A systematic review of the management of orthostatic hypotension after spinal cord injury.

Abstract:

OBJECTIVE:To review systematically the evidence for the management of orthostatic hypotension (OH) in patients with spinal cord injuries (SCIs). DATA SOURCES:A key word literature search was conducted of original and review articles as well as practice guidelines using Medline, CINAHL, EMBASE, and PsycInfo, and manual searches of retrieved articles from 1950 to July 2008, to identify literature evaluating the effectiveness of currently used treatments for OH. STUDY SELECTION:Included randomized controlled trials (RCTs), prospective cohort studies, case-control studies, pre-post studies, and case reports that assessed pharmacologic and nonpharmacologic intervention for the management of OH in patients with SCI. DATA EXTRACTION:Two independent reviewers evaluated the quality of each study, using the Physiotherapy Evidence Database score for RCTs and the Downs and Black scale for all other studies. Study results were tabulated and levels of evidence assigned. DATA SYNTHESIS:A total of 8 pharmacologic and 21 nonpharmacologic studies were identified that met the criteria. Of these 26 studies (some include both pharmacologic and nonpharmacologic interventions), only 1 pharmacologic RCT was identified (low-quality RCT producing level 2 evidence), in which midodrine was found to be effective in the management of OH after SCI. Functional electrical stimulation was one of the only nonpharmacologic interventions with some evidence (level 2) to support its utility. CONCLUSIONS:Although a wide array of physical and pharmacologic measures are recommended for the management of OH in the general population, very few have been evaluated for use in SCI. Further research needs to quantify the efficacy of treatment for OH in subjects with SCI, especially of the many other pharmacologic interventions that have been shown to be effective in non-SCI conditions.

journal_name

Arch Phys Med Rehabil

authors

Krassioukov A,Eng JJ,Warburton DE,Teasell R,Spinal Cord Injury Rehabilitation Evidence Research Team.

doi

10.1016/j.apmr.2009.01.009

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

876-85

issue

5

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(09)00121-X

journal_volume

90

pub_type

杂志文章,评审
  • Shoulder pain in wheelchair users with tetraplegia and paraplegia.

    abstract:OBJECTIVE:To compare the prevalence and intensity of shoulder pain experienced during daily functional activities in individuals with tetraplegia and individuals with paraplegia who use manual wheelchairs. DESIGN:Self-report survey. SETTING:General community. PARTICIPANTS:Fifty-five women and 140 men, 92 subjects wi...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(99)90285-x

    authors: Curtis KA,Drysdale GA,Lanza RD,Kolber M,Vitolo RS,West R

    更新日期:1999-04-01 00:00:00

  • Microprocessor-based weight shift monitors for paraplegic patients.

    abstract::The prevention of pressure sores for patients with spinal cord injuries includes pressure relief through the patient shifting position and, thus, weight. We have designed a microprocessor-based device to mount on the seat of a conventional wheelchair. This device has applications in hospital rehabilitation programs fo...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/0003-9993(86)90067-5

    authors: Cumming WT,Tompkins WJ,Jones RM,Margolis SA

    更新日期:1986-03-01 00:00:00

  • Is needle examination always necessary in evaluation of carpal tunnel syndrome?

    abstract:OBJECTIVE:To investigate whether needle evaluation added any important clinical information to normal nerve conduction studies in the evaluation of carpal tunnel syndromes. DESIGN:Retrospective review of electromyography (EMG) done with the referring diagnosis of possible carpal tunnel syndrome. SETTING:Outpatients s...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(98)90064-8

    authors: Balbierz JM,Cottrell AC,Cottrell WD

    更新日期:1998-05-01 00:00:00

  • Bruxism after brain injury: successful treatment with botulinum toxin-A.

