Abstract:
OBJECTIVES:To examine joint-position sense and kinesthesia in all extremities in participants with diplegic or hemiplegic cerebral palsy (CP). DESIGN:Survey of joint-position sense and kinesthesia differences between aged-matched controls and 2 groups with CP. SETTING:University movement assessment laboratory. PARTICIPANTS:Population-based sample of participants with CP, diplegia (n=21), hemiplegia (n=17), and age-matched volunteers (n=21) without neurologic disease. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Joint-position sense and kinesthesia were measured in the transverse plane (forearm pronation/supination and hip internal/external rotation) using a custom-built device. For joint-position sense, participants actively rotated the tested limb to align the distal end with 10 target positions first with the limb and targets visible to assess their ability to perform the task motorically. The task was then repeated with vision of the limb occluded, with targets remaining visible. Joint-position sense error was determined by the magnitude and direction of the rotation errors for each limb in the vision and no vision conditions. Kinesthesia was evaluated by the ability to detect passive limb rotation without vision. RESULTS:No group differences were detected in the vision condition. Indicative of joint-position sense deficits, a significant increase in errors was found in the no vision condition in all limbs except the dominant upper limb for both groups with CP. Joint-position sense errors were systematically biased toward the direction of internal rotation. Kinesthesia deficits were evident on the nondominant upper limb in diplegia and hemiplegia, and bilaterally in the lower limbs in hemiplegia. In hemiplegia, joint-position sense and kinesthesia deficits were noted on the dominant limbs, but were significantly worse on the nondominant limbs. CONCLUSIONS:These results indicate that people with CP have proprioception deficits in all limbs.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Wingert JR,Burton H,Sinclair RJ,Brunstrom JE,Damiano DLdoi
10.1016/j.apmr.2008.08.217subject
Has Abstractpub_date
2009-03-01 00:00:00pages
447-53issue
3eissn
0003-9993issn
1532-821Xpii
S0003-9993(08)01647-Xjournal_volume
90pub_type
杂志文章abstract:OBJECTIVE:To determine whether physical activity may affect cognitive performance in patients with Parkinson's disease by measuring reaction times in patients participating in the Berlin BIG study. DESIGN:Randomized controlled trial, rater-blinded. SETTING:Ambulatory care. PARTICIPANTS:Patients with mild to moderate...
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.2013.10.020
更新日期:2014-05-01 00:00:00
abstract::Ten individuals with spinal muscular atrophy (SMA) and chronic ventilatory insufficiency were trained in the use of assisted coughing techniques and received intermittent positive pressure ventilation (IPPV) via oral and/or nasal interfaces for a mean of 5.3 (range = 1 to 17) years. During this time they had significa...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/s0003-9993(95)80603-2
更新日期:1995-03-01 00:00:00
abstract:UNLABELLED:This learner-directed module on spinal cord injury (SCI) presents a variety of perspectives of the process of personal and environmental adaptation for reintegration. Adaptation is unique to each person and does not predictably follow stages. Models used for understanding the process include biopsychosocial,...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1053/apmr.2002.32178
更新日期:2002-03-01 00:00:00
abstract:OBJECTIVE:To retrospectively assess whether cardiopulmonary exercise testing would be well tolerated in individuals with Alzheimer disease (AD) compared with a nondemented peer group. DESIGN:We retrospectively reviewed 575 cardiopulmonary exercise tests (CPETs) in individuals with and without cognitive impairment caus...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/j.apmr.2014.04.007
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVE:Rearfoot motion, particularly rearfoot pronation, has been associated with many foot and leg pathologies. The assessment of abnormal rearfoot pronation frequently involves the use of video assessment in both clinical and research settings, but the reliability of this assessment has not been addressed. DESIGN...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(96)90003-9
更新日期:1996-07-01 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::The health care delivery system in the United States is challenged to meet the needs of a growing population of cancer survivors. A pressing need is to optimize overall function and reduce disability in these individuals. Functional impairments and disability affect most patients during and after disease treatment. Re...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2016.05.002
更新日期:2016-11-01 00:00:00
abstract:OBJECTIVE:To investigate whether a new tissue-imaging technique, magnetic resonance elastography (MRE), offers a viable, noninvasive way to study healthy and diseased muscle. DESIGN:Convenience sample. SETTING:A magnetic resonance imaging (MRI) laboratory. PARTICIPANTS:Eight control subjects (4 men, 4 women), betwee...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2002.35472
更新日期:2002-11-01 00:00:00
abstract::Bruxism, the rhythmic grinding of teeth--usually during sleep--is not an infrequent complication of traumatic brain injury. Its prevalence in the general population is 21%, but its incidence after brain injury is unknown. Untreated, bruxism causes masseter hypertrophy, headache, temporomandibular joint destruction, an...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(97)90343-9
更新日期:1997-11-01 00:00:00
abstract::A commercial arm-leg ergometer was adapted so that combined bilateral arm-single leg work could be performed by unilateral lower extremity amputees from their own wheelchairs. Three middle-aged to elderly unilateral amputees performed progressive discontinuous bilateral arm crank and combined bilateral arm-single leg ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1987-04-01 00:00:00
abstract:UNLABELLED:This self-directed learning module highlights common comorbidities found in people with amputations and their impact on functional outcome. It is part of the study guide on limb deficiency and vascular rehabilitation in the Self-Directed Physiatric Education Program for practitioners and trainees in physical...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/j.apmr.2005.11.025
更新日期:2006-03-01 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: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
abstract:OBJECTIVE:The aim of this study was to determine the duration of physical activity (PA) monitoring required for reliable measurements following stroke. DESIGN:Single-center, prospective, observational study. SETTING:PA was measured in a community setting. PARTICIPANTS:Adults (N=70) poststroke. MAIN OUTCOME MEASURES...
