Abstract：
OBJECTIVE:To report the efficacy of injected liquid silicone (ILS) in the foot at 2 years after administration. DESIGN:Randomized controlled trial. SETTING:Diabetic foot clinic in the United Kingdom. PARTICIPANTS:Twenty-eight diabetic neuropathic patients, randomized into an active treatment group (n=14) and a placebo group (n=14). INTERVENTION:Participants were given either 6 injections of 0.2mL of liquid silicone (silicone group) or equal volumes of saline (placebo group) under metatarsal head sites with callus. MAIN OUTCOME MEASURES:Plantar tissue thickness and plantar pressures were measured at 3, 6, 12, and 24 months postinjection. RESULTS:At 12 months, the plantar tissue thickness in the silicone group had increased by a mean 1.6+/-0.9mm (P=.001), and remained increased at 24 months (1.1+/-0.7mm, P=.003). Peak plantar pressure in the silicone group was reduced at 12 months (-165.0+/-253.5kPa, P=.03), but not at 24 months. There was no change in tissue thickness or peak plantar pressure in the placebo group at 12 and 24 months. The reduction in the pressure time integral (PTI) in the silicone group did not reach significance at 12 months (-.71+/-1.17kPa/s, P=.055). Although PTI returned to baseline at 24 months for the silicone group, it was significantly increased in the placebo group (.64+/-.37kPa/s, P=.043), suggesting that silicone may still exhibit some pressure-reducing properties after 24 months. CONCLUSIONS:The results indicate that at 24 months postinjection the cushioning properties of ILS have reduced, suggesting that booster injections may be required in certain patients.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
van Schie CH,Whalley A,Armstrong DG,Vileikyte L,Boulton AJdoi
10.1053/apmr.2002.33058subject
Has Abstractpub_date
2002-07-01 00:00:00pages
919-23issue
7eissn
0003-9993issn
1532-821Xpii
S0003-9993(02)00006-0journal_volume
83pub_type
临床试验,杂志文章,随机对照试验abstract：:Failed back surgery syndrome (FBSS) is a long-lasting, often disabling, and relatively frequent (5%-10%) complication of lumbosacral spine surgery. Epidural fibrosis is among the most common causes of FBSS, and it is often recalcitrant to treatment. Repeated surgery for fibrosis has only a 30% to 35% success rate, whe...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1053/apmr.2001.21867
更新日期：2001-05-01 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：:Energy expended while walking is increased for children with cerebral palsy compared to nondisabled children. This study compared oxygen uptake, oxygen pulse, and the respiratory exchange ratio (RER) in children with cerebral palsy and nondisabled children walking on a treadmill. Resting oxygen uptake and oxygen pulse...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/0003-9993(93)90029-a
更新日期：1993-07-01 00:00:00
abstract：:A mechanical electrode inserter was used to allow reproducible electromyographic (emg) electrode insertions. The electrical activity provoked by the mechanical insertion was recorded and quantitatively analyzed in the anterior tibialis, the extensor hallucis longus, and the extensor digitorum brevis of unimpaired huma...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1979-08-01 00:00:00
abstract：:Fifteen patients with pharyngeal stage dysphagia were studied clinically and by motion fluoroscopy. Eleven patients demonstrated laryngeal penetration during swallowing. There was high incidence of impaired pharyngeal gag and wet-hoarse voice quality among this group. Other observations were found to correlate poorly ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1983-06-01 00:00:00
abstract：:A case is presented of a woman who had an occlusive stroke at age 29. She was seen in a rehabilitation medicine clinic for central nervous system-mediated pain that had developed soon after a cerebrovascular event. After an extensive workup to find the cause of her cerebrovascular occlusion, it was discovered that she...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(98)90018-1
更新日期：1998-03-01 00:00:00
abstract：:In a 13-month period, 41 selected patients with cerebrovascular accidents were studied utilizing computerized tomography of the brain and the Barthel index in an attempt to correlate findings with final rehabilitation outcome. Parameters that were studied included age, sex, lesion size and location, and functional sta...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1984-09-01 00:00:00
abstract：OBJECTIVE:To investigate the relations between Medical Research Council (MRC) dyspnea grade and peripheral muscle force, activities of daily living (ADL) performance, health status, lung function, and exercise capacity in subjects with idiopathic pulmonary fibrosis (IPF). DESIGN:Prospective cross-sectional observation...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2014.01.016
更新日期：2014-05-01 00:00:00
abstract：OBJECTIVE:To define further the relation between unipedal stance testing and peripheral neuropathy. DESIGN:Prospective cohort. SETTING:Electroneuromyography laboratory of a Veterans Affairs medical center and a university hospital. PATIENTS:Ninety-two patients referred for lower extremity electrodiagnostic studies. ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1053/apmr.2001.17830
更新日期：2001-02-01 00:00:00
abstract：:Piriformis syndrome (PS) is defined by a loose cluster of symptoms arising from entrapment of one or both divisions of the sciatic nerve as they pass the sciatic notch. This paper presents a method of using the H-reflex as an aid in the diagnosis of PS. Forcible pressure from the piriformis muscle on the sciatic nerve...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/0003-9993(92)90010-t
更新日期：1992-04-01 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：OBJECTIVE:To investigate the relations between changes in motor capacity (can do, in standardized environment), motor capability (can do, in daily environment), and motor performance (does do, in daily environment) among children with cerebral palsy (CP). DESIGN:Prospective longitudinal study. After baseline measureme...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2014.04.013
更新日期：2014-08-01 00:00:00
abstract：OBJECTIVE:To evaluate both the short- and long-term effectiveness of a lifestyle intervention on physical fitness in adolescents and young adults with cerebral palsy (CP). DESIGN:Single-blind, randomized controlled trial. SETTING:University hospitals and rehabilitation clinics. PARTICIPANTS:Adolescents and young adu...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.apmr.2014.05.011
