The effect of physiotherapy on sit-to-stand movements in a child with spastic diplegia.
The purpose of this study was to assess sit-to-stand (STS) movements of a child with cerebral palsy before and after physiotherapy (PT), based on objective kinematic data. A child with cerebral spastic diplegia, aged 4 years and 6 months, and had no prior surgery, was the subject. In order to assess the STS movements before [...]
Quality-of-Life Change Associated With Robotic-Assisted Therapy to Improve Hand Motor Function in Patients With Subacute Stroke: A Randomized Clinical Trial
This preliminary study explored change in patient-reported, health-related quality of life associated with robotic-assisted therapy combined with reduced therapist-supervised training. Seventeen individuals who were 3 to 9 months poststroke underwent sixty hours of therapist-supervised repetitive task practice (RTP) was compared with 30 hours of RTP combined with 30 hours of robotic-assisted therapy. The combined therapy [...]
Continuous passive motion following total knee arthroplasty in people with arthritis.
The objective of this study was to evaluate the effectiveness of continuous passive motion following total knee arthroplasty in people with arthritis. The primary outcomes were active knee flexion range of motion, passive knee flexion range of motion, active knee extension range of motion, passive knee extension range of motion, length of hospital stay, function [...]
Prehabilitation and early rehabilitation after spinal surgery: randomized clinical trial.
The objective of this study was to evaluate the outcome after spinal surgery when adding prehabilitation to the early rehabilitation. The patients were computer randomized to prehabilitation and early rehabilitation (28 patients) or to standard care exclusively (32 patients). The intervention began two months prior to the operation. The prehabilitation included an intensive exercise programme [...]
Home based versus centre based cardiac rehabilitation: Cochrane systematic review and meta-analysis.
This Cochrane review was completed to compare the effect of home based and supervised centre based cardiac rehabilitation on mortality and morbidity, health related quality of life, and modifiable cardiac risk factors in patients with coronary heart disease. The review included publications from 2001 – January 2008. Twelve studies (1938 participants) were included. Most studies recruited [...]
Measurement of muscle strength in the intensive care unit
This paper explores the measures available to assess and predict intensive care unit-acquired muscle weakness. The discussion centres around the selection of the appropriate muscle to test in order to make adequate predictions of a patient’s outcome. The authors propose that the upper airway dilators are much more susceptible to a decrease in muscle strength than [...]
Prediction of good functional recovery after stroke based on combined motor and somatosensory evoked potential findings.
The objective of this study was to delineate whether functional recovery after stroke, determined by the modified Rankin Scale during the neurologically stable chronic stage, is associated with the presence or absence of motor evoked potential or somatosensory evoked potential measured during the sub-acute stage at the commencement of rehabilitation. Consecutive 105 first-ever unilateral patients [...]
Walking after stroke: what does treadmill training with body weight support add to overground gait training in patients early after stroke?: a single-blind, randomized, controlled trial.
This study aimed to assess the effectiveness of gait training using body weight support on a treadmill compared with conventional gait training for people with subacute stroke who were unable to walk. This was a single-blind, randomized, controlled trial with a 6-month follow-up. Ninety-seven subjects were recruited within 6 weeks of stroke onset and were [...]
Multidisciplinary rehabilitation for older people with hip fractures
The objective of this study was to examine the effects of multidisciplinary rehabilitation, in either inpatient or ambulatory care settings, for older patients with hip fracture. The 13 included trials involved 2498 older, usually female, patients who had undergone hip fracture surgery. Though generally well conducted, some trials were at risk of bias such as [...]
Effect of multiple physiotherapy sessions on functional outcomes in the initial postoperative period after primary total hip replacement: a randomized controlled trial.
The objective of this study was to determine whether increasing physiotherapy input from once to twice per day will result in earlier achievement of functional milestones (ie, independence in mobility and transfers) and decreased length of stay (LOS) in patients undergoing a primary total hip replacement. Patients (N=57) with primary total hip replacement were randomly [...]