Disability and rehabilitation
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Randomized Controlled Trial
Preoperative skin traction or pillow nursing in hip fractures: a prospective, randomized study in 123 patients.
To study the influence on pain and handling of different preoperative immobilization procedures for hip fractures. ⋯ The most convenient immobilization should be chosen as there is no significant difference concerning pain and handling time. Increased attention to analgesic medication and rapid handling to be operated are of importance to promote the rehabilitation process.
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Randomized Controlled Trial
A randomized trial comparing a group exercise programme for back pain patients with individual physiotherapy in a severely deprived area.
To compare a group exercise programme known as the Back to Fitness programme with individual physiotherapy for patients with non-specific low back pain from a materially deprived area. ⋯ There were no statistically significant differences in change scores between groups on the primary outcome measure at three months (CI - 2.24 to 0.49) and at 12 months (CI - 1.68 to 1.39). Only minor improvements in disability scores were observed in the Back to Fitness group at three months and 12 months respectively (mean change scores; - 0.89, - 0.77) and in the individual physiotherapy arm (mean change scores; - 0.02, - 0.63). Further analysis showed that patients from the most severely deprived areas were marginally worse at three month follow-up whereas those from more affluent areas tended to improve (CI 0.43 to 3.15).
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Randomized Controlled Trial Clinical Trial
The lowest effective dose of botulinum A toxin in adult patients with upper limb spasticity.
To define the lowest effective dose of botulinum toxin type A (Dysport) and safety in the treatment of adult patients with upper limb spasticity. ⋯ This study suggest that treatment with Dysport reduces muscle tone in adult patients with upper limb spasticity. The optimal dose for treatment of patients with residual voluntary movement in the upper limb appears to be 500 U.
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Randomized Controlled Trial Comparative Study Clinical Trial
Pain, coping, emotional state and physical function in patients with chronic radicular neck pain. A comparison between patients treated with surgery, physiotherapy or neck collar--a blinded, prospective randomized study.
To describe and explore the relationships between pain, emotional state and coping strategies in patients with chronic radicular neck pain before and after surgery or conservative treatments. ⋯ We recommend a multidisciplinary rehabilitation with cognitive behavioural therapy and psychological interventions.