Impaired adrenal reserve in men with spinal cord injury: results of low- and high-dose adrenocorticotropin stimulation tests.

Abstract:

OBJECTIVE:To use low- and high-dose adrenocorticotropin (ACTH) tests to assess adrenal reserve in men with spinal cord injury (SCI). DESIGN:After an overnight fast, 1 microg and 200 microg ACTH were injected intravenously at time 0 and 60 minutes between 8 AM and 9 AM. Blood was withdrawn at 30-minute intervals from time 0 to 120 minutes. SETTING:All participants were recruited from the outpatient clinic of a university hospital that is a tertiary referral center. PARTICIPANTS:Forty-two men with traumatic neurologically complete SCI that had occurred more than 1 year before the study. MAIN OUTCOME MEASURES:Serum cortisol response to ACTH at times 0, 30, 60, 90, and 120 minutes. RESULTS:Twenty subjects had a serum cortisol response of <20 microg/dL 30 minutes after a 1-microg ACTH injection; 10 of these remained at this level at 30 minutes after a 200-microg ACTH injection. CONCLUSION:There is a high prevalence of impaired adrenal reserve in persons with chronic SCI. The 1-microg (low dose) ACTH test is more sensitive for detecting subclinical adrenal insufficiency than is the 200-microg (high dose) ACTH test.

journal_name

Arch Phys Med Rehabil

authors

Wang YH,Huang TS

doi

10.1016/s0003-9993(99)90075-8

subject

Has Abstract

pub_date

1999-08-01 00:00:00

pages

863-6

issue

8

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(99)90075-8

journal_volume

80

pub_type

杂志文章
  • Effect of training on upper-extremity prosthetic performance and motor learning: a single-case study.

    abstract:OBJECTIVES:To examine the impact of a new prosthesis on an experienced and highly motivated prosthetic limb user, to evaluate the effects of training and the ability of clinical measures to detect change, and to gain insight into the mechanisms by which improvement occurs. DESIGN:A single-case study. SETTING:An outpa...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2007.09.058

    authors: Dromerick AW,Schabowsky CN,Holley RJ,Monroe B,Markotic A,Lum PS

    更新日期:2008-06-01 00:00:00

  • Reliability determination of F mean response latency.

    abstract::Two hundred consecutive ulnar F wave latencies were evaluated in 30 healthy controls (C) and in 9 patients with mild neuropathy (N). The primary study objective was to determine the F wave sample size required to obtain a reliable F mean latency. A secondary objective was to explore the diagnostic utility of three F w...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Taniguchi MH,Hayes J,Rodriguez AA

    更新日期:1993-11-01 00:00:00

  • Isotopic Scintigraphy Coupled With Computed Tomography for the Investigation of Intrathecal Baclofen Device Malfunction.

    abstract:OBJECTIVE:To assess the potential use of indium-111 diethylenetriamine pentaacetic acid ((111)In-DTPA) scintigraphy coupled with computed tomography (CT) for the investigation of intrathecal baclofen (ITB) device malfunction. DESIGN:Retrospective study of a case series of patients. SETTING:Neurosurgical and physical ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2015.10.101

    authors: Frémondière F,Lacoeuille F,Sher A,Couturier O,Menei P,Richard I,Dinomais M

    更新日期:2016-04-01 00:00:00

  • Looking upstream: factors shaping the demand for postacute joint replacement rehabilitation.

    abstract::Since 1993, the numbers of hip and knee replacements in the United States have increased 2-fold to 3-fold while lengths of stay in acute care have decreased by about half, leading to a significant growth in the use of postacute rehabilitative care for patients with a joint replacement. To document these trends, this a...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2008.10.035

    authors: Tian W,DeJong G,Brown M,Hsieh CH,Zamfirov ZP,Horn SD

    更新日期:2009-08-01 00:00:00

  • To What Degree Does Active Cervical Range of Motion Differ Between Patients With Neck Pain, Patients With Whiplash, and Those Without Neck Pain? A Systematic Review and Meta-Analysis.

    abstract:OBJECTIVES:To quantify differences in active cervical range of motion (aCROM) between patients with neck pain and those without neck pain, in patients with whiplash-associated disorders (WADs) and nontraumatic neck pain, and in patients with acute complaints versus those with chronic complaints. DATA SOURCES:Seven bib...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.apmr.2016.10.003

    authors: Stenneberg MS,Rood M,de Bie R,Schmitt MA,Cattrysse E,Scholten-Peeters GG

    更新日期:2017-07-01 00:00:00

  • ABILHAND: a Rasch-built measure of manual ability.

