Changes in spiritual beliefs after traumatic disability.

Abstract:

OBJECTIVES:To discover the effect of sudden-onset disability on spirituality, specifically, to investigate changes following the onset of disability in spiritual concepts and to outline a theoretical framework consisting of relationships with the self, others, the world, and a supreme power. STUDY DESIGN:The study used a cross-sectional, qualitative approach to understand changes in spirituality from the perspective of the disabled person. Intensive semistructured interviews were conducted with 16 participants, each of whom had either a spinal cord injury or brain injury, within the 2-year period after discharge from rehabilitation. Changes in spiritual concepts were explored in relation to 3 types of relationships (intrapersonal, interpersonal, and transpersonal) and 5 themes (awareness, closeness, trust, purpose, and vulnerability). RESULTS:Specific changes in spirituality described by sample members were: greater awareness of the self; a change in their view of their own independence; a sense of purpose in life that was not present before the onset of the disability; greater awareness of their own mortality and vulnerability; a new understanding of trust, especially when depending on others; loss of some significant relationships; greater appreciation and closeness with others and the world; and greater understanding of other disadvantaged groups. CONCLUSIONS:The interviews portrayed a significant ability to conceptualize issues in a spiritual context in the 2-year period after discharge from rehabilitation. Further, the changes reported suggest a positive effect of spirituality in the adjustment period following onset.

journal_name

Arch Phys Med Rehabil

authors

McColl MA,Bickenbach J,Johnston J,Nishihama S,Schumaker M,Smith K,Smith M,Yealland B

doi

10.1016/s0003-9993(00)90117-5

subject

Has Abstract

pub_date

2000-06-01 00:00:00

pages

817-23

issue

6

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(00)90117-5

journal_volume

81

pub_type

杂志文章
  • Course of gross mechanical efficiency in handrim wheelchair propulsion during rehabilitation of people with spinal cord injury: a prospective cohort study.

    abstract:OBJECTIVE:To investigate the course of mechanical efficiency of handrim wheelchair propulsion during rehabilitation of subjects with (in)complete paraplegia and tetraplegia. DESIGN:Subjects were tested at the start of active rehabilitation (t1), 3 months later (t2), and when discharged from inpatient rehabilitation (t...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.apmr.2004.11.025

    authors: de Groot S,Dallmeijer AJ,Kilkens OJ,van Asbeck FW,Nene AV,Angenot EL,Post MW,van der Woude LH

    更新日期:2005-07-01 00:00:00

  • Student Veterans Reintegrating From the Military to the University With Traumatic Injuries: How Does Service Use Relate to Health Status?

    abstract:OBJECTIVE:To examine the effects of campus services on the health of veterans with traumatic injuries and comorbidities as they return from military service and enter college. DESIGN:Cross-sectional Internet survey using a mixed-methods analysis approach. SETTING:Four-year urban research university. PARTICIPANTS:Vet...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2017.10.008

    authors: Elnitsky CA,Blevins C,Findlow JW,Alverio T,Wiese D

    更新日期:2018-02-01 00:00:00

  • Immobilization hypercalcemia following spinal cord injury.

    abstract::Based on the author's experience with more than 20 cases of immobilization hypercalcemia following spinal cord injury, current concepts of this condition are presented. Symptoms may be mild or severe: laboratory findings are essential for differential diagnosis in older individuals, in whom preinjury Paget's disease a...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Maynard FM

    更新日期:1986-01-01 00:00:00

  • Efficacy of partial body weight-supported treadmill training compared with overground walking practice for children with cerebral palsy: a randomized controlled trial.

    abstract:OBJECTIVE:To evaluate the efficacy of 9 weeks of twice-weekly partial body weight-supported treadmill training (PBWSTT) for children with cerebral palsy (CP) and moderate to severe walking difficulty compared with overground walking. DESIGN:Randomized controlled trial. SETTING:Metropolitan Specialist School for child...

