Content - Volume 42, Issue 5

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European union of medical specialists (UEMS) section of Physical & Rehabilitation Medicine: A Position Paper on Physical and Rehabilitation Medicine in Acute Settings
Anthony B. Ward, Christoph Gutenbrunner, H Damjan, Alessandro Giustini, Alain Delarque
Physical and rehabilitation medicine (PRM) specialists have an important role in the clinical care of patients during the acute phase of a disabling health condition. This phase is defined as once definitive care or resuscitation has taken place and a patient’s need to stay in hospital as an inpatient is primarily for PRM services for rehabilitation. This paper describes 4 options for the del ...
Pages: 417-424
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Prognosis of six-month functioning after moderate to severe traumatic brain injury: a systematic review of prospective cohort studies
Els C. Husson, Gerard M. Ribbers, Agnes H.P. Willemse-van Son, Arianne P. Verhagen, Henk J. Stam
Objective: To systematically review which determinants, assessed within the first month after a moderate to severe traumatic brain injury, predict 6-month functional outcome. Methods: Databases were searched for relevant publications between 1995 and August 2008. Selection criteria were: prospective cohort studies; determinants associated with functional outcome 6 months after moderate to severe ...
Pages: 425-436
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A feasibility study using interactive commercial off-the-shelf computer gaming in upper limb rehabilitation in patients after stroke
Loh Yong Joo, Tjan Soon Yin, Donald Xu, Ernest Thia, Chia Pei Fen, Christopher Wee Keong Kuah, Keng-He Kong
Background: Commercial off-the-shelf computer gaming devices have been making inroads into the rehabilitation arena, with the objective of making therapeutic exercise fun and contextual. One such device is the Nintendo Wii. Published clinical studies evaluating its acceptance, potential benefits and side-effects in the rehabilitation of patients with post-stroke weakness are few in number. Objec ...
Pages: 437-441
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Voice therapy for laryngeal hemiplegia: the role of timing of initiation of therapy
Giovanna Cantarella, Silvia Viglione, Stella Forti, Lorenzo Pignataro
Objective: Laryngeal hemiplegia, also known as vocal fold paralysis, causes severe communicative disability. Although voice therapy is commonly considered to be beneficial for improving the voice quality in several voice disorders, there are only a few papers that present scientific evidence of the effectiveness of voice therapy in treating the disabilities of laryngeal hemiplegia. The aim of this ...
Pages: 442-446
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Repetitive transcranial magnetic stimulation to hemispatial neglect in patients after stroke: An open-label pilot study
Jong Youb Lim, Eun Kyoung Kang, Nam-Jong Paik
Objective: To test whether multiple sessions of inhibitory low-frequency repetitive transcranial magnetic stimulation (rTMS) applied to the left parietal area can improve hemispatial neglect after stroke. Design: An open-label design. Patients: Seven consecutive patients with hemispatial neglect after right hemispheric stroke were compared with 7 retrospectively recruited control patients. Met ...
Pages: 447-452
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Symptomatic upper limb spasticity in patients with chronic stroke attending a rehabilitation clinic: Frequency, clinical correlates and predictors
Keng-He Kong, Karen Sui-Geok Chua, Jeanette Lee
Objective: To document the frequency, clinical correlates and predictors of symptomatic upper limb spasticity in patients one year or more after stroke. Design: Cross-sectional study. Subjects: A total of 140 patients after stroke attending a rehabilitation clinic. Methods: Assessments of spasticity, upper limb function and self-care ability using the Ashworth Scale (AS), Motor Assessment Sca ...
Pages: 453-457
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Patients' disease–related knowledge of complex regional pain syndrome: A pilot study
Florian Brunner, Adrian Gymesi , Rudolf Kissling , Lucas M Bachmann
Objective: The aim of this study was to investigate patients’ knowledge of the most salient features of complex regional pain syndrome and to identify patient characteristics associated with the patients’ level of knowledge. Methods: Questionnaire interview of 101 patients with complex regional pain syndrome in Switzerland (mean age 54 years, 77% female). A questionnaire about patients ...
Pages: 458-462
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Dry needle stimulation of myofascial trigger points evokes segmental anti-nociceptive effects
John Z. Srbely, James P. Dickey, David Lee, Mark Lowerison
Objective: To test the hypothesis that dry needle stimulation of a myofascial trigger point (sensitive locus) evokes segmental anti-nociceptive effects. Design: Double-blind randomized controlled trial. Subjects: Forty subjects (21 males, 19 females). Methods: Test subjects received intramuscular dry needle puncture to a right supraspinatus trigger point (C4,5); controls received sham intramus ...