    abstract:OBJECTIVE:To apply the Rasch measurement model to the development of a clinical tool for measuring manual (dis)ability (ABILHAND). DESIGN:Manual ability was evaluated in terms of the difficulty perceived by a hand-impaired patient on 57 representative unimanual or bimanual activities. SETTING:A clinical laboratory. ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(98)90167-8

    authors: Penta M,Thonnard JL,Tesio L

    更新日期:1998-09-01 00:00:00

  • The effect of the introduction of a case-mix-based funding model of rehabilitation for severe stroke: an Australian experience.

    abstract:OBJECTIVE:To compare resource use of, and outcomes for, rehabilitation for severe stroke before and after the implementation of the Casemix and Rehabilitation Funding Tree case-mix-based funding model. DESIGN:Prospective, observational cohort study. SETTING:Eight inpatient rehabilitation centers in Australia. PARTIC...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.apmr.2007.04.001

    authors: Brock KA,Vale SJ,Cotton SM

    更新日期:2007-07-01 00:00:00

  • Radiation exposure of the spinal interventionalist performing fluoroscopically guided lumbar transforaminal epidural steroid injections.

    abstract:OBJECTIVE:To evaluate radiation exposure to spinal interventionalists while performing transforaminal epidural steroid injections (TFESIs). DESIGN:Prospective study. SETTING:Multidisciplinary spine center. PARTICIPANTS:One hundred consecutive patients with either herniated nucleus pulposus (HNP) or lumbar spinal ste...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1053/apmr.2002.32439

    authors: Botwin KP,Thomas S,Gruber RD,Torres FM,Bouchlas CC,Rittenberg JJ,Rao S

    更新日期:2002-05-01 00:00:00

  • Team approaches to treating children with disabilities: a comparison.

    abstract:OBJECTIVE:To investigate differences in team functioning between the multidisciplinary and transdisciplinary models when treating children with disabilities. DESIGN:A crossover trial. SETTING:An outpatient educational and rehabilitation program in a rehabilitation institute based at a university medical center. PART...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(98)90145-9

    authors: Rosen C,Miller AC,Pit-ten Cate IM,Bicchieri S,Gordon RM,Daniele R

    更新日期:1998-04-01 00:00:00

  • Impact of Injection-Guiding Techniques on the Effectiveness of Botulinum Toxin for the Treatment of Focal Spasticity and Dystonia: A Systematic Review.

    abstract:OBJECTIVE:To conduct a systematic review of the impact of different injection-guiding techniques on the effectiveness of botulinum toxin type A (BoNT-A) for the treatment of focal spasticity and dystonia. DATA SOURCES:MEDLINE via PubMed, Academic Search Premier, PASCAL, The Cochrane Library, Scopus, SpringerLink, Web ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1016/j.apmr.2015.05.002

    authors: Grigoriu AI,Dinomais M,Rémy-Néris O,Brochard S

    更新日期:2015-11-01 00:00:00

  • Short-term exercise training effect after myocardial infarction on myocardial oxygen consumption indices and ischemic threshold.

    abstract::This study was undertaken to determine whether adaptations to short-term exercise training after myocardial infarction, could affect the response of heart rate, blood pressure and double product at submaximal workload, and the behavior of electrocardiographic ST segment depression. We studied 60 patients (group A) who...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0003-9993(95)80613-x

    authors: Tsoukas A,Andonakoudis H,Christakos S

    更新日期:1995-03-01 00:00:00

  • Eye patching biases spatial attention after thalamic hemorrhage in a patient without spatial neglect: a case report.

    abstract::Monocular patching has been advocated as a treatment for spatial neglect. Eye patching, however, is also reported to increase spatial bias. Thus, patching brain injury patients for ocular conditions may also impair their attention. To learn if an eye patch may induce asymmetric attention in a patient without spatial n...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2003.08.076

    authors: Barrett AM,Crucian GP,Heilman KM

    更新日期:2004-06-01 00:00:00

  • Electrodiagnostic values through the thoracic outlet using C8 root needle studies, F-waves, and cervical somatosensory evoked potentials.

    abstract::Mid-humerus cadaver determinations of ulnar F-wave, C7 spinal somatosensory evoked potential (SEP), and modified C8 root stimulation (RS) were performed bilaterally on 20 normal subjects to standardize technique and obtain normal values for the segment from mid-humerus to cervical spine. Our cadaver study shows that t...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Livingstone EF,DeLisa JA,Halar EM

    更新日期:1984-11-01 00:00:00

  • Pulmonary function in chronic spinal cord injury: a cross-sectional survey of 222 southern California adult outpatients.

