Abstract:
:The use of transcutaneous electrical nerve stimulation (TENS) has increased in recent years for the management of chronic pain. One of its few contraindications is the presence of a cardiac pacemaker. Clinicians have recommended that cardiac monitoring be performed for a short interrupted period during the first application of TENS to ensure safety. We present two patients who were given trials of TENS for different chronic pain complaints. In both cases, electrocardiograms during the TENS trial did not reveal cardiac pacemaker dysfunction, but extended cardiac monitoring with the Holter monitor showed interference with pacemaker function. The abnormalities did not recur after reprogramming the sensitivity of the pacemakers. We suggest the use of extended cardiac monitoring for patients with cardiac pacemakers during the prolonged use of TENS to ensure safety and to determine any need for reprogramming of the pacemakers. Patients with cardiac pacemakers should not be excluded from the use of TENS, but careful evaluation and extended cardiac monitoring should be performed.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Chen D,Philip M,Philip PA,Monga TNsubject
Has Abstractpub_date
1990-01-01 00:00:00pages
27-30issue
1eissn
0003-9993issn
1532-821Xjournal_volume
71pub_type
杂志文章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
更新日期:1986-03-01 00:00:00
abstract:OBJECTIVES:To describe the feasibility of the Community Integration Questionnaire (CIQ) adjusted for use in people with aphasia and to report its psychometric properties in people with aphasia (internal consistency, factor analysis, test-retest reliability, convergent validity). DESIGN:A cross-sectional, interview-bas...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2009.10.021
更新日期:2010-03-01 00:00:00
abstract:OBJECTIVE:To test the long-term benefits of several noninvasive systems for functional electrical stimulation (FES) during walking. DESIGN:Forty subjects (average years since injury, 5.4) were studied in four centers for an average time of 1 year. Gait parameters were tested for all subjects with and without FES. Thus...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/s0003-9993(99)90188-0
更新日期:1999-05-01 00:00:00
abstract::Time course and degree of the recovery of walking function after stroke and the influence of initial lower extremity (LE) paresis were studied prospectively in a community-based population of 804 consecutive acute stroke patients. Walking function and degree of LE paresis were assessed weekly using the Barthel index a...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(95)80038-7
更新日期:1995-01-01 00:00:00
abstract::It has been suggested that the onset of physical disability may lead to deficits in assertiveness. Therefore, in the present study assertiveness, interpersonal discomfort, anxiety, and demographic variables were investigated among lower limb amputees. Amputees completed self-report measures and hospital visitors serve...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1985-10-01 00:00:00
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
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVE:To test the validity of wearable inertial sensors to provide objective measures of postural stepping responses to the push and release clinical test in people with multiple sclerosis. DESIGN:Cross-sectional study. SETTING:University medical center balance disorder laboratory. PARTICIPANTS:Total sample N=73...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2017.01.030
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVE:To compare the effects of 2 different heat modalities, infrared and ultrasonic therapy, on a knee flexion contracture. DESIGN:In vivo, experimental, controlled study involving a rat knee joint contracture model that was immobilized using a ligature in flexion for 40 days. SETTING:Collegiate research laborat...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2005.10.015
更新日期:2006-02-01 00:00:00
abstract:OBJECTIVE:To determine interrater agreement and test-retest reliability of the parallel walk test (PWT), a simple method of measuring dynamic balance in the elderly during gait. DESIGN:Cohort study. SETTING:Outpatient clinic. PARTICIPANTS:Elderly fallers (N=34; mean ± SD age, 81.3±5.4y) registered at a falls clinic ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2010.11.028
更新日期:2011-05-01 00:00:00
abstract::A vexing issue in disability research today is the specification and measurement of long-term outcome measures relevant to the evaluation of independent living (IL) programs and services. The purpose of this article is to present 2 long-term outcome measures that are sensitive to both the philosophy of the IL movement...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1982-02-01 00:00:00
abstract:OBJECTIVE:To examine the interobserver reliability and intrasubject variability of the assessment of lumbar range of motion (ROM) and maximal isometric strength in asymptomatic subjects by using commercially available equipment. DESIGN:A cross-sectional repeated-measures design. SETTING:Ambulatory care in a universit...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2006.01.007
更新日期:2006-04-01 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 evaluate if allocation concealment and intention-to-treat (ITT) analysis influence the treatment effects of physical therapy interventions in low back pain (LBP) trials. DATA SOURCES:We searched on PubMed, Embase, Cochrane Database of Systematic Reviews, Physiotherapy Evidence Database (PEDro), and CINAHL...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.apmr.2018.12.036
更新日期:2019-07-01 00:00:00
abstract::Spastic contractures are a common problem which frequently requires the use of splinting or casting. Customized adjustable orthoses can reduce contractures without the problems often associated with these procedures. These devices reduced contractures in a head-injured patient's severely spastic wrist and ankles. As a...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1985-06-01 00:00:00
abstract:OBJECTIVE:To examine minor as well as major depression at 1 year posttraumatic brain injury (TBI), with particular attention to the contribution of depression severity to levels of societal participation. DESIGN:Observational prospective study with a 2-wave longitudinal component. SETTING:Inpatient rehabilitation cen...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2011.03.005
更新日期:2011-08-01 00:00:00
abstract:OBJECTIVE:To obtain information on long-term mortality risk and life expectancy after traumatic brain injury (TBI), to improve planning and for counseling patients and their families. In contrast to the literature for spinal cord injury and other disabilities, there have been few such reports for TBI. DESIGN:Records w...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(98)90177-0
更新日期:1998-09-01 00:00:00
abstract::Our purpose was to determine the effects of transcutaneous electrical nerve stimulation (TENS) on the soleus H-reflex amplitude in normal subjects. Eleven subjects were tested in five experimental sessions, the purpose of which was to compare the effects of 30 minutes of TENS delivered at either 50 or 99Hz (250 micros...
