Abstract:
OBJECTIVE:To determine whether social skills deficits including unskilled, inappropriate behavior, problems reading social cues (social perception), and mood disturbances (such as depression and anxiety) could be remediated after severe traumatic brain injuries. DESIGN:Randomized controlled trial comparing a social skills program with social activity alone or with waitlist control. Several participants were reassigned after randomization. SETTING:Hospital outpatient and community facilities. PARTICIPANTS:Fifty-one outpatients from 3 brain injury units in Sydney, Australia, with severe, chronic acquired brain injuries were recruited. A total of 39 people (13 in skills training, 13 in social activity, 13 in waitlist) completed all phases of the study. INTERVENTION:Twelve-week social skills treatment program encompassing weekly 3-hour group sessions focused on shaping social behavior and remediating social perception and 1-hour individual sessions to address psychologic issues with mood, self-esteem, etc. MAIN OUTCOME MEASURES:Primary outcomes were: (1) social behavior during encounters with a confederate as rated on the Behaviorally Referenced Rating System of Intermediary Social Skills-Revised (BRISS-R), (2) social perception as measured by The Awareness of Social Inference Test, and (3) depression and anxiety as measured by the Depression, Anxiety and Stress Scale. Secondary outcomes were: relative report on social behavior and participation using: the Katz Adjustment Scale-R1; the Social Performance Survey Schedule; the La Trobe Communication Questionnaire; and the Sydney Psychosocial Reintegration Scale (both relative and self-report). RESULTS:Repeated-measures analysis of variance indicated that social activity alone did not lead to improved performance relative to waitlist (placebo effect) on any outcome variable. On the other hand, the skills training group improved differentially on the Partner Directed Behavior Scale of the BRISS-R, specifically the self-centered behavior and partner involvement behavior subscales. No treatment effects were found for the remaining primary outcomes (social perception, emotional adjustment) or for secondary outcome variables (relative and self-report measures of social function). CONCLUSIONS:This study suggested that treatment effects after social skills training in people with severe, chronic brain injuries are modest and are limited to direct measures of social behavior.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
McDonald S,Tate R,Togher L,Bornhofen C,Long E,Gertler P,Bowen Rdoi
10.1016/j.apmr.2008.02.029subject
Has Abstractpub_date
2008-09-01 00:00:00pages
1648-59issue
9eissn
0003-9993issn
1532-821Xpii
S0003-9993(08)00431-0journal_volume
89pub_type
杂志文章,多中心研究,随机对照试验abstract:OBJECTIVE:To examine survival and community discharge outcomes related to rehabilitation services among patients admitted to nursing homes before the implementation of the Balanced Budget Amendment of 1997. DESIGN:Retrospective cohort. SETTING:A total of 945 Medicaid-certified nursing homes in Ohio. PARTICIPANTS:A t...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(03)00149-7
更新日期:2003-08-01 00:00:00
abstract:OBJECTIVES:To (1) assess the factors associated with methods of bowel management and bowel-related complications; and (2) determine the risk factors associated with bowel complications and overall bowel dysfunction, using multivariate modeling. DESIGN:Cross-sectional observational study. SETTING:A Spinal Cord Injury ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2016.03.019
更新日期:2016-10-01 00:00:00
abstract::Two advanced magnetic resonance neuroimaging techniques, functional magnetic resonance imaging (fMRI) and diffusion tensor imaging (DTI), have recently made their way into clinically oriented research and hold great promise to study the brain's adaptive changes of function and structure after aphasic stroke, respectiv...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/j.apmr.2011.02.023
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:To examine minor as well as major depression at 1 year posttraumatic brain injury (TBI), with particular attention to the contribution of depression severity to levels of societal participation. DESIGN:Observational prospective study with a 2-wave longitudinal component. SETTING:Inpatient rehabilitation cen...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2011.03.005
更新日期:2011-08-01 00:00:00
abstract:OBJECTIVE:To assess the effects of guidance force (GF) and gait speed (GS) on cardiorespiratory responses and energy cost in subacute dependent ambulatory patients with stroke. DESIGN:Cross-sectional study. SETTING:University rehabilitation hospital. PARTICIPANTS:Patients with subacute stroke (N=10; mean age, 64.50±...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2016.10.021
更新日期:2017-04-01 00:00:00
abstract::The purpose of this investigation was to assess the adaptations of middle-aged women and men to a ten-week physical training program. Before and after training on a treadmill maximal oxygen uptake (VO2 max), heart rates and blood lactate were measured. Also, heart rates during submaximal exercise were observed. Additi...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1975-06-01 00:00:00
