Abstract:
OBJECTIVE:To assess the relations between measures of activity with dyspnea and satisfaction with life in chronic spinal cord injury (SCI). DESIGN:Cross-sectional survey. SETTING:Five SCI centers. PARTICIPANTS:Between July 2012 and March 2015, subjects (N=347) with traumatic SCI ≥1 year after injury who used a manual wheelchair or walked with or without an assistive device reported hours spent away from home or yard on the previous 3 days, sports participation, and planned exercise. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Satisfaction with Life Scale (SWLS) and dyspnea. Dyspnea was defined as shortness of breath when hurrying on the level or going up a slight hill, going slower than people the same age on the level because of breathlessness, or stopping for breath when going at your own pace, or after about 100yd (or after a few minutes) on the level. RESULTS:Dyspnea prevalence was 30%. Adjusting for asthma or chronic obstructive pulmonary disease, mobility mode, race, and season, there was a significant linear trend between greater SWLS scores and quartiles of time spent away from the home or yard (P=.0002). SWLS score was greater if participating in organized sports (P=.01), although was not significantly greater with planned exercise (P=.093). Planned exercise was associated with a reduced odds ratio (OR) of dyspnea (.57; 95% confidence interval [CI], .34-.95; P=.032), but organized sports was not (P=.265). Dyspnea was not significantly increased in persons who spent the fewest hours outside their home or yard (≤7h) compared with people who spent the most hours outside their home or yard (>23h) (OR=1.69; 95% CI, 0.83-3.44; P=.145). CONCLUSIONS:In SCI, a planned exercise program is associated with less dyspnea. An active lifestyle characterized by greater time spent away from home or yard and sports participation is associated with greater SWLS scores.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Garshick E,Mulroy S,Graves DE,Greenwald K,Horton JA,Morse LRdoi
10.1016/j.apmr.2016.02.010subject
Has Abstractpub_date
2016-10-01 00:00:00pages
1721-7issue
10eissn
0003-9993issn
1532-821Xpii
S0003-9993(16)00149-0journal_volume
97pub_type
杂志文章abstract::In this cross-sectional study, the bone mineral density of the lumbar spine, the back extensor strength, and the level of physical activity were determined in 68 healthy, postmenopausal women. Physical activity was determined by a graded questionnaire and varied from sedentary to heavy vocational and avocational activ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1988-04-01 00:00:00
abstract::Spastic contractures are a common problem which frequently requires the use of splinting or casting. Customized adjustable orthoses can reduce contractures without the problems often associated with these procedures. These devices reduced contractures in a head-injured patient's severely spastic wrist and ankles. As a...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1985-06-01 00:00:00
abstract:OBJECTIVE:To investigate if shorter immobilization is noninferior to longer immobilization after Weilby procedure for thumb carpometacarpal osteoarthritis DESIGN: Prospective cohort study with propensity score matching. SETTING:Data collection took place in 16 outpatient clinics for hand surgery and hand therapy. PAR...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2019.02.016
更新日期:2019-11-01 00:00:00
abstract:OBJECTIVE:To investigate the factor structure and scale properties of items underlying the mobility activities subdomains of the International Classification of Functioning, Disability and Health (ICF). DESIGN:A cross-sectional self-report-based psychometric study. SETTING:Outpatient rehabilitation settings (N=3) in ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2010.11.025
更新日期:2011-04-01 00:00:00
abstract::This report documents the 4th patient reported with sciatic nerve compression by heterotopic ossification and the 1st case occurring during general anesthesia. A 25-year-old woman developed right sciatic nerve dysfunction after a 30-minute dilatation and curettage in the dorsal lithotomy position. Postoperative x-rays...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1983-02-01 00:00:00
abstract:OBJECTIVE:To investigate whether early therapy with a novel robotic device can reduce motor impairment and enhance functional recovery of poststroke patients with hemiparetic and hemiplegic upper limb. DESIGN:A single-blind randomized controlled trial, with an 8-month follow-up. SETTING:Neurologic department and reha...
