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 musculoskeletal disorders (CDOMD). SETTING:Chronic pain management facility. PARTICIPANTS:A total of 1440 patients with CDOMD were consecutively divided into 2 groups-one with 303 patients who did not complete the prescribed treatment program (noncompleters [NC]) and a second with 1137 patients who did (completers). INTERVENTION:The Interdisciplinary Functional Restoration: Rehabilitation program. MAIN OUTCOME MEASURES:Validated questionnaires about pain, disability, and depression were added to results of a structured 1-year posttreatment telephone interview on socioeconomic outcomes covering work status, health utilization, recurrent injury claims, and resolution of financial disputes. RESULTS:The 1-year posttreatment socioeconomic outcomes were most striking. The NC group was 7 times more likely to have postrehabilitation surgery in the same area, and nearly 7 times more likely to have more than 30 visits to a new health provider in persistent health care-seeking efforts. The NC group also had only half the rates of work return and work retention, being 9.7 times less likely to have returned to any type of work, and 7 times less likely to have retained work at the end of the year. Regression analysis also revealed that work return, surgery in a compensable injured area, more health care utilization from a new provider, and more overall health care utilization (>30 visits) were most reliably predicted by whether the rehabilitation program was completed. CONCLUSIONS:This large prospective study determined that noncompleters of interdisciplinary tertiary rehabilitation for CDOMDs had comparatively poor socioeconomic outcomes in the year after discharge from treatment, especially on work status and health utilization outcomes. These outcomes are of great relevance to societal, medical, and indemnity costs and future worker productivity. Several risk factors of possible importance in identifying potential noncompleters early in the treatment program were identified that may yield more effective interventions tailored to maintain compliance and decrease the percentage of drop-outs.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Proctor TJ,Mayer TG,Theodore B,Gatchel RJdoi
10.1016/j.apmr.2005.02.010subject
Has Abstractpub_date
2005-08-01 00:00:00pages
1509-15issue
8eissn
0003-9993issn
1532-821Xpii
S0003-9993(05)00227-3journal_volume
86pub_type
杂志文章abstract:OBJECTIVE:To apply the Rasch measurement model to the development of a clinical tool for measuring manual (dis)ability (ABILHAND). DESIGN:Manual ability was evaluated in terms of the difficulty perceived by a hand-impaired patient on 57 representative unimanual or bimanual activities. SETTING:A clinical laboratory. ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(98)90167-8
更新日期:1998-09-01 00:00:00
abstract:OBJECTIVE:To investigate the prevalence, nature, and correlates of pain among a community-based sample with multiple sclerosis (MS). DESIGN:A cross-sectional survey and structured pain interview. SETTING:Community. PARTICIPANTS:People with MS (N=219) recruited through systematic sampling from a randomly ordered MS s...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2008.03.022
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVE:To examine the relation between muscular tenderness and local muscular fatigue. DESIGN:Before-after trial, measuring pressure pain thresholds and signs of local muscular fatigue by using surface electromyography before, after, 10 minutes after, and 20 minutes after intervention. SETTING:University rehabilit...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(03)00273-9
更新日期:2003-10-01 00:00:00
abstract:OBJECTIVE:To determine the efficacy of simple dextrose prolotherapy in elite kicking-sport athletes with chronic groin pain from osteitis pubis and/or adductor tendinopathy. DESIGN:Consecutive case series. SETTING:Orthopedic and trauma institute in Argentina. PARTICIPANTS:Twenty-two rugby and 2 soccer players with c...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2004.10.007
更新日期:2005-04-01 00:00:00
abstract::Systemic malignancy can be manifested by musculoskeletal complaints. We review the history, physical examination, and diagnostic imaging studies of a patient whose chief complaints were neck and shoulder pain. This patient also had significant weight loss and a history of tobacco abuse. Aggressive physical therapy and...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/0003-9993(94)90118-x
更新日期:1994-08-01 00:00:00
abstract:OBJECTIVE:To determine whether the prevalence of gram-negative catheter-related bloodstream infection (CRBSI) is higher in patients with spinal cord injury (SCI) than in patients without SCI. DESIGN:Retrospective chart review from August 1998 to August 2006. SETTING:A Veterans Affairs medical center, which serves as ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2007.08.151
更新日期:2008-02-01 00:00:00
abstract::Hospitalized patients often experience unnecessary immobility and inactivity leading to direct harms and poor outcomes. Despite growing evidence that early and regular mobility and activity are safe and helpful for patients in the hospital, there remains substantial room for improvement in clinical practice. Key to im...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2020.10.142
更新日期:2020-12-26 00:00:00
