Abstract:
:At least 3 million Americans sustain a mild traumatic brain injury (mTBI) each year, and 1 in 5 have symptoms that persist beyond 1 month. Standards of mTBI care have evolved rapidly, with numerous expert consensus statements and clinical practice guidelines published in the last 5 years. This Special Communication synthesizes recent expert consensus statements and evidenced-based clinical practice guidelines for civilians, athletes, military, and pediatric populations for clinicians practicing outside of specialty mTBI clinics, including primary care providers. The article offers guidance on key clinical decisions in mTBI care and highlights priority interventions that can be initiated in primary care to prevent chronicity.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Silverberg ND,Iaccarino MA,Panenka WJ,Iverson GL,McCulloch KL,Dams-O'Connor K,Reed N,McCrea M,American Congress of Rehabilitation Medicine Brain Injury Interdisciplinary Special Interest Group Mild TBI Task Force.doi
10.1016/j.apmr.2019.10.179subject
Has Abstractpub_date
2020-02-01 00:00:00pages
382-393issue
2eissn
0003-9993issn
1532-821Xpii
S0003-9993(19)31305-Xjournal_volume
101pub_type
杂志文章abstract:OBJECTIVE:To investigate the relation between voluntary cough and swallowing functions according to the type of lesion in patients with acute stroke. DESIGN:Cross-sectional study. SETTING:University rehabilitation hospital. PARTICIPANTS:Acute stroke patients with dysphagia symptoms (N=397). INTERVENTIONS:Not applic...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2015.06.015
更新日期:2015-10-01 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 compare the efficacy of wheelchair tilt-in-space and recline on enhancing muscle and skin perfusion over the ischial tuberosities in people with spinal cord injury (SCI). DESIGN:Repeated-measures and before-after trial design. SETTING:University research laboratory. PARTICIPANTS:Power wheelchair users w...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2013.03.027
更新日期:2013-10-01 00:00:00
abstract:OBJECTIVES:To describe the course of fatigue during the first year poststroke and to determine the relation between fatigue at 1 year poststroke and personal characteristics, stroke characteristics, and poststroke impairments. DESIGN:Inception cohort. SETTING:Rehabilitation center. PARTICIPANTS:Patients (N=167) with...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2005.10.005
更新日期:2006-02-01 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:OBJECTIVE:To compare the Lower Limb Tasks Questionnaire (LLTQ) with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) in terms of agreement, responsiveness, and convergence. DESIGN:Cross-sectional with an exploratory repeated-measures subsample analysis. SETTING:Community-based seniors' cente...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2012.09.013
更新日期:2013-03-01 00:00:00
abstract::Unilateral brachial plexus injury is a rare complication of thoracoscopic sympathectomy, which is generally considered to be a simple and safe procedure. We report on a 26-year-old man who developed weakness and numbness of the right arm after thoracoscopic sympathectomy for hyperhidrosis. Electromyographic study reve...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(03)00135-7
更新日期:2003-09-01 00:00:00
abstract::Limb lengthening has been used for many years to correct congenital anomalies and unequal leg length. Some surgeons focus on bone genesis and anatomical alignment, and pay less attention to potential damage to muscles, nerves, and vessels during the gradual stretching. In an attempt to identify the presence and extent...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(95)80580-x
更新日期:1995-05-01 00:00:00
abstract:OBJECTIVE:To determine the incidence of medical and sociocultural factors on the return to work of patients after hip replacement and rehabilitation treatment. DESIGN:Case review. Frequency and association of variables' analysis. SETTING:The rehabilitation unit of a general hospital in Oviedo (Spain). This setting is...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(96)90110-0
更新日期:1996-03-01 00:00:00
abstract:OBJECTIVES:To examine joint-position sense and kinesthesia in all extremities in participants with diplegic or hemiplegic cerebral palsy (CP). DESIGN:Survey of joint-position sense and kinesthesia differences between aged-matched controls and 2 groups with CP. SETTING:University movement assessment laboratory. PARTI...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2008.08.217
更新日期:2009-03-01 00:00:00
abstract::Diabetes mellitus is an independent risk factor for stroke, and the incidence of diabetes in patients presenting with stroke is 16% to 20%. Administration of insulin is an important activity of daily living that should be addressed in hemiplegic patients with diabetes. Presented here is a table-top clamp that can be u...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1992-08-01 00:00:00
abstract:OBJECTIVES:To determine the association between specific military deployment experiences and immediate and longer-term physical and mental health effects, as well as examine the effects of multiple deployment-related traumatic brain injuries (TBIs) on health outcomes. DESIGN:Online survey of cross-sectional cohort. Od...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2012.05.024
更新日期:2012-11-01 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:OBJECTIVE:To test the hypothesis that, with the wheels locked (by the mechanical locks or by the user grasping the wheels), the rear wheels and the chair rotate slowly backwards during a fall, whereas with the wheels unlocked, the rear wheels rotate quickly forwards. DESIGN:Before-after trial. SETTING:Kinesiologic la...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(96)90191-4
更新日期:1996-12-01 00:00:00
