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 society membership database. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Pain presence or absence, pain intensity (numeric rating scales), pain quality (McGill Pain Questionnaire), pain location(s) and extent (pain drawing), pain duration and frequency, provoking and relieving pain factors, and pain management techniques. RESULTS:Pain was common with some 67.1% of the sample reporting pain during the 2 weeks preceding the study. Comprehensive pain assessment revealed that a substantial subset of these subjects experience chronic pain conditions characterized by moderate-to-severe pain intensity. Among those with pain, 75% reported pain in 3 or more locations, with participants reporting an average of 4.0+/-1.8 distinct pain sites. Women and people with more severe MS-related disability were significantly more likely to report both the presence of pain and greater pain intensity. In contrast, being in a married or in a de facto relationship and longer time since MS diagnosis were significantly associated with lower pain intensity. CONCLUSIONS:Given the high prevalence and nature of pain experienced by people with MS, health care providers need to approach pain with a priority similar to that given to other MS-related problems such as mobility and functional independence. Women and people with more severe MS-related disability appear to be at particular risk for significant pain problems and therefore these groups warrant particular attention, such that routine clinical assessment should trigger routine pain assessment.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Douglas C,Wollin JA,Windsor Cdoi
10.1016/j.apmr.2008.03.022subject
Has Abstractpub_date
2008-10-01 00:00:00pages
1923-32issue
10eissn
0003-9993issn
1532-821Xpii
S0003-9993(08)00504-2journal_volume
89pub_type
杂志文章abstract:OBJECTIVE:To create gross motor function growth curves for children with Down syndrome (DS) and to estimate the probability that motor functions are achieved by different ages. DESIGN:Nonlinear growth curve analysis by using a 2-parameter (rate, upper limit) model. SETTING:Early intervention programs, schools, and ch...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2001.21956
更新日期:2001-04-01 00:00:00
abstract::There is a striking absence of data on the cardiovascular fitness of mentally retarded adults and what limited data are reported reflect field or submaximal laboratory tests. This study sought to develop a protocol that would allow maximal aerobic testing (VO2max) of mentally retarded adults in the laboratory. Of 21 s...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1987-06-01 00:00:00
abstract:OBJECTIVE:To examine the influence of facility and aggregate patient characteristics of inpatient rehabilitation facilities (IRFs) on performance-based rehabilitation outcomes in a national sample of IRFs treating Medicare beneficiaries with hip fracture. DESIGN:Secondary data analysis. SETTING:U.S. Medicare-certifie...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2015.01.003
更新日期:2015-05-01 00:00:00
abstract::At least 3 million Americans sustain a mild traumatic brain injury (mTBI) each year, and 1 in 5 have symptoms that persist beyond 1 month. Standards of mTBI care have evolved rapidly, with numerous expert consensus statements and clinical practice guidelines published in the last 5 years. This Special Communication sy...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2019.10.179
更新日期:2020-02-01 00:00:00
abstract:UNLABELLED:Cooper RA. Comparison of virtual wheelchair driving performance of people with traumatic brain injury using an isometric and a conventional joystick. OBJECTIVE:To compare wheelchair driving performance in a driving simulator using a conventional joystick and an isometric joystick. DESIGN:Randomized, cohort...
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.2011.03.011
更新日期:2011-08-01 00:00:00
abstract:OBJECTIVE:To compare the immediate effects of different training interventions on gait parameters in patients with early Parkinson's disease (PD). DESIGN:Randomized, multiple intervention crossover pilot study. SETTING:A rehabilitation center for adult persons with neurologic disorders. PARTICIPANTS:Seventeen patien...
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:10.1016/s0003-9993(03)00433-7
更新日期:2003-12-01 00:00:00
abstract::Six patients with spinal cord injury and iliopsoas abscess and other complicating conditions were evaluated with computed tomography (CT), conventional radiography, magnetic resonance imaging (MRI), and radionuclide scans. CT identified the presence of psoas abscess and revealed the depth, extent, and relationship of ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1993-11-01 00:00:00
abstract:OBJECTIVES:To determine the association between specific military deployment experiences and immediate and longer-term physical and mental health effects, as well as examine the effects of multiple deployment-related traumatic brain injuries (TBIs) on health outcomes. DESIGN:Online survey of cross-sectional cohort. Od...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2012.05.024
更新日期:2012-11-01 00:00:00
abstract::Ninety-three men and women with histories of polio were administered the Symptom Check List-90 Revised (SCL-90R), Psychosocial Adjustment to Illness Scale-Self Report (PAIS-SR), and a questionnaire about their polio histories. The SCL-90R and PAIS-SR are measures of emotional and psychosocial functioning. Two samples ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/0003-9993(89)90007-5
更新日期:1989-06-01 00:00:00
abstract:OBJECTIVE:To determine the efficacy, safety, and compliance with forced-use therapy (FUT) applied without additional "shaping" therapy during the rehabilitation phase of stroke. DESIGN:Prospective, randomized controlled trial. SETTING:Tertiary mixed rehabilitation center. PARTICIPANTS:Consecutive sample of 30 inpati...
