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Content - Volume 41, Issue 6

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SPECIAL REPORT
The practice of physical and rehabilitation medicine in sub-Saharan Africa and Antarctica: A white paper or a black mark?
Andrew J. Haig, Jonathan Im, Deji Adewole, Virginia Nelson, Brian Krabak
Introduction: The medical specialty of physical and rehabilitation medicine has had a proven impact on people with disabilities and on healthcare systems. Documents such as the White Book on Physical and Rehabilitation Medicine in Europe have been important in defining the scope of practice within various regions. However, in some regions the practice has not been well defined Objective: To explo ...
Pages: 401-405
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REVIEW ARTICLE
Effectiveness of pulsed electromagnetic field therapy in the management of osteoarthritis of the knee: A meta-analysis of randomized controlled trials
Patrick Vavken, Ferdi Arrich, Othmar Schuhfried, Ronald Dorotka
Objective: To assess the effectiveness of pulsed electromagnetic fields compared with placebo in the management of osteoarthritis of the knee. Data sources: A systematic review of PubMed, EMBASE, and the Cochrane Controlled Trials Register. Methods: Randomized, controlled trials reporting on the blinded comparison of pulsed electromagnetic fields with placebo were included. Validity was tested a ...
Pages: 406-411
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ORIGINAL REPORT
Influence of choice of electrical stimulation site on peripheral neurophysiological and hypoalgesic effects
Gladys L.Y. Cheing, Winnie W. Y. Chan
Objective: To investigate whether the choice of electrode placement site in transcutaneous electrical nerve stimulation (TENS) over acupuncture points vs peripheral nerve points influences the peripheral neurophysiological effects as reflected in negative peak latency in the superficial radial nerve, and on sensory changes in terms of peripheral mechanical pain threshold and mechanical pain tolera ...
Pages: 412-417
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ORIGINAL REPORT
Phantom limb pain relief by contralateral myofascial injection with local anaesthetic in a placebo-controlled study: Preliminary results
Roberto Casale, Francesco Ceccherelli , Alaa Abd Elaziz Mohamed Labeeb, Gabriele Biella
Objective: To ascertain the existence of contralateral painful muscle areas mirroring phantom pain and to evaluate the short-term effects of anaesthetic vs saline, injected contra¬laterally to control phantom and phantom limb pain. Design: Double-blinded cross-over study. Setting: Inpatients; rehabilitation institute. Participants: Eight lower limb amputees with phantom limb pain in the pas ...
Pages: 418-422
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ORIGINAL REPORT
Changes in sick-leave diagnoses over eleven years in a cohort of young adults initially sick-listed due to low back, neck, or shoulder diagnoses
Karin Festin, Kristina Alexanderson
Objective: To study future general and diagnoses-specific sickness absence and disability pension among young adults who were initially on long-term sick-leave due to back, neck, or shoulder diagnoses. Design: Eleven-year prospective cohort study. Subjects: All 213 adults in a Swedish municipality who, in 1985, were in the age range 25–34 years and had begun a spell of sick-leave lasting ≥ ...
Pages: 423-428
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ORIGINAL REPORT
Construct dimensionality and properties of the categories in the ICF Core Set for low back pain
Cecilie Røe, Unni Sveen, Szilvia Geyh, Alarcos Cieza, Erik Bautz-Holter
Objective: The aim of this study was to explore by Rasch analysis whether the Comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set might represent a future clinical tool for measuring functioning of patients with low back pain. Material and methods: The Comprehensive ICF Core Set for low back pain was scored by health professionals for 118 patients with ...
Pages: 429-437
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ORIGINAL REPORT
Passive shoulder range of motion impairment in spinal cord injury during and one year after rehabilitation
Inge E. Eriks-Hoogland, Sonja de Groot, Marcel W.M. Post, Lucas H.V. van der Woude
Objective: To investigate the prevalence and course of pass¬ive shoulder range of motion in people with a spinal cord injury and the relationships between shoulder range of motion limitations and personal and lesion characteristics. Design: Multicentre longitudinal study. Subjects: A total of 199 subjects with spinal cord injury admitted to specialized rehabilitation centres. Methods: Assessm ...
