Abstract:
:A small waveform precedes the compound muscle action potential evoked from the thenar eminence with median nerve stimulation with high amplifier gains. This potential is believed to emanate from fibers destined to innervate the volar aspect of the first digit. It has been suggested recently that the source of the premotor potential is the palmar cutaneous branch of the median nerve. In this study, the palmar cutaneous branch of the median nerve was blocked at the wrist. A localized zone of anesthesia was observed over the proximal midpalm, not the thenar eminence, and the premotor response remained unchanged as did a midpalmar potential. The median nerve was then blocked at the base of the thenar eminence; only then did the premotor potential disappear. The palmar cutaneous branch of the median nerve innervates only a small portion of the medial aspect of the thenar eminence and does not produce the thenar premotor potential. Additionally, because of the close proximity of the main median nerve to its palmar cutaneous branch, volume conduction of stimuli and responses precludes an electrophysiologic technique which exclusively localizes the palmar cutaneous branch of the median nerve.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Dumitru D,Walsh NE,Ramamurthy Ssubject
Has Abstractpub_date
1989-07-01 00:00:00pages
537-40issue
7eissn
0003-9993issn
1532-821Xjournal_volume
70pub_type
杂志文章abstract:OBJECTIVE:To identify differences in earnings after spinal cord injury (SCI) attributable to demographic factors, injury severity, and education using a regression model that accounts for employment status, conditional earnings (earnings of those employed only), and unconditional earnings (earnings from employment for ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2006.07.254
更新日期:2006-10-01 00:00:00
abstract:OBJECTIVE:To examine incidence and predictors of employment stability in veterans and military service members with traumatic brain injury (TBI) who return to work. DESIGN:Prospective observational cohort study. SETTING:Four rehabilitation centers. PARTICIPANTS:Veterans and military service members (N=110) with mild...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2017.05.012
更新日期:2018-02-01 00:00:00
abstract:OBJECTIVE:To define relationships among various clinical characteristics of pain occurring after spinal cord injury (SCI). DESIGN:Postal survey. SETTING:General community. PARTICIPANTS:Of 330 subjects with SCI reporting chronic pain in a previous survey, 217 volunteered. INTERVENTIONS:Not applicable. MAIN OUTCOME ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2001.25077
更新日期:2001-09-01 00:00:00
abstract::A commercial arm-leg ergometer was adapted so that combined bilateral arm-single leg work could be performed by unilateral lower extremity amputees from their own wheelchairs. Three middle-aged to elderly unilateral amputees performed progressive discontinuous bilateral arm crank and combined bilateral arm-single leg ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1987-04-01 00:00:00
abstract::Thirty patients with symptomatic rheumatoid arthritis (RA) of both hands were treated with an air pressure splint. Evaluations were made by measuring ring size, hand volume, range and rate of finger motions, grip strength and degree of pain and stiffness. One hand was randomly assigned to the treatment group while the...
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:1982-11-01 00:00:00
abstract:OBJECTIVE:To compare isometric torque and cycling power, smoothness and symmetry using repetitive functional magnetic stimulation (FMS) and functional electrical stimulation (FES) in patients with paretic legs with preserved sensibility and in patients without sensibility. DESIGN:Repeated-measures design. SETTING:Lab...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/j.apmr.2008.09.572
更新日期:2009-04-01 00:00:00
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::Fourty-four men (average age, 61.5 years) who had undergone amputation of both lower extremities were studied at a Veterans Administration hospital. Vascular insufficiency was the most frequent reason for amputation. In 26 of the patients bilateral below-knee amputations had been performed. Although diabetes mellitus ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1975-07-01 00:00:00
abstract::Research on sensory deprivation suggests that the loss of somatosensory input to the central nervous system may have an impact on cortical reactivity and subsequent cognitive task efficiency. Individuals with spinal cord injury have a permanent loss of such input to varying degrees. However, there have been few invest...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/0003-9993(86)90119-x
更新日期:1986-02-01 00:00:00
abstract::This study was undertaken to determine the blood pressure (BP) and cardiac output (Qc) responses to maximal isokinetic exercise. The subjects (n = 5) performed unilateral knee extension/flexion exercise (knee exercise) and unilateral elbow extension/flexion exercise (elbow exercise) at 0.52, 1.57, and 2.62 rads.sec-1....