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:10.1016/j.apmr.2004.01.018
更新日期:2004-09-01 00:00:00
abstract::This study attempted to measure whether immediate videotape feedback would improve the degree of motor learning and ambulation performances of amputee patients. Twelve amputee patients were randomly assigned either to a control or to an experimental group. Subjects in the experimental group were videotaped during four...
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:
更新日期:1978-03-01 00:00:00
abstract::This double-blind cross-over study of 14 severely spastic inpatients with chronic multiple sclerosis reveals that once-daily doses of ketazolam, a new drug, are effective in reducing spasticity in a significant proportion of patients without significant side-effects. Added to the similar findings of an earlier double-...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:
更新日期:1986-08-01 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
pub_type: 杂志文章
doi:10.1016/j.apmr.2020.09.385
更新日期:2020-10-17 00:00:00
abstract::Visual imperception denotes the disorders of perceptual functioning commonly associated with unilateral brain injury. Typically the same half of the visual fields of both eyes are affected on the side opposite to that of the brain injury. The disorder may have a sensory or an attentional basis or both, moreover, the p...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1983-10-01 00:00:00
abstract::A small waveform precedes the compound muscle action potential evoked from the thenar eminence with median nerve stimulation with high amplifier gains. This potential is believed to emanate from fibers destined to innervate the volar aspect of the first digit. It has been suggested recently that the source of the prem...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1989-07-01 00:00:00
abstract:UNLABELLED:Significant pain is experienced by the majority of cancer patients during the course of their illness. Despite the widespread availability of effective therapy, undertreatment remains common. Opioid pharmacotherapy has emerged as the mainstay of cancer pain management. Coanalgesic administration, disease-mod...
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::The Centers for Disease Control and Prevention (CDC) published "The Report to Congress on the Management of Traumatic Brain Injury in Children" in the spring of 2018. The report is a call to action for professionals providing care for children with traumatic brain injury in the health, social, and educational sectors ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2018.05.012
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVES:To determine the relative and absolute reliability of the assessment of ambulatory walking activity during 2 consecutive weeks in patients with hematologic malignancies recovering at home from their medical treatment and to compare the physical activity level of hematologic cancer patients after high-dose ch...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2008.06.020
更新日期:2009-01-01 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:OBJECTIVES:To determine agreement between children with congenital hand differences (CHDs) and their parents on health-related quality of life (HRQOL) and to explore whether characteristic variables were associated with this agreement on different domains of HRQOL. DESIGN:Survey. SETTING:University hospital, outpatie...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2011.11.023
更新日期:2012-04-01 00:00:00
abstract::Two hundred consecutive ulnar F wave latencies were evaluated in 30 healthy controls (C) and in 9 patients with mild neuropathy (N). The primary study objective was to determine the F wave sample size required to obtain a reliable F mean latency. A secondary objective was to explore the diagnostic utility of three F w...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1993-11-01 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 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:OBJECTIVES:To evaluate concurrent and construct validity for the Simplified Water Displacement Instrument (SWDI), an instrument for measuring arm volumes and arm lymphedema as a result of breast cancer surgery. DESIGN:Validity design. SETTING:Hospital setting. PARTICIPANTS:Women (N=23; mean age, 64+/-11y) were exami...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2008.11.016
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVE:To compare the Lower Limb Tasks Questionnaire (LLTQ) with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) in terms of agreement, responsiveness, and convergence. DESIGN:Cross-sectional with an exploratory repeated-measures subsample analysis. SETTING:Community-based seniors' cente...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2012.09.013
更新日期:2013-03-01 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::Time course and degree of the recovery of walking function after stroke and the influence of initial lower extremity (LE) paresis were studied prospectively in a community-based population of 804 consecutive acute stroke patients. Walking function and degree of LE paresis were assessed weekly using the Barthel index a...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(95)80038-7
更新日期:1995-01-01 00:00:00
abstract::The response of geriatric patients to a multidisciplinary chronic pain rehabilitation program was measured by comparing outcome data on 17 older patients (55 to 78 years) to data on 20 younger patients (29 to 48 years) treated in the same program. Pretreatment data were obtained at an initial evaluation, and posttreat...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1988-12-01 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
abstract:OBJECTIVE:To develop and assess the reliability of a group of cervical nonorganic physical signs to be used as a simple screening tool for identifying patients with low neck pain who exhibit abnormal illness behavior. DESIGN:Survey, consecutive sample. DATA SET:Double masked. SETTING:Functional restoration program. ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/s0003-9993(00)90136-9
更新日期:2000-02-01 00:00:00