当前位置： SCI文献检索 > ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION期刊下所有文献 > Obesity and inpatient rehabilitation outcomes for patients with a traumatic spinal cord injury.

Obesity and inpatient rehabilitation outcomes for patients with a traumatic spinal cord injury.

Abstract：

OBJECTIVE:To examine the effect of obesity on change in FIM self-care and mobility ratings and community discharge for patients with traumatic spinal cord injury (SCI). DESIGN:Retrospective cohort study analyzing National Model Systems SCI Database data. SETTING:Fourteen Model Systems SCI programs. PARTICIPANTS:Patients (N=1524) with a new traumatic SCI discharged from Model Systems rehabilitation centers between October 2006 and October 2009. INTERVENTIONS:None. MAIN OUTCOME MEASURES:Change in FIM self-care and mobility ratings, discharge destination. Separate analyses were conducted by neurologic category: paraplegia incomplete, paraplegia complete, tetraplegia incomplete, and tetraplegia complete. RESULTS:Of all patients with traumatic SCI, approximately 25% were obese at admission. Patients who were obese were more likely to be married and slightly older than nonobese patients. In patients with paraplegia incomplete, obese patients had lower FIM self-care (-1.9; 95% confidence interval [CI], -3.4 to -.4) and mobility score gains (-1.5; 95% CI, -2.9 to -.1) than normal-weight patients. For patients with paraplegia complete, obese patients had significantly lower self-care (-2.2; 95% CI, -3.5 to -.8) and mobility score gains (-2.7; 95% CI, -3.9 to -1.5). For patients with tetraplegia incomplete and tetraplegia complete, FIM self-care and mobility ratings for obese patients were not significantly different from ratings for normal-weight patients. Within each neurologic category, the percentage of patients discharged to the community was not significantly different for nonobese and obese patients. CONCLUSIONS:Obesity appears to be a barrier to meeting self-care and mobility functional goals for patients with paraplegia in inpatient SCI rehabilitation.

journal_name

Arch Phys Med Rehabil

journal_title

Archives of physical medicine and rehabilitation

authors

Stenson KW,Deutsch A,Heinemann AW,Chen D

doi

10.1016/j.apmr.2010.07.235

subject

Has Abstract

pub_date

2011-03-01 00:00:00

pages

384-90

issue

3

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(10)00729-X

journal_volume

92

pub_type

杂志文章

相关文献

ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION文献大全
  • Environmental barriers and supports to everyday participation: a qualitative insider perspective from people with disabilities.

    abstract：OBJECTIVE:To describe environmental factors that influence participation of people with disabilities. DESIGN:Constant comparative, qualitative analyses of transcripts from 36 focus groups across 5 research projects. SETTING:Home, community, work, and social participation settings. PARTICIPANTS:Community-dwelling peo...

    journal_title：Archives of physical medicine and rehabilitation

    pub_type： 杂志文章

    doi：10.1016/j.apmr.2014.12.008

    authors： Hammel J,Magasi S,Heinemann A,Gray DB,Stark S,Kisala P,Carlozzi NE,Tulsky D,Garcia SF,Hahn EA

    更新日期：2015-04-01 00:00:00

  • Reliability of center of pressure measures for assessing the development of sitting postural control in infants with or at risk of cerebral palsy.

    abstract：OBJECTIVE:To establish the test-retest reliability of linear and nonlinear measures, including intra- and intersession reliability, when used to analyze the center of pressure (COP) time series during the development of infant sitting postural control in infants with or at risk for cerebral palsy (CP). DESIGN:Longitud...

    journal_title：Archives of physical medicine and rehabilitation

    pub_type： 杂志文章

    doi：10.1016/j.apmr.2010.06.027

    authors： Kyvelidou A,Harbourne RT,Shostrom VK,Stergiou N

    更新日期：2010-10-01 00:00:00

  • Influence of Age Alone, and Age Combined With Pinprick, on Recovery of Walking Function in Motor Complete, Sensory Incomplete Spinal Cord Injury.

    abstract：OBJECTIVE:To determine if age, pinprick scores in the lower extremities, and neurologic severity of injury influence recovery of ambulation in persons with motor complete, sensory incomplete (American Spinal Injury Association Impairment Scale [AIS] grade B) spinal cord injury (SCI) 1 year after initial injury. DESIGN...

    journal_title：Archives of physical medicine and rehabilitation

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.apmr.2016.01.024

    authors： Oleson CV,Marino RJ,Leiby BE,Ditunno JF

    更新日期：2016-10-01 00:00:00

  • Computer-aided design of customized foot orthoses: reproducibility and effect of method used to obtain foot shape.

