Clinical rehabilitation
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Clinical rehabilitation · Oct 2001
Randomized Controlled Trial Clinical TrialEffects of balance training in elderly people with nonperipheral vertigo and unsteadiness.
To evaluate the effect of balance training in group in elderly people with nonperipheral vertigo and unsteadiness. ⋯ Balance training in elderly people with nonperipheral vertigo and unsteadiness seems to improve both objective and perceived balance.
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Clinical rehabilitation · Dec 2000
Randomized Controlled Trial Clinical TrialReliability of a measure of post-stroke shoulder pain in patients with and without aphasia and/or unilateral spatial neglect.
To determine the inter/intra-rater reliability of expert physiotherapists (PTs) measuring post-stroke shoulder pain with 100 mm vertical visual analogue scales (VAS; intensity, frequency and affective response) and a categorical site-of-pain scale. ⋯ Although inter-rater reliability was acceptable for intensity and frequency there was a consistently large systematic bias between pairs of raters. Agreement might be improved if a standardized assessment procedure was used and/or if training in pain behaviour interpretation was provided.
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Clinical rehabilitation · Aug 2000
Randomized Controlled Trial Clinical TrialA randomized controlled trial of strapping to prevent post-stroke shoulder pain.
To determine whether strapping the shoulder in hemiplegic stroke patients: (1) prevents the development, or reduces the severity, of shoulder pain, (2) preserves range of movement in the shoulder, and (3) improves the functional outcomes for the arm and patient overall. ⋯ No significant benefit with shoulder strapping was demonstrated and reasons for this are discussed. Range of movement in the hemiplegic shoulder is lost very early and any preventive treatments need to begin within the first 1-2 days after a stroke.
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Clinical rehabilitation · Feb 2000
Randomized Controlled Trial Clinical TrialA double-blind placebo-controlled study of botulinum toxin in upper limb spasticity after stroke or head injury.
To assess dose-response relationships to a single dose of botulinum toxin 'A' in upper limb spasticity associated with stroke or head injury. ⋯ Botulinum toxin produced beneficial effects in spasticity and passive range of movement in the hemiplegic upper limb. Increasing the dose increased the magnitude of response for impairments in some muscle groups but had little effect on duration of response.
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Clinical rehabilitation · Oct 1998
Randomized Controlled Trial Comparative Study Clinical TrialBotulinum toxin type A and short-term electrical stimulation in the treatment of upper limb flexor spasticity after stroke: a randomized, double-blind, placebo-controlled trial.
To investigate whether the combined approach of botulinum toxin type A (BtxA) and electrical stimulation was more effective than the toxin alone in the treatment of chronic upper limb spasticity after stroke. ⋯ The placebo-controlled trial favours the concept that electrical stimulation enhances the effectiveness of BtxA in the treatment of chronic upper limb flexor spasticity after stroke.