Content

Content - Volume 49, Issue 3

Editors choice in this issue

REVIEW ARTICLE
Efficacy and safety of oral baclofen in the management of spasticity: A rationale for intrathecal baclofen
Per Ertzgaard, Claudia Campo, Alessandra Calabrese
Oral baclofen has long been a mainstay in the management of spasticity. This review looks at the clinical evidence for the efficacy and safety of oral baclofen in patients with spasticity of any origin or severity, to determine whether there is a rationale for the use of intrathecal baclofen. Results suggest that oral baclofen may be effective in many patients with spasticity, regardless of the un ...
Pages: 193-203
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All articles

REVIEW ARTICLE
Efficacy and safety of oral baclofen in the management of spasticity: A rationale for intrathecal baclofen
Per Ertzgaard, Claudia Campo, Alessandra Calabrese
Oral baclofen has long been a mainstay in the management of spasticity. This review looks at the clinical evidence for the efficacy and safety of oral baclofen in patients with spasticity of any origin or severity, to determine whether there is a rationale for the use of intrathecal baclofen. Results suggest that oral baclofen may be effective in many patients with spasticity, regardless of the un ...
Pages: 193-203
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REVIEW ARTICLE
Neurological dysfunction due to large skull defect: Implications for physiotherapists
Stephen Honeybul
Given the continued use of decompressive craniectomy in the management of neurological emergencies recognition of complications is important in order for patients to gain maximal benefit during rehabilitation. One complication that has received relatively little attention is the neurological dysfunction that can occur due to distortion of the brain under the scalp as cerebral oedema subsides. The ...
Pages: 204-207
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ORIGINAL REPORT
Effects of Kinesio taping for stroke patients with hemiplegic shoulder pain: A double-blind, randomized, placebo-controlled study
Yen-Chang Huang, Kwang-Hwa Chang, Tsan-Hon Liou, Chau-Wei Cheng, Li-Fong Lin , Shih-Wei Huang
Objective: To investigate the effects of Kinesio taping for stroke patients with hemiplegic shoulder pain. Design: Double-blind, placebo-controlled clinical trial. Subjects: Twenty-one stroke patients with hemiplegic shoulder pain within 6 months of stroke onset in the rehabilitation ward of a medical university hospital in Taiwan. Methods: A 3-week intervention involving a conventional rehabil ...
Pages: 208-215
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ORIGINAL REPORT
Early clinical predictors of motor function in the upper extremity one month post-stroke
Jenny Snickars, Hanna C. Persson, Katharina S. Sunnerhagen
Objective: To investigate factors within 3 days post-stroke that could predict severe impairment in motor function in the upper extremity at one month post-stroke. Methods: This cross-sectional study included 104 patients with first-ever stroke and impaired motor function in the upper extremity. Initial impairment in motor function, demographic data, type of stroke and stroke risk factors were c ...
Pages: 216-222
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ORIGINAL REPORT
Depression is an independent determinant of life satisfaction early after stroke
Daniëlla M. Oosterveer, Radha Rambaran Mishre, Andrea van Oort, Karin Bodde, Leo A. M. Aerden
Objective: Life satisfaction is reduced in stroke patients. However, as a rule, rehabilitation goals are not aimed at life satisfaction, but at activities and participation. In order to optimize life satisfaction in stroke patients, rehabilitation should take into account the determinants of life satisfaction. The aim of this study was therefore to determine what factors are independent determinan ...
Pages: 223-227
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ORIGINAL REPORT
Long-term mental fatigue after traumatic brain injury and impact on employment status
Samuel Palm, Lars Rönnbäck, Birgitta Johansson
Objective: Long-term mental fatigue following traumatic brain injury is endorsed as one of the most distressing symptoms, interfering considerably with return to work and social life. The objective of this cross-sectional study was to estimate the prevalence of long-term mental fatigue after traumatic brain injury and to evaluate its association with employment status. Methods: All patients (age ...
Pages: 228-233
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ORIGINAL REPORT
Further characterization and validation of the oxygen uptake efficiency slope for persons with multiple sclerosis
Thomas Edwards, Rachel E. Klaren, Robert W. Motl, Lara A. Pilutti