    abstract:OBJECTIVES:To evaluate risk factors for respiratory morbidity in chronic spinal cord injury (SCI). SETTING:Model SCI care system based at an urban public rehabilitation medical center. DESIGN:Case series with evaluation of pulmonary function by conventional spirometric testing. PARTICIPANTS:Two hundred twenty-two ad...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(00)90107-2

    authors: Linn WS,Adkins RH,Gong H Jr,Waters RL

    更新日期:2000-06-01 00:00:00

  • Diagnosis and management of urinary incontinence in the older patient.

    abstract:OBJECTIVES:To review the various causes of urinary incontinence (UI) in elderly patients and to outline a therapeutic approach to the clinical management of UI. DATA SOURCES:Online search of MEDLINE and additional references selected from the articles found during the search. STUDY SELECTION:All peer-reviewed article...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1053/apmr.2001.9392

    authors: Tannenbaum C,Perrin L,DuBeau CE,Kuchel GA

    更新日期:2001-01-01 00:00:00

  • Instrumental straight-leg raising: results in patients.

    abstract::Straight-leg raising is used as a diagnostic test for both elastogenic (passive muscle stretch test) and nonelastogenic (Lasègue's test) pathology in patients unable to bend forward from the standing position while holding the knees in extension. The test assessment is based on the range of the leg excursion and the t...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 临床试验,杂志文章

    doi:10.1016/0003-9993(94)90174-0

    authors: Göeken LN,Hof AL

    更新日期:1994-04-01 00:00:00

  • Investigation of the Effects of Dual-Task Balance Training on Gait and Balance in Transfemoral Amputees: A Randomized Controlled Trial.

    abstract:OBJECTIVES:To investigate the effects of dual-task balance training on static and dynamic balance, functional mobility, cognitive level, and sleep quality in individuals with transfemoral amputation. DESIGN:Randomized controlled clinical trial. PARTICIPANTS:Transfemoral amputees (N=20). INTERVENTIONS:Participants we...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.apmr.2020.06.009

    authors: Demirdel S,Erbahçeci F

    更新日期:2020-10-01 00:00:00

  • Effects of functional knee bracing on muscle-firing patterns about the chronic anterior cruciate ligament-deficient knee.

    abstract:OBJECTIVE:To examine the effects of functional knee bracing on the muscle-firing patterns about the chronic anterior cruciate ligament (ACL)-deficient knee in successful brace users. DESIGN:Cross-sectional comparative clinical trial. SETTING:Motion analysis laboratory. PARTICIPANTS:Ten active individuals with unilat...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1053/s0003-9993(03)00280-6

    authors: Smith J,Malanga GA,Yu B,An KN

    更新日期:2003-11-01 00:00:00

  • The contribution of job satisfaction to the transition from acute to chronic low back pain.

    abstract:OBJECTIVE:To determine the extent to which job satisfaction predicts pain, psychological distress, and disability 6 months after an initial episode of low back pain (LBP). DESIGN:A longitudinal design was used to follow an inception cohort experiencing first-episode low back pain with assessment at 2 and 6 months afte...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(98)90135-6

    authors: Williams RA,Pruitt SD,Doctor JN,Epping-Jordan JE,Wahlgren DR,Grant I,Patterson TL,Webster JS,Slater MA,Atkinson JH

    更新日期:1998-04-01 00:00:00

  • Rehabilitation Needs of Stroke Survivors After Discharge From Hospital in India.

    abstract:OBJECTIVE:To assess the rehabilitation needs of stroke survivors in Chennai, India, after discharge from the hospital. DESIGN:Mixed-methods research design. SETTING:Home-based. PARTICIPANTS:Stroke survivors (n=50; mean age ± SD, 58.9±10.5y) and primary caregivers of these stroke survivors (n=50; mean age ± SD, 43.1±...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2016.02.008

    authors: Kamalakannan S,Gudlavalleti Venkata M,Prost A,Natarajan S,Pant H,Chitalurri N,Goenka S,Kuper H

    更新日期:2016-09-01 00:00:00

  • Stroke treatment: comparison of integrated behavioral-physical therapy vs traditional physical therapy programs.

    abstract::This was a controlled study of the efficacy of two forms of therapy on upper limb functions of hemiparetic patients--one heavily behavioral and the other based on Bobath therapeutic exercises. It arose from an earlier pilot study comparing EMG biofeedback with physical therapy from which it was concluded that both the...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Basmajian JV,Gowland CA,Finlayson MA,Hall AL,Swanson LR,Stratford PW,Trotter JE,Brandstater ME

    更新日期:1987-05-01 00:00:00

  • Etiology and incidence of rehospitalization after traumatic spinal cord injury: a multicenter analysis.

