Abstract:
OBJECTIVE:To investigate the characteristics of rehabilitation hospitals and units correlated with gains in motor and cognitive function, after adjusting for case severity of the patients admitted and for length of stay (LOS). DESIGN:The Uniform Data System for Medical Rehabilitation (UDSMR) database was first analyzed to develop a method of adjusting for patient case severity on admission. Rehabilitation programs were surveyed to assess characteristics commonly thought to be associated with efficiency and effectiveness. Data on these characteristics were linked to UDSMR data on patient characteristics and functional gain. SETTING:Seventy-seven rehabilitation hospitals across the United States. PARTICIPANTS:A total of 37,692 inpatients from the participating rehabilitation hospitals. INTERVENTION:Comprehensive rehabilitation programs not altered by researcher. MAIN OUTCOME MEASURES:Program effectiveness was estimated by gains in motor and cognitive subscale scores of the FIM trade mark instrument between admission and discharge, adjusted for indicators of caseload severity at admission. Efficiency was estimated by adjusting gains for LOS as well. RESULTS:Primary factors affecting both motor and cognitive gains included admission function (treated curvilinearly), age, certain diagnostic distinctions, onset-admission interval, admission class, and LOS. Correlations between staffing intensity and numerous other program characteristics with functional gain were meager, each accounting for less than 2% of variance. LOS was predicted by a number of factors, notably by the percentage of managed care cases (r=-.20), but not by staffing intensity. CONCLUSIONS:Relationships between rehabilitation practices and functional gains by patients do not appear to be simple or overt. Continued research is needed to identify reliable connections between rehabilitative processes and patient outcomes in practice.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Johnston MV,Wood KD,Fiedler Rdoi
10.1053/apmr.2003.50009subject
Has Abstractpub_date
2003-03-01 00:00:00pages
410-8issue
3eissn
0003-9993issn
1532-821Xpii
S0003-9993(02)04827-Xjournal_volume
84pub_type
杂志文章abstract:OBJECTIVE:To conduct a systematic review of the impact of different injection-guiding techniques on the effectiveness of botulinum toxin type A (BoNT-A) for the treatment of focal spasticity and dystonia. DATA SOURCES:MEDLINE via PubMed, Academic Search Premier, PASCAL, The Cochrane Library, Scopus, SpringerLink, Web ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/j.apmr.2015.05.002
更新日期:2015-11-01 00:00:00
abstract::This self-directed learning module highlights advances in the management of pain. It is part of the chapter on physiatric therapeutics for the Self-Directed Medical Knowledge Program Study Guide for practitioners and trainees in physical medicine and rehabilitation. This section discusses neuroanatomy and neurophysiol...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1990-03-01 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 evaluate long-term outcomes of a noninvasive cortical stimulation technology in the treatment of fibromyalgia (FM). DESIGN:After trial follow-up survey of subjects who had completed a randomized, controlled, double-blind study of noninvasive cortical stimulation therapy some 45 months previously. SETTING...
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.2012.04.006
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVES:To test the interrater reliability of a standardized method to analyze knee bone mineral density (BMD) using dual-energy x-ray absorptiometry (DXA); to compare spine, hip, and knee BMD of people with spinal cord injury (SCI) with able-bodied controls; and to determine the relation between hip BMD and knee BM...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2005.06.001
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVE:To describe recovery of gait after total hip arthroplasty (THA) based on the assessment of spatiotemporal gait parameters determined with an ambulatory system. DESIGN:A 6-month inception cohort study. SETTING:Inpatient and outpatient setting in an academic hospital. PARTICIPANTS:Sixty-three patients partic...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2006.11.026
更新日期:2007-03-01 00:00:00
abstract:OBJECTIVES:To identify risk and protective factors associated with a history of recurrent pressure ulcers among participants with spinal cord injury (SCI). DESIGN:A mail survey was used to identify factors associated with the presence or absence of recurrent pressure ulcers. SETTING:A large specialty hospital in the ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2003.08.108
更新日期:2004-08-01 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:OBJECTIVE:To derive a normative database for nerve conduction values of the lateral antebrachial cutaneous nerve (LACN) using a large and varied subject population. DESIGN:Descriptive study. SETTING:Private office or university-based clinic. PARTICIPANTS:Volunteers (n = 213), recruited through advertisements, who me...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1053/apmr.2000.9394
更新日期:2000-12-01 00:00:00
abstract:OBJECTIVE:To determine the impact of aerobic exercise on maximal and submaximal cardiopulmonary responses and predictors of change in individuals with Parkinson's disease (PD). DESIGN:Single-center, parallel-group, rater-blind study. SETTING:Research laboratory PARTICIPANTS: Individual's with mild to moderate PD (N=1...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2020.12.011
更新日期:2021-01-13 00:00:00
abstract:OBJECTIVE:To determine whether fear of falling (FoF) and balance improved after a 12-week yoga intervention among older adults. DESIGN:A 12-week yoga intervention single-armed pilot study. SETTING:A retirement community in a medium-sized university town in the Midwest. PARTICIPANTS:A convenience sample of adults (N=...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2009.12.018
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVE:To assess the effect of resistive inspiratory muscle training (RIMT) on the static pulmonary function and sleep-induced breathing disorder of individuals with chronic cervical cord injury. DESIGN:Before-after training. SETTING:Home-setting training program. PATIENTS:Fourteen complete traumatic tetraplegic ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2002.30937
