Abstract:
OBJECTIVES:Our primary objective was to test the hypothesis that a highly structured training method for wheelchair curb-climbing requires less training time than conventional training. Our secondary objectives were to test the hypotheses that this training method increases success rate, reduces the need for spotter interventions, and reduces the participants' perceptions of difficulty. DESIGN:Randomized controlled trial. SETTING:Rehabilitation center. PARTICIPANTS:Able-bodied participants (N=16), randomly allocated to intervention (n=7) and control (n=9) groups. INTERVENTIONS:Both groups received up to 5 training sessions. Each session included instruction, practice, and feedback. The participants in the intervention and control groups used 18- and 9-step approaches, respectively. Training in the intervention group also included video demonstration, trainer demonstrations, mirror feedback, and standardized feedback phrases. MAIN OUTCOME MEASURES:Total training time, success rate at climbing a 15 cm-high curb, the number of spotter interventions during training, and a questionnaire. RESULTS:The mean+/-SD training times for the successful participants in the intervention and control groups were 42.5+/-24.4 minutes and 87.4+/-45.3 minutes (P=.084). The curb-climbing success rates of the intervention and control groups were 86% and 89% (P=1.000). There were no significant differences between the groups regarding the number of spotter interventions (P=.203) or for participants' perceptions of difficulty (P=.050). CONCLUSIONS:In comparison with a conventional method for curb-climbing, a highly structured method seems to require less than 50% of the training time for able-bodied participants, although this finding is only a trend statistically. This has implications for clinical training.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Kirby RL,Bennett S,Smith C,Parker K,Thompson Kdoi
10.1016/j.apmr.2008.04.028subject
Has Abstractpub_date
2008-12-01 00:00:00pages
2342-8issue
12eissn
0003-9993issn
1532-821Xpii
S0003-9993(08)01474-3journal_volume
89pub_type
杂志文章,随机对照试验abstract::To determine electrical criteria which might be helpful in the diagnosis of ulnar nerve entrapment at the elbow, clinical and electrodiagnostic features in 78 patients with suspected ulnar nerve entrapment at the elbow are described and compared to the results of sensory and motor conduction in the ulnar nerve in a co...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1976-05-01 00:00:00
abstract:OBJECTIVE:To assess the effects of automated peripheral stimulation (AMPS) in reducing gait variability of subjects with Parkinson disease (PD) and freezing of gait (FOG) treated with AMPS and to explore the effects of this treatment on gait during a single task (walking) and a dual task (walking while attending the wo...
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.2018.05.009
更新日期:2018-12-01 00:00:00
abstract::Atrial fibrillation is an arrhythmia characterized by disorganized atrial depolarizations and an irregular ventricular response. Most patients with atrial fibrillation have underlying cardiac pathology. This paper presents the cases of three patients with high-level spinal cord injury and symptoms of autonomic dysrefl...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1991-07-01 00:00:00
abstract:OBJECTIVE:To determine if nonspecific gastrointestinal (GI) symptoms justify cholecystectomy in patients with spinal cord injury (SCI). DESIGN:The frequency of GI symptoms was determined in a sample of patients with SCI in whom the presence or absence of gallstones had been previously determined by screening ultrasono...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2000.6288
更新日期:2000-08-01 00:00:00
abstract::Fifty-nine patients with severe chronic obstructive pulmonary disease (COPD) performed pulmonary function and exercise tests before and after participation in a 12-day pulmonary rehabilitation inpatient program. Postdischarge follow-ups were performed at three months. Training consisted of twice daily aerobic exercise...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1988-02-01 00:00:00
abstract:OBJECTIVE:To investigate the effectiveness of a home-based multiple-speed treadmill training program to improve gait performance in persons with a transfemoral amputation (TFA). DESIGN:Repeated measures. SETTING:Research laboratory. PARTICIPANTS:Individuals with a TFA (N=8) who had undergone a unilateral amputation ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2013.08.001
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVE:To compare outcomes in stroke survivors who received rehabilitation services in an acute inpatient rehabilitation setting (multidisciplinary rehabilitation team) with outcomes in survivors in a home-based setting (family caregivers, limited team supervision). DESIGN:Randomized clinical trial, with mean follo...
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.2001.25973
更新日期:2001-10-01 00:00:00
abstract::There is evidence that chronic cane, crutch, and wheelchair users are at increased risk for developing pain and functional compromise of the wrist and hand. This investigation examined the prevalence and risk factors for median mononeuropathy at the wrist in the postpoliomyelitis population. The medical records of 148...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/0003-9993(89)90008-7
更新日期:1989-06-01 00:00:00
abstract:OBJECTIVE:To test the hypothesis that quantitative measures of gait unsteadiness are increased in community-dwelling elderly fallers. STUDY DESIGN:Retrospective, case-control study. SETTING:General community. PARTICIPANTS:Thirty-five community-dwelling elderly subjects older than 70 years of age who were capable of ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(97)90034-4
更新日期:1997-03-01 00:00:00
abstract:OBJECTIVE:To investigate the changes in muscle oxygen consumption (mV˙O2) using near-infrared spectroscopy (NIRS) after 4 weeks of training with functional electrical stimulation (FES) cycling in nonambulatory people with multiple sclerosis (MS). DESIGN:Four-week before-after trial to assess changes in mV˙O2 after an ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2014.10.010
更新日期:2015-04-01 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 assess the relationship between delays in initiation and termination of tibialis anterior contraction in the hemiplegic lower limb and clinical measures of lower-limb motor impairment and mobility. DESIGN:Cross-sectional correlational study. SETTING:Outpatient rehabilitation clinic of an academic medical...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2006.05.007
更新日期:2006-09-01 00:00:00
abstract:OBJECTIVE:To evaluate the validity of the Prosthetic Upper Extremity Functional Index (PUFI), a parent- and older child-report measure that evaluates the extent of Prosthetic limb use, ease of task performance with and without the prosthesis, and its usefulness. DESIGN:Evaluation of discriminant validity (the PUFI's a...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/ampr.2003.50127
更新日期:2003-04-01 00:00:00
abstract:OBJECTIVE:To quantify habitual walking speed and estimate the prevalence of low habitual walking speed (<0.8m/s and <0.5m/s) in nursing home residents; and secondarily to gain some insight into whether demographic, health, and functional outcomes could predict the nursing home residents' walking speed. DESIGN:Cross-se...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2015.06.021
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVES:To determine whether nocturnal splinting of workers identified through active surveillance with symptoms consistent with carpal tunnel syndrome (CTS) would improve symptoms and median nerve function as well as impact medical care. DESIGN:Randomized controlled trial. SETTING:A Midwestern auto assembly plant...
