Abstract：
OBJECTIVES:To quantify tendon tap response (TTR) properties and their position dependence using multiple neuromechanical parameters, and to analyze correlations among neuromechanical and clinical measures. DESIGN:Hyperexcitable dynamics of TTR were investigated in a case-control manner. An instrumented hammer was used to induce the patellar deep tendon reflex (DTR), with reflex-mediated electromyography and torque responses measured across a range of knee flexion. SETTING:Research laboratory in a rehabilitation hospital. PARTICIPANTS:Chronic hemiplegic stroke survivors (n=9) and healthy subjects (n=13). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Neuromechanical measures (system gain, contraction rate, half-relaxation rate, reflex loop delay, peak reflex torque, peak reflex electromyography, and reflex threshold in tapping force) were measured to characterize neuromuscular properties of patellar TTR. Clinical measurements were taken using the DTR scale and the Modified Ashworth Scale. RESULTS:The system gain, contraction rate, half-relaxation rate, and peak reflex-mediated torque in the stroke group were generally higher, whereas the reflex threshold in the stroke group was significantly lower than their counterparts in the control group across 45° to 90° of knee flexion (P<.05). The 4 parameters were significantly higher at 60° and 75° of flexion than at 15°, 30°, 45°, and 90°, and their correlations with the 2 clinical scales at 60°, 75°, and 90° of flexion were also significantly higher than those at 15°, 30°, and 45° (P<.05). CONCLUSIONS:The results showed hyperexcitability of TTR in stroke, quantified using a number of neuromechanical measures. Those measures peak around 60° to 75° of knee flexion and were correlated with clinical scales.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Yang CY,Guo X,Ren Y,Kang SH,Zhang LQdoi
10.1016/j.apmr.2012.09.029subject
Has Abstractpub_date
2013-02-01 00:00:00pages
391-400issue
2eissn
0003-9993issn
1532-821Xpii
S0003-9993(12)01004-0journal_volume
94pub_type
杂志文章abstract：OBJECTIVE:To investigate whether changes over time are different in a weight-bearing leg muscle than in a less heavily used arm muscle. DESIGN:Prospective study. SETTING:University hospital laboratory. PARTICIPANTS:Twenty-three patients with a history of poliomyelitis. INTERVENTION:Two investigations were performed...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2003.08.101
更新日期：2004-07-01 00:00:00
abstract：OBJECTIVE:To estimate, for persons with multiple sclerosis (MS), the extent to which peak oxygen consumption (Vo(2)peak) can be predicted by the results on submaximal tests. DESIGN:Cross-sectional study. SETTING:Three MS clinics in the Greater Montreal region, Canada. PARTICIPANTS:A center-stratified random sample o...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,多中心研究
doi：10.1016/j.apmr.2010.06.005
更新日期：2010-09-01 00:00:00
abstract：OBJECTIVE:To assess whether, and to what extent, cognitive outcome relates to overall functional outcome among elderly stroke patients. DESIGN:Nonconcurrent prospective study. SETTING:Geriatric rehabilitation division at a large, urban, academic, freestanding hospital in Israel. PARTICIPANTS:Three hundred thirty-six...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1053/apmr.2002.32739
更新日期：2002-06-01 00:00:00
abstract：:Sixty patients with spinal muscular atrophy (SMA) are presented. Although the life span with Type I SMA (Werdnig-Hoffmann disease) may be short, children with the disease can be made more comfortable with appropriate medical care and parental support. Despite electrodiagnostic findings which are not always pathognomon...