    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

    authors: Ivanhoe CB,Lai JM,Francisco GE

    更新日期:1997-11-01 00:00:00

  • Pancoast tumor presenting as cervical radiculopathy.

    abstract::A case of Pancoast tumor presenting as cervical radiculopathy is reported, including the clinical, EMG, and radiologic findings. A 64-year-old man with a two-month history of left shoulder pain and left arm numbness at the medial aspect of the hand and forearm presented for electrodiagnostic examination, and a severe ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Vargo MM,Flood KM

    更新日期:1990-07-01 00:00:00

  • Relationship between knee extension force and stand-up performance in community-dwelling elderly women.

    abstract:OBJECTIVE:To describe the relationship between knee extension force and stand-up performance. DESIGN:Prospective, cross-sectional, descriptive, and correlational. SETTING:Community. PARTICIPANTS:Fifty-five community-dwelling women 60 or more years old. INTERVENTIONS:Information pertaining to stand-up performance wa...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1053/apmr.2001.26811

    authors: Corrigan D,Bohannon RW

    更新日期:2001-12-01 00:00:00

  • Kinematic and electromyographic analysis of wheelchair propulsion on ramps of different slopes for young men with paraplegia.

    abstract:OBJECTIVE:To gain insight into the biomechanics of upslope wheelchair stroking by examining the changes in kinematic and electromyographic characteristics of wheelchair propulsion over ramps of different slopes. DESIGN:Repeated-measures design. Each subject pushed up a wooden ramp (7.3m long) 3 times at self-selected ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2008.07.019

    authors: Chow JW,Millikan TA,Carlton LG,Chae WS,Lim YT,Morse MI

    更新日期:2009-02-01 00:00:00

  • Patterns of recurrent pressure ulcers after spinal cord injury: identification of risk and protective factors 5 or more years after onset.

    abstract:OBJECTIVES:To identify risk and protective factors associated with a history of recurrent pressure ulcers among participants with spinal cord injury (SCI). DESIGN:A mail survey was used to identify factors associated with the presence or absence of recurrent pressure ulcers. SETTING:A large specialty hospital in the ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2003.08.108

    authors: Krause JS,Broderick L

    更新日期:2004-08-01 00:00:00

  • Residual urine volumes in patients with spinal cord injury: measurement with a portable ultrasound instrument.

    abstract::Spinal cord injured (SCI) patients are often placed on an intermittent catheterization (IC) program during their initial rehabilitation in an effort to establish a catheter-free state. A noninvasive method to quantitatively determine residual urine volumes would decrease unnecessary catheterizations and be useful in t...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Cardenas DD,Kelly E,Krieger JN,Chapman WH

    更新日期:1988-07-01 00:00:00

  • Support-specific modulation of grip force in individuals with hemiparesis.

    abstract:OBJECTIVE:To investigate whether use of auxiliary sensory input will result in modulated grip force. DESIGN:Case-control study. SETTING:Free-standing acute inpatient rehabilitation hospital. PARTICIPANTS:Six people with unilateral hemiparesis due to unilateral stroke and 6 control subjects without neurologic disorde...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.apmr.2004.06.070

    authors: Aruin AS

    更新日期:2005-04-01 00:00:00

  • Fabrication of a polysar, temporary prosthesis in a hospital setting.

    abstract::The Physical Therapy Department at Kessler Institute for Rehabilitation has been fabricating temporary prostheses since 1967. Initially, these below-knee limbs were constructed with a plaster socket attached to a modular type prosthesis. Early in 1970, we began to use polysar, a thermoplastic compound. It is nonirr...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Tucker J,Sullivan RA

    更新日期:1975-03-01 00:00:00

  • Patient behavior as a predictor of outcomes in spinal cord injury.

    abstract::This study explores relationships between behavior of spinal cord injured persons during hospitalization and their medical and behavioral status after discharge. It illustrates a logic for identifying, selecting and testing indicators of patient performance that predict important aspects of outcome. Key behavioral mea...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Norris-Baker C,Stephens MA,Rintala DH,Willems EP

    更新日期:1981-12-01 00:00:00

  • Bladder volume determination: portable 3-D versus stationary 2-D ultrasound device.

    abstract:OBJECTIVE:To investigate how accurately a portable three-dimensional (3-D) scanner and a multipurpose two-dimensional (2-D) real-time scanner determined bladder volumes. STUDY DESIGN:Prospective, controlled clinical trial, single-blind, crossover design. SETTING AND PARTICIPANTS:Twenty-three inpatients with permanent...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0003-9993(00)90215-6

    authors: Schnider P,Birner P,Gendo A,Ratheiser K,Auff E

    更新日期:2000-01-01 00:00:00

  • A correction procedure for the Minnesota Multiphasic Personality Inventory-2 for persons with spinal cord injury.

