Abstract：
OBJECTIVE:To determine whether the preferred pattern of arm use after unilateral hemispheric damage was associated with better everyday functioning. Our previous work showed that right-handed stroke patients with right hemisphere damage (RHD) used their right, ipsilesional arm most frequently, while those with left hemisphere damage (LHD) used both arms together most frequently. This effect was explained by right-hand preference, but its relationship to functional performance is not known. DESIGN:Observational cohort. SETTING:Research laboratory. PARTICIPANTS:Stroke patients (n=60; 30 RHD, 30 LHD) and healthy controls (n=52). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:The Functional Impact Assessment was used to assess performance on instrumental activities of daily living (IADLs). RESULTS:The preferred patterns of arm use were similar to those in our previous report. However, it was the greater use of both arms together that was associated with better IADL performance in both stroke groups. Ipsilesional arm use alone was not significantly associated with IADL performance in the RHD group and was associated with poorer performance in the LHD group. CONCLUSIONS:The modal arm use pattern did not always optimize IADL functioning. Better IADL functioning in both stroke groups was associated with the use of both arms together, which is the most common arm use pattern of healthy individuals doing these same IADLs. An important practical question that arises from these findings is whether bilateral arm rehabilitation should be emphasized, because using both arms together is the best predictor of better performance on everyday tasks.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Haaland KY,Mutha PK,Rinehart JK,Daniels M,Cushnyr B,Adair JCdoi
10.1016/j.apmr.2012.05.011subject
Has Abstractpub_date
2012-11-01 00:00:00pages
1957-62issue
11eissn
0003-9993issn
1532-821Xpii
S0003-9993(12)00356-5journal_volume
93pub_type
杂志文章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
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abstract：:The purpose of this study was to examine the relationship between the initial intramedullary hemorrhage, as seen by magnetic resonance imaging (MRI), and the neurologic deficit and eventual neurologic outcome of acute cervical spinal cord injured subjects. MRI and motor assessments were performed on 24 subjects with m...
journal_title：Archives of physical medicine and rehabilitation
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journal_title：Archives of physical medicine and rehabilitation
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doi：10.1016/j.apmr.2014.02.030
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journal_title：Archives of physical medicine and rehabilitation
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abstract：:Based on observations of changes in muscle function associated with aging, and the exacerbation of these changes with frailty, a program of muscle strengthening has been developed to correct specific defects in muscles. This pilot study was undertaken on 18 functionally impaired nursing home residents (age range 60 to...
journal_title：Archives of physical medicine and rehabilitation
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journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(98)90281-7
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abstract：OBJECTIVE:To study the interaction between quality of life in people with spinal cord injury (SCI) and expectations of daily living (self-efficacy) and pain. DESIGN:Cross-sectional study with multiple independent measures. SETTING:Home survey. PARTICIPANTS:Included 106 persons with SCI of 12 months or more in durati...
journal_title：Archives of physical medicine and rehabilitation
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doi：10.1016/j.apmr.2007.09.001
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abstract：OBJECTIVE:To investigate the effect of unilateral upper-limb strength training on the finger-pinch force control of older men. DESIGN:Pretest and post-test 6-week intervention study. SETTING:Exercise science research laboratory. PARTICIPANTS:Eleven neurologically fit older men (age range, 70-80y). INTERVENTION: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.2007.05.014
更新日期：2007-08-01 00:00:00
abstract：OBJECTIVE:To determine if there was a change in the number of outpatient physical therapy (PT) and occupational therapy (OT) visits for Medicare beneficiaries, and in the number of beneficiaries receiving extended courses of >12 therapy visits, after the Jimmo vs Sebelius settlement. DESIGN:Cross-sectional analysis of...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2018.07.435
更新日期：2019-01-01 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 evaluate trunk muscle strength and performance in long-term survivors of childhood malignancies relative to age and sex-matched controls, and to relate the muscle strength observations to the therapeutic agents used and possible hormonal disturbances. DESIGN:Age and sex-matched cohort study. SETTING:Refe...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(95)81033-1
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abstract：OBJECTIVE:To assess participation rates and outcome in outpatient cardiac rehabilitation (OCR) of patients with peripheral arterial occlusive disease (PAOD). DESIGN:Prospective cohort study. SETTING:Referral center, ambulatory care. PARTICIPANTS:All patients undergoing OCR at 2 university hospitals in Switzerland fr...
journal_title：Archives of physical medicine and rehabilitation
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doi：10.1016/j.apmr.2007.09.040
更新日期：2008-04-01 00:00:00
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journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2004.03.037
更新日期：2005-03-01 00:00:00
abstract：OBJECTIVE:To determine whether a specific regimen of acupoint stimulation improved gait performance in geriatric patients. DESIGN:Multiple-blinded, randomized, controlled intervention trial. SETTING:Geriatric ward rehabilitation. PARTICIPANTS:60 geriatric patients during rehabilitation. INTERVENTIONS:Both groups re...
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.2010.09.023
更新日期：2011-01-01 00:00:00
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journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2005.05.006
更新日期：2005-11-01 00:00:00
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journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2011.01.010
更新日期：2011-06-01 00:00:00
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journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(97)90059-9
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abstract：OBJECTIVES:To determine the relative and absolute reliability of the assessment of ambulatory walking activity during 2 consecutive weeks in patients with hematologic malignancies recovering at home from their medical treatment and to compare the physical activity level of hematologic cancer patients after high-dose ch...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2008.06.020
更新日期：2009-01-01 00:00:00
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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.2014.12.012
更新日期：2015-05-01 00:00:00
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journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(98)90271-4
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journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：2004-07-01 00:00:00
abstract：OBJECTIVE:To evaluate the frequency and extent of prosthetic use by people with lower limb amputation and identify factors that facilitate prosthetic use. DESIGN AND SETTING:Five-year follow-up survey using the Prosthetic Profile of the Amputee (PPA) questionnaire and Dillman's mailing strategy. SUBJECTS:Adults with ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(99)90177-6
更新日期：1999-06-01 00:00:00
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journal_title：Archives of physical medicine and rehabilitation
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更新日期：2015-11-01 00:00:00
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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.2012.01.023
更新日期：2012-07-01 00:00:00
abstract：:The accomplishments of 50 years in matters of federal legislation and programs affecting PM&R were made possible in large part through the dedication of specialists in PM&R who, first and foremost, were advocates of measures which would serve best the interests of the nation's handicapped and disabled. The contributio...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 历史文章,杂志文章
doi：
更新日期：1988-10-01 00:00:00
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journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2005.01.011
更新日期：2005-08-01 00:00:00
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journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：2003-12-01 00:00:00
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journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(97)90261-6
更新日期：1997-02-01 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
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doi：10.1016/j.apmr.2016.05.002
更新日期：2016-11-01 00:00:00
abstract：:While participation is increasingly defined as the key outcome of rehabilitation, disagreements on and shortcomings in the definition, operationalization, and measurement of this concept abound and interfere with the progress of clinical services and research. This article explores a number of the major issues related...
journal_title：Archives of physical medicine and rehabilitation
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更新日期：2010-09-01 00:00:00
