Foot pressures during level walking are strongly associated with pressures during other ambulatory activities in subjects with diabetic neuropathy.

Abstract:

OBJECTIVE:To assess the relationship between foot pressures measured during level walking and other types of ambulatory activity in subjects with diabetes mellitus (DM) and peripheral neuropathy (PN). DESIGN:Descriptive survey with repeated measures. SETTING:University medical center. PARTICIPANTS:Convenience sample of 16 ambulatory subjects with DM and PN. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Peak pressure and pressure-time integral (PTI) at the heel, great toe, first metatarsal head (MT1), and third metatarsal head (MT3) during level walking, ramp climbing, stair climbing, and turning at a self-selected speed. RESULTS:Peak pressure and PTI during level walking correlated highly with pressures during ramp climbing (r range,.85-.97) and turning (r range,.75-.96) at all regions examined and with pressures during stair climbing at MT1 and MT3 (r range,.84-.91). Correlations between pressures during level walking and stair climbing were moderate at the great toe (r range,.46-.57) and poor at the heel (r range, -.12 to -.06). With few exceptions, pressures during ramp climbing, stair climbing, and turning were less than (P<.008) or equal to pressures during level walking. We found no activity-related differences in peak pressure or PTI independent of the effects of preferred walking speed. CONCLUSIONS:Results support the clinical evaluation of peak pressure during level walking as an efficient method to screen for maximum levels of stress on the foot as patients with DM and PN perform their daily activities.

journal_name

Arch Phys Med Rehabil

authors

Maluf KS,Morley RE Jr,Richter EJ,Klaesner JW,Mueller MJ

doi

10.1016/j.apmr.2003.06.004

subject

Has Abstract

pub_date

2004-02-01 00:00:00

pages

253-60

issue

2

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(03)00898-0

journal_volume

85

pub_type

杂志文章
  • Early detection of heterotopic ossification in young patients with traumatic brain injury.

    abstract::Heterotopic ossification (HO) is frequently a complication in patients with severe head injury, impeding the rehabilitation process. Detection of HO is often delayed until the appearance of clinical manifestations. To better characterize the frequency and distribution of HO, a three-year prospective study at a pediatr...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Citta-Pietrolungo TJ,Alexander MA,Steg NL

    更新日期:1992-03-01 00:00:00

  • Comparison of virtual wheelchair driving performance of people with traumatic brain injury using an isometric and a conventional joystick.

    abstract:UNLABELLED:Cooper RA. Comparison of virtual wheelchair driving performance of people with traumatic brain injury using an isometric and a conventional joystick. OBJECTIVE:To compare wheelchair driving performance in a driving simulator using a conventional joystick and an isometric joystick. DESIGN:Randomized, cohort...

    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.2011.03.011

    authors: Mahajan H,Spaeth DM,Dicianno BE,Collins DM,Boninger ML,Cooper RA

    更新日期:2011-08-01 00:00:00

  • Electroejaculatory stimulation of a quadriplegic man resulting in pregnancy.

    abstract::Reproductive rehabilitation of men after spinal cord injury has been made possible by the application of assisted ejaculatory techniques such as electroejaculation. Although this technique may predictably overcome the barrier of semen recovery, the problem of seminal dysfunction still remains. This report describes on...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Hirsch IH,Seager SW,Sedor J,King L,Staas WE Jr

    更新日期:1990-01-01 00:00:00

  • Leisure time physical activity in a population-based sample of people with spinal cord injury part II: activity types, intensities, and durations.

    abstract:OBJECTIVE:To describe the types, intensities, and average duration of leisure time physical activities (LTPAs) performed by people with chronic spinal cord injury (SCI). DESIGN:Cross-sectional telephone survey. SETTING:General community. PARTICIPANTS:Men and women with SCI (N=347) who reported engaging in LTPA over ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2009.12.028

    authors: Ginis KA,Arbour-Nicitopoulos KP,Latimer AE,Buchholz AC,Bray SR,Craven BC,Hayes KC,Hicks AL,McColl MA,Potter PJ,Smith K,Wolfe DL

    更新日期:2010-05-01 00:00:00

  • Measuring mobility limitations in children with cerebral palsy: development, scalability, unidimensionality, and internal consistency of the mobility questionnaire, MobQues47.

