Abstract：
:The factors responsible for the increased susceptibility to decubitus ulcers of the insensitive skin of spinal cord injury (SCI) patients are not known. Autonomic dysfunction leading to defective vascularity is a possibility. SCI removes cerebral control of the isolated nervous system which may mimic denervation hypersensitivity of autonomic neural synapses, where an increase in number and a scattering of the receptors on the postsynaptic membrane leads to abnormal responses. Since adrenergic receptors mediate vascular tone and regulate blood flow in the skin, it would be of great interest to determine whether the number and the concentration of receptors in the insensitive skin of SCI patients is modified as a function of time since injury. To achieve this aim, alpha and beta adrenergic receptors were measured in biopsies obtained from intact skin used to surgically repair decubitus ulcers in SCI patients admitted to The Institute for Rehabilitation and Research. Receptors were identified by competitive radioligand-binding assays in whole skin homogenates. Patients were divided into two groups: patients injured less than five years ("early") and patients injured more than five years ("late"). Alpha and beta adrenergic receptors in both cervical and thoracic SCI patients decreased in density in the "late" patients. The small sample size and the inherent large errors of the assay precluded achievement of statistically significant differences. Nevertheless, a definite trend is seen: Disconnection of the adrenergic neurons from brain integration may mimic denervation and lead to abnormal vascular responses in the insensitive skin.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Rodriguez GP,Claus-Walker J,Kent MC,Stal Sdoi
10.1016/0003-9993(86)90073-0subject
Has Abstractpub_date
1986-03-01 00:00:00pages
177-80issue
3eissn
0003-9993issn
1532-821Xpii
0003-9993(86)90073-0journal_volume
67pub_type
杂志文章abstract：:A mechanical electrode inserter was used to allow reproducible electromyographic (emg) electrode insertions. The electrical activity provoked by the mechanical insertion was recorded and quantitatively analyzed in the anterior tibialis, the extensor hallucis longus, and the extensor digitorum brevis of unimpaired huma...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1979-08-01 00:00:00
abstract：:Despite the rapid growth in the number of rehabilitation specialty hospitals in recent years, there is little knowledge of the performance of these facilities. The recent growth in the number of for-profit rehabilitation providers and increasing competition among for-profit and not-for-profit rehabilitation hospitals ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(95)80569-9
更新日期：1995-05-01 00:00:00
abstract：OBJECTIVE:To examine the influence of facility and aggregate patient characteristics of inpatient rehabilitation facilities (IRFs) on performance-based rehabilitation outcomes in a national sample of IRFs treating Medicare beneficiaries with hip fracture. DESIGN:Secondary data analysis. SETTING:U.S. Medicare-certifie...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2015.01.003
更新日期：2015-05-01 00:00:00
abstract：OBJECTIVE:To identify predictors and outcomes associated with receiving inadequate empirical antimicrobial treatment for bloodstream infections (BSIs) in persons with spinal cord injury (SCI). DESIGN:Retrospective cohort study from October 1, 1997, through September 30, 2004. SETTING:A Department of Veterans Affairs ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2009.02.012
更新日期：2009-08-01 00:00:00
abstract：OBJECTIVE:To evaluate occupational outcomes after surgical release of the median nerve in carpal tunnel syndrome (CTS). DESIGN:Retrospective study 12 to 24 months after surgery. SETTING:Hand centers (N=3) in 2 different areas. PARTICIPANTS:Patients who had undergone surgical release of the median nerve in 2002 to 20...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2011.06.001
更新日期：2011-11-01 00:00:00
abstract：:This essay complements the scientific and practice scope of the American Academy of Neurology Guideline on Disorders of Consciousness by providing a discussion of the ethical, palliative, and policy aspects of the management of this group of patients. We endorse the renaming of "permanent" vegetative state to "chronic...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2018.07.003
更新日期：2018-09-01 00:00:00
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
pub_type： 杂志文章
doi：10.1016/j.apmr.2016.05.002
更新日期：2016-11-01 00:00:00
abstract：:There continues to be considerable confusion and controversy on the use of diagnostic and clinical terms assigned to patients with severe alterations in consciousness. This confusion results largely from the lack of a uniform classification system that is based on behaviorally defined criteria. This position paper pro...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(95)80031-x
