European journal of physical and rehabilitation medicine
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Eur J Phys Rehabil Med · Feb 2016
Randomized Controlled Trial Multicenter Study Comparative StudyEarly versus delayed rehabilitation treatment in hemiplegic patients with ischemic stroke: proprioceptive or cognitive approach?
Early/intensive mobilization may improve functional recovery after stroke but it is not clear which kind of "mobilization" is more effective. Proprioceptive neuromuscular facilitation (PNF) and cognitive therapeutic exercise (CTE) are widespread applied in post-stroke rehabilitation but their efficacy and safety have not been systematically investigated. ⋯ These results show a significant effect of time but not of technique that may impact the decision making in the acute phase of care.
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Eur J Phys Rehabil Med · Feb 2016
Multicenter Study Observational StudyEarly rehabilitation for severe acquired brain injury in intensive care unit: multicenter observational study.
The increased survival after a severe acquired brain injury (sABI) raise the problem of making most effective the treatments in Intensive Care Unit (ICU)/Neurointensive Care Unit (NICU), also integrating rehabilitation care. Despite previous studies reported that early mobilization in ICU was effective in preventing complications and reducing hospital stay, few studies addressed the rehabilitative management of sABI patients in ICU/NICU. ⋯ The study stresses the need to spread and implement a rehabilitative culture also for critical ill patients due to neurological diseases.