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 · Feb 2009
Randomized Controlled TrialThe immediate effects of mobilization technique on pain and range of motion in patients presenting with unilateral neck pain: a randomized controlled trial.
To determine the immediate effects on both pain and active range of motion (ROM) of the unilateral posteroanterior (PA) mobilization technique on the painful side in mechanical neck pain patients presenting with unilateral symptoms. ⋯ The results of this study did not provide support for the preference of the unilateral PA mobilization on the painful side to the random mobilization.
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Arch Phys Med Rehabil · Jan 2009
Randomized Controlled Trial Multicenter StudyIs the fear avoidance model associated with the reduced level of aerobic fitness in patients with chronic low back pain?
To compare aerobic fitness of patients with chronic low back pain (CLBP) against healthy controls and to assess whether variables of the fear avoidance model are associated with loss of aerobic fitness. ⋯ Most patients with CLBP-associated disability have a lower level of aerobic fitness, but this is not associated with fear avoidance.
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Arch Phys Med Rehabil · Dec 2008
Randomized Controlled Trial Multicenter Study Comparative StudyRehabilitation of traumatic brain injury in active duty military personnel and veterans: Defense and Veterans Brain Injury Center randomized controlled trial of two rehabilitation approaches.
To determine the relative efficacy of 2 different acute traumatic brain injury (TBI) rehabilitation approaches: cognitive didactic versus functional-experiential, and secondarily to determine relative efficacy for different patient subpopulations. ⋯ Results from this large multicenter randomized controlled trial comparing cognitive-didactic and functional-experiential approaches to brain injury rehabilitation indicated improved but similar long-term global functional outcome. Participants in the cognitive treatment arm achieved better short-term functional cognitive performance than patients in the functional treatment arm. The current increase in war-related brain injuries provides added urgency for rigorous study of rehabilitation treatments. (http://ClinicalTrials.gov ID# NCT00540020.).