Content

Content - Volume 53, Issue 1

Editors choice in this issue

REVIEW ARTICLE
A practical guide to optimizing the benefits of post-stroke spasticity interventions with botulinum toxin A: An international group consensus
Gerard E. Francisco, Alexander Balbert, Ganesh Bavikatte, Djamel Bensmail, Stefano Carda, Thierry Deltombe, Nathalie Draulans, Steven Escaldi, Raphael Gross, Jorge Jacinto, Nicholas Ketchum, Franco Molteni, Susana Moraleda Perez, Michael W.O Dell, Rajiv Reebye, Patrik Säterö, Monica Verduzco-Gutierrez, Heather Walker, Jörg Wissel
This consensus paper is derived from a meeting of an international group of 19 neurological rehabilitation specialists with a combined experience of more than 250 years (range 4–25 years; mean 14.1 years) in treating post-stroke spasticity with botulinum toxin A. The group undertook critical assessments of some recurring practical challenges, not yet addressed in guidelines, through an exten-siv ...
Pages: 1-14
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ORIGINAL REPORT
Implementation of evidence-based assessment of upper extremity in stroke rehabilitation: From evidence to clinical practice
Margit Alt Murphy, Ann Björkdahl, Gunilla Forsberg-Wärleby, Carina U. Persson
Objective: There is an evidence–practice gap in assessment of the upper extremities during acute and subacute stroke rehabilitation. The aim of this study was to target this gap by describing and evaluating the implementation of, and adherence to, an evidence--based clinical practice guideline for occupational therapists and physiotherapists. Methods: The upper extremity assessment implementati ...
Pages: 1-9
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ORIGINAL REPORT
A team approach to applying the International Classification of Functioning, Disability and Health Rehabilitation set in clinical evaluation
Malan Zhang, Yun Zhang, Yun Xiang, Ziling Lin, Wei Shen, Yingmin Wang, Liyin Wang, Jiani Yu, Tiebin Yan
Objective: To develop a team approach to applying the International Classification of Functioning, Disability and Health Rehabilitation Set (ICF-RS) in clinical evaluation. Design: A Delphi study. Subjects: Experts from rehabilitation institutions in China including physicians, nurses, physiotherapists and occupational therapists. Methods: A 2-round Delphi survey and expert panel discussion wer ...
Pages: 1-8
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ORIGINAL REPORT
Return-to-work self-efficacy after occupational rehabilitation for musculoskeletal and common mental health disorders: Secondary outcomes of a randomized clinical trial
Martin Skagseth, Marius S. Fimland, Marit B. Rise, Tom Ivar Lund Nilsen, Lene Aasdahl
Objective: To assess the effects of adding a workplace intervention to inpatient occupational rehabilitation on return-to-work self-efficacy, and whether changes in return-to-work self-efficacy were associated with future work outcomes. Design: Randomized clinical trial. Subjects: Individuals aged 18–60 years, sick-listed 2–12 months were randomized to multimodal inpatient rehabilitation with ...
Pages: 1-8
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ORIGINAL REPORT
Impact of rehabilitation start time on functional outcomes after stroke
Satoshi Otokita, Hironori Uematsu, Susumu Kunisawa, Noriko Sasaki, Kiyohide Fushimi, Yuichi Imanaka
Objective: To investigate the optimum rehabilitation start timing for improved functional outcomes after stroke in Japan. Design: A retrospective database study. Subjects: A total of 140,655 patients with stroke from 1,161 acute hospitals in Japan. Only data for those patients who were discharged alive was included in the analysis. Methods: Activities of daily living were assessed. Comparisons ...