    abstract:OBJECTIVES:To develop a questionnaire that specifically and comprehensively measures mobility limitations in children with cerebral palsy (CP) and to investigate certain psychometric properties (scalability, unidimensionality, internal consistency) of this questionnaire. DESIGN:Cross-sectional study. SETTING:Private ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2010.05.009

    authors: Roorda LD,Scholtes VA,van der Lee JH,Becher J,Dallmeijer AJ

    更新日期:2010-08-01 00:00:00

  • Greater trochanteric pain syndrome: epidemiology and associated factors.

    abstract:OBJECTIVES:To describe the prevalence of greater trochanteric pain syndrome (GTPS); to determine whether GTPS is associated with iliotibial band (ITB) tenderness, knee osteoarthritis (OA), body mass index (BMI), or low back pain (LBP); and to assess whether GTPS is associated with reduced hip internal rotation, physica...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.apmr.2007.04.014

    authors: Segal NA,Felson DT,Torner JC,Zhu Y,Curtis JR,Niu J,Nevitt MC,Multicenter Osteoarthritis Study Group.

    更新日期:2007-08-01 00:00:00

  • Development of Composite Scores for the TBI-QOL.

    abstract:OBJECTIVE:To develop a set of composite scores that can be used for interpreting quality of life (QOL) after traumatic brain injury (TBI) using 9 of the patient-reported outcomes measures from the Traumatic Brain Injury Quality of Life (TBI-QOL) measurement system. DESIGN:Participants completed 20 item banks from the ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.apmr.2018.05.036

    authors: Tyner CE,Boulton AJ,Sherer M,Kisala PA,Glutting JJ,Tulsky DS

    更新日期:2020-01-01 00:00:00

  • Segmental H-reflex studies in upper and lower limbs of healthy subjects.

    abstract::The H-reflex has been recorded from the flexor carpi radialis muscle in the upper limb and vastus medialis (quadriceps) muscle in the lower limb in relaxed healthy subjects. The characteristics of these reflexes have been compared with those of the soleus H-reflexes, recorded with the same technique, and similar behav...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Sabbahi MA,Khalil M

    更新日期:1990-03-01 00:00:00

  • Medical school effect on student selection of physical medicine and rehabilitation as a specialty.

    abstract::Of the several roads that lead to practice in the specialty of physical medicine and rehabilitation (PM&R), the most common is from a US medical school to a PM&R residency to specialty practice. To reduce the predicted shortage of PM&R physicians, more medical students must be attracted to the specialty. Past studies ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Bender LF,Dijkers MP

    更新日期:1986-11-01 00:00:00

  • Life-Space Assessment and Physical Activity Scale for the Elderly: validity of proxy informant responses.

    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

    authors: Cavanaugh JT,Crawford K

    更新日期:2014-08-01 00:00:00

  • Treatment of pressure ulcers by serial casting in patients with severe spasticity of cerebral origin.

    abstract:OBJECTIVE:To assess the effectiveness of serial casting in the treatment of pressure ulcers caused by severe spasticity. DESIGN:Case series. SETTING:A clinic for the rehabilitation of persons with neurologic disorders. PATIENTS:Nine patients with 11 pressure ulcers resulting from severe cerebral spasticity, the ulce...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1053/apmr.2002.27474

    authors: Pohl M,Rückriem S,Strik H,Hörtinger B,Meissner D,Mehrholz J,Pause M

    更新日期:2002-01-01 00:00:00

  • The contribution of job satisfaction to the transition from acute to chronic low back pain.

    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

    authors: Williams RA,Pruitt SD,Doctor JN,Epping-Jordan JE,Wahlgren DR,Grant I,Patterson TL,Webster JS,Slater MA,Atkinson JH

    更新日期:1998-04-01 00:00:00

  • Failure to complete a functional restoration program for chronic musculoskeletal disorders: a prospective 1-year outcome study.

