Abstract:
OBJECTIVES:To determine preliminary efficacy and to identify baseline characteristics predicting who would benefit most from fast walking training plus a step activity monitoring program (FAST+SAM) compared with fast walking training (FAST) alone in persons with chronic stroke. DESIGN:Randomized controlled trial with blinded assessors. SETTING:Outpatient clinical research laboratory. PARTICIPANTS:Individuals (N=37) >6 months poststroke. INTERVENTIONS:Subjects were assigned to either FAST, which was walking training at their fastest possible speed on the treadmill (30min) and overground 3 times per week for 12 weeks, or FAST+SAM. The step activity monitoring program consisted of daily step monitoring with an activity monitor, goal setting, and identification of barriers to activity and strategies to overcome barriers. MAIN OUTCOME MEASURES:Daily step activity metrics (steps/day [SPD], time walking per day), walking speed, and 6-minute walk test (6MWT) distance. RESULTS:There was a significant effect of time for both groups, with all outcomes improving from pre- to posttraining (all P values <.05). The FAST+SAM was superior to FAST for 6MWT (P=.018), with a larger increase in the FAST+SAM group. The interventions had differential effectiveness based on baseline step activity. Sequential moderated regression models demonstrated that for subjects with baseline levels of step activity and 6MWT distances that were below the mean, the FAST+SAM intervention was more effective than FAST (1715±1584 vs 254±933 SPD; P<.05 for overall model and ΔR(2) for SPD and 6MWT). CONCLUSIONS:The addition of a step activity monitoring program to a fast walking training intervention may be most effective in persons with chronic stroke who have initial low levels of walking endurance and activity. Regardless of baseline performance, the FAST+SAM intervention was more effective for improving walking endurance.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Danks KA,Pohlig R,Reisman DSdoi
10.1016/j.apmr.2016.01.039subject
Has Abstractpub_date
2016-09-01 00:00:00pages
S185-93issue
9 Suppleissn
0003-9993issn
1532-821Xpii
S0003-9993(16)30185-Xjournal_volume
97pub_type
杂志文章,随机对照试验abstract::The field of rehabilitation has increasingly called for the use of patient-reported outcome measures (PROMs) in research and practice. Given that many rehabilitation patients present with conditions associated with cognitive impairments, it is imperative to reduce barriers to PROM use for this population. The purpose ...
journal_title:Archives of physical medicine and rehabilitation
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doi:10.1016/j.apmr.2017.03.011
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abstract::This double-blind study of the effects of diazepam on painful cervical muscle spasms compared with those of phenobarbital and an inert placebo employed clinical, electrogoniometric and electromyographic recording methods for evaluation and computer analysis. The clinical results were equivocal but the technological re...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
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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...
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journal_title:Archives of physical medicine and rehabilitation
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journal_title:Archives of physical medicine and rehabilitation
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pub_type: 杂志文章,随机对照试验
doi:10.1016/j.apmr.2017.11.019
更新日期:2018-05-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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doi:10.1053/apmr.2001.17830
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journal_title:Archives of physical medicine and rehabilitation
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doi:10.1016/j.apmr.2017.10.003
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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.2003.07.021
更新日期:2004-06-01 00:00:00
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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.2017.06.015
更新日期:2018-02-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2011.01.010
更新日期:2011-06-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1991-04-01 00:00:00
abstract:OBJECTIVE:To assemble and synthesize the best evidence on the epidemiology, diagnosis, prognosis, treatment, and prevention of musculoskeletal injuries and pain in dancers. DATA SOURCES:Medline, CINAHL, PsycINFO, Embase, and other electronic databases were searched from 1966 to 2004 using key words such as dance, danc...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/j.apmr.2008.02.020
更新日期:2008-09-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1053/apmr.2000.17808
更新日期:2000-11-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1986-05-01 00:00:00
abstract:OBJECTIVE:To evaluate over a 2-year period the serial swallowing function of patients with nasopharyngeal carcinoma (NPC) after completing radiotherapy (RT). DESIGN:Prospective longitudinal follow-up. SETTING:University hospital. PARTICIPANTS:Patients with NPC (N=76) referred for RT: 53 of them at 1 year after RT, a...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2011.06.008
更新日期:2011-11-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2009.12.028
更新日期:2010-05-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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doi:10.1016/j.apmr.2014.11.008
更新日期:2015-08-01 00:00:00
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pub_type: 杂志文章
doi:10.1053/apmr.2002.27474
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
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pub_type: 杂志文章
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更新日期:2007-09-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2017-07-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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doi:10.1016/j.apmr.2012.06.012
更新日期:2012-11-01 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
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更新日期:2017-12-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2001.26811
更新日期:2001-12-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/s0003-9993(98)90244-1
更新日期:1998-11-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
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更新日期:2000-07-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2002.30623
更新日期:2002-03-01 00:00:00