Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · May 2004
Osteogenesis imperfecta in childhood: impairment and disability. A prospective study with 4-year follow-up.
To study (1). changes in anthropometrics, joint range of motion (ROM), muscle strength, functional ability, caregiver assistance, and level of ambulation in children with osteogenesis imperfecta (OI) and (2). the prediction of clinical characteristics at the level of ambulation at follow-up and the prediction of clinical characteristics on progression or regression at the level of ambulation over time. ⋯ Ours is the first study with a long-term follow-up that provides information concerning the natural course of developmental outcome parameters of OI in childhood. Joint ROM and muscle strength did not change significantly over time, possibly because of the biomechanical skeletal properties of the different OI types. Functional ability improved significantly over time, but, especially in types III and IV, did not reach normative values, possibly because of a plateau phase in functional ability. Knowledge of the natural course of the disease is essential to interpret the results from intervention studies.
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Arch Phys Med Rehabil · May 2004
Randomized Controlled Trial Clinical TrialBotulinum toxin type B in upper-limb poststroke spasticity: a double-blind, placebo-controlled trial.
To determine whether botulinum toxin type B (BTX-B) is effective in controlling upper-limb spasticity. ⋯ Our study does not show a significant decrease in tone from 10000 U of BTX-B. Dry mouth was common.
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Arch Phys Med Rehabil · May 2004
Randomized Controlled Trial Clinical TrialHigh-power pain threshold ultrasound technique in the treatment of active myofascial trigger points: a randomized, double-blind, case-control study.
To study what effects a high-power, pain-threshold, static ultrasound technique applied to acute myofascial trigger points of the upper trapezius has on pain and on active cervical lateral bending. ⋯ High-power, pain-threshold, static ultrasound technique may be considered in the treatment of patients with acute myofascial pain syndrome, with the understanding that this technique demands more concentration and communication between the patient and the therapist.
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Arch Phys Med Rehabil · May 2004
Analysis of outcome measures for persons with patellofemoral pain: which are reliable and valid?
To examine the test-retest reliability, validity, and responsiveness of several outcome measures in the treatment of patellofemoral pain. ⋯ The AKPS and VAS for usual or worst pain are reliable, valid, and responsive and are therefore recommended for future clinical trials or clinical practice in assessing treatment outcome in persons with patellofemoral pain.
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Arch Phys Med Rehabil · May 2004
Assessing pain in patients with severe cerebral palsy: development, reliability, and validity of a pain assessment instrument for cerebral palsy.
To develop the Pain Assessment Instrument for Cerebral Palsy (PAICP) and to study its test-retest reproducibility and construct validity. ⋯ The PAICP has adequate test-retest reproducibility and construct validity. It provides an indication of the pain experienced by patients in situations in which proxies are not personally involved and may also be more valid than proxy measures for other situations.