Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · May 2008
Randomized Controlled Trial Comparative StudyComparative impact of 2 botulinum toxin injection techniques for elbow flexor hypertonia.
To compare 2 techniques of botulinum toxin injection for elbow flexor hypertonia. ⋯ In 31 adults with acquired brain injury, single motor point and multisite distributed injections of low-dose, high-volume BTX-A had similar impact. Findings suggest that low-dose, high-volume strategies may have a potential role in reducing drug cost and helping clinicians stay within accepted limits for total body dose in patients with upper motoneuron syndrome requiring many injections.
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Arch Phys Med Rehabil · Apr 2008
Randomized Controlled Trial Comparative StudyCardiovascular and metabolic responses during functional electric stimulation cycling at different cadences.
To determine the influence of pedaling cadence on cardiorespiratory responses and muscle oxygenation during functional electric stimulation (FES) leg cycling. ⋯ Cardiorespiratory responses and muscle metabolism adjustments during FES leg cycling were independent of pedal cadence. FES cycling at a cadence of 50rpm may not confer any advantages over 30 or 15rpm for cardiovascular fitness promotion in persons with SCI.
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Arch Phys Med Rehabil · Mar 2008
Randomized Controlled TrialA randomized clinical trial of an activity and exercise adherence intervention in chronic pulmonary disease.
To evaluate the effectiveness of an exercise adherence intervention to maintain daily activity, adherence to exercise, and exercise capacity over 1 year after completion of an outpatient pulmonary rehabilitation program. ⋯ The intervention enhanced exercise adherence and exercise capacity in the short term but produced no long-term benefit. These findings are in part attributed to the disappointing measurement characteristics of the accelerometer used to measure daily activity. The intervention was acceptable to participants. Further study is needed to fashion interventions that have more persistent benefit.
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Arch Phys Med Rehabil · Mar 2008
Randomized Controlled TrialMirror therapy improves hand function in subacute stroke: a randomized controlled trial.
To evaluate the effects of mirror therapy on upper-extremity motor recovery, spasticity, and hand-related functioning of inpatients with subacute stroke. ⋯ In our group of subacute stroke patients, hand functioning improved more after mirror therapy in addition to a conventional rehabilitation program compared with a control treatment immediately after 4 weeks of treatment and at the 6-month follow-up, whereas mirror therapy did not affect spasticity.
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Arch Phys Med Rehabil · Jan 2008
Randomized Controlled TrialTherapeutic use of botulinum toxin type A in treating neck and upper-back pain of myofascial origin: a pilot study.
To determine the efficacy of botulinum toxin type A (BTX-A) in treating neck and upper-back pain of myofascial origin. ⋯ Trends toward improvements in VAS and NDI scores of the BTX-A group are encouraging, but they were possibly due to a placebo effect and were not statistically significant. The BTX-A subjects, at certain time points, showed statistically significant improvements in the bodily pain and mental health scales of the SF-36 compared with controls. Our study had limited power and population base, but the results could be used to properly power follow-up studies to further investigate this topic.