abstract:OBJECTIVES:To determine whether the International Classification of Functioning, Disability and Health (ICF) categories relevant to spinal cord injury (SCI) can be integrated in clinical measures and to obtain insights to guide their future operationalization. Specific aims are to find out whether the ICF categories re...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2014.05.006
更新日期:2014-09-01 00:00:00
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:OBJECTIVE:To quantify changes of elbow spasticity over time after botulinum toxin type A (BTX-A) injection in the upper extremity of stroke patients. DESIGN:Before-after trial in which the therapeutic effects were followed up at 2, 6, and 9 weeks after the BTX-A injection (Botox). SETTING:Hospital. PARTICIPANTS:Chro...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2007.08.166
更新日期:2008-04-01 00:00:00
abstract::Recordings of pressure within the bladder, urethra, rectum, and external anal sphincter with image intensification and videotaping were carried out in spinal cord injury patients with complete and incomplete lesions, during spinal shock and in the chronic stage. The behavior of the external urethral sphincter and the ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1975-05-01 00:00:00
abstract::All patients admitted during a 6-month period to an inpatient geriatric rehabilitation unit were started on a medication education program incorporated into the rehabilitation program and utilizing existing staff. Patients were evaluated at admission, discharge, 90-day, and 1 year follow-up, using an 8-point medicatio...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1986-01-01 00:00:00
abstract:UNLABELLED:This self-directed learning module highlights prosthetic treatment considerations and challenges in children and young adults. It is part of the chapter on acquired limb deficiencies in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. This...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:
更新日期:2001-03-01 00:00:00
abstract:OBJECTIVE:To examine the perspective of survivors of traumatic brain injury (TBI) regarding the extent and nature of their recovery over time. DESIGN:Inception cohort, longitudinal study. SETTING:Level I trauma center. PARTICIPANTS:One hundred fifty-seven consecutively hospitalized individuals with TBI (mean age, 36...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2001.25082
更新日期:2001-08-01 00:00:00
abstract:OBJECTIVE:To review the psychometric properties and clinical utility of upper-limb measurement tools in people with neurologic conditions to provide recommendations for practice. DATA SOURCES:MEDLINE, CINAHL, EMBASE, PEDro, and AMED. STUDY SELECTION:Independent reviewers searched, selected, and extracted data from ar...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/j.apmr.2011.09.015
更新日期:2012-02-01 00:00:00
abstract::Herpes zoster infection, resulting from reactivation of the dormant varicella zoster virus in the dorsal root ganglia, usually causes a painful dermatomal vesicular rash. Rarely, associated peripheral motor weakness is present, the mechanism of which is unclear. Three patients are reported who had focal limb muscle we...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(97)90204-5
更新日期:1997-08-01 00:00:00
abstract:OBJECTIVE:To examine the effects of campus services on the health of veterans with traumatic injuries and comorbidities as they return from military service and enter college. DESIGN:Cross-sectional Internet survey using a mixed-methods analysis approach. SETTING:Four-year urban research university. PARTICIPANTS:Vet...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2017.10.008
更新日期:2018-02-01 00:00:00
abstract:OBJECTIVES:To (1) develop a standardized interview for telephone administration, (2) assess the psychometric properties of this interview format (Disability Rating Scale-Postacute Interview [DRS-PI]), and (3) identify additional items to reduce skew. DESIGN:Prospective cohort assessment study. SETTING:Not applicable....
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2012.04.003
更新日期:2012-09-01 00:00:00
abstract:OBJECTIVE:To evaluate the effects of aquatic exercise therapy on gait variability and disability compared with usual care for people with Parkinson disease (PD). DESIGN:Single-blind randomized controlled trial. SETTING:Community-based hydrotherapy pool. PARTICIPANTS:Individuals with PD (Hoehn-Yahr stages I-III) (N=2...
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.2016.12.006
更新日期:2017-04-01 00:00:00
abstract:OBJECTIVE:To assess the effectiveness of serial casting in the treatment of pressure ulcers caused by severe spasticity. DESIGN:Case series. SETTING:A clinic for the rehabilitation of persons with neurologic disorders. PATIENTS:Nine patients with 11 pressure ulcers resulting from severe cerebral spasticity, the ulce...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2002.27474
更新日期:2002-01-01 00:00:00
abstract::The objective of this study was to rehabilitate a patient with hepatopulmonary syndrome (HPS) who underwent living-related orthotopic liver transplantation (LT). HPS is rare; it presents severe complication in patients with liver disease. A 17-year-old woman with HPS developed portal hypertension after undergoing Kasa...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2000.9393
更新日期:2000-11-01 00:00:00
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::Three patients with severe traumatic brain injury demonstrated significant improvement in arousal and initiation after administration of tricyclic antidepressants. The first patient showed improved motor and speech initiation in response to amitriptyline following several months of functional plateau. The second patie...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(96)90225-7
更新日期:1996-01-01 00:00:00