Relationship between ASIA examination and functional outcomes in the NeuroRecovery Network Locomotor Training Program.

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:Prospective observational cohort. SETTING:Outpatient rehabilitation centers in the NeuroRecovery Network (NRN). PARTICIPANTS:Individuals (n=225) with American Spinal Injury Association Impairment Scale (AIS) grade C or D chronic motor incomplete SCI having completed locomotor training in the NRN. INTERVENTION:The NRN Locomotor Training Program consists of manual-facilitated body weight-supported standing and stepping on a treadmill and overground. MAIN OUTCOME MEASURES:AIS classification, lower extremity pin prick, light touch and motor scores, ten-meter walk and six-minute walk tests, and the Berg Balance Scale. RESULTS:Significant gains occurred in lower extremity motor scores but not in sensory scores, and these were only weakly related to gait speed and distance. Final Berg Balance Scale scores and initial lower extremity motor scores were positively related. Although 70% of subjects showed significantly improved gait speed after locomotor training, only 8% showed AIS category conversion. CONCLUSIONS:Locomotor training improves gait speed to levels sufficient for independent in-home or community ambulation after chronic motor incomplete SCI. Changes in lower extremity motor and sensory scores do not capture the full extent of functional recovery, nor predict responsiveness to locomotor training. Functional classification based on gait speed may provide an effective measure of treatment efficacy or functional improvement after incomplete SCI.

journal_name

Arch Phys Med Rehabil

authors

Buehner JJ,Forrest GF,Schmidt-Read M,White S,Tansey K,Basso DM

doi

10.1016/j.apmr.2012.02.035

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

1530-40

issue

9

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(12)00285-7

journal_volume

93

pub_type

杂志文章,多中心研究
  • Intractable foot pain following frostbite: case report.

    abstract::This report describes a patient with intractable foot pain following frostbite in 1945. The patient continued to have progressively worsening foot pain, which eventually resulted in his losing his job and becoming wheelchair-bound. A combination of transcutaneous nerve stimulator, patellar, tendon weight-bearing/ankle...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Kumar VN

    更新日期:1982-06-01 00:00:00

  • Lymphedema treated with a linear pump: pediatric case report.

    abstract::This first report on the use of the Wright linear pump and its successful application in the treatment of a child with Park-Weber syndrome indicates that sequenced linear pumping is efficacious when previously tried single cell intermittent compression fails. Programmable intermittent pressure in the management of lym...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Alexander MA,Wright ES,Wright JB,Bikowski JB

    更新日期:1983-03-01 00:00:00

  • Noninvasive long-term ventilatory support for individuals with spinal muscular atrophy and functional bulbar musculature.

    abstract::Ten individuals with spinal muscular atrophy (SMA) and chronic ventilatory insufficiency were trained in the use of assisted coughing techniques and received intermittent positive pressure ventilation (IPPV) via oral and/or nasal interfaces for a mean of 5.3 (range = 1 to 17) years. During this time they had significa...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0003-9993(95)80603-2

    authors: Bach JR,Wang TG

    更新日期:1995-03-01 00:00:00

  • Validation of the Berg Balance Scale as a predictor of length of stay and discharge destination in stroke rehabilitation.

    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

    authors: Wee JY,Wong H,Palepu A

    更新日期:2003-05-01 00:00:00

  • Identifying Gaps in Research on Rehabilitation for Patients With Head and Neck Cancer: A Scoping Review.

    abstract:OBJECTIVES:Examine the amount and nature of research activity in head and neck cancer (HNC) rehabilitation; highlight publication trends, including information about the authors, settings, and study designs; and identify gaps in the existing literature. DATA SOURCES:Eligible studies were identified using PubMed, Embas...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2019.03.022

    authors: Parke SC,Oza S,Shahpar S,Ngo-Huang A,Herbert A,Barksdale T,Gerber L

    更新日期:2019-12-01 00:00:00

  • Validation of the QuickDASH and DASH in Patients With Distal Radius Fractures Through Agreement Analysis.