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.2006.10.032
更新日期:2007-02-01 00:00:00
abstract::The axial rotation and simultaneous lateral flexion of the cervical spine is kinesiologically related to the movements of the upper thoracic spine. Five brachialgia patients were found to have a hypomobile first rib on the painful side in a cineradiographic study. The kinesiologic finding was the following: when the n...
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::Normal values for the soleus H-reflex were established in 83 preterm and term infants 31 to 45 weeks postconceptional age. Infants at conceptional ages 31 to 34 weeks (n = 30) had a mean H-latency (msec) of 19.2 +/- 2.16; infants 35 to 39 weeks (n = 26), 16.67 +/- 1.48; and infants 40 to 45 weeks (n = 27), 15.94 +/- 1...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
abstract:OBJECTIVE:To examine for differences in joint position sense (JPS) between knees with reconstructed anterior cruciate ligaments (ACLs) and uninjured knees by using a functional weight-bearing measurement method. DESIGN:Two-way repeated-measures in a convenience sample. SETTING:An Australian university rehabilitation ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(03)00007-8
更新日期:2003-06-01 00:00:00
abstract::Visual imperception denotes the disorders of perceptual functioning commonly associated with unilateral brain injury. Typically the same half of the visual fields of both eyes are affected on the side opposite to that of the brain injury. The disorder may have a sensory or an attentional basis or both, moreover, the p...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1983-10-01 00:00:00
abstract:OBJECTIVE:To conduct an in-depth examination of the environmental and behavioral circumstances associated with falls and near-falls experienced by elderly individuals and to evaluate the usefulness of reenactment as a method for studying falls. DESIGN:Observational and self-report data of incidents were obtained throu...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(97)90261-6
更新日期:1997-02-01 00:00:00
abstract:OBJECTIVE:To examine the psychometric properties of the Moss Attention Rating Scale (MARS), a new observational rating scale for attention-related behaviors in traumatic brain injury (TBI). DESIGN:Prospective observational study. SETTING:Eight acute inpatient rehabilitation facilities that are part of the Traumatic B...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1053/apmr.2003.50108
更新日期:2003-02-01 00:00:00
abstract:OBJECTIVES:To examine the frequency and reasons for rehospitalization in persons with acute traumatic spinal cord injury (SCI) during follow-up years and to examine the association between rehospitalization and demographics, neurologic category, payer sources, length of stay (LOS), discharge motor FIM instrument score,...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2004.03.016
更新日期:2004-11-01 00:00:00
abstract::Despite long-standing claims that the conditioning method of treating enuresis is based on the classic conditioning paradigm, research explicitly investigating this claim has been limited. This study compares two conditioning methods of treating enuresis, both using the bell and pad, one in a classic conditioning para...
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:1984-02-01 00:00:00
abstract::Stroke frequently results in psychologic distress and activity limitations across multiple domains of functioning. However, most stroke outcome measurement tools and clinical trial endpoints are narrowly focused on neurologic symptom status and physical aspects of functioning, and rarely assess other important compone...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2002.36838
更新日期:2002-12-01 00:00:00
abstract::Limited guidelines exist for rehabilitation programs for individuals with diabetes mellitus, blindness, and associated autonomic neuropathy. Abnormalities in autonomic function have been postulated to interfere with exercise conditioning and may predispose individuals to exercise-induced hypoglycemia. Twenty-nine indi...