更新日期：1995-02-01 00:00:00
abstract：OBJECTIVE:To assess perceptual performances of patients with intracerebral hemorrhage (ICH) compared with those of ischemic patients early after stroke and to analyze the psychometric properties of three perceptual tests used in the study. DESIGN:Cross-sectional study. SETTING:A rehabilitation unit at a teaching hosp...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(00)90097-2
更新日期：2000-06-01 00:00:00
abstract：OBJECTIVES:To review the experimental evidence and development of concepts in knee kinematics and to present a synthesis of current theories. DATA SOURCES:Historical literature from private collections and published journals, from Galen in 160 AD, and Weber and Weber in 1860, through to current research in knee kinema...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/s0003-9993(03)00281-8
更新日期：2003-12-01 00:00:00
abstract：:In this commentary on the development of an interventions taxonomy for medical rehabilitation, a rehabilitation treatment taxonomy (RTT), we acknowledge the authors' valuable contribution to rehabilitation science, and at the same time interrogate the assumption that a taxonomy has essential added value to address the...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2013.10.005
更新日期：2014-01-01 00:00:00
abstract：:We describe a novel patient-focused program for first-year medical students which is designed to ameliorate the dehumanizing effects frequently produced by the experience of the basic science years. The program, now in its 4th year, offers students the opportunity to meet weekly with a long-term, hospitalized rehabili...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1981-09-01 00:00:00
abstract：OBJECTIVE:To describe in-line skating interests and practices, protective gear usage, and injury patterns in a population-based group of in-line skaters. DESIGN:A two-page questionnaire with multiple choice questions and one write-in response question. PARTICIPANTS:The survey was sent to 1,000 members of an in-line s...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(97)90309-9
更新日期：1997-12-01 00:00:00
abstract：:This case report examined whether a 26-year-old man with a 5-year history of nonsevere aplastic anemia could perform aerobic training and whether exercise was beneficial. Testing was performed at baseline and at 8 and 16 weeks and included complete blood tests, graded exercise tests with breath-by-breath gas analyses,...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(00)90146-1
更新日期：2000-02-01 00:00:00
abstract：:Piriformis syndrome (PS) is defined by a loose cluster of symptoms arising from entrapment of one or both divisions of the sciatic nerve as they pass the sciatic notch. This paper presents a method of using the H-reflex as an aid in the diagnosis of PS. Forcible pressure from the piriformis muscle on the sciatic nerve...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/0003-9993(92)90010-t
更新日期：1992-04-01 00:00:00
abstract：UNLABELLED:This self-directed learning module highlights approaches to the investigation of selected lumbar spine conditions. It is part of the chapter on chronic pain management in the Self-Directed Physiatric Education Program for practitioners in physical medicine and rehabilitation. The first objective explores the...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/j.apmr.2007.12.008
更新日期：2008-03-01 00:00:00
abstract：OBJECTIVE:To examine the effects of an anterior ankle-foot orthosis (AAFO) on walking mobility in stroke patients. DESIGN:Cross-sectional and repeated-measures study design. SETTING:A university's neurologic rehabilitation department. PARTICIPANTS:Ambulant stroke patients (N=21). INTERVENTIONS:Not applicable. MAIN...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2014.07.408
更新日期：2014-11-01 00:00:00
abstract：OBJECTIVE:To compare comprehensively the likelihood of various socioeconomically relevant outcomes between functional restoration completers and noncompleters, while simultaneously identifying risk factors for noncompletion. DESIGN:A prospective cohort study of patients with chronic disabling occupational musculoskele...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2005.02.010
更新日期：2005-08-01 00:00:00
abstract：OBJECTIVES:To investigate whether functionally based resistance exercise could improve strength, physical function, and disability among prostate cancer survivors (PCS) on androgen deprivation therapy (ADT); and to explore potential mediators of changes in outcomes from exercise. DESIGN:Randomized controlled trial. S...