abstract:OBJECTIVES:To describe the course of fatigue during the first year poststroke and to determine the relation between fatigue at 1 year poststroke and personal characteristics, stroke characteristics, and poststroke impairments. DESIGN:Inception cohort. SETTING:Rehabilitation center. PARTICIPANTS:Patients (N=167) with...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2005.10.005
更新日期:2006-02-01 00:00:00
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
更新日期:2004-03-01 00:00:00
abstract:OBJECTIVES:To investigate the links between resilience and depressive symptoms, social functioning, and physical functioning in people aging with disability and to investigate the effects of resilience on change in functional outcomes over time. DESIGN:Longitudinal postal survey. SETTING:Surveys were mailed to a comm...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2015.02.023
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVE:To develop and determine the reliability and validity of a sensitive observational measure to assess recovery in clinically meaningful areas of function after hip fracture. DESIGN:Used survey data to identify activities difficult to perform after fracture; conducted focus groups; interviewed patients; and de...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2005.10.026
更新日期:2006-03-01 00:00:00
abstract::Policy drives practice, and health services research (HSR) is at the intersection of policy, practice, and patient outcomes. HSR specific to rehabilitation and disability is particularly needed. As rehabilitation researchers and providers, we are uniquely positioned to provide the evidence that guides reforms targetin...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2017.06.026
更新日期:2018-01-01 00:00:00
abstract::The American Board of Physical Medicine and Rehabilitation has certified 1608 physiatrists as diplomates, of whom 377 were certified in the years 1977 through 1979. For the 1979-1980 educational year, 516 of 608 residency positions were filled. Demographic analysis indicates 43% women and 52% foreign medical graduates...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1980-07-01 00:00:00
abstract:OBJECTIVE:To study the value of physical, mental, and social characteristics as predictors of functional outcome of elderly amputees. DESIGN:Prospective, inception cohort study; comparisons with reference populations. SETTING:Main hospitals, rehabilitation centers, nursing homes, patients' own residence settings in 1...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(02)04952-3
更新日期:2003-06-01 00:00:00
abstract:UNLABELLED:This self-directed learning module highlights prosthetic treatment considerations and challenges in children and young adults. It is part of the chapter on acquired limb deficiencies in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. This...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:
更新日期:2001-03-01 00:00:00
abstract::This research compared the performance of 20 individuals with global and mixed nonfluent aphasia across the four auditory comprehension subtests of the Boston Diagnostic Aphasia Examination (Word Discrimination, Body Part Identification, Commands, and Complex Ideational Material) and across the six subcomponents of th...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1991-08-01 00:00:00
abstract:OBJECTIVE:To investigate the extent to which neuropsychologic and functional outcome after complicated mild traumatic brain injury (TBI) parallels that of moderate TBI recovery. DESIGN:A longitudinal study comparing neuropsychologic and functional status of persons with complicated mild TBI and moderate TBI at dischar...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2007.12.029
更新日期:2008-05-01 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:OBJECTIVE:To examine the reliability, convergent, and discriminant validity of the limits of stability (LOS) test to assess dynamic postural stability in adolescents using a portable forceplate system. DESIGN:Cross-sectional reliability observational study. SETTING:School setting. PARTICIPANTS:Adolescents (N=36) com...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2015.08.418
更新日期:2015-12-01 00:00:00
abstract:OBJECTIVE:To identify a set of clinically useful outcome measures for assessment of adults receiving treatment for spasticity. DESIGN:A modified Delphi process was conducted. In round 1, key areas of spasticity assessment and associated outcome measures were identified. In round 2, participants were presented with rev...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2014.08.025
更新日期:2015-03-01 00:00:00
abstract::Herpes zoster infection, resulting from reactivation of the dormant varicella zoster virus in the dorsal root ganglia, usually causes a painful dermatomal vesicular rash. Rarely, associated peripheral motor weakness is present, the mechanism of which is unclear. Three patients are reported who had focal limb muscle we...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(97)90204-5
更新日期:1997-08-01 00:00:00
abstract:OBJECTIVE:To investigate the effects of short-term light therapy with 890-nm radiation on pain, physical activity, and postural stability in patients with knee osteoarthritis (OA). DESIGN:A double-blind, randomized, placebo-controlled study. SETTING:Rehabilitation clinic. PARTICIPANTS:Women (n=62) and men (n=10) wit...