    abstract：OBJECTIVE:To determine, for a number of techniques used to obtain foot shape based around plaster casting, foam box impressions, and 3-dimensional scanning, (1) the effect the technique has on the overall reproducibility of custom foot orthoses (FOs) in terms of inter- and intracaster reliability and (2) the reproducib...

    journal_title：Archives of physical medicine and rehabilitation

    pub_type： 杂志文章

    doi：10.1016/j.apmr.2011.12.019

    authors： Telfer S,Gibson KS,Hennessy K,Steultjens MP,Woodburn J

    更新日期：2012-05-01 00:00:00

  • Are lumbar repositioning errors larger among patients with chronic low back pain compared with asymptomatic subjects?

    abstract：OBJECTIVE:To resolve the debate over whether lumbar repositioning acuity is reduced in patients with chronic low back pain (CLBP) by using a study design and methodology to minimize the effects of potential confounders. DESIGN:A single-blinded, controlled, multigroup comparative study. SETTING:Vocational rehabilitati...

    journal_title：Archives of physical medicine and rehabilitation

    pub_type： 杂志文章

    doi：10.1016/j.apmr.2006.05.020

    authors： Asell M,Sjölander P,Kerschbaumer H,Djupsjöbacka M

    更新日期：2006-09-01 00:00:00

  • Health Services Research in Rehabilitation and Disability-The Time is Now.

    abstract：:Policy drives practice, and health services research (HSR) is at the intersection of policy, practice, and patient outcomes. HSR specific to rehabilitation and disability is particularly needed. As rehabilitation researchers and providers, we are uniquely positioned to provide the evidence that guides reforms targetin...

    journal_title：Archives of physical medicine and rehabilitation

    pub_type： 杂志文章

    doi：10.1016/j.apmr.2017.06.026

    authors： Graham JE,Middleton A,Roberts P,Mallinson T,Prvu-Bettger J

    更新日期：2018-01-01 00:00:00

  • Paralumbar muscle activity in chronic low back pain.

    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：

    authors： Kravitz E,Moore ME,Glaros A

    更新日期：1981-04-01 00:00:00

  • Segmental demyelinating disease: reliability of nerve conduction measurements.

    abstract：:Serial nerve conduction studies were done in 5 patients with Guillain-Barre syndrome, 4 of whom were recovering and 1 who did not recover. In a total of 20 paired studies, the nerve conduction velocity deteriorated in spite of improvement in distal and proximal latencies in 5 cases, and nerve conduction velocity impro...

    journal_title：Archives of physical medicine and rehabilitation

    pub_type： 杂志文章

    doi：

    authors： Kim S

    更新日期：1980-05-01 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

  • Pneumatic orthosis PILOT STUDY;.

    abstract：:The pneumatic orthosis is potentially a substitute or replacement for conventional long-ler and under outer clothing. Pneumatic tubes are incorporated into the orthosis and may be inflated at will by the patient. In a preliminary test it was found to be lighter, more comfortable and cosmetically more acceptable than...

    journal_title：Archives of physical medicine and rehabilitation

    pub_type： 杂志文章

    doi：

    authors： Silber M,Chung TS,Varghese G,Hinterbuchner C,Bailey M,Hivry N

    更新日期：1975-01-01 00:00:00

  • F wave evaluation of thoracic outlet syndrome: a multiple regression derived F wave latency predicting technique.

    abstract：:To assess the occurrence of a neurologic verus a vascular component of thoracic outlet syndrome (TOS), ulnar nerve function via the F wave was studied in 16 patients with clinically diagnosed TOS and 38 control subjects. To simplify the procedure the following formula was developed, through multiple regression analysi...

    journal_title：Archives of physical medicine and rehabilitation

    pub_type： 杂志文章

    doi：

    authors： Weber RJ,Piero DL

    更新日期：1978-10-01 00:00:00

  • ABILHAND: a Rasch-built measure of manual ability.

    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

    authors： Penta M,Thonnard JL,Tesio L

    更新日期：1998-09-01 00:00:00

  • Outcomes of rehabilitation services for nursing home residents.

    abstract：OBJECTIVE:To examine survival and community discharge outcomes related to rehabilitation services among patients admitted to nursing homes before the implementation of the Balanced Budget Amendment of 1997. DESIGN:Retrospective cohort. SETTING:A total of 945 Medicaid-certified nursing homes in Ohio. PARTICIPANTS:A t...

    journal_title：Archives of physical medicine and rehabilitation

    pub_type： 杂志文章

    doi：10.1016/s0003-9993(03)00149-7

    authors： Murray PK,Singer M,Dawson NV,Thomas CL,Cebul RD

    更新日期：2003-08-01 00:00:00

  • Botulinum toxin for spasticity and athetosis in children with cerebral palsy.

