Atypical gastrointestinal symptoms are not associated with gallstones in patients with spinal cord injury.

Abstract:

OBJECTIVE:To determine if nonspecific gastrointestinal (GI) symptoms justify cholecystectomy in patients with spinal cord injury (SCI). DESIGN:The frequency of GI symptoms was determined in a sample of patients with SCI in whom the presence or absence of gallstones had been previously determined by screening ultrasonography or a known history of cholecystectomy. The prevalence of various symptoms in patients with and without gallstones was compared. SETTING:The Spinal Cord Injury Unit of the Veterans Affairs Puget Sound Health Care System, which provides rehabilitation and longitudinal primary care for SCI veterans. PATIENTS:Two hundred ninety-four patients who had undergone either right upper quadrant ultrasonography or cholecystectomy in the past, and who completed a questionnaire concerning GI symptoms. MAIN OUTCOME MEASURE:Bivariate logistic regression was used to calculate odds ratios (ORs) to determine the strength of associations between the presence of each symptom and the presence of gallstones. RESULTS:Pain in the right upper quadrant or epigastrium that occurred after meals or at night was significantly associated with gallstones (OR: 3.5; 95% confidence interval [CI] 1.02-11.73). Abdominal pain in other locations and nonspecific symptoms such as bloating and nausea, were not predictive of the presence of gallstones. CONCLUSIONS:Nonspecific symptoms in patients with SCI are not associated with gallstones and do not justify cholecystectomy in patients with otherwise asymptomatic gallstones.

journal_name

Arch Phys Med Rehabil

authors

Moonka R,Stiens SA,Stelzner M

doi

10.1053/apmr.2000.6288

subject

Has Abstract

pub_date

2000-08-01 00:00:00

pages

1085-9

issue

8

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(00)89609-4

journal_volume

81

pub_type

杂志文章
  • Emotional dysfunction in a geriatric population: staff observations and patients' reports.

    abstract::This study was designed to determine the following about a geriatric rehabilitation population: (1) the relationship between patients' self-reports of depression and anxiety and staff observations of compromised participation in treatment secondary to emotional dysfunction; (2) the relationship of observations among d...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Guilmette TJ,Snow MG,Grace J,Giuliano AJ

    更新日期:1992-06-01 00:00:00

  • Hospital disposition after stroke in a national survey of acute cerebrovascular diseases in Israel.

    abstract:OBJECTIVE:To investigate predictive factors for disposition after acute stroke. DESIGN:A nationwide survey (2004 National Acute Stroke Israeli Survey). SETTING:All 28 primary general medical centers operating in Israel. PARTICIPANTS:Acute stroke patients (n=1583) admitted during February and March 2004 and discharge...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2007.11.001

    authors: Treger I,Ring H,Schwartz R,Tsabari R,Bornstein NM,Tanne D,National Acute Stroke Israeli Survey Group.

    更新日期:2008-03-01 00:00:00

  • Relationship between arm usage and instrumental activities of daily living after unilateral stroke.

    abstract:OBJECTIVE:To determine whether the preferred pattern of arm use after unilateral hemispheric damage was associated with better everyday functioning. Our previous work showed that right-handed stroke patients with right hemisphere damage (RHD) used their right, ipsilesional arm most frequently, while those with left hem...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2012.05.011

    authors: Haaland KY,Mutha PK,Rinehart JK,Daniels M,Cushnyr B,Adair JC

    更新日期:2012-11-01 00:00:00

  • Lupoid sclerosis: evaluation and treatment.

    abstract::The history, physical examination and laboratory data are presented of a patient with multiple sclerosis and systemic lupus erythematosus. The rehabilitation medicine evaluation and course of therapy are reviewed. Other published cases of similar patients are reviewed. ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Kaplan PE,Betts HB

    更新日期:1977-01-01 00:00:00

  • Reliability of the parallel walk test for the elderly.

    abstract:OBJECTIVE:To determine interrater agreement and test-retest reliability of the parallel walk test (PWT), a simple method of measuring dynamic balance in the elderly during gait. DESIGN:Cohort study. SETTING:Outpatient clinic. PARTICIPANTS:Elderly fallers (N=34; mean ± SD age, 81.3±5.4y) registered at a falls clinic ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2010.11.028

    authors: Lark SD,McCarthy PW,Rowe DA

    更新日期:2011-05-01 00:00:00

  • The Boston Rehabilitative Impairment Study of the Elderly: a description of methods.