    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.2009.10.029

    authors: Willoughby KL,Dodd KJ,Shields N,Foley S

    更新日期:2010-03-01 00:00:00

  • Coping, problem solving, depression, and health-related quality of life in patients receiving outpatient stroke rehabilitation.

    abstract:OBJECTIVES:To investigate whether patients with high and low depression scores after stroke use different coping strategies and problem-solving skills and whether these variables are related to psychosocial health-related quality of life (HRQOL) independent of depression. DESIGN:Cross-sectional study. SETTING:Two reh...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.apmr.2015.04.007

    authors: Visser MM,Heijenbrok-Kal MH,Spijker AV,Oostra KM,Busschbach JJ,Ribbers GM

    更新日期:2015-08-01 00:00:00

  • Interrater Reliability of the Power Mobility Road Test in the Virtual Reality-Based Simulator-2.

    abstract:OBJECTIVE:To assess interrater reliability of the Power Mobility Road Test (PMRT) when administered through the Virtual Reality-based SIMulator-version 2 (VRSIM-2). DESIGN:Within-subjects repeated-measures design. SETTING:Participants interacted with VRSIM-2 through 2 display options (desktop monitor vs immersive vir...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2016.02.005

    authors: Kamaraj DC,Dicianno BE,Mahajan HP,Buhari AM,Cooper RA

    更新日期:2016-07-01 00:00:00

  • Economic consequences of an implanted neuroprosthesis for bladder and bowel management.

    abstract:OBJECTIVE:To determine whether an implanted neuroprosthesis for bladder and bowel management is less costly than conventional techniques. DESIGN:Retrospective cost-identification analysis with comparison before and after implantation of the neuroprosthesis. SETTING:Life-care planning interviews in patients' homes. P...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1053/apmr.2001.25912

    authors: Creasey GH,Dahlberg JE

    更新日期:2001-11-01 00:00:00

  • French translation and validation of 3 functional disability scales for neck pain.

    abstract:OBJECTIVE:To translate and assess the reliability and the construct validity of 3 functional disability scales for neck pain. DESIGN:Reliability and validity study. SETTING:Tertiary care teaching hospital and outpatient clinic. PARTICIPANTS:One hundred one patients (mean age, 49 y). INTERVENTION:French translations...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1053/apmr.2002.30623

    authors: Wlodyka-Demaille S,Poiraudeau S,Catanzariti JF,Rannou F,Fermanian J,Revel M

    更新日期:2002-03-01 00:00:00

  • Isometric torque of the quadriceps femoris after concentric, eccentric and isometric training.

    abstract::Twenty-seven normal, healthy women participated in this study, which investigated three methods of increasing the isometric strength of the quadriceps femoris through a six-week training program. Three experimental exercise groups were formed: A, eccentric, B, concentric, and C, isometric. The peak isometric torque of...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Pavone E,Moffat M

    更新日期:1985-03-01 00:00:00

  • Invited Commentary on "The Report to Congress on the Management of Traumatic Brain Injury in Children".

    abstract::The Centers for Disease Control and Prevention (CDC) published "The Report to Congress on the Management of Traumatic Brain Injury in Children" in the spring of 2018. The report is a call to action for professionals providing care for children with traumatic brain injury in the health, social, and educational sectors ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2018.05.012

    authors: Suskauer SJ,Houtrow AJ

    更新日期:2018-11-01 00:00:00

  • Neuromuscular injury during limb lengthening: a longitudinal follow-up by rabbit tibial model.

    abstract::Limb lengthening has been used for many years to correct congenital anomalies and unequal leg length. Some surgeons focus on bone genesis and anatomical alignment, and pay less attention to potential damage to muscles, nerves, and vessels during the gradual stretching. In an attempt to identify the presence and extent...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(95)80580-x

    authors: Chuang TY,Chan RC,Chin LS,Hsu TC

    更新日期:1995-05-01 00:00:00

  • Shoulder impingement in tennis/racquetball players treated with subscapularis myofascial treatments.

    abstract::Conservative care of the athlete with shoulder impingement includes activity modification, application of ice, nonsteroidal anti-inflammatory drugs, subacromial corticosteroid injections, and physiotherapy. This case report describes the clinical treatment and outcome of three patients with shoulder impingement syndro...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(00)90053-4

    authors: Ingber RS

    更新日期:2000-05-01 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

  • Randomized Controlled Trial to Examine the Impact of Aquatic Exercise Training on Functional Capacity, Balance, and Perceptions of Fatigue in Female Patients With Multiple Sclerosis.

    abstract:OBJECTIVE:To assess the effects of an 8-week aquatic exercise training program on functional capacity, balance, and perceptions of fatigue in women with multiple sclerosis (MS). DESIGN:Randomized controlled design. SETTING:Referral center of an MS society. PARTICIPANTS:Women (N=32; mean age ± SD, 36.4±8.2y) with dia...