    abstract：:Botulinum toxin A has been used therapeutically in humans for a variety of conditions since 1980. Over the past few years, it has been used more frequently for spasticity management. We describe the use of botulinum toxin for spasticity or athetosis management in three children with cerebral palsy. Two of these childr...

    journal_title：Archives of physical medicine and rehabilitation

    pub_type： 杂志文章

    doi：10.1016/s0003-9993(96)90042-8

    authors： Gooch JL,Sandell TV

    更新日期：1996-05-01 00:00:00

  • Nonprescription chlorpheniramine maleate and submaximal exercise responses.

    abstract：OBJECTIVE:To determine if a single, over-the-counter dose of the H1 antagonist chlorpheniramine maleate (CM) alters total peripheral resistance (TPR) and oxygen uptake (VO2) during submaximal exercise. DESIGN:The study was a prospective, longitudinal, double-blind, random crossover analysis of the cardiovascular and r...

    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)90365-3

    authors： Peterlin MF,Keyser RE,Andres FF,Sherman G

    更新日期：1998-07-01 00:00:00

  • Test-retest reliability of the sensory organization test in noninstitutionalized older adults.

    abstract：:The purpose of this study was to determine the 1-week test-retest reliability of the Sensory Organization Test (SOT), using computer-generated scores and loss of balance (LOB) episodes in noninstitutionalized older adults. The SOT was administered to each subject on two separate days 1 week apart in an out-patient cli...

    journal_title：Archives of physical medicine and rehabilitation

    pub_type： 杂志文章

    doi：10.1016/s0003-9993(95)80047-6

    authors： Ford-Smith CD,Wyman JF,Elswick RK Jr,Fernandez T,Newton RA

    更新日期：1995-01-01 00:00:00

  • Benjamin Franklin: the first physiatrist?

    abstract：:Benjamin Franklin would have been an excellent physiatrist. In this short address, I explore the qualities that Franklin possessed in the medical realm. Several ways in which we can emulate some of his traits to become better physiatrists are proposed. ...

    journal_title：Archives of physical medicine and rehabilitation

    pub_type： 历史文章

    doi：10.1016/j.apmr.2007.01.006

    authors： Gnatz SM

    更新日期：2007-05-01 00:00:00

  • Effect of durations of wheelchair tilt-in-space and recline on skin perfusion over the ischial tuberosity in people with spinal cord injury.

    abstract：OBJECTIVE:To compare the efficacy of various durations of wheelchair tilt-in-space and recline on enhancing skin perfusion over the ischial tuberosity in people with spinal cord injury (SCI). DESIGN:Repeated-measures, intervention and outcomes measure design. SETTING:University research laboratory. PARTICIPANTS:Powe...

    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.2012.11.019

    authors： Jan YK,Liao F,Jones MA,Rice LA,Tisdell T

    更新日期：2013-04-01 00:00:00

  • Electrodiagnosis of ulnar nerve lesions at the elbow.

    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：

    authors： Bhala RP

    更新日期：1976-05-01 00:00:00

  • Reality orientation for brain injured patients: group treatment and monitoring of recovery.

    abstract：:A reality orientation group for brain injured patients was developed to improve attention deficits, confusion and anterograde amnesia during post-traumatic amnesia (PTA). Seven behavioral objectives are used to define adequate orientation, attention, immediate retention, episodic recall and use of memory aids. Daily p...

    journal_title：Archives of physical medicine and rehabilitation

    pub_type： 杂志文章

    doi：

    authors： Corrigan JD,Arnett JA,Houck LJ,Jackson RD

    更新日期：1985-09-01 00:00:00

  • Tibial nerve entrapment by a Baker cyst: case report.

    abstract：:We report a rare case of degenerative joint disease of both knees, complicated by a Baker cyst. Our emphasis is on the role of electromyography and electrodiagnosis in the localization of this nerve entrapment syndrome. The patient presented with pain and swelling; venography revealed deep venous thrombosis of the rig...

    journal_title：Archives of physical medicine and rehabilitation

    pub_type： 杂志文章

    doi：

    authors： Kashani SR,Moon AH,Gaunt WD

    更新日期：1985-01-01 00:00:00

  • System-wide Clinical Assessment of Functioning Based on the International Classification of Functioning, Disability and Health in China: Interrater Reliability, Convergent, Known Group, and Predictive Validity of the ICF Generic-6.

    abstract：OBJECTIVE:To validate the International Classification of Functioning, Disability and Health (ICF) Generic-6 in daily routine clinical practice in Mainland China. Specific objectives were to analyze (1) interrater reliability, (2) convergent validity, (3) known group validity, and (4) predictive validity of the ICF Gen...

