Clinical rehabilitation
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Clinical rehabilitation · May 2008
Randomized Controlled TrialShort- and long-term outcome of constraint-induced movement therapy after stroke: a randomized controlled feasibility trial.
Constraint-induced movement therapy (CIMT) is a method to improve motor function in the upper extremity following stroke. The aim of this trial was to determine the effect and feasibility of CIMT compared with traditional rehabilitation in short and long term. ⋯ CIMT seems to be an effective and feasible method to improve motor function in the short term, but no long-term effect was found.
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Clinical rehabilitation · Apr 2008
Randomized Controlled TrialThe effect of exercise on adrenocortical responsiveness of patients with chronic low back pain, controlled for psychological strain.
To investigate the effects of high-intensity aerobic exercise on adrenocortical responsiveness and on standard outcome measures in patients with chronic low back pain. ⋯ Exercise alleviated pain, functional disability and anxiety/depression, also improved adrenocortical responsiveness in patients with chronic low back pain with dexamethasone suppression test positive values.
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Clinical rehabilitation · Feb 2008
Randomized Controlled TrialPrevention of pulmonary complications after upper abdominal surgery by preoperative intensive inspiratory muscle training: a randomized controlled pilot study.
To investigate the feasibility and effects of preoperative inspiratory muscle training on the incidence of atelectasis in patients at high risk of postoperative pulmonary complications scheduled for elective abdominal aortic aneurysm surgery. ⋯ Preoperative inspiratory muscle training is well tolerated and appreciated and seems to reduce the incidence of atelectasis in patients scheduled for elective abdominal aortic aneurysm surgery.
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Clinical rehabilitation · Dec 2007
Randomized Controlled TrialEffects of modified constraint-induced movement therapy on reach-to-grasp movements and functional performance after chronic stroke: a randomized controlled study.
To evaluate changes in (1) motor control characteristics of the hemiparetic hand during the performance of a functional reach-to-grasp task and (2) functional performance of daily activities in patients with stroke treated with modified constraint-induced movement therapy. ⋯ In addition to improving functional use of the affected arm and daily functioning, modified constraint-induced movement therapy improved motor control strategy during goal-directed reaching, a possible mechanism for the improved movement performance of stroke patients undergoing this therapy.
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Clinical rehabilitation · Oct 2007
Randomized Controlled TrialA prospective, randomized, parallel group, controlled study of the effect of intensity of speech and language therapy on early recovery from poststroke aphasia.
To examine whether the amount of speech and language therapy influences the recovery from poststroke aphasia. ⋯ Intensive speech and language therapy (as delivered in this study) did not improve the language impairment significantly more than the ;standard' therapy which averaged 1.6 hours/week. The improvement in aphasia was least in patients who were in the NHS group. These patients received 0.57 (0.49) hours of therapy per week.