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Content - Volume 41, Issue 3

Editors choice in this issue

All articles

EDITORIAL
Vocational rehabilitation
Jan Ekholm, Kristina Schüldt Ekholm
Vocational rehabilitation (VR) has attracted increasing interest in recent years. We envisage 3 probable reasons for this phenomenon. One is the societal problem that occurs when too many people are on sick leave, either on sickness allowance or disability pension, causing too high or increasing costs for the national insurance system; examples are Norway, the Netherlands and Sweden. A second reas ...
Pages: 113-114
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REVIEW ARTICLE
Multidisciplinary interventions: Review of studies of return to work after rehabilitation for low back pain
Anders Norlund, Annina Ropponen, Kristina Alexanderson
Objective: The aim of this study was to analyse the efficacy of multidisciplinary interventions on return to work for people on sick leave due to low back pain. Methods: A systematic review of published studies was performed, including a meta-analysis. Identified publications were assessed for relevance and study quality. Results: A meta-analysis based on 5 studies from Scandinavia verified the sc ...
Pages: 115-121
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ORIGINAL REPORT
Chronic pain and severe disuse syndrome: Long-term outcome of an inpatient multidisciplinary cognitive behavioural programme
C. Paul van Wilgen, Pieter U. Dijkstra, Gerbrig J. Versteegen, Marjo J. T. Fleuren, Roy Stewart, Marten van Wijhe
Objective: Patients with chronic pain and severe disuse syndrome have pain with physiological, psychological and social adaptations. The duration and severity of complaints, combined with previously failed treatments, makes them unsuitable for treatment in primary care. Design: A prospective waiting list controlled study. Patients: A total of 32 patients with chronic pain for at least one year and ...
Pages: 122-128
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ORIGINAL REPORT
Responsiveness of the activities of daily living scale of the knee outcome survey and numeric pain rating scale in patients with patellofemoral pain
Sara R. Piva, Alexandra B. Gil, Charity G. Moore, G. Kelley Fitzgerald
Objective: To assess internal and external responsiveness of the Activity of Daily Living Scale of the Knee Outcome Survey and Numeric Pain Rating Scale on patients with patello¬femoral pain. Design: One group pre-post design. Subjects: A total of 60 individuals with patellofemoral pain (33 women; mean age 29.9 (standard deviation 9.6) years). Methods: The Activity of Daily Living Scale and the N ...
Pages: 129-135
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ORIGINAL REPORT
Effect of pelvic stabilization and hip position on trunk extensor activity during back extension exercises on a roman chair
Rubens A. da Silva, Christian Larivière, A. Bertrand Arsenault, Sylvie Nadeau, André Plamondon
Objective: To assess the effect of pelvic stabilization and hip position on the electromyographic activity of trunk extensors during Roman chair exercise. A secondary objective was to compare genders. Design: Repeated measures. Subjects: Eleven men and 11 women volunteers. Methods: Five trunk flexion-extension cycles for 3 Roman chair conditions: (i) pelvis unrestrained; (ii) pelvis restrained; an ...
Pages: 136-142
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ORIGINAL REPORT
Seat height: Effects on submaximal hand rim wheelchair performance during spinal cord injury rehabilitation
Lucas H. V. van der Woude, Arianne Bouw, Joeri van Wegen, Harry van As, DirkJan Veeger, Sonja de Groot
Objective: To evaluate the effects of wheelchair seat height on wheeling efficiency and technique during rehabilitation in subjects with a spinal cord injury. Design: Laboratory-based study. Subjects: Twelve persons with spinal cord injury (age range 19–77 years, lesion level: C5/C6–L2; 7 men; 8 incomplete). Methods: Subjects conducted 8 submaximal hand rim wheelchair exercise tests (4 min) on ...
Pages: 143-149
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ORIGINAL REPORT
Assessment of dependence in daily activities combined with a self-rating of difficulty
Susanne Iwarsson, Vibeke Horstmann, Ulla Sonn
Objective: To study the information gained by extending a well-established instrument of dependence/independence in activities of daily living with a self-rating of difficulty, and to illustrate the relevance and usefulness of this combined approach with cross-national data. Design and subjects: Cross-sectional survey study data collected with 1918 very old persons in 5 European countries. Methods ...
Pages: 150-156
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ORIGINAL REPORT
Short-term effects and long-term use of a hybrid orthosis for neuromuscular electrical stimulation of the upper extremity in patients after chronic stroke
Jan-Willem G. Meijer, Gerlienke E. Voerman, Kim M.L.W. Santegoets, Alexander C. H. Geurts
Objective: To associate the short-term effects of the Handmaster® orthosis on disabling symptoms of the affected upper extremity with long-term Handmaster® orthosis use after stroke. Design: Historic cohort study. Patients: Patients with chronic stroke. Methods: The Modified Ashworth Scale (0–5) for wrist (primary outcome) and elbow flexor hypertonia, visual analogue scale (0–10) for pain, o ...
