Abstract:
OBJECTIVES:To compare the effects of biofeedback with those of active exercise and passive treatment in treating work-related neck and shoulder pain. DESIGN:A randomized controlled trial with 3 intervention groups and a control group. SETTING:Participants were recruited from outpatient physiotherapy clinics and a local hospital. PARTICIPANTS:All participants reported consistent neck and shoulder pain related to computer use for more than 3 months in the past year and no severe trauma or serious pathology. A total of 72 potential participants were recruited initially, of whom a smaller group of individuals (n=60) completed the randomized controlled trial. INTERVENTIONS:The 3 interventions were applied for 6 weeks. In the biofeedback group, participants were instructed to use a biofeedback machine on the bilateral upper trapezius (UT) muscles daily while performing computer work. Participants in the exercise group performed a standardized exercise program daily on their own. In the passive treatment group, interferential therapy and hot packs were applied to the participants' necks and shoulders. The control group was given an education booklet on office ergonomics. MAIN OUTCOME MEASURES:Pain (visual analog scale), neck disability index (NDI), and surface electromyography were assessed preintervention and postintervention. Pain and NDI were reassessed after 6 months. RESULTS:Postintervention, average pain and NDI scores were reduced significantly more in the biofeedback group than in the other 3 groups, and this was maintained at 6 months. Cervical erector spinae muscle activity showed significant reductions postintervention in the biofeedback group, and there were consistent trends of reductions in the UT muscle activity. CONCLUSIONS:Six weeks of biofeedback training produced more favorable outcomes in reducing pain and improving muscle activation of neck muscles in patients with work-related neck and shoulder pain.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Ma C,Szeto GP,Yan T,Wu S,Lin C,Li Ldoi
10.1016/j.apmr.2010.12.037subject
Has Abstractpub_date
2011-06-01 00:00:00pages
849-58issue
6eissn
0003-9993issn
1532-821Xpii
S0003-9993(11)00023-2journal_volume
92pub_type
杂志文章,随机对照试验abstract:OBJECTIVE:To assess the rehabilitation needs of stroke survivors in Chennai, India, after discharge from the hospital. DESIGN:Mixed-methods research design. SETTING:Home-based. PARTICIPANTS:Stroke survivors (n=50; mean age ± SD, 58.9±10.5y) and primary caregivers of these stroke survivors (n=50; mean age ± SD, 43.1±...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2016.02.008
更新日期:2016-09-01 00:00:00
abstract::The spinal cord injured patient has been the focus of clinical and research efforts to restore functional movement and obtain therapeutic benefits by electric stimulation of upper-motor-neuron paralyzed muscles. Our review articles treat developments in this field from 1983 to 1990. Efforts have been directed to resto...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:
更新日期:1992-01-01 00:00:00
abstract::This study compared the measurements of the Motor Assessment Scale (MAS) to that of the Fugl-Meyer Assessment (FMA), a reliable and valid test for motor function in stroke patients. Thirty-two patients (20 men, 12 women) with a mean age of 60 years, and a mean time since stroke of 64.5 days, were tested with the FMA a...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/0003-9993(94)90006-x
更新日期:1994-11-01 00:00:00
abstract:OBJECTIVE:To explore the effects on motor function and impairment of mobilization and tactile stimulation for the paretic arm and hand after stroke. DESIGN:Replicated single-system series, ABA design. SETTING:The stroke rehabilitation ward of a community hospital in the United Kingdom. PARTICIPANTS:Consecutive sampl...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2008.03.016
更新日期:2008-10-01 00:00:00
abstract::At least 3 million Americans sustain a mild traumatic brain injury (mTBI) each year, and 1 in 5 have symptoms that persist beyond 1 month. Standards of mTBI care have evolved rapidly, with numerous expert consensus statements and clinical practice guidelines published in the last 5 years. This Special Communication sy...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2019.10.179
更新日期:2020-02-01 00:00:00
abstract:OBJECTIVE:To assess the potential use of indium-111 diethylenetriamine pentaacetic acid ((111)In-DTPA) scintigraphy coupled with computed tomography (CT) for the investigation of intrathecal baclofen (ITB) device malfunction. DESIGN:Retrospective study of a case series of patients. SETTING:Neurosurgical and physical ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2015.10.101
更新日期:2016-04-01 00:00:00
abstract:OBJECTIVE:To report on the effectiveness and side effects of 2% phenol block in patients with cervical dystonia (CD). DESIGN:Case series. SETTING:A rehabilitation department at a university medical center in Japan. PARTICIPANTS:Sixteen patients (11 men, 5 women; mean age +/- standard deviation, 43.4+/-11.2y) with CD...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2003.10.012
更新日期:2004-07-01 00:00:00
abstract:OBJECTIVE:To investigate the characteristics of rehabilitation hospitals and units correlated with gains in motor and cognitive function, after adjusting for case severity of the patients admitted and for length of stay (LOS). DESIGN:The Uniform Data System for Medical Rehabilitation (UDSMR) database was first analyze...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2003.50009
更新日期:2003-03-01 00:00:00
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
更新日期:2012-04-01 00:00:00
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:
更新日期:1976-05-01 00:00:00
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
更新日期:1996-05-01 00:00:00
abstract:OBJECTIVE:To determine if constraint-induced movement therapy (CIMT) is more effective than bimanual training to improve occupational performance and participation in children with congenital hemiplegia. DESIGN:Single-blind randomized comparison trial with evaluations at baseline, 3, and 26 weeks. SETTING:Community f...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.apmr.2010.11.022
更新日期:2011-04-01 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 show cortical reorganization in hemiparetic patients with a primary motor cortex (M1) infarct including the precentral knob by using functional magnetic resonance imaging (fMRI). DESIGN:Case-control. SETTING:Outpatient clinics in the rehabilitation department of a university hospital. PARTICIPANTS:Two s...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2004.11.043
更新日期:2005-08-01 00:00:00
abstract:OBJECTIVES:To examine aphasia outcomes and to determine whether the observed language profiles vary by race-ethnicity. DESIGN:Retrospective cross-sectional study using a convenience sample of persons of with aphasia (PWA) obtained from AphasiaBank, a database designed for the study of aphasia outcomes. SETTING:Aphasi...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2016.10.010
更新日期:2017-04-01 00:00:00
abstract:OBJECTIVE:To test the safe and effective use of a new mobility device, the Independence IBOT 3000 Mobility System, by people with a disability. DESIGN:A prospective, balanced, open-label evaluation that used participants as their own controls. SETTING:Home and community environments. PARTICIPANTS:Twenty subjects who...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2004.04.044
更新日期:2004-12-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to identify exercise protocols incorporating isometric contractions that provide pain relief in women with fibromyalgia. DESIGN:A before-after trial. SETTING:A physical therapy department in an academic setting. PARTICIPANTS:Fifteen women (mean ± SD, 52±11y) with fibromyalgia....
