Abstract：
OBJECTIVE:The aim of this study was to determine the specificity of needle electromyography for lumbar radiculopathy in subjects with low back pain and sciatica without stenosis. DESIGN:Subjects 55 yrs or older with diagnoses of low back pain and sciatica underwent a standardized monopolar needle evaluation by blinded electromyographers as part of a spinal stenosis study. The presence or absence of radiculopathy was determined using different electrodiagnostic criteria. RESULTS:Seventy-two subjects with a mean age of 64.6 years (SD, 7.0 yrs) were studied. When only positive sharp waves or fibrillations were considered abnormal, most of the diagnostic criteria--two limb muscles + associated lumbar paraspinal muscle abnormal, two limb muscles abnormal, or one limb muscle + associated lumbar paraspinal muscle abnormal--had 97%, 96%, and 92% specificity, respectively. When 30% or greater polyphasia in the limb muscles was also considered abnormal, the respective specificities were 90%, 81%, and 85%. When 20% or greater polyphasia in the limb muscles was also considered abnormal, the respective specificities were 90%, 74%, and 71% [corrected]. CONCLUSIONS:There is good specificity for lumbosacral radiculopathy when appropriate diagnostic criteria are used.
journal_name
Am J Phys Med Rehabiljournal_title
American journal of physical medicine & rehabilitationauthors
Tong HCdoi
10.1097/PHM.0b013e31820b163bsubject
Has Abstractpub_date
2011-03-01 00:00:00pages
233-8; quiz 239-42issue
3eissn
0894-9115issn
1537-7385pii
00002060-201103000-00007journal_volume
90pub_type
杂志文章abstract：:The purpose of this article is to provide researchers and clinicians with a basic understanding of randomized clinical trials and to discuss their potential application to and limitations in the field of physical medicine and rehabilitation. A brief history of the development of randomized clinical trials, definitions...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,评审
doi：10.1097/00002060-199909000-00016
更新日期：1999-09-01 00:00:00
abstract：OBJECTIVE:Assess the effectiveness of intramuscular electrical stimulation in reducing hemiplegic shoulder pain at 12 mos posttreatment. DESIGN:A total of 61 chronic stroke survivors with shoulder pain and subluxation participated in this multiple-center, single-blinded, randomized clinical trial. Treatment subjects r...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1097/01.phm.0000184154.01880.72
更新日期：2005-11-01 00:00:00
abstract：:Total knee arthroplasty is frequently performed and usually associated with favorable results. A case is presented where persistent back and thigh pain limited rehabilitation progress following bilateral total knee arthroplasty procedures. The pain was found to be related to the presence of a symptomatic 5.24-cm infra...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e31817c19e7
更新日期：2008-07-01 00:00:00
abstract：OBJECTIVES:The purpose of this study was to assess the effects of acute joint effusion on balance in patients with knee osteoarthritis. DESIGN:Forty-four female subjects with painful knee osteoarthritis participated in this single-blind, randomized, controlled clinical trial. All subjects were randomly assigned to eit...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,随机对照试验
doi：10.1097/PHM.0b013e318269d78f
更新日期：2013-01-01 00:00:00
abstract：OBJECTIVE:This study was undertaken to demonstrate that the ankle frontal muscle power absorption and generation at push-off are related to the foot's initial position at heel-strike with respect to the body center of mass. DESIGN:Nineteen able-bodied male subjects participated in this study and were divided into two ...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1097/00002060-200206000-00007
更新日期：2002-06-01 00:00:00
abstract：:Population aging, caused by reductions in fertility and increasing longevity, varies by country and is anticipated to continue and to reach global proportions during the 21st century. Although the effects of population aging have been well documented for decades, the impact of aging on people with spinal cord injury (...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,评审
doi：10.1097/PHM.0b013e31821f70bc
更新日期：2012-01-01 00:00:00
abstract：OBJECTIVE:To determine the demographic, medical, and transportation use characteristics of stroke survivors wanting to drive who resumed or did not resume driving and compare the driving habits of those who drove with those of a nonstroke control group. DESIGN:One hundred and six stroke survivors who underwent a drivi...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e3181aa001e
更新日期：2009-11-01 00:00:00
