Clinical rehabilitation
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Clinical rehabilitation · Jun 2002
Review Case ReportsHypnotic imagery as a treatment for phantom limb pain: two case reports and a review.
To provide a theoretical background, to review existing literature and to present new case material relevant to the treatment of phantom limb pain using hypnotic imagery. ⋯ Hypnotic procedures appear to be a useful adjunct to established strategies for the treatment of phantom limb pain and would repay further, more systematic, investigation. Suggestions are provided as to the factors which should be considered for a more systematic research programme.
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Clinical rehabilitation · Jun 2002
Randomized Controlled Trial Clinical TrialEarly discharge and home rehabilitation after hip fracture achieves functional improvements: a randomized controlled trial.
To compare hospital and home settings for the rehabilitation of patients following hip fracture. ⋯ This trial further supports the practice of accelerated discharge from hospital and home-based rehabilitation in selected patients recovering from hip fracture. Such a practice appears to improve physical independence and confidence in avoiding subsequent falls which may have implications for longevity and overall quality of life.
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Clinical rehabilitation · May 2002
ReviewShoulder pain after stroke: a review of the evidence base to inform the development of an integrated care pathway.
Shoulder pain is a common complication of stroke. It can impede rehabilitation and has been associated with poorer outcomes and prolonged hospital stay. This systematic review was undertaken to inform the development of an evidence-based integrated care pathway (ICP) for the management of hemiplegic shoulder pain (HSP). ⋯ HSP requires co-ordinated multidisciplinary management to minimize interference with rehabilitation and optimize outcome. Further research is needed to determine effective prophylaxis and document the therapeutic effect of different modalities in the various presentations. Development of an integrated care pathway provides a reasoned approach to management of this complex condition, thus providing a sound basis for prospective evaluation of different interventions in the future.
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Clinical rehabilitation · May 2002
Functional gain of hip fracture patients in different cognitive and functional groups.
To follow up six months post hip fracture and to compare functional gain of patients in different cognitive and functional groups. ⋯ Pre-fracture motor and not cognitive level has been the most important predictive factor for motor gain after hip fracture. Cognitively impaired hip fracture patients can achieve and maintain the same motor functional gain as normal patients, if they were mobile pre-fracture.
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Clinical rehabilitation · Feb 2002
ReviewSpeech and language therapy for dysarthria due to nonprogressive brain damage: a systematic Cochrane review.
Dysarthria is a common sequel of nonprogressive brain damage (typically stroke and traumatic brain damage). Impairment-based therapy and a wide variety of compensatory management strategies are undertaken by speech and language therapists with this patient population. ⋯ There is no evidence of the quality required by this review to support or refute the effectiveness of speech and language therapy interventions for dysarthria following nonprogressive brain damage. There is an urgent need for good quality research in this area.