Abstract:
OBJECTIVES:To investigate behavioral and demographic features of levels of consciousness in young children with brain injury, including the classifications of consciousness: conscious state (CS), minimally conscious state (MCS), and vegetative state (VS), and to investigate the course of recovery in children with disorders of consciousness (DOC). DESIGN:Retrospective chart review and post hoc analysis. SETTING:Pediatric inpatient rehabilitation unit. PARTICIPANTS:Children aged 6 months to 5 years (N=54) admitted for inpatient rehabilitation directly from an acute care hospital following new neurologic injury from 2011 to 2016. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Clinically abstracted behavioral features of DOC and levels of consciousness at admission and discharge, based on established guidelines from the Aspen Neurobehavioral Conference Workgroup. RESULTS:Children in MCS were younger than children in CS. Commonly observed behaviors in children in VS were mouth movements or vocalizations, flexion withdrawal or motor posturing, visual or auditory startle, and localization to sound. Common features of MCS were contingent affect, visual fixation or pursuit, automatic motor behavior, and contingent communicative intent. No children in MCS showed command following or intelligible verbalizations. All children in CS showed functional object use, while functional communication was observed in a subset. By discharge, more than half of children in VS emerged to MCS, and a third emerged from MCS to CS. No child emerged from VS to CS. CONCLUSIONS:Visual and motor skills may be most applicable, and language-based skills may be least applicable for the assessment of DOC in very young children. Accurate classifications of consciousness may have important prognostic implications, and additional research is needed to develop clear guidelines for assessment of DOC in this population.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Alvarez G,Suskauer SJ,Slomine Bdoi
10.1016/j.apmr.2018.12.022subject
Has Abstractpub_date
2019-04-01 00:00:00pages
687-694issue
4eissn
0003-9993issn
1532-821Xpii
S0003-9993(19)30003-6journal_volume
100pub_type
杂志文章abstract::The use of functional electrical stimulation (FES) to improve upper limb function is an established method in the rehabilitation of persons with tetraplegia after spinal cord injury. Surgical reconstruction is another well-established yet underused technique to improve the performance of the upper extremities. Hand su...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2016.01.035
更新日期:2016-06-01 00:00:00
abstract:OBJECTIVES:(1) To identify reported tests used to assess sensorimotor control in individuals with idiopathic neck pain and (2) to investigate whether these tests can quantify differences between individuals with idiopathic neck pain and healthy individuals. DATA SOURCES:Allied and Complementary Medicine Database, CINA...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.apmr.2016.09.121
更新日期:2017-06-01 00:00:00
abstract::Fifty-six shoulders in 50 patients with adhesive capsulitis were divided into 2 groups, using different treatment programs. Group A comprised 28 shoulders in 26 patients. These were treated by therapeutic heating modalities followed by therapeutic exercises and gentle rhythmic stabilization manipulation. Group B total...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1983-01-01 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:OBJECTIVE:To investigate the effects of a physical therapy (PT) program in groups of people with Parkinson's disease (PD). DESIGN:Randomized controlled trial with a crossover design. SETTING:Two outpatient rehabilitation clinics in Boston and Amsterdam, respectively. PARTICIPANTS:Sixty-eight subjects diagnosed with ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1016/j.apmr.2004.08.008
更新日期:2005-04-01 00:00:00
abstract::The purpose of this study was to determine cardiac output and related cardiovascular responses during postinversion by comparing preinversion (baseline data) to postinversion data in healthy, normal subjects. Each of 20 subjects (means = 22 years) was inverted for five minutes. Cardiac output was measured noninvasivel...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1988-07-01 00:00:00
abstract:OBJECTIVE:To examine whether, in patients with carpal tunnel syndrome (CTS), electrodiagnostic study findings were associated with patient symptom severity and functional limitations after controlling for potentially confounding variables including depression, somatization, and pain-related catastrophizing. DESIGN:Cro...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2006.10.013
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVE:To determine immunogenicity and optimum timing for administering the 23-valent pneumococcal vaccine after spinal cord injury (SCI). DESIGN:Double-blind, randomized, placebo control study. SETTING:SCI unit in a tertiary care medical center and community. PARTICIPANTS:Eighty-seven persons with recent SCI. I...
