Abstract:
OBJECTIVE:To characterize the association between traumatic brain injury (TBI) and chronic pain and pain disability in the context of comorbid conditions, posttraumatic stress disorder (PTSD), and depression to better inform care of combat veterans. DESIGN:Retrospective cohort study. SETTING:Medical centers and community clinics. PARTICIPANTS:Combat veterans (N=116,913) who received Veterans Affairs care between October 1, 2007 and March 31, 2015, completed a Comprehensive Traumatic Brain Injury Evaluation, and received a criterion standard diagnosis of TBI (none, mild, or moderate to severe). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Chronic pain defined as ≥2 of the same pain diagnoses ≥90 days apart and pain disability defined as self-reported pain causing moderate to very severe interference with daily functioning. RESULTS:Fifty-seven percent received ≥1 chronic pain diagnosis. Compared to those with no TBI, PTSD, or depression, there was an independent risk for chronic pain in veterans with mild TBI, which was higher in veterans with moderate to severe TBI. The risk of chronic pain was additive and highest when all 3 conditions-TBI, depression, and PTSD-were copresent (adjusted relative risk, 1.53 and 1.62 [95% confidence interval, 1.50-1.66] for mild and moderate or severe TBI, respectively, plus other diagnoses). The relation of pain disability to TBI, PTSD, and depression followed a similar additive pattern. CONCLUSIONS:In combat veterans, chronic pain and pain disability are most commonly associated with TBI in conjunction with PTSD, depression, or both. Integrated models of care that simultaneously address pain in conjunction with TBI, PTSD, and depression will likely be the most clinically effective.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Seal KH,Bertenthal D,Barnes DE,Byers AL,Strigo I,Yaffe K,Chronic Effects of Neurotrauma Consortium Study Group.doi
10.1016/j.apmr.2017.03.026subject
Has Abstractpub_date
2017-08-01 00:00:00pages
1636-1645issue
8eissn
0003-9993issn
1532-821Xpii
S0003-9993(17)30260-5journal_volume
98pub_type
杂志文章abstract:OBJECTIVE:To translate and assess the reliability and the construct validity of 3 functional disability scales for neck pain. DESIGN:Reliability and validity study. SETTING:Tertiary care teaching hospital and outpatient clinic. PARTICIPANTS:One hundred one patients (mean age, 49 y). INTERVENTION:French translations...
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
abstract:OBJECTIVE:To evaluate the reliability and validity of accelerometry for measuring upper-extremity rehabilitation outcome. DESIGN:Validation study. SETTING:Data recorded in the community. PARTICIPANTS:Consecutive Constraint-Induced Movement therapy (CIMT) patients (n = 10) and volunteer community residents with strok...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2005.01.010
更新日期:2005-07-01 00:00:00
abstract:OBJECTIVE:To test the safe and effective use of a new mobility device, the Independence IBOT 3000 Mobility System, by people with a disability. DESIGN:A prospective, balanced, open-label evaluation that used participants as their own controls. SETTING:Home and community environments. PARTICIPANTS:Twenty subjects who...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2004.04.044
更新日期:2004-12-01 00:00:00
abstract::The purpose of this study was to investigate whether a newly developed sentence level auditory comprehension (SLAC) treatment program could be used to improve language comprehension test scores in adults with chronic aphasia. Results indicate that the SLAC treatment program can be used with chronic patients; performan...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1986-06-01 00:00:00
abstract:OBJECTIVES:To identify differences in health factors, neuromuscular attributes, and performance-based mobility among community-dwelling older adults with symptomatic lumbar spinal stenosis; and to determine which neuromuscular attributes are associated with performance-based measures of mobility. DESIGN:Cross-sectiona...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2017.02.028
更新日期:2017-07-01 00:00:00
abstract::This report describes a case of sciatic neuropathy caused by an obstruction of the nutrient artery of the nerve. The patient was a 76-year-old man who had an aneurysm in his right thigh and suddenly complained of pain and weakness in his right leg. Computed tomography scan and ultrasonography of the right thigh showed...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2001.9625
更新日期:2001-02-01 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::This self-directed learning module highlights recent research in assessment of stroke outcomes and management of the psychosocial consequences of stroke. It is a part of the chapter on stroke rehabilitation in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabi...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/s0003-9993(99)90098-9
更新日期:1999-05-01 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:OBJECTIVE:To explore the effects on motor function and impairment of mobilization and tactile stimulation for the paretic arm and hand after stroke. DESIGN:Replicated single-system series, ABA design. SETTING:The stroke rehabilitation ward of a community hospital in the United Kingdom. PARTICIPANTS:Consecutive sampl...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2008.03.016
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVE:Summarize the psychometric properties of functional, ambulatory, and quality of life instruments among adult lower limb amputees, highlighting evidence deemed generalizable to the United States Medicare population. DATA SOURCES:Six databases and existing systematic reviews through October 30, 2017. Searches ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2019.02.015
更新日期:2019-12-01 00:00:00
abstract:OBJECTIVE:To assess the effects of automated peripheral stimulation (AMPS) in reducing gait variability of subjects with Parkinson disease (PD) and freezing of gait (FOG) treated with AMPS and to explore the effects of this treatment on gait during a single task (walking) and a dual task (walking while attending the wo...
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.2018.05.009
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVE:To examine the effects of wheelchair skills training on confidence in older adults who are inexperienced wheelchair users. DESIGN:Parallel group, single-blind randomized controlled trial. SETTING:Research laboratory in a rehabilitation hospital. PARTICIPANTS:Participants (N=20) who were community-living ol...