abstract:OBJECTIVE:To examine the hypothesis that the influence of physical activity capacity on participation is mediated through activity performance. DESIGN:Secondary analysis of a prospective cross-sectional study sample. SETTING:Regional pediatric specialty care hospital. PARTICIPANTS:Children (N=128; 59% boys; age rang...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2013.06.020
更新日期:2013-12-01 00:00:00
abstract::Results of a mail survey of physiatrists and residents in physical medicine and rehabilitation indicate that physiatrists need administrative/managerial skills in their practices. For physiatrists to initiate new programs, they need skills in program planning and development, resource management, and similar areas. Ex...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1991-05-01 00:00:00
abstract::An innovative approach to the rehabilitation of the stroke patient was initiated at Riverside Methodist Hospital to accommodate an increasing number of patients. Patients spend six hours a day several days a week attending a day rehabilitation program at which all necessary therapies are provided. A year-end analysis ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1984-06-01 00:00:00
abstract::Decreases in muscular strength, endurance, and angular velocity have previously been demonstrated in the elderly. Osteoarthritis (OA), especially of the knee, may cause further reductions in these parameters and lead to functional limitations. This study measured the effects of a quantitative progressive exercise musc...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/0003-9993(93)90087-q
更新日期:1993-12-01 00:00:00
abstract::Heterotopic ossification and deep-venous thrombosis can coexist. This raises potential problems because diagnosis depends heavily on imaging studies, and an ideal imaging study which will cost-effectively and noninvasively diagnose both conditions simultaneously is not readily available. A case of coexistent heterotop...
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
abstract:OBJECTIVE:To describe group therapy utilization in spinal cord injury (SCI) inpatient rehabilitation. DESIGN:Prospective observational study. SETTING:Six inpatient rehabilitation facilities. PARTICIPANTS:Patients (N=1376) receiving initial rehabilitation after traumatic SCI. INTERVENTIONS:Not applicable. MAIN OUTC...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2012.11.049
更新日期:2013-04-01 00:00:00
abstract::The antidromic distal sensory latency of the superficial radial nerve was studied using 2 methods: (I) Recording from a major branch of a nerve as it crosses the extensor pollicis longus tendon, using segments of 10, 12, and 14cm; (II) Recording from the thumb, using segments of 14, 16, and 18cm. The mean latency, to ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1981-01-01 00:00:00
abstract:UNLABELLED:This self-directed learning module highlights recent developments in the acute care of stroke patients, prediction of outcome after stroke, evaluation of risk factors, secondary prevention of stroke, and the evaluation of the young adult with stroke. It is part of the study guide on stroke and neurodegenerat...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1053/j.apmr.2003.11.013
更新日期:2004-03-01 00:00:00
abstract::This paper outlines a suggested protocol for community exercise programs for the rehabilitation of patients with coronary heart disease. Information presented is based on more than seven years of experience gained by the Cardio-Pulmonary Research Institute through programs in Seattle, Mercer Island, and Yakima, WA, an...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1976-07-01 00:00:00
abstract:OBJECTIVE:To determine the effect of 2 different dual tasks on gait variability in people with mild cognitive impairment (MCI) compared with control subjects. DESIGN:Cross-sectional study. SETTING:Memory clinic at a university hospital. PARTICIPANTS:Older adults with MCI (n=43) and cognitively normal control subject...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2011.08.026
更新日期:2012-02-01 00:00:00
abstract::A case is presented of a 60-year-old woman who developed a stress fracture of the femoral neck within 3 months following heart transplantation. This complication was attributed to the introduction of a cardiac rehabilitation program in a patient with risk factors for osteoporosis. ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1993-09-01 00:00:00
abstract:OBJECTIVE:To determine the predictive value of measurements of hand edema for the development of reflex sympathetic dystrophy (RSD). DESIGN:Cohort study. SETTING:Departments of rehabilitation medicine in 3 general hospitals and 1 rehabilitation hospital in Japan. PARTICIPANTS:Thirty-four stroke patients. INTERVENTI...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1053/apmr.2002.34830
更新日期:2002-10-01 00:00:00
abstract:OBJECTIVE:To compare the effects of night-only to full-time splint wear instructions on symptoms, function, and impairment in carpal tunnel syndrome (CTS). DESIGN:Randomized clinical trial with 6-week follow-up. SETTING:Veterans Administration Medical Center, outpatient clinic. SUBJECTS:Outpatients with untreated CT...
