Abstract：
OBJECTIVE:To examine the perspective of survivors of traumatic brain injury (TBI) regarding the extent and nature of their recovery over time. DESIGN:Inception cohort, longitudinal study. SETTING:Level I trauma center. PARTICIPANTS:One hundred fifty-seven consecutively hospitalized individuals with TBI (mean age, 36.1 yr; 80% men) with a broad range of injury severity. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Participants reported the extent of their recovery and barriers to full recovery at 1, 6, and 12 months. RESULTS:Participants reported a median return to normal at the 3 follow-up times of 65%, 80%, and 85%. After 1 month, self-reported extent of recovery correlated well with performance on the Glasgow Outcome Scale (p <.001 at 6 and 12 mo) and Wechsler Adult Intelligence Scale Performance IQ (p =.001 at 12 mo). The major reported barrier to recovery was physical difficulties, which constituted over half of the concerns at all time periods. Report of physical-related concerns decreased significantly (p =.002) over time whereas cognition-related concerns increased significantly (p =.02). CONCLUSION:Brain injury survivors consider themselves to have greater recovery than previously reported by clinicians or family members, consider physical problems a significant factor in their recovery, and appear to become more aware of cognitive impairments over time.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Powell JM,Machamer JE,Temkin NR,Dikmen SSdoi
10.1053/apmr.2001.25082subject
Has Abstractpub_date
2001-08-01 00:00:00pages
1025-30issue
8eissn
0003-9993issn
1532-821Xpii
S0003-9993(01)66333-0journal_volume
82pub_type
杂志文章abstract：OBJECTIVE:To gain insight into the biomechanics of upslope wheelchair stroking by examining the changes in kinematic and electromyographic characteristics of wheelchair propulsion over ramps of different slopes. DESIGN:Repeated-measures design. Each subject pushed up a wooden ramp (7.3m long) 3 times at self-selected ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2008.07.019
更新日期：2009-02-01 00:00:00
abstract：OBJECTIVES:To describe the prevalence of amputation-related pain; to ascertain the intensity and affective quality of phantom pain, residual limb pain, back pain, and nonamputated limb pain; and to identify the role that demographics, amputation-related factors, and depressed mood may contribute to the experience of pa...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2005.03.031
更新日期：2005-10-01 00:00:00
abstract：OBJECTIVES:To investigate environmental barriers reported by stroke survivors in the rural areas of China and to determine the impact of environmental barriers on activity and participation relative to demographic characteristics and body functioning. DESIGN:Cross-sectional survey. SETTING:Structured interviews in th...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2015.01.024
更新日期：2015-07-01 00:00:00
abstract：OBJECTIVE:To investigate whether a new tissue-imaging technique, magnetic resonance elastography (MRE), offers a viable, noninvasive way to study healthy and diseased muscle. DESIGN:Convenience sample. SETTING:A magnetic resonance imaging (MRI) laboratory. PARTICIPANTS:Eight control subjects (4 men, 4 women), betwee...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1053/apmr.2002.35472
更新日期：2002-11-01 00:00:00
abstract：OBJECTIVE:To evaluate in a preliminary manner the feasibility, safety, and efficacy of Constraint-Induced Movement therapy (CIMT) of persons with impaired lower extremity use from multiple sclerosis (MS). DESIGN:Clinical trial with periodic follow-up for up to 4 years. SETTING:University-based rehabilitation research...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1016/j.apmr.2012.09.032
更新日期：2013-04-01 00:00:00
abstract：:Twelve male patients with traumatic spinal cord injury were randomly divided into a group of six experimental and six control subjects. All subjects were tilted from 0 degree to 70 degrees by 10 degrees increments at five-minute intervals until blood pressure dropped below 70/40, hypotensive symptoms appeared, or 70 d...
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：
更新日期：1984-05-01 00:00:00
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
更新日期：2002-05-01 00:00:00
abstract：:Dysphagia is a problem commonly treated and frequently diagnosed on the rehabilitation unit. It can be caused by trauma, injury, or diseases of the nervous system and can result in potentially serious and life threatening complications. The disruption of normal swallowing has also been reported to occur in psychiatric...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1993-04-01 00:00:00
abstract：OBJECTIVE:To conduct an in-depth examination of the environmental and behavioral circumstances associated with falls and near-falls experienced by elderly individuals and to evaluate the usefulness of reenactment as a method for studying falls. DESIGN:Observational and self-report data of incidents were obtained throu...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(97)90261-6
更新日期：1997-02-01 00:00:00
abstract：:It has not been delineated how a disabled person is viewed when interacting with another person. The present study investigated subject perception of a counselor in a wheelchair who was seen in a video-taped counseling interview. Subject degree of body satisfaction was measured to assess the importance of this variabl...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1976-07-01 00:00:00
abstract：OBJECTIVE:To present a new measure of community integration, the Community Integration Measure (CIM), and to offer preliminary information about its psychometric properties. DESIGN:Validation study. SETTING:Community. PARTICIPANTS:Ninety-two participants placed in 3 subgroups (brain injury survivors, n = 41; signifi...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1053/apmr.2001.22195
更新日期：2001-04-01 00:00:00
abstract：OBJECTIVES:To measure covertly observed continuous sitting and standing tolerance in patients with chronic back pain and to compare observations to physician predictions. DESIGN:Blinded, prospective, cohort study. SETTING:Ambulatory referral centers, both public and private, at 5 major medical centers in the eastern ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2003.09.026
更新日期：2004-05-01 00:00:00
abstract：OBJECTIVE:To evaluate occupational outcomes after surgical release of the median nerve in carpal tunnel syndrome (CTS). DESIGN:Retrospective study 12 to 24 months after surgery. SETTING:Hand centers (N=3) in 2 different areas. PARTICIPANTS:Patients who had undergone surgical release of the median nerve in 2002 to 20...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2011.06.001