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pub_type: 杂志文章
doi:10.1016/j.apmr.2018.10.006
更新日期:2019-05-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(96)90085-4
更新日期:1996-04-01 00:00:00
abstract:OBJECTIVE:To identify determinants for the use of a walking device in persons with Parkinson's disease (PD). DESIGN:Cross-sectional study of participants with PD. SETTING:Laboratory. PARTICIPANTS:Persons with PD (N=85; 60 men) were studied. Their mean age was 69.4±8.9 years. The average time since diagnosis was 7.9±...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2014.06.002
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVES:To assess lumbopelvic muscle activity during different core stability exercises on and off a Swiss ball. DESIGN:Prospective comparison study. SETTING:Research laboratory. PARTICIPANTS:Eight healthy volunteers from a university population. INTERVENTION:Subjects performed 4 exercises on and off a Swiss bal...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2004.05.004
更新日期:2005-02-01 00:00:00
abstract::Lumbosacral and associated leg pain and paresthesias arousing patients from a sound sleep, or Vesper's curse, has been previously reported. An increase in right atrial filling pressure reflected in elevated paraspinal venous volumes within the reduced confines of a stenotic lumbar spine has been cited as the cause of ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1990-05-01 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:OBJECTIVE:To establish whether there is evidence for or against the efficacy of needling as a treatment approach for myofascial trigger point pain. DATA SOURCES:PubMed, Ovid MEDLINE, Ovid EMBASE, the Cochrane Library, AMED, and CISCOM databases, searched from inception to July 999. STUDY SELECTION:Randomized, control...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1053/apmr.2001.24023
更新日期:2001-07-01 00:00:00
abstract:OBJECTIVE:To determine the feasibility and utility of applying a case-mix adjusted algorithm for treatment across the continuum of stroke rehabilitation. DESIGN:Implementation of a clinical algorithm developed through national expert panels to standardize rehabilitation assessment and treatment of veterans with stroke...
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:2000-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the effects of aquatic exercise therapy on gait variability and disability compared with usual care for people with Parkinson disease (PD). DESIGN:Single-blind randomized controlled trial. SETTING:Community-based hydrotherapy pool. PARTICIPANTS:Individuals with PD (Hoehn-Yahr stages I-III) (N=2...
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.2016.12.006
更新日期:2017-04-01 00:00:00
abstract:UNLABELLED:Hebert JJ, Koppenhaver SL, Magel JS, Fritz JM. The relationship of transversus abdominis and lumbar multifidus activation and prognostic factors for clinical success with a stabilization exercise program: a cross-sectional study. OBJECTIVE:To examine the relationship between prognostic factors for clinical ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2009.08.146
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVE:To determine the neuromuscular and performance effects of acute and long-term exposure to selective serotonin reuptake inhibitors (SSRIs). DESIGN:Two randomized, double-blind, crossover studies. SETTING:Departments of Kinesiology and Medicine, McMaster University, Hamilton, Ont, Canada. PARTICIPANTS:Eleven...
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.2001.23275
更新日期:2001-07-01 00:00:00
abstract::This self-directed learning module highlights new advances in this topic area. It is part of the chapter on rehabilitation in joint and connective tissue diseases in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. This article discusses the followi...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/s0003-9993(95)80599-0
更新日期:1995-05-01 00:00:00
abstract::An easily performed and reproducible method is described for the antidromic determination of conduction velocity in the saphenous nerve. Eighty nerves were studied in 40 healthy subjects and the mean values obtained were as follows: latency 3.6 +/- 0.4 msec, conduction velocity 41.7 +/- 3.4 m/sec, amplitude 9.0 muV. T...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1978-07-01 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:UNLABELLED:This self-directed learning module highlights the basic acute care management of traumatic and nontraumatic spinal cord injury (SCI). It is part of the chapter on SCI medicine in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. Acute traum...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/j.apmr.2006.12.002
更新日期:2007-03-01 00:00:00
abstract::Two cases of ulnar nerve lesions at the wrist are reported. The lesions had an acute onset and exclusively impaired the ulnar motor deep branch. The coexistence of carpal tunnel syndrome in each case allowed an early diagnosis but was somewhat misleading. In both cases, the use of classic motor and sensory conduction ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(99)90042-4
更新日期:1999-10-01 00:00:00
abstract:OBJECTIVES:Work-related components are an essential part of rehabilitation programs to support return to work of patients with musculoskeletal disorders. In Germany, a guideline for work-related medical rehabilitation was developed to increase work-related treatment components. In addition, new departments were approve...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/j.apmr.2018.06.018
更新日期:2018-12-01 00:00:00