Abstract:
:This report discusses the successes and problems associated with the development of a family support system designed to improve outcomes in a pediatric trauma population. Studies have demonstrated lowered health-related quality of life among injured children during rehabilitation, along with substantial parental stress. By developing comprehensive support services for families, we may decrease parental burden and improve parents ability to care for their children, thus improving health outcomes for them. Through analysis of data from a longitudinal study of injured children, focus group interviews with affected families, and consultation with a multidisciplinary team, interventions were developed. The resulting program consists of 3 main components: (1) efforts to increase coordination of discharge care, (2) establishment of educational protocols, and (3) implementation of support groups and a peer support program for families. Patient satisfaction and reported use of program materials is high; efforts to improve education, regarding transitions to school and other activities, are continuing. Early evaluation of the program suggests that it is effectively addressing family needs; evaluation of the programs long-term effect is ongoing. We are able to discuss successes and barriers to program implementation and make recommendations for others considering such an undertaking.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Aitken ME,Korehbandi P,Parnell D,Parker JG,Stefans V,Tompkins E,Schulz EGdoi
10.1016/j.apmr.2004.02.026subject
Has Abstractpub_date
2005-01-01 00:00:00pages
175-9issue
1eissn
0003-9993issn
1532-821Xpii
S0003-9993(04)00394-6journal_volume
86pub_type
杂志文章abstract:OBJECTIVE:To evaluate the success of fluoroscopically guided, contrast-enhanced lumbar zygapophyseal joint (Z-joint) aspiration and steroid injection combined with transforaminal epidural steroid injections (TFESIs) for the treatment of lumbar Z-joint cyst-induced radicular pain. DESIGN:Retrospective case series with ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2004.11.051
更新日期:2005-09-01 00:00:00
abstract::This study compared the measurements of the Motor Assessment Scale (MAS) to that of the Fugl-Meyer Assessment (FMA), a reliable and valid test for motor function in stroke patients. Thirty-two patients (20 men, 12 women) with a mean age of 60 years, and a mean time since stroke of 64.5 days, were tested with the FMA a...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/0003-9993(94)90006-x
更新日期:1994-11-01 00:00:00
abstract::Dance injuries associated with cervical radiculopathy have not been described in the literature. This report describes the case of an international-style ballroom dancer who developed a cervical radiculopathy as a result of frequent lateral rotation and hyperextension of the cervical spine during dancing. The patient'...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(98)90281-7
更新日期:1998-10-01 00:00:00
abstract:OBJECTIVE:To evaluate the reliability and validity of accelerometry for measuring upper-extremity rehabilitation outcome. DESIGN:Validation study. SETTING:Data recorded in the community. PARTICIPANTS:Consecutive Constraint-Induced Movement therapy (CIMT) patients (n = 10) and volunteer community residents with strok...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2005.01.010
更新日期:2005-07-01 00:00:00
abstract::The symptoms of urinary incontinence, ataxia, and mental confusion are an integral part of the clinical presentation of normal pressure hydrocephalus (NPH). They are also common presentations in the rehabilitation setting of patients who have had a cerebral vascular accident. The concurrence of these entities challeng...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(97)90069-1
更新日期:1997-09-01 00:00:00
abstract::The muscle fibers of the biceps brachii muscle were stimulated distally with low voltage by means of two monopolar needles in 14 boys with Duchenne muscular dystrophy (DD). The electric activity was recorded proximally by means of a SFEMG electrode. The mean conduction velocity of 508 muscle fibers in situ (MFCV) calc...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1990-07-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of unilateral upper-limb strength training on the finger-pinch force control of older men. DESIGN:Pretest and post-test 6-week intervention study. SETTING:Exercise science research laboratory. PARTICIPANTS:Eleven neurologically fit older men (age range, 70-80y). INTERVENTION:The ...
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.2007.05.014
更新日期:2007-08-01 00:00:00
abstract:OBJECTIVE:To validate a novel assessment of inpatient physical activity. DESIGN:Prospective cohort study for the evaluation of a novel questionnaire for physical activity in geriatric inpatients. SETTING:German geriatric inpatient rehabilitation unit. PARTICIPANTS:Patients (N=96; 67 [72%] women; median age, 81y) wit...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2011.06.032
更新日期:2011-12-01 00:00:00
abstract::Hemicorporectomy is usually performed as a last resort for life-threatening diseases. A case is reported in which this deforming traumatic procedure was performed in a 66-year-old man for functional and rehabilitation reasons rather than life-saving indications. The indications for the procedure, the patient's decisio...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1981-02-01 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 describe in-line skating interests and practices, protective gear usage, and injury patterns in a population-based group of in-line skaters. DESIGN:A two-page questionnaire with multiple choice questions and one write-in response question. PARTICIPANTS:The survey was sent to 1,000 members of an in-line s...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(97)90309-9
更新日期:1997-12-01 00:00:00
abstract:OBJECTIVE:To assemble and synthesize the best evidence on the epidemiology, diagnosis, prognosis, treatment, and prevention of musculoskeletal injuries and pain in dancers. DATA SOURCES:Medline, CINAHL, PsycINFO, Embase, and other electronic databases were searched from 1966 to 2004 using key words such as dance, danc...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/j.apmr.2008.02.020
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVE:To establish the validity of 2 objective measures of disability based on 2 self-reports in individuals with the late sequelae of poliomyelitis (LSP). DESIGN:Nonexperimental research design. SETTING:Regional ambulatory clinic specializing in the management of patients with LSP. PARTICIPANTS:Seventeen commun...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2000.9172
更新日期:2000-10-01 00:00:00
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...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2003.06.004
更新日期:2004-02-01 00:00:00
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
更新日期:2010-08-01 00:00:00
abstract:OBJECTIVES:To review the various causes of urinary incontinence (UI) in elderly patients and to outline a therapeutic approach to the clinical management of UI. DATA SOURCES:Online search of MEDLINE and additional references selected from the articles found during the search. STUDY SELECTION:All peer-reviewed article...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1053/apmr.2001.9392
更新日期:2001-01-01 00:00:00
abstract::The purpose of this study was to evaluate the effect of exercise training on reinnervating rat muscle histochemistry. Adult female Wistar rats in 5 groups (1 control and 4 experimental) underwent bilateral sciatic nerve crush. The 4 experimental groups were exercised on a motorized treadmill at 35% grade and a speed o...
