Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Feb 2012
Review Meta AnalysisEffect of exercise on physical function, daily living activities, and quality of life in the frail older adults: a meta-analysis.
To determine the effect of exercise on the physical function, activities of daily living (ADLs), and quality of life (QOL) of the frail older adults. ⋯ Exercise is beneficial to increase gait speed, improve balance, and improve performance in ADLs in the frail older adults.
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Arch Phys Med Rehabil · Feb 2012
Randomized Controlled Trial Multicenter StudyMulticenter randomized controlled trial comparing early versus late aquatic therapy after total hip or knee arthroplasty.
To evaluate if the timing of aquatic therapy influences clinical outcomes after total knee arthroplasty (TKA) or total hip arthroplasty (THA). ⋯ Early start of aquatic therapy had contrary effects after TKA when compared with THA and it influenced clinical outcomes after TKA. Although the treatment differences did not achieve statistically significance, the effect size for early aquatic therapy after TKA had the same magnitude as the effect size of nonsteroidal anti-inflammatory drugs in the treatment of osteoarthritis of the knee. However, the results of this study do not support the use of early aquatic therapy after THA. The timing of physiotherapeutic interventions has to be clearly defined when conducting studies to evaluate the effect of physiotherapeutic interventions after TKA and THA.
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Arch Phys Med Rehabil · Feb 2012
Effect of duration, participation rate, and supervision during community rehabilitation on functional outcomes in the first poststroke year in Singapore.
To examine the effect of duration, participation rate, and supervision during community rehabilitation on functional outcome during the first poststroke year. ⋯ Supervised stroke rehabilitation in the community at 1 and 6 months was associated with better functional status at 1 year than unsupervised therapy, and a higher participation rate in supervised therapy was associated with greater and faster functional recovery.
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Arch Phys Med Rehabil · Feb 2012
Prediction of failure to retain work 1 year after interdisciplinary functional restoration in occupational injuries.
To identify risk factors for work retention (a patients' ability to both obtain and retain employment) at 1 year after treatment for a chronic disabling occupational musculoskeletal disorder (CDOMD). ⋯ This study identified demographic, psychosocial, and occupational factors that were predictive of failure to retain work. These risk factors may be used to individualize treatment plans for CDOMD patients in order to provide optimal functional restoration.
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Arch Phys Med Rehabil · Feb 2012
Incidence of nontraumatic spinal cord injury: a Spanish cohort study (1972-2008).
To assess the incidence of nontraumatic spinal cord injury (SCI) in a determined catchment area in Spain, and to evaluate clinical presentations and trends over time. ⋯ Nontraumatic SCI shows a relatively even sex distribution and tends to affect older adults. Injuries are mainly attributable to age-related conditions and result mostly in incomplete lesions, which present with paraplegia. This study revealed that although incidence rates for nontraumatic SCI are similar to those previously reported for traumatic SCI in the same area and during the same period, demographic and clinical characteristics are different. These findings have important implications regarding the delivery of rehabilitation and support services to this group of patients, and suggest the need for health policies that involve improved care and prevention resources.