Abstract：
OBJECTIVE:To investigate the relation between voluntary cough and swallowing functions according to the type of lesion in patients with acute stroke. DESIGN:Cross-sectional study. SETTING:University rehabilitation hospital. PARTICIPANTS:Acute stroke patients with dysphagia symptoms (N=397). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:A peak cough flow meter was used to measure voluntary coughing ability. Swallowing function was evaluated using the functional dysphagia scale and the penetration-aspiration scale based on the results of a videofluoroscopic swallowing study. Stroke lesions were divided into one of the following 3 categories: cortical, subcortical, and brainstem. These evaluations were performed within 2 weeks after stroke onset. RESULTS:Of the enrolled 397 patients, 207 patients were classified as cortical stroke, 106 patients were classified as subcortical stroke, and 84 patients were classified as brainstem stroke. Among the subscores of the functional dysphagia scale, the amount of pharyngeal residue negatively correlated with peak cough flow meter results across all stroke lesion types. In the brainstem lesion, peak cough flow and penetration-aspiration scale scores were high compared with other lesions, but these 2 functions did not show a correlation. CONCLUSIONS:This study revealed that large amounts of pharyngeal residue correlated with weak voluntary cough ability in all stroke lesion groups. We also showed a discrepancy between 2 functions in the brainstem lesion group. Our results suggest that voluntary coughing exercises could be a helpful therapeutic option for dysphagia to prevent pulmonary complications in some types of patients with stroke.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Lee SJ,Lee KW,Kim SB,Lee JH,Park MKdoi
10.1016/j.apmr.2015.06.015subject
Has Abstractpub_date
2015-10-01 00:00:00pages
1866-72issue
10eissn
0003-9993issn
1532-821Xpii
S0003-9993(15)00549-3journal_volume
96pub_type
杂志文章abstract：OBJECTIVE:To determine if a new method of lumbar extension traction can increase lordosis in chronic low back pain (LBP) subjects with decreased lordosis. DESIGN:Nonrandomized controlled trial with follow-up at 3 months and 1(1/2) years. SETTING:Primary care spine clinic in Nevada. PATIENTS:Beginning in mid-1998, th...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1053/apmr.2002.35485
更新日期：2002-11-01 00:00:00
abstract：:The history, pathoanatomy and pathophysiology, clinical picture, differential diagnosis, diagnostic evaluation, and treatment of cervical radiculopathy are reviewed. The review is based on a 10-year Medline literature search, review of bibliographies in textbooks, and bibliographies in articles obtained through the se...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/0003-9993(94)90040-x
更新日期：1994-03-01 00:00:00
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：
更新日期：1990-04-01 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：:One hundred thirteen medical schools which offered full degree programs were identified and surveyed by questionnaires to obtain information which identified the existence, characteristics and involvement of physical medicine or rehabilitation medicine programs. The survey also attempted to identify specific changes w...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1976-11-01 00:00:00
abstract：OBJECTIVE:To resolve the debate over whether lumbar repositioning acuity is reduced in patients with chronic low back pain (CLBP) by using a study design and methodology to minimize the effects of potential confounders. DESIGN:A single-blinded, controlled, multigroup comparative study. SETTING:Vocational rehabilitati...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2006.05.020
更新日期：2006-09-01 00:00:00
abstract：OBJECTIVES:To model 12-month rehospitalization risk among Medicare beneficiaries receiving inpatient rehabilitation for spinal cord injury (SCI) or traumatic brain injury (TBI) and to create 2 (SCI- and TBI-specific) interactive tools enabling users to generate monthly projected probabilities of rehospitalization on th...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2016.12.012
更新日期：2017-05-01 00:00:00
abstract：OBJECTIVE:To determine the predictive value of measurements of hand edema for the development of reflex sympathetic dystrophy (RSD). DESIGN:Cohort study. SETTING:Departments of rehabilitation medicine in 3 general hospitals and 1 rehabilitation hospital in Japan. PARTICIPANTS:Thirty-four stroke patients. INTERVENTI...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,多中心研究
doi：10.1053/apmr.2002.34830
更新日期：2002-10-01 00:00:00
abstract：OBJECTIVE:To assess interrater reliability of the Power Mobility Road Test (PMRT) when administered through the Virtual Reality-based SIMulator-version 2 (VRSIM-2). DESIGN:Within-subjects repeated-measures design. SETTING:Participants interacted with VRSIM-2 through 2 display options (desktop monitor vs immersive vir...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2016.02.005
更新日期：2016-07-01 00:00:00
abstract：OBJECTIVE:To examine the impact of comorbid obstructive sleep apnea (OSA) on the cognitive functioning of traumatic brain injury (TBI) patients. DESIGN:A case-control study. Neuropsychologic test performances of TBI patients with OSA were compared with those who did not have OSA. The diagnosis of OSA was based on stan...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,多中心研究
doi：10.1016/j.apmr.2007.07.012
更新日期：2007-10-01 00:00:00
abstract：:Radial sensory conduction has traditionally been performed by stimulating the nerve at the wrist, recording from the thumb or the base of the first web space. This paper describes a technique for measuring conduction in the more distal branches on the dorsum of the hand. Comparison is made with dorsal ulnar sensory co...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1986-11-01 00:00:00
abstract：OBJECTIVE:To define relationships among various clinical characteristics of pain occurring after spinal cord injury (SCI). DESIGN:Postal survey. SETTING:General community. PARTICIPANTS:Of 330 subjects with SCI reporting chronic pain in a previous survey, 217 volunteered. INTERVENTIONS:Not applicable. MAIN OUTCOME ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1053/apmr.2001.25077
更新日期：2001-09-01 00:00:00
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：
更新日期：1982-06-01 00:00:00
