Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Nov 2013
ReviewEffects of locomotor training after incomplete spinal cord injury: a systematic review.
To provide an overview of, and evaluate the current evidence on, locomotor training approaches for gait rehabilitation in individuals with incomplete spinal cord injury to identify the most effective therapies. ⋯ Evidence on the effectiveness of locomotor therapy is limited. All approaches show some potential for improvement of ambulatory function without superiority of 1 approach over another. More research on this topic is required.
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Arch Phys Med Rehabil · Nov 2013
Randomized Controlled TrialPhysiotherapy for sleep disturbance in people with chronic low back pain: results of a feasibility randomized controlled trial.
To determine the feasibility of a randomized controlled trial investigating the effectiveness of physiotherapy for sleep disturbance in chronic low back pain (CLBP) (≥12wks). ⋯ The high prevalence of sleep disturbance indicated the feasibility of good recruitment in future trials. The PSQI would be a suitable screening tool and outcome measure alongside an objective nonobtrusive sleep outcome measure. The effectiveness of physiotherapy for sleep disturbance in CLBP warrants investigation in a fully powered randomized controlled trial.
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Arch Phys Med Rehabil · Nov 2013
Relationship between communication skills and gross motor function in preschool-aged children with cerebral palsy.
To explore the communication skills of children with cerebral palsy (CP) at 24 months' corrected age with reference to typically developing children, and to determine the relationship between communication ability, gross motor function, and other comorbidities associated with CP. ⋯ Preschool-aged children with CP, with more severe gross motor impairment, showed delayed communication, while children with mild motor impairment were less vulnerable. Term-born children had significantly poorer communication than those born prematurely. Because a portion of each gross motor functional severity level is at risk, this study reinforces the need for early monitoring of communication development for all children with CP.
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Arch Phys Med Rehabil · Nov 2013
Multicenter StudyWithin-day test-retest reliability of the Timed Up & Go test in patients with advanced chronic organ failure.
To investigate the within-day test-retest reliability of the Timed Up & Go (TUG) test in patients with advanced chronic obstructive pulmonary disease (COPD), chronic heart failure (CHF), and chronic renal failure (CRF). ⋯ The TUG test is reliable in patients with advanced COPD, CHF, or CRF after 2 trials. Values of standard error of measurement and MDC may be used in daily clinical practice with these populations to define what is expected and what represents true change in repeated measures.
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Arch Phys Med Rehabil · Nov 2013
Randomized Controlled TrialRandomized trial investigating the efficacy of manual lymphatic drainage to improve early outcome after total knee arthroplasty.
To investigate the efficacy of manual lymphatic drainage (MLD) in the early postoperative period after total knee arthroplasty (TKA) to reduce edema and pain and improve knee range of motion. ⋯ MLD in the early postoperative stages after TKA appears to improve active knee flexion up to 6 weeks postsurgery, in addition to conventional care.