更新日期：2014-09-01 00:00:00
abstract：OBJECTIVE:To show cortical reorganization in hemiparetic patients with a primary motor cortex (M1) infarct including the precentral knob by using functional magnetic resonance imaging (fMRI). DESIGN:Case-control. SETTING:Outpatient clinics in the rehabilitation department of a university hospital. PARTICIPANTS:Two s...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2004.11.043
更新日期：2005-08-01 00:00:00
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
更新日期：2015-03-01 00:00:00
abstract：:The symptoms of urinary incontinence, ataxia, and mental confusion are an integral part of the clinical presentation of normal pressure hydrocephalus (NPH). They are also common presentations in the rehabilitation setting of patients who have had a cerebral vascular accident. The concurrence of these entities challeng...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(97)90069-1
更新日期：1997-09-01 00:00:00
abstract：OBJECTIVE:To determine the most reliable method to measure the length of the radial nerve during a nerve conduction study (NCS). DESIGN:Cadaveric investigation. SETTING:A practical anatomy research laboratory in a university. PARTICIPANTS:Fresh cadavers (N=10), with 1 cadaver for study design and 9 for data. INTERV...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2016.08.464
更新日期：2017-03-01 00:00:00
abstract：:Spastic contractures are a common problem which frequently requires the use of splinting or casting. Customized adjustable orthoses can reduce contractures without the problems often associated with these procedures. These devices reduced contractures in a head-injured patient's severely spastic wrist and ankles. As a...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1985-06-01 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：OBJECTIVE:This study incorporated level of functional impairment ratings at program admission into rehabilitation outcome (return to work/school) at the time of program discharge. HYPOTHESES:(1) Patients and families with better working alliance ratings will show better adjusted outcome; (2) patients seeking compensat...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(98)90045-4
更新日期：1998-06-01 00:00:00
abstract：:Empirical data on attitudes toward sexual behavior of disabled persons were gathered from a written, sentence-completion task in which 110 college students engaged. The task consisted of 36 sentence stubs, 18 of which probed attitudes toward sex. To facilitate expression of attitudes rather than values, respondents we...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1979-06-01 00:00:00
abstract：OBJECTIVE:To examine the effect of obesity on change in FIM self-care and mobility ratings and community discharge for patients with traumatic spinal cord injury (SCI). DESIGN:Retrospective cohort study analyzing National Model Systems SCI Database data. SETTING:Fourteen Model Systems SCI programs. PARTICIPANTS:Pati...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2010.07.235
更新日期：2011-03-01 00:00:00
abstract：OBJECTIVE:To test the hypothesis that quantitative measures of gait unsteadiness are increased in community-dwelling elderly fallers. STUDY DESIGN:Retrospective, case-control study. SETTING:General community. PARTICIPANTS:Thirty-five community-dwelling elderly subjects older than 70 years of age who were capable of ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(97)90034-4
更新日期：1997-03-01 00:00:00
abstract：OBJECTIVE:To investigate corticomotor changes induced by body weight-supported treadmill training (BWSTT) in patients with short or long poststroke duration. DESIGN:Single-blinded and randomized controlled trial. SETTING:Neurologic physical therapy research laboratory. PARTICIPANTS:Hemiparesis patients (N=18) whose ...
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.2009.11.021
更新日期：2010-04-01 00:00:00
abstract：:The interface pressures in above-knee sockets of amputee patients were measured during the stance phase of the gait cycle. The pressures were monitored with a pneumatic sensor array that covered the inside of the socket. A pressure map of the socket surface was developed. This map has been related to the fit of the pr...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1987-10-01 00:00:00
abstract：OBJECTIVE:To quantify changes of elbow spasticity over time after botulinum toxin type A (BTX-A) injection in the upper extremity of stroke patients. DESIGN:Before-after trial in which the therapeutic effects were followed up at 2, 6, and 9 weeks after the BTX-A injection (Botox). SETTING:Hospital. PARTICIPANTS:Chro...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2007.08.166
更新日期：2008-04-01 00:00:00
abstract：OBJECTIVE:To review and reassess the findings of Krause and colleagues on the effect of economic and other risk factors on life expectancy after spinal cord injury, using an expanded and updated database. DESIGN:Pooled person-year analysis. SETTING:Model Spinal Cord Injury Systems hospitals. PARTICIPANTS:A total of ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2007.11.025
更新日期：2008-03-01 00:00:00
abstract：OBJECTIVE:To investigate the extent to which neuropsychologic and functional outcome after complicated mild traumatic brain injury (TBI) parallels that of moderate TBI recovery. DESIGN:A longitudinal study comparing neuropsychologic and functional status of persons with complicated mild TBI and moderate TBI at dischar...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2007.12.029
更新日期：2008-05-01 00:00:00
abstract：:A simple method was devised to measure the F-wave conduction velocity (FWCV) in the central segment (knee to spinal cord) of the peroneal and tibial nerves in contrast to the conventional motor nerve conduction velocity (MNCV) in the distal segment (knee to ankle). In 33 normal subjects, the FWCV in the central segmen...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1975-11-01 00:00:00
abstract：:The influence of the posterior vertebral ligamentous and bony elements on the sagittal range of motion of the lumbar spine has been investigated by observing the effects of sectioning ligaments and pedicles in 17 cadavers of both sexes with an age range from 14 to 78 years. The main investigation showed that the apoph...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1983-07-01 00:00:00
