Clinical rehabilitation
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Clinical rehabilitation · Mar 2014
Randomized Controlled TrialBotulinum toxin injection into the forearm muscles for wrist and fingers spastic overactivity in adults with chronic stroke: a randomized controlled trial comparing three injection techniques.
To compare the outcome of manual needle placement, electrical stimulation and ultrasonography-guided techniques for botulinum toxin injection into the forearm muscles of adults with arm spasticity. ⋯ Instrumental guidance may improve the outcome of botulinum toxin injections into the spastic forearm muscles of stroke patients.
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Clinical rehabilitation · Mar 2014
Randomized Controlled TrialRandomized trial of two swallowing assessment approaches in patients with acquired brain injury: Facial-Oral Tract Therapy versus Fibreoptic Endoscopic Evaluation of Swallowing.
To examine whether patients assessed for initiation of oral intake only by Facial-Oral Tract Therapy had a greater risk of developing aspiration pneumonia during neurorehabilitation than patients assessed by Fibreoptic Endoscopic Evaluation of Swallowing. ⋯ In the presence of a structured clinical assessment with the Facial-Oral Tract Therapy approach, it is unnecessary to undertake an instrumental investigation of swallowing before initiation of oral intake.
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Clinical rehabilitation · Mar 2014
Randomized Controlled TrialThe effects of a group-based cognitive behavioral therapy on people with multiple sclerosis: a randomized controlled trial.
To evaluate the effectiveness of a cognitive behavioral group-based intervention aimed at reducing depression and fostering quality of life and psychological well-being of multiple sclerosis patients through the promotion of identity redefinition, sense of coherence, and self-efficacy. ⋯ Preliminary evidence suggests that intervention promotes patients' quality of life and has an effect on psychological well-being and self-efficacy.