    abstract:OBJECTIVES:To describe the methods of a longitudinal cohort study among older adults with preclinical disability. The study aims to address the lack of evidence guiding mobility rehabilitation for older adults by identifying those impairments and impairment combinations that are most responsible for mobility decline an...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2012.08.217

    authors: Holt NE,Percac-Lima S,Kurlinski LA,Thomas JC,Landry PM,Campbell B,Latham N,Ni P,Jette A,Leveille SG,Bean JF

    更新日期:2013-02-01 00:00:00

  • Preoperative pulmonary rehabilitation versus chest physical therapy in patients undergoing lung cancer resection: a pilot randomized controlled trial.

    abstract:OBJECTIVE:To evaluate the effect of 4 weeks of pulmonary rehabilitation (PR) versus chest physical therapy (CPT) on the preoperative functional capacity and postoperative respiratory morbidity of patients undergoing lung cancer resection. DESIGN:Randomized single-blinded study. SETTING:A teaching hospital. PARTICIPA...

    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.2012.08.206

    authors: Morano MT,Araújo AS,Nascimento FB,da Silva GF,Mesquita R,Pinto JS,de Moraes Filho MO,Pereira ED

    更新日期:2013-01-01 00:00:00

  • Robot-Guided Neuronavigated Repetitive Transcranial Magnetic Stimulation (rTMS) in Central Neuropathic Pain.

    abstract:OBJECTIVES:To confirm and extend previous results involving repetitive transcranial magnetic stimulation (rTMS) aimed at alleviating refractory central neuropathic pain (CNP). To evaluate pain relief in detail and to assess ongoing benefits after one year of treatment. DESIGN:Prospective observational study. SETTING:...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2018.04.013

    authors: Quesada C,Pommier B,Fauchon C,Bradley C,Créac'h C,Vassal F,Peyron R

    更新日期:2018-11-01 00:00:00

  • Home-based treadmill training to improve gait performance in persons with a chronic transfemoral amputation.

    abstract:OBJECTIVE:To investigate the effectiveness of a home-based multiple-speed treadmill training program to improve gait performance in persons with a transfemoral amputation (TFA). DESIGN:Repeated measures. SETTING:Research laboratory. PARTICIPANTS:Individuals with a TFA (N=8) who had undergone a unilateral amputation ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2013.08.001

    authors: Darter BJ,Nielsen DH,Yack HJ,Janz KF

    更新日期:2013-12-01 00:00:00

  • Development of the concepts of knee kinematics.

    abstract:OBJECTIVES:To review the experimental evidence and development of concepts in knee kinematics and to present a synthesis of current theories. DATA SOURCES:Historical literature from private collections and published journals, from Galen in 160 AD, and Weber and Weber in 1860, through to current research in knee kinema...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1016/s0003-9993(03)00281-8

    authors: Smith PN,Refshauge KM,Scarvell JM

    更新日期:2003-12-01 00:00:00

  • Auditory processing in spinal cord injury: a preliminary investigation from a sensory deprivation perspective.

    abstract::Research on sensory deprivation suggests that the loss of somatosensory input to the central nervous system may have an impact on cortical reactivity and subsequent cognitive task efficiency. Individuals with spinal cord injury have a permanent loss of such input to varying degrees. However, there have been few invest...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/0003-9993(86)90119-x

    authors: Richards JS,Seitz MR,Eisele WA

    更新日期:1986-02-01 00:00:00

  • Attentional deficits in stroke patients: a visual dual task experiment.

    abstract:OBJECTIVE:(1) To compare the performance of subjects who have suffered a single lateralized cortical, ischemic stroke versus controls on measures of attention including a computerized dual visual attentional task to determine if this task is more sensitive for detecting the presence of subtle hemi-inattention compared ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0003-9993(97)90002-2

    authors: Marshall SC,Grinnell D,Heisel B,Newall A,Hunt L

    更新日期:1997-01-01 00:00:00

  • Exercise testing and training in a cancer rehabilitation program: the advantage of the steep ramp test.

    abstract:OBJECTIVE:To compare the short maximal exercise capacity test (steep ramp test) with the submaximal test to determine the most appropriate exercise test in cancer rehabilitation. DESIGN:A prospective study in which a submaximal test, a maximal short exercise capacity test (steep ramp test), and a maximal oxygen consum...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2007.02.013

    authors: De Backer IC,Schep G,Hoogeveen A,Vreugdenhil G,Kester AD,van Breda E

    更新日期:2007-05-01 00:00:00

  • Efficacy of forced-use therapy in hemiplegic cerebral palsy.

    abstract:OBJECTIVE:To determine the efficacy of forced-use therapy (FUT) on the improvement of upper-extremity function in children with hemiplegic cerebral palsy (CP). DESIGN:Prospective case series. SETTING:Outpatient ambulatory clinic in South Korea. PARTICIPANTS:Thirty-one patients with hemiplegic CP were assigned to the...