abstract：OBJECTIVE:To assess changes over time and responsiveness of the Cochin Hand Function Scale (CHFS) and Mouth Handicap In Systemic Sclerosis (MHISS) scale in patients with systemic sclerosis (SSc). DESIGN:This was a prospective longitudinal study. PARTICIPANTS:Participants were drawn from a convenience sample of indivi...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000000611
更新日期：2016-12-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to compare the clinical ratings of elbow strength obtained by skilled clinicians with objective strength measurement obtained through quantitative testing. DESIGN:A retrospective comparison of subject clinical records with quantitative strength testing results in a motion analysis l...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e31825f14f9
更新日期：2012-10-01 00:00:00
abstract：:Sarcoidosis is a multisystem granulomatous disorder that rarely involves the spinal cord. This report describes the presentation and rehabilitative course of a 31-yr-old man with quadriparesis secondary to spinal cord sarcoidosis. The patient had insidious, progressive weakness in his arms and legs for six weeks befor...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,评审
doi：10.1097/00002060-199104000-00002
更新日期：1991-04-01 00:00:00
abstract：:Trauma is a major cause of mortality throughout the world. In recent years, major advances have been made in the management of trauma, the end result of which has been reduced mortality and enhanced function. One of these areas is pain control. Improved pain management has not only led to increased comfort in trauma p...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,评审
doi：10.1097/01.PHM.0000107499.24698.CA
更新日期：2004-02-01 00:00:00
abstract：OBJECTIVE:This study investigated the effect of Kinesio taping on the functionality, pain, range of motion (ROM), and muscle strength in patients with knee osteoarthritis compared with a placebo Kinesio tape (KT) application. DESIGN:Forty-two consecutive patients were randomized to a KT group and a placebo taping grou...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,随机对照试验
doi：10.1097/PHM.0000000000000520
更新日期：2017-01-01 00:00:00
abstract：:A 41-yr-old woman with hoarseness, multiple joint pain, and generalized myalgia was diagnosed with systemic lupus erythematosus (SLE) 7 mos before visiting our clinic. SLE-related vocal cord palsy of the left side was identified after otolaryngologic evaluation. We performed laryngeal electromyography (LEMG) on both c...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e31815b669e
更新日期：2008-01-01 00:00:00
abstract：OBJECTIVES:Insurance case managers commonly interact with physiatrists and rehabilitation programs. They influence referrals and patients' decision making. This study was designed to determine which factors affect case managers' perception of back pain program quality. DESIGN:Repeated focus group interview in a neutra...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-200107000-00011
更新日期：2001-07-01 00:00:00
abstract：OBJECTIVE:Seventy-nine percent of respondents to the 1990 National Post-Polio Survey reported difficulty "thinking of words I want to say," with 37% reporting frequent, moderate-to-severe word finding difficulty. This study was undertaken to objectively document polio survivors' word finding difficulty and to identify ...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-200007000-00005
更新日期：2000-07-01 00:00:00
abstract：:A 38-yr-old woman reported intermittent pain, paresthesia, and weakness in the right upper limb and sweating on the right side of her face and ipsilateral upper limb during the last 4 yrs. Eventually, she was diagnosed with thoracic outlet syndrome, whereby sympathetic nervous system involvement was thought to ensue b...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e31820f96fe
更新日期：2011-09-01 00:00:00
abstract：:Twenty-five men with spinal cord injuries were studied for evaluation of the hypothalamus-pituitary-adrenal axis, using corticotropin-releasing hormone and insulin-induced hypoglycemia. Twenty-five age-matched healthy male volunteers served as controls. Three spinal cord-injured subjects had hyperprolactinemia, three ...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：
更新日期：1998-03-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to observe the changes in endothelial and inflammatory markers in middle-aged male runners with exercise-induced hypertension (EIH) at baseline and at 100-km, 200-km, and 308-km checkpoints during a prolonged endurance ultramarathon. DESIGN:Among a total of 62 ultramarathon voluntee...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e31829232db
更新日期：2013-06-01 00:00:00
abstract：OBJECTIVE:The aims of this study were to measure the distal femoral cartilage thicknesses of patients with pes planus by using ultrasound imaging and to explore whether ultrasound measurements are associated with degree of pes planus. DESIGN:One hundred seven patients (61 men, 46 women; aged 18-45 yrs) with pes planus...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,多中心研究
