Abstract:
OBJECTIVE:To characterize the preinjury family functioning, emotional distress, and social support of caregivers of persons with traumatic brain injury (TBI). DESIGN:Inception cohort. SETTING:Three Traumatic Brain Injury Model Systems centers' inpatient rehabilitation facilities. PARTICIPANTS:One hundred ninety-one caregivers, primarily white and female, of persons with TBI. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:The Brief Symptom Inventory, Family Assessment Device, Multidimensional Scale of Perceived Social Support, and history of medical and psychiatric illness. RESULTS:Thirty-seven percent of caregivers indicated symptoms of emotional distress consistent with psychiatric diagnoses for the month before injury, whereas 27% reported a history of psychiatric or psychologic treatment at some point in the past. Between 25% and 33% of caregivers reported unhealthy family functioning in 1 or more areas for the month before injury. Persons with an annual income less than US dollars 10,000 reported less healthy preinjury family functioning. Caregivers reported good satisfaction with preinjury social support, and very few caregivers reported a history of substance abuse. CONCLUSION:A substantial proportion of caregivers reported emotional distress and/or unhealthy family functioning before injury. Such difficulties may make them more vulnerable to the stress associated with injury and result in greater coping difficulties.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Sander AM,Sherer M,Malec JF,High WM Jr,Thompson RN,Moessner AM,Josey Jdoi
10.1053/apmr.2003.50105subject
Has Abstractpub_date
2003-02-01 00:00:00pages
197-203issue
2eissn
0003-9993issn
1532-821Xpii
S0003-9993(02)04923-7journal_volume
84pub_type
杂志文章,多中心研究abstract:OBJECTIVE:To investigate changes in axonal flow after nerve root compression by using immunohistochemical techniques to detect calcitonin gene-related peptide (CGRP), which is thought to be involved in pain sensation. DESIGN:Experimental, controlled study. SETTING:University medical school in Japan. ANIMALS:Forty ad...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2004.03.037
更新日期:2005-03-01 00:00:00
abstract::To assess the value of exercise training after traumatic brain injury (TBI), 14 sedentary adults with TBI performed a supervised circuit training program three times per week for 16 consecutive weeks. The program was designed to include equal volumes of both aerobic and neuromuscular training to increase the subjects'...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1990-06-01 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::A commercial arm-leg ergometer was adapted so that combined bilateral arm-single leg work could be performed by unilateral lower extremity amputees from their own wheelchairs. Three middle-aged to elderly unilateral amputees performed progressive discontinuous bilateral arm crank and combined bilateral arm-single leg ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1987-04-01 00:00:00
abstract:OBJECTIVE:To evaluate and compare three powered feeding devices (Beeson, Handy 1, Winsford) as perceived by disabled individuals who require assistance with eating. DESIGN:Subjects and assistants were surveyed after using each device and serving their own controls. The order in which the devices were used was balanced...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(99)90022-9
更新日期:1999-10-01 00:00:00
abstract::A standardized method of obtaining distal motor latencies of the medial and lateral plantar nerves over fixed distances with temperature correction in 37 normal subjects is presented. The posterior tibial nerve was supramaximally stimulated 6, 8, 10, 12 and 14cm proximal to the active electrode over the motor point of...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1980-06-01 00:00:00
abstract:OBJECTIVE:To evaluate the effects of functional electric stimulation (FES) of lower limb muscles during 30 minutes of upright standing on the central and peripheral hemodynamic response in persons with spinal cord injury (SCI). DESIGN:A repeated-measure design. Subjects were used as their own control and underwent 2 t...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2001.25984
更新日期:2001-11-01 00:00:00
abstract::This paper outlines a suggested protocol for community exercise programs for the rehabilitation of patients with coronary heart disease. Information presented is based on more than seven years of experience gained by the Cardio-Pulmonary Research Institute through programs in Seattle, Mercer Island, and Yakima, WA, an...
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:This study was performed to compare the effects of a vapocoolant spray and a eutectic mixture of local anesthetics (EMLA) cream on reducing pain during intra-articular (IA) injection of the shoulder. DESIGN:Double-blind randomized placebo-controlled clinical trial. SETTING:University hospital. PARTICIPANTS...
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.2020.04.021
更新日期:2020-10-01 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 examine the effect of whole-body vibration (WBV) on running biomechanics in individuals with anterior cruciate ligament reconstruction (ACLR). DESIGN:Single-blind randomized crossover trial. SETTING:Research laboratory. PARTICIPANTS:Individuals (N=20) with unilateral ACLR (age [± SD]=22.3 [±3.3] years; ...
