Abstract：
OBJECTIVE:To investigate the effect of stage duration on peak physiological response to arm ergometry incremental exercise testing in individuals with spinal cord injury or disease (SCI/D) in support of developing a more individualized approach to testing. DESIGN:Parallel reliability study. SETTING:University research laboratory. PARTICIPANTS:Individuals with SCI/D (N=38) performed 2 peak oxygen consumption assessments comprised of 1-minute or 3-minute stages on 1 day. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Heart rate and oxygen consumption were recorded continuously from baseline through recovery. Every 1 minute or 3 minutes, resistance increased at an individualized level, and participants continued until volitional fatigue. The highest 30-second average was selected as peak oxygen consumption (Vo2peak) and peak heart rate. The highest workload achieved for ≥30 seconds was recorded as peak power output (PO). RESULTS:Intraclass correlation coefficients (ICCs) were >.95 for the following variables: absolute Vo2peak (mean ± SD, 1min: 1.2±0.7, 3min: 1.2±.62L/min; 95% CI, .91-.98), relative Vo2peak (mean ± SD, 1min: 16.6±9.4, 3min: 15.8±8.0mL/kg/min; 95% CI, .90-.98), absolute peak PO (mean ± SD, 1min: 61±41, 3min: 66±41W; 95% CI, .92-.98), and relative peak PO (mean ± SD, 1min: .80±56, 3min: .90±.55W/kg; 95% CI, .91-.98). There was no significant difference in peak heart rate between 3 minutes (132±27 beats per minute [bpm]) and 1 minute (130±28 bpm); however, the ICC lower limit was <.75 (0.67-0.90). Total test time was significantly longer in the 3-minute (8:17±2:52min:s) than in the 1-minute (6:29±2:21min:s) protocol. CONCLUSIONS:For measuring peak physiological values in an incremental arm ergometry test, stage duration is of little consequence because similar values were obtained for the main outcome measures in both protocols.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Maher JL,Cowan REdoi
10.1016/j.apmr.2016.04.020subject
Has Abstractpub_date
2016-11-01 00:00:00pages
1895-1900issue
11eissn
0003-9993issn
1532-821Xpii
S0003-9993(16)30181-2journal_volume
97pub_type
临床试验,杂志文章abstract：:The use of isokinetic exercise has been shown to be an effective way of strengthening debilitated muscles. In the below the knee amputee, significant quadriceps and hamstring muscle wasting has been documented. Although isokinetic strengthening of the debilitated knee extensors and flexors in the below the knee ampute...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1992-09-01 00:00:00
abstract：:Previous studies have cast doubt on the efficacy of intra-articular steroids in the treatment of rotator cuff tears. This investigation re-evaluated the question, using shoulder arthrography both to substantiate the diagnosis of rotator cuff tear and to assure accurate intra-articular injection of steroid. Successful ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1981-11-01 00:00:00
abstract：OBJECTIVE:To investigate the association between propulsion biomechanics, including variables that describe smoothness of the applied forces, and shoulder pain in individuals with spinal cord injury (SCI). DESIGN:Cross-sectional, observational study. SETTING:Non-university research institution. PARTICIPANTS:Communit...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2020.10.114
更新日期：2020-11-05 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：:A quadriplegic patient with obstructive emphysema caused by mucus in the bronchi of the hyperinflated lung, demonstrated by chest radiograph and corrected by bronchoscopic aspiration of secretions from the hyperexpanded side, is reported. Subsequently, this phenomenon recurred in the opposite lung. This case is of par...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1987-05-01 00:00:00
abstract：OBJECTIVE:To determine the validity of the 6-minute walk test (6MWT) as an outcome measure to evaluate walking capacity in ambulatory patients with amyotrophic lateral sclerosis (ALS). DESIGN:Observational study. SETTING:Multidisciplinary ALS clinic at an academic medical center. PARTICIPANTS:Patients with ALS (N=18...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2017.04.004
更新日期：2017-11-01 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：OBJECTIVE:To investigate the effect of ultrasound on the levels of stress protein in experimental arthritis and their relation to the therapeutic effects on arthritic cartilage repair. METHODS:Thirty-six rats with similar degree of early arthritis were divided at random into two groups. In group s, 18 rats received so...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(99)90198-3
