Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · May 2013
Review Multicenter StudyTreatment with botulinum toxin improves upper-extremity function post stroke: a systematic review and meta-analysis.
To examine whether treatment with botulinum toxin type A (BTX-A) is associated with improvements in activity capacity or performance associated with poststroke spasticity in the upper extremity. ⋯ The use of BTX-A was associated with moderate improvement in upper-extremity activity capacity or performance after stroke.
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Arch Phys Med Rehabil · May 2013
Randomized Controlled TrialEffect of high- and low-frequency repetitive transcranial magnetic stimulation on visuospatial neglect in patients with acute stroke: a double-blind, sham-controlled trial.
To compare the therapeutic effect of low- and high-frequency repetitive transcranial magnetic stimulation (rTMS) of the posterior parietal cortex (PPC) in patients with acute stroke with visuospatial neglect. ⋯ These results indicate that high-frequency rTMS is effective in the treatment of visuospatial neglect in patients with acute stroke.
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Arch Phys Med Rehabil · May 2013
Randomized Controlled TrialPilot study of the effect of low-cadence functional electrical stimulation cycling after spinal cord injury on thigh girth and strength.
To investigate the long-term effects of functional electrical stimulation (FES)-evoked cycle training cadence on leg muscle hypertrophy and electrically evoked strength. ⋯ These results suggest that lower pedaling cadences evoke greater muscle hypertrophy and electrically stimulated muscle strength compared with higher cadences.
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Arch Phys Med Rehabil · May 2013
Initial management decisions after a new consultation for low back pain: implications of the usage of physical therapy for subsequent health care costs and utilization.
To describe the utilization of physical therapy following a new primary care consultation for low back pain (LBP) and to examine the relations between physical therapy utilization and other variables with health care utilization and costs in the year after consultation. ⋯ Initial physical therapy management was not associated with increased health care costs or utilization of specific services following a new primary care LBP consultation. Additional research is needed to examine the cost consequences of initial management decisions made following a new consultation for LBP.
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To evaluate language deficits after acute stroke and their association with post-acute care at a setting other than home. We hypothesized that deficits in language comprehension would be associated with discharge to a setting other than home after adjustment for physical/occupational therapy (PT/OT) needs. ⋯ Cases with deficits in auditory comprehension, reading comprehension, and oral spelling to dictation had increased odds of being discharged to settings other than home. Early evaluation of these language deficits and prompt treatment may allow patients who would otherwise be discharged to an institution to go home. Further research is needed to design and evaluate individualized treatment protocols and their effect on discharge recommendations.