Abstract:
OBJECTIVE:To investigate whether body weight-supported treadmill training (BWSTT) is of long-term benefit for patients with Parkinson's disease (PD). DESIGN:Randomized controlled trial. SETTING:Inpatient rehabilitation unit for neurologic diseases in Japan. PARTICIPANTS:Twenty-four patients (Hoehn and Yahr stages 2.5 or 3) who were not demented (Mini-Mental State Examination score, >27). INTERVENTIONS:Patients were randomized to receive either a 45-minute session of BWSTT (up to 20% of body weight supported) or conventional physical therapy (PT) for 3 days a week for 1 month. MAIN OUTCOME MEASURES:Outcome measures were evaluated at baseline and at 1, 2, 3, and 6 months. Measures included the Unified Parkinson's Disease Rating Scale (UPDRS), ambulation speed (s/10 m), and number of steps taken for a 10-m walk as a parameter for stride length. RESULTS:Four patients needed modification of medications in the follow-up period. Twenty patients (BWSTT, n=11; PT, n=9) without modified medications were analyzed for functional outcome. Age, duration of PD, gender, and doses of medications were comparable. There was no difference in the baseline UPDRS (BWSTT=33.3; PT=32.6), speed (BWSTT=10.8; PT=11.5), and steps (BWSTT=23.4; PT=22.8). The BWSTT group had significantly greater improvement than the PT group (Mann-Whitney U test, Bonferroni adjustment for multiple comparison) in ambulation speed at 1 month (BWSTT=8.5; PT=10.8; P<.005); and in the number of steps at 1 (BWSTT=20.0; PT=22.7; P<.005), 2 (BWSTT=19.5; PT=22.4; P<.005), 3 (BWSTT=20.1; PT=23.1; P<.005), and 4 months (BWSTT=21.0; PT=23.0; P=.006). CONCLUSIONS:BWSTT has a lasting effect specifically on short-step gait in PD.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Miyai I,Fujimoto Y,Yamamoto H,Ueda Y,Saito T,Nozaki S,Kang Jdoi
10.1053/apmr.2002.34603subject
Has Abstractpub_date
2002-10-01 00:00:00pages
1370-3issue
10eissn
0003-9993issn
1532-821Xpii
S0003-9993(02)00053-9journal_volume
83pub_type
临床试验,杂志文章,随机对照试验abstract:OBJECTIVE:To determine the extent to which job satisfaction predicts pain, psychological distress, and disability 6 months after an initial episode of low back pain (LBP). DESIGN:A longitudinal design was used to follow an inception cohort experiencing first-episode low back pain with assessment at 2 and 6 months afte...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(98)90135-6
更新日期:1998-04-01 00:00:00
abstract::To determine electrical criteria which might be helpful in the diagnosis of ulnar nerve entrapment at the elbow, clinical and electrodiagnostic features in 78 patients with suspected ulnar nerve entrapment at the elbow are described and compared to the results of sensory and motor conduction in the ulnar nerve in a co...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1976-05-01 00:00:00
abstract::Symptomatic postpolio patients report improved function when they pace their activities, but this has never been objectively assessed. The purpose of this study was to determine whether seven symptomatic postpolio subjects would (1) have less evidence of local muscle fatigue and recover strength more readily when they...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1991-11-01 00:00:00
abstract:OBJECTIVE:To validate the administration of the Life-Space Assessment (LSA) and Physical Activity Scale for the Elderly (PASE) surveys to proxy informants, as would be necessary when measuring long-term outcomes in acutely ill, hospitalized older adults who are initially incapacitated but eventually return to the commu...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2014.03.027
更新日期:2014-08-01 00:00:00
abstract:OBJECTIVE:The ability to measure and visualize shape change (deformation) of a residual limb within and between prostheses is an important step toward improved prosthetic fit assessment. The objective was to develop measurement and visualization methods for below-knee residual limb soft tissue shape change after donnin...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(98)90355-0
更新日期:1998-07-01 00:00:00
abstract::After multiple hospital admissions and an inpatient rehabilitation stay, a 68-year-old woman was transferred to our rehabilitation facility with a paraparesis of unknown etiology. Previous studies included four CT scans and three MRIs which did not demonstrate the lesion. A myelogram was noncharacteristic. The correct...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1991-03-01 00:00:00
