Clinical rehabilitation
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Clinical rehabilitation · Jun 1999
Clinical TrialLumbar spine range of motion as a measure of physical and functional impairment: an investigation of validity.
To investigate the validity of the spinal range of motion models outlined in the second and fourth editions of the American Medical Association Guides to the evaluation of permanent impairment (AMA Guides), for assessing the percentage impairment in chronic low back pain patients. ⋯ There was no evidence for a relationship between low back range of motion and impairment, and thus it would appear illogical to evaluate impairment in chronic low back pain patients using a spinal range of motion model when aiming to measure or compensate disability.
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Clinical rehabilitation · Jun 1999
Case ReportsShoulder joint replacement for osteoarthrosis in association with thalidomide-induced phocomelia.
The natural history of thalidomide-induced phocomelia has not yet been established since only 35 years have elapsed since the problems associated with this drug became evident. This paper presents what is considered to be the first case of osteoarthrosis in such an individual treated by shoulder joint replacement. Joint arthoplasty is almost certainly going to become an integral part of the life-long rehabilitation process in such affected individuals.
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Clinical rehabilitation · Dec 1998
Predictive factors for the outcome of a multidisciplinary pain rehabilitation programme on sick-leave and life satisfaction in patients with whiplash trauma and other myofascial pain: a follow-up study.
To evaluate the effects of a multidisciplinary rehabilitation programme on sick-leave, coping resources and life satisfaction in whiplash patients and other pain patients. ⋯ Our results suggest variables from the social environment and coping resources as useful predictors for treatment outcome.
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Clinical rehabilitation · Oct 1998
Randomized Controlled Trial Comparative Study Clinical TrialBotulinum toxin type A and short-term electrical stimulation in the treatment of upper limb flexor spasticity after stroke: a randomized, double-blind, placebo-controlled trial.
To investigate whether the combined approach of botulinum toxin type A (BtxA) and electrical stimulation was more effective than the toxin alone in the treatment of chronic upper limb spasticity after stroke. ⋯ The placebo-controlled trial favours the concept that electrical stimulation enhances the effectiveness of BtxA in the treatment of chronic upper limb flexor spasticity after stroke.
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Clinical rehabilitation · Oct 1998
Relationship between impairments, disability and handicap in reflex sympathetic dystrophy patients: a long-term follow-up study.
To determine the relationship between impairments, disability and handicap in reflex sympathetic dystrophy (RSD) patients. ⋯ The relationship between impairments and disability and between disability and handicap in RSD patients is weak to moderate. Pain is the most important factor leading to disability and handicap.