Abstract：
:Muscle pain syndrome is a complicated situation in that even an extensive work-up may overlook the primary etiology. A patient with multiple medical problems, including a history of partial gastrectomy due to trauma, a below-knee amputation from arteriosclerotic disease, and chronic phenytoin therapy for a seizure disorder, developed intractable, generalized muscle pain, with total dependency in mobility and self care. He was admitted to an acute care hospital and was eventually discharged with a diagnosis of occult malignancy. After being referred to our amputee clinic for prosthetic management, the patient was admitted for inpatient rehabilitation. Electrodiagnostic studies and muscle biopsy revealed typical neuropathic findings and nonspecific myopathic changes. Laboratory studies showed a vitamin D deficiency with secondary hyperparathyroidism. Discontinuation of phenytoin and treatment with calcium and vitamin D resulted in rapid relief of muscle pain and marked improvement in mobility and self care. This case illustrates an unusual combination of phenytoin-induced axonopathy and osteomalacia that incapacitated an otherwise functional person with below-knee amputation.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Ronin DI,Wu YC,Sahgal V,MacLean ICsubject
Has Abstractpub_date
1991-09-01 00:00:00pages
755-8issue
10eissn
0003-9993issn
1532-821Xpii
0003-9993(91)90264-Jjournal_volume
72pub_type
杂志文章abstract：:Straight-leg raising is used as a diagnostic test for both elastogenic (passive muscle stretch test) and nonelastogenic (Lasègue's test) pathology in patients unable to bend forward from the standing position while holding the knees in extension. The test assessment is based on the range of the leg excursion and the t...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1016/0003-9993(94)90174-0
更新日期：1994-04-01 00:00:00
abstract：:The "get-up and go test" requires patients to stand up from a chair, walk a short distance, turn around, return, and sit down again. This test was conducted in 40 elderly patients with a range of balance function. Tests were recorded on video tapes, which were viewed by groups of observers from different medical backg...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1986-06-01 00:00:00
abstract：OBJECTIVES:To identify factors that are associated with older patients' engagement in exercise in the 6 months after hospital discharge. DESIGN:A prospective observational study using qualitative and quantitative evaluation. SETTING:Follow-up of hospital patients in their home setting after discharge from a metropoli...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2011.04.009
更新日期：2011-09-01 00:00:00
abstract：UNLABELLED:Kwok JC, Hui-Chan CW, Tsang WW. Effects of aging and Tai Chi on finger-pointing toward stationary and moving visual targets. OBJECTIVE:To examine the aging effect on speed and accuracy in finger pointing toward stationary and moving visual targets between young and older healthy subjects and whether or not ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2009.07.018
更新日期：2010-01-01 00:00:00
abstract：OBJECTIVES:To investigate the effect of frequency of alternating current on electrically induced torque in healthy subjects, and to establish an optimum frequency for motor stimulation. DESIGN:A repeated-measures design using 12 subjects (part 1) and 3 subjects (part 2). SETTING:A laboratory setting was used. PARTIC...
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(98)90234-9
更新日期：1998-11-01 00:00:00
abstract：OBJECTIVE:To quantify changes of elbow spasticity over time after botulinum toxin type A (BTX-A) injection in the upper extremity of stroke patients. DESIGN:Before-after trial in which the therapeutic effects were followed up at 2, 6, and 9 weeks after the BTX-A injection (Botox). SETTING:Hospital. PARTICIPANTS:Chro...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2007.08.166
更新日期：2008-04-01 00:00:00
abstract：OBJECTIVES:(1) To examine the mediating effects of depressive symptoms on the relations between employment, grief, depression treatment, and participation enfranchisement after spinal cord injury (SCI); and (2) to examine the moderating role of demographic and injury characteristics, including sex, race, marital status...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2014.01.027
更新日期：2014-06-01 00:00:00
abstract：OBJECTIVE:To evaluate the frequency and extent of prosthetic use by people with lower limb amputation and identify factors that facilitate prosthetic use. DESIGN AND SETTING:Five-year follow-up survey using the Prosthetic Profile of the Amputee (PPA) questionnaire and Dillman's mailing strategy. SUBJECTS:Adults with ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(99)90177-6
更新日期：1999-06-01 00:00:00
abstract：:A major functional problem for the postpolio patient is the loss of ambulation ability. A retrospective study of lower extremity orthotic management for ambulation was made of 104 subjects with histories of paralytic poliomyelitis who received treatment and evaluation in a postpolio clinic. Thirty-six patients (35%) h...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1989-05-01 00:00:00
abstract：:Muscle spasm is often considered to be a prominent feature operating in chronic low back spin syndrome (LBP). The present study compared levels of paralumbar muscle activity, determined by an electromyogram (EMG), for LBP patients and normal subjects during periods of rest and voluntary muscular contraction. The resti...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1981-04-01 00:00:00
abstract：OBJECTIVE:To examine training frequency's effect on torso rotation muscle strength. DESIGN:The study followed a pretest-posttest randomized-group design. SETTING:University laboratory. PATIENTS:Subjects, 33 men (age 30 +/- 11yr) and 25 women (age 28 +/- 10yr) with no history of low back pain, volunteered to particip...