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1992-02-01 00:00:00
abstract:OBJECTIVE:To examine the effects of acute fatigue of the hip abductors on the control of balance in young and older women. DESIGN:Pretest-posttest. SETTING:University research laboratory. PARTICIPANTS:Healthy young women (n=20; age, 23.0+/-1.5y; height, 166.52+/-4.5 cm; mass, 65.33+/-10.5 kg) and community-dwelling ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2009.01.025
更新日期:2009-07-01 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::Conservative care of the athlete with shoulder impingement includes activity modification, application of ice, nonsteroidal anti-inflammatory drugs, subacromial corticosteroid injections, and physiotherapy. This case report describes the clinical treatment and outcome of three patients with shoulder impingement syndro...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(00)90053-4
更新日期:2000-05-01 00:00:00
abstract::Although the number of patients undergoing successful liver transplants each year has increased dramatically, little information is available on the functional outcome of such patients. A survey was conducted to determine the functional and vocational outcome of patients three years after orthotopic liver transplantat...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1990-05-01 00:00:00
abstract:OBJECTIVES:To evaluate the relation between wheelchair breakdowns, their immediate consequences, and secondary health complications after spinal cord injury. "Immediate consequences" occur when part of a wheelchair breaks and leaves an individual stranded or injured, or causes him or her to miss medical appointments, w...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2018.04.002
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVE:To determine if there were racial differences in discharge location among older adults treated for traumatic brain injury (TBI) at a level 1 trauma center. DESIGN:Retrospective cohort study. SETTING:R Adams Cowley Shock Trauma Center. PARTICIPANTS:Black and white adults aged ≥65 years treated for TBI betwe...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2019.03.008
更新日期:2019-09-01 00:00:00
abstract::Using standardized data abstracted from a representative sample of hospitals in north-central Alabama, we analyze significant social and physical factors in acute care discharge referral patterns for 756 people with traumatic brain injury (TBI). When a Physical Medicine and Rehabilitation specialist is involved in the...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1994-02-01 00:00:00
abstract::As epidurography uses a water-soluble contrast medium in the diagnosis of disc lesions, this procedure can be repeated, unlike conventional myelography which uses an oily contrast medium. Successful employment of epidurography before and after traction in 14 cases of adult prolapsed intervertebral disc syndrome is des...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1978-07-01 00:00:00
abstract::Depending on the severity of the clinical problem, three categories of treatment--home, outpatient and hospital--were utilized in 82 patients whose conditions met the strict criteria for cervical radiculitis. Details of the clinical picture, laboratory findings, electromyographic examinations, category and results of ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1976-01-01 00:00:00
abstract:OBJECTIVES:To identify randomized controlled trials comparing the use of hydrophilic and nonhydrophilic catheters for intermittent catheterization (IC) in patients with spinal cord injury (SCI), and to perform a meta-analysis evaluating the occurrence of hematuria and urinary tract infection (UTI). DATA SOURCES:We sea...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.apmr.2012.11.010
更新日期:2013-04-01 00:00:00
abstract:OBJECTIVE:To evaluate the effectiveness of reinforced feedback in virtual environment (RFVE) treatment combined with conventional rehabilitation (CR) in comparison with CR alone, and to study whether changes are related to stroke etiology (ie, ischemic, hemorrhagic). DESIGN:Randomized controlled trial. SETTING:Hospit...
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.2018.01.023
更新日期:2018-05-01 00:00:00
abstract:OBJECTIVE:To assess the effects of heat and cold on quantifiable pain behaviors in an animal model of arthritis that minimizes the motivational-affective component of pain. DESIGN:The effects of superficial heat (40 degrees C) and cold (4 degrees C) on pain behaviors in rats with knee joint inflammation were tested be...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(99)90143-0
更新日期:1999-03-01 00:00:00
abstract:OBJECTIVE:To compare the effects of 2 different heat modalities, infrared and ultrasonic therapy, on a knee flexion contracture. DESIGN:In vivo, experimental, controlled study involving a rat knee joint contracture model that was immobilized using a ligature in flexion for 40 days. SETTING:Collegiate research laborat...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2005.10.015
更新日期:2006-02-01 00:00:00
abstract:OBJECTIVE:To examine the relationship of body mass index (BMI) with multiple health indices among persons with spinal cord injury (SCI). DESIGN:Multicenter cross-sectional study. SETTING:A total of 16 SCI Model Systems throughout the United States. PARTICIPANTS:A total of 1107 men and 274 women (N=1381), mean age ± ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2010.06.030
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVE:To understand the facilitators and barriers to community reintegration (CR) among injured female veterans. DESIGN:Phenomenologic qualitative design. SETTING:Community. PARTICIPANTS:Community-dwelling female veterans with physical and/or psychological injury (N=13). INTERVENTIONS:None. MAIN OUTCOME MEASUR...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2017.07.018
更新日期:2018-02-01 00:00:00
abstract::Safe assessment of standing balance and gait is often jeopardized by the potential for falls, which may have major physical and legal consequences. This article describes the design and use of a system that enhances the safety of the patient and clinician during balance and gait assessment and training. The system con...
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:OBJECTIVE:To evaluate whether early neuropsychologic testing is useful in predicting long-term productivity outcome after traumatic brain injury (TBI). DESIGN:Validation cohort prediction study. SETTING:Four inpatient brain injury rehabilitation programs participating in the Traumatic Brain Injury Model Systems proje...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1053/apmr.2001.23753
更新日期:2001-06-01 00:00:00
abstract:OBJECTIVE:To determine the association between the amplitude of vastus medialis (VM) Hoffmann reflex (H-reflex) and pain level, self-reported physical function, and chronicity of pain in women with patellofemoral pain (PFP). DESIGN:Cross-sectional study. SETTING:Laboratory of biomechanics and motor control. PARTICIP...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2016.06.011
更新日期:2017-01-01 00:00:00
abstract:UNLABELLED:This learner-directed module on spinal cord injury (SCI) presents a variety of perspectives of the process of personal and environmental adaptation for reintegration. Adaptation is unique to each person and does not predictably follow stages. Models used for understanding the process include biopsychosocial,...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1053/apmr.2002.32178
更新日期:2002-03-01 00:00:00
abstract:OBJECTIVE:To describe the neurologic outcomes of 29 spinal epidural abscess (SEA) patients after rehabilitation compared with a case-controlled traumatic spinal cord injury (TSCI) cohort. DESIGN:Five-year retrospective chart review. SETTING:University-affiliated surgical spine unit and inpatient rehabilitation progra...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2008.09.567
更新日期:2009-03-01 00:00:00