    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

    authors: Proctor TJ,Mayer TG,Theodore B,Gatchel RJ

    更新日期:2005-08-01 00:00:00

  • Gait analysis with cognitive-motor dual tasks to distinguish fallers from nonfallers among rehabilitating stroke patients.

    abstract:OBJECTIVES:To evaluate fall risk in stroke patients based on single- and dual-task gait analyses, and to investigate the difference between 2 cognitive tasks in the dual-task paradigm. DESIGN:Prospective cohort study. SETTING:Rehabilitation hospitals. PARTICIPANTS:Subacute stroke patients (N=32), able to walk withou...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2012.11.023

    authors: Baetens T,De Kegel A,Palmans T,Oostra K,Vanderstraeten G,Cambier D

    更新日期:2013-04-01 00:00:00

  • Electromyographic feedback: effect on voluntary muscle contractions in paretic subjects.

    abstract::To evaluate the efficacy and function of emg feedback (emgFB) in muscle reeducation, skeletal muscle contractions with and without emgFB were compared under controlled experimental conditions in human subjects with paresis due to brain damage (n=6) or peripheral nervous system damage (n=6). Each subject was instructed...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Middaugh SJ,Miller MC

    更新日期:1980-01-01 00:00:00

  • Physical training program for rehabilitating extremely obese patients.

    abstract::Performance records of 22 extremely obese adult patients undergoing physical rehabilitation in a multi-disciplinary program were used to devise three progressive training protocols to which patients can be individually assigned. These protocols include "fastest pace" walking and jogging and are designed to rehabilitat...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Foss ML,Lampman RM,Schteingart D

    更新日期:1976-09-01 00:00:00

  • Prescribed versus actual length of stay and inpatient neurorehabilitation outcome for brain dysfunctional patients.

    abstract:OBJECTIVE:To determine (1) whether brain dysfunctional patients have better rehabilitation outcomes if they receive prescribed length of stay (LOS) versus less than prescribed and (2) if LOS and cognitive status relate to goal attainment. DESIGN:Prospective inception cohort study. STUDY SETTING:Medical center and a n...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(97)90428-7

    authors: Prigatano GP,Wong JL,Williams C,Plenge KL

    更新日期:1997-06-01 00:00:00

  • Effect of a gentle Iyengar yoga program on gait in the elderly: an exploratory study.

    abstract:OBJECTIVE:To determine if a tailored yoga program could improve age-related changes in hip extension, stride length, and associated indices of gait function in healthy elders, changes that have been linked to increased risk for falls, dependency, and mortality in geriatric populations. DESIGN:Single group pre-post tes...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2005.03.011

    authors: DiBenedetto M,Innes KE,Taylor AG,Rodeheaver PF,Boxer JA,Wright HJ,Kerrigan DC

    更新日期:2005-09-01 00:00:00

  • Urinary manometry in patients with spinal cord injury: neurourological considerations in the rehabilitation of acute and chronic neurogenic bladder.

    abstract::Recordings of pressure within the bladder, urethra, rectum, and external anal sphincter with image intensification and videotaping were carried out in spinal cord injury patients with complete and incomplete lesions, during spinal shock and in the chronic stage. The behavior of the external urethral sphincter and the ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Rossier AB,Ott R,Roussan MS

    更新日期:1975-05-01 00:00:00

  • "Subclinical" orthostatic hypotension is associated with dizziness in elderly patients with Parkinson disease.

    abstract:OBJECTIVE:To investigate risk factors associated with subjective complaints of dizziness in 12 elderly patients with Parkinson disease (PD), in whom no obvious cause for this symptom could be found. DESIGN:A case-controlled study, with patients prospectively recruited in a nonblinded fashion. SETTING:Patients were se...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(96)90013-1

    authors: Hillen ME,Wagner ML,Sage JI

    更新日期:1996-07-01 00:00:00

  • Effect of intrathecal baclofen bolus injection on lower extremity joint range of motion during gait in patients with acquired brain injury.

    abstract:UNLABELLED:Horn TS, Yablon SA, Chow JW, Lee JE, Stokic DS. Effect of intrathecal baclofen bolus injection on lower extremity joint range of motion during gait in patients with acquired brain injury. OBJECTIVES:To evaluate lower extremity joint range of motion (ROM) during gait before and after intrathecal baclofen (IT...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.apmr.2009.08.148

    authors: Horn TS,Yablon SA,Chow JW,Lee JE,Stokic DS

    更新日期:2010-01-01 00:00:00

  • The comprehensive treatment team in rehabilitation.

    abstract::Rehabilitation has prospered in the last several years, but that prosperity is threatened by competition, manpower shortages, continuing preoccupation with costs, and government deliberations about funding changes. The comprehensive treatment team has been the foundation of rehabilitation, but its appropriateness has ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,评审

    doi:

    authors: Keith RA

    更新日期:1991-04-01 00:00:00

  • Functional electric stimulation-assisted rowing: Increasing cardiovascular fitness through functional electric stimulation rowing training in persons with spinal cord injury.

