Abstract：
OBJECTIVE:To develop and test a new instrument to assess environmental barriers encountered by people with and without disabilities by using a questionnaire format. DESIGN:New instrument development. SETTING:A rehabilitation hospital and community. PARTICIPANTS:Two convenience samples: (1) 97 subjects, 50 with disabilities and 47 without disability, and (2) 409 subjects with disabilities from spinal cord injury, traumatic brain injury, multiple sclerosis, amputation, or auditory or visual impairments. In addition, a population-based sample in Colorado of 2269 people (mean age, 44 y; 57% men) with and without disabilities. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Item development; factor structure; test-retest, subject-proxy and internal consistency reliability; content, construct, and discriminant validity; and subscale and abbreviated version development. RESULTS:Panels of experts on disability developed items for the Craig Hospital Inventory of Environmental Factors (CHIEF). The instrument measured the frequency and magnitude of environmental barriers reported by individuals. Five subscales were derived from factor analysis measuring (1) attitudes and support, (2) services and assistance, (3) physical and structural, (4) policy, and (5) work and school environmental barriers. The CHIEF total score had high test-retest reliability (intraclass correlation coefficient [ICC]=.93) and high internal consistency (Cronbach alpha=.93), but lower participant-proxy agreement (ICC=.62). Significant differences were found in CHIEF scores among groups of people with known differences in disability levels and disability categories. CONCLUSIONS:The CHIEF has good test-retest and internal consistency reliability with evidence of content, construct, and discriminant validity resulting from its development strategy and psychometric assessments in samples of the general population and among people with a variety of disabilities.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Whiteneck GG,Harrison-Felix CL,Mellick DC,Brooks CA,Charlifue SB,Gerhart KAdoi
10.1016/j.apmr.2003.09.027subject
Has Abstractpub_date
2004-08-01 00:00:00pages
1324-35issue
8eissn
0003-9993issn
1532-821Xpii
S0003-9993(04)00007-3journal_volume
85pub_type
杂志文章abstract：OBJECTIVE:Although fatigue is a common debilitating complaint in multiple sclerosis (MS), its relationship to the cardiopulmonary exercise response has yet to be defined. DESIGN:A patient with MS manifested primarily by profound fatigue undergoes complete pulmonary function testing and a maximal incremental cycle ergo...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(95)80515-x
更新日期：1995-06-01 00:00:00
abstract：:Rehabilitation clinicians strive to provide cost-effective, patient-centered care that optimizes outcomes. A barrier to this ideal is the lack of a universal system for describing, or specifying, rehabilitation interventions. Current methods of description vary across disciplines and settings, creating barriers to col...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2018.09.110
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:To determine whether use of a robotic arm trainer for bilateral exercise in daily repetitive training for a 3-week period reduced spasticity and improved motor control in the arm of severely affected, chronic hemiparetic subjects. DESIGN:Before-after trial. SETTING:Community rehabilitation center in Germany...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(02)04954-7
更新日期：2003-06-01 00:00:00
abstract：OBJECTIVE:To assess perceptual performances of patients with intracerebral hemorrhage (ICH) compared with those of ischemic patients early after stroke and to analyze the psychometric properties of three perceptual tests used in the study. DESIGN:Cross-sectional study. SETTING:A rehabilitation unit at a teaching hosp...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(00)90097-2
更新日期：2000-06-01 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：: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
abstract：OBJECTIVE:To measure with near-infrared spectroscopy (NIRS) the changes in cerebral hemodynamics and oxygenation in the prefrontal cortex of poststroke patients with hemiplegia performing several rehabilitation tasks and to analyze the different effects of the tasks. DESIGN:Case series pilot study. SETTING:Hospitals ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1053/apmr.2000.9400
更新日期：2000-10-01 00:00:00
abstract：OBJECTIVE:To test the hypothesis that quantitative measures of gait unsteadiness are increased in community-dwelling elderly fallers. STUDY DESIGN:Retrospective, case-control study. SETTING:General community. PARTICIPANTS:Thirty-five community-dwelling elderly subjects older than 70 years of age who were capable of ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(97)90034-4