Pages: 463-468
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Assessment of the effectiveness of a functional splint for osteoarthritis of the trapeziometacarpal joint on the dominant hand: a randomized controlled study
Ana Claudia Gomes Carreira, Anamaria Jones, Jamil Natour
Objective: To assess the effectiveness of a functional splint for trapeziometacarpal osteoarthritis. Methods: Forty patients with a diagnosis of painful trapezio­metacarpal osteoarthritis of the dominant hand were rando­mized into 2 groups. The study group received the splint at baseline and used it during activities of daily living for 180 days and the control group used the splint only d ...
Pages: 469-474
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Take charge: Patients’ experiences during participation in a rehabilitation programme for burnout
Anncristine Fjellman-Wiklund, Therese Stenlund, Katarina Steinholtz, Christina Ahlgren
Objective: The aim of this study was to explore the experiences of patients with burnout during a rehabilitation programme. Patients and methods: Eighteen patients with burnout were interviewed at the end of a one-year rehabilitation programme. The programme consisted of 2 groups, one with a focus on cognitively-oriented behavioural rehabilitation and Qigong and 1 with a focus on Qigong alone. T ...
Pages: 475-481
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Development of a tool for prediction of falls in rehabilitation settings (Predict_FIRST): A prospective cohort study
Catherine Sherrington, Stephen R. Lord, Jacqueline CT Close, Elizabeth Barraclough, Morag Taylor , Sandra O’Rourke , Susan Kurrle, Anne Tiedemann , Robert G Cumming, Robert D. Herbert
Objective: To develop and internally validate a simple falls prediction tool for rehabilitation settings. Design: Prospective cohort study. Participants: A total of 533 inpatients. Methods: Possible predictors of falls were collected from medical records, interview and physical assessment. Falls during inpatient stays were monitored. Results: Fourteen percent of participants fell. A multivari ...
Pages: 482-488
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Increased cardiovascular disease risk in Swedish persons with paraplegia: The Stockholm spinal cord injury study
Kerstin Wahman, Mark S. Nash, John E. Lewis , Åke Seiger, Richard Levi
Objective: Comparison of prevalence of cardiovascular disease risks in persons with chronic traumatic paraplegia with those in the general population. Design: Cross-sectional comparative study. Subjects: A total of 135 individuals, age range 18–79 years, with chronic (≥ 1 year) traumatic paraplegia. Methods: The prevalences of diabetes mellitus, dyslipid­aemia, hypertension ...
Pages: 489-492
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Manual ability and its relationship with daily activities in adolescents with cerebral palsy
Mirjam van Eck, Annet J Dallmeijer, Ilse S. van Lith , Jeanine M. Voorman, Jules Becher
Objective: To describe the manual ability of adolescents with cerebral palsy and to investigate the relationship of manual ability with daily activities. Design: Cross-sectional study. Subjects: Ninety-four adolescents with cerebral palsy, aged 12–16 years. Methods: Manual ability was assessed according to the Manual Ability Classification System (MACS) and the ABILHAND-Kids. Daily activit ...
Pages: 493-498
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Determinants of the shoulder pain and disability index in patients with subacromial shoulder pain
Kaia Engebretsen, Margreth Grotle, Erik Bautz-Holter, Ole Marius Ekeberg , Jens I. Brox
Objective: To examine the influence of determinants on the Shoulder Pain and Disability Index. Design: A cross-sectional study. Baseline registrations were applied. Patients: Two hundred patients with subacromial shoulder pain lasting at least 3 months. Methods: A questionnaire consisting of possible determinants, 2 independent variables regarding pain and 2 regarding function, and the outcom ...
Pages: 499-505
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Prediction of walking disability by disease-related factors in patients with rheumatoid arthritis
Marike van der Leeden, Rutger Dahmen, Jennie Ursum, Leo D. Roorda, Dirkjan van Schaardenburg, Dirk L. Knol, Joost Dekker, Martijn P.M. Steultjens
Objective: To investigate the relationship between disease-related factors and walking disability in different phases of rheumatoid arthritis; and to predict future walking disability in rheumatoid arthritis, using disease-related factors assessed 2 years after diagnosis. Methods: A cohort of 848 newly diagnosed patients with rheumatoid arthritis was followed up for a maximum of 8 years. Walking ...
Pages: 506-510
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