International journal of rehabilitation research. Internationale Zeitschrift für Rehabilitationsforschung. Revue internationale de recherches de réadaptation
-
Randomized Controlled Trial
Life dissatisfaction burden is associated with a poor surgical outcome among lumbar spinal stenosis patients: a 5-year follow-up study.
Dissatisfaction with life has been found to be associated with somatic health and the short-term surgery outcome in lumbar spinal stenosis (LSS) patients. This study investigated the effects of the long-term life dissatisfaction burden on the surgery outcome in LSS patients with a 5-year follow-up. This was a prospective clinical study. ⋯ In linear regression, the long-term life dissatisfaction burden was associated with the 5-year ODI, even after adjusting for age, sex, marital status, preoperative ODI and the 5-year VAS. It was not associated with the 5-year VAS score. Monitoring the life satisfaction of surgically treated LSS patients may enable detection of those at risk of a poorer surgery outcome.
-
Randomized Controlled Trial Comparative Study
Comparison of the effectiveness of active and passive neuromuscular electrical stimulation of hemiplegic upper extremities: a randomized, controlled trial.
To compare the efficacy of electromyography (EMG)-triggered (active) neuromuscular electrical stimulation (NMES) and passive NMES in enhancing the upper extremity (UE) motor and functional recovery of subacute and chronic stage stroke patients. Thirty-one hemiplegic patients were randomly assigned to active NMES (n=11), passive NMES (n=10), and control (sham stimulation) (n=10) groups. Each treatment regimen was applied five times per week for 45 min for 3 weeks. ⋯ The active wrist extension ROM and FMA scores were significantly improved in the passive NMES group compared with the controls (P<0.05). There were no statistically significant differences between active and passive NMES groups in any of the parameters evaluated at the end of the treatment (P>0.05). Both active and passive NMES as adjuvant therapy in the neurophysiologic exercise program effectively enhanced the UE motor and functional recovery of stroke survivors.
-
Randomized Controlled Trial
Organization of functional postural responses following perturbations in multiple directions in elderly fallers standing quietly.
The objective of the study was to assess functional postural responses by analyzing the center-of-pressure trajectories resulting from perturbations delivered in multiple directions to elderly fallers. Ten elderly individuals were standing quietly on two force platforms while an apparatus delivered controlled perturbations at the level of pelvis in eight directions: 'forward (FW)' and 'backward (BW)' [anterioposterior plane (AP)], 'left (LT)' and 'right (RT)' [mediolateral plane (ML)] and four combinations of these principal directions: forward-left (FL), forward-right (FR), backward-left (BL) and backward-right (BR). Perturbations were repeated randomly four times in each direction. ⋯ The comparison of the group averaged PARAP and TPAR-AP in all 'forward' directions (FW, FL, FR) as well in all 'backward' directions (BW, BL, BR) have not shown statistically significant differences. The comparison of the group averaged PARML and TPAR-ML in all 'left' directions (LT, FL, BL) as well in all 'right' directions (RT, FR, BR) have not shown statistically significant differences. These results suggest that a principle of decoupled control may to a large extent be preserved also in elderly with clearly diminished balancing abilities, which implies that the accuracy in the assessment of perturbation direction may be well preserved also in very old age.
-
Randomized Controlled Trial Comparative Study
Continuous passive motion provides good pain control in patients with adhesive capsulitis.
Painful stiffening of the shoulder, 'frozen shoulder' is a common cause of shoulder pain and disability. Continuous passive motion (CPM) is an established method of preventing joint stiffness and of overcoming it. A randomized, comparative prospective clinical trial was planned to compare the early response with different rehabilitation methods [CPM vs. conventional physiotherapy treatment (CPT) protocol] for adhesive capsulitis taking into consideration the clinical efficacy. ⋯ Pain reduction, however, evaluated with respect to pain at rest, at movement and at night was better in CPM group. In addition the CPM group showed better shoulder pain index scores than the CPT group. CPM treatment provides better response in pain reduction than the conventional physiotherapy treatment protocol in the early phase of treatment in adhesive capsulitis.
-
Randomized Controlled Trial
The validity and test-retest reliability of the Leeds Multiple Sclerosis Quality of Life scale in Turkish patients.
The aim of the study was to translate and test the reliability and validity of the Leeds Multiple Sclerosis Quality of Life Scale (LMSQoL) in Turkish patients with multiple sclerosis (MS). Demographic data of MS patients who had a registration in and followed up by a university hospital were recorded. The LMSQoL and Turkish Quality of Life questionnaire were applied to the patients. ⋯ For the five negative items, Cronbach's alpha was found as 0.78. The correlation coefficient between the total scores of the scales was 0.80 (P<0.001). The Turkish version of the LMSQoL is a reliable and valid instrument and can be effectively used for measuring the impact of MS on the QoL.