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.2017.11.019
更新日期:2018-05-01 00:00:00
abstract:OBJECTIVE:To evaluate a strategy of home-based testing to diagnose sleep-disordered breathing and nocturnal hypercapnia in individuals with spinal cord injury (SCI). DESIGN:Case series. SETTING:Referral center. PARTICIPANTS:Adults with C1-T6 SCI (N=81). Individuals were eligible if ≥ 18 years old, with SCI of ≥ 3 mo...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2015.07.026
更新日期:2016-03-01 00:00:00
abstract:OBJECTIVES:To conduct a pilot study of weight-supported ambulation training after incomplete spinal cord injury (SCI), and to assess its safety. DESIGN:Quasiexperimental, repeated measures, single group. SETTING:Veterans Affairs medical center. PATIENTS:Three subjects with incomplete, chronic, thoracic SCIs; 2 class...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1053/apmr.2001.23198
更新日期:2001-06-01 00:00:00
abstract:OBJECTIVE:To test the long-term benefits of several noninvasive systems for functional electrical stimulation (FES) during walking. DESIGN:Forty subjects (average years since injury, 5.4) were studied in four centers for an average time of 1 year. Gait parameters were tested for all subjects with and without FES. Thus...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/s0003-9993(99)90188-0
更新日期:1999-05-01 00:00:00
abstract:OBJECTIVE:To determine the interrater reliability of the Donovan system for classification of pain in spinal cord injury (SCI) as well as the clinician-based usefulness of each of the classification criteria used in the Donovan system. DESIGN:Information pertinent to the Donovan system was provided incrementally by vi...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2002.33636
更新日期:2002-09-01 00:00:00
abstract:OBJECTIVES:To determine whether the International Classification of Functioning, Disability and Health (ICF) categories relevant to spinal cord injury (SCI) can be integrated in clinical measures and to obtain insights to guide their future operationalization. Specific aims are to find out whether the ICF categories re...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2014.05.006
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVE:To investigate in vitro the effect of different on-off electrostimulation times on the fatigue of 2 pelvic muscles, the iliococcygeus and pubococcygeus (mainly fast), and the soleus muscle of the limb (mainly slow). DESIGN:Nonrandomized controlled trial and before-after trial. SETTINGS:In vitro study in tis...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2002.30925
更新日期:2002-04-01 00:00:00
abstract::Compensation by the unaffected upper extremity (UE) was studied in stroke patients who were unable to use the affected UE. The main aim was to evaluate the need of teaching compensatory techniques to stroke patients during rehabilitation of UE function. The study was prospective and community based and included 636 co...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/0003-9993(94)90108-2
更新日期:1994-08-01 00:00:00
abstract::Total activity of creatine kinase (CK), lactate dehydrogenase (LD), aldolase (Ald), glutamico-oxaloacetic transaminase (GOT), and LD-isoenzyme distribution was studied in serum and muscle biopsies from normal persons and 117 patients with different types of muscular dystrophy: 82 Duchenne type (DMD), 12 BEcker type, 7...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1981-06-01 00:00:00
abstract:OBJECTIVE:To evaluate the efficacy of 9 weeks of twice-weekly partial body weight-supported treadmill training (PBWSTT) for children with cerebral palsy (CP) and moderate to severe walking difficulty compared with overground walking. DESIGN:Randomized controlled trial. SETTING:Metropolitan Specialist School for child...
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.2009.10.029
更新日期:2010-03-01 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:OBJECTIVE:To investigate whether changes over time are different in a weight-bearing leg muscle than in a less heavily used arm muscle. DESIGN:Prospective study. SETTING:University hospital laboratory. PARTICIPANTS:Twenty-three patients with a history of poliomyelitis. INTERVENTION:Two investigations were performed...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2003.08.101
更新日期:2004-07-01 00:00:00
abstract::The purpose of this study was to determine the effects of 8 weeks of circuit strength training (CST) followed by 8 weeks of jogging and then 8 weeks, of CST or jogging. During the final 8 weeks, the subjects were randomly assigned to either CST or jogging groups. The subjects (n=16, x age = 29 yrs) exercised 3 days/we...
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:1979-03-01 00:00:00
abstract:OBJECTIVE:To determine which variables influence the receipt of physical rehabilitation services (ie, physical, occupational, speech therapy) for a population of people with chronic and disabling conditions. DESIGN:A convenience sample of 502 adults with cerebral palsy (CP), multiple sclerosis (MS), and spinal cord in...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2007.08.122
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:To assess the role of magnetic resonance imaging, specifically magnetic resonance spectroscopy (MRS) and susceptibility-weighted imaging (SWI), in the evaluation of children with traumatic brain injury (TBI). DATA SOURCES:Literature review and data from our recently published clinical studies. STUDY SELECTI...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/j.apmr.2006.07.275
更新日期:2006-12-01 00:00:00
abstract::Heterotopic ossification and deep-venous thrombosis can coexist. This raises potential problems because diagnosis depends heavily on imaging studies, and an ideal imaging study which will cost-effectively and noninvasively diagnose both conditions simultaneously is not readily available. A case of coexistent heterotop...
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 evaluate whether amitriptyline is more effective than placebo in improving phantom limb pain or residual limb pain. DESIGN:Randomized controlled trial of amitriptyline for 6 weeks. SETTING:University hospital. PARTICIPANTS:Thirty-nine persons with amputation-related pain lasting more than 6 months. INT...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1016/s0003-9993(03)00476-3
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVE:To compare comprehensively the likelihood of various socioeconomically relevant outcomes between functional restoration completers and noncompleters, while simultaneously identifying risk factors for noncompletion. DESIGN:A prospective cohort study of patients with chronic disabling occupational musculoskele...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2005.02.010
更新日期:2005-08-01 00:00:00
abstract:OBJECTIVE:To investigate the relation between duration of posttraumatic amnesia (PTA) and functional outcome in a traumatically brain injured population. PATIENTS:Two hundred seventy-six patients with traumatic brain injury (TBI) who were admitted to a Level I university trauma center and required inpatient rehabilita...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(97)90135-0
更新日期:1997-10-01 00:00:00
abstract::Twenty-seven normal, healthy women participated in this study, which investigated three methods of increasing the isometric strength of the quadriceps femoris through a six-week training program. Three experimental exercise groups were formed: A, eccentric, B, concentric, and C, isometric. The peak isometric torque of...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1985-03-01 00:00:00