Abstract：
OBJECTIVE:To determine and describe the demographics and functional outcomes of persons who require inpatient rehabilitation for severe penetrating head injury resulting from a gunshot wound to the head. DESIGN:Data were collected prospectively from the time of admission to acute care through discharge from inpatient rehabilitation. SETTING:Two sites: an urban, level I, acute care, trauma center and an inpatient rehabilitation hospital with a specialized brain injury unit. PARTICIPANTS:Twenty-seven persons with severe penetrating head injury. MAIN OUTCOME MEASURES:The FIM instrument, the Disability Rating Scale (DRS), and the length of stay (LOS). RESULTS:Demographic data showed our population to be similar to other groups of persons at high risk for violent injury. Eighty-five percent of the subjects were men with a mean age of 34 years. The majority were African American (93%), reflective of our general patient population. Average acute care LOS was 31 days and average rehabilitation LOS was 44 days. Average FIM gain was 40.2 and, on average, DRS scores improved 7.6 points from rehabilitation admission to discharge. All study participants made enough progress to be discharged to private residences. CONCLUSION:Although the mortality rate is high among patients with penetrating head injury, those who survive to receive inpatient rehabilitation can achieve functional improvement.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Zafonte RD,Wood DL,Harrison-Felix CL,Millis SR,Valena NVdoi
10.1053/apmr.2001.18226subject
Has Abstractpub_date
2001-03-01 00:00:00pages
306-10issue
3eissn
0003-9993issn
1532-821Xpii
S0003-9993(01)62251-2journal_volume
82pub_type
杂志文章abstract：OBJECTIVES:To determine the factors associated with acute hospital discharge to the 3 most common postacute settings following total knee arthroplasty (TKA): inpatient rehabilitation facilities (IRFs), skilled nursing facilities (SNFs), and directly back to the community. DESIGN:Retrospective cohort study. SETTING:Ac...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2020.05.019
更新日期：2020-09-01 00:00:00
abstract：OBJECTIVE:To investigate the association between propulsion biomechanics, including variables that describe smoothness of the applied forces, and shoulder pain in individuals with spinal cord injury (SCI). DESIGN:Cross-sectional, observational study. SETTING:Non-university research institution. PARTICIPANTS:Communit...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2020.10.114
更新日期：2020-11-05 00:00:00
abstract：:Compliance with regimens for chronic conditions such as juvenile rheumatoid arthritis (JRA) is often poor, and the potential benefits of therapy are thus compromised. In this study a compliance intervention involving educational and behavioral strategies was shown effective in improving medication compliance for two o...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1988-06-01 00:00:00
abstract：:Decreases in muscular strength, endurance, and angular velocity have previously been demonstrated in the elderly. Osteoarthritis (OA), especially of the knee, may cause further reductions in these parameters and lead to functional limitations. This study measured the effects of a quantitative progressive exercise musc...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1016/0003-9993(93)90087-q
更新日期：1993-12-01 00:00:00
abstract：OBJECTIVE:To investigate the effects of a late-phase exercise program for patients who underwent total hip arthroplasty (THA) 4 to 12 months earlier. DESIGN:A single-blind, randomized controlled trial. SETTING:Exercises were performed in subjects' homes. Exercise instruction and measurements taken before and after th...
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/j.apmr.2003.11.022
更新日期：2004-07-01 00:00:00
abstract：OBJECTIVE:To investigate whether needle evaluation added any important clinical information to normal nerve conduction studies in the evaluation of carpal tunnel syndromes. DESIGN:Retrospective review of electromyography (EMG) done with the referring diagnosis of possible carpal tunnel syndrome. SETTING:Outpatients s...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(98)90064-8
更新日期：1998-05-01 00:00:00
abstract：OBJECTIVE:To develop a valid and reliable spinal cord injury (SCI) specific physical functioning (PF) scale for the Veterans Health Administration (VHA) version of the 36-Item Short-Form Health Survey. DESIGN:A mixed qualitative and quantitative research design was used. In phase 1, a pool of SCI-specific PF items was...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2006.05.010
更新日期：2006-08-01 00:00:00
abstract：OBJECTIVE:To evaluate the effect of scapular stabilization during horizontal adduction stretching (cross-body) on posterior shoulder tightness (PST) and passive internal rotation (IR). DESIGN:Randomized controlled trial with single blinding. SETTING:Athletic club. PARTICIPANTS:Asymptomatic volleyball players who are...
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.2014.09.038
更新日期：2015-02-01 00:00:00
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
更新日期：2007-07-01 00:00:00
abstract：:This first report on the use of the Wright linear pump and its successful application in the treatment of a child with Park-Weber syndrome indicates that sequenced linear pumping is efficacious when previously tried single cell intermittent compression fails. Programmable intermittent pressure in the management of lym...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1983-03-01 00:00:00
abstract：:Over the past three decades there has been increasing interest in acute weakness syndromes in critically ill mechanically ventilated patients. Many of these patients require rehabilitation, and some understanding of potential etiologies and functional outcomes for these syndromes is useful to rehabilitation practition...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/s0003-9993(00)80010-6
更新日期：2000-03-01 00:00:00
abstract：:Three patients with severe traumatic brain injury demonstrated significant improvement in arousal and initiation after administration of tricyclic antidepressants. The first patient showed improved motor and speech initiation in response to amitriptyline following several months of functional plateau. The second patie...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(96)90225-7
更新日期：1996-01-01 00:00:00
abstract：OBJECTIVE:To determine whether the administration of clenbuterol, a beta2-adrenergic agonist, prevents loss of muscle mass during a period of imposed inactivity. DESIGN:Randomized trial. SETTING:Basic laboratory research. ANIMALS:Thirty Fischer 344 Brown Norway F1 Hybrid rats, 12 and 30 months of age. INTERVENTIONS...