Pages: 157-161
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ORIGINAL REPORT
Low-frequency transcranial magnetic stimulation for visual spatial neglect: A pilot study
Weiqun Song, Boqi Du, Qian Xu, Jie Hu, Mao-bin Wang, Yuejia Luo
Objective: The aims of this study were to investigate the effects of low-frequency repetitive transcranial magnetic stimulation on patients with visual spatial neglect and to explore the potential mechanisms of visual spatial neglect. Methods: A total of 14 patients with prior stroke and visual spatial neglect were divided into a control group and a treatment group. The treatment group was exposed ...
Pages: 162-165
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ORIGINAL REPORT
Effects of intensive therapy using gait trainer or floor walking exercises early after stroke
Sinikka H. Peurala, Olavi Airaksinen, Pirjo Huuskonen, Pekka Jäkälä, Mika Juhakoski, Kaisa Sandell, Ina M. Tarkka, Juhani Sivenius
Objective: To analyse the effects of gait therapy for patients after acute stroke in a randomized controlled trial. Methods: Fifty-six patients with a mean of 8 days post-stroke participated in: (i) gait trainer exercise; (ii) walking training over ground; or (iii) conventional treatment. Patients in the gait trainer exercise and walking groups practiced gait for 15 sessions over 3 weeks and recei ...
Pages: 166-173
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ORIGINAL REPORT
Neuromuscular electrical and thermal-tactile stimulation for dysphagia caused by stroke: a randomized controlled trial
Kil-Byung Lim, Hong-Jae Lee, Sung-Shick Lim, Yoo-Im Choi
Objective: The aim of this study was to assess the effectiveness of neuromuscular electrical stimulation in patients with dysphagia caused by stroke. Methods: Thirty-six subjects were randomized into experimental and control groups. The control group was given thermal-tactile stimulation treatment only, while in the experimental group neuromuscular electrical stimulation and thermal-tactile st ...
Pages: 174-178
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ORIGINAL REPORT
Perceived mental health and needs for mental health services following trauma with and without brain injury
Marie-Christine Ouellet, Marie-Josée Sirois, André Lavoie
Objectives: To compare self-reported mental health in trauma survivors with and without brain injury; to describe factors associated with lower mental health; and to compare needs in terms of mental health services and perceived access limitations to such services. Design: Cross-sectional community survey. Patients: A total of 405 trauma survivors (239 with traum¬atic brain injury and 166 without ...
Pages: 179-186
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ORIGINAL REPORT
Relationship between occupational gaps in everyday life, depressive mood and life satisfaction after acquired brain injury
Gunilla Eriksson, Anders Kottorp, Jörgen Borg, Kerstin Tham
Objective: To explore the relationship between occupational gaps, depressive mood and life satisfaction in persons who have acquired a brain injury during the past 1–4 years and to test the Occupational Gaps Questionnaire. Design: A cross-sectional study. Subjects: A total of 116 persons with traumatic brain injury or subarachnoid haemorrhage acquired 1–4 years previously. Methods: A postal su ...
Pages: 187-194
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ORIGINAL REPORT
Effect of a home exercise video programme in patients with chronic obstructive pulmonary disease
Julie Moore, Helen Fiddler, John Seymour, Amy Grant, Caroline Jolley, Lorna Johnson, John Moxham
Objective: This pilot study investigated whether a home exercise video programme could improve exercise tolerance and breathlessness in patients with moderate to severe chronic obstructive pulmonary disease. Methods: Twenty subjects completed the study after being randomized to intervention or control. The intervention group (n = 10), watched a 19-min video on the benefits of exercise for pati ...
Pages: 195-200
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SHORT COMMUNICATION
Phenol neurolysis for relieving intermittent involuntary painful spasm in upper motor neuron syndromes: A pilot study
Tarek S. Shafshak, Alaa Mohamed-Essa
Objective: The aim of this study was to assess the efficacy of phenol neurolysis in relieving intermittent attacks of in¬voluntary painful muscle spasm in patients with upper motor neurone syndromes. Design: Case series. Patients: Nineteen patients with intermittent involuntary painful muscle spasm of one of the following muscles: extensor hallucis longus (n = 13), psoas major (n = 3), te ...
Pages: 201-202
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Essentials of Physical Medicine and Rehabilitation. Musculo¬skeletal Disorders, Pain and Rehabilitation
Gunnar Grimby
Essentials of Physical Medicine and Rehabilitation. Musculo­skeletal Disorders, Pain and Rehabilitation, Second Edition, Walter R. T. Frontera, Julie K. Silver, Thomas D. Rizzo Jr, pp. 954, 2008. Price: EUR 95.99. ISBN-10: 1 4160 4007 2; ISBN-13: 978 1 4160 4007 1. Saunders Elsevier, Philadelphia, USA. This is a very comprehensive volume on physical medicine and rehabilitation, which covers most ...
Page: 207
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