    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.2005.05.007

    authors: Sung IY,Ryu JS,Pyun SB,Yoo SD,Song WH,Park MJ

    更新日期:2005-11-01 00:00:00

  • Detection of gait and postures using a miniaturized triaxial accelerometer-based system: accuracy in patients with mild to moderate Parkinson's disease.

    abstract:OBJECTIVE:To examine whether gait and postures can accurately be detected with a single small body-fixed device in patients with mild to moderate Parkinson's disease (PD). DESIGN:Results of a triaxial accelerometer-based method were evaluated against video observation scores (criterion measure). Study 1: Subjects perf...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2010.05.004

    authors: Dijkstra B,Kamsma YP,Zijlstra W

    更新日期:2010-08-01 00:00:00

  • Association Between Performance on an Interdisciplinary Stroke Assessment Battery and Falls in Patients With Acute Stroke in an Inpatient Rehabilitation Facility: A Retrospective Cohort Study.

    abstract:OBJECTIVE:To explore the association between demographic factors and functional performance measures of patients with acute stroke in an inpatient rehabilitation facility (IRF) and falls during the IRF stay and to quantify the diagnostic accuracy of functional outcome measures in identifying fallers. DESIGN:Retrospect...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2019.05.026

    authors: Eikenberry M,Ganley KJ,Zhang N,Kinney CL

    更新日期:2019-11-01 00:00:00

  • Neurologic disorders of attention and arousal: assessment and treatment.

    abstract::Disorders of attention are common after a variety of insults to the central nervous system. Clinically observable disorders of attention have complex relationships to the hypothesized underlying core deficits that were reviewed in a previous article. Thus, the process of evaluating such deficits is equally complex. Tr...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,评审

    doi:

    authors: Whyte J

    更新日期:1992-11-01 00:00:00

  • Active Lifestyle Is Associated With Reduced Dyspnea and Greater Life Satisfaction in Spinal Cord Injury.

    abstract:OBJECTIVE:To assess the relations between measures of activity with dyspnea and satisfaction with life in chronic spinal cord injury (SCI). DESIGN:Cross-sectional survey. SETTING:Five SCI centers. PARTICIPANTS:Between July 2012 and March 2015, subjects (N=347) with traumatic SCI ≥1 year after injury who used a manua...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2016.02.010

    authors: Garshick E,Mulroy S,Graves DE,Greenwald K,Horton JA,Morse LR

    更新日期:2016-10-01 00:00:00

  • Phenomenological study of neurogenic bowel from the perspective of individuals living with spinal cord injury.

    abstract:OBJECTIVE:To gain greater insight into the lived experience of individuals with spinal cord injury (SCI) and neurogenic bowel dysfunction (NBD). DESIGN:Qualitative (phenomenologic) interviews and analysis. SETTING:Community. PARTICIPANTS:Individuals with SCI and NBD (N=19) residing in the community. INTERVENTIONS:N...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2014.07.417

    authors: Burns AS,St-Germain D,Connolly M,Delparte JJ,Guindon A,Hitzig SL,Craven BC

    更新日期:2015-01-01 00:00:00

  • Early Intervention Service Intensity and Change in Children's Functional Capabilities.

    abstract:OBJECTIVE:To estimate correlates of early intervention (EI) service dosage and gains in children's functional capabilities from EI entry and discharge. DESIGN:Retrospective cohort study. SETTING:Secondary analyses of a subset of data (N=1005) collected from an EI administrative database on children discharged from a ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2019.10.188

    authors: Richardson ZS,Scully EA,Dooling-Litfin JK,Murphy NJ,Rigau B,Khetani MA,McManus BM

    更新日期:2020-05-01 00:00:00

  • Evoked brain potentials and disability in brain-damaged patients.

    abstract::Various measures of evoked brain potential abnormality (EPA) were correlated with disability ratings (DR) for 35 brain-damaged patients. EPA data consisted of judgements of abnormality of ipsilateral, contralateral and bilateral responses to auditory and visual stimuli reflecting activity in the brain stem, subcortex ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Rappaport M,Hall K,Hopkins K,Belleza T,Berrol S,Reynolds G

    更新日期:1977-08-01 00:00:00

  • Association Between Facility Type During Pediatric Inpatient Rehabilitation and Functional Outcomes.