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 examine the effect of different levels of fractional inspired oxygen (FiO(2)) (15%, 21%, 50%) on peak oxygen consumption (VO(2)peak) during arm exercise in persons with spinal cord injury and in able-bodied controls. DESIGN:Case-control study. SETTING:University medical center in the Netherlands. PARTIC...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2003.02.001
更新日期:2004-02-01 00:00:00
abstract:OBJECTIVE:To investigate sexual functioning and its predictors in spouses/partners of persons with traumatic brain injury (TBI). DESIGN:Inception cohort survey. SETTING:Community. PARTICIPANTS:Persons (N=70) with complicated mild to severe TBI admitted to 1 of 6 participating TBI Model Systems inpatient rehabilitati...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2016.01.009
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:To evaluate the effectiveness of an early intervention program for attenuating bone mineral density loss after acute spinal cord injury (SCI) and to estimate the usefulness of a multimodality approach in diagnosing osteoporosis in SCI. DESIGN:A single-case, experimental, multiple-baseline design. SETTING:An...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(99)90124-7
更新日期:1999-02-01 00:00:00
abstract:OBJECTIVE:To test the hypothesis that hybrid functional electrical stimulation (FES) row training would improve aerobic capacity but that it would remain strongly linked to level of spinal cord lesion because of limited maximal ventilation. DESIGN:Longitudinal before-after trial of 6 months of FES row training. SETTI...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2014.07.412
更新日期:2014-11-01 00:00:00
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 rev...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2014.08.025
更新日期:2015-03-01 00:00:00
abstract::Despite the use of conventional therapeutic techniques, increasing kyphosis, chest restriction and worsening burn scar hypertrophy occurred in a 9-year-old boy with burn trauma. In an attempt to alleviate these problems a device consisting of a plastizote molded 2-piece body jacket which incorporates a full neck and c...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1980-04-01 00:00:00
abstract:OBJECTIVE:To evaluate whether amitriptyline is more effective than placebo in improving phantom limb pain or residual limb pain. DESIGN:Randomized controlled trial of amitriptyline for 6 weeks. SETTING:University hospital. PARTICIPANTS:Thirty-nine persons with amputation-related pain lasting more than 6 months. INT...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1016/s0003-9993(03)00476-3
更新日期:2004-01-01 00:00:00
abstract::Employers and insurers are interested in being able to use cost-effective interventions for returning injured workers to the workplace. Unfortunately, truly objective information is lacking. The purpose of this and two subsequent review articles was to perform thorough scrutiny and methodologic comparison among all ob...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1016/s0003-9993(95)80076-x
更新日期:1995-10-01 00:00:00
abstract::Rehabilitation programs require techniques for reeducation of sensory appreciation. Current treatments focus on the return of motor function despite the fact that the full potential of motor function is not used in limbs with sensory deficits. A rationale based upon current neurophysiologic concepts is presented with ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1988-10-01 00:00:00
abstract::The funiculi of the median nerve at the wrist carrying the motor and sensory fibers innervating the hand were described in 1945 by Sunderland after an extensive anatomic study. In an attempt to confirm clinically the findings of that study, 7 patients with partial median nerve laceration at the wrist are presented. Th...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1979-04-01 00:00:00
abstract::Traumatic brain injury can result in persistent impairments of motor performance that interfere with functional activities. This study compared the gross and fine motor performance of 14 traumatically brain-injured children (five to 15 years old, with loss of consciousness for at least 24 hours) to 14 normal children ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1993-02-01 00:00:00
abstract::A case is presented of a 60-year-old woman who developed a stress fracture of the femoral neck within 3 months following heart transplantation. This complication was attributed to the introduction of a cardiac rehabilitation program in a patient with risk factors for osteoporosis. ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1993-09-01 00:00:00
abstract:OBJECTIVE:To compare the effects of night-only to full-time splint wear instructions on symptoms, function, and impairment in carpal tunnel syndrome (CTS). DESIGN:Randomized clinical trial with 6-week follow-up. SETTING:Veterans Administration Medical Center, outpatient clinic. SUBJECTS:Outpatients with untreated CT...
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/mr.2000.3856
更新日期:2000-04-01 00:00:00
abstract:OBJECTIVE:To determine the extent to which job satisfaction predicts pain, psychological distress, and disability 6 months after an initial episode of low back pain (LBP). DESIGN:A longitudinal design was used to follow an inception cohort experiencing first-episode low back pain with assessment at 2 and 6 months afte...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(98)90135-6
更新日期:1998-04-01 00:00:00