Abstract:
OBJECTIVE:To investigate interlimb coupling in an adult population with left hemiplegia and an age-matched control group to better understand the unique motor control issues in stroke rehabilitation. DESIGN:A chi-square analysis was performed to compare the distribution of participants adopting a given movement pattern ratio during 2 different bimanual movement tasks for both groups. The task involved oscillating the upper limbs at the elbow in asymmetric patterns, with 1 limb oscillating at twice the frequency of the other. SETTING:Testing was done in the subjects' residences or in an outpatient clinic. PARTICIPANTS:Participants were between the ages of 45 and 75 years (mean +/- standard deviation, 63+/-9.4y), right handed, and included 18 left hemiparetic and 18 control subjects. Selection criteria for the hemiparetic group included status after nonhemorrhagic stroke within the distribution area of the right middle cerebral artery (RMCA). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Relative phase of the upper extremities. RESULTS:The hemiplegic group produced predominantly an in-phase 1-to-1 movement pattern, whereas the control group exhibited antiphase, 2-to-1 movement harmonics and, to a lesser extent, in-phase movement patterns. CONCLUSIONS:This study suggests that brain damage caused by stroke in the RMCA distribution area results in the reduction of selectable interlimb movement patterns. Specifically, bimanual upper extremity movement tended to be highly coupled in an in-phase movement pattern. Research is needed to examine the ability of stroke survivors to learn bilateral upper-extremity tasks at less stable levels of interlimb coupling.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Rice MS,Newell KMdoi
10.1016/j.apmr.2003.08.084subject
Has Abstractpub_date
2004-04-01 00:00:00pages
629-34issue
4eissn
0003-9993issn
1532-821Xpii
S0003-9993(03)01029-3journal_volume
85pub_type
杂志文章abstract:OBJECTIVES:To assess changes in participation in society (frequency, restrictions, satisfaction) during and after cardiac rehabilitation (CR) and to assess associations between participation and heath-related quality of life (HRQOL). DESIGN:Prospective cohort study. SETTING:Outpatient CR center. PARTICIPANTS:Patient...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2015.01.019
更新日期:2015-06-01 00:00:00
abstract:OBJECTIVE:To assess and compare the reliability and validity of the Houghton Scale, the Prosthetic Profile of the Amputee Locomotor Capabilities Index (PPA-LCI), and the Prosthetic Evaluation Questionnaire (PEQ) mobility subscale, 3 disease-specific self-report measures of functional mobility for lower extremity prosth...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2001.25987
更新日期:2001-10-01 00:00:00
abstract:OBJECTIVE:To examine the responsiveness and validity of the Action Research Arm Test (ARAT) in a population of subjects with mild-to-moderate hemiparesis within the first few months after stroke. DESIGN:Data were collected as part of the Very Early Constraint-Induced Therapy for Recovery from Stroke trial, an acute, s...
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.2006.09.003
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVE:To assess the effects on functional outcomes and treatment adherence of wearable technology and serious games (ie, interactive computer applications with specific purposes useful in the "real world") currently used in physical rehabilitation of patients after traumatic bone and soft tissue injuries. DATA SOU...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2017.10.018
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVE:To assess the diagnostic and clinical utility of the 2-item Generalized Anxiety Disorder Scale (GAD-2) for screening anxiety symptoms in individuals with multiple sclerosis (MS). DESIGN:Cross-sectional. SETTING:University-affiliated MS neurology and rehabilitation center. PARTICIPANTS:The sample comprised ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2018.05.029
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVES:To investigate the incidence and onset time of pneumonia for patients with severe traumatic brain injury (TBI) in the early phase of rehabilitation and to identify parameters associated with the risk of pneumonia. DESIGN:Observational retrospective cohort study. SETTING:Subacute rehabilitation department i...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2008.04.013
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVE:To develop and evaluate energy expenditure (EE) estimation models for a physical activity monitoring system (PAMS) in manual wheelchair users with spinal cord injury (SCI). DESIGN:Cross-sectional study. SETTING:University-based laboratory environment, a semistructured environment at the National Veterans Wh...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2016.02.016
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVE:To evaluate the functional improvement of rehabilitation inpatients with paraneoplastic cerebellar degeneration. DESIGN:Retrospective review. SETTING:Referral-based hospitals. PARTICIPANTS:Cancer rehabilitation inpatients (N=7) admitted to 3 different cancer centers with a diagnosis of paraneoplastic cereb...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2014.07.003
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVE:To evaluate the validity of the Prosthetic Upper Extremity Functional Index (PUFI), a parent- and older child-report measure that evaluates the extent of Prosthetic limb use, ease of task performance with and without the prosthesis, and its usefulness. DESIGN:Evaluation of discriminant validity (the PUFI's a...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/ampr.2003.50127
更新日期:2003-04-01 00:00:00
abstract:OBJECTIVE:To examine for differences in joint position sense (JPS) between knees with reconstructed anterior cruciate ligaments (ACLs) and uninjured knees by using a functional weight-bearing measurement method. DESIGN:Two-way repeated-measures in a convenience sample. SETTING:An Australian university rehabilitation ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(03)00007-8
更新日期:2003-06-01 00:00:00
abstract::This study examined the validity and reliability of the anaerobic threshold (AT) using blood lactate (ATLa) and respiratory gas exchange (ATg) criteria during cycle ergometry (CE) and wheelchair ergometry (WE) in athletes with spastic cerebral palsy (CP). Eleven subjects attempted a discontinuous incremental test prot...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1993-03-01 00:00:00
abstract:OBJECTIVE:To develop and assess the reliability of a group of cervical nonorganic physical signs to be used as a simple screening tool for identifying patients with low neck pain who exhibit abnormal illness behavior. DESIGN:Survey, consecutive sample. DATA SET:Double masked. SETTING:Functional restoration program. ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/s0003-9993(00)90136-9
更新日期:2000-02-01 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:OBJECTIVE:To evaluate the medium-term functional effect and the effect on quality of life of a standardized rehabilitation program in patients with inflammatory myopathies (IMs). DESIGN:A multicenter, randomized controlled trial. SETTING:Four university hospitals. PARTICIPANTS:Patients (N=21) with polymyositis. INT...
