Abstract:
OBJECTIVES:To determine the association between specific military deployment experiences and immediate and longer-term physical and mental health effects, as well as examine the effects of multiple deployment-related traumatic brain injuries (TBIs) on health outcomes. DESIGN:Online survey of cross-sectional cohort. Odds ratios were calculated to assess the association between deployment-related factors (ie, physical injuries, exposure to potentially traumatic deployment experiences, combat, blast exposure, and mild TBI) and current health status, controlling for potential confounders, demographics, and predeployment experiences. SETTING:Nonclinical. PARTICIPANTS:Members (N=3098) of the Florida National Guard (1443 deployed, 1655 not deployed). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Presence of current psychiatric diagnoses and health outcomes, including postconcussive and non-postconcussive symptoms. RESULTS:Surveys were completed an average of 31.8 months (SD=24.4, range=0-95) after deployment. Strong, statistically significant associations were found between self-reported military deployment-related factors and current adverse health status. Deployment-related mild TBI was associated with depression, anxiety, posttraumatic stress disorder (PTSD), and postconcussive symptoms collectively and individually. Statistically significant increases in the frequency of depression, anxiety, PTSD, and a postconcussive symptom complex were seen comparing single to multiple TBIs. However, a predeployment TBI did not increase the likelihood of sustaining another TBI in a blast exposure. Associations between blast exposure and abdominal pain, pain on deep breathing, shortness of breath, hearing loss, and tinnitus suggested residual barotrauma. Combat exposures with and without physical injury were each associated not only with PTSD but also with numerous postconcussive and non-postconcussive symptoms. The experience of seeing others wounded or killed or experiencing the death of a buddy or leader was associated with indigestion and headaches but not with depression, anxiety, or PTSD. CONCLUSIONS:Complex relationships exist between multiple deployment-related factors and numerous overlapping and co-occurring current adverse physical and psychological health outcomes. Various deployment-related experiences increased the risk for postdeployment adverse mental and physical health outcomes, individually and in combination. These findings suggest that an integrated physical and mental health care approach would be beneficial to postdeployment care.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Vanderploeg RD,Belanger HG,Horner RD,Spehar AM,Powell-Cope G,Luther SL,Scott SGdoi
10.1016/j.apmr.2012.05.024subject
Has Abstractpub_date
2012-11-01 00:00:00pages
1887-95issue
11eissn
0003-9993issn
1532-821Xpii
S0003-9993(12)00403-0journal_volume
93pub_type
杂志文章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
更新日期:1998-07-01 00:00:00
abstract::The aims of this study were to examine effects of high-voltage stimulation (HVS) on wound closure, tensile properties, and mitotic activity. Thirty-six rabbits were assigned to experimental (n = 18) or control groups. Each animal was anesthetized and a full-thickness incision, 3.5 cm long, was made on its back. After ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1989-08-01 00:00:00
abstract::There continues to be considerable confusion and controversy on the use of diagnostic and clinical terms assigned to patients with severe alterations in consciousness. This confusion results largely from the lack of a uniform classification system that is based on behaviorally defined criteria. This position paper pro...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(95)80031-x
更新日期:1995-02-01 00:00:00
abstract:OBJECTIVE:To assess the long-term efficacy of selective tibial neurotomy in the treatment of spastic equinovarus foot in hemiplegic patients. DESIGN:Intervention study (before-after trial) with an observational design and 2-year follow-up. SETTING:Spasticity group in a university hospital. PARTICIPANTS:Hemiplegic pa...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/j.apmr.2010.04.010