    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.2017.06.015

    authors: Kargarfard M,Shariat A,Ingle L,Cleland JA,Kargarfard M

    更新日期:2018-02-01 00:00:00

  • Dimensions of subjective well-being after spinal cord injury: an empirical analysis by gender and race/ethnicity.

    abstract:OBJECTIVE:The purpose of this study was twofold: (1) to identify the underlying dimensions of subjective well-being after spinal cord injury (SCI), and (2) to develop reliable scales based on measurement of these dimensions. DESIGN:A field study was conducted by surveying the subjective well-being of two large samples...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(98)90085-5

    authors: Krause JS

    更新日期:1998-08-01 00:00:00

  • Incidence and risk factors associated with cardiac arrhythmias during rehabilitation after coronary artery bypass surgery.

    abstract:OBJECTIVE:To evaluate the clinical relevance of cardiac arrhythmias during rehabilitation after coronary artery bypass graft (CABG) surgery. DESIGN:Survey of consecutive patients admitted to an inpatient cardiac rehabilitation center. SETTING:A rehabilitation center acting as a reference for cardiology clinics lackin...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1053/apmr.2000.5587

    authors: Galante A,Pietroiusti A,Cavazzini C,Magrini A,Bergamaschi A,Sciarra L,Chartouni G,Legramante JM,Carta S

    更新日期:2000-07-01 00:00:00

  • Proof of principle of a brain-computer interface approach to support poststroke arm rehabilitation in hospitalized patients: design, acceptability, and usability.

    abstract:OBJECTIVE:To evaluate the feasibility of brain-computer interface (BCI)-assisted motor imagery training to support hand/arm motor rehabilitation after stroke during hospitalization. DESIGN:Proof-of-principle study. SETTING:Neurorehabilitation hospital. PARTICIPANTS:Convenience sample of patients (N=8) with new-onset...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2014.05.026

    authors: Morone G,Pisotta I,Pichiorri F,Kleih S,Paolucci S,Molinari M,Cincotti F,Kübler A,Mattia D

    更新日期:2015-03-01 00:00:00

  • Rehabilitation after bilateral lower extremity amputation.

    abstract::Fourty-four men (average age, 61.5 years) who had undergone amputation of both lower extremities were studied at a Veterans Administration hospital. Vascular insufficiency was the most frequent reason for amputation. In 26 of the patients bilateral below-knee amputations had been performed. Although diabetes mellitus ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Kerstein MD,Zimmer H,Dugdale FE,Lerner E

    更新日期:1975-07-01 00:00:00

  • Regional variation in stroke rehabilitation outcomes.

    abstract:OBJECTIVE:To examine and describe regional variation in outcomes for persons with stroke receiving inpatient medical rehabilitation. DESIGN:Retrospective cohort design. SETTING:Inpatient rehabilitation units and facilities contributing to the Uniform Data System for Medical Rehabilitation from the United States. PAR...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.apmr.2013.07.018

    authors: Reistetter TA,Karmarkar AM,Graham JE,Eschbach K,Kuo YF,Granger CV,Freeman J,Ottenbacher KJ

    更新日期:2014-01-01 00:00:00

  • Botulinum toxin for spasticity and athetosis in children with cerebral palsy.

    abstract::Botulinum toxin A has been used therapeutically in humans for a variety of conditions since 1980. Over the past few years, it has been used more frequently for spasticity management. We describe the use of botulinum toxin for spasticity or athetosis management in three children with cerebral palsy. Two of these childr...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(96)90042-8

    authors: Gooch JL,Sandell TV

    更新日期:1996-05-01 00:00:00

  • Behavioral assessment of unilateral neglect: study of the psychometric properties of the Catherine Bergego Scale.

    abstract:OBJECTIVE:To assess the psychometric properties of a scale for spatial neglect in everyday life. DESIGN:Validation study. SETTING:A neurologic rehabilitation unit in a university hospital. PARTICIPANTS:Eighty-three consecutive right-hemisphere stroke patients. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Th...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1053/apmr.2003.50062

    authors: Azouvi P,Olivier S,de Montety G,Samuel C,Louis-Dreyfus A,Tesio L

    更新日期:2003-01-01 00:00:00

  • Patterns, predictors, and associated benefits of driving a modified vehicle after spinal cord injury: findings from the National Spinal Cord Injury Model Systems.

