Rehabilitation

Occupational therapy for cognitive impairment in stroke patients

Abstract Background Cognitive impairment is a frequent consequence of stroke and can impact on a person’s ability to perform everyday activities. Occupational therapists use a range of interventions when working with people who have cognitive impairment poststroke. This is an update of a Cochrane Review published in 2010. Objectives To assess the impact of occupational […]

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Environmental enrichment for stroke and other non‐progressive brain injury

Abstract Background Rehabilitation is effective for recovery after stroke and other non‐progressive brain injuries but it is unclear if the rehabilitation environment itself, outside of limited therapy hours, is maximally conducive to recovery. Environmental enrichment is a relatively new concept within rehabilitation for humans. In this review, this is defined as an intervention designed to […]

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Information provision for stroke patients and their caregivers

Abstract Background A stroke is a sudden loss of brain function caused by lack of blood supply. Stroke can lead to death or physical and cognitive impairment and can have long lasting psychological and social implications. Research shows that stroke survivors and their families are dissatisfied with the information provided and have a poor understanding […]

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Selective serotonin reuptake inhibitors (SSRIs) for stroke recovery

Abstract Background Selective serotonin reuptake inhibitors (SSRIs) might theoretically reduce post‐stroke disability by direct effects on the brain. This Cochrane Review was first published in 2012 and last updated in 2019. Objectives To determine if SSRIs are more effective than placebo or usual care at improving outcomes in people less than 12 months post‐stroke, and […]

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Botulinum toxin type A versus anticholinergics for cervical dystonia

Abstract Background This is an update of a Cochrane Review first published in 2005. Cervical dystonia is the most common form of focal dystonia and is a highly disabling movement disorder, characterised by involuntary, usually painful, head posturing. Currently, botulinum toxin type A (BtA) is considered the first line therapy for this condition. Before BtA, […]

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Prevention of depression in adults with long-term physical conditions

Abstract Background Major depression is one of the world’s leading causes of disability in adults with long‐term physical conditions compared to those without physical illness. This co‐morbidity is associated with a negative prognosis in terms of increased morbidity and mortality rates, increased healthcare costs, decreased adherence to treatment regimens, and a substantial decline in quality […]

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Patient and lay carer education for preventing pressure ulceration in at-risk populations

Abstract Background Pressure ulcers (PUs) are injuries to the skin and underlying tissues that occur most commonly over bony prominences, such as the hips and heels as a result of pressure and shear forces. PUs cause pain, discomfort, longer hospital stays, and decreased quality of life. They are also very costly to treat and consume […]

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Interventions for improving oral health in people after stroke

Abstract Background For people with physical, sensory and cognitive limitations due to stroke, the routine practice of oral health care (OHC) may become a challenge. Evidence‐based supported oral care intervention is essential for this patient group. Objectives To compare the effectiveness of OHC interventions with usual care or other treatment options for ensuring oral health […]

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Botulinum toxin type A therapy for blepharospasm

Abstract Background This is an update of a Cochrane Review first published in 2005. Blepharospasm is the second most common form of focal dystonia. It is a disabling disorder, characterised by chronic, intermittent or persistent, involuntary eyelid closure, due to spasmodic contractions of the orbicularis oculi muscles. Currently, botulinum toxin type A (BtA) is considered […]

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Mechanically assisted walking training for walking, participation, and quality of life in children with cerebral palsy

Abstract Background Cerebral palsy is the most common physical disability in childhood. Mechanically assisted walking training can be provided with or without body weight support to enable children with cerebral palsy to perform repetitive practice of complex gait cycles. It is important to examine the effects of mechanically assisted walking training to identify evidence‐based treatments […]

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