Abstract：
OBJECTIVE:To identify a set of clinically useful outcome measures for assessment of adults receiving treatment for spasticity. DESIGN:A modified Delphi process was conducted. In round 1, key areas of spasticity assessment and associated outcome measures were identified. In round 2, participants were presented with reviews of eligible outcome measures and were asked to select the tool they believed to be the "best" in each area. Consensus was achieved if there was at least 70% agreement among participants. In round 3, participants rated measures based on feasibility, ability to capture change, and usefulness of information gained for areas where consensus was not achieved in round 2. SETTING:The Modified Delphi process was conducted online using survey software. PARTICIPANTS:Clinicians (N=32) from centers across Canada participated in this study. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Not applicable. RESULTS:Of 51 tools identified initially, 8 were selected. Tools related to body structure and function included the visual analog scale, manual muscle testing, Penn Spasm Frequency Scale, and goniometry. Activity level measures included the Berg Balance Scale, Goal Attainment Scaling (GAS), and the FIM. The Modified Caregiver Strain Index was selected for the assessment of caregiver burden, while GAS was selected for participation level outcomes. CONCLUSIONS:A standardized set of outcome measures will assist with better documentation and standardization of assessment practices of clinicians who manage spasticity.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Pereira S,Richardson M,Mehta S,Teasell R,Miller Tdoi
10.1016/j.apmr.2014.08.025subject
Has Abstractpub_date
2015-03-01 00:00:00pages
518-523.e18issue
3eissn
0003-9993issn
1532-821Xpii
S0003-9993(14)01156-3journal_volume
96pub_type
杂志文章,多中心研究abstract：:Sciatic nerve entrapment in an osseous tunnel has only been reported twice previously. We describe a 19-year-old man evaluated for left lower limb pain and weakness that began one and one half years after sustaining stab wounds to the left buttock and midline back near the T11 vertebrae. The patient had sciatica and d...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/0003-9993(93)90124-s
更新日期：1993-05-01 00:00:00
abstract：:This double-blind study of the effects of diazepam on painful cervical muscle spasms compared with those of phenobarbital and an inert placebo employed clinical, electrogoniometric and electromyographic recording methods for evaluation and computer analysis. The clinical results were equivocal but the technological re...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章
doi：
更新日期：1983-03-01 00:00:00
abstract：:Heterotopic ossification and deep-venous thrombosis can coexist. This raises potential problems because diagnosis depends heavily on imaging studies, and an ideal imaging study which will cost-effectively and noninvasively diagnose both conditions simultaneously is not readily available. A case of coexistent heterotop...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1991-03-01 00:00:00
abstract：OBJECTIVE:To evaluate both the short- and long-term effectiveness of a lifestyle intervention on physical fitness in adolescents and young adults with cerebral palsy (CP). DESIGN:Single-blind, randomized controlled trial. SETTING:University hospitals and rehabilitation clinics. PARTICIPANTS:Adolescents and young adu...
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.2014.05.011
更新日期：2014-09-01 00:00:00
abstract：:The effect of ultrasound on the fixation of 3-hole AO plates on the femur and humerus in dogs was investigated. Four weeks postoperatively the screws were loosened by a torque (kg/cm) that averaged one-third of the inserted torque. The removal torque of screws exposed to ultrasound tended to be lower than that of unex...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1982-08-01 00:00:00
abstract：OBJECTIVE:To determine outcomes of surviving patients who underwent transfemoral amputation as part of treatment for lower extremity malignancy at a mean 15 years postoperatively, with a minimum 2-year follow-up. DESIGN:Retrospective, case control. SETTING:Tertiary care university medical center. PATIENTS:Thirty-fiv...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1053/apmr.2002.27461
更新日期：2002-02-01 00:00:00
abstract：UNLABELLED:Liang C-C, Hsieh T-C, Lin C-H, Wei Y-C, Hsiao J, Chen J-C. Effectiveness of thermal stimulation for the moderately to severely paretic leg after stroke: serial changes at one-year follow-up. OBJECTIVE:To evaluate the serial changes of long-term effects of thermal stimulation (TS) on acute stroke patients. ...
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.2012.06.016
更新日期：2012-11-01 00:00:00
abstract：OBJECTIVES:To explore whether the psychologic variables anxiety, depression, and fear-avoidance beliefs, and interactions between these variables, are associated with physical function in patients with knee osteoarthritis (OA). We hypothesized lower levels of function would be related to higher anxiety, higher depressi...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2009.06.012
更新日期：2009-11-01 00:00:00
abstract：OBJECTIVE:Rearfoot motion, particularly rearfoot pronation, has been associated with many foot and leg pathologies. The assessment of abnormal rearfoot pronation frequently involves the use of video assessment in both clinical and research settings, but the reliability of this assessment has not been addressed. DESIGN...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(96)90003-9
更新日期：1996-07-01 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 determine whether social skills deficits including unskilled, inappropriate behavior, problems reading social cues (social perception), and mood disturbances (such as depression and anxiety) could be remediated after severe traumatic brain injuries. DESIGN:Randomized controlled trial comparing a social sk...