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/mr.2000.3856
更新日期:2000-04-01 00:00:00
abstract::This report describes a patient with intractable foot pain following frostbite in 1945. The patient continued to have progressively worsening foot pain, which eventually resulted in his losing his job and becoming wheelchair-bound. A combination of transcutaneous nerve stimulator, patellar, tendon weight-bearing/ankle...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1982-06-01 00:00:00
abstract:OBJECTIVE:To determine the association between the amplitude of vastus medialis (VM) Hoffmann reflex (H-reflex) and pain level, self-reported physical function, and chronicity of pain in women with patellofemoral pain (PFP). DESIGN:Cross-sectional study. SETTING:Laboratory of biomechanics and motor control. PARTICIP...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2016.06.011
更新日期:2017-01-01 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 test whether unloading increases vulnerability to eccentric exercise-induced dysfunction and muscle injury. DESIGN:Before-after trial. SETTING:General community. PATIENTS OR OTHER PARTICIPANTS:Two women and 5 men (73 +/- 3kg [mean +/- SE]) who were active college students but were not trained in lower b...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(96)90255-5
更新日期:1996-08-01 00:00:00
abstract::This essay complements the scientific and practice scope of the American Academy of Neurology Guideline on Disorders of Consciousness by providing a discussion of the ethical, palliative, and policy aspects of the management of this group of patients. We endorse the renaming of "permanent" vegetative state to "chronic...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2018.07.003
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVE:To obtain information on long-term mortality risk and life expectancy after traumatic brain injury (TBI), to improve planning and for counseling patients and their families. In contrast to the literature for spinal cord injury and other disabilities, there have been few such reports for TBI. DESIGN:Records w...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(98)90177-0
更新日期:1998-09-01 00:00:00
abstract:OBJECTIVES:To conduct a pilot study of weight-supported ambulation training after incomplete spinal cord injury (SCI), and to assess its safety. DESIGN:Quasiexperimental, repeated measures, single group. SETTING:Veterans Affairs medical center. PATIENTS:Three subjects with incomplete, chronic, thoracic SCIs; 2 class...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1053/apmr.2001.23198
更新日期:2001-06-01 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::The effect of severe disability, tracheostomy, and ventilator use on psychosocial functioning, gainful employment, life satisfaction, and perceived well-being were studied for a population of 395 ventilator assisted post-poliomyelitis individuals (PVAIs). Standard psychosocial survey instruments and other general ques...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1992-10-01 00:00:00
abstract::Termination of motor rehabilitation is often recommended as patients with cerebrovascular accident (CVA) become more chronic and/or when they fail to respond positively to motor rehabilitation (commonly termed a "plateau"). Managed-care programs frequently reinforce this practice by restricting care to patients respon...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/j.apmr.2003.12.031
更新日期:2004-08-01 00:00:00
abstract:OBJECTIVE:To determine the prevalence of diabetes in inpatient rehabilitation facilities in Washington State from 2001 to 2007, and to determine the impact of diabetes on length of stay (LOS) and charges per day. DESIGN:Longitudinal retrospective cohort analysis of inpatient rehabilitation discharge data from the Wash...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2009.06.008
更新日期:2009-11-01 00:00:00