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.2016.09.125
更新日期:2017-02-01 00:00:00
abstract:OBJECTIVE:A recent prevalence study of 353 spinal cord injured (SCI) individuals in the greater Stockholm area showed problematic spasticity in 30% of this population. To treat spasticity, the evaluation becomes crucial. The modified Ashworth scale (MAS) is the clinically most-used scale to grade degree of spasticity. ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(98)90095-8
更新日期:1998-08-01 00:00:00
abstract::This study compared the effect of (1) continuous, (2) intermittent, and (3) graded exercise on the cardiopulmonary responses of 12 acutely injured paraplegic individuals having neurologically complete spinal lesions, between T7 and T12, and seven able-bodied control subjects. Continuous exercise consisted of cranking ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1983-12-01 00:00:00
abstract::To determine effects of severe muscular dystrophy on the performance of dynamic exercise, cardiorespiratory responses to incremental work on a bicycle ergometer and isokinetic limb strength measurements were compared for 13 dystrophic boys and 13 normal, untrained boys. The dystrophic boys (D) were matched to the norm...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1977-05-01 00:00:00
abstract::Elevated blood pressure associated with autonomic hyperreflexia during electroejaculation in persons with high spinal cord injuries often prevents successful sperm retrieval. The ability of the calcium channel blocker nifedipine to reduce the effects of autonomic hyperreflexia, to facilitate greater current delivery, ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1988-08-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2008.12.006
更新日期:2009-06-01 00:00:00
abstract:OBJECTIVE:To determine the interrater reliability of the Neuromuscular Recovery Scale (NRS), an outcome measure designed to classify people with complete or incomplete spinal cord injury (SCI) into 4 phase-of-injury groups by assessing motor performance based on normal preinjury function and disallowing use of compensa...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2014.11.026
更新日期:2015-08-01 00:00:00
abstract::The effect of ultrasound on the fixation of 3-hole AO plates on the femur and humerus in dogs was investigated. Four weeks postoperatively the screws were loosened by a torque (kg/cm) that averaged one-third of the inserted torque. The removal torque of screws exposed to ultrasound tended to be lower than that of unex...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1982-08-01 00:00:00
abstract:OBJECTIVE:To analyze the role of the rectus femoris muscle in nondisabled gait at various walking velocities using fine-wire dynamic electromyography. DESIGN:Descriptive study. Fine-wire electromyography data were collected from the rectus femoris during level walking at four walking speeds. Rectus femoris activity pa...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(99)90085-0
更新日期:1999-08-01 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::Spontaneous intracranial hypotension (SIH) has been clinically defined as the development of severe orthostatic headaches caused by an acute cerebrospinal fluid (CSF) leak. Typically, intracranial hypotension occurs as a complication of lumbar puncture, but recent reports have identified cases caused by minor trauma. ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2007.08.111
更新日期:2007-11-01 00:00:00
abstract:UNLABELLED:Cherry BJ, Weiss J, Barakat BK, Rutledge DN, Jones CJ. Physical performance as a predictor of attention and processing speed in fibromyalgia. OBJECTIVE:To explore the associations between physical (both self-report and objective measures) and cognitive function for persons with fibromyalgia (FM). DESIGN:Co...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2009.07.011
更新日期:2009-12-01 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::This self-directed learning module highlights new advances in prosthetics. It is part of the chapter on prosthetics, orthotics, and assistive devices for the Self-Directed Medical Knowledge Program Study Guide for practitioners and trainees in physical medicine and rehabilitation. This section contains information reg...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/0003-9993(89)90032-4
更新日期:1989-05-01 00:00:00
abstract::Musculoskeletal injuries can result from overuse or incorrect use of manual wheelchairs, and can hinder rehabilitation efforts. The purpose of this study was to investigate wheelchair propulsion biomechanics of spinal cord injured, non-athletic wheelchair users. We studied changes in the variables that occur with fati...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract::The effect of intermittent pneumatic compression (IPC) of the lower limbs on transcutaneous oxygen tension (tcPO2) was studied in 14 healthy volunteers and the same number of elderly patients. The oxygen sensor was calibrated at 37C in room air. This temperature was also used for measurements. Compression pressure in ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1988-09-01 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