    abstract:OBJECTIVES:To assess changes in peak functional aerobic power after a 36-session, progressive functional electric stimulation (FES) rowing hybrid training program for persons with spinal cord injury (SCI) and to examine the safety and acceptability of the ROWSTIM II device as well as the integrity of technical modifica...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1053/apmr.2002.33656

    authors: Wheeler GD,Andrews B,Lederer R,Davoodi R,Natho K,Weiss C,Jeon J,Bhambhani Y,Steadward RD

    更新日期:2002-08-01 00:00:00

  • Rehabilitation of an adult with disabilities due to congenital sensory neuropathy.

    abstract::A 37-year-old woman presented with congenital loss of all peripheral sensory modalities, sparing only her face, paraspinal area and proximal limbs. She was otherwise neurologically normal. Her sensory neuropathy was complicated by autoamputation of phalanges, pathologic fractures, failed total hip replacement, burns, ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Nance PW,Kirby RL

    更新日期:1985-02-01 00:00:00

  • Predictive value of fear avoidance in developing chronic neck pain disability: consequences for clinical decision making.

    abstract:OBJECTIVE:To improve clinical decision making in posttraumatic neck pain by investigating the additional value of fear-avoidance variables in predicting chronic neck pain disability. DESIGN:An inception cohort with baseline assessment 1 week posttrauma and outcome assessment 24 weeks posttrauma. Predictive factors inc...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2003.06.019

    authors: Nederhand MJ,Ijzerman MJ,Hermens HJ,Turk DC,Zilvold G

    更新日期:2004-03-01 00:00:00

  • Cardiac pacemaker inhibition by transcutaneous electrical nerve stimulation.

    abstract::The use of transcutaneous electrical nerve stimulation (TENS) has increased in recent years for the management of chronic pain. One of its few contraindications is the presence of a cardiac pacemaker. Clinicians have recommended that cardiac monitoring be performed for a short interrupted period during the first appli...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Chen D,Philip M,Philip PA,Monga TN

    更新日期:1990-01-01 00:00:00

  • Magnetic resonance imaging related to neurologic outcome in cervical spinal cord injury.

    abstract::The purpose of this study was to examine the relationship between the initial intramedullary hemorrhage, as seen by magnetic resonance imaging (MRI), and the neurologic deficit and eventual neurologic outcome of acute cervical spinal cord injured subjects. MRI and motor assessments were performed on 24 subjects with m...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Marciello MA,Flanders AE,Herbison GJ,Schaefer DM,Friedman DP,Lane JI

    更新日期:1993-09-01 00:00:00

  • Whole body oxygen uptake and evoked torque during subtetanic isometric electrical stimulation of the quadriceps muscles in a single 30-minute session.

    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

    authors: Minogue CM,Caulfield BM,Lowery MM

    更新日期:2014-09-01 00:00:00

  • Wheelchair Breakdowns Are Associated With Pain, Pressure Injuries, Rehospitalization, and Self-Perceived Health in Full-Time Wheelchair Users With Spinal Cord Injury.

    abstract:OBJECTIVES:To evaluate the relation between wheelchair breakdowns, their immediate consequences, and secondary health complications after spinal cord injury. "Immediate consequences" occur when part of a wheelchair breaks and leaves an individual stranded or injured, or causes him or her to miss medical appointments, w...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2018.04.002

    authors: Hogaboom NS,Worobey LA,Houlihan BV,Heinemann AW,Boninger ML

    更新日期:2018-10-01 00:00:00

  • Major and minor depression after traumatic brain injury.

    abstract:OBJECTIVE:To examine minor as well as major depression at 1 year posttraumatic brain injury (TBI), with particular attention to the contribution of depression severity to levels of societal participation. DESIGN:Observational prospective study with a 2-wave longitudinal component. SETTING:Inpatient rehabilitation cen...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.apmr.2011.03.005

    authors: Hart T,Brenner L,Clark AN,Bogner JA,Novack TA,Chervoneva I,Nakase-Richardson R,Arango-Lasprilla JC

    更新日期:2011-08-01 00:00:00