    abstract:OBJECTIVE:To compare functional outcomes between children receiving inpatient rehabilitation at children's hospitals and those at other facilities. DESIGN:Retrospective cohort study. SETTING:Inpatient rehabilitation facilities. PARTICIPANTS:Children (N=28,793) aged 6 months to 18 years who received initial inpatient...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.apmr.2016.02.026

    authors: Fuentes MM,Apkon S,Jimenez N,Rivara FP

    更新日期:2016-09-01 00:00:00

  • Automated Mechanical Peripheral Stimulation Effects on Gait Variability in Individuals With Parkinson Disease and Freezing of Gait: A Double-Blind, Randomized Controlled Trial.

    abstract:OBJECTIVE:To assess the effects of automated peripheral stimulation (AMPS) in reducing gait variability of subjects with Parkinson disease (PD) and freezing of gait (FOG) treated with AMPS and to explore the effects of this treatment on gait during a single task (walking) and a dual task (walking while attending the wo...

    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.2018.05.009

    authors: Kleiner AFR,Souza Pagnussat A,Pinto C,Redivo Marchese R,Salazar AP,Galli M

    更新日期:2018-12-01 00:00:00

  • Spinal cord injury: its short-term impact on marital status.

    abstract::We have had the impression that patients with spinal cord injury (SCI) experience fewer marriages and more divorces than their noninjured counterparts. To test this impression statistically, we examined the influence of SCI in association with other select variables on the marital status of 276 patients injured betwee...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: DeVivo MJ,Fine PR

    更新日期:1985-08-01 00:00:00

  • Sonographic diagnosis of hydronephrosis in patients with spinal cord injury: influence of bladder fullness.

    abstract:OBJECTIVE:To investigate and compare the diagnostic accuracy of prevoid and postvoid renal sonography in detecting hydronephrosis in patients with spinal cord injury. STUDY DESIGN:A prospective, blind comparison of renal sonography and excretory urography in 67 spinal cord injury patients who underwent periodic urolog...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(98)90420-8

    authors: Bih LI,Tsai SJ,Tung LC

    更新日期:1998-12-01 00:00:00

  • Paralumbar muscle activity in chronic low back pain.

    abstract::Muscle spasm is often considered to be a prominent feature operating in chronic low back spin syndrome (LBP). The present study compared levels of paralumbar muscle activity, determined by an electromyogram (EMG), for LBP patients and normal subjects during periods of rest and voluntary muscular contraction. The resti...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Kravitz E,Moore ME,Glaros A

    更新日期:1981-04-01 00:00:00

  • Symptoms of upper gastrointestinal dysfunction in Duchenne muscular dystrophy: case-control study.

    abstract::A case-control study was undertaken to see if symptoms of upper gastrointestinal (UGI) (oropharyngeal, esophageal, and gastric) dysfunction occurred more frequently in males afflicted with Duchenne muscular dystrophy (DMD) than healthy controls. Subjects included 55 children with confirmed DMD and 55 age-matched contr...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Jaffe KM,McDonald CM,Ingman E,Haas J

    更新日期:1990-09-01 00:00:00

  • Reconsidering the motor recovery plateau in stroke rehabilitation.

    abstract::Termination of motor rehabilitation is often recommended as patients with cerebrovascular accident (CVA) become more chronic and/or when they fail to respond positively to motor rehabilitation (commonly termed a "plateau"). Managed-care programs frequently reinforce this practice by restricting care to patients respon...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1016/j.apmr.2003.12.031

    authors: Page SJ,Gater DR,Bach-Y-Rita P

    更新日期:2004-08-01 00:00:00

  • Effects of aging and Tai Chi on finger-pointing toward stationary and moving visual targets.

    abstract:UNLABELLED:Kwok JC, Hui-Chan CW, Tsang WW. Effects of aging and Tai Chi on finger-pointing toward stationary and moving visual targets. OBJECTIVE:To examine the aging effect on speed and accuracy in finger pointing toward stationary and moving visual targets between young and older healthy subjects and whether or not ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2009.07.018

    authors: Kwok JC,Hui-Chan CW,Tsang WW

    更新日期:2010-01-01 00:00:00

  • Pending litigation and rehabilitation outcome of chronic back pain.

    abstract::The effects of pending litigation for compensation on treatment outcomes of patients with chronic low back pain, were assessed. The 81 patients with chronic low back pain who participated in a six-week behavioral treatment program organized around the theme of self-control, were differentiated according to whether the...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Trief P,Stein N

    更新日期:1985-02-01 00:00:00