Abstract:
OBJECTIVE:To examine whether gait and postures can accurately be detected with a single small body-fixed device in patients with mild to moderate Parkinson's disease (PD). DESIGN:Results of a triaxial accelerometer-based method were evaluated against video observation scores (criterion measure). Study 1: Subjects performed basic mobility-related activities (walking, lying, sitting, standing) in a fixed and free sequence. Study 2: Subjects were monitored while doing similar activities as in study 1 and while doing usual domestic activities. SETTING:Study 1: Standardized set-up in a movement laboratory. Study 2: Home environment. PARTICIPANTS:(N=37) Study 1: Patients with PD (n=32; mean age +/- SD, 67.3+/-6.6y; mean disease duration +/- SD, 6.1+/-3.4y). Study 2: Patients with PD (n=5; mean age +/- SD, 76.0+/-7.3y; mean disease duration +/- SD, 3.8+/-4.7y). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:The degree of correspondence between the monitor and the video observation for the duration of each activity. Overall agreement, sensitivity, specificity, and positive predictive values were calculated. RESULTS:Study 1: Overall agreement ranged between 69.8% and 90.8% (fixed sequence) and 57.5% and 96.9% (free sequence). Study 2: Overall agreement ranged between 60.0% and 89.2%. Lying, sitting (home), and walking were detected most accurately with mean sensitivity varying from 81.7% to 99.9%. Lower values were found for sitting (laboratory), standing, and shuffling. CONCLUSIONS:This triaxial monitor system is a practical and valuable tool for objective, continuous evaluation of walking and postures in patients with mild to moderate PD. Detection of sitting and standing requires further fine-tuning.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Dijkstra B,Kamsma YP,Zijlstra Wdoi
10.1016/j.apmr.2010.05.004subject
Has Abstractpub_date
2010-08-01 00:00:00pages
1272-7issue
8eissn
0003-9993issn
1532-821Xpii
S0003-9993(10)00272-8journal_volume
91pub_type
杂志文章abstract::Monocular patching has been advocated as a treatment for spatial neglect. Eye patching, however, is also reported to increase spatial bias. Thus, patching brain injury patients for ocular conditions may also impair their attention. To learn if an eye patch may induce asymmetric attention in a patient without spatial n...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2003.08.076
更新日期:2004-06-01 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::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:OBJECTIVE:To examine whether commonly used comorbidity indexes (Deyo-Charlson comorbidity index, Elixhauser comorbidity index, the Centers for Medicare and Medicaid Services [CMS] comorbidity tiers) capture comorbidities in the acute traumatic and nontraumatic SCI inpatient rehabilitation population. DESIGN:Retrospect...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2020.04.025
更新日期:2020-10-01 00:00:00
abstract::A case-control study was undertaken to see if symptoms of upper gastrointestinal (UGI) (oropharyngeal, esophageal, and gastric) dysfunction occurred more frequently in males afflicted with Duchenne muscular dystrophy (DMD) than healthy controls. Subjects included 55 children with confirmed DMD and 55 age-matched contr...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1990-09-01 00:00:00
abstract:OBJECTIVE:To evaluate the efficacy of 9 weeks of twice-weekly partial body weight-supported treadmill training (PBWSTT) for children with cerebral palsy (CP) and moderate to severe walking difficulty compared with overground walking. DESIGN:Randomized controlled trial. SETTING:Metropolitan Specialist School for child...
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.2009.10.029
更新日期:2010-03-01 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::One hundred thirteen medical schools which offered full degree programs were identified and surveyed by questionnaires to obtain information which identified the existence, characteristics and involvement of physical medicine or rehabilitation medicine programs. The survey also attempted to identify specific changes w...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1976-11-01 00:00:00
abstract:OBJECTIVE:To determine the efficacy of forced-use therapy (FUT) on the improvement of upper-extremity function in children with hemiplegic cerebral palsy (CP). DESIGN:Prospective case series. SETTING:Outpatient ambulatory clinic in South Korea. PARTICIPANTS:Thirty-one patients with hemiplegic CP were assigned to the...
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.2005.05.007
更新日期:2005-11-01 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:OBJECTIVES:The purpose of this study was to analyze the ability of the patients with idiopathic scoliosis to transfer the body weight in the frontal plane. DESIGN:Randomized and controlled study. SETTING:A referral center and institutional practice and outpatient care. SUBJECTS:Fifty patients with idiopathic scolios...
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(95)80630-x
更新日期:1995-07-01 00:00:00
abstract:OBJECTIVE:To investigate the relation between voluntary cough and swallowing functions according to the type of lesion in patients with acute stroke. DESIGN:Cross-sectional study. SETTING:University rehabilitation hospital. PARTICIPANTS:Acute stroke patients with dysphagia symptoms (N=397). INTERVENTIONS:Not applic...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2015.06.015
更新日期:2015-10-01 00:00:00
abstract::Eighty-one patients with symptomatic osteoarthritis of the thumb took part in a blinded, controlled study to assess the effectiveness of 0.9 mw continuous wave HeNe laser treatment. The subjects were randomly placed in either a control group or a treatment group. In each group the carpometacarpal (CMC), metacarpophala...