abstract:OBJECTIVE:To examine how intraindividual changes in ambulation characteristics may be used to predict falls. DESIGN:Longitudinal study design. SETTING:Assisted living facility. PARTICIPANTS:Ambulatory older adults (N=26; mean age, 79y). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Continuous measure of aver...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2016.05.013
更新日期:2016-11-01 00:00:00
abstract::The absorption characteristics of drugs in spinal cord injury (SCI) were studied using an actively transported drug [riboflavin (RBF)] and a passively absorbed drug [acetaminophen (ACE)]. RBF absorption was studied following oral administration of 150mg RBF as 5'-phosphate flavin mononucleotide in ten clinically compl...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1985-05-01 00:00:00
abstract:OBJECTIVE:To assess the psychometric properties of a scale for spatial neglect in everyday life. DESIGN:Validation study. SETTING:A neurologic rehabilitation unit in a university hospital. PARTICIPANTS:Eighty-three consecutive right-hemisphere stroke patients. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Th...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2003.50062
更新日期:2003-01-01 00:00:00
abstract::To study the relationship between isokinetic and isometric torque, maximum voluntary contractions were elicited from 352 male volunteers. Knee extensors, knee flexors, elbow extensors, and elbow flexors were tested isometrically and at isokinetic velocities of 30 degrees/sec, 90 degrees/sec, and 180 degrees/sec on a m...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1980-02-01 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:To document parental reports about pain in children with cerebral palsy (CP). DESIGN:A cross-sectional descriptive study. SETTING:Motion analysis laboratory. PARTICIPANTS:Seventy-seven ambulatory children with CP (44 boys, 33 girls; age range, 3-17y) presenting as consecutive assessments. INTERVENTIONS:No...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2006.02.023
更新日期:2006-07-01 00:00:00
abstract::A mathematical model that predicts the thermal response of tissue during and after the application of localized pressure is described. The model predictions compare favorably with previously obtained experimental results. It is inferred that the principal cause of the transient temperature rise occurring after pressur...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1980-08-01 00:00:00
abstract::Surface pressure measurements of human body weight as distributed on 4 different commercial beds were examined. Sixty-five water-filled bladders connected to pressure transducers were employed to measure the pressure distribution patterns of the human body. These pressure measuring bladders were distributed on a sheet...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1980-09-01 00:00:00
abstract:OBJECTIVE:To examine survival and community discharge outcomes related to rehabilitation services among patients admitted to nursing homes before the implementation of the Balanced Budget Amendment of 1997. DESIGN:Retrospective cohort. SETTING:A total of 945 Medicaid-certified nursing homes in Ohio. PARTICIPANTS:A t...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(03)00149-7
更新日期:2003-08-01 00:00:00
abstract:OBJECTIVE:To identify differences in earnings after spinal cord injury (SCI) attributable to demographic factors, injury severity, and education using a regression model that accounts for employment status, conditional earnings (earnings of those employed only), and unconditional earnings (earnings from employment for ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2006.07.254
更新日期:2006-10-01 00:00:00
abstract:OBJECTIVE:To evaluate the effect of depression on functional recovery in geriatric patients who have completed an inpatient rehabilitation program. DESIGN:Prospective cohort study. SETTING:Inpatient rehabilitation unit of a university-affiliated geriatric hospital. PARTICIPANTS:Convenience sample of patients (N=65; ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2016.07.014
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVES:To quantify electromyographic and neurographic changes and to correlate them with the clinical data of outpatients with herpes zoster. DESIGN:Prospective case series. SETTING:Outpatient department. PATIENTS:A consecutive, unselected series of 158 outpatient cases (88 women, 70 men; mean age, 64y) of herpe...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2002.33989
更新日期:2002-09-01 00:00:00