    journal_title：Archives of physical medicine and rehabilitation

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.apmr.2018.11.014

    authors： Liu S,Reinhardt JD,Zhang X,Ehrmann C,Cai W,Prodinger B,Liu S,Li J

    更新日期：2019-08-01 00:00:00

  • Are People With Joint Hypermobility Syndrome Slow to Strengthen?

    abstract：OBJECTIVES:To investigate whether the rate of change of muscle strength in people with joint hypermobility syndrome (JHS) who have anterior knee pain (AKP) differs when compared to 2 control groups who have AKP and to evaluate the relationship between strength and pain as well as the effect of strength upon activity an...

    journal_title：Archives of physical medicine and rehabilitation

    pub_type： 杂志文章

    doi：10.1016/j.apmr.2018.11.021

    authors： To M,Alexander CM

    更新日期：2019-07-01 00:00:00

  • Influence of left- and right-side total hip arthroplasty on the ability to perform an emergency stop while driving a car.

    abstract：OBJECTIVE:To show the possible effect of left- and right-side total hip arthroplasty (THA) on the ability to perform an emergency stop when driving a car. DESIGN:Inception cohort. SETTING:A driving simulator using an actual car cabin, specifically developed for the experiment, was used for testing driving ability. P...

    journal_title：Archives of physical medicine and rehabilitation

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.apmr.2014.03.009

    authors： Jordan M,Hofmann UK,Grünwald J,Meyer M,Sachsenmaier S,Wülker N,Kluba T,Ipach I

    更新日期：2014-09-01 00:00:00

  • Physical performance as a predictor of attention and processing speed in fibromyalgia.

    abstract：UNLABELLED:Cherry BJ, Weiss J, Barakat BK, Rutledge DN, Jones CJ. Physical performance as a predictor of attention and processing speed in fibromyalgia. OBJECTIVE:To explore the associations between physical (both self-report and objective measures) and cognitive function for persons with fibromyalgia (FM). DESIGN:Co...

    journal_title：Archives of physical medicine and rehabilitation

    pub_type： 杂志文章

    doi：10.1016/j.apmr.2009.07.011

    authors： Cherry BJ,Weiss J,Barakat BK,Rutledge DN,Jones CJ

    更新日期：2009-12-01 00:00:00

  • Wheelchair curb climbing: randomized controlled comparison of highly structured and conventional training methods.

    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 in...

    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.2008.04.028

    authors： Kirby RL,Bennett S,Smith C,Parker K,Thompson K

    更新日期：2008-12-01 00:00:00

  • Comparison of muscle and skin perfusion over the ischial tuberosities in response to wheelchair tilt-in-space and recline angles in people with spinal cord injury.

    abstract：OBJECTIVE:To compare the efficacy of wheelchair tilt-in-space and recline on enhancing muscle and skin perfusion over the ischial tuberosities in people with spinal cord injury (SCI). DESIGN:Repeated-measures and before-after trial design. SETTING:University research laboratory. PARTICIPANTS:Power wheelchair users w...

    journal_title：Archives of physical medicine and rehabilitation

    pub_type： 杂志文章

    doi：10.1016/j.apmr.2013.03.027

    authors： Jan YK,Crane BA,Liao F,Woods JA,Ennis WJ

    更新日期：2013-10-01 00:00:00

  • Immobilization hypercalcemia following spinal cord injury.

    abstract：:Based on the author's experience with more than 20 cases of immobilization hypercalcemia following spinal cord injury, current concepts of this condition are presented. Symptoms may be mild or severe: laboratory findings are essential for differential diagnosis in older individuals, in whom preinjury Paget's disease a...

    journal_title：Archives of physical medicine and rehabilitation

    pub_type： 杂志文章

    doi：

    authors： Maynard FM

    更新日期：1986-01-01 00:00:00

  • Efficacy of partial body weight-supported treadmill training compared with overground walking practice for children with cerebral palsy: a randomized controlled trial.

    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

    authors： Willoughby KL,Dodd KJ,Shields N,Foley S

    更新日期：2010-03-01 00:00:00

  • Exercise rehabilitation in coronary heart disease: community group programs.

    abstract：:This paper outlines a suggested protocol for community exercise programs for the rehabilitation of patients with coronary heart disease. Information presented is based on more than seven years of experience gained by the Cardio-Pulmonary Research Institute through programs in Seattle, Mercer Island, and Yakima, WA, an...

    journal_title：Archives of physical medicine and rehabilitation

    pub_type： 杂志文章

    doi：

    authors： Pyfer HR,Mead WF,Frederick RC,Docne BL

    更新日期：1976-07-01 00:00:00