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:Hospital facility for intensive rehabilitation. PARTICIPANTS:Patients (N=136) within 1 year from onset of a single stroke (ischemic: n=78, hemorrhagic: n=58). INTERVENTIONS:The experimental treatment was based on the combination of RFVE with CR, whereas control treatment was based on the same amount of CR. Both treatments lasted 2 hours daily, 5d/wk, for 4 weeks. MAIN OUTCOME MEASURES:Fugl-Meyer upper extremity scale (F-M UE) (primary outcome), FIM, National Institutes of Health Stroke Scale (NIHSS), and Edmonton Symptom Assessment Scale (ESAS) (secondary outcomes). Kinematic parameters of requested movements included duration (time), mean linear velocity (speed), and number of submovements (peak) (secondary outcomes). RESULTS:Patients were randomized in 2 groups (RFVE with CR: n=68, CR: n=68) and stratified by stroke etiology (ischemic or hemorrhagic). Both groups improved after treatment, but the experimental group had better results than the control group (Mann-Whitney U test) for F-M UE (P<.001), FIM (P<.001), NIHSS (P≤.014), ESAS (P≤.022), time (P<.001), speed (P<.001), and peak (P<.001). Stroke etiology did not have significant effects on patient outcomes. CONCLUSIONS:The RFVE therapy combined with CR treatment promotes better outcomes for upper limb than the same amount of CR, regardless of stroke etiology.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Kiper P,Szczudlik A,Agostini M,Opara J,Nowobilski R,Ventura L,Tonin P,Turolla Adoi
10.1016/j.apmr.2018.01.023subject
Has Abstractpub_date
2018-05-01 00:00:00pages
834-842.e4issue
5eissn
0003-9993issn
1532-821Xpii
S0003-9993(18)30099-6journal_volume
99pub_type
杂志文章,随机对照试验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
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abstract::Although somatosensory loss following stroke is common, with negative consequences for functional outcome, studies of existing somatosensory retraining programs are limited by theoretical weaknesses, poor methodology, and negative findings. We, therefore, developed a new program for stroke patients and investigated it...
journal_title:Archives of physical medicine and rehabilitation
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abstract::The health care delivery system in the United States is challenged to meet the needs of a growing population of cancer survivors. A pressing need is to optimize overall function and reduce disability in these individuals. Functional impairments and disability affect most patients during and after disease treatment. Re...
journal_title:Archives of physical medicine and rehabilitation
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doi:10.1016/j.apmr.2016.05.002
更新日期:2016-11-01 00:00:00
abstract:OBJECTIVE:To evaluate a personal computer (PC) gaming platform as a means of improving postural balance in stroke patients. PARTICIPANTS:Stroke patients (N=54) were enrolled and randomly divided into experimental and control groups. DESIGN:The experimental group underwent 12 weeks of rehabilitation involving playing ...
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.2018.11.001
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVE:To examine the psychometric properties of the Moss Attention Rating Scale (MARS), a new observational rating scale for attention-related behaviors in traumatic brain injury (TBI). DESIGN:Prospective observational study. SETTING:Eight acute inpatient rehabilitation facilities that are part of the Traumatic B...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1053/apmr.2003.50108
更新日期:2003-02-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(95)80580-x
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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
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journal_title:Archives of physical medicine and rehabilitation
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doi:10.1016/j.apmr.2004.11.023
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doi:10.1016/j.apmr.2007.11.040
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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:
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journal_title:Archives of physical medicine and rehabilitation
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doi:10.1016/j.apmr.2004.05.022
更新日期:2005-05-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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doi:
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更新日期:2012-08-01 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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pub_type: 杂志文章,meta分析,评审
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更新日期:2015-12-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
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更新日期:2015-08-01 00:00:00
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更新日期:2004-05-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
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更新日期:2002-02-01 00:00:00
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更新日期:1999-08-01 00:00:00