Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Mar 2012
Factors that affect functional capacity in patients with musculoskeletal pain: a Delphi study among scientists, clinicians, and patients.
To reach consensus on the most important biopsychosocial factors that influence functional capacity results in patients with chronic nonspecific musculoskeletal pain, arranged in the framework of the International Classification of Functioning, Disability and Health. ⋯ Overall, chronic pain behavior, motivation, and sensation of pain are the main factors that can influence functional capacity results. We recommend that scientists and clinicians, respectively, consider the most important factors when planning future studies and when interpreting functional capacity test results.
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Arch Phys Med Rehabil · Feb 2012
Review Meta AnalysisEffect of exercise on physical function, daily living activities, and quality of life in the frail older adults: a meta-analysis.
To determine the effect of exercise on the physical function, activities of daily living (ADLs), and quality of life (QOL) of the frail older adults. ⋯ Exercise is beneficial to increase gait speed, improve balance, and improve performance in ADLs in the frail older adults.
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Arch Phys Med Rehabil · Feb 2012
Randomized Controlled Trial Multicenter StudyMulticenter randomized controlled trial comparing early versus late aquatic therapy after total hip or knee arthroplasty.
To evaluate if the timing of aquatic therapy influences clinical outcomes after total knee arthroplasty (TKA) or total hip arthroplasty (THA). ⋯ Early start of aquatic therapy had contrary effects after TKA when compared with THA and it influenced clinical outcomes after TKA. Although the treatment differences did not achieve statistically significance, the effect size for early aquatic therapy after TKA had the same magnitude as the effect size of nonsteroidal anti-inflammatory drugs in the treatment of osteoarthritis of the knee. However, the results of this study do not support the use of early aquatic therapy after THA. The timing of physiotherapeutic interventions has to be clearly defined when conducting studies to evaluate the effect of physiotherapeutic interventions after TKA and THA.
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Arch Phys Med Rehabil · Feb 2012
Effect of duration, participation rate, and supervision during community rehabilitation on functional outcomes in the first poststroke year in Singapore.
To examine the effect of duration, participation rate, and supervision during community rehabilitation on functional outcome during the first poststroke year. ⋯ Supervised stroke rehabilitation in the community at 1 and 6 months was associated with better functional status at 1 year than unsupervised therapy, and a higher participation rate in supervised therapy was associated with greater and faster functional recovery.
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Arch Phys Med Rehabil · Feb 2012
Prediction of failure to retain work 1 year after interdisciplinary functional restoration in occupational injuries.
To identify risk factors for work retention (a patients' ability to both obtain and retain employment) at 1 year after treatment for a chronic disabling occupational musculoskeletal disorder (CDOMD). ⋯ This study identified demographic, psychosocial, and occupational factors that were predictive of failure to retain work. These risk factors may be used to individualize treatment plans for CDOMD patients in order to provide optimal functional restoration.