    abstract:OBJECTIVE:To examine the agreement of scores between the Disabilities of the Arm, Shoulder and Hand (DASH) and QuickDASH questionnaires in patients with distal radius fractures (DRFs) and their score's concurrent validity with Patient-Rated Wrist Evaluation (PRWE) scores. DESIGN:Validity study. SETTING:Hand and upper...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2016.11.023

    authors: Tsang P,Walton D,Grewal R,MacDermid J

    更新日期:2017-06-01 00:00:00

  • Contextualized Treatment in Traumatic Brain Injury Inpatient Rehabilitation: Effects on Outcomes During the First Year After Discharge.

    abstract:OBJECTIVE:To evaluate the effect of providing a greater percentage of therapy as contextualized treatment on acute traumatic brain injury (TBI) rehabilitation outcomes. DESIGN:Propensity score methods are applied to the TBI Practice-Based Evidence (TBI-PBE) database, a database consisting of multi-site, prospective, l...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2018.12.037

    authors: Bogner J,Dijkers M,Hade EM,Beaulieu C,Montgomery E,Giuffrida C,Timpson M,Peng J,Gilchrist K,Lash A,Hammond FM,Horn SD,Corrigan JD

    更新日期:2019-10-01 00:00:00

  • Understanding the use of weights in the analysis of data from multistage surveys.

    abstract::Understanding the use of weights in the analysis of data from multistage surveys. Large national surveys are powerful tools with which to examine a variety of important rehabilitation-related issues and are currently the only feasible method to study disability trends over time. Because it is impractical to draw simpl...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2005.09.021

    authors: Ciol MA,Hoffman JM,Dudgeon BJ,Shumway-Cook A,Yorkston KM,Chan L

    更新日期:2006-02-01 00:00:00

  • Peak oxygen consumption in older adults with a lower limb amputation.

    abstract:OBJECTIVE:To investigate whether the aerobic capacity of older adults who underwent a lower limb amputation is associated with the presence, cause (traumatic or vascular), and level of amputation (transtibial or transfemoral). DESIGN:Cross-sectional descriptive. SETTING:Human motion laboratory at a rehabilitation cen...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2012.05.020

    authors: Wezenberg D,de Haan A,Faber WX,Slootman HJ,van der Woude LH,Houdijk H

    更新日期:2012-11-01 00:00:00

  • Cortical activation during visual illusory walking in persons with spinal cord injury: a pilot study.

    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

    authors: Eick J,Richardson EJ

    更新日期:2015-04-01 00:00:00

  • Functional electrical stimulation improves activity after stroke: a systematic review with meta-analysis.

    abstract:OBJECTIVE:To investigate the effect of functional electrical stimulation (FES) in improving activity and to investigate whether FES is more effective than training alone. DATA SOURCES:Cochrane Central Register of Controlled Trials, Ovid Medline, EBSCO Cumulative Index to Nursing and Allied Health Literature, Ovid EMBA...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.apmr.2015.01.013

    authors: Howlett OA,Lannin NA,Ada L,McKinstry C

    更新日期:2015-05-01 00:00:00

  • Parathyroid hormone suppression in spinal cord injury patients is associated with the degree of neurologic impairment and not the level of injury.

    abstract:OBJECTIVE:To demonstrate that after spinal cord injury (SCI) suppression of the parathyroid-vitamin D axis is associated with the degree of neurologic impairment and not the level of injury. DESIGN:A retrospective analysis of clinical and biochemical data obtained from hospital records of patients with SCI compared to...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(97)90075-7

    authors: Mechanick JI,Pomerantz F,Flanagan S,Stein A,Gordon WA,Ragnarsson KT

    更新日期:1997-07-01 00:00:00

  • Sitting and standing tolerance in patients with chronic back pain: comparison between physician prediction and covert observation.

    abstract:OBJECTIVES:To measure covertly observed continuous sitting and standing tolerance in patients with chronic back pain and to compare observations to physician predictions. DESIGN:Blinded, prospective, cohort study. SETTING:Ambulatory referral centers, both public and private, at 5 major medical centers in the eastern ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2003.09.026

    authors: Brokaw JP,Walker WC,Cifu DX,Gardner M

    更新日期:2004-05-01 00:00:00

  • Nocturnal polyuria and antidiuretic hormone levels in spinal cord injury.

