Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Sep 2012
Randomized Controlled Trial Multicenter StudyEffects of a multifactorial falls prevention program for people with stroke returning home after rehabilitation: a randomized controlled trial.
To determine whether a multifactorial falls prevention program reduces falls in people with stroke at risk of recurrent falls and whether this program leads to improvements in gait, balance, strength, and fall-related efficacy. ⋯ This multifactorial falls prevention program was not effective in reducing falls in people with stroke who are at risk of falls nor was it more effective than usual care in improving gait, balance, and strength in people with stroke. Further research is required to identify effective interventions for this high-risk group.
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Arch Phys Med Rehabil · Sep 2012
Randomized Controlled TrialEffect of topical anesthetics on needle insertion pain during botulinum toxin type A injections for limb spasticity.
To compare pain perception using 3 anesthetics (eutectic mixture of local anesthetics [EMLA], vapocoolant spray, and ice) compared with a control (no anesthetic) during botulinum toxin type A (BTX-A) injections for lower limb spasticity. ⋯ Pain relief offered by EMLA and ice was comparable, suggesting that ice is a more convenient option because of brief application time (compared with EMLA). Spray may have made the patients more sensitive to pain and alternative approaches for using vapocoolant should be considered.