更新日期：1997-03-01 00:00:00
abstract：OBJECTIVES:To estimate the level of balance self-efficacy among community-dwelling subjects with stroke and to determine the relative importance of balance self-efficacy compared with functional walking capacity in predicting physical function and perceived health status. DESIGN:Secondary analysis of baseline, postint...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2005.11.017
更新日期：2006-03-01 00:00:00
abstract：OBJECTIVES:To determine if timed balance scores on the modified Clinical Test of Sensory Interaction and Balance (CTSIB) were affected by shoe wear in patients with balance and vestibular disorders and to determine if there is a difference in correlation with the Sensory Organization Test (SOT) or in the sensitivity or...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2003.05.005
更新日期：2004-03-01 00:00:00
abstract：:The halo traction device for cervical spine immobilization has few complications and is routinely used for spinal cord injured patients. The following case report describes a patient with lower cervical and upper thoracic fractures stabilized with a halo. She completed a two-month rehabilitation program without compli...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1992-05-01 00:00:00
abstract：OBJECTIVE:To evaluate the effectiveness of reinforced feedback in virtual environment (RFVE) treatment combined with conventional rehabilitation (CR) in comparison with CR alone, and to study whether changes are related to stroke etiology (ie, ischemic, hemorrhagic). DESIGN:Randomized controlled trial. SETTING:Hospit...
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.2018.01.023
更新日期：2018-05-01 00:00:00
abstract：OBJECTIVE:To evaluate the effect of 4 weeks of pulmonary rehabilitation (PR) versus chest physical therapy (CPT) on the preoperative functional capacity and postoperative respiratory morbidity of patients undergoing lung cancer resection. DESIGN:Randomized single-blinded study. SETTING:A teaching hospital. PARTICIPA...
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.2012.08.206
更新日期：2013-01-01 00:00:00
abstract：:With growing recognition that some population subgroups are particularly vulnerable to receiving suboptimal health care and achieving poor health outcomes, innovative techniques are required for collecting and evaluating health outcomes data. Research is also needed to better understand the causal pathways linking vul...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,评审
doi：10.1053/apmr.2003.50245
更新日期：2003-04-01 00:00:00
abstract：:Two previously healthy adult patients with recent trauma to the cervical spinal cord and daily febrile episodes were evaluated extensively. No infectious or other cause for their fevers could be identified other than cervical spinal cord injury (SCI). Treatment with broad spectrum antibiotics, anticoagulation, and ces...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1982-12-01 00:00:00
abstract：:We report on 2 cases of the effect of modafinil on the self-esteem of patients with spinal cord injury (SCI). The first patient was a 33-year-old man with history of polysubstance abuse and a C6 American Spinal Injury Association (ASIA) grade A injury, who presented for follow-up to the outpatient rehabilitation clini...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/j.apmr.2005.01.009
更新日期：2005-09-01 00:00:00
abstract：OBJECTIVES:To investigate behavioral and demographic features of levels of consciousness in young children with brain injury, including the classifications of consciousness: conscious state (CS), minimally conscious state (MCS), and vegetative state (VS), and to investigate the course of recovery in children with disor...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2018.12.022
更新日期：2019-04-01 00:00:00
abstract：:Muscle enlargement and hypertrophy are rare findings in neurogenic lesions. The two in combination have been reported in cases of peripheral nerve lesions, polyneuropathy, and poliomyelitis. True and pseudo muscle hypertrophy are the two possible etiologies, whereas infiltration, stretch, or exercise of the muscle are...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1988-01-01 00:00:00
abstract：OBJECTIVE:To determine whether physical activity may affect cognitive performance in patients with Parkinson's disease by measuring reaction times in patients participating in the Berlin BIG study. DESIGN:Randomized controlled trial, rater-blinded. SETTING:Ambulatory care. PARTICIPANTS:Patients with mild to moderate...
