European journal of physical and rehabilitation medicine
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Eur J Phys Rehabil Med · Apr 2017
Multicenter StudyEuropean initiative for the application of the International Classification of Functioning, Disability and Health: development of Clinical Assessment Schedules for specified rehabilitation services.
Clinical assessment schedule (CLAS) is a core part of the ICF-based implementation of functioning reporting across health conditions and along the continuum of care. ⋯ CLASs will serve in the future to ensure that functioning information is systematically and consistently collected across services, and thus respond also to various global reports and initiatives which stress the need for improving data collection on people's functioning.
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Eur J Phys Rehabil Med · Apr 2017
Review Meta AnalysisEfficacy and safety of botulinum toxin type A for upper limb spasticity after stroke or traumatic brain injury: a systematic review with meta-analysis and trial sequential analysis.
Muscle spasticity is a positive symptom after stroke and traumatic brain injury. Botulinum toxin type A (BoNT-A) injection is widely used for treating post stroke and traumatic brain injury spasticity. This study aimed to evaluate efficacy and safety of BoNT-A for upper limb spasticity after stroke and traumatic brain injury and investigate reliability and conclusiveness of available evidence for BoNT-A intervention. ⋯ As compared with placebo, BoNT-A injections have beneficial effects with improved muscle tone and well-tolerated treatment for patients with upper limb spasticity post stroke or traumatic brain injury.
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Eur J Phys Rehabil Med · Apr 2017
Randomized Controlled TrialThe effects of upper extremity aerobic exercise in patients with spinal cord injury: a randomized controlled study.
Immobility and secondary complications, including cardiopulmonary disease, pressure ulcers, and pain, occur in patients with spinal cord injury (SCI). These patients also have difficulty coping with the strain of daily activities. Thus, it is important for SCI patients to engage in aerobic exercise in order to be able to cope adequately with the strain of activities and SCI-related complications. ⋯ Adding arm cranking exercise training to the rehabilitation program of patients with spinal cord injury demonstrated improved exercise capacity; however, further studies are needed to assess the effects of exercise training on other health issues.
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Eur J Phys Rehabil Med · Apr 2017
Multicenter Study Comparative StudyComparison of exercise training effect with different robotic devices for upper limb rehabilitation: a retrospective study.
Several robotic devices have been proposed for upper limb rehabilitation, but they differ in terms of application fields and the technical solutions implemented. ⋯ This study could help rehabilitation professionals to set-up comparative studies involving rehabilitation technologies.
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Eur J Phys Rehabil Med · Apr 2017
Randomized Controlled TrialEffects of low-intensity endurance and resistance training on mobility in chronic stroke survivors: a pilot randomized controlled study.
Chronic stroke survivors are exposed to long-term disability and physical deconditioning, effects that may impact their independence and quality of life. Community-based programs optimizing the dose of exercise therapy that are simultaneously low risk and able to achieve high adherence should be identified. ⋯ The effectiveness, low-intensity and possible implementation in poorly equipped community-based settings make the LI-E program potentially suitable for stroke survivors and frail individuals.