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 quantify the initial deficit, change, and outcome in gait velocity during inpatient rehabilitation following stroke. DESIGN:The initial deficit on admission to rehabilitation was quantified by comparing 42 stroke patients with 42 controls matched by gender and age. The change in the stroke patients during...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(96)90072-6
更新日期：1996-10-01 00:00:00
abstract：:This self-directed learning module highlights assessment and therapeutic options in the management of cancer pain, pelvic pain, and the pain problems of the elderly and children. It is part of the chapter on pain rehabilitation in the Self-Directed Medical Knowledge Program for practitioners and trainees in physical m...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1994-05-01 00:00:00
abstract：:Six patients with spinal cord injury and iliopsoas abscess and other complicating conditions were evaluated with computed tomography (CT), conventional radiography, magnetic resonance imaging (MRI), and radionuclide scans. CT identified the presence of psoas abscess and revealed the depth, extent, and relationship of ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1993-11-01 00:00:00
abstract：:The influence of the posterior vertebral ligamentous and bony elements on the sagittal range of motion of the lumbar spine has been investigated by observing the effects of sectioning ligaments and pedicles in 17 cadavers of both sexes with an age range from 14 to 78 years. The main investigation showed that the apoph...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1983-07-01 00:00:00
abstract：OBJECTIVE:To evaluate functional hop performance in subjects with an anterior cruciate ligament (ACL) reconstruction with a bone-patellar tendon-bone graft during 12, 18, 26, 39, and 52 weeks. DESIGN:A longitudinal comparative study. SETTING:University research laboratory. PARTICIPANTS:Patients (N=19) were evaluated...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2007.11.057
更新日期：2008-08-01 00:00:00
abstract：OBJECTIVES:To identify differences in health factors, neuromuscular attributes, and performance-based mobility among community-dwelling older adults with symptomatic lumbar spinal stenosis; and to determine which neuromuscular attributes are associated with performance-based measures of mobility. DESIGN:Cross-sectiona...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2017.02.028
更新日期：2017-07-01 00:00:00
abstract：:Some 6% to 21% of Charcot joints occur in the spine. The underlying disease is usually tabes dorsalis, but diabetes mellitus is another etiology. Degeneration of spinal elements is accelerated and lumbar spinal stenosis with weakness may occur, as has been reported in tabetic arthropathy. The case presented is unusual...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1985-07-01 00:00:00
abstract：:Rehabilitation clinicians strive to provide cost-effective, patient-centered care that optimizes outcomes. A barrier to this ideal is the lack of a universal system for describing, or specifying, rehabilitation interventions. Current methods of description vary across disciplines and settings, creating barriers to col...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2018.09.110
更新日期：2019-01-01 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：OBJECTIVE:To assess the relationship between foot pressures measured during level walking and other types of ambulatory activity in subjects with diabetes mellitus (DM) and peripheral neuropathy (PN). DESIGN:Descriptive survey with repeated measures. SETTING:University medical center. PARTICIPANTS:Convenience sample...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2003.06.004
更新日期：2004-02-01 00:00:00
abstract：OBJECTIVE:To determine the safety and feasibility of percutaneous radiologic gastrostomy (PRG) tube placement in patients with amyotrophic lateral sclerosis (ALS) with too low a vital capacity to be weaned off noninvasive positive pressure ventilation (NPPV). DESIGN:Five-year follow-up cohort study. SETTING:Inpatient...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2008.12.006
更新日期：2009-06-01 00:00:00
abstract：:Lumbosacral and associated leg pain and paresthesias arousing patients from a sound sleep, or Vesper's curse, has been previously reported. An increase in right atrial filling pressure reflected in elevated paraspinal venous volumes within the reduced confines of a stenotic lumbar spine has been cited as the cause of ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1990-05-01 00:00:00
abstract：OBJECTIVES:To quantify electromyographic and neurographic changes and to correlate them with the clinical data of outpatients with herpes zoster. DESIGN:Prospective case series. SETTING:Outpatient department. PATIENTS:A consecutive, unselected series of 158 outpatient cases (88 women, 70 men; mean age, 64y) of herpe...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1053/apmr.2002.33989
更新日期：2002-09-01 00:00:00