    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

    authors: Szollar SM,Dunn KL,Brandt S,Fincher J

    更新日期:1997-05-01 00:00:00

  • Systematic Review on the Effects of Serious Games and Wearable Technology Used in Rehabilitation of Patients With Traumatic Bone and Soft Tissue Injuries.

    abstract:OBJECTIVE:To assess the effects on functional outcomes and treatment adherence of wearable technology and serious games (ie, interactive computer applications with specific purposes useful in the "real world") currently used in physical rehabilitation of patients after traumatic bone and soft tissue injuries. DATA SOU...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2017.10.018

    authors: Meijer HA,Graafland M,Goslings JC,Schijven MP

    更新日期:2018-09-01 00:00:00

  • Orthostatic responses to nitric oxide synthase inhibition in persons with tetraplegia.

    abstract:OBJECTIVES:To determine the effects of 1.0 mg/kg nitro-L-arginine methyl ester (L-NAME) on orthostatic mean arterial pressure (MAP), serum aldosterone, and plasma renin concentrations in persons with chronic tetraplegia compared with nonspinal cord-injured controls. DESIGN:Prospective placebo-controlled intervention s...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2009.02.004

    authors: Wecht JM,Radulovic M,Lafountaine MF,Rosado-Rivera D,Zhang RL,Bauman WA

    更新日期:2009-08-01 00:00:00

  • Reliability of center of pressure measures for assessing the development of sitting postural control in infants with or at risk of cerebral palsy.

    abstract:OBJECTIVE:To establish the test-retest reliability of linear and nonlinear measures, including intra- and intersession reliability, when used to analyze the center of pressure (COP) time series during the development of infant sitting postural control in infants with or at risk for cerebral palsy (CP). DESIGN:Longitud...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2010.06.027

    authors: Kyvelidou A,Harbourne RT,Shostrom VK,Stergiou N

    更新日期:2010-10-01 00:00:00

  • Preventing fatigue of fast striated muscles of the pelvic floor and slow striated muscles of the limb by manipulating the on-off time of electric stimulation.

    abstract:OBJECTIVE:To investigate in vitro the effect of different on-off electrostimulation times on the fatigue of 2 pelvic muscles, the iliococcygeus and pubococcygeus (mainly fast), and the soleus muscle of the limb (mainly slow). DESIGN:Nonrandomized controlled trial and before-after trial. SETTINGS:In vitro study in tis...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1053/apmr.2002.30925

    authors: Poortmans A,Wyndaele JJ

    更新日期:2002-04-01 00:00:00

  • Gram-negative intravascular catheter-related bacteremia in patients with spinal cord injury.

    abstract:OBJECTIVE:To determine whether the prevalence of gram-negative catheter-related bloodstream infection (CRBSI) is higher in patients with spinal cord injury (SCI) than in patients without SCI. DESIGN:Retrospective chart review from August 1998 to August 2006. SETTING:A Veterans Affairs medical center, which serves as ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2007.08.151

    authors: Hussain R,Cevallos ME,Darouiche RO,Trautner BW

    更新日期:2008-02-01 00:00:00

  • Racial-Ethnic Differences in Word Fluency and Auditory Comprehension Among Persons With Poststroke Aphasia.

    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

    authors: Ellis C,Peach RK

    更新日期:2017-04-01 00:00:00

  • Aided gait in rheumatoid arthritis following knee arthroplasty.

    abstract::A study is presented of a biomechanical comparison of two different aided gait patterns used by rheumatoid arthritis patients after knee joint surgery. Subjects using alternating and step-to gait patterns were compared when ambulating with forearm-support crutches. Data were collected via instrumented walking aids and...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Crosbie WJ,Nicol AC

    更新日期:1990-04-01 00:00:00

  • Effect of lower limb on body propulsion.

