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 Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Moonka R,Stiens SA,Stelzner Mdoi
10.1053/apmr.2000.6288subject
Has Abstractpub_date
2000-08-01 00:00:00pages
1085-9issue
8eissn
0003-9993issn
1532-821Xpii
S0003-9993(00)89609-4journal_volume
81pub_type
杂志文章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:
更新日期:1992-06-01 00:00:00
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
更新日期:2008-03-01 00:00:00
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
更新日期:2012-11-01 00:00:00
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:
更新日期:1977-01-01 00:00:00
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
更新日期:2011-05-01 00:00:00
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
更新日期:2013-02-01 00:00:00
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
更新日期:2013-01-01 00:00:00
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
更新日期:2018-11-01 00:00:00
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
更新日期:2013-12-01 00:00:00
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
更新日期:2003-12-01 00:00:00
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
更新日期:1986-02-01 00:00:00
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
更新日期:1997-01-01 00:00:00
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
更新日期:2007-05-01 00:00:00
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
更新日期:2005-11-01 00:00:00
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
更新日期:2010-08-01 00:00:00
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
更新日期:2019-11-01 00:00:00
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:
更新日期:1992-11-01 00:00:00
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
更新日期:2016-10-01 00:00:00
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
更新日期:2015-01-01 00:00:00
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
更新日期:2020-05-01 00:00:00
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:
更新日期:1977-08-01 00:00:00
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
更新日期:2016-09-01 00:00:00
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
更新日期:2018-12-01 00:00:00
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:
更新日期:1985-08-01 00:00:00
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
更新日期:1998-12-01 00:00:00
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:
更新日期:1981-04-01 00:00:00
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:
更新日期:1990-09-01 00:00:00
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
更新日期:2004-08-01 00:00:00
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
更新日期:2010-01-01 00:00:00
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:
更新日期:1985-02-01 00:00:00