abstract::Two cases of ulnar nerve lesions at the wrist are reported. The lesions had an acute onset and exclusively impaired the ulnar motor deep branch. The coexistence of carpal tunnel syndrome in each case allowed an early diagnosis but was somewhat misleading. In both cases, the use of classic motor and sensory conduction ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(99)90042-4
更新日期:1999-10-01 00:00:00
abstract:OBJECTIVE:To characterize the association between traumatic brain injury (TBI) and chronic pain and pain disability in the context of comorbid conditions, posttraumatic stress disorder (PTSD), and depression to better inform care of combat veterans. DESIGN:Retrospective cohort study. SETTING:Medical centers and commu...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2017.03.026
更新日期:2017-08-01 00:00:00
abstract:OBJECTIVE:To determine if bone mineral density (BMD) is associated with the probability of stress fractures in premenopausal women. DESIGN:Case-control study. SETTING:Large Army post, Fort Lewis, WA. PARTICIPANTS:Twenty-seven active duty Army women with documented stress fractures within the last 2 years and 158 fem...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(00)90225-9
更新日期:2000-01-01 00:00:00
abstract::A 12-week high resistance home exercise program was completed by 10 subjects with slowly progressive neuromuscular diseases (NMD) and 6 normal control subjects (CTL). After evaluating baseline maximal isometric and isokinetic strength of the elbow flexors and knee extensors, subjects completed the home program using a...
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:1994-05-01 00:00:00
abstract:OBJECTIVE:To provide a quantitative synthesis of randomized controlled trials (RCTs) examining the effect of exercise training on muscular and cardiorespiratory fitness in persons with multiple sclerosis (MS). DATA SOURCES:Three electronic databases, PubMed, Google Scholar, and Web of Science, were searched for all re...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.apmr.2016.01.023
更新日期:2016-09-01 00:00:00
abstract::This study was undertaken to determine whether adaptations to short-term exercise training after myocardial infarction, could affect the response of heart rate, blood pressure and double product at submaximal workload, and the behavior of electrocardiographic ST segment depression. We studied 60 patients (group A) who...
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(95)80613-x
更新日期:1995-03-01 00:00:00
abstract::To analyze the factors that influence the conditioning of monosynaptic reflexes by the Jendrassik maneuver, the latter was replaced by a rapid, isolated, reproducible contraction of the wrist extensors; this procedure facilitated reflexes as effectively as the classical Jendrassik maneuver. The results were expressed ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1980-11-01 00:00:00
abstract::This essay complements the scientific and practice scope of the American Academy of Neurology Guideline on Disorders of Consciousness by providing a discussion of the ethical, palliative, and policy aspects of the management of this group of patients. We endorse the renaming of "permanent" vegetative state to "chronic...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2018.07.003
更新日期:2018-09-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.apmr.2012.07.020
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:To examine the relation between pain on weight bearing, lower-extremity muscle strength, and physical function among older Mexican Americans. DESIGN:Cross-sectional study. SETTING:Five Southwestern states: Texas, New Mexico, Colorado, Arizona, and California. PARTICIPANTS:A population-based sample of 544 n...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2004.12.038
更新日期:2005-07-01 00:00:00
abstract::Depending on the severity of the clinical problem, three categories of treatment--home, outpatient and hospital--were utilized in 82 patients whose conditions met the strict criteria for cervical radiculitis. Details of the clinical picture, laboratory findings, electromyographic examinations, category and results of ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1976-01-01 00:00:00
abstract:OBJECTIVE:To examine the effectiveness of aquatic exercise training on fatigue and health-related quality of life (HRQOL) in women with multiple sclerosis (MS). DESIGN:Randomized controlled trial, 4-week and 8-week follow-up. SETTING:Referral center of a multiple sclerosis society. PARTICIPANTS:Women (N=32) diagnose...
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.2012.05.006
更新日期:2012-10-01 00:00:00