    abstract:OBJECTIVE:To develop a procedure that adjusts scoring of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) for the items related to spinal cord injury (SCI) that skew interpretations with this population, and to assess the accuracy of interpretations resulting from this procedure, standard MMPI-2 scoring, and ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1053/apmr.2000.6287

    authors: Barncord SW,Wanlass RL

    更新日期:2000-09-01 00:00:00

  • A 1-year follow-up after shortened constraint-induced movement therapy with and without mitt poststroke.

    abstract:OBJECTIVE:To explore the long-term benefits of shortened constraint-induced movement therapy (CIMT) in the subacute phase poststroke. DESIGN:A 1-year follow-up after shortened CIMT (3h training/d for 2 wk) where the participants had been randomized to a mitt group or a nonmitt group. SETTING:A university hospital reh...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2009.11.009

    authors: Brogårdh C,Lexell J

    更新日期:2010-03-01 00:00:00

  • Diabetic Charcot spine as cauda equina syndrome: an unusual presentation.

    abstract::Some 6% to 21% of Charcot joints occur in the spine. The underlying disease is usually tabes dorsalis, but diabetes mellitus is another etiology. Degeneration of spinal elements is accelerated and lumbar spinal stenosis with weakness may occur, as has been reported in tabetic arthropathy. The case presented is unusual...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Race MC,Keppler JP,Grant AE

    更新日期:1985-07-01 00:00:00

  • Whole body oxygen uptake and evoked torque during subtetanic isometric electrical stimulation of the quadriceps muscles in a single 30-minute session.

    abstract:OBJECTIVE:To evaluate the time course of fatigue in torque output and oxygen uptake during isometric subtetanic neuromuscular electrical stimulation (NMES) to facilitate the design of NMES-based rehabilitation protocols that can accumulate a defined aerobic exercise volume within a given time period. DESIGN:Single-arm...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.apmr.2014.04.004

    authors: Minogue CM,Caulfield BM,Lowery MM

    更新日期:2014-09-01 00:00:00

  • Comparative effectiveness of the GivMohr sling in subjects with flaccid upper limbs on subluxation through radiologic analysis.

    abstract:OBJECTIVE:To test the effectiveness of the GivMohr sling in reducing subluxation while providing joint compression through a flaccid limb, using the criterion standard of radiography for measuring subluxation. DESIGN:Anteroposterior 0 degree radiographs were taken of each subject: 1 of the unaffected shoulder and 3 of...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1016/j.apmr.2005.07.291

    authors: Dieruf K,Poole JL,Gregory C,Rodriguez EJ,Spizman C

    更新日期:2005-12-01 00:00:00

  • Neuromuscular injury during limb lengthening: a longitudinal follow-up by rabbit tibial model.

    abstract::Limb lengthening has been used for many years to correct congenital anomalies and unequal leg length. Some surgeons focus on bone genesis and anatomical alignment, and pay less attention to potential damage to muscles, nerves, and vessels during the gradual stretching. In an attempt to identify the presence and extent...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(95)80580-x

    authors: Chuang TY,Chan RC,Chin LS,Hsu TC

    更新日期:1995-05-01 00:00:00

  • Exercise training using arms and legs versus legs along.

    abstract::This study was undertaken to determine whether levels of conditioning associated with conventional leg work are comparable to those associated with both arm and leg work. Six healthy men conditioned for 6 weeks using both arms and legs while a similar group of 5 men conditioned using legs alone. The subjects trained 3...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Mostardi RA,Gandee RN,Norris WA

    更新日期:1981-07-01 00:00:00

  • Association Between Performance on an Interdisciplinary Stroke Assessment Battery and Falls in Patients With Acute Stroke in an Inpatient Rehabilitation Facility: A Retrospective Cohort Study.

    abstract:OBJECTIVE:To explore the association between demographic factors and functional performance measures of patients with acute stroke in an inpatient rehabilitation facility (IRF) and falls during the IRF stay and to quantify the diagnostic accuracy of functional outcome measures in identifying fallers. DESIGN:Retrospect...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2019.05.026

    authors: Eikenberry M,Ganley KJ,Zhang N,Kinney CL

    更新日期:2019-11-01 00:00:00

  • Omission of Physical Therapy Recommendations for High-Risk Patients Transitioning From the Hospital to Subacute Care Facilities.

