Abstract：
OBJECTIVE:The aim of this study was to examine the associations of onset days, time from stroke onset to inpatient rehabilitation facility (IRF) admission, and patient outcomes (FIM gain, discharge destination, and IRF length of stay), using nationally representative data. DESIGN:A secondary data analysis was conducted on a random sample of stroke patients discharged from IRFs in the United States between 2009 and 2011, including mildly (n = 649), moderately (n = 2185), and severely (n = 2390) impaired patients. RESULTS:The study sample had a median of onset days of 5.5, with an interquartile range of 4-9. With the use of 15-365 days as reference, the severely impaired patients had a higher cognition gain (P < 0.01) and were more likely to be discharged to the community (odds ratio, 1.45; 95% confidence interval, 1.12-1.87) when admitted within 7 days, a greater motor gain when admitted within 14 days (P < 0.01), and a lower risk for acute hospital transfer when admitted 3-7 days (odds ratio, 0.62; 95% confidence interval, 0.43-0.90). The moderately impaired patients had a greater motor gain when admitted within 7 days (P < 0.01). Early IRF admission was also associated with a shorter length of stay. CONCLUSIONS:Earlier IRF admission was beneficial among severely and moderately impaired patients. IRF admission within 7 days is recommended for stroke patients who achieved medical stability.
journal_name
Am J Phys Med Rehabiljournal_title
American journal of physical medicine & rehabilitationauthors
Wang H,Camicia M,DiVita M,Mix J,Niewczyk Pdoi
10.1097/PHM.0000000000000226subject
Has Abstractpub_date
2015-02-01 00:00:00pages
85-96; quiz 97-100issue
2eissn
0894-9115issn
1537-7385pii
00002060-201502000-00001journal_volume
94pub_type
杂志文章abstract：OBJECTIVES:To study changes in quality of life (QOL) and to explore predictors of QOL of community-dwelling older adults with physical disabilities. DESIGN:A 2-yr longitudinal study involved a convenience sample of 49 people with physical disabilities aged 60-94 yrs. QOL was estimated twice at a 2-yr interval with the...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e318186b5bd
更新日期：2008-10-01 00:00:00
abstract：:This brief paper has reviewed a few of the basic concepts related to the understanding of leadership styles. The unavoidable nature of conflict in organizations has been described. One of the best ways a person can make conflict more manageable is to become increasingly aware of his or her own fundamental leadership s...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：
更新日期：1988-02-01 00:00:00
abstract：:This study investigates the temperature effect on motor nerve conduction velocity (MNCV) in patients with neuropathic processes. Fourteen subjects, ages 18-77 yr old, with a diagnosis of uremic polyneuropathies (UPN, n = 5), diabetic polyneuropathies (DPN, n = 6) or carpal tunnel syndrome (CTS, n = 3) and ten normal c...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：
更新日期：1993-12-01 00:00:00
abstract：OBJECTIVE:Promoting an active lifestyle through an appropriate physical exercise prescription is one of the major targets of cardiac rehabilitation. However, information on the effectiveness of cardiac rehabilitation in promoting lifestyle changes in elderly patients is still scant. DESIGN:In 131 patients over the age...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e3181b332a1
更新日期：2009-09-01 00:00:00
abstract：:Sarcoidosis is a multisystem granulomatous disorder that rarely involves the spinal cord. This report describes the presentation and rehabilitative course of a 31-yr-old man with quadriparesis secondary to spinal cord sarcoidosis. The patient had insidious, progressive weakness in his arms and legs for six weeks befor...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,评审
doi：10.1097/00002060-199104000-00002
更新日期：1991-04-01 00:00:00
abstract：OBJECTIVE:To investigate the hypothesis that the multiple-site injection technique is associated with better outcomes than the single-point injection method in children with cerebral palsy and spastic equinus gait. DESIGN:A total of 17 children (nine boys, eight girls ages 1.8-9.4 yrs; eight hemiplegics, eight diplegi...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,随机对照试验
doi：10.1097/PHM.0b013e31816ddaa9
更新日期：2008-05-01 00:00:00
abstract：OBJECTIVE:This study aimed to investigate the remote effect of acupuncture (AcP) on the pain intensity and the irritability of the myofascial trigger point in the upper trapezius muscle. DESIGN:Forty-five patients were equally divided into three groups: patients in the placebo control group received sham AcP, those in...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,随机对照试验
doi：10.1097/PHM.0b013e3182328875
更新日期：2011-12-01 00:00:00