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(97)90012-5
更新日期：1997-01-01 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：:Empirical data on attitudes toward sexual behavior of disabled persons were gathered from a written, sentence-completion task in which 110 college students engaged. The task consisted of 36 sentence stubs, 18 of which probed attitudes toward sex. To facilitate expression of attitudes rather than values, respondents we...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1979-06-01 00:00:00
abstract：OBJECTIVE:To evaluate a strategy of home-based testing to diagnose sleep-disordered breathing and nocturnal hypercapnia in individuals with spinal cord injury (SCI). DESIGN:Case series. SETTING:Referral center. PARTICIPANTS:Adults with C1-T6 SCI (N=81). Individuals were eligible if ≥ 18 years old, with SCI of ≥ 3 mo...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2015.07.026
更新日期：2016-03-01 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：OBJECTIVE:To evaluate the validity and reliability of the Berg Balance Scale (BBS) for use in people with lower-limb amputation. DESIGN:Cross-sectional study. SETTING:Research laboratory. PARTICIPANTS:Individuals (N=30; age, 54±12y; 20 men) with unilateral transtibial (n=13), unilateral transfemoral (n=14), or bilat...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2013.07.002
更新日期：2013-11-01 00:00:00
abstract：OBJECTIVE:To determine whether the administration of clenbuterol, a beta2-adrenergic agonist, prevents loss of muscle mass during a period of imposed inactivity. DESIGN:Randomized trial. SETTING:Basic laboratory research. ANIMALS:Thirty Fischer 344 Brown Norway F1 Hybrid rats, 12 and 30 months of age. INTERVENTIONS...
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.2001.23756
更新日期：2001-07-01 00:00:00
abstract：OBJECTIVE:To determine the validity of the 6-minute walk test (6MWT) as an outcome measure to evaluate walking capacity in ambulatory patients with amyotrophic lateral sclerosis (ALS). DESIGN:Observational study. SETTING:Multidisciplinary ALS clinic at an academic medical center. PARTICIPANTS:Patients with ALS (N=18...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2017.04.004
更新日期：2017-11-01 00:00:00
abstract：:A 30-year-old patient of Central European origin, suffering from monomelic amyotrophy, is presented. The disease was characterized by proximal weakness of one upper limb, mainly of the shoulder girdle, accompanied by atrophy. The electrodiagnostic examination revealed signs of partial denervation in the presence of no...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1987-07-01 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 determine how total physical rehabilitation needs have been distributed per relevant condition groups (musculoskeletal and pain, neurologic cardiothoracic, neoplasms, pediatric, human immunodeficiency virus [HIV] related), globally and across countries of varying income level. DESIGN:Subgroup, secondary a...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2019.12.020
更新日期：2020-06-01 00:00:00
abstract：OBJECTIVE:To compare 3-dimensional (3D) shoulder joint reaction forces and stride characteristics during bilateral forearm crutches and front-wheeled walker ambulation in persons with incomplete spinal cord injury (SCI). DESIGN:Cross-sectional cohort study. SETTING:Biomechanics laboratory. PARTICIPANTS:Fourteen adul...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2005.07.311
更新日期：2006-01-01 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：OBJECTIVES:To determine the factors associated with acute hospital discharge to the 3 most common postacute settings following total knee arthroplasty (TKA): inpatient rehabilitation facilities (IRFs), skilled nursing facilities (SNFs), and directly back to the community. DESIGN:Retrospective cohort study. SETTING:Ac...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2020.05.019
更新日期：2020-09-01 00:00:00
abstract：OBJECTIVE:To test the hypothesis that use of a cane in the nondominant hand during challenging balance tasks would significantly decrease loss of balance in patients with peripheral neuropathy while transferring from bipedal to unipedal stance on an unsteady surface. DESIGN:Nonrandomized control study. SETTING:Tertia...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(96)90032-5
更新日期：1996-05-01 00:00:00
abstract：OBJECTIVE:To examine how intraindividual changes in ambulation characteristics may be used to predict falls. DESIGN:Longitudinal study design. SETTING:Assisted living facility. PARTICIPANTS:Ambulatory older adults (N=26; mean age, 79y). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Continuous measure of aver...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2016.05.013
更新日期：2016-11-01 00:00:00
abstract：OBJECTIVES:To investigate whether functionally based resistance exercise could improve strength, physical function, and disability among prostate cancer survivors (PCS) on androgen deprivation therapy (ADT); and to explore potential mediators of changes in outcomes from exercise. DESIGN:Randomized controlled trial. S...
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.2014.08.010
更新日期：2015-01-01 00:00:00
abstract：:Failed back surgery syndrome (FBSS) is a long-lasting, often disabling, and relatively frequent (5%-10%) complication of lumbosacral spine surgery. Epidural fibrosis is among the most common causes of FBSS, and it is often recalcitrant to treatment. Repeated surgery for fibrosis has only a 30% to 35% success rate, whe...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1053/apmr.2001.21867
更新日期：2001-05-01 00:00:00
abstract：:Pressure pain thresholds and pressure pain tolerances on non-trigger-point muscle and bone were measured with a dolorimeter in 46 female patients with primary fibromyalgia and in 50 healthy women of the same age. The pressure pain thresholds and the pressure pain tolerances on both muscle and bone were lower in the fi...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1992-09-01 00:00:00
abstract：:A mechanical electrode inserter was used to allow reproducible electromyographic (emg) electrode insertions. The electrical activity provoked by the mechanical insertion was recorded and quantitatively analyzed in the anterior tibialis, the extensor hallucis longus, and the extensor digitorum brevis of unimpaired huma...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1979-08-01 00:00:00