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.2013.01.016
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVE:To determine whether different foot orthoses have a similar effect on foot kinematics in subjects with subtalar osteoarthritis (OA) when walking on various ground conditions. DESIGN:Within-subject comparison study. SETTING:Biomechanics research laboratory. PARTICIPANTS:Ten subjects with unilateral subtalar...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2006.03.021
更新日期:2006-08-01 00:00:00
abstract:OBJECTIVE:To describe functioning in people living with spinal cord injuries (SCI) in Switzerland. DESIGN:Secondary analysis of cross-sectional survey data. SETTING:Community, Switzerland. PARTICIPANTS:Individuals (N=1549) 16 years of age or older with a history of traumatic or nontraumatic SCI and permanently resid...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2018.04.015
更新日期:2018-10-01 00:00:00
abstract:UNLABELLED:Richards LG, Latham NK, Jette DU, Rosenberg L, Smout RJ, DeJong G. Characterizing occupational therapy practice in stroke rehabilitation. OBJECTIVES:To describe how occupational therapy (OT) activities during stroke inpatient rehabilitation vary by admission functional status and over time and how time spen...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2005.08.127
更新日期:2005-12-01 00:00:00
abstract:OBJECTIVES:To evaluate concurrent and construct validity for the Simplified Water Displacement Instrument (SWDI), an instrument for measuring arm volumes and arm lymphedema as a result of breast cancer surgery. DESIGN:Validity design. SETTING:Hospital setting. PARTICIPANTS:Women (N=23; mean age, 64+/-11y) were exami...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2008.11.016
更新日期:2009-05-01 00:00:00
abstract::Energy expended while walking is increased for children with cerebral palsy compared to nondisabled children. This study compared oxygen uptake, oxygen pulse, and the respiratory exchange ratio (RER) in children with cerebral palsy and nondisabled children walking on a treadmill. Resting oxygen uptake and oxygen pulse...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/0003-9993(93)90029-a
更新日期:1993-07-01 00:00:00
abstract::A new above-knee prosthetic mechanism with synchronous motions of the knee and ankle has been designed based on kinematic principles. Knee flexion is synchronized with ankle dorsiflexion by a synchronizer rod and lever. Unlike other above-knee units, the knee joint is aligned about one inch in front of a line between ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1976-10-01 00:00:00
abstract::This report describes the design and use of a wheeled walker that can accommodate a ventilator and oxygen tanks. It is constructed of aluminum tubing. The front of the walker has receptacles to support a Mark 7 Bird Ventilator and oxygen tanks. The back end of the walker has a bench seat that is lifted to allow entry ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(96)90201-4
更新日期:1996-12-01 00:00:00
abstract:OBJECTIVE:To test the hypothesis that quantitative measures of gait unsteadiness are increased in community-dwelling elderly fallers. STUDY DESIGN:Retrospective, case-control study. SETTING:General community. PARTICIPANTS:Thirty-five community-dwelling elderly subjects older than 70 years of age who were capable of ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(97)90034-4
更新日期:1997-03-01 00:00:00
abstract:UNLABELLED:Baer GD, Smith MT, Rowe PJ, Masterton L. Establishing the reliability of mobility milestones as an outcome measure for stroke. Arch Phys Med Rehabil 2003;84:977-81. OBJECTIVE:To establish intrarater, interrater, and test-retest reliability of a standardized measure of mobility, "mobility milestones," incorp...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(03)00050-9
更新日期:2003-07-01 00:00:00
abstract::Establishing treatment effectiveness is a high priority for rehabilitation research. The use of traditional quantitative null hypotheses to achieve this priority is reviewed. Three problems are identified in the analysis and interpretation of investigations based on statistical testing of hypotheses: (1) confusion of ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(95)80021-2
更新日期:1995-02-01 00:00:00
abstract:OBJECTIVE:To investigate the possible relationships between total plasma homocysteine level (tHcy) and functional outcome of stroke patients as evaluated by the FIM instrument. DESIGN:Retrospective chart analysis. SETTING:Inpatient stroke rehabilitation ward of a university-affiliated referral hospital. PARTICIPANTS...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2004.01.031
更新日期:2005-01-01 00:00:00
abstract:OBJECTIVE:To validate the utility of the Berg Balance Scale (BBS) in predicting length of stay (LOS) and discharge destination for patients admitted to a stroke rehabilitation unit. DESIGN:Prospective study. SETTING:Provincial tertiary inpatient stroke unit for a primarily geriatric population. PARTICIPANTS:A total ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(02)04940-7
更新日期:2003-05-01 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:OBJECTIVES:To describe return to work (RTW) for motor vehicle accident (MVA) survivors with mild traumatic brain injury (MTBI) and to examine relationships between RTW and injury severity, cognitive impairment, social interaction, discharge disposition, and sociodemographics. DESIGN:Inception cohort assessed within 1 ...
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:OBJECTIVE:To assess the applicability of a short-course regimen of antibiotics for managing catheter-associated urinary tract infection (CA-UTI) in patients with spinal cord injury (SCI). DESIGN:Randomized, controlled, noninferiority trial. SETTING:Medical center. PARTICIPANTS:Patients with SCI who had CA-UTI (N=61)...
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.2013.09.003
更新日期:2014-02-01 00:00:00
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 prem...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1989-07-01 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