Abstract:
OBJECTIVE:To evaluate the efficacy of 7 d/wk of inpatient admissions and rehabilitation therapy (7DART) in a rehabilitation hospital. DESIGN:Cross-sectional, retrospective electronic data review. SETTING:Rehabilitation hospital. PARTICIPANTS:Adult patients who participated in the 7DART program and were admitted and discharged between February 2009 and January 2010 (n=1808), and adult patients who received 5 d/wk of inpatient admissions and rehabilitation therapy (5DART), and were admitted and discharged between February 2008 and January 2009 (n=1692). INTERVENTIONS:Occupational therapy and physiotherapy during the weekends (7DART only). MAIN OUTCOME MEASURES:FIM rating change from admission to discharge, length of hospital stay, rehabilitation workload per patient, and discharge destination. RESULTS:There were 3500 patients admitted with a mean age ± SD of 72.1±13.3 years and a male-to-female ratio of 1:1.9. Under 7DART conditions, there was a 6.9% increase in admissions (7DART=1808 vs 5DART=1692, P=.006), an 86% increase in weekend admissions (255 vs 137, P<.001), a 13.2% increase in rehabilitation workload per patient (40.7 h vs 36 h, P<.001), and a 5.4% decrease in rehabilitation hospital stay (19.3 d vs 20.3 d, P=.043). Similar FIM rating changes were obtained from admission to discharge under both conditions (18.2 for 7DART vs 18.7 for 5DART, P=.099). Both groups resulted in 94% of patients achieving their rehabilitation goals (7DART=94.1%, 5DART=94.5%; P=.967), and 88.6% of patients returning to their homes (7DART=88.1%, 5DART=89.2%; P=.334). CONCLUSIONS:Despite the fact that patients in both groups had similar functional outcomes and discharge destination, the 7DART rehabilitation model reduced length of hospital stay and increased rehabilitation workload, demonstrating increased efficiency and access to care by admitting more patients from acute care, rehabilitating them, and discharging them to the community in less time than the 5DART model.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
DiSotto-Monastero M,Chen X,Fisch S,Donaghy S,Gomez Mdoi
10.1016/j.apmr.2012.07.003subject
Has Abstractpub_date
2012-12-01 00:00:00pages
2165-9issue
12eissn
0003-9993issn
1532-821Xpii
S0003-9993(12)00538-2journal_volume
93pub_type
杂志文章abstract:OBJECTIVE:To present a new measure of community integration, the Community Integration Measure (CIM), and to offer preliminary information about its psychometric properties. DESIGN:Validation study. SETTING:Community. PARTICIPANTS:Ninety-two participants placed in 3 subgroups (brain injury survivors, n = 41; signifi...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2001.22195
更新日期:2001-04-01 00:00:00
abstract::Rehabilitation has prospered in the last several years, but that prosperity is threatened by competition, manpower shortages, continuing preoccupation with costs, and government deliberations about funding changes. The comprehensive treatment team has been the foundation of rehabilitation, but its appropriateness has ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:
更新日期:1991-04-01 00:00:00
abstract:OBJECTIVE:To examine the intrarater reliability, interrater reliability, and responsiveness of the Activities of Daily Living Computerized Adaptive Testing system (ADL CAT) in patients with stroke. DESIGN:One repeated-measures design (at an interval of 7d) was used to examine the intrarater reliability and interrater ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2014.04.025
更新日期:2014-11-01 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:OBJECTIVE:To evaluate the medium-term functional effect and the effect on quality of life of a standardized rehabilitation program in patients with inflammatory myopathies (IMs). DESIGN:A multicenter, randomized controlled trial. SETTING:Four university hospitals. PARTICIPANTS:Patients (N=21) with polymyositis. INT...
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.2016.09.125
更新日期:2017-02-01 00:00:00
abstract:OBJECTIVE:To describe in-line skating interests and practices, protective gear usage, and injury patterns in a population-based group of in-line skaters. DESIGN:A two-page questionnaire with multiple choice questions and one write-in response question. PARTICIPANTS:The survey was sent to 1,000 members of an in-line s...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(97)90309-9
更新日期:1997-12-01 00:00:00
abstract::Performance records of 22 extremely obese adult patients undergoing physical rehabilitation in a multi-disciplinary program were used to devise three progressive training protocols to which patients can be individually assigned. These protocols include "fastest pace" walking and jogging and are designed to rehabilitat...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1976-09-01 00:00:00
abstract::There is a striking absence of data on the cardiovascular fitness of mentally retarded adults and what limited data are reported reflect field or submaximal laboratory tests. This study sought to develop a protocol that would allow maximal aerobic testing (VO2max) of mentally retarded adults in the laboratory. Of 21 s...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1987-06-01 00:00:00
abstract:OBJECTIVE:To investigate whether reporting blood redistribution by means of graduated elastic stockings affects exercise and postexercise responses in people with spinal cord injury (SCI). DESIGN:Crossover trial. SETTING:Physical medicine and rehabilitation department in France. PARTICIPANTS:Fourteen men with trauma...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/j.apmr.2007.03.023
更新日期:2007-06-01 00:00:00
abstract:UNLABELLED:Kwok JC, Hui-Chan CW, Tsang WW. Effects of aging and Tai Chi on finger-pointing toward stationary and moving visual targets. OBJECTIVE:To examine the aging effect on speed and accuracy in finger pointing toward stationary and moving visual targets between young and older healthy subjects and whether or not ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2009.07.018
更新日期:2010-01-01 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 investigate sexual functioning and its predictors in spouses/partners of persons with traumatic brain injury (TBI). DESIGN:Inception cohort survey. SETTING:Community. PARTICIPANTS:Persons (N=70) with complicated mild to severe TBI admitted to 1 of 6 participating TBI Model Systems inpatient rehabilitati...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2016.01.009
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:To determine the location of cortical activation during a visual illusion walking paradigm, a recently proposed treatment for spinal cord injury (SCI)-related neuropathic pain, in persons with SCI compared with able-bodied controls. DESIGN:Pilot experimental functional magnetic resonance imaging (fMRI) trial...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2014.10.020