doi：10.1097/PHM.0000000000000214
更新日期：2015-07-01 00:00:00
abstract：:Bilateral forearm and hand transplantation poses unique challenges especially in the setting of bilateral lower limb amputations. A 57-yr-old man with bilateral transradial amputations and bilateral transtibial amputations after remote streptococcal sepsis was admitted for inpatient rehabilitation because of severe de...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e3182240a73
更新日期：2011-08-01 00:00:00
abstract：:A 12-yr-old child, with a history of gestational Erb-Duchenne palsy and, later, musculoskeletal injuries in the left arm caused by a car accident, inspired the design of a customized exoskeleton-like device. Such piece, intended for rehabilitation, has one degree of freedom because the exercise routine involves elbow ...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e3182a51c95
更新日期：2014-03-01 00:00:00
abstract：:Functional independence measure (FIM) scores are frequently used as if the various sections are of equal importance and as if the interval between each score is equal. We tested this hypothesis by using marketing research techniques to assess the value to rehabilitation nurses and therapists of four of the six section...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：
更新日期：1994-02-01 00:00:00
abstract：OBJECTIVE:The aim of the study was to evaluate a longitudinal assessment program for physical medicine and rehabilitation (LA-PM&R) as a replacement for the American Board of Physical Medicine and Rehabilitation maintenance of certification examination. DESIGN:In this quality improvement study, randomly selected Ameri...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000001359
更新日期：2020-05-01 00:00:00
abstract：:This study investigates the temperature effect on motor nerve conduction velocity (MNCV) in patients with neuropathic processes. Fourteen subjects, ages 18-77 yr old, with a diagnosis of uremic polyneuropathies (UPN, n = 5), diabetic polyneuropathies (DPN, n = 6) or carpal tunnel syndrome (CTS, n = 3) and ten normal c...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：
更新日期：1993-12-01 00:00:00
abstract：:Ultrasound-guided cervical medial branch block (CMBB) is commonly performed to diagnose and treat head, neck, and shoulder pain. However, its use at the C7 level has been shown to be less accurate than at other levels, which may increase the chance of injury owing to the imprecision of needle site provided by the ultr...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000000613
更新日期：2017-06-01 00:00:00
abstract：:The objectives of this study were to examine the effectiveness of different types of exercise on risk factors of diabetic foot ulcers, including glycated hemoglobin, peripheral arterial disease, and diabetic peripheral neuropathy, in people with type 2 diabetes mellitus. PubMed, Web of Science, Cochrane Library, Scopu...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,meta分析
doi：10.1097/PHM.0000000000001002
更新日期：2019-02-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to investigate the effect of neuromuscular electrical stimulation burst duty cycle (BDC) and current type (sinusoidal alternating current [sAC] vs. rectangular alternating current [rAC]) on the electrically induced isometric torque (EIT) and discomfort. Pulsed current (PC) stimulatio...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000000008
更新日期：2014-02-01 00:00:00
abstract：:Individuals with traumatic brain injuries experience an array of physical, cognitive, and emotional changes that often make return to preinjury employment unlikely and locating new employment difficult. The authors review the literature related to the return to work for persons with traumatic brain injuries. This incl...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,评审
doi：10.1097/00002060-200111000-00011
更新日期：2001-11-01 00:00:00
abstract：OBJECTIVE:The aim of the study was to ascertain the prevalence of depressive mood and its determinants in the chronic phase after stroke. DESIGN:Five hundred seventy-six consecutive patients were invited to participate 2 to 5 yrs after hospitalization for a first-ever stroke. Stroke characteristics at hospitalization ...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000000918
更新日期：2018-08-01 00:00:00
abstract：:This article examines the process of setting goals for patient treatment in rehabilitation. It explores ethical considerations and moral conflict inherent to the formulation of patient goals, and it provides a framework to help resolve such conflicts. Goal setting is also considered within the larger context of justic...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-199308000-00011
更新日期：1993-08-01 00:00:00