Objective: To further characterize the oxygen uptake efficiency slope (OUES) in persons with multiple sclerosis through a direct comparison with matched controls, and by examining differences across the multiple sclerosis disability spectrum. Also, to validate the OUES as an alternative method, which can be derived from submaximal exercise testing, for expressing cardiorespiratory fitness in perso ...
Pages: 234-240
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ORIGINAL REPORT
Improving activities of daily living ability in women with fibromyalgia: An exploratory, quasi-randomized, phase-two study, IMPROvE trial
Cecilie von Bülow , Kirstine Amris , Elisabeth Bandak, Bente Danneskiold-Samsøe, Eva Elisabet Ejlersen Wæhrens
Objective: To explore and compare the outcomes of adaptation and physical activity programmes regarding activities of daily living (ADL) ability following interdisciplinary rehabilitation in women with fibromyalgia. Methods: Participants (n = 85) were quasi-randomized to 16-week adaptation (ADAPT) or physical activity (ACTIVE) programmes following 2-week interdisciplinary rehabilitat ...
Pages: 241-250
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ORIGINAL REPORT
Effect of therapeutic exercises on pregnancy-related low back pain and pelvic girdle pain: Secondary analysis of a randomized controlled trial
Iva Sklempe Kokic, Marina Ivanisevic, Melita Uremovic, Tomislav Kokic, Rado Pisot, Bostjan Simunic
Objective: To investigate the effect of a supervised, structured exercise programme on the occurrence and severity of pregnancy-related lumbopelvic pain. Design: Randomized controlled trial. Subjects: A total of 45 pregnant women were randomly assigned to 2 groups: an experimental group (n = 20; mean age 32.8 (standard deviation (SD) 3.6) years) and a control group (n = 2 ...
Pages: 251-257
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ORIGINAL REPORT
Influence of hip and knee osteoarthritis on dynamic postural control parameters among older fallers
Sumaiyah Mat, Chin Teck Ng, Maw Pin Tan
Objective: To compare the relationship between postural control and knee and hip osteoarthritis in older adults with and without a history of falls. Methods: Fallers were those with ≥ 2 falls or 1 injurious fall over 12 months. Non-fallers were volunteers with no falls in the past year. Radiological evidence of osteoarthritis with no reported symptoms was considered “asymptomatic os ...
Pages: 258-263
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ORIGINAL REPORT
Effectiveness of cognitive behavioural therapy in a community-based pulmonary rehabilitation programme: A controlled clinical trial
Edwin K. Luk, Alexandra Gorelik , Louis Irving, Fary Khan
Objective: To investigate whether the use of cognitive behavioural therapy in pulmonary rehabilitation addresses the depression and anxiety burden and thereby improves rehabilitation outcomes. Design: Prospective controlled clinical trial. Patients: A total of 70 patients with chronic obstructive pulmonary disease who were referred to a community centre for pulmonary rehabilitation. Methods: Pa ...
Pages: 264-269
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ORIGINAL REPORT
Vision-related fitness to drive mobility scooters: A practical driving test
Christina Cordes, Joost Heutink, Oliver M. Tucha, Karel A. Brookhuis, Wiebo H. Brouwer, Bart J.M. Melis-Dankers
Objective: To investigate practical fitness to drive mobility scooters, comparing visually impaired participants with healthy controls. Design: Between-subjects design. Subjects: Forty-six visually impaired (13 with very low visual acuity, 10 with low visual acuity, 11 with peripheral field defects, 12 with multiple visual impairment) and 35 normal-sighted controls. Methods: Participants compl ...
Pages: 270-276
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SHORT COMMUNICATION
Cardiac rehabilitation for women with breast cancer and treatment-related heart failure compared with coronary artery disease: A retrospective study
Alis Bonsignore, Susan Marzolini, Paul Oh
Objective: To examine clinical outcomes and completion rates of cardiac rehabilitation in women with breast cancer and treatment-related heart failure. Methods: Data for women with breast cancer and treatment-related heart failure were compared with those for age-matched women with coronary artery disease. Retrospective data were obtained from the Toronto Rehabilitation Institute database for dat ...
Pages: 277-281
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ORIGINAL REPORT
Effects of exercise therapy on polymyositis complicated by post-myocarditis cardiomyopathy: A case report
Hidetoshi Yanagi, Naohisa Shindo
Background: A 42-year-old woman with chronic polymyositis complicated by post-myocarditis cardiomyopathy underwent supervised and unsupervised exercise therapy with staged increases in intensity. Methods: Supervised exercise therapy, which included adopted standards for patients with heart failure, was performed for 6 months. After one month, unsupervised exercise therapy was commenced, in the fo ...
Pages: 282-285
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