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.2008.02.029
更新日期：2008-09-01 00:00:00
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
更新日期：2017-04-01 00:00:00
abstract：:This study examines the test-retest reliability of the ventilatory threshold (VT) and the maximum oxygen uptake (VO2max) in adults with cerebral palsy (CP). Nine subjects completed two continuous incremental tests on either a wheelchair ergometer (WE, n = 5) or a cycle ergometer (CE, n = 4) to volitional fatigue. Meta...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/0003-9993(94)90195-3
更新日期：1994-06-01 00:00:00
abstract：OBJECTIVE:To study the value of physical, mental, and social characteristics as predictors of functional outcome of elderly amputees. DESIGN:Prospective, inception cohort study; comparisons with reference populations. SETTING:Main hospitals, rehabilitation centers, nursing homes, patients' own residence settings in 1...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(02)04952-3
更新日期：2003-06-01 00:00:00
abstract：OBJECTIVES:To identify risk and protective factors associated with a history of recurrent pressure ulcers among participants with spinal cord injury (SCI). DESIGN:A mail survey was used to identify factors associated with the presence or absence of recurrent pressure ulcers. SETTING:A large specialty hospital in the ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2003.08.108
更新日期：2004-08-01 00:00:00
abstract：:The authors' philosophy and regimen of treatment, based on experience with 103 pressure ulcers in 75 patients, are presented. This experience illustrates that the problem of pressure ulcers can be managed well by the application of sound surgical principles in a community hospital with a rehabilitation unit. With some...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1978-04-01 00:00:00
abstract：OBJECTIVES:To describe the prevalence of amputation-related pain; to ascertain the intensity and affective quality of phantom pain, residual limb pain, back pain, and nonamputated limb pain; and to identify the role that demographics, amputation-related factors, and depressed mood may contribute to the experience of pa...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2005.03.031
更新日期：2005-10-01 00:00:00
abstract：:A simple method was devised to measure the F-wave conduction velocity (FWCV) in the central segment (knee to spinal cord) of the peroneal and tibial nerves in contrast to the conventional motor nerve conduction velocity (MNCV) in the distal segment (knee to ankle). In 33 normal subjects, the FWCV in the central segmen...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1975-11-01 00:00:00
abstract：:The coronavirus disease 2019 (COVID-19) pandemic is having a profound effect on the provision of medical care. As the curve progresses and patients are discharged, the rehabilitation wave brings a high number of postacute COVID-19 patients suffering from physical, mental, and cognitive impairments threatening their re...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2020.09.372
更新日期：2020-12-01 00:00:00
abstract：UNLABELLED:Krause JS, Zhai Y, Saunders LL, Carter RE. Risk of mortality after spinal cord injury: an 8-year prospective study. OBJECTIVE:To evaluate a theoretical model for mortality after spinal cord injury (SCI) by sequentially analyzing 4 sets of risk factors in relation to mortality (ie, adding 1 set of factors to...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2009.04.020
更新日期：2009-10-01 00:00:00
abstract：:Decreases in muscular strength, endurance, and angular velocity have previously been demonstrated in the elderly. Osteoarthritis (OA), especially of the knee, may cause further reductions in these parameters and lead to functional limitations. This study measured the effects of a quantitative progressive exercise musc...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1016/0003-9993(93)90087-q
更新日期：1993-12-01 00:00:00
abstract：:Hospitalized patients often experience unnecessary immobility and inactivity leading to direct harms and poor outcomes. Despite growing evidence that early and regular mobility and activity are safe and helpful for patients in the hospital, there remains substantial room for improvement in clinical practice. Key to im...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2020.10.142
更新日期：2020-12-26 00:00:00
abstract：:The purpose of this study was to determine the effects of 8 weeks of circuit strength training (CST) followed by 8 weeks of jogging and then 8 weeks, of CST or jogging. During the final 8 weeks, the subjects were randomly assigned to either CST or jogging groups. The subjects (n=16, x age = 29 yrs) exercised 3 days/we...
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：
更新日期：1979-03-01 00:00:00
abstract：OBJECTIVE:To compare a seal-in liner with the common suction socket with regards to patient satisfaction and problems experienced with the prosthesis. DESIGN:Retrospective survey. SETTING:A medical and engineering research center and a department of biomechanical engineering. PARTICIPANTS:Men (N=90) with traumatic t...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2012.12.007
更新日期：2013-08-01 00:00:00
abstract：OBJECTIVE:To develop and assess the reliability of a group of cervical nonorganic physical signs to be used as a simple screening tool for identifying patients with low neck pain who exhibit abnormal illness behavior. DESIGN:Survey, consecutive sample. DATA SET:Double masked. SETTING:Functional restoration program. ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1016/s0003-9993(00)90136-9
更新日期：2000-02-01 00:00:00
abstract：OBJECTIVE:To determine whether an implanted neuroprosthesis for bladder and bowel management is less costly than conventional techniques. DESIGN:Retrospective cost-identification analysis with comparison before and after implantation of the neuroprosthesis. SETTING:Life-care planning interviews in patients' homes. P...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1053/apmr.2001.25912
更新日期：2001-11-01 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：OBJECTIVE:To estimate the proportion of patients with ischemic stroke who fall within and above the total outpatient rehabilitation caps before and after the Balanced Budget Act of 1997 took effect; and to estimate the cost of poststroke outpatient rehabilitation cost and resource utilization in these patients before a...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2015.07.008
更新日期：2015-11-01 00:00:00
abstract：:Postacute care costs have doubled over the past decade and now account for 17% of Medicare fee-for-service spending. Costs are forecast to continue to rise, paradoxically in large part in response to federal policies and efforts to control health care costs. This commentary introduces a potential solution to this situ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2014.07.397
更新日期：2014-11-01 00:00:00
abstract：OBJECTIVE:To evaluate the effects of manual lymphatic drainage (MLD) on knee swelling and the assumed consequences of swelling after total knee arthroplasty (TKA). DESIGN:Randomized controlled trial. SETTING:Primary care hospital. PARTICIPANTS:Two groups of 30 patients were randomized before TKA surgery (N=60; 65% w...
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.2016.01.006
更新日期：2016-05-01 00:00:00