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVE:To determine (1) whether brain dysfunctional patients have better rehabilitation outcomes if they receive prescribed length of stay (LOS) versus less than prescribed and (2) if LOS and cognitive status relate to goal attainment. DESIGN:Prospective inception cohort study. STUDY SETTING:Medical center and a n...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(97)90428-7
更新日期:1997-06-01 00:00:00
abstract::Functional outcome studies after treatment of primary brain tumors in children are lacking. This study of 30 children, ages 3 to 20 years (x 10.8 yrs) was aimed at documenting the effects of rehabilitation on functional outcome after treatment of primary brain tumors. Functional measurements were documented by a modif...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract::The H-reflex has been recorded from the flexor carpi radialis muscle in the upper limb and vastus medialis (quadriceps) muscle in the lower limb in relaxed healthy subjects. The characteristics of these reflexes have been compared with those of the soleus H-reflexes, recorded with the same technique, and similar behav...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1990-03-01 00:00:00
abstract:OBJECTIVE:To assess motor imagery (MI) ability in patients with moderate to severe traumatic brain injury (TBI). DESIGN:Prospective, cohort study. SETTING:University hospital rehabilitation unit. PARTICIPANTS:Patients with traumatic brain injury (mean coma duration, 18d) undergoing rehabilitation (n=20) and healthy ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2011.11.018
更新日期:2012-05-01 00:00:00
abstract:OBJECTIVE:To study the longitudinal relation between physical capacity and wheelchair skill performance in subjects with spinal cord injury (SCI) during rehabilitation. DESIGN:Observational prospective cohort study. Measurements were taken 3 times during subjects' rehabilitation. SETTING:Eight rehabilitation centers ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2005.03.020
更新日期:2005-08-01 00:00:00
abstract::Nocturnal hypoxemia occurs commonly in patients with chronic obstructive pulmonary disease (COPD). Because pulmonary hypertension and cardiac arrhythmias are associated with this phenomenon, the detection and treatment of nocturnal hypoxemia should be part of the management of COPD patients. The ability to predict noc...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/0003-9993(94)90030-2
更新日期:1994-03-01 00:00:00
abstract::Every medical student at Mayo Medical School participates in a three-week training program in the department of physical medicine and rehabilitation. Since 1974-1975, approximately 40 students have had this experience each academic year. In addition to lectures, the learning experience includes clinical cases involvin...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1984-07-01 00:00:00
abstract:OBJECTIVES:To investigate the incidence and onset time of pneumonia for patients with severe traumatic brain injury (TBI) in the early phase of rehabilitation and to identify parameters associated with the risk of pneumonia. DESIGN:Observational retrospective cohort study. SETTING:Subacute rehabilitation department i...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2008.04.013
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVES:To describe the prevalence of greater trochanteric pain syndrome (GTPS); to determine whether GTPS is associated with iliotibial band (ITB) tenderness, knee osteoarthritis (OA), body mass index (BMI), or low back pain (LBP); and to assess whether GTPS is associated with reduced hip internal rotation, physica...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2007.04.014
更新日期:2007-08-01 00:00:00
abstract:OBJECTIVE:To investigate the effects of short-term light therapy with 890-nm radiation on pain, physical activity, and postural stability in patients with knee osteoarthritis (OA). DESIGN:A double-blind, randomized, placebo-controlled study. SETTING:Rehabilitation clinic. PARTICIPANTS:Women (n=62) and men (n=10) wit...