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:10.1016/0003-9993(94)90090-6
更新日期:1994-10-01 00:00:00
abstract:OBJECTIVE:To determine the most reliable method to measure the length of the radial nerve during a nerve conduction study (NCS). DESIGN:Cadaveric investigation. SETTING:A practical anatomy research laboratory in a university. PARTICIPANTS:Fresh cadavers (N=10), with 1 cadaver for study design and 9 for data. INTERV...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2016.08.464
更新日期:2017-03-01 00:00:00
abstract::Although somatosensory loss following stroke is common, with negative consequences for functional outcome, studies of existing somatosensory retraining programs are limited by theoretical weaknesses, poor methodology, and negative findings. We, therefore, developed a new program for stroke patients and investigated it...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/0003-9993(93)90158-7
更新日期:1993-06-01 00:00:00
abstract::This study on patients who had strokes investigates the relevance of a patient's age, sex, and the side of any symptoms in association with prestroke status, initial signs, initial disability, and recovery during the first six months. Disability was assessed using the Barthel activities of daily living (ADL) index; no...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1986-08-01 00:00:00
abstract:OBJECTIVE:To assess the efficacy of electromyogram (EMG)-triggered neuromuscular stimulation (EMG-stim) in enhancing upper extremity motor and functional recovery of acute stroke survivors. DESIGN:A pilot randomized, single-blinded clinical trial. SETTING:Freestanding inpatient rehabilitation facility. PATIENTS:Nine...
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)90074-0
更新日期:1998-05-01 00:00:00
abstract:OBJECTIVE:To establish baseline ADH levels in spinal cord injury patients and to evaluate whether spinal cord patients have attenuation of diurnal variation of ADH similar to children with enuresis and elderly with nocturnal polyuria. DESIGN:Twenty-seven healthy quadriplegic patients, ASIA impairment scale A, were eva...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(97)90155-6
更新日期:1997-05-01 00:00:00
abstract:OBJECTIVE:To retrospectively assess whether cardiopulmonary exercise testing would be well tolerated in individuals with Alzheimer disease (AD) compared with a nondemented peer group. DESIGN:We retrospectively reviewed 575 cardiopulmonary exercise tests (CPETs) in individuals with and without cognitive impairment caus...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/j.apmr.2014.04.007
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVES:To confirm and extend previous results involving repetitive transcranial magnetic stimulation (rTMS) aimed at alleviating refractory central neuropathic pain (CNP). To evaluate pain relief in detail and to assess ongoing benefits after one year of treatment. DESIGN:Prospective observational study. SETTING:...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2018.04.013
更新日期:2018-11-01 00:00:00
abstract::Radial sensory conduction has traditionally been performed by stimulating the nerve at the wrist, recording from the thumb or the base of the first web space. This paper describes a technique for measuring conduction in the more distal branches on the dorsum of the hand. Comparison is made with dorsal ulnar sensory co...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1986-11-01 00:00:00
abstract:OBJECTIVE:To validate the utility of the Berg Balance Scale (BBS) in predicting length of stay (LOS) and discharge destination for patients admitted to a stroke rehabilitation unit. DESIGN:Prospective study. SETTING:Provincial tertiary inpatient stroke unit for a primarily geriatric population. PARTICIPANTS:A total ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(02)04940-7
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVES:To examine joint-position sense and kinesthesia in all extremities in participants with diplegic or hemiplegic cerebral palsy (CP). DESIGN:Survey of joint-position sense and kinesthesia differences between aged-matched controls and 2 groups with CP. SETTING:University movement assessment laboratory. PARTI...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2008.08.217
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVE:To determine bone mineral density (BMD) z scores in adults with cerebral palsy (CP), an understudied population. DESIGN:Cross-sectional. SETTING:Medical facility. PARTICIPANTS:Adults (N=48; mean age, 34.3±5.8y; range, 25-46y) with CP. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:BMD z scores at th...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2015.03.012
更新日期:2015-07-01 00:00:00
abstract::Surface pressure measurements of human body weight as distributed on 4 different commercial beds were examined. Sixty-five water-filled bladders connected to pressure transducers were employed to measure the pressure distribution patterns of the human body. These pressure measuring bladders were distributed on a sheet...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1980-09-01 00:00:00
abstract:OBJECTIVE:To evaluate the validity of the Prosthetic Upper Extremity Functional Index (PUFI), a parent- and older child-report measure that evaluates the extent of Prosthetic limb use, ease of task performance with and without the prosthesis, and its usefulness. DESIGN:Evaluation of discriminant validity (the PUFI's a...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/ampr.2003.50127
更新日期:2003-04-01 00:00:00