更新日期：1999-05-01 00:00:00
abstract：OBJECTIVE:To evaluate the effect of providing a greater percentage of therapy as contextualized treatment on acute traumatic brain injury (TBI) rehabilitation outcomes. DESIGN:Propensity score methods are applied to the TBI Practice-Based Evidence (TBI-PBE) database, a database consisting of multi-site, prospective, l...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2018.12.037
更新日期：2019-10-01 00:00:00
abstract：:A computer-based version of the rod-and-frame test for verticality perception has been developed. The task tested verticality perception of subjects by using the computer mouse to rotate a bright rod to a vertical orientation within a square frame that was tilted through a range of angles from 30 degrees counterclockw...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2004.05.022
更新日期：2005-05-01 00:00:00
abstract：:Our purpose was to determine the effects of transcutaneous electrical nerve stimulation (TENS) on the soleus H-reflex amplitude in normal subjects. Eleven subjects were tested in five experimental sessions, the purpose of which was to compare the effects of 30 minutes of TENS delivered at either 50 or 99Hz (250 micros...
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：10.1016/0003-9993(94)90090-6
更新日期：1994-10-01 00:00:00
abstract：OBJECTIVE:To determine if admission functional status, measured with the Motor Assessment Scale (MAS), was predictive of discharge destination to home or residential aged care in patients with stroke undergoing rehabilitation. DESIGN:Cohort study. SETTING:Inpatient rehabilitation units. PARTICIPANTS:Adults (N=566) d...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,多中心研究
doi：10.1016/j.apmr.2007.10.042
更新日期：2008-06-01 00:00:00
abstract：OBJECTIVE:To examine training frequency's effect on torso rotation muscle strength. DESIGN:The study followed a pretest-posttest randomized-group design. SETTING:University laboratory. PATIENTS:Subjects, 33 men (age 30 +/- 11yr) and 25 women (age 28 +/- 10yr) with no history of low back pain, volunteered to particip...
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/s0003-9993(97)90012-5
更新日期：1997-01-01 00:00:00
abstract：:Termination of motor rehabilitation is often recommended as patients with cerebrovascular accident (CVA) become more chronic and/or when they fail to respond positively to motor rehabilitation (commonly termed a "plateau"). Managed-care programs frequently reinforce this practice by restricting care to patients respon...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/j.apmr.2003.12.031
更新日期：2004-08-01 00:00:00
abstract：:The response of geriatric patients to a multidisciplinary chronic pain rehabilitation program was measured by comparing outcome data on 17 older patients (55 to 78 years) to data on 20 younger patients (29 to 48 years) treated in the same program. Pretreatment data were obtained at an initial evaluation, and posttreat...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1988-12-01 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：OBJECTIVE:To examine interrater agreement of scores by physical therapy novices and experienced clinicians on videotaped and live performances of the balance portion of Tinetti's Performance Oriented Mobility Assessment (BPOMA). DESIGN:A reliability design was used to assess the interrater agreement and consistency of...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(97)90145-3
更新日期：1997-10-01 00:00:00
abstract：OBJECTIVE:To investigate bone mineral density (BMD) levels in patients with Parkinson's disease (PD) who sustained a hip fracture. DESIGN:Case-control study. SETTING:Rehabilitation hospital in Italy. PARTICIPANTS:We investigated 831 out of 887 white patients consecutively admitted to a rehabilitation hospital becaus...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2006.07.265
更新日期：2006-11-01 00:00:00
abstract：:The use of brightness-mode ultrasound and Doppler ultrasound in physical medicine and rehabilitation has increased dramatically. The continuing evolution of ultrasound technology has also produced ultrasound elastography, a cutting-edge technology that can directly measure the mechanical properties of tissue, includin...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2014.07.007
更新日期：2014-11-01 00:00:00