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.2012.01.003
更新日期:2012-05-01 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::A quadriplegic patient with obstructive emphysema caused by mucus in the bronchi of the hyperinflated lung, demonstrated by chest radiograph and corrected by bronchoscopic aspiration of secretions from the hyperexpanded side, is reported. Subsequently, this phenomenon recurred in the opposite lung. This case is of par...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1987-05-01 00:00:00
abstract:OBJECTIVES:To identify which factors are associated with successful return to productive activity (RTPA) 1 year after hospitalization with traumatic brain injury (TBI) and to examine the relations between successful RTPA and other measures of impairment, disability, handicap, and integration into the community. DESIGN...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2002.27470
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVE:To examine racial differences in employment status and occupational status 1 year after a traumatic brain injury (TBI). DESIGN:Retrospective study. SETTING:Longitudinal dataset of the Traumatic Brain Injury Model Systems national database. PARTICIPANTS:Subjects with primarily moderate to severe TBI (3468 w...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2008.02.012
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVE:To determine the effects of locomotor training on: (1) the International Standards for Neurological Classification of Spinal Cord Injury examination; (2) locomotion (gait speed, distance); (3) balance; and (4) functional gait speed stratifications after chronic incomplete spinal cord injury (SCI). DESIGN:Pro...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2012.02.035
更新日期:2012-09-01 00:00:00
abstract::The purpose of this study was to analyze and compare the effects of the leg during swing and stance phases of forward propulsion of the body for both men and women. Twelve able-bodied subjects, six men and six women, were studied with a Vicon(a) gait-analysis system. A two-dimensional, sagittal-plane biomechanical ana...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract:OBJECTIVE:To examine the effect of pulmonary rehabilitation (PR) (exercise and education) or exercise training (ET) on exercise capacity, health-related quality of life (HRQOL), symptoms, frequency of exacerbations, and mortality compared with no treatment in adults with bronchiectasis. DATA SOURCES:Computer-based dat...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/j.apmr.2016.05.017
更新日期:2017-04-01 00:00:00
abstract::Muscle pain syndrome is a complicated situation in that even an extensive work-up may overlook the primary etiology. A patient with multiple medical problems, including a history of partial gastrectomy due to trauma, a below-knee amputation from arteriosclerotic disease, and chronic phenytoin therapy for a seizure dis...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1991-09-01 00:00:00
abstract:OBJECTIVES:To investigate whether early postoperative aquatic physical therapy is a low-risk and effective form of physical therapy to improve functional outcomes after orthopedic surgery. DATA SOURCES:Databases MEDLINE, CINAHL, AMED, Embase, and PEDro were searched from the earliest date available until October 2011....
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.apmr.2012.07.020
更新日期:2013-01-01 00:00:00
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
更新日期:2012-05-01 00:00:00
abstract:OBJECTIVE:To determine exercise intensity during power wheelchair soccer among a sample of persons with mobility impairments. DESIGN:Cross-sectional descriptive. SETTING:On-site training facilities of multiple power wheelchair soccer teams. PARTICIPANTS:Participants with severe mobility impairments (N=30) (mean ± SD...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2016.05.012
更新日期:2016-11-01 00:00:00
abstract::The physiatrist frequently encounters gait abnormalities in his daily practice. Commonly, there is an obvious organic basis for the disturbance. However, on rare occasions, the gait abnormality is the consequence of a functional conversion reaction. This represents both a diagnostic and therapeutic dilemma, in extreme...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1990-12-01 00:00:00
abstract:OBJECTIVE:To evaluate whether early neuropsychologic testing is useful in predicting long-term productivity outcome after traumatic brain injury (TBI). DESIGN:Validation cohort prediction study. SETTING:Four inpatient brain injury rehabilitation programs participating in the Traumatic Brain Injury Model Systems proje...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1053/apmr.2001.23753
更新日期:2001-06-01 00:00:00
abstract:OBJECTIVE:To compare the effects of night-only to full-time splint wear instructions on symptoms, function, and impairment in carpal tunnel syndrome (CTS). DESIGN:Randomized clinical trial with 6-week follow-up. SETTING:Veterans Administration Medical Center, outpatient clinic. SUBJECTS:Outpatients with untreated CT...
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:10.1053/mr.2000.3856
更新日期:2000-04-01 00:00:00
abstract::Safe assessment of standing balance and gait is often jeopardized by the potential for falls, which may have major physical and legal consequences. This article describes the design and use of a system that enhances the safety of the patient and clinician during balance and gait assessment and training. The system con...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1993-02-01 00:00:00
abstract:OBJECTIVE:To examine demographic, psychiatric symptom, and neuropsychological performance factors associated with duration of unemployment in Iraq/Afghanistan Veterans with a history of mild-to-moderate traumatic brain injury (TBI). DESIGN:Cross-sectional, secondary data analysis of baseline measures in a supported em...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2020.04.008
更新日期:2020-08-01 00:00:00