Abstract:
UNLABELLED:Richards LG, Latham NK, Jette DU, Rosenberg L, Smout RJ, DeJong G. Characterizing occupational therapy practice in stroke rehabilitation. OBJECTIVES:To describe how occupational therapy (OT) activities during stroke inpatient rehabilitation vary by admission functional status and over time and how time spent in these various activities relates to functional status at discharge. DESIGN:Observational cohort study. SETTING:Six inpatient rehabilitation hospitals in the United States. PARTICIPANTS:People (N=713) receiving 4 to 19 hours of post-stroke OT. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Patients were categorized by number of 4-hour blocks of OT received and by admission upper-extremity (UE) dressing score on the FIM instrument. In each group, the percentage of time spent in 16 activities and the percentage of patients who received each activity were calculated. The amount of time in activities was compared for those patients scoring 1 or 2 at admission who achieved at least a level of supervision for UE dressing (a score of >or=5) using Wilcoxon 2-sample tests. RESULTS:The majority of OT time was spent in impairment-focused activities (37.5%) or training basic activities of daily living (31.9%). Treatment progressed to more advanced activities over time (eg, less bed mobility, more home management), yet little time was spent on community integration or leisure activities and with very few patients. Successful patients received more higher-level activities, whereas unsuccessful patients received larger amounts of basic-level activities. CONCLUSIONS:OT activities focused on a combination of remediating impairments and retraining specific functional tasks, at the ability level of each individual patient, and provided higher-level activities as patients improved their function. More time in higher-level activities was related to greater success in rehabilitation. However, higher-level activities remain the least common activities provided during inpatient rehabilitation.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Richards LG,Latham NK,Jette DU,Rosenberg L,Smout RJ,DeJong Gdoi
10.1016/j.apmr.2005.08.127subject
Has Abstractpub_date
2005-12-01 00:00:00pages
S51-S60issue
12 Suppl 2eissn
0003-9993issn
1532-821Xpii
S0003-9993(05)01195-0journal_volume
86pub_type
杂志文章,多中心研究abstract:OBJECTIVES:To investigate the opioid prescription patterns for adults with longstanding physical disability and inflammatory conditions, compared to a mixed group of other opioid users, after excluding cancer patients. DESIGN:Nationally representative cross-sectional study, 2010-2014. SETTING:Medical Expenditure Pane...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2018.06.034
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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...
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abstract:OBJECTIVES:To evaluate the effectiveness of shock wave therapy (SWT) for functional improvement and the reduction of pain in patients with calcific tendinitis of the shoulder, and to determine the rate of disappearance of calcifications after therapy at 6 months' follow-up. DATA SOURCES:Articles were searched from the...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,meta分析,评审
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abstract:OBJECTIVES:To describe, from the perspective of U.S. Department of Veterans Affairs (VA) polytrauma rehabilitation providers, (1) patients with combat-related polytrauma and their rehabilitation, (2) polytrauma patient family member involvement in rehabilitation, and (3) the impact on providers of providing polytrauma ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
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更新日期:2008-01-01 00:00:00
abstract:OBJECTIVES:To (1) describe depressive symptom severity and suicidal ideation (SI) in persons with progressive multiple sclerosis (MS); (2) compare depressive symptom severity and SI in persons with progressive MS and persons with relapsing-remitting multiple sclerosis (RRMS); and (3) identify common and unique risk fac...
journal_title:Archives of physical medicine and rehabilitation
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doi:10.1016/j.apmr.2020.09.385
更新日期:2020-10-17 00:00:00
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doi:10.1016/s0003-9993(99)90114-4
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更新日期:2001-03-01 00:00:00
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更新日期:2015-10-01 00:00:00
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更新日期:2002-06-01 00:00:00
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更新日期:1994-04-01 00:00:00
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pub_type: 杂志文章
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doi:10.1016/j.apmr.2013.02.020
更新日期:2013-07-01 00:00:00
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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
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更新日期:2007-12-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
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更新日期:2010-05-01 00:00:00
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更新日期:1999-07-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,随机对照试验
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更新日期:2012-11-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:2003-02-01 00:00:00
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更新日期:2012-04-01 00:00:00
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pub_type: 杂志文章,meta分析,评审
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更新日期:2013-07-01 00:00:00
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pub_type: 临床试验,杂志文章
doi:10.1016/j.apmr.2014.03.009
更新日期:2014-09-01 00:00:00
abstract::Subarachnoid-pleural fistulas caused persistent pleural effusion in 2 patients with traumatic paraplegia. The fistulas were diagnosed by myelography and radioisotope scan. Most of the previously reported cases of this rare entity have been treated by operative closure of the fistula. Both of the reported patients reco...
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doi:
更新日期:1982-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2017-03-01 00:00:00
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更新日期:1985-06-01 00:00:00
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pub_type: 杂志文章
doi:10.1053/apmr.2002.30623
更新日期:2002-03-01 00:00:00
abstract:OBJECTIVE:To assess the effects of an 8-week aquatic exercise training program on functional capacity, balance, and perceptions of fatigue in women with multiple sclerosis (MS). DESIGN:Randomized controlled design. SETTING:Referral center of an MS society. PARTICIPANTS:Women (N=32; mean age ± SD, 36.4±8.2y) with dia...
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pub_type: 杂志文章,随机对照试验
doi:10.1016/j.apmr.2017.06.015
更新日期:2018-02-01 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