Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Jan 2012
Randomized Controlled Trial Comparative StudyEffect of low-intensity pulsed ultrasound on the cartilage repair in people with mild to moderate knee osteoarthritis: a double-blinded, randomized, placebo-controlled pilot study.
To determine the feasibility of conducting a randomized controlled trial assessing the effect of low-intensity pulsed ultrasound (US) therapy on cartilage repair in patients with mild to moderate knee osteoarthritis (OA). ⋯ Conducting a randomized controlled trial to assess the effects of US therapy on the cartilage repair in people with mild to moderate knee OA is feasible. However, further pilot studies are needed to determine the optimal US dose and application parameters before designing a full trial.
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Arch Phys Med Rehabil · Jan 2012
Randomized Controlled Trial Comparative StudyA randomized controlled study investigating static and dynamic balance in older adults after training with Pilates.
To evaluate effects of a Pilates intervention on balance and function in community-dwelling older (aged >60y) adults. ⋯ Although there were no significant between-group differences, participation in the Pilates component of the study led to improved static and dynamic balance. The absence of differences between conditions may be a result of small sample size or the crossover study design because Pilates may produce neuromuscular adaptations of unknown resilience.
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Arch Phys Med Rehabil · Jan 2012
Occurrence and temporal evolution of upper limb spasticity in stroke patients admitted to a rehabilitation unit.
To document the temporal development and evolution of upper limb spasticity, and to establish clinical correlates and predictors of upper limb spasticity in a cohort of stroke patients. ⋯ Upper limb spasticity was relatively infrequent in this study, occurring in 33% of patients at 3 months after stroke. Selective monitoring to detect severe spasticity is recommended for patients with an Ashworth Scale score of 2 or greater at 3 months after stroke, and in patients with severe upper limb weakness on admission to rehabilitation.
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Arch Phys Med Rehabil · Jan 2012
Comparative StudyThe effects of pressure release, phonophoresis of hydrocortisone, and ultrasound on upper trapezius latent myofascial trigger point.
To compare the effects of pressure release (PR), phonophoresis of hydrocortisone (PhH) 1%, and ultrasonic therapy (UT) in patients with an upper trapezius latent myofascial trigger point (MTP). ⋯ Our results indicate that all 3 treatments used in this study were effective for treating MTP. According to this study, PhH is suggested as a new method effective for the treatment of MTP.
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Arch Phys Med Rehabil · Jan 2012
Randomized Controlled Trial Multicenter Study Comparative StudyA structured protocol of evidence-based conservative care compared with usual care for acute nonspecific low back pain: a randomized clinical trial.
To compare a protocol of evidence-based conservative care with usual care for acute nonspecific low back pain (LBP) of less than 6 weeks' duration. ⋯ Overall, the 2 treatment groups were similar based on primary or secondary outcome measure scores for the full treatment period (4 weeks, with up to 7 treatments). However, there were statistically significant and clinically meaningful differences in both disability and pain scores at week 2 (midpoint) with 4 treatments, suggesting that the protocol of care had a more rapid effect than usual care.