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.2013.10.020
更新日期：2014-05-01 00:00:00
abstract：OBJECTIVES:To determine if exercise-based rehabilitation reduces reinjury following acute ankle sprain. Our secondary objective was to assess if rehabilitation efficacy varies according to exercise content and training volume. DATA SOURCES:The following electronic databases were searched: EMBASE, MEDLINE, the Cochrane...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,meta分析
doi：10.1016/j.apmr.2018.10.005
更新日期：2019-07-01 00:00:00
abstract：OBJECTIVE:To determine the value of the Functional Independence Measure (FIM) score as a prognostic indicator for prosthetic use in the lower limb amputee patient. DESIGN:Cohort study of 41 patients with lower limb amputations. SETTING:University hospital rehabilitation unit. MAIN OUTCOME MEASURES:FIM motor subscore...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(96)90303-2
更新日期：1996-06-01 00:00:00
abstract：OBJECTIVE:To examine the relationship of body mass index (BMI) with multiple health indices among persons with spinal cord injury (SCI). DESIGN:Multicenter cross-sectional study. SETTING:A total of 16 SCI Model Systems throughout the United States. PARTICIPANTS:A total of 1107 men and 274 women (N=1381), mean age ± ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2010.06.030
更新日期：2011-03-01 00:00:00
abstract：OBJECTIVE:To clarify the effect of early rehabilitation by physical therapists on in-hospital mortality among elderly patients with aspiration pneumonia. DESIGN:A retrospective cohort study. SETTING:A total of 1161 acute-care hospitals across Japan. PARTICIPANTS:Consecutive patients (age, 70-100 y) (N=68,584) from J...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2014.09.014
更新日期：2015-02-01 00:00:00
abstract：OBJECTIVE:To investigate whether a new tissue-imaging technique, magnetic resonance elastography (MRE), offers a viable, noninvasive way to study healthy and diseased muscle. DESIGN:Convenience sample. SETTING:A magnetic resonance imaging (MRI) laboratory. PARTICIPANTS:Eight control subjects (4 men, 4 women), betwee...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1053/apmr.2002.35472
更新日期：2002-11-01 00:00:00
abstract：:Power wheelchair (PWC) users depend on their equipment to reliably transport them throughout daily activities and allow them to participate fully in community life. However, as reported by Worobey and colleagues, PWCs frequently require repairs and cause users a variety of problems, which can range from annoying to ca...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 评论,杂志文章
doi：10.1016/j.apmr.2014.01.002
更新日期：2014-04-01 00:00:00
abstract：:Research on sensory deprivation suggests that the loss of somatosensory input to the central nervous system may have an impact on cortical reactivity and subsequent cognitive task efficiency. Individuals with spinal cord injury have a permanent loss of such input to varying degrees. However, there have been few invest...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/0003-9993(86)90119-x
更新日期：1986-02-01 00:00:00
abstract：:Four patients with end-stage renal failure on maintenance hemodialysis and one patient with near end-stage renal failure received inpatient rehabilitation following lower extremity amputation. All were prosthetically restored. Three of the patients had bilateral below-knee amputations and were ambulatory at the time o...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1986-05-01 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 determine if admission functional status, measured with the Motor Assessment Scale (MAS), was predictive of discharge destination to home or residential aged care in patients with stroke undergoing rehabilitation. DESIGN:Cohort study. SETTING:Inpatient rehabilitation units. PARTICIPANTS:Adults (N=566) d...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,多中心研究
doi：10.1016/j.apmr.2007.10.042
更新日期：2008-06-01 00:00:00
abstract：:In this commentary on the development of an interventions taxonomy for medical rehabilitation, a rehabilitation treatment taxonomy (RTT), we acknowledge the authors' valuable contribution to rehabilitation science, and at the same time interrogate the assumption that a taxonomy has essential added value to address the...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2013.10.005
更新日期：2014-01-01 00:00:00