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.2014.08.010
更新日期：2015-01-01 00:00:00
abstract：OBJECTIVE:To investigate the changes in muscle oxygen consumption (mV˙O2) using near-infrared spectroscopy (NIRS) after 4 weeks of training with functional electrical stimulation (FES) cycling in nonambulatory people with multiple sclerosis (MS). DESIGN:Four-week before-after trial to assess changes in mV˙O2 after an ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2014.10.010
更新日期：2015-04-01 00:00:00
abstract：:A simple method was devised to measure the F-wave conduction velocity (FWCV) in the central segment (knee to spinal cord) of the peroneal and tibial nerves in contrast to the conventional motor nerve conduction velocity (MNCV) in the distal segment (knee to ankle). In 33 normal subjects, the FWCV in the central segmen...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1975-11-01 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：:A reality orientation group for brain injured patients was developed to improve attention deficits, confusion and anterograde amnesia during post-traumatic amnesia (PTA). Seven behavioral objectives are used to define adequate orientation, attention, immediate retention, episodic recall and use of memory aids. Daily p...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1985-09-01 00:00:00
abstract：OBJECTIVE:To investigate how accurately a portable three-dimensional (3-D) scanner and a multipurpose two-dimensional (2-D) real-time scanner determined bladder volumes. STUDY DESIGN:Prospective, controlled clinical trial, single-blind, crossover design. SETTING AND PARTICIPANTS:Twenty-three inpatients with permanent...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1016/s0003-9993(00)90215-6
更新日期：2000-01-01 00:00:00
abstract：:Herpes zoster (HZ)-induced abdominal wall pseudohernia has been frequently reported, but there has been no report describing HZ-induced trunk muscle paresis leading to functional problems. We describe a 73-year-old man with T12 and L1 segmental paresis caused by HZ presenting with abdominal wall pseudohernia, scoliosi...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2009.10.011
更新日期：2010-02-01 00:00:00
abstract：OBJECTIVE:To examine the construct and predictive validity of the Patient-Specific Functional Scale (PSFS) in workers' compensation claimants. DESIGN:Prospective cohort study with 1-year follow-up. SETTING:A workers' compensation rehabilitation facility. PARTICIPANTS:Subjects included 294 claimants with a variety of...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2007.11.040
更新日期：2008-07-01 00:00:00
abstract：OBJECTIVE:To evaluate the effect of scapular stabilization during horizontal adduction stretching (cross-body) on posterior shoulder tightness (PST) and passive internal rotation (IR). DESIGN:Randomized controlled trial with single blinding. SETTING:Athletic club. PARTICIPANTS:Asymptomatic volleyball players who are...
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.2014.09.038
更新日期：2015-02-01 00:00:00
abstract：OBJECTIVES:To examine the associations of non-bouted moderate-to-vigorous physical activity (MVPA) and patterns of MVPA in bouts ≥10 minutes with pain, physical fatigue, and disease severity in women with fibromyalgia, and test whether these associations are independent of sedentary time (ST) and physical fitness (PF)....
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2018.12.019
更新日期：2019-07-01 00:00:00
abstract：OBJECTIVES:To examine the correlation between physical examination parameters, commonly referred to as "nerve root tension signs," and H-reflex latency measurements both pre- and postepidural steroid-bupivacaine (Marcaine) injection, and to propose mechanisms of pain alleviation. DESIGN:Prospective observational, with...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2003.09.024
更新日期：2004-09-01 00:00:00
abstract：OBJECTIVE:To examine racial differences in poststroke rehabilitation utilization and functional outcomes. DESIGN:Observational follow-up study. SETTING:Designated stroke center. PARTICIPANTS:Stroke survivors (N=162; 106 whites and 56 blacks) surveyed at 1 year poststroke. INTERVENTION:Not applicable. MAIN OUTCOME ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2014.08.018
更新日期：2015-01-01 00:00:00