Pages: 1-8
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ORIGINAL REPORT
Dose-related effects of radial extracorporeal shock wave therapy for knee osteoarthritis: A randomized controlled trial
Ya-Fei Zhang, Yang Liu, Shao-Wen Chou, Hao Weng
Objective: To assess the dose-related effects of radial extracorporeal shock wave therapy on pain alleviation in knee osteoarthritis. Methods: With the use of a 2?×?2 factorial randomized controlled design, 89 patients diagnosed with knee osteoarthritis were assigned to 1 of 4 treatment groups, which varied in terms of shock intensity (0.12 mJ/mm2, lower density, or 0.24 mJ/mm2, higher density) ...
Pages: 1-8
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ORIGINAL REPORT
Tolerability and psychological effects of a multimodal day-care rehabilitation program for persons with Huntington's disease
Karin Ringqvist, Kristian Borg, Marika C. Möller
Objective: To determine whether the psychological benefits of intense, inpatient, multimodal rehabilitation for persons with Huntington’s disease (HD), as found in earlier studies, also apply in a shorter, day-care setting. Design: Prospective, non-randomized cohort study. Subjects: Twenty patients attending a group-based 8-week (3 days/week) rehabilitation programme aimed at persons in early s ...
Pages: 1-9
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ORIGINAL REPORT
Optimal duration of stretching exercise in patients with chronic myofascial pain syndrome: A randomized controlled trial
Sameeha S Mansoori, Ibrahim M. Moustafa, Amal Ahbouch, Deed E. Harrison
Objective: To explore the effect of variable durations of stretching on neural function, pain, and algometric pressure in patients with chronic myofascial pain syndrome. Design: Randomized controlled trial. Patients: A total of 100 participants diagnosed with chronic myofascial pain syndrome were randomly assigned to a control group or 1 of 3 intervention groups. Methods: The 3 experimental g ...
Pages: 1-8
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REVIEW ARTICLE
Rehabilitation setting during and after Covid-19: An overview on recommendations
Francesco Agostini, Massimiliano Mangone, Pierangela Ruiu, Teresa Paolucci, Valter Santilli, Andrea Bernetti
Objective: The aim of this review is to identify the best evidence to define rehabilitative approaches to acute and post-acute phases of coronavirus 2019 (COVID-19) disease. Methods: A literature search (of PubMed, Google Scholar, PEDro and Cochrane databases) was perform-ed for relevant publications from January to April 2020. Results: A total of 2,835 articles were retrieved, and the search re ...
Pages: 1-10
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ORIGINAL REPORT
Resistance band training after triamcinolone acetonide injection for subacromial bursitis: A randomized clinical trial
Pengfei Zhu, Bokai Liao, Zhengchao Wang, Zhenxing Sun, Yang Wei, Yu Cai
Objective: To investigate the effect of progressive resistance training using resistance (elastic) bands on subacromial bursitis following triamcinolone acetonide injection. Design: Randomized clinical trial. Patients: A total of 68 patients with subacromial bursitis were randomized to a triamcinolone acetonide group or a triamcinolone acetonide plus resistance band training group. Methods: Vi ...
Pages: 1-8
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ORIGINAL REPORT
Experience of physical activity described by patients with heart failure who have received individualized exercise advice: A qualitative study
Leonie Klompstra, Maria Liljeroos, Tiny Jaarsma, Anna Strömberg
Objective: To describe the experience of physical activity in patients with heart failure who were randomized to a control group in which they received exercise advice and motivational support. Design: A qualitative descriptive interview study, using qualitative content analysis. Patients: Fifteen patients with heart failure. Methods: Interviews with members of the control group in a physical a ...
Pages: 1-7
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ORIGINAL REPORT
Sustained efficacy of incobotulinumtoxina repeated injections for upper-limb post-stroke spasticity: A post hoc analysis
Petr Kaňovský, Elie P. Elovic, Michael C. Munin, Angelika Hanschmann, Irena Pulte, Michael Althaus, Reinhard Hiersemenzel, Christina Marciniak
Objective: This post hoc analysis assessed the impact of repeated incobotulinumtoxinA injections on muscle tone, disability, and caregiver burden in adults with upper-limb post-stroke spasticity. Design: Data from the double-blind, placebo-controlled main period and three open-label extension cycles of two Phase 3, randomized, multicentre trials were pooled. Methods: Subjects received incobotuli ...