    abstract:OBJECTIVES:To examine the frequency and reasons for rehospitalization in persons with acute traumatic spinal cord injury (SCI) during follow-up years and to examine the association between rehospitalization and demographics, neurologic category, payer sources, length of stay (LOS), discharge motor FIM instrument score,...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2004.03.016

    authors: Cardenas DD,Hoffman JM,Kirshblum S,McKinley W

    更新日期:2004-11-01 00:00:00

  • Effect of a 12-week yoga intervention on fear of falling and balance in older adults: a pilot study.

    abstract:OBJECTIVE:To determine whether fear of falling (FoF) and balance improved after a 12-week yoga intervention among older adults. DESIGN:A 12-week yoga intervention single-armed pilot study. SETTING:A retirement community in a medium-sized university town in the Midwest. PARTICIPANTS:A convenience sample of adults (N=...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2009.12.018

    authors: Schmid AA,Van Puymbroeck M,Koceja DM

    更新日期:2010-04-01 00:00:00

  • Hyperhomocysteinemia as a cause of premature stroke in a young patient.

    abstract::A case is presented of a woman who had an occlusive stroke at age 29. She was seen in a rehabilitation medicine clinic for central nervous system-mediated pain that had developed soon after a cerebrovascular event. After an extensive workup to find the cause of her cerebrovascular occlusion, it was discovered that she...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(98)90018-1

    authors: Ray JG,Harvey DT

    更新日期:1998-03-01 00:00:00

  • Efficacy of 7 days per week inpatient admissions and rehabilitation therapy.

    abstract:OBJECTIVE:To evaluate the efficacy of 7 d/wk of inpatient admissions and rehabilitation therapy (7DART) in a rehabilitation hospital. DESIGN:Cross-sectional, retrospective electronic data review. SETTING:Rehabilitation hospital. PARTICIPANTS:Adult patients who participated in the 7DART program and were admitted and ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2012.07.003

    authors: DiSotto-Monastero M,Chen X,Fisch S,Donaghy S,Gomez M

    更新日期:2012-12-01 00:00:00

  • Dysphagia: predicting laryngeal penetration.

    abstract::Fifteen patients with pharyngeal stage dysphagia were studied clinically and by motion fluoroscopy. Eleven patients demonstrated laryngeal penetration during swallowing. There was high incidence of impaired pharyngeal gag and wet-hoarse voice quality among this group. Other observations were found to correlate poorly ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Linden P,Siebens AA

    更新日期:1983-06-01 00:00:00

  • Acquired limb deficiencies. 1. Acquired limb deficiencies in children and young adults.

    abstract:UNLABELLED:This self-directed learning module highlights prosthetic treatment considerations and challenges in children and young adults. It is part of the chapter on acquired limb deficiencies in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. This...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,评审

    doi:

    authors: Bryant PR,Pandian G

    更新日期:2001-03-01 00:00:00

  • Support-specific modulation of grip force in individuals with hemiparesis.

    abstract:OBJECTIVE:To investigate whether use of auxiliary sensory input will result in modulated grip force. DESIGN:Case-control study. SETTING:Free-standing acute inpatient rehabilitation hospital. PARTICIPANTS:Six people with unilateral hemiparesis due to unilateral stroke and 6 control subjects without neurologic disorde...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.apmr.2004.06.070

    authors: Aruin AS

    更新日期:2005-04-01 00:00:00

  • Preinjury emotional and family functioning in caregivers of persons with traumatic brain injury.

    abstract:OBJECTIVE:To characterize the preinjury family functioning, emotional distress, and social support of caregivers of persons with traumatic brain injury (TBI). DESIGN:Inception cohort. SETTING:Three Traumatic Brain Injury Model Systems centers' inpatient rehabilitation facilities. PARTICIPANTS:One hundred ninety-one ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,多中心研究

    doi:10.1053/apmr.2003.50105

    authors: Sander AM,Sherer M,Malec JF,High WM Jr,Thompson RN,Moessner AM,Josey J

    更新日期:2003-02-01 00:00:00

  • Muscle and bone pressure pain threshold and pain tolerance in fibromyalgia patients and controls.

    abstract::Pressure pain thresholds and pressure pain tolerances on non-trigger-point muscle and bone were measured with a dolorimeter in 46 female patients with primary fibromyalgia and in 50 healthy women of the same age. The pressure pain thresholds and the pressure pain tolerances on both muscle and bone were lower in the fi...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Mikkelsson M,Latikka P,Kautiainen H,Isomeri R,Isomäki H

    更新日期:1992-09-01 00:00:00