Pages: 438-444
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ORIGINAL REPORT
Reflecting on subjective well-being and spinal cord injury
Christine Migliorini, Bruce Tonge
Objective: The aim of this study was to examine factors associated with the subjective well-being of individuals with spinal cord injuries, while acknowledging theories that describe the subjective well-being tendency to homeostasis. Methods: A representative community cross-sectional cohort of 443 adults with traumatic and non-traumatic spinal cord injury completed a self-report survey (by inter ...
Pages: 445-450
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ORIGINAL REPORT
Evaluation of in-service training in using the ICF and ICF version for children and youth
Mia Pless, Nina Ibragimova, Margareta Adolfsson, Eva Björck-Åkesson, Mats Granlund
Objective: To study the effects of in-service training on staff’s self-reported knowledge, understanding use of the International Classification of Functioning, Disability and Health (ICF) and ICF Children and Youth version (ICF-CY). Design: Quasi-experimental with a questionnaire prior to training and another one year after training. Methods: Intervention was in-service training in using th ...
Pages: 451-458
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ORIGINAL REPORT
Influence of hand-rim wheelchairs with rear suspension on seat forces and head acceleration during curb descent landings
Philip S. Requejo, Somboon Maneekobkunwong, Jill McNitt-Gray, Rodney Adkins, Robert Waters
Objective: Shocks and vibrations experienced while using a hand-rim wheelchair can contribute to discomfort, fatigue and injury. The aim of this study was to compare the seat forces and head accelerations experienced by manual wheelchair users during independent curb descent landings in a standard and 3 suspension-type rigid-frame wheelchairs. Design: Experimental: repeated measures analysis of ...
Pages: 459-466
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ORIGINAL REPORT
Assessment of capacity for myoelectric control: Evaluation of construct and rating scale
Helen Y. N. Lindner, John M. Linacre, Liselotte M. Norling Hermansson
Objective: To examine the construct and rating scale of the Assessment of Capacity for Myoelectric Control, an assessment to evaluate ability in using a prosthetic hand. Design: Cross-sectional study. Subjects: Upper limb prosthesis users with different prosthetic levels/sides and prosthetic experience were included (n = 96). Methods: Subjects’ assessments with the Assessment of Capacity ...
Pages: 467-474
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ORIGINAL REPORT
Effects of dance on movement control in Parkinson’s disease: A comparison of Argentine tango and American ballroom
Madeleine E. Hackney, Gammon M. Earhart
Objective: The basal ganglia may be selectively activated during rhythmic, metered movement such as tango dancing, which may improve motor control in individuals with Parkinson’s disease. Other partner dances may be more suitable and preferable for those with Parkinson’s disease. The purpose of this study was to compare the effects of tango, waltz/foxtrot and no intervention on functional moto ...
Pages: 475-481
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ORIGINAL REPORT
Early supported discharge after stroke and continued rehabilitation at home coordinated and delivered by a stroke unit in an urban area
Hélène Pessah-Rasmussen, Kerstin Wendel
Objective: To explore the characteristics and outcome of patients after stroke admitted to early supported discharge (ESD) services, and to investigate changes over time. Study populations: Patients admitted between June 1997 and September 1998 and participating in a follow-up study (n = 87) and all patients admitted in 2005–06 (n = 226). Background populations: All stroke cases in M ...
Pages: 482-488
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SHORT COMMUNICATION
Prevalence of incontinence in patients after stroke during rehabilitation: A multi-centre study
Apichana Kovindha, Pattra Wattanapan, Piyapat Dejpratham, Wutichai Permsirivanich, Vilai Kuptniratsaikul
Objective: To report the prevalence and degree of isolated urinary and faecal incontinence and double incontinence (i.e. both urinary and faecal incontinence) in patients after stroke during post-acute rehabilitation and the factors related to incontinence. Design: A multi-centre prospective study. Methods: Data were extracted from the Thai Stroke Rehabilitation Registry. A total of 185 patients ...
Pages: 489-491
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CASE REPORT
Orthotic fitting improves gait in a patient with generalized secondary dystonia
Serge Mirlicourtois, Laurent Bensoussan, Jean-Michel Viton, Hervé Collado, Tatiana Witjas, Alain Delarque
Objective: To determine whether an orthotic fitting improved gait in an adult patient presenting with generalized secondary dystonia. Patient: The patient had stance and gait disturbances associated with pain, ankle instability and fatigability. Clinical examination showed the presence of dystonia in the foot and ankle, along with equinovarus foot, mainly on the left side. The patient was fitted ...
Pages: 492-49
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