Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Mar 2015
ReviewEvaluation of measures of upper limb functioning and disability in people with Parkinson disease: a systematic review.
To identify measurement tools used for upper limb evaluation in people with Parkinson disease (PD), to summarize the content of each tool using the International Classification of Functioning, Disability and Health, and to examine the reliability, validity, clinical utility, and responsiveness of the measurement tools specific to this clinical group. ⋯ There are relatively few high-quality studies to support the measurement properties, particularly the validity and responsiveness, of tools currently used to evaluate upper limb disability and function in people with PD. Further research is needed to inform measurement tool selection and treatment evaluation in this clinical group.
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Arch Phys Med Rehabil · Mar 2015
Randomized Controlled TrialImproving motor control in walking: a randomized clinical trial in older adults with subclinical walking difficulty.
To test the proposed mechanism of action of a task-specific motor learning intervention by examining its effect on measures of the motor control of gait. ⋯ Among older adults with subclinical walking difficulty, there is initial evidence that task-oriented motor learning exercise results in gains in the motor control of walking, while standard exercise does not. Task-oriented motor learning exercise is a promising intervention for improving timing and coordination deficits related to mobility difficulties in older adults, and needs to be evaluated in a definitive larger trial.
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Arch Phys Med Rehabil · Mar 2015
Comparative StudyComparison of self-report sleep measures for individuals with multiple sclerosis and spinal cord injury.
To investigate self-report measures of sleep disturbances and sleep-related impairments in samples of individuals with multiple sclerosis (MS) or spinal cord injury (SCI). ⋯ Although the MOS-S scores for the MS and SCI cohorts clearly indicated significantly high levels of sleep-related problems and were consistent with existing literature, the more ambiguous findings from the PROMIS sleep disturbance short form and PROMIS sleep-related impairments short form suggest that not enough is currently known about how these instruments function when applied to those with chronic neurologic dysfunction.
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Arch Phys Med Rehabil · Mar 2015
Effect of mental health on long-term disability after a road traffic crash: results from the UQ SuPPORT study.
To investigate the relation between mental health and disability after a road traffic crash (RTC) up to 24 months for claimants with predominantly minor injuries in an Australian sample. ⋯ Claimants with predominantly minor physical injuries report high disability, particularly when comorbid psychiatric disorders are present, pain is high, and expectations regarding return to work are low. Developing tools for detecting those at risk of poor recovery after an RTC is necessary for informing policy and practice in injury management and postinjury rehabilitation.
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Arch Phys Med Rehabil · Mar 2015
Randomized Controlled TrialEpidural steroids for lumbosacral radicular syndrome compared to usual care: quality of life and cost utility in general practice.
To investigate the effect of adding segmental epidural steroid injections (SESIs) to usual care compared with usual care alone on quality of life and cost utility in lumbosacral radicular syndrome (LRS) in general practice. ⋯ Although the beneficial effects of SESIs are small and the natural course of LRS is predominantly favorable, we think decision makers can consider implementing SESIs in daily practice with the purpose of saving resources. Caution must be taken, and further research should be directed at identifying patient subgroups who might benefit from SESIs, with additional focus on (costs of) complications and adverse effects.