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:10.1016/s0003-9993(98)90410-5
更新日期:1998-12-01 00:00:00
abstract:OBJECTIVES:To review the various causes of urinary incontinence (UI) in elderly patients and to outline a therapeutic approach to the clinical management of UI. DATA SOURCES:Online search of MEDLINE and additional references selected from the articles found during the search. STUDY SELECTION:All peer-reviewed article...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1053/apmr.2001.9392
更新日期:2001-01-01 00:00:00
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 hyper...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/0003-9993(86)90073-0
更新日期:1986-03-01 00:00:00
abstract:OBJECTIVE:To determine exercise intensity during power wheelchair soccer among a sample of persons with mobility impairments. DESIGN:Cross-sectional descriptive. SETTING:On-site training facilities of multiple power wheelchair soccer teams. PARTICIPANTS:Participants with severe mobility impairments (N=30) (mean ± SD...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2016.05.012
更新日期:2016-11-01 00:00:00
abstract::The purpose of this investigation was to determine the intratester reliability of measurements obtained with the Nicholas Manual Muscle Tester (NMMT) by a tester having minimal experience on individuals with intellectual disabilities. Seventeen individuals classified as moderately mentally retarded between the ages of...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1994-07-01 00:00:00
abstract:OBJECTIVE:To determine the potential prognostic value of using functional magnetic resonance imaging (fMRI) to identify patients with disorders of consciousness, who show potential for recovery. DESIGN:Observational study. SETTING:Unit for acute rehabilitation care. PARTICIPANTS:Patients (N=22) in a vegetative state...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2012.11.053
更新日期:2013-10-01 00:00:00
abstract:OBJECTIVE:To evaluate trunk muscle strength and performance in long-term survivors of childhood malignancies relative to age and sex-matched controls, and to relate the muscle strength observations to the therapeutic agents used and possible hormonal disturbances. DESIGN:Age and sex-matched cohort study. SETTING:Refe...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(95)81033-1
更新日期:1995-11-01 00:00:00
abstract:OBJECTIVE:To explore the use of an activity monitor (AM) to objectively characterize free-living physical activity (F-LPA) in children with mobility impairment resulting from cerebral palsy (CP). DESIGN:First, a validation study compared outcomes from the AM with video evidence. Second, multiday F-LPA was characterize...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2013.07.019
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVE:To determine the predictive value of measurements of hand edema for the development of reflex sympathetic dystrophy (RSD). DESIGN:Cohort study. SETTING:Departments of rehabilitation medicine in 3 general hospitals and 1 rehabilitation hospital in Japan. PARTICIPANTS:Thirty-four stroke patients. INTERVENTI...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1053/apmr.2002.34830
更新日期:2002-10-01 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:OBJECTIVE:To examine the system of connections among traumatic brain injury (TBI) patient social functioning, family functioning, and caregiver depression and burden in Mexico. DESIGN:Cross-sectional survey. SETTING:A public medical facility. PARTICIPANTS:Mexican TBI patient-caregiver dyads (N=84) participated in th...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2012.08.210
更新日期:2013-02-01 00:00:00
abstract::Ulnar motor and sensory nerve conduction velocities (NCV) were studied bilaterally in 20 able-bodied subjects for below elbow (BE) and across elbow (AE) segments to assess the effect of 4 different elbow positions on NCV (0 degrees, 45 degrees, 90 degrees, and 135 degrees). Although constant skin stimulation marker po...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1983-05-01 00:00:00
abstract:OBJECTIVE:To investigate the postural alignment of the upper body in the sagittal plane during sitting and standing postures as pregnancy progressed and then in the postpartum period. DESIGN:Longitudinal, repeated-measures design. SETTING:Biomechanics laboratory in an Australian university. PARTICIPANTS:A volunteer ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2002.36069
更新日期:2002-12-01 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 determine whether dextrose prolotherapy offers clinical benefits in patients with shoulder pain and bursitis. DESIGN:Double-blinded, randomized controlled trial. SETTING:Outpatient rehabilitation department of a single medical center. PARTICIPANTS:Patients (N=50) who had received a diagnosis of shoulder...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2020.08.010
更新日期:2021-02-01 00:00:00
abstract::A forward head position and rounded shoulders have been implicated in the development or perpetuation of craniomandibular disorders. Since women seek treatment for these problems more frequently than men, postural differences may account for the increased incidence of symptoms in women. The purposes of this study were...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1991-08-01 00:00:00
abstract:OBJECTIVE:To determine the effect of visual feedback on the propulsion effectiveness of experienced manual wheelchair users. DESIGN:Controlled trial. SETTING:A motion analysis laboratory. PARTICIPANTS:A convenience sample of 16 healthy men and 2 healthy women with T4-L2 traumatic paraplegia, a mean age of 38+/-9 yea...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2005.12.033
更新日期:2006-04-01 00:00:00
abstract::A case is presented of a woman who had an occlusive stroke at age 29. She was seen in a rehabilitation medicine clinic for central nervous system-mediated pain that had developed soon after a cerebrovascular event. After an extensive workup to find the cause of her cerebrovascular occlusion, it was discovered that she...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(98)90018-1
更新日期:1998-03-01 00:00:00
abstract:OBJECTIVE:To describe and compare the quality of life (QOL) of persons with lower-limb amputation (LLA) at admission (T1), discharge (T2), and 3 months after rehabilitation discharge (T3) and to explore the relationships between QOL and demographic and clinical variables including body image. DESIGN:Longitudinal case ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2008.11.003
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVES:To determine if exercise-based rehabilitation reduces reinjury following acute ankle sprain. Our secondary objective was to assess if rehabilitation efficacy varies according to exercise content and training volume. DATA SOURCES:The following electronic databases were searched: EMBASE, MEDLINE, the Cochrane...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1016/j.apmr.2018.10.005
更新日期:2019-07-01 00:00:00
abstract:OBJECTIVE:To estimate, for persons with multiple sclerosis (MS), the extent to which peak oxygen consumption (Vo(2)peak) can be predicted by the results on submaximal tests. DESIGN:Cross-sectional study. SETTING:Three MS clinics in the Greater Montreal region, Canada. PARTICIPANTS:A center-stratified random sample o...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2010.06.005
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVE:To assess systematically the reporting of sample size calculation in randomized controlled trials (RCTs) in 5 leading journals in the field of physical medicine and rehabilitation (PM&R). DATA SOURCES:The data source was full reports of RCTs in 5 leading PM&R journals (Journal of Rehabilitation Medicine, Arc...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/j.apmr.2010.10.003
更新日期:2011-02-01 00:00:00
abstract::Total activity of creatine kinase (CK), lactate dehydrogenase (LD), aldolase (Ald), glutamico-oxaloacetic transaminase (GOT), and LD-isoenzyme distribution was studied in serum and muscle biopsies from normal persons and 117 patients with different types of muscular dystrophy: 82 Duchenne type (DMD), 12 BEcker type, 7...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1981-06-01 00:00:00