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：10.1053/apmr.2001.23756
更新日期：2001-07-01 00:00:00
abstract：OBJECTIVES:To determine which outcome measures are best and least suited for assessing long-term functional outcome of individuals with traumatic brain injury (TBI) in the community. DESIGN:Survey of participants in the community an average of 5 years after TBI. A battery of outcome measures was given. SETTING:Commun...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1053/apmr.2001.21525
更新日期：2001-03-01 00:00:00
abstract：OBJECTIVE:To create gross motor function growth curves for children with Down syndrome (DS) and to estimate the probability that motor functions are achieved by different ages. DESIGN:Nonlinear growth curve analysis by using a 2-parameter (rate, upper limit) model. SETTING:Early intervention programs, schools, and ch...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1053/apmr.2001.21956
更新日期：2001-04-01 00:00:00
abstract：OBJECTIVES:To summarize adverse events reported in randomized controlled trials that applied progressive resistance strength training in older adults and to examine factors that might be associated with these events. DESIGN:After systematic searches of databases, 2 reviewers independently screened and extracted advers...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/j.apmr.2010.06.001
更新日期：2010-09-01 00:00:00
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
更新日期：1998-08-01 00:00:00
abstract：:Thirty-nine C4 to C6 motor complete Frankel A or B spinal cord injured subjects were included in this prospective study to determine the course of recovery in the zone of partial preservation (ZPP) during the first 6 months postinjury. Subjects had initial manual muscle testing and neurologic examination between 3 and...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1992-05-01 00:00:00
abstract：OBJECTIVE:To synthesize literature about the effect of early physical therapy (PT) for acute low back pain (LBP) on subsequent health services utilization (HSU), compared to delayed PT or usual care. DATA SOURCES:Electronic databases (MEDLINE, CINAHL, Embase) were searched from their inception to May 2018. STUDY SELE...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2018.11.025
更新日期：2019-07-01 00:00:00
abstract：OBJECTIVE:To evaluate the effects of isokinetic exercise versus a program of patient education on pain and function in older persons with knee osteoarthritis. DESIGN:A randomized, comparative clinical trial, with interventions lasting 8 weeks and evaluations of 12 weeks. SETTING:An outpatient Veterans Affairs Medical...
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(99)90032-1
更新日期：1999-10-01 00:00:00
abstract：:The purpose of this study was to assess the rate of self-reported substance use, consequent problems, perceived need for treatment, and receipt of treatment by persons with long-term spinal cord injury (SCI). Information was obtained from 86 persons with traumatic SCI who were between 13 and 58 years of age at injury,...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1991-06-01 00:00:00
abstract：OBJECTIVE:To evaluate the effect of providing a greater percentage of therapy as contextualized treatment on acute traumatic brain injury (TBI) rehabilitation outcomes. DESIGN:Propensity score methods are applied to the TBI Practice-Based Evidence (TBI-PBE) database, a database consisting of multi-site, prospective, l...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2018.12.037
更新日期：2019-10-01 00:00:00
abstract：:The halo traction device for cervical spine immobilization has few complications and is routinely used for spinal cord injured patients. The following case report describes a patient with lower cervical and upper thoracic fractures stabilized with a halo. She completed a two-month rehabilitation program without compli...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1992-05-01 00:00:00
abstract：OBJECTIVES:To compare respiratory muscle strength in stroke survivors (SS) with that in a control group (CG) of healthy people matched by age and sex, as well as to investigate any relation between respiratory muscle strength and the distance walked during the 6-minute walk test (6MWT). DESIGN:Cross-sectional study. ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2015.10.089
更新日期：2016-02-01 00:00:00
abstract：:The purpose of this case study was to determine whether an individual who had residual deficits following an acute incidence of Guillain-Barre Syndrome (GBS) would experience improved physiological adaptations following aerobic endurance training. A 57-year-old man who needed the aid of a crutch for walking three year...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/0003-9993(93)90039-d
更新日期：1993-07-01 00:00:00
abstract：OBJECTIVES:To determine content validity of the Muscle Power Sprint Test (MPST), and construct validity and reliability of the MPST, 10×5 Meter Sprint Test (10×5MST), slalom test, and One Stroke Push Test (1SPT) in wheelchair-using youth with spina bifida (SB). DESIGN:Clinimetric study. SETTING:Rehabilitation centers...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2016.08.469
更新日期：2017-06-01 00:00:00
abstract：OBJECTIVE:To evaluate whether early neuropsychologic testing is useful in predicting long-term productivity outcome after traumatic brain injury (TBI). DESIGN:Validation cohort prediction study. SETTING:Four inpatient brain injury rehabilitation programs participating in the Traumatic Brain Injury Model Systems proje...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,多中心研究
doi：10.1053/apmr.2001.23753
更新日期：2001-06-01 00:00:00
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
更新日期：1998-04-01 00:00:00
abstract：:A 40-year-old patient with insulin-dependent (Type I) diabetes mellitus since childhood suffered a C6 spinal transection. Recurrent episodes of hypoglycemia resolved after the patient was placed on an insulin pump. The patient is able to set the insulin delivery rate and maintain the pump without assistance. Spinal co...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1989-01-01 00:00:00
abstract：OBJECTIVE:To determine the influence of a warm-up protocol suitable for use in clinical settings on tibial displacement and muscle activity during arthrometric knee laxity assessment. DESIGN:Intervention study in which the subjects served as their own controls. SETTING:The Biomechanics Research Laboratory, University...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(99)90235-6
更新日期：1999-07-01 00:00:00
