Abstract:
OBJECTIVE:To examine how intraindividual changes in ambulation characteristics may be used to predict falls. DESIGN:Longitudinal study design. SETTING:Assisted living facility. PARTICIPANTS:Ambulatory older adults (N=26; mean age, 79y). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Continuous measure of average weekly ambulation characteristics (time and distance walked, speed, path measures [eg, path time and distance, number of paths (where a path is at least 60s of uninterrupted walking separated by at least a 30-s stop)]), accounting for weekly changes in these ambulation characteristics on an individual level over time along with falls (yes/no) and cognitive impairment (CI) (measured by the Montreal Cognitive Assessment). RESULTS:In hierarchical linear models accounting for intraindividual changes in ambulation characteristics over the 8-month course of the study and level of CI, path distance (odds ratio, 1.02; P≤.001) was associated with an increased risk of a fall. In the short-term, intraindividual changes in path distance were associated with a fall within the 4-week interval the change was noted. Path distance had fair sensitivity (.74) and specificity (.66) to a fall (area under the curve, .70). CONCLUSIONS:Study findings suggest that falls may have specific predictors, specifically that older adults with CI are more likely to fall when walking continuously with little/no breaks. Interventions focused on reducing path-associated fatigue may effectively reduce fall incidence in this population.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Bowen ME,Rowe Mdoi
10.1016/j.apmr.2016.05.013subject
Has Abstractpub_date
2016-11-01 00:00:00pages
1963-1968issue
11eissn
0003-9993issn
1532-821Xpii
S0003-9993(16)30240-4journal_volume
97pub_type
杂志文章abstract::This study explores relationships between behavior of spinal cord injured persons during hospitalization and their medical and behavioral status after discharge. It illustrates a logic for identifying, selecting and testing indicators of patient performance that predict important aspects of outcome. Key behavioral mea...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1981-12-01 00:00:00
abstract:OBJECTIVE:To compare postural balance between patients who have had either a large diameter head total hip arthroplasty or surface replacement arthroplasty. DESIGN:Observational study. SETTING:Outpatient biomechanical laboratory. PARTICIPANTS:Two groups of 14 patients with surface replacement or large diameter head ...
journal_title:Archives of physical medicine and rehabilitation
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doi:10.1016/j.apmr.2009.01.033
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abstract::This study examined the validity and reliability of the anaerobic threshold (AT) using blood lactate (ATLa) and respiratory gas exchange (ATg) criteria during cycle ergometry (CE) and wheelchair ergometry (WE) in athletes with spastic cerebral palsy (CP). Eleven subjects attempted a discontinuous incremental test prot...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1993-03-01 00:00:00
abstract::Serial nerve conduction studies were done in 5 patients with Guillain-Barre syndrome, 4 of whom were recovering and 1 who did not recover. In a total of 20 paired studies, the nerve conduction velocity deteriorated in spite of improvement in distal and proximal latencies in 5 cases, and nerve conduction velocity impro...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1980-05-01 00:00:00
abstract::An innovative approach to the rehabilitation of the stroke patient was initiated at Riverside Methodist Hospital to accommodate an increasing number of patients. Patients spend six hours a day several days a week attending a day rehabilitation program at which all necessary therapies are provided. A year-end analysis ...
journal_title:Archives of physical medicine and rehabilitation
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abstract:OBJECTIVE:To compare the effect of 3 different approaches to balance training on dual-task balance performance in older adults with balance impairment. DESIGN:A double-blind, randomized controlled trial. SETTING:University research laboratory. PARTICIPANTS:Older adults (N=23) with balance impairment (mean age, 74.8y...
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.2008.09.559
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVES:To (1) develop a standardized interview for telephone administration, (2) assess the psychometric properties of this interview format (Disability Rating Scale-Postacute Interview [DRS-PI]), and (3) identify additional items to reduce skew. DESIGN:Prospective cohort assessment study. SETTING:Not applicable....
journal_title:Archives of physical medicine and rehabilitation
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doi:10.1016/j.apmr.2012.04.003
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(99)90275-7
更新日期:1999-04-01 00:00:00
abstract::Empirical data on attitudes toward sexual behavior of disabled persons were gathered from a written, sentence-completion task in which 110 college students engaged. The task consisted of 36 sentence stubs, 18 of which probed attitudes toward sex. To facilitate expression of attitudes rather than values, respondents we...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1979-06-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2008-03-01 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.2008.04.014
更新日期:2008-11-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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doi:10.1016/j.apmr.2014.02.030
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/ampr.2002.32309
更新日期:2002-05-01 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
doi:
更新日期:1986-04-01 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.2012.06.016
更新日期:2012-11-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(99)90177-6
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abstract:OBJECTIVE:To identify instruments that measure community participation in people with disabilities and to evaluate which domains, to what extent, and how precisely they address this construct. The review aims to provide information to guide the selection of community participation instruments and to identify limitation...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,meta分析,评审
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更新日期:2013-04-01 00:00:00
abstract::To evaluate the efficacy and function of EMG feedback (FB) in muscle reeducation, voluntary muscle contractions with and without EMG FB were compared under controlled experimental conditions in normal human subjects (n=10). Each subject was instructed to produce 12 sustained, 30-second contractions of the left abducto...
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
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2015-11-01 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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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2011.04.009
更新日期:2011-09-01 00:00:00
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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
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更新日期:1979-03-01 00:00:00
abstract:OBJECTIVE:To assess the relationship between poststroke shoulder pain, upper-limb motor impairment, activity limitation, and pain-related quality of life (QOL). DESIGN:Cross-sectional, secondary analysis of baseline data from a multisite clinical trial. SETTING:Outpatient rehabilitation clinics of 7 academic medical ...
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:2007-03-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2017-06-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2018-10-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2018-11-01 00:00:00