    abstract:OBJECTIVES:To investigate the patterns, predictors, and benefits associated with driving a modified vehicle for people with spinal cord injuries (SCIs). DESIGN:Cross-sectional retrospective survey design. SETTINGS:Sixteen Model SCI Systems (MSCISs) throughout the United States. PARTICIPANTS:People (N=3726) post-SCI ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2010.07.234

    authors: Norweg A,Jette AM,Houlihan B,Ni P,Boninger ML

    更新日期:2011-03-01 00:00:00

  • A systematic review of the management of orthostatic hypotension after spinal cord injury.

    abstract:OBJECTIVE:To review systematically the evidence for the management of orthostatic hypotension (OH) in patients with spinal cord injuries (SCIs). DATA SOURCES:A key word literature search was conducted of original and review articles as well as practice guidelines using Medline, CINAHL, EMBASE, and PsycInfo, and manual...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1016/j.apmr.2009.01.009

    authors: Krassioukov A,Eng JJ,Warburton DE,Teasell R,Spinal Cord Injury Rehabilitation Evidence Research Team.

    更新日期:2009-05-01 00:00:00

  • Perceptual differences between stroke patients with cerebral infarction and intracerebral hemorrhage.

    abstract:OBJECTIVE:To assess perceptual performances of patients with intracerebral hemorrhage (ICH) compared with those of ischemic patients early after stroke and to analyze the psychometric properties of three perceptual tests used in the study. DESIGN:Cross-sectional study. SETTING:A rehabilitation unit at a teaching hosp...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(00)90097-2

    authors: Su CY,Chang JJ,Chen HM,Su CJ,Chien TH,Huang MH

    更新日期:2000-06-01 00:00:00

  • Electromyographic feedback in the remobilization of stroke patients: a controlled trial.

    abstract::Electromyographic biofeedback was compared with simple exercise therapy as to its effectiveness in improving foot-drop in 22 stroke patients. The study was designed to be a rigorous trial of biofeedback and the patients tested were aged and had stroke of long duration. One group of 11 patients underwent 6 weeks of exe...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 临床试验,杂志文章

    doi:

    authors: Burnside IG,Tobias HS,Bursill D

    更新日期:1982-05-01 00:00:00

  • Intraindividual Changes in Ambulation Associated With Falls in a Population of Vulnerable Older Adults in Long-Term Care.

    abstract:OBJECTIVE:To examine how intraindividual changes in ambulation characteristics may be used to predict falls. DESIGN:Longitudinal study design. SETTING:Assisted living facility. PARTICIPANTS:Ambulatory older adults (N=26; mean age, 79y). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Continuous measure of aver...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2016.05.013

    authors: Bowen ME,Rowe M

    更新日期:2016-11-01 00:00:00

  • Semi-flexible sockets for amputation below the knee.

    abstract::A semi-flexible socket fitted to a series of 47 consecutive below-knee amputees is evaluated, and the problems in assessing prosthetic components and appropriate methodology are discussed. The results suggest that this type of socket deserves wider use and further evaluation in active amputees, where comfort, perspira...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Symington DC,Lowe PJ,Mackay S

    更新日期:1975-09-01 00:00:00

  • Towards the development of clinical measures for spinal cord injury based on the International Classification of Functioning, Disability and Health with Rasch analyses.

    abstract:OBJECTIVES:To determine whether the International Classification of Functioning, Disability and Health (ICF) categories relevant to spinal cord injury (SCI) can be integrated in clinical measures and to obtain insights to guide their future operationalization. Specific aims are to find out whether the ICF categories re...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.apmr.2014.05.006

    authors: Ballert CS,Stucki G,Biering-Sørensen F,Cieza A

    更新日期:2014-09-01 00:00:00

  • Videotape immediate playback: a tool in rehabilitation of persons with amputations.

    abstract::This study attempted to measure whether immediate videotape feedback would improve the degree of motor learning and ambulation performances of amputee patients. Twelve amputee patients were randomly assigned either to a control or to an experimental group. Subjects in the experimental group were videotaped during four...

    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: Alexander J,Goodrich R

    更新日期:1978-03-01 00:00:00

  • Tracheo-esophageal anastomosis in treatment of chronic aspiration pneumonitis.

    abstract::A patient underwent tracheo-esophageal anastomosis following repeated episodes of aspiration pneumonia after the resection of a meningioma at foramen magnum. The surgery eliminated the intractable problem with aspiration. This procedure is reversible, and restoration of the laryngeal function can be accomplished when ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Hongladarom T,Lindeman RC

    更新日期:1978-05-01 00:00:00