abstract：:A 58-yr-old woman presented after experiencing left hip and groin pain for 1 mo. She denies any history of trauma, falls or any bruising, or history of sports injury or extreme physical exertion before her symptoms. On ultrasonography, she was found to have an avulsion tear at the origin of the adductor muscles, predo...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000000000
更新日期：2014-04-01 00:00:00
abstract：:The effect of the occupational environment on fibromyalgic patients has not been well studied. Individuals (321) from across the United States completed a questionnaire regarding effects of their current and past occupations on their fibromyalgia. Occupations with a high percentage of responders were general office wo...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-199404000-00007
更新日期：1994-04-01 00:00:00
abstract：:Given their capacity to regenerate cells lost through injury or disease, stem cells offer new vistas into possible treatments for degenerative diseases and their underlying causes. As such, stem cell biology is emerging as a driving force behind many studies in regenerative medicine. This review focuses on the current...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,评审
doi：10.1097/PHM.0000000000000111
更新日期：2014-11-01 00:00:00
abstract：OBJECTIVE:To investigate the effect of botulinum toxin A on associated pain and functional impairment of refractory plantar fasciitis. DESIGN:This is a randomized, double-blind, placebo-controlled study of 27 patients (43 feet) with plantar fasciitis. Block randomization was performed using computer software. In patie...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1097/01.phm.0000176339.73591.d7
更新日期：2005-09-01 00:00:00
abstract：OBJECTIVES:To establish the correlations of measures of self-reported disability, self-efficacy, physical performance, level of pain, and estimates of aerobic capacity (PvO2 ) in subjects with low back pain. DESIGN:Fifty-one low back pain subjects, ranging in age from 26 to 65 yr, entered the study. Participants compl...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-200212000-00005
更新日期：2002-12-01 00:00:00
abstract：OBJECTIVE:Pain during needle electrode examination (NEE) is often poorly tolerated. No previous studies have evaluated the effect of lidocaine iontophoresis on pain reduction during NEE. Our objective was to determine whether pretreatment with lidocaine iontophoresis mitigates the pain felt during NEE. DESIGN:In this ...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,随机对照试验
doi：10.1097/PHM.0b013e318228c6d3
更新日期：2011-12-01 00:00:00
abstract：OBJECTIVE:To compare the treatment effectiveness of botulinum toxin type A (BTX-A) and phenol blocks in managing lower limb spasticity and gait dysfunction in children with cerebral palsy. DESIGN:This is a case-controlled study that took place in a tertiary center's gait laboratory. A total of 27 ambulatory children w...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/01.phm.0000118038.02326.ca
更新日期：2004-04-01 00:00:00
abstract：OBJECTIVE:After hip fracture, muscle strength and power remain persistently poor, especially in the fractured leg. This study explores whether asymmetrical leg extension power (LEP) deficit affects mobility in women after proximal femoral fracture (PFF). DESIGN:In this observational study, LEP of both legs, 10- and 50...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e318164a9e2
更新日期：2008-05-01 00:00:00
abstract：OBJECTIVE:The objective of this study was to compare pain induced by magnetic stimulation of the quadriceps femoris (QF) muscle with that induced by transcutaneous neuromuscular electrical stimulation (NMES). DESIGN:Magnetic stimulation and transcutaneous NMES were applied to QF muscles of 17 normal volunteers. The in...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1097/01.phm.0000223239.93539.fe
更新日期：2006-07-01 00:00:00
abstract：OBJECTIVE:To compare the differences of reaching ability and electromyography of ankle muscles between healthy and hemiparetic subjects. DESIGN:This is a cross-sectional control trial. A total of 31 subjects with hemiparesis and 31 age-matched healthy adults meeting our selection criteria participated in this study. S...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/01.phm.0000176573.64931.94
更新日期：2005-10-01 00:00:00
abstract：:The combined effects of robotic therapy and botulinum toxin type A (BTX-A) on upper-limb movement and function were studied in an 8(1/2)-yr-old child with hemiplegic cerebral palsy. Robotic therapy comprising repetitive, goal-directed reaching tasks was administered two times per week for 8 wks. Clinical measures incl...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e31817fb346
更新日期：2008-12-01 00:00:00
abstract：OBJECTIVE:The aim of the study was to investigate feasibility and functional changes of simulated microgravity with 6-degree head-down-tilt (HDT) bed rest in acute ischemic stroke. DESIGN:Patients without lesions in the cingulate cortex and/or cerebellum were enrolled. They underwent HDT for 30 minutes twice per day f...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1097/PHM.0000000000000765
