Abstract:
OBJECTIVE:To quantify habitual walking speed and estimate the prevalence of low habitual walking speed (<0.8m/s and <0.5m/s) in nursing home residents; and secondarily to gain some insight into whether demographic, health, and functional outcomes could predict the nursing home residents' walking speed. DESIGN:Cross-sectional study. SETTING:Eleven nursing homes. PARTICIPANTS:Nursing home residents (N=102 [37%] of 273 eligible, randomly selected residents from 11 nursing homes consented to participate in this study). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:The primary outcome was habitual walking speed assessed over a distance of 2.4m. Secondary outcomes including body composition, muscle strength, balance and physical performance as assessed via the Short Physical Performance Battery, and historical and current demographic and health measures were all assessed as potential predictors of walking speed. RESULTS:Mean walking speed was .37±.26 m/s, meaning that 97% and 75% of participants had walking speeds <0.8m/s and <0.5m/s, respectively. Multivariable linear regression identified physical activity status before 50 years of age and daily sitting time as independent predictors of walking speed (r(2)=.25, P<.05), although this regression only accounted for 25% of the variance in walking speed. CONCLUSIONS:Almost all participants in this study had below-normal walking speed, a known clinical predictor of physical performance. Because walking speed is a clinical marker of many age-related adverse outcomes in older age, efforts to increase or at least maintain walking speed in nursing home residents should be considered. Some evidence suggests that progressive resistance training may offset these declines in walking speed.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Keogh JW,Senior H,Beller EM,Henwood Tdoi
10.1016/j.apmr.2015.06.021subject
Has Abstractpub_date
2015-11-01 00:00:00pages
1993-9issue
11eissn
0003-9993issn
1532-821Xpii
S0003-9993(15)00588-2journal_volume
96pub_type
杂志文章,多中心研究abstract:OBJECTIVE:To investigate whether body weight-supported treadmill training (BWSTT) is of long-term benefit for patients with Parkinson's disease (PD). DESIGN:Randomized controlled trial. SETTING:Inpatient rehabilitation unit for neurologic diseases in Japan. PARTICIPANTS:Twenty-four patients (Hoehn and Yahr stages 2....
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:10.1053/apmr.2002.34603
更新日期:2002-10-01 00:00:00
abstract::Spontaneous intracranial hypotension (SIH) has been clinically defined as the development of severe orthostatic headaches caused by an acute cerebrospinal fluid (CSF) leak. Typically, intracranial hypotension occurs as a complication of lumbar puncture, but recent reports have identified cases caused by minor trauma. ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2007.08.111
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVE:To examine the perspective of survivors of traumatic brain injury (TBI) regarding the extent and nature of their recovery over time. DESIGN:Inception cohort, longitudinal study. SETTING:Level I trauma center. PARTICIPANTS:One hundred fifty-seven consecutively hospitalized individuals with TBI (mean age, 36...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2001.25082
更新日期:2001-08-01 00:00:00
abstract:OBJECTIVE:To investigate the effects of a late-phase exercise program for patients who underwent total hip arthroplasty (THA) 4 to 12 months earlier. DESIGN:A single-blind, randomized controlled trial. SETTING:Exercises were performed in subjects' homes. Exercise instruction and measurements taken before and after th...
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:10.1016/j.apmr.2003.11.022
更新日期:2004-07-01 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 aims of the present systematic review and meta-analysis were to determine the relationship between muscular strength and all-cause mortality risk and to examine the sex-specific impact of muscular strength on all-cause mortality in an apparently healthy population. DATA SOURCES:Two authors systematicall...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1016/j.apmr.2018.01.008
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVE:To describe patients with moderate traumatic brain injury (TBI) treated and discharged at levels I and II trauma centers in the United States; and to describe the predictors of discharge to rehabilitation after acute care. DESIGN:Retrospective, cross-sectional, descriptive study. SETTING:Trauma centers. PA...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2014.09.018
更新日期:2015-02-01 00:00:00
abstract::A quadriplegic patient with a C6 lesion had a stroke with aphasia and right hemiplegia 20 years after his cervical cord injury. The combination of hemiplegia and quadriplegia created unusual rehabilitation problems, the most disabling of which was a painful flexion contracture of the right elbow that prevented any use...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1984-12-01 00:00:00
abstract:OBJECTIVE:To examine whether, in patients with carpal tunnel syndrome (CTS), electrodiagnostic study findings were associated with patient symptom severity and functional limitations after controlling for potentially confounding variables including depression, somatization, and pain-related catastrophizing. DESIGN:Cro...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2006.10.013
更新日期:2007-01-01 00:00:00
abstract::Recordings of pressure within the bladder, urethra, rectum, and external anal sphincter with image intensification and videotaping were carried out in spinal cord injury patients with complete and incomplete lesions, during spinal shock and in the chronic stage. The behavior of the external urethral sphincter and the ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1975-05-01 00:00:00
abstract:OBJECTIVES:To examine differences in adipose tissue distribution, lumbar vertebral bone mineral density (BMD), and muscle attenuation in adults with and without cerebral palsy (CP), and to determine the associations between morphologic characteristics. DESIGN:Cross-sectional, retrospective analyses of archived compute...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2015.06.007
更新日期:2015-10-01 00:00:00
abstract:OBJECTIVE:To compare the effectiveness of 2 home-based behavioral interventions for wheelchair users to promote exercise adoption and maintenance over 12 months. DESIGN:Randomized controlled trial, with participants stratified into groups based on disability type (stable, episodic, progressive) and support partner ava...
