Yen-Ho Wang
Objective: To determine factors influencing disease-management self-efficacy in individuals with spinal cord injury. Design: A cross-sectional study. Subjects/patients: Forty-nine community-dwelling individuals with chronic spinal cord injury (mean age 44 years) participated in the study. Methods: Each subject was evaluated for disease-management self-efficacy (Self-efficacy for Managing Chr ...
Pages: 1068-1073
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Prediction of employment status one year post-discharge from rehabilitation following traumatic spinal cord injury: An exploratory analysis of participation and environmental variables
Gregory Murphy, James Middleton, Ruth Quirk B., Annelies De Wolf , Ian D. Cameron
Objective: To identify the extent to which early participation and environmental variables, when assessed at discharge from hospital, add to injury and demographic variables in the prediction of employment following traumatic spinal cord injury. Design: Prospective study in which participants were assessed on a range of injury, demographic, participation and environmental measures at discharge f ...
Pages: 1074-1079
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Spasticity and bone density after a spinal cord injury
Inka Löfvenmark, Lars Werhagen , Cecilia Norrbrink
Study design: Descriptive, cross-sectional study. Objective: To assess the relationship between spasticity and bone mineral density in the lower extremities in individuals with a motor complete spinal cord injury. Methods: Eighteen individuals, matched for time since injury, gender, and age, were included in the study. Nine men had severe spasticity, and 9 men had spasticity that was either mi ...
Pages: 1080-1084
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Functional magnetic stimulation in constipation associated with Parkinson’s disease
Cheng-Ming Chiu, Wen-Hsu Sung, Shih-Fong Huang, Shu-Chiung Chiang, Tien-Yow Chuang, Po-Yi Tsai
Objective: The aims of this study were: (i) to investigate the effect of functional magnetic stimulation on total colonic transit time in patients with Parkinson’s disease; (ii) to compare the changes in dynamic recto-anal behaviour during filling and defaecation in response to this regimen; and (iii) to study the carry-over effects with a 3-month follow-up. Design: A longitudinal, prospective ...
Pages: 1085-1089
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Effect of biomagnetic therapy versus physiotherapy for treatment of knee osteoarthritis: A randomized controlled trial
Gerald Gremion, David Gaillard, Pierre-Francois Leyvraz, Brigitte M. Jolles
Objective: To assess the effectiveness of pulsed signal therapy in the treatment of knee osteoarthritis (Kellgren II or III). Methods: A randomized, double-blind controlled clinical trial. The first 95 patients sent to the clinic with knee osteo­arthritis were selected and randomized into treatment with pulsed signal therapy or conventional physiotherapy. Assessment included recording of usual ...
Pages: 1090-1095
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Rehabilitation combined with ventriculoperitoneal shunt for patients with chronic normal pressure hydrocephalus due to aneurysm subarachnoid haemorrhage: A preliminary study
Zhen Chen, Ge Chen, Weiqun Song, Lin Liu, Yanhui Yang, Feng Ling
Objective: The aim of this study was to compare activities of daily living and cognitive function after 6 months’ rehabilitation training with or without ventriculoperitoneal shunt in patients with chronic normal pressure hydrocephalus following aneurysm subarachnoid haemorrhage. Patients and Methods: Thirty-nine subjects diagnosed with chronic normal pressure hydrocephalus following aneurysm ...
Pages: 1096-1099
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Botulinum toxin type A in the healing of a chronic buttock ulcer in a patient with spastic paraplegia after spinal cord injury
Domenico Intiso, Mario Basciani
Background: Pressure sores are a significant secondary complication in spinal cord injured patients. A new indication for botulinum toxin type A is described here, in treatment of recurrent muscular spasms that had hampered the healing of a chronic buttock ulcer in a subject with severe spastic paraplegia. Case report: A 27-year-old man with spastic paraplegia following traumatic spinal cord les ...
Pages: 1100-1102
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Comments on development of the rehabilitation patient experiences questionnaire
Elizabeth Johnson
Sir, I commend Grotle et al. (1) for their efforts in adapting the Patient Experiences Questionnaire (PEQ) to create an instrument that can be utilized within the rehabilitation setting for rheumatological patients: the Rehabilitation Patient Experiences Questionnaire (Re-PEQ). Patient’s perception of the quality of care delivered is a an overlooked domain in the evaluation of a healthcare’s ...
Pages: 1103-1103
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Influence of the International Classification of Functioning, Disability and Health on paralympic sports classification
Stephen Wilson
Sir, A special edition of the Journal of Rehabilitation Medicine devoted to the International Classification of Functioning, Disability and Health (ICF) describes the unifying nature of this classification. It also explores its usefulness for integrating diverse aspects of human functioning (1). This is certainly the case for the International Paralympic Committee (IPC) classifications of human f ...
Pages: 1104-1104
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