更新日期：2017-11-01 00:00:00
abstract：:Bilateral forearm and hand transplantation poses unique challenges especially in the setting of bilateral lower limb amputations. A 57-yr-old man with bilateral transradial amputations and bilateral transtibial amputations after remote streptococcal sepsis was admitted for inpatient rehabilitation because of severe de...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e3182240a73
更新日期：2011-08-01 00:00:00
abstract：:The purpose of this study was to stimulate the laryngeal cough reflex using a nebulized, mild chemical irritant and to record an associated laryngeal evoked potential from the internal branch of the superior laryngeal nerve. The laryngeal evoked potential was obtained on ten normal subjects from the right internal bra...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-199811000-00014
更新日期：1998-11-01 00:00:00
abstract：OBJECTIVE:This study aimed to assess functional activities in different subgroups of patients with migraine. DESIGN:One-hundred forty subjects were uniformly divided into the following four groups: headache-free controls, migraine with aura, without aura, and chronic migraine. Subjects performed the tests walk across,...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000000793
更新日期：2018-02-01 00:00:00
abstract：OBJECTIVE:Upper limb spasticity may impair the use of control interfaces such as joysticks for many individuals with disabilities such as cerebral palsy (CP). The aims of this study were to compare the driving performance of those with CP to that of control participants, to identify the impact of lead time on performan...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e31825a1497
更新日期：2012-10-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to evaluate the relationship between body mass index (BMI) and change in motor impairment and functional mobility after a gait rehabilitation intervention in chronic stroke subjects. DESIGN:Correlation and linear regression analyses of pretreatment and end-of-treatment Fugl-Meyer sc...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,随机对照试验
doi：10.1097/PHM.0b013e31826458c6
更新日期：2012-11-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to compare the clinical ratings of elbow strength obtained by skilled clinicians with objective strength measurement obtained through quantitative testing. DESIGN:A retrospective comparison of subject clinical records with quantitative strength testing results in a motion analysis l...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e31825f14f9
更新日期：2012-10-01 00:00:00
abstract：OBJECTIVE:: The aim of this study was to assess the utility of quantitative ultrasound of the calcaneus in diagnosing osteoporosis in spinal cord injury patients in a Brazilian Teaching Hospital. DESIGN:: This is a diagnostic test criterion standard comparison study. Between January 2008 and October 2009, the bone den...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e31821a7386
更新日期：2011-06-01 00:00:00
abstract：:Lumbar-stabilization exercise programs have become increasingly popular as a treatment for low-back pain. In this article, we outline an evidence-based medicine approach to evaluating patients for a lumbar-stabilization program. We also discuss typical clinical components of this type of program and the rationale for ...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,评审
doi：10.1097/01.phm.0000250566.44629.a0
更新日期：2007-01-01 00:00:00
abstract：OBJECTIVE:To assess changes over time and responsiveness of the Cochin Hand Function Scale (CHFS) and Mouth Handicap In Systemic Sclerosis (MHISS) scale in patients with systemic sclerosis (SSc). DESIGN:This was a prospective longitudinal study. PARTICIPANTS:Participants were drawn from a convenience sample of indivi...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000000611
更新日期：2016-12-01 00:00:00
abstract：OBJECTIVE:To investigate the pathologic changes with a time sequence among patients with injured ligaments after complete mechanical unloading, based on a human anterior cruciate ligament (ACL) model. DESIGN:Pathologic examinations were done on remnants of completely ruptured ACLs at various times up to 14 wks after i...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e31803215dc
更新日期：2007-04-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to determine the contribution of spontaneous post-stroke physical activity to skeletal muscle plasticity after stroke. DESIGN:A randomized controlled study was conducted of 24 young adult male Sprague-Dawley rats assigned to three experimental groups: (1) STR-hemorrhagic stroke in t...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e31825f18e1
更新日期：2012-11-01 00:00:00