abstract：:This self-directed learning module highlights current concepts of the epidemiology, prevention, and systematic treatment of spinal cord disorders. It is part of the chapter on rehabilitation of spinal cord disorders for the Self-Directed Medical Knowledge Program Study Guide for practitioners and trainees in physical ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,评审
doi：
更新日期：1991-03-01 00:00:00
abstract：:This case report examined whether a 26-year-old man with a 5-year history of nonsevere aplastic anemia could perform aerobic training and whether exercise was beneficial. Testing was performed at baseline and at 8 and 16 weeks and included complete blood tests, graded exercise tests with breath-by-breath gas analyses,...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(00)90146-1
更新日期：2000-02-01 00:00:00
abstract：OBJECTIVE:To investigate the relation between posttraumatic stress (PTS) symptom severity and health-related quality of life (HRQoL) after severe traumatic brain injury (TBI). DESIGN:Longitudinal prospective multicenter, cohort study on severe TBI in Switzerland (2007-2011). SETTING:Hospital, rehabilitation unit, and...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,多中心研究
doi：10.1016/j.apmr.2018.02.008
更新日期：2018-08-01 00:00:00
abstract：OBJECTIVE:To summarize empirical studies on the effectiveness of psychological interventions in long-term rehabilitation after an acquired brain injury (ABI) in reducing depressive symptoms. DATA SOURCES:A systematic literature search was conducted on MEDLINE, PsycINFO, Embase, and CINAHL to identify articles publishe...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.apmr.2013.02.013
更新日期：2013-07-01 00:00:00
abstract：:Musculoskeletal injuries can result from overuse or incorrect use of manual wheelchairs, and can hinder rehabilitation efforts. The purpose of this study was to investigate wheelchair propulsion biomechanics of spinal cord injured, non-athletic wheelchair users. We studied changes in the variables that occur with fati...
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：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:We investigated the treatment effects of a home-based rehabilitation program compared with clinic-based rehabilitation in patients with stroke. DESIGN:A single-blinded, 2-sequence, 2-period, crossover-designed study. SETTING:Rehabilitation clinics and participant's home environment. PARTICIPANTS:Individual...
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.2018.03.017
更新日期：2018-12-01 00:00:00
abstract：OBJECTIVE:To describe a systematic review and meta-analysis to identify if intradialytic exercise improves the removal of solutes and the hemodialysis adequacy. DATA SOURCES:A systematic review and meta-analysis of randomized controlled trials (RCTs) were performed. The sources were MEDLINE (via PubMed), Web of Scienc...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,meta分析
doi：10.1016/j.apmr.2019.02.009
更新日期：2019-12-01 00:00:00
abstract：OBJECTIVES:To examine the correlation between physical examination parameters, commonly referred to as "nerve root tension signs," and H-reflex latency measurements both pre- and postepidural steroid-bupivacaine (Marcaine) injection, and to propose mechanisms of pain alleviation. DESIGN:Prospective observational, with...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2003.09.024
更新日期：2004-09-01 00:00:00
abstract：:Despite the rapid growth in the number of rehabilitation specialty hospitals in recent years, there is little knowledge of the performance of these facilities. The recent growth in the number of for-profit rehabilitation providers and increasing competition among for-profit and not-for-profit rehabilitation hospitals ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(95)80569-9
更新日期：1995-05-01 00:00:00
abstract：OBJECTIVES:To assess changes in participation in society (frequency, restrictions, satisfaction) during and after cardiac rehabilitation (CR) and to assess associations between participation and heath-related quality of life (HRQOL). DESIGN:Prospective cohort study. SETTING:Outpatient CR center. PARTICIPANTS:Patient...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2015.01.019
更新日期：2015-06-01 00:00:00
abstract：OBJECTIVE:To gain insight into the biomechanics of upslope wheelchair stroking by examining the changes in kinematic and electromyographic characteristics of wheelchair propulsion over ramps of different slopes. DESIGN:Repeated-measures design. Each subject pushed up a wooden ramp (7.3m long) 3 times at self-selected ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2008.07.019
更新日期：2009-02-01 00:00:00
abstract：OBJECTIVES:To describe, from the perspective of U.S. Department of Veterans Affairs (VA) polytrauma rehabilitation providers, (1) patients with combat-related polytrauma and their rehabilitation, (2) polytrauma patient family member involvement in rehabilitation, and (3) the impact on providers of providing polytrauma ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,多中心研究
doi：10.1016/j.apmr.2007.10.017
更新日期：2008-01-01 00:00:00