abstract：OBJECTIVE:To examine differences in gait and postural stability of obese and nonobese prepubertal boys. DESIGN:Percentage of gait cycle in double support was examined to determine significant differences. Postural stability was compared using temporal and frequency measures of the center of pressure in static stance. ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1053/mr.2000.3782
更新日期：2000-04-01 00:00:00
abstract：:Straight-leg raising is used as a diagnostic test for both elastogenic (passive muscle stretch test) and nonelastogenic (Lasègue's test) pathology in patients unable to bend forward from the standing position while holding the knees in extension. The test assessment is based on the range of the leg excursion and the t...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1016/0003-9993(94)90174-0
更新日期：1994-04-01 00:00:00
abstract：:Data were gathered from interviews conducted by the investigators with 145 spinal cord injured outpatients from the Veterans Administration Hospital, Bronx, NY. The index of Sexual Adjustment was developed based on factors such as adaptation to sexual limitations, partner satisfaction, sexual self-concept, and regular...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1978-01-01 00:00:00
abstract：:The relationship between surface myoelectric signal variables and ankle joint angle is studied in the tibialis anterior muscle of ten normal subjects during electrical stimulation of the main muscle motor point in isometric conditions. Rectangular current pulses of 0.1 ms width and 20Hz repetition rate were applied fo...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/0003-9993(93)90114-p
更新日期：1993-05-01 00:00:00
abstract：:Results from five independent studies from our laboratory indicate that cathodal high-voltage pulsed current (HVPC) significantly curbs posttraumatic edema formation in several animal models. Conversely, anodal HVPC did not curb edema formation. The mechanism by which HVPC reduces edema formation is unknown. We hypoth...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(95)80665-2
更新日期：1995-04-01 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：:Every medical student at Mayo Medical School participates in a three-week training program in the department of physical medicine and rehabilitation. Since 1974-1975, approximately 40 students have had this experience each academic year. In addition to lectures, the learning experience includes clinical cases involvin...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1984-07-01 00:00:00
abstract：OBJECTIVE:To show the possible effect of left- and right-side total hip arthroplasty (THA) on the ability to perform an emergency stop when driving a car. DESIGN:Inception cohort. SETTING:A driving simulator using an actual car cabin, specifically developed for the experiment, was used for testing driving ability. P...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1016/j.apmr.2014.03.009
更新日期：2014-09-01 00:00:00
abstract：OBJECTIVE:To determine the extent to which pain contributes to risk for suicidal ideation after burn injury. DESIGN:This longitudinal cohort study evaluated participants at discharge, 6 months, and 1 year after burn injury. SETTING:Inpatient rehabilitation units of multiple regional burn centers. PARTICIPANTS:Surviv...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2007.05.031
更新日期：2007-12-01 00:00:00
abstract：OBJECTIVE:To investigate the effects of short-term light therapy with 890-nm radiation on pain, physical activity, and postural stability in patients with knee osteoarthritis (OA). DESIGN:A double-blind, randomized, placebo-controlled study. SETTING:Rehabilitation clinic. PARTICIPANTS:Women (n=62) and men (n=10) wit...
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.2012.01.003
更新日期：2012-05-01 00:00:00
abstract：:Dance injuries associated with cervical radiculopathy have not been described in the literature. This report describes the case of an international-style ballroom dancer who developed a cervical radiculopathy as a result of frequent lateral rotation and hyperextension of the cervical spine during dancing. The patient'...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(98)90281-7
更新日期：1998-10-01 00:00:00
abstract：:Mid-humerus cadaver determinations of ulnar F-wave, C7 spinal somatosensory evoked potential (SEP), and modified C8 root stimulation (RS) were performed bilaterally on 20 normal subjects to standardize technique and obtain normal values for the segment from mid-humerus to cervical spine. Our cadaver study shows that t...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1984-11-01 00:00:00
abstract：OBJECTIVE:To determine the relation between serologic markers of information and clinical characteristics of people with chronic spinal cord injury (SCI). DESIGN:Cross-sectional study. SETTING:Academic medical center SCI outpatient clinic. PARTICIPANTS:Convenience sample of 37 men with chronic SCI and 10 healthy con...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2004.02.009
更新日期：2005-02-01 00:00:00
abstract：OBJECTIVE:To investigate the effectiveness of aquatic exercise in improving lower limb strength in people with musculoskeletal conditions. DATA SOURCES:A systematic search used 5 databases, including MEDLINE, CINAHL, Embase, SPORTDiscus, and The Cochrane Library. STUDY SELECTION:Randomized controlled trials evaluatin...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.apmr.2016.08.472
更新日期：2017-01-01 00:00:00
abstract：OBJECTIVE:To compare the cardiorespiratory responses, blood lactate concentration and perceived exertion between 1-leg cycling and arm cranking. DESIGN:Comparison of exercise modalities. SETTING:Hospital. PARTICIPANTS:Fourteen men who had undergone knee surgery were evaluated during rehabilitation. INTERVENTIONS:No...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2007.11.013
更新日期：2008-03-01 00:00:00
abstract：:We report a rare case of degenerative joint disease of both knees, complicated by a Baker cyst. Our emphasis is on the role of electromyography and electrodiagnosis in the localization of this nerve entrapment syndrome. The patient presented with pain and swelling; venography revealed deep venous thrombosis of the rig...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1985-01-01 00:00:00
abstract：OBJECTIVE:To evaluate the immediate effect of repetitive wrist extension on grip strength in patients with distal radial fracture. DESIGN:Interventional study. SETTING:Patients who were admitted to a hospital department of occupational therapy. PARTICIPANTS:Consecutive patients with a unilateral distal radial fractu...
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.2014.09.024
更新日期：2015-05-01 00:00:00
