Archives of physical medicine and 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.
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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.