Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine
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Randomized Controlled Trial
Guided internet-based cognitive behavioural treatment for chronic back pain reduces pain catastrophizing: a randomized controlled trial.
The aim of this study was to investigate whether an Internet-based cognitive behavioural intervention would have an effect on the symptoms of chronic back pain. ⋯ Internet-based cognitive behavioural therapy can serve as a complement for individuals with chronic pain who prefer this treatment and have difficulties accessing specialist treatment facilities.
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Comparative Study
Bibliometric indicators and core journals in physical and rehabilitation medicine.
The concept of the "standing" of scientific journals (in terms of influence, prestige, popularity, etc.) is multi-dimensional and cannot be captured adequately by a single indicator. The aim of this report is to compare and comment on different bibliometric indicators related to some leading journals in rehabilitation, in order to provide further insights regarding their practical usefulness for Physical and Rehabilitation Medicine. ⋯ The commonly used Journal Impact Factor and the new SCImago Journal Rank indicator are measures of average "impact per paper". Other new measures show potentially useful complementarities with them and warrant further attention. For example, the Eigenfactor score represents a measure of total "citation impact" and seems sufficiently to express the "importance" of a journal. In fact, the information conveyed by the Eigenfactor score corresponds to a general consensus of journal status in Physical and Rehabilitation Medicine, as expressed by the European Consensus Committee on "International Rehabilitation Journals" and captured by a survey among European Physical and Rehabilitation Medicine researchers.
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Case Reports
Treatment of spasticity related to multiple sclerosis with intrathecal baclofen: a long-term follow-up.
Spasticity is a frequent disabling symptom in patients with multiple sclerosis, which contributes to functional deterioration. ⋯ Intrathecal baclofen is well-tolerated and the effect lasts for up to 12 years. A thorough continuous clinical assessment is required because the differentiation between symptoms of multiple sclerosis progression and side-effects of baclofen may be difficult. Intrathecal baclofen should be considered as an option for long-term treatment of patients with advanced spasticity. Pain control can also be achieved by optimized intrathecal baclofen treatment.
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To investigate the influence of the use of a rollator walking aid on assessment of gait and mobility. ⋯ The use of rollator walking aids limits the detection of initial gait and mobility deficits, adversely affects the assessment of changes over time in gait and mobility performance, and reduces the responsiveness of tests. When full weight-bearing is permitted, assessment without a walking aid is recommended.
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The aim of this study was to identify treatment-specific predictors of the effectiveness of a method of evidence-based treatment: cognitive treatment of illness perceptions. This study focuses on what treatment works for whom, whereas most prognostic studies focusing on chronic non-specific low back pain rehabilitation aim to reduce the heterogeneity of the population of patients who are suitable for rehabilitation treatment in general. ⋯ The rational problem-solving scale results are encouraging, because chronic non-specific low back pain problems are complex by nature and can be influenced by a variety of factors. A minimum score of 44 points on the rational problem-solving scale may assist clinicians in selecting the most appropriate candidates for cognitive treatment of illness perceptions.