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.2012.01.003
更新日期:2012-05-01 00:00:00
abstract::The axial rotation and simultaneous lateral flexion of the cervical spine is kinesiologically related to the movements of the upper thoracic spine. Five brachialgia patients were found to have a hypomobile first rib on the painful side in a cineradiographic study. The kinesiologic finding was the following: when the n...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1990-04-01 00:00:00
abstract:OBJECTIVE:To document parental reports about pain in children with cerebral palsy (CP). DESIGN:A cross-sectional descriptive study. SETTING:Motion analysis laboratory. PARTICIPANTS:Seventy-seven ambulatory children with CP (44 boys, 33 girls; age range, 3-17y) presenting as consecutive assessments. INTERVENTIONS:No...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2006.02.023
更新日期:2006-07-01 00:00:00
abstract::The accomplishments of 50 years in matters of federal legislation and programs affecting PM&R were made possible in large part through the dedication of specialists in PM&R who, first and foremost, were advocates of measures which would serve best the interests of the nation's handicapped and disabled. The contributio...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 历史文章,杂志文章
doi:
更新日期:1988-10-01 00:00:00
abstract:OBJECTIVE:To examine the effects of skill training on swallowing in individuals with dysphagia secondary to Parkinson's disease (PD) and to explore skill retention after treatment termination. DESIGN:Within-subject pilot study with follow-up after 2 weeks of treatment and after a 2-week nontreatment period. SETTING:C...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2014.03.001
更新日期:2014-07-01 00:00:00
abstract::Gait abnormality in parkinsonism is unique and easily recognizable. A pilot study was designed at our Human Gait Laboratory to learn how this gait abnormality is reflected in ground reaction forces of patients with parkinsonism. The system permitted the collection of kinematic and force data from a subject in real tim...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1987-01-01 00:00:00
abstract::A study of body composition was conducted on 45 patients with spinal cord injury (SCI) and 12 able-bodied healthy subjects who served as controls. Body composition was assessed in terms of water (W), fat (F), protein (P), and mineral (M) content. SCI patients exhibited lower absolute amounts of W, F, and P, but no dif...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/0003-9993(85)90167-4
更新日期:1985-04-01 00:00:00
abstract:OBJECTIVE:To define relationships among various clinical characteristics of pain occurring after spinal cord injury (SCI). DESIGN:Postal survey. SETTING:General community. PARTICIPANTS:Of 330 subjects with SCI reporting chronic pain in a previous survey, 217 volunteered. INTERVENTIONS:Not applicable. MAIN OUTCOME ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2001.25077
更新日期:2001-09-01 00:00:00
abstract:OBJECTIVE:To report the efficacy of injected liquid silicone (ILS) in the foot at 2 years after administration. DESIGN:Randomized controlled trial. SETTING:Diabetic foot clinic in the United Kingdom. PARTICIPANTS:Twenty-eight diabetic neuropathic patients, randomized into an active treatment group (n=14) and a place...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1053/apmr.2002.33058
更新日期:2002-07-01 00:00:00