更新日期:2002-04-01 00:00:00
abstract:OBJECTIVE:To determine if nonspecific gastrointestinal (GI) symptoms justify cholecystectomy in patients with spinal cord injury (SCI). DESIGN:The frequency of GI symptoms was determined in a sample of patients with SCI in whom the presence or absence of gallstones had been previously determined by screening ultrasono...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2000.6288
更新日期:2000-08-01 00:00:00
abstract:UNLABELLED:Richards LG, Latham NK, Jette DU, Rosenberg L, Smout RJ, DeJong G. Characterizing occupational therapy practice in stroke rehabilitation. OBJECTIVES:To describe how occupational therapy (OT) activities during stroke inpatient rehabilitation vary by admission functional status and over time and how time spen...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2005.08.127
更新日期:2005-12-01 00:00:00
abstract::Visual imperception denotes the disorders of perceptual functioning commonly associated with unilateral brain injury. Typically the same half of the visual fields of both eyes are affected on the side opposite to that of the brain injury. The disorder may have a sensory or an attentional basis or both, moreover, the p...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1983-10-01 00:00:00
abstract:OBJECTIVE:To test a functional electric stimulation (FES)-assisted exercise therapy system for improvement of motor function of the hemiplegic upper extremity. DESIGN:A before-after trial, with 2-month follow-up. SETTING:A university research laboratory. PARTICIPANTS:A convenience sample of 6 subjects (3 men, 3 wome...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/j.apmr.2003.08.094
更新日期:2004-06-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to determine in Parkinson disease the impact of pulmonary dysfunction on daily living activities (DLA). PATIENTS:Extrapyramidal motor impairment, pulmonary dysfunction, and DLA disabilities were studied in 58 Parkinson patients consecutively enrolled in a rehabilitation service ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(96)90216-6
更新日期:1996-01-01 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:OBJECTIVE:To explore the contributions of children during the development of a disability scale, and their competence using the new scale. DESIGN:A new self-report measure of pediatric physical performance, the Activities Scale for Kids (ASK), was developed based on interviews and pilot testing with children. The ASK ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(95)80066-2
更新日期:1995-10-01 00:00:00
abstract:OBJECTIVES:To study the effect of anodal transcranial direct stimulation (atDCS) of the right dorsolateral prefrontal cortex (DLPFC) on cognitive function and side effects in patients with mild cognitive impairment. DESIGN:Experimental double-blind randomized, sham-controlled trial. SETTING:Department of Rehabilitati...
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.2020.03.023
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVE:To investigate the effects of a physical therapy (PT) program in groups of people with Parkinson's disease (PD). DESIGN:Randomized controlled trial with a crossover design. SETTING:Two outpatient rehabilitation clinics in Boston and Amsterdam, respectively. PARTICIPANTS:Sixty-eight subjects diagnosed with ...
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/j.apmr.2004.08.008
更新日期:2005-04-01 00:00:00
abstract:OBJECTIVE:To evaluate the time course of fatigue in torque output and oxygen uptake during isometric subtetanic neuromuscular electrical stimulation (NMES) to facilitate the design of NMES-based rehabilitation protocols that can accumulate a defined aerobic exercise volume within a given time period. DESIGN:Single-arm...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/j.apmr.2014.04.004
更新日期:2014-09-01 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:OBJECTIVES:To evaluate changes in sleep quality and objectively assessed sleep parameters after traumatic brain injury (TBI) and to investigate the relationship between such changes and mood state and injury characteristics. DESIGN:Survey and laboratory-based nocturnal polysomnography. SETTING:Sleep laboratory. PART...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2007.09.057
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVE:To determine whether an implanted neuroprosthesis for bladder and bowel management is less costly than conventional techniques. DESIGN:Retrospective cost-identification analysis with comparison before and after implantation of the neuroprosthesis. SETTING:Life-care planning interviews in patients' homes. P...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2001.25912
更新日期:2001-11-01 00:00:00
abstract:OBJECTIVE:To examine psychometric properties of the Utrecht Proactive Coping Competence scale (UPCC) and explore relations of proactive coping with health-related quality of life (HRQOL) and characteristics of patients with stroke. DESIGN:Cross-sectional study. Reliability and convergent validity, and associations wit...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2013.11.010
更新日期:2014-04-01 00:00:00
abstract:OBJECTIVES:To (1) compare energy expenditure during seated rest, standing, and prolonged bionic ambulation or bipedal ambulation in participants with spinal cord injury (SCI) and noninjured controls, respectively, and (2) test effects on postbionic ambulation glycemia in SCI. DESIGN:Two independent group comparison of...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2019.07.014
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:To investigate patient preference, walking speed, and prosthetic use in a geriatric population with transfemoral amputation using a free-swinging prosthetic knee or a locked knee joint. DESIGN:Before-after trial. SETTING:Ambulatory patients at an amputee rehabilitation facility. PARTICIPANTS:A convenience ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1053/apmr.2002.27464
更新日期:2002-02-01 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:OBJECTIVES:To determine the clinical usefulness of an electrophysiologic method for evaluating dysphagia and to identify the effects of various head and neck positions on oropharyngeal swallowing. DESIGN:Experimental, with control group. SETTING:An electromyography laboratory. PARTICIPANTS:Patients with neurogenic d...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2001.25156
更新日期:2001-09-01 00:00:00