Clinical rehabilitation
-
Clinical rehabilitation · May 2013
Randomized Controlled Trial Multicenter StudyCommunication and Low Mood (CALM): a randomized controlled trial of behavioural therapy for stroke patients with aphasia.
The aim was to evaluate behavioural therapy as a treatment for low mood in people with aphasia. ⋯ Behavioural therapy seemed to improve the mood of people with aphasia.
-
Clinical rehabilitation · Sep 2012
Randomized Controlled Trial Multicenter StudyA prospective, multicentre, randomized, double-blind, placebo-controlled trial of onabotulinumtoxinA to treat plantarflexor/invertor overactivity after stroke.
To examine the safety and efficacy of onabotulinumtoxinA (Botox) for plantarflexor overactivity following stroke. ⋯ OnabotulinumtoxinA injection for ankle flexor overactivity after stroke was safe and well tolerated but did not alter local spasticity at 12 weeks; it did reduce spasms and improve gait quality. There were no detectable differences between higher and lower doses. A second injection may be associated with greater change.
-
Clinical rehabilitation · Jun 2012
Randomized Controlled Trial Multicenter StudyTaking charge after stroke: promoting self-directed rehabilitation to improve quality of life--a randomized controlled trial.
Few community interventions following stroke enhance activity, participation or quality of life. We tested two novel community interventions designed to promote self-directed rehabilitation following stroke. ⋯ A simple, low-cost intervention in the community phase of stroke recovery aiming to promote self-directed rehabilitation improved outcomes.
-
Clinical rehabilitation · Oct 2011
Multicenter StudyDysarthria following stroke: the patient's perspective on management and rehabilitation.
To explore the perceptions of people with stroke-related dysarthria in relation to the management and rehabilitation of dysarthria. ⋯ The quantity and nature of inconspicuous, internalized, cognitive activities people with dysarthria engage in to maximize their communicative effectiveness should be considered in evaluating the impact of dysarthria following stroke. Focusing upon externally observable characteristics alone is insufficient. Challenging, functionally relevant, patient-focused activities, materials and targets are more likely to be perceived by the patient as relevant and worthwhile and are thus more likely to ensure adherence to recommended rehabilitation activities.
-
Clinical rehabilitation · May 2010
Multicenter StudyFactors associated with phantom limb pain: a 31/2-year prospective study.
To analyse the prevalence of phantom (limb) pain over time and to analyse factors associated with phantom (limb) pain in a prospective cohort of amputees. ⋯ Protective factors for phantom pain are: being male, having a lower limb amputation and the time elapsed since amputation.