Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Mar 2009
Randomized Controlled Trial Comparative StudyEffects of single-task versus dual-task training on balance performance in older adults: a double-blind, randomized controlled trial.
To compare the effect of 3 different approaches to balance training on dual-task balance performance in older adults with balance impairment. ⋯ Dual-task training is effective in improving gait speed under dual-task conditions in elderly participants with balance impairment. Training balance under single-task conditions may not generalize to balance control during dual-task contexts. Explicit instruction regarding attentional focus is an important factor contributing to the rate of learning and the retention of the dual-task training effect.
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Arch Phys Med Rehabil · Mar 2009
Randomized Controlled Trial Comparative StudyLand-based versus pool-based exercise for people awaiting joint replacement surgery of the hip or knee: results of a randomized controlled trial.
To compare the preoperative effects of multidimensional land-based and pool-based exercise programs for people awaiting joint replacement surgery of the hip or knee. ⋯ While our multidimensional exercise-based interventions appeared to be effective in reducing disability in those awaiting joint replacement surgery of the hip or knee, there were no large differences in the postintervention effects of the interventions. However, pool-based exercise appeared to have a more favorable effect on pain immediately after the exercise classes.
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Arch Phys Med Rehabil · Mar 2009
Comparative StudyA specific home care program improves the survival of patients with chronic obstructive pulmonary disease receiving long term oxygen therapy.
To analyze the influence of a home care (HC) program on outcomes of patients with chronic obstructive pulmonary disease (COPD) receiving long-term oxygen therapy (LTOT) in comparison with outcomes of patients receiving standard care (SC). ⋯ A disease-oriented HC program is effective in reducing mortality and hospital admissions in COPD patients requiring LTOT.
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Arch Phys Med Rehabil · Mar 2009
Case ReportsUlnar nerve compression neuropathy at Guyon's canal caused by crutch walking: case report with ultrasonographic nerve imaging.
This report is the first account of Guyon's syndrome after the bilateral use of forearm crutches. Crutch palsy is usually neuropraxic in nature and associated with clinical and electrophysiologic recovery of nerve function, especially if patients are instructed to not bear excessive weight on the wrist. ⋯ In establishing the diagnosis of a focal compression neuropathy, a combination of clinical assessment and neurophysiologic studies are typically used. This report describes the additional application of ultrasound imaging to verify the diagnosis and to track changes in the appearance of the nerve during follow-up.