abstract：OBJECTIVE:To gain insight into the biomechanics of upslope wheelchair stroking by examining the changes in kinematic and electromyographic characteristics of wheelchair propulsion over ramps of different slopes. DESIGN:Repeated-measures design. Each subject pushed up a wooden ramp (7.3m long) 3 times at self-selected ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2008.07.019
更新日期：2009-02-01 00:00:00
abstract：OBJECTIVE:To assess different aspects of sexual function in men with spinal cord injury (SCI) using the Male Sexual Quotient (MSQ), a newly developed tool to assess sexual function and satisfaction. DESIGN:Cross-sectional study. SETTING:Tertiary rehabilitation center. PARTICIPANTS:Patients (N=295) older than 18 year...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2016.01.005
更新日期：2016-06-01 00:00:00
abstract：:The use of transcutaneous electrical nerve stimulation (TENS) has increased in recent years for the management of chronic pain. One of its few contraindications is the presence of a cardiac pacemaker. Clinicians have recommended that cardiac monitoring be performed for a short interrupted period during the first appli...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1990-01-01 00:00:00
abstract：OBJECTIVE:To review the psychometric properties and clinical utility of upper-limb measurement tools in people with neurologic conditions to provide recommendations for practice. DATA SOURCES:MEDLINE, CINAHL, EMBASE, PEDro, and AMED. STUDY SELECTION:Independent reviewers searched, selected, and extracted data from ar...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/j.apmr.2011.09.015
更新日期：2012-02-01 00:00:00
abstract：OBJECTIVE:To develop a set of composite scores that can be used for interpreting quality of life (QOL) after traumatic brain injury (TBI) using 9 of the patient-reported outcomes measures from the Traumatic Brain Injury Quality of Life (TBI-QOL) measurement system. DESIGN:Participants completed 20 item banks from the ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,多中心研究
doi：10.1016/j.apmr.2018.05.036
更新日期：2020-01-01 00:00:00
abstract：OBJECTIVE:To assess perceptual performances of patients with intracerebral hemorrhage (ICH) compared with those of ischemic patients early after stroke and to analyze the psychometric properties of three perceptual tests used in the study. DESIGN:Cross-sectional study. SETTING:A rehabilitation unit at a teaching hosp...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(00)90097-2
更新日期：2000-06-01 00:00:00
abstract：:Therapeutic benefits of low-output helium-neon laser therapy have not been established, but laser therapy has been suggested as an effective means of treating many acute and chronic musculoskeletal pain syndromes. Although not released for general clinical use by the FA, the helium-neon laser has been promoted to phys...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章
doi：
更新日期：1988-12-01 00:00:00
abstract：OBJECTIVE:To investigate whether oldest-old age (≥85y) is an independent predictor of exclusion from stroke rehabilitation. DESIGN:Retrospective cohort study. SETTING:Stroke unit (SU) of a tertiary hospital. PARTICIPANTS:Elderly patients (N=1055; aged 65-74y, n=230; aged 75-84y, n=432; aged ≥85y, n=393) who, between...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2017.08.469
更新日期：2018-03-01 00:00:00
abstract：OBJECTIVES:Our primary objective was to test the hypothesis that a highly structured training method for wheelchair curb-climbing requires less training time than conventional training. Our secondary objectives were to test the hypotheses that this training method increases success rate, reduces the need for spotter in...
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.2008.04.028
更新日期：2008-12-01 00:00:00
abstract：:Compliance with regimens for chronic conditions such as juvenile rheumatoid arthritis (JRA) is often poor, and the potential benefits of therapy are thus compromised. In this study a compliance intervention involving educational and behavioral strategies was shown effective in improving medication compliance for two o...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1988-06-01 00:00:00
abstract：OBJECTIVE:The biomechanics of wheelchair propulsion have been linked to upper extremity injury. Specifically, prior studies have correlated increased median nerve dysfunction with increasing propulsion frequency and a higher rate of rise of the resultant, or total, pushrim force. Despite this link, there is little rese...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(00)90043-1
更新日期：2000-05-01 00:00:00
