Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Apr 2004
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialEffectiveness of intensive rehabilitation on functional ability and quality of life after first total knee arthroplasty: A single-blind randomized controlled trial.
To evaluate the effectiveness of a new intensive functional rehabilitation (IFR) program on functional ability and quality of life (QOL) in persons who underwent a first total knee arthroplasty (TKA). ⋯ The IFR was effective in improving the short-term and mid-term functional ability after uncomplicated primary TKA. The magnitude of the IFR effect on the primary outcome was modest but consistent. More intensive rehabilitation should be promoted in the subacute recovery period after TKA, to optimize functional outcomes in the first year after surgery.
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Arch Phys Med Rehabil · Apr 2004
ReviewQuality of life after traumatic brain injury: a review of research approaches and findings.
To assess existing knowledge of quality of life (QOL) of people with traumatic brain injury (TBI) and to make recommendations for methodologic and substantive research in this area. ⋯ Major research recommendations include: exploring the ability of TBI subjects to self-report; determining the salience of domains of life for this group; developing utility instruments that are sensitive to differences in deficits in cognition and other health and life domains; and doing qualitative studies that explore the experience of QOL.
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To study the broader impact of emotional and financial burdens of injury in children on their families, along with solutions to these problems. ⋯ Parents provided valuable insight into their needs after their child's injury. Attention to constructive communication, clarification of the system of care, continued family-centered care, and development of peer support programs may meet the needs of caregivers and therefore facilitate improvement in pediatric injury recovery.
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Arch Phys Med Rehabil · Mar 2004
Clinical Trial Controlled Clinical TrialA new clinical test for cervicocephalic kinesthetic sensibility: "the fly".
To investigate the reliability and discriminative ability of a new test designed to detect accuracy of neck movements. ⋯ Better reliability was detected for the asymptomatic group than for the WAD group. The test could discriminate between the asymptomatic group versus the chronic WAD group.
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Arch Phys Med Rehabil · Mar 2004
Predictive value of fear avoidance in developing chronic neck pain disability: consequences for clinical decision making.
To improve clinical decision making in posttraumatic neck pain by investigating the additional value of fear-avoidance variables in predicting chronic neck pain disability. ⋯ A simple rating of baseline neck pain disability within a week of the trauma, separately or in combination with a test for fear of movement, can be used to predict future outcome. Patients showing fear of movement can be offered an intervention that focuses on reduction of this fear.