    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:

    authors: Dillingham TR,Lehmann JF,Price R

    更新日期:1992-07-01 00:00:00

  • Long-term outcomes in fibromyalgia patients treated with noninvasive cortical electrostimulation.

    abstract:OBJECTIVE:To evaluate long-term outcomes of a noninvasive cortical stimulation technology in the treatment of fibromyalgia (FM). DESIGN:After trial follow-up survey of subjects who had completed a randomized, controlled, double-blind study of noninvasive cortical stimulation therapy some 45 months previously. SETTING...

    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.2012.04.006

    authors: Hargrove JB,Bennett RM,Clauw DJ

    更新日期:2012-10-01 00:00:00

  • Clinical reality of measuring upper-limb ability in neurologic conditions: a systematic review.

    abstract:OBJECTIVE:To review the psychometric properties and clinical utility of upper-limb measurement tools in people with neurologic conditions to provide recommendations for practice. DATA SOURCES:MEDLINE, CINAHL, EMBASE, PEDro, and AMED. STUDY SELECTION:Independent reviewers searched, selected, and extracted data from ar...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1016/j.apmr.2011.09.015

    authors: Connell LA,Tyson SF

    更新日期:2012-02-01 00:00:00

  • Unipedal stance testing in the assessment of peripheral neuropathy.

    abstract:OBJECTIVE:To define further the relation between unipedal stance testing and peripheral neuropathy. DESIGN:Prospective cohort. SETTING:Electroneuromyography laboratory of a Veterans Affairs medical center and a university hospital. PATIENTS:Ninety-two patients referred for lower extremity electrodiagnostic studies. ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1053/apmr.2001.17830

    authors: Hurvitz EA,Richardson JK,Werner RA

    更新日期:2001-02-01 00:00:00

  • Measuring mobility limitations in children with cerebral palsy: development, scalability, unidimensionality, and internal consistency of the mobility questionnaire, MobQues47.

    abstract:OBJECTIVES:To develop a questionnaire that specifically and comprehensively measures mobility limitations in children with cerebral palsy (CP) and to investigate certain psychometric properties (scalability, unidimensionality, internal consistency) of this questionnaire. DESIGN:Cross-sectional study. SETTING:Private ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2010.05.009

    authors: Roorda LD,Scholtes VA,van der Lee JH,Becher J,Dallmeijer AJ

    更新日期:2010-08-01 00:00:00

  • Body composition assessment in Taiwanese individuals with poliomyelitis.

    abstract:OBJECTIVES:To measure the changes in the total and regional body fat mass, and assess the clinical usefulness of the body mass index (BMI) in detecting overweight subjects with sequelae of poliomyelitis. DESIGN:Prospective, cross-sectional study. SETTING:General community. PARTICIPANTS:Subjects with poliomyelitis (n...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2011.01.019

    authors: Chang KH,Lai CH,Chen SC,Hsiao WT,Liou TH,Lee CM

    更新日期:2011-07-01 00:00:00

  • Reliability of the parallel walk test for the elderly.

    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

    authors: Lark SD,McCarthy PW,Rowe DA

    更新日期:2011-05-01 00:00:00

  • Effects of Exercise Training on Pulmonary Function in Adults With Chronic Lung Disease: A Meta-Analysis of Randomized Controlled Trials.

    abstract:OBJECTIVE:To quantify the effect of exercise training on indices of pulmonary function in adults with chronic lung disease using meta-analytic techniques. DATA SOURCES:Eligible trials were identified using a systematic search of MEDLINE, Web of Science, Physiotherapy Evidence Database, and GoogleScholar databases. ST...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.apmr.2018.03.014

    authors: Salcedo PA,Lindheimer JB,Klein-Adams JC,Sotolongo AM,Falvo MJ

    更新日期:2018-12-01 00:00:00

  • Magnetic resonance imaging related to neurologic outcome in cervical spinal cord injury.

    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

    pub_type: 杂志文章

    doi:

    authors: Marciello MA,Flanders AE,Herbison GJ,Schaefer DM,Friedman DP,Lane JI

    更新日期:1993-09-01 00:00:00