Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Apr 2012
Randomized Controlled TrialFurther assessment to determine the additive effect of botulinum toxin type A on an upper extremity exercise program to enhance function among individuals with chronic stroke but extensor capability.
To determine whether dose-specified botulinum toxin type A (BTX-A) and a standardized exercise protocol produce better upper extremity function than placebo and the same exercise program. ⋯ Among chronic stroke survivors, BTX-A did not impact function, movement, or tone more than a standardized exercise program.
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Arch Phys Med Rehabil · Apr 2012
Randomized Controlled TrialPreoperative home-based physical therapy versus usual care to improve functional health of frail older adults scheduled for elective total hip arthroplasty: a pilot randomized controlled trial.
To investigate the feasibility and preliminary effectiveness of a home-based intensive exercise program to improve physical health of frail elderly patients scheduled for elective total hip arthroplasty (THA). ⋯ Intensive preoperative training at home is feasible for frail elderly patients waiting for THA and produces relevant changes in functional health. A larger multicenter randomized controlled trial is in progress to investigate the (cost-)effectiveness of preoperative training.
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Arch Phys Med Rehabil · Apr 2012
Coordination of dynamic balance during gait training in people with acquired brain injury.
To investigate movement of the center of mass (COM) during different gait training methods in people with neurologic conditions. ⋯ In the context of overall dynamic gait coordination, no single method of training provides the optimal stimulus. A training program that uses a variety of techniques may provide a beneficial rehabilitation response.
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Arch Phys Med Rehabil · Apr 2012
Impact of tactile dysfunction on upper-limb motor performance in children with unilateral cerebral palsy.
To determine the relationship between tactile function and upper-limb function in children with unilateral cerebral palsy (CP). ⋯ Spatial tactile deficits account for approximately 30% of the variance in upper-limb motor function in children with unilateral CP. This emphasizes the need for routine tactile assessment and targeted treatment of tactile spatial deficits in this population.
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Arch Phys Med Rehabil · Apr 2012
Review Meta AnalysisA meta-analysis of botulinum toxin sphincteric injections in the treatment of incomplete voiding after spinal cord injury.
To conduct a systematic review and meta-analysis to examine the effect of injecting botulinum toxin A (BTX-A) into the detrusor sphincter on improving bladder emptying in individuals with spinal cord injury (SCI). ⋯ Results of the meta-analysis indicate that BTX-A is effective in reducing PRV and demonstrating a statistically significant reduction in PDet and UP 1 month postinjection. However, the clinical utility of BTX-A is yet to be determined.