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.2013.07.006
更新日期:2014-01-01 00:00:00
abstract::This learner-directed module highlights contemporary perspectives on personal success in the adjustment and adaptation of patients with spinal cord injury (SCI). It is the fourth in a series of five modules within the chapter on spinal cord injury rehabilitation in the Self-Directed Physiatric Education Program for pr...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/s0003-9993(97)90412-3
更新日期:1997-03-01 00:00:00
abstract:OBJECTIVE:To investigate the relationship between sedentary behavior and quality-adjusted life years (QALYs) among participants in the Osteoarthritis Initiative. DESIGN:Longitudinal, observational design. SETTING:Osteoarthritis Initiative cohort. PARTICIPANTS:Individuals (N=1794) from a prospective, multicenter long...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2017.06.004
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVE:To investigate the effects of combination cathodal transcranial direct current stimulation (tDCS) and virtual reality (VR) therapy for upper extremity (UE) training in patients with subacute stroke. DESIGN:Pilot randomized controlled trial. Patients were randomly assigned to 1 of 3 groups: group A received c...
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.2013.10.027
更新日期:2014-03-01 00:00:00
abstract::This research compared the performance of 20 individuals with global and mixed nonfluent aphasia across the four auditory comprehension subtests of the Boston Diagnostic Aphasia Examination (Word Discrimination, Body Part Identification, Commands, and Complex Ideational Material) and across the six subcomponents of th...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1991-08-01 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:OBJECTIVE:To determine if there is an association between cervical radiculopathy and tender spots in the neck and upper extremity on the side of radiculopathy. DESIGN:Prospective cross-sectional study. SETTING:Outpatient spine clinic within an academic institution. PARTICIPANTS:Convenience sample of 16 subjects with...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2004.11.023
更新日期:2005-07-01 00:00:00
abstract::This report exemplifies the cases of two male and one female spinal cord injury (SCI) patients with latex allergy, two of whom had life threatening episodes of intraoperative cardiovascular collapse. The three patients were extensively exposed to latex products as a result of urinary management programs, and two devel...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/0003-9993(94)90016-7
更新日期:1994-11-01 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:OBJECTIVES:To identify (1) the annual incidence of subsequent injury and injury-related hospitalizations in persons with preexisting spinal cord injury (SCI) and (2) risk and protective behaviors associated with differential risk for injury. DESIGN:Longitudinal mailed survey. Participants were enrolled in 1997 to 1998...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2010.07.219
更新日期:2010-11-01 00:00:00
abstract:OBJECTIVE:To retrospectively assess whether cardiopulmonary exercise testing would be well tolerated in individuals with Alzheimer disease (AD) compared with a nondemented peer group. DESIGN:We retrospectively reviewed 575 cardiopulmonary exercise tests (CPETs) in individuals with and without cognitive impairment caus...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/j.apmr.2014.04.007
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVES:To investigate the effects of different interferential current (IC) and transcutaneous electrical nerve stimulation (TENS) frequencies on sensory, motor, and pain thresholds. STUDY DESIGN:Single blind, repeated measures design. SETTING:Laboratory. PARTICIPANTS:Women students 18 to 30 years old (n = 24). ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/s0003-9993(99)90062-x
更新日期:1999-09-01 00:00:00
abstract:OBJECTIVE:To evaluate the frequency and extent of prosthetic use by people with lower limb amputation and identify factors that facilitate prosthetic use. DESIGN AND SETTING:Five-year follow-up survey using the Prosthetic Profile of the Amputee (PPA) questionnaire and Dillman's mailing strategy. SUBJECTS:Adults with ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(99)90177-6
更新日期:1999-06-01 00:00:00
abstract:OBJECTIVES:The main objective of this study was to test the hypothesis that peak L4/L5 moments (torque) placed on the lumbar spine by chronic back pain subjects are reduced using pain-reducing postural adaptations. A secondary objective was to determine the relation between lumbar moments while lifting and self-reporte...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(97)90059-9
更新日期:1997-09-01 00:00:00
abstract:OBJECTIVE:To compare resource use of, and outcomes for, rehabilitation for severe stroke before and after the implementation of the Casemix and Rehabilitation Funding Tree case-mix-based funding model. DESIGN:Prospective, observational cohort study. SETTING:Eight inpatient rehabilitation centers in Australia. PARTIC...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2007.04.001
更新日期:2007-07-01 00:00:00
abstract:UNLABELLED:Golomb MR, McDonald BC, Warden SJ, Yonkman J, Saykin AJ, Shirley B, Huber M, Rabin B, AbdelBaky M, Nwosu ME, Barkat-Masih M, Burdea GC. In-home virtual reality videogame telerehabilitation in adolescents with hemiplegic cerebral palsy. OBJECTIVE:To investigate whether in-home remotely monitored virtual real...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2009.08.153
更新日期:2010-01-01 00:00:00
abstract::This study tested the efficacy of biofeedback when administered in conjunction with physical rehabilitation therapy to chronic C5-7 quadriplegics. Triceps brachii, biceps brachii, wrist extensors, and wrist flexors were tested. The studied muscles were compromised by the injury to varying degrees, but were often still...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/0003-9993(93)90103-h
更新日期:1993-05-01 00:00:00
abstract:OBJECTIVES:To (1) describe depressive symptom severity and suicidal ideation (SI) in persons with progressive multiple sclerosis (MS); (2) compare depressive symptom severity and SI in persons with progressive MS and persons with relapsing-remitting multiple sclerosis (RRMS); and (3) identify common and unique risk fac...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2020.09.385
更新日期:2020-10-17 00:00:00
abstract:OBJECTIVE:To compare the efficacy of various durations of wheelchair tilt-in-space and recline on enhancing skin perfusion over the ischial tuberosity in people with spinal cord injury (SCI). DESIGN:Repeated-measures, intervention and outcomes measure design. SETTING:University research laboratory. PARTICIPANTS:Powe...
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.2012.11.019
更新日期:2013-04-01 00:00:00