Clinical rehabilitation
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Clinical rehabilitation · May 2002
Functional gain of hip fracture patients in different cognitive and functional groups.
To follow up six months post hip fracture and to compare functional gain of patients in different cognitive and functional groups. ⋯ Pre-fracture motor and not cognitive level has been the most important predictive factor for motor gain after hip fracture. Cognitively impaired hip fracture patients can achieve and maintain the same motor functional gain as normal patients, if they were mobile pre-fracture.
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Clinical rehabilitation · May 2002
ReviewShoulder pain after stroke: a review of the evidence base to inform the development of an integrated care pathway.
Shoulder pain is a common complication of stroke. It can impede rehabilitation and has been associated with poorer outcomes and prolonged hospital stay. This systematic review was undertaken to inform the development of an evidence-based integrated care pathway (ICP) for the management of hemiplegic shoulder pain (HSP). ⋯ HSP requires co-ordinated multidisciplinary management to minimize interference with rehabilitation and optimize outcome. Further research is needed to determine effective prophylaxis and document the therapeutic effect of different modalities in the various presentations. Development of an integrated care pathway provides a reasoned approach to management of this complex condition, thus providing a sound basis for prospective evaluation of different interventions in the future.