更新日期：2011-11-01 00:00:00
abstract：OBJECTIVE:To determine the validity of the 6-minute walk test (6MWT) as an outcome measure to evaluate walking capacity in ambulatory patients with amyotrophic lateral sclerosis (ALS). DESIGN:Observational study. SETTING:Multidisciplinary ALS clinic at an academic medical center. PARTICIPANTS:Patients with ALS (N=18...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2017.04.004
更新日期：2017-11-01 00:00:00
abstract：OBJECTIVES:To assess reliability of traditional and fractal dimension measures of quiet stance center of pressure (COP). DESIGN:Cross-sectional study. SETTING:University laboratory. PARTICIPANTS:Thirty young healthy men (n=20) and women (n=10) (mean age, 23 y). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:C...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1016/j.apmr.2005.05.014
更新日期：2005-10-01 00:00:00
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
更新日期：1994-04-01 00:00:00
abstract：:Limited guidelines exist for rehabilitation programs for individuals with diabetes mellitus, blindness, and associated autonomic neuropathy. Abnormalities in autonomic function have been postulated to interfere with exercise conditioning and may predispose individuals to exercise-induced hypoglycemia. Twenty-nine indi...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1989-08-01 00:00:00
abstract：:Functional outcome studies after treatment of primary brain tumors in children are lacking. This study of 30 children, ages 3 to 20 years (x 10.8 yrs) was aimed at documenting the effects of rehabilitation on functional outcome after treatment of primary brain tumors. Functional measurements were documented by a modif...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1994-01-01 00:00:00
abstract：OBJECTIVE:To examine the preinjury rates of Axis I disorders and the prospective rates within the first 6 years after traumatic brain injury (TBI). DESIGN:Cross-sectional, longitudinal, and cross-sequential. SETTING:Community-based research and training center. PARTICIPANTS:Persons (N=188) who had sustained TBI with...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2003.08.117
更新日期：2004-04-01 00:00:00
abstract：:The purpose of the study was to evaluate the differences in the amplitudes of the compound muscle action potentials of the hypothenar muscles and the differences in conduction times. Differences in shoot segment responses were determined by stimulating the ulnar nerve at 2-cm intervals across the elbow in 20 normal ad...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1988-11-01 00:00:00
abstract：OBJECTIVE:To examine the reliability, convergent, and discriminant validity of the limits of stability (LOS) test to assess dynamic postural stability in adolescents using a portable forceplate system. DESIGN:Cross-sectional reliability observational study. SETTING:School setting. PARTICIPANTS:Adolescents (N=36) com...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2015.08.418
更新日期：2015-12-01 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：OBJECTIVE:To evaluate the functional improvement of rehabilitation inpatients with paraneoplastic cerebellar degeneration. DESIGN:Retrospective review. SETTING:Referral-based hospitals. PARTICIPANTS:Cancer rehabilitation inpatients (N=7) admitted to 3 different cancer centers with a diagnosis of paraneoplastic cereb...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2014.07.003
更新日期：2014-12-01 00:00:00
abstract：OBJECTIVES:To identify factors that are associated with older patients' engagement in exercise in the 6 months after hospital discharge. DESIGN:A prospective observational study using qualitative and quantitative evaluation. SETTING:Follow-up of hospital patients in their home setting after discharge from a metropoli...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2011.04.009
更新日期：2011-09-01 00:00:00
abstract：OBJECTIVES:To (1) develop a standardized interview for telephone administration, (2) assess the psychometric properties of this interview format (Disability Rating Scale-Postacute Interview [DRS-PI]), and (3) identify additional items to reduce skew. DESIGN:Prospective cohort assessment study. SETTING:Not applicable....
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2012.04.003
更新日期：2012-09-01 00:00:00
abstract：OBJECTIVE:To describe group therapy utilization in spinal cord injury (SCI) inpatient rehabilitation. DESIGN:Prospective observational study. SETTING:Six inpatient rehabilitation facilities. PARTICIPANTS:Patients (N=1376) receiving initial rehabilitation after traumatic SCI. INTERVENTIONS:Not applicable. MAIN OUTC...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,多中心研究
doi：10.1016/j.apmr.2012.11.049
更新日期：2013-04-01 00:00:00
abstract：:This study was conducted to establish the concurrent validity and interrater reliability of the Motor Assessment Scale (MAS) for stroke patients. Thirty hemiplegic subjects were tested with the MAS and the Fugl-Meyer Assessment (FMA), a reliable and validated test of motor function in stroke patients. The high correla...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1988-03-01 00:00:00
abstract：:This prospective study presents the prevalence and risk factors of malnutrition in 49 consecutive stroke patients on the rehabilitation (Rehab) service and at 2- to 4-month follow-up. Malnutrition was diagnosed using biochemical and anthropometric data. Stroke patients, on admission to Rehab, have a very high prevalen...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(95)80655-5
更新日期：1995-04-01 00:00:00
abstract：:To assess the occurrence of a neurologic verus a vascular component of thoracic outlet syndrome (TOS), ulnar nerve function via the F wave was studied in 16 patients with clinically diagnosed TOS and 38 control subjects. To simplify the procedure the following formula was developed, through multiple regression analysi...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1978-10-01 00:00:00
abstract：:Musculoskeletal injuries can result from overuse or incorrect use of manual wheelchairs, and can hinder rehabilitation efforts. The purpose of this study was to investigate wheelchair propulsion biomechanics of spinal cord injured, non-athletic wheelchair users. We studied changes in the variables that occur with fati...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1994-01-01 00:00:00