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 usefulness of combined intercostal and diaphragm pacing to maintain independence from mechanical ventilation. DESIGN:A prospective trial. SETTING:Clinical research center at a large tertiary hospital. PARTICIPANTS:Four ventilator-dependent subjects with spinal cord injury with only unilater...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/j.apmr.2004.11.027
更新日期:2005-06-01 00:00:00
abstract:OBJECTIVE:To generate a brief screening measure to assist frontline rehabilitation health care workers to rapidly and validly screen patients for depressive symptoms. DESIGN:Case series. SETTING:Inpatient rehabilitation unit. PARTICIPANTS:Five hundred patients (age, >/=60y) cognitively able to complete the outcome m...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2004.04.042
更新日期:2005-03-01 00:00:00
abstract:OBJECTIVE:To determine the clinical validity of provocative sacroiliac joint (SIJ) maneuvers in making the diagnosis of sacroiliac joint syndrome (SIJS). DESIGN:Prospective constructive cohort study using sacroiliac joint block (SIJB) as the diagnostic gold standard. SETTING:Tertiary care center. PATIENTS:Consecutiv...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(98)90008-9
更新日期:1998-03-01 00:00:00
abstract::Postdischarge progress in 11 types of patients was analyzed with regard to eating, dressing, transfers, bladder management, ambulation, cognition, language comprehension and speech, placement (living arrangement), and mortality rates. Of 273 patients admitted, 263 were available for foillow-up, which disclosed that pa...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1980-08-01 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 whether dextrose prolotherapy offers clinical benefits in patients with shoulder pain and bursitis. DESIGN:Double-blinded, randomized controlled trial. SETTING:Outpatient rehabilitation department of a single medical center. PARTICIPANTS:Patients (N=50) who had received a diagnosis of shoulder...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2020.08.010
更新日期:2021-02-01 00:00:00
abstract::A mathematical model that predicts the thermal response of tissue during and after the application of localized pressure is described. The model predictions compare favorably with previously obtained experimental results. It is inferred that the principal cause of the transient temperature rise occurring after pressur...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1980-08-01 00:00:00
abstract:OBJECTIVE:To compare the physiological sexual responses of women with complete spinal cord injuries (SCIs) with those of able-bodies women. DESIGN:Controlled laboratory-based analysis of responses to audiovisual erotic and audiovisual erotic combined with manual stimulation. SETTING:The sexual physiology laboratory a...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(95)80544-3
更新日期:1995-09-01 00:00:00
abstract:OBJECTIVES:To identify factors relating to the intensity of rehabilitation services received and to ascertain the relation between injury outcomes, demographics, types of therapy, and the intensity of rehabilitation services provided. DESIGN:A multicenter, prospective, nonrandomized study with inpatient rehabilitation...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1016/s0003-9993(03)00272-7
更新日期:2003-10-01 00:00:00
abstract:OBJECTIVE:To use low- and high-dose adrenocorticotropin (ACTH) tests to assess adrenal reserve in men with spinal cord injury (SCI). DESIGN:After an overnight fast, 1 microg and 200 microg ACTH were injected intravenously at time 0 and 60 minutes between 8 AM and 9 AM. Blood was withdrawn at 30-minute intervals from t...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(99)90075-8
更新日期:1999-08-01 00:00:00
abstract:OBJECTIVE:To evaluate the effects of aquatic exercise therapy on gait variability and disability compared with usual care for people with Parkinson disease (PD). DESIGN:Single-blind randomized controlled trial. SETTING:Community-based hydrotherapy pool. PARTICIPANTS:Individuals with PD (Hoehn-Yahr stages I-III) (N=2...
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.2016.12.006
更新日期:2017-04-01 00:00:00
abstract:OBJECTIVE:To evaluate the clinical effects of spinal cord stimulation (SCS) to restore cough in subjects with cervical spinal cord injury. DESIGN:Clinical trial assessing the clinical outcomes and side effects associated with the cough system. SETTING:Outpatient hospital or residence. PARTICIPANTS:Subjects (N=9; 8 m...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/j.apmr.2008.11.014
更新日期:2009-05-01 00:00:00
abstract::The relationship between surface myoelectric signal variables and ankle joint angle is studied in the tibialis anterior muscle of ten normal subjects during electrical stimulation of the main muscle motor point in isometric conditions. Rectangular current pulses of 0.1 ms width and 20Hz repetition rate were applied fo...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/0003-9993(93)90114-p
更新日期:1993-05-01 00:00:00