Pages: 1-7
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ORIGINAL REPORT
Clinical spasticity assessment using the Modified Tardieu Scale does not reflect joint angular velocity or range of motion during walking: Assessment tool implications
Megan Banky, Ross A. Clark , Benjamin F. Mentiplay, John H. Olver, Gavin Williams
Objective: Spasticity assessment is often used to guide treatment decision-making. Assessment tool limitations may influence the conflicting evidence surrounding the relationship between spasticity and walking. This study investigated whether testing speeds and joint angles during a Modified Tardieu assessment matched lower-limb angular velocity and range of motion during walking. Design: Observa ...
Pages: 1-10
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ORIGINAL REPORT
Participation in leisure activities from the perception of children with disabilities and their families in Brazil
Janice Souza Marques, Isabelly Cristina Rodrigues Regalado, Élida Rayanne Viana Pinheiro Galvão, Haryelle Náryma Confessor Ferreira, Egmar Longo, Ana Raquel Rodrigues Lindquist
Objective: To understand the perception of children with disabilities and their families regarding factors that interfere with participation in leisure activities in Brazil. Methods: This qualitative study included 14 focus groups, involving a total of 80 participants (40 children with disabilities and 40 family members). Discus-sions were recorded and transcribed. Coding was based on the Intern ...
Pages: 1-10
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ORIGINAL REPORT
Cognitive and emotional symptoms in patients with first-ever mild stroke: The syndrome of hidden impairments
Georgios Vlachos, Hege Ihle-Hansen, Torgeir Bruun Wyller, Anne Brækhus, Margrete Mangset, Charlotta Hamre, Brynjar Fure
Objective: To evaluate the prevalence of cognitive and emotional impairments one year after first-ever mild stroke in younger patients Design: Prospective, observational, cohort study. Subjects: A consecutive sample of 117 previously cognitively healthy patients aged 18–70 years with mild stroke (National Institutes of Health Stroke Scale score ≤ 3) were included in 2 hospitals in Norway d ...
Pages: 1-8
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REVIEW ARTICLE
A practical guide to optimizing the benefits of post-stroke spasticity interventions with botulinum toxin A: An international group consensus
Gerard E. Francisco, Alexander Balbert, Ganesh Bavikatte, Djamel Bensmail, Stefano Carda, Thierry Deltombe, Nathalie Draulans, Steven Escaldi, Raphael Gross, Jorge Jacinto, Nicholas Ketchum, Franco Molteni, Susana Moraleda Perez, Michael W.O Dell, Rajiv Reebye, Patrik Säterö, Monica Verduzco-Gutierrez, Heather Walker, Jörg Wissel
This consensus paper is derived from a meeting of an international group of 19 neurological rehabilitation specialists with a combined experience of more than 250 years (range 4–25 years; mean 14.1 years) in treating post-stroke spasticity with botulinum toxin A. The group undertook critical assessments of some recurring practical challenges, not yet addressed in guidelines, through an exten-siv ...
Pages: 1-14
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ORIGINAL REPORT
Assessing the effectiveness of upper-limb spasticity management using a structured approach to goal-setting and outcome measurement: First cycle results from the ULIS-III Study
Lynne Turner-Stokes, Jorge Jacinto, Klemens Fheodoroff, Allison Brashear, Pascal Maisonobe, Andreas Lysandropoulos, Stephen Ashford on behalf of the Upper Limb International Spasticity-III (ULIS-III) study group
Objective: To describe the utility of a structured approach to assessing effectiveness following injection with botulinum toxin-A alongside physical therapies, within the first cycle of the Upper Limb International Spasticity-III (ULIS-III) study. Methods: ULIS-III (registered at clinicaltrials.gov as NCT02454803) is a large international, observation-al, longitudinal study of adults treated for ...
Pages: 1-9
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