    abstract:OBJECTIVES:To assess the quality and explore the potential impact of the communication of physical therapy (PT) recommendations in hospital discharge summaries/orders for high-risk subacute care populations, specifically targeting recommendations for (1) maintenance of patient safety, (2) assistance required for mobili...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2015.07.013

    authors: Polnaszek B,Mirr J,Roiland R,Gilmore-Bykovskyi A,Hovanes M,Kind A

    更新日期:2015-11-01 00:00:00

  • Below-knee residual limb shape change measurement and visualization.

    abstract:OBJECTIVE:The ability to measure and visualize shape change (deformation) of a residual limb within and between prostheses is an important step toward improved prosthetic fit assessment. The objective was to develop measurement and visualization methods for below-knee residual limb soft tissue shape change after donnin...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(98)90355-0

    authors: Commean PK,Brunsden BS,Smith KE,Vannier MW

    更新日期:1998-07-01 00:00:00

  • Isokinetic and isometric torque relationships in the human body.

    abstract::To study the relationship between isokinetic and isometric torque, maximum voluntary contractions were elicited from 352 male volunteers. Knee extensors, knee flexors, elbow extensors, and elbow flexors were tested isometrically and at isokinetic velocities of 30 degrees/sec, 90 degrees/sec, and 180 degrees/sec on a m...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Knapik JJ,Ramos MU

    更新日期:1980-02-01 00:00:00

  • Circulatory hypokinesis and functional electric stimulation during standing in persons with spinal cord injury.

    abstract:OBJECTIVE:To evaluate the effects of functional electric stimulation (FES) of lower limb muscles during 30 minutes of upright standing on the central and peripheral hemodynamic response in persons with spinal cord injury (SCI). DESIGN:A repeated-measure design. Subjects were used as their own control and underwent 2 t...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1053/apmr.2001.25984

    authors: Faghri PD,Yount JP,Pesce WJ,Seetharama S,Votto JJ

    更新日期:2001-11-01 00:00:00

  • Determining the activation of gluteus medius and the validity of the single leg stance test in chronic, nonspecific low back pain.

    abstract:OBJECTIVES:To determine the activation of the gluteus medius in persons with chronic, nonspecific low back pain compared with that in control subjects, and to determine the association of the clinical rating of the single leg stance (SLS) with chronic low back pain (CLBP) and gluteus medius weakness. DESIGN:Cohort-con...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2014.06.009

    authors: Penney T,Ploughman M,Austin MW,Behm DG,Byrne JM

    更新日期:2014-10-01 00:00:00

  • Outpatient rehabilitation in patients with coronary artery and peripheral arterial occlusive disease.

    abstract:OBJECTIVE:To assess participation rates and outcome in outpatient cardiac rehabilitation (OCR) of patients with peripheral arterial occlusive disease (PAOD). DESIGN:Prospective cohort study. SETTING:Referral center, ambulatory care. PARTICIPANTS:All patients undergoing OCR at 2 university hospitals in Switzerland fr...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2007.09.040

    authors: Jeger RV,Rickenbacher P,Pfisterer ME,Hoffmann A

    更新日期:2008-04-01 00:00:00

  • Prevalence of female athlete triad characteristics in a club triathlon team.

    abstract:OBJECTIVE:To determine the prevalence of the female athlete triad in club triathletes. DESIGN:Cross-sectional. SETTING:Academic medical center in the midwestern United States. PARTICIPANTS:Fifteen women (mean age, 35+/-6 y). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Disordered eating and menstrual status...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2007.02.035

    authors: Hoch AZ,Stavrakos JE,Schimke JE

    更新日期:2007-05-01 00:00:00

  • Stability of vocational interests after recent spinal cord injury: comparisons related to sex and race.

    abstract:OBJECTIVE:To identify the stability of vocational interests first assessed during inpatient rehabilitation for spinal cord injury and again an average of 834.9 days postinjury to determine the extent to which stability of interest varies as a function of race and sex. DESIGN:Longitudinal. SETTING:Data were collected ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2011.11.003

    authors: Krause JS,Ricks JM

    更新日期:2012-04-01 00:00:00

  • Warm-up effect on active and passive arthrometric assessment of knee laxity.

    abstract:OBJECTIVE:To determine the influence of a warm-up protocol suitable for use in clinical settings on tibial displacement and muscle activity during arthrometric knee laxity assessment. DESIGN:Intervention study in which the subjects served as their own controls. SETTING:The Biomechanics Research Laboratory, University...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(99)90235-6

    authors: Steele JR,Milburn PD,Roger GJ

    更新日期:1999-07-01 00:00:00