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:1987-11-01 00:00:00
abstract:UNLABELLED:This self-directed study module highlights biomechanics unique to dance that predispose to common injuries of the lower extremity and discusses preventative strategies. It is part of the study guide on sports and performing arts medicine in the Self-Directed Physiatric Education Program for practitioners and...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1053/j.apmr.2003.12.004
更新日期:2004-03-01 00:00:00
abstract:OBJECTIVES:(1) To determine the reliability of a novel fiber-optic method to dynamically measure lumbar curvature in low back pain (LBP) sufferers, and (2) to investigate the dynamic lumbar curvature in acute and chronic LBP sufferers. DESIGN:Cross-sectional study. SETTING:Physiotherapy clinic. PARTICIPANTS:Acute (n...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2012.06.012
更新日期:2012-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the effects of manual lymphatic drainage (MLD) on knee swelling and the assumed consequences of swelling after total knee arthroplasty (TKA). DESIGN:Randomized controlled trial. SETTING:Primary care hospital. PARTICIPANTS:Two groups of 30 patients were randomized before TKA surgery (N=60; 65% w...
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.2016.01.006
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:To determine whether fear of falling (FoF) and balance improved after a 12-week yoga intervention among older adults. DESIGN:A 12-week yoga intervention single-armed pilot study. SETTING:A retirement community in a medium-sized university town in the Midwest. PARTICIPANTS:A convenience sample of adults (N=...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2009.12.018
更新日期:2010-04-01 00:00:00
abstract::Median nerve responses in 13 patients and 9 normal subjects were evaluated using surface bipolar stimulation. The M response from surface electrodes placed upon the thenar eminence was recorded on a fiberoptic chart recorder and simultaneously subjected to true electronic integration. Comparison between the integrated...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1981-08-01 00:00:00
abstract:OBJECTIVE:To describe functioning in people living with spinal cord injuries (SCI) in Switzerland. DESIGN:Secondary analysis of cross-sectional survey data. SETTING:Community, Switzerland. PARTICIPANTS:Individuals (N=1549) 16 years of age or older with a history of traumatic or nontraumatic SCI and permanently resid...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2018.04.015
更新日期:2018-10-01 00:00:00
abstract::Muscle enlargement and hypertrophy are rare findings in neurogenic lesions. The two in combination have been reported in cases of peripheral nerve lesions, polyneuropathy, and poliomyelitis. True and pseudo muscle hypertrophy are the two possible etiologies, whereas infiltration, stretch, or exercise of the muscle are...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1988-01-01 00:00:00
abstract:OBJECTIVE:To study the longitudinal relation between physical capacity and wheelchair skill performance in subjects with spinal cord injury (SCI) during rehabilitation. DESIGN:Observational prospective cohort study. Measurements were taken 3 times during subjects' rehabilitation. SETTING:Eight rehabilitation centers ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2005.03.020
更新日期:2005-08-01 00:00:00
abstract::Hyposexuality is a common problem in stroke patients. Some stroke patients, however, may present with hypersexuality. We report three stroke patients who demonstrated hypersexuality and deviant sexual behavior after stroke. Abnormal sexual behavior was noted by members of the stroke rehabilitation team while the patie...
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::This study examined the extent of kinematic symmetry of lower limbs when walking. Twelve able-bodied subjects were measured with a device which recorded three-dimensional motion of hip and knee joints bilaterally. Comparisons of right and left sagittal, transverse, and coronal plane motions were conducted in the time ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1984-04-01 00:00:00
abstract:OBJECTIVE:To evaluate long-term outcomes of a noninvasive cortical stimulation technology in the treatment of fibromyalgia (FM). DESIGN:After trial follow-up survey of subjects who had completed a randomized, controlled, double-blind study of noninvasive cortical stimulation therapy some 45 months previously. SETTING...
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.2012.04.006
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVES:To determine the effects of 1.0 mg/kg nitro-L-arginine methyl ester (L-NAME) on orthostatic mean arterial pressure (MAP), serum aldosterone, and plasma renin concentrations in persons with chronic tetraplegia compared with nonspinal cord-injured controls. DESIGN:Prospective placebo-controlled intervention s...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2009.02.004
更新日期:2009-08-01 00:00:00
abstract::Functional outcome studies after treatment of primary brain tumors in children are lacking. This study of 30 children, ages 3 to 20 years (x 10.8 yrs) was aimed at documenting the effects of rehabilitation on functional outcome after treatment of primary brain tumors. Functional measurements were documented by a modif...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract::Pulmonary embolus can have insidious onset and unusual etiology. This case report of a 35-year-old woman with hyperthyroidism, atrial fibrillation, and an above-knee amputation demonstrates the subtle presentation of pulmonary emboli. On the rehabilitation ward of a tertiary care hospital, the patient developed undula...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1989-09-01 00:00:00
abstract:OBJECTIVE:To define further the relation between unipedal stance testing and peripheral neuropathy. DESIGN:Prospective cohort. SETTING:Electroneuromyography laboratory of a Veterans Affairs medical center and a university hospital. PATIENTS:Ninety-two patients referred for lower extremity electrodiagnostic studies. ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2001.17830
更新日期:2001-02-01 00:00:00
abstract:OBJECTIVE:To gain greater insight into the lived experience of individuals with spinal cord injury (SCI) and neurogenic bowel dysfunction (NBD). DESIGN:Qualitative (phenomenologic) interviews and analysis. SETTING:Community. PARTICIPANTS:Individuals with SCI and NBD (N=19) residing in the community. INTERVENTIONS:N...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2014.07.417
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:To determine the clinical validity of provocative sacroiliac joint (SIJ) maneuvers in making the diagnosis of sacroiliac joint syndrome (SIJS). DESIGN:Prospective constructive cohort study using sacroiliac joint block (SIJB) as the diagnostic gold standard. SETTING:Tertiary care center. PATIENTS:Consecutiv...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(98)90008-9
更新日期:1998-03-01 00:00:00