Clinical rehabilitation
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Clinical rehabilitation · Feb 2007
Randomized Controlled TrialStress in caregivers of aphasic stroke patients: a randomized controlled trial.
Communication difficulties due to aphasia following stroke are particularly stressful to caregivers. ⋯ Stroke caregiver support, education and training programmes have short-term effects on caregiver stress levels but are likely to require ongoing involvement to maintain their effect.
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Clinical rehabilitation · Jan 2007
Randomized Controlled TrialA randomized controlled study of botulinum toxin A in the treatment of hemiplegic shoulder pain associated with spasticity.
To assess the effects of botulinum toxin A (BT-A) on hemiplegic shoulder pain associated with spasticity. ⋯ Possible reasons for the negative finding in this study include the small sample size and the presence of causes of shoulder pain not related to spasticity which could have confounded outcome.
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Clinical rehabilitation · Nov 2006
Randomized Controlled TrialFeasibility of preoperative inspiratory muscle training in patients undergoing coronary artery bypass surgery with a high risk of postoperative pulmonary complications: a randomized controlled pilot study.
To determine in a pilot study the feasibility and effects of preoperative inspiratory muscle training in patients at high risk of postoperative pulmonary complications who were scheduled for coronary artery bypass graft surgery. ⋯ Inspiratory muscle training for 2-4 weeks before coronary artery bypass graft surgery was well tolerated by patients at risk of postoperative pulmonary complications and prevented the occurrence of atelectasis in these patients. A larger randomized clinical trial is warranted.
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Clinical rehabilitation · Nov 2006
Multicenter StudyThe usability of six physical performance tasks in a rehabilitation population with chronic low back pain.
To examine the influence of task experience on the difference between test and retest and to assess test-retest reliability and limits of agreement of six performance tasks in chronic low back pain patients. These measures will be used to define the clinical usability. ⋯ Task experience did not significantly influence test-retest differences. All tasks showed sufficient test-retest reliability. Based on the natural variability of the tasks, the 5-min walking and stair-climbing task, and to a lesser degree the 50-ft (15 m) walking, sit-to-stand and loaded forward reach, seem clinically useful. There are major concerns about the usability of the PILE.
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Clinical rehabilitation · Oct 2006
Randomized Controlled TrialCommunity patient education and exercise for people with fibromyalgia: a parallel group randomized controlled trial.
To evaluate the effects of a community patient education -exercise programme, using a cognitive-behavioural approach, for people with fibromyalgia. ⋯ Short-term improvements resulted from the education -exercise programme but were not sustained. Appropriate selection may improve efficacy.