Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Oct 2012
Randomized Controlled TrialCan surface neuromuscular electrical stimulation of the wrist and hand combined with routine therapy facilitate recovery of arm function in patients with stroke?
To investigate whether treatment with surface neuromuscular electrical stimulation to the wrist extensors improves recovery of arm function in severely disabled patients with stroke. ⋯ In patients with severe stroke, with no functional arm movement, electrical stimulation of wrist extensors improves muscle strength for wrist extension and grip, and larger studies are required to study its influence on arm function.
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Arch Phys Med Rehabil · Oct 2012
Randomized Controlled Trial Multicenter StudyEffectiveness of a multifactorial intervention program to reduce falls incidence among community-living older adults: a randomized controlled trial.
To determine the effectiveness of a multifactorial intervention program to prevent falls among older adults as compared with a brief intervention. ⋯ Although the reduction of falls in the IG was nearly halved, and after the intervention there was a significant reduction in the number of falls at these patients' homes, the multifactorial intervention program is no more effective than the brief intervention to reduce the overall risk of falls.
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Arch Phys Med Rehabil · Oct 2012
Randomized Controlled TrialEvidence of detraining after 12-week home-based exercise programs designed to reduce fall-risk factors in older people recently discharged from hospital.
To measure the extent to which improved sensorimotor function and balance resulting from a 12-week exercise intervention were retained 12 weeks after exercise cessation in older adults recently discharged from hospital. ⋯ Balance improvements and fall-risk reductions associated with a 12-week home-based exercise program in older adults were partially to totally lost 12 weeks after the cessation of the intervention. These significant detraining effects suggest that sustained adherence to falls prevention exercise programs is required to reduce fall risk.