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.2010.10.006
更新日期:2011-01-01 00:00:00
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:Pati...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2010.07.235
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVE:To understand the experiences of patients who had undergone neurologic rehabilitation. DESIGN:An interpretative phenomenological analysis of semistructured interviews. SETTING:Neurologic rehabilitation unit. PARTICIPANTS:A purposive convenience sample of 8 past patients. INTERVENTIONS:Not applicable. MAI...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2007.11.050
更新日期:2008-07-01 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::The American Board of Physical Medicine and Rehabilitation has certified 1608 physiatrists as diplomates, of whom 377 were certified in the years 1977 through 1979. For the 1979-1980 educational year, 516 of 608 residency positions were filled. Demographic analysis indicates 43% women and 52% foreign medical graduates...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1980-07-01 00:00:00
abstract::This investigation focuses on the effect of vocational rehabilitation on persons with chronic disabilities who have epilepsy, heart disease, spinal cord injury, arthritis, or emphysema. A thesis is proposed that such rehabilitants might be more vulnerable to unemployment than others, and it is also hypothesized that t...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1976-06-01 00:00:00
abstract:OBJECTIVES:To identify (1) the annual incidence of subsequent injury and injury-related hospitalizations in persons with preexisting spinal cord injury (SCI) and (2) risk and protective behaviors associated with differential risk for injury. DESIGN:Longitudinal mailed survey. Participants were enrolled in 1997 to 1998...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2010.07.219
更新日期:2010-11-01 00:00:00
abstract::Twenty-five children with severe osteogenesis imperfecta were followed and treated with physical and occupational therapy for a mean of five years, two months, 80% since the first two years of life. According to their highest achieved motor skill, they fell into three groups: (A) able to stand in braces, (B) able to a...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1993-04-01 00:00:00
abstract::Depending on the severity of the clinical problem, three categories of treatment--home, outpatient and hospital--were utilized in 82 patients whose conditions met the strict criteria for cervical radiculitis. Details of the clinical picture, laboratory findings, electromyographic examinations, category and results of ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1976-01-01 00:00:00
abstract:OBJECTIVE:To examine the effects of skill training on swallowing in individuals with dysphagia secondary to Parkinson's disease (PD) and to explore skill retention after treatment termination. DESIGN:Within-subject pilot study with follow-up after 2 weeks of treatment and after a 2-week nontreatment period. SETTING:C...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2014.03.001
更新日期:2014-07-01 00:00:00
abstract:OBJECTIVES:To describe the course of fatigue during the first year poststroke and to determine the relation between fatigue at 1 year poststroke and personal characteristics, stroke characteristics, and poststroke impairments. DESIGN:Inception cohort. SETTING:Rehabilitation center. PARTICIPANTS:Patients (N=167) with...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2005.10.005
更新日期:2006-02-01 00:00:00
abstract::A mechanical electrode inserter was used to allow reproducible electromyographic (emg) electrode insertions. The electrical activity provoked by the mechanical insertion was recorded and quantitatively analyzed in the anterior tibialis, the extensor hallucis longus, and the extensor digitorum brevis of unimpaired huma...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1979-08-01 00:00:00
abstract::In a 13-month period, 41 selected patients with cerebrovascular accidents were studied utilizing computerized tomography of the brain and the Barthel index in an attempt to correlate findings with final rehabilitation outcome. Parameters that were studied included age, sex, lesion size and location, and functional sta...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1984-09-01 00:00:00
abstract:OBJECTIVE:To identify predictors of participation in school activities from two sets of functional variables using classification and regression tree analysis. DESIGN:Relational study. PARTICIPANTS:A nationwide sample of 341 children with various disabling conditions, including physical and cognitive/behavioral types...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(00)90081-9
更新日期:2000-03-01 00:00:00