Clinical rehabilitation
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Clinical rehabilitation · Nov 2002
Randomized Controlled Trial Comparative Study Clinical TrialDoes four weeks of TENS and/or isometric exercise produce cumulative reduction of osteoarthritic knee pain?
To evaluate the cumulative effect of repeated transcutaneous electrical nerve stimulation (TENS) on chronic osteoarthritic (OA) knee pain over a four-week treatment period, comparing it to that of placebo stimulation and exercise training given alone or in combination with TENS. ⋯ The four treatment protocols did not show significant between-group difference over the study period. It was interesting to note that isometric exercise training of the quadriceps alone also reduced knee pain towards the end of the treatment period.
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Clinical rehabilitation · Sep 2002
Clinical TrialAre we underestimating the clinical efficacy of botulinum toxin (type A)? Quantifying changes in spasticity, strength and upper limb function after injections of Botox to the elbow flexors in a unilateral stroke population.
To quantify the clinical efficacy of botulinum toxin type A in treating elbow flexor spasticity in a unilateral stroke population. ⋯ Treatment with Botox reduces spasticity but does not necessarily cause a reduction in the force generating capabilities at the joint. The improvement in strength may have contributed to the improvements in upper limb function. The MAS is an inappropriate measure of spasticity.
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Clinical rehabilitation · Aug 2002
Review Comparative StudySensory stimulation of brain-injured individuals in coma or vegetative state: results of a Cochrane systematic review.
To assess the effectiveness of sensory stimulation programmes in patients in coma or vegetative state. ⋯ This systematic review indicates that there is no reliable evidence to support the effectiveness of multisensory stimulation programmes in patients in coma or the vegetative state.
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Clinical rehabilitation · Aug 2002
A completed audit cycle and integrated care pathway for the management of depression following brain injury in a rehabilitation setting.
To develop an evidence-based multidisciplinary integrated care pathway (ICP) for the management of depression following brain injury in a rehabilitation setting, and to assess its impact on standards of care and documentation. ⋯ This ICP raised staff awareness of depression, leading to improved documentation and possibly also standards of care.
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Clinical rehabilitation · Jun 2002
Randomized Controlled Trial Clinical TrialEarly discharge and home rehabilitation after hip fracture achieves functional improvements: a randomized controlled trial.
To compare hospital and home settings for the rehabilitation of patients following hip fracture. ⋯ This trial further supports the practice of accelerated discharge from hospital and home-based rehabilitation in selected patients recovering from hip fracture. Such a practice appears to improve physical independence and confidence in avoiding subsequent falls which may have implications for longevity and overall quality of life.