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.2004.05.013
更新日期:2005-01-01 00:00:00
abstract:OBJECTIVE:To assess the long-term efficacy of selective tibial neurotomy in the treatment of spastic equinovarus foot in hemiplegic patients. DESIGN:Intervention study (before-after trial) with an observational design and 2-year follow-up. SETTING:Spasticity group in a university hospital. PARTICIPANTS:Hemiplegic pa...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/j.apmr.2010.04.010
更新日期:2010-07-01 00:00:00
abstract::To investigate variables potentially related to children's distress during electromyography/nerve conduction studies (EMG/NCS), mothers of 39 children ages two to 17 years reported the child's gender, experience with EMG/NCS, previous negative medical/dental experiences, general response to painful procedures, informa...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1992-12-01 00:00:00
abstract:OBJECTIVE:To investigate the safety of combining a 6-Hz primed low-frequency repetitive transcranial magnetic stimulation (rTMS) intervention in the contralesional hemisphere with a modified constraint-induced movement therapy (mCIMT) program in children with congenital hemiparesis. DESIGN:Phase 1 randomized, double-b...
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.2014.09.012
更新日期:2015-04-01 00:00:00
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 demonstrate subacute progression of brain atrophy (from 4.5-29mo postinjury) in moderate to severe traumatic brain injury (TBI) using structural magnetic resonance imaging (MRI). DESIGN:Within-subjects, repeated-measures design. SETTING:Inpatient neurorehabilitation program and teaching hospital (MRI dep...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2008.07.006
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVES:To describe the feasibility of the Community Integration Questionnaire (CIQ) adjusted for use in people with aphasia and to report its psychometric properties in people with aphasia (internal consistency, factor analysis, test-retest reliability, convergent validity). DESIGN:A cross-sectional, interview-bas...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2009.10.021
更新日期:2010-03-01 00:00:00
abstract::To evaluate the efficacy and function of EMG feedback (FB) in muscle reeducation, voluntary muscle contractions with and without EMG FB were compared under controlled experimental conditions in normal human subjects (n=10). Each subject was instructed to produce 12 sustained, 30-second contractions of the left abducto...
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::Every medical student at Mayo Medical School participates in a three-week training program in the department of physical medicine and rehabilitation. Since 1974-1975, approximately 40 students have had this experience each academic year. In addition to lectures, the learning experience includes clinical cases involvin...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1984-07-01 00:00:00
abstract::Traditional approaches to psychological assessment of chronic pain patients have centered either on underlying psychopathology or environmental reinforcers for pain behavior. The current research focuses on patient beliefs and attitudes about their pain and its treatment, an additional dimension which appears to be im...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1985-12-01 00:00:00
abstract::Erythromelalgia, known also as erythalgia and erythermalgia, is a rare condition causing redness and burning sensation in the extremities, usually the lower. It may be primary or idiopathic, or secondary in association with other diseases, usually myeloproliferative disorders. The present report describes a patient in...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:
更新日期:1987-02-01 00:00:00
abstract::To evaluate the efficacy and function of emg feedback (emgFB) in muscle reeducation, skeletal muscle contractions with and without emgFB were compared under controlled experimental conditions in human subjects with paresis due to brain damage (n=6) or peripheral nervous system damage (n=6). Each subject was instructed...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1980-01-01 00:00:00
abstract:UNLABELLED:Krause JS, Zhai Y, Saunders LL, Carter RE. Risk of mortality after spinal cord injury: an 8-year prospective study. OBJECTIVE:To evaluate a theoretical model for mortality after spinal cord injury (SCI) by sequentially analyzing 4 sets of risk factors in relation to mortality (ie, adding 1 set of factors to...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2009.04.020
更新日期:2009-10-01 00:00:00
abstract:OBJECTIVE:To examine the relation between pain on weight bearing, lower-extremity muscle strength, and physical function among older Mexican Americans. DESIGN:Cross-sectional study. SETTING:Five Southwestern states: Texas, New Mexico, Colorado, Arizona, and California. PARTICIPANTS:A population-based sample of 544 n...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2004.12.038
更新日期:2005-07-01 00:00:00
abstract:OBJECTIVE:To evaluate whether amitriptyline is more effective than placebo in improving phantom limb pain or residual limb pain. DESIGN:Randomized controlled trial of amitriptyline for 6 weeks. SETTING:University hospital. PARTICIPANTS:Thirty-nine persons with amputation-related pain lasting more than 6 months. INT...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1016/s0003-9993(03)00476-3
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVE:To find the most energy-efficient standing-up motion for quadriceps and to restore that motion in a person with complete paraplegia by using hybrid functional electrical stimulation. DESIGN:Nonrandomized control trial. SETTING:A referral center and institutional practice providing outpatient care. PARTICIP...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/s0003-9993(99)90305-2
更新日期:1999-01-01 00:00:00