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVES:To examine the convergent validity, sensitivity to change, floor and ceiling effects of the Community Balance and Mobility Scale (CB&M) in community-dwelling stroke survivors. The secondary objective was to determine the correlations between the CB&M and lower-limb motor recovery and strength. DESIGN:Validi...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2010.02.010
更新日期:2010-06-01 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::Personality hardiness, which has been conceptualized as a potential internal resource facilitating stress resistance, was examined in conjunction with Type A behavior, perceived family cohesion and adaptability, and sociodemographic and medical variables to assess the independent differential correlations of these fac...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1991-04-01 00:00:00
abstract::The purpose of this study was to determine the reliability of isokinetic and isometric measurement of strength for tests of knee extension and hip abduction on men with mental retardation (MR). In addition, the relationships between isokinetic measures of peak torque (PT) and total work (TW) and isometric peak torque ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/0003-9993(93)90012-y
更新日期:1993-08-01 00:00:00
abstract::Limb lengthening has been used for many years to correct congenital anomalies and unequal leg length. Some surgeons focus on bone genesis and anatomical alignment, and pay less attention to potential damage to muscles, nerves, and vessels during the gradual stretching. In an attempt to identify the presence and extent...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(95)80580-x
更新日期:1995-05-01 00:00:00
abstract::Driving skills in relation to residual psychologic impairments were studied in a sample of patients who had survived severe head injuries several years earlier. Daytime driving was studied in an instrumented car that recorded lateral position control on a highway track and during rides in the subjects' own cars with a...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1988-02-01 00:00:00
abstract:OBJECTIVES:The postural imbalance poststroke limits individuals' walking abilities as well as increase the risk of falling. We investigated the short-term treatment effects of noninvasive brain stimulation (NIBS) on functional balance and postural control in patients with stroke. DATA SOURCES:We started the search via...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1016/j.apmr.2019.09.003
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:To compare the effect of 3 different approaches to balance training on dual-task balance performance in older adults with balance impairment. DESIGN:A double-blind, randomized controlled trial. SETTING:University research laboratory. PARTICIPANTS:Older adults (N=23) with balance impairment (mean age, 74.8y...
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.2008.09.559
更新日期:2009-03-01 00:00:00
abstract::Fifty children with neurogenic bowel dysfunction and stool incontinence received in patient bowel regulation training and were interviewed an average of 1.2 years later. Twenty-eight were males. Mean age was 13.5 years (range 5.6 to 18.9 years). Of the 50 children, 27 (54%) had myelomeningocele; 21 (2%), spinal cord l...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1982-04-01 00:00:00
abstract:OBJECTIVE:To examine the amount and type of therapy services received in inpatient and postdischarge settings during the first year after spinal cord injury (SCI). DESIGN:Prospective observational longitudinal cohort design. Data were obtained from systematic recording of interventions by clinicians and from patient i...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2010.07.241
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVE:To establish the feasibility and effectiveness of a 6-week ballistic strength training protocol in people with stroke. DESIGN:Randomized, controlled, assessor-blinded study. SETTING:Subacute inpatient rehabilitation. PARTICIPANTS:Consecutively admitted inpatients with a primary diagnosis of first-ever stro...
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.2018.04.032
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVE:To present preliminary data on the health-related consequences for people with spinal cord injury (SCI) of participation in a prepaid, risk-based, managed care plan. DESIGN:Baseline data from a longitudinal interview survey. SETTING:Massachusetts. PARTICIPANTS:Subjects were 114 independently living adults ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(99)90257-5
更新日期:1999-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the effectiveness of short-term, comprehensive inpatient pulmonary rehabilitation in severe chronic obstructive pulmonary disease (COPD). DESIGN:Retrospective analysis of several outcome measures. SETTING:Inpatient pulmonary rehabilitation unit. PARTICIPANTS:Thirty-eight consecutive adult patie...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(96)90132-x
更新日期:1996-11-01 00:00:00
abstract:OBJECTIVE:To describe environmental factors that influence participation of people with disabilities. DESIGN:Constant comparative, qualitative analyses of transcripts from 36 focus groups across 5 research projects. SETTING:Home, community, work, and social participation settings. PARTICIPANTS:Community-dwelling peo...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2014.12.008
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVE:To investigate the effects of pulsed magnetic fields (PMF) and pulsed electromagnetic fields (PEMF) on healing in experimental Achilles tendon inflammation in the rat. DESIGN:Prospective randomized trial. SETTING:University medical school. METHODS:Exposure of the Achilles tendon and injury by a weight of 9...
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(97)90232-x
更新日期:1997-04-01 00:00:00
abstract:OBJECTIVES:To determine preliminary efficacy and to identify baseline characteristics predicting who would benefit most from fast walking training plus a step activity monitoring program (FAST+SAM) compared with fast walking training (FAST) alone in persons with chronic stroke. DESIGN:Randomized controlled trial with ...
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.2016.01.039
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVE:Evaluate user experiences of an exercise-based cardiac telerehabilitation intervention (REMOTE-CR) that provided near universal access to real-time remote coaching and behavioral support from exercise specialists. DESIGN:Secondary analysis (12-week follow-up) of a parallel group, single blind, randomized con...
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.2018.06.027
更新日期:2018-11-01 00:00:00