Abstract：
:Hospitalized patients often experience unnecessary immobility and inactivity leading to direct harms and poor outcomes. Despite growing evidence that early and regular mobility and activity are safe and helpful for patients in the hospital, there remains substantial room for improvement in clinical practice. Key to improvement is establishing an interdisciplinary approach to measurement and communication using a common language of function. Here we provide a framework for systematic functional measurement in the hospital. We also provide 3 specific examples of how this framework has been used to improve care: (1) targeting specialized rehabilitation providers to the patients most likely to need their services, (2) generating a daily mobility goal for all patients, and (3) identifying patients early who are likely to require postacute care.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Young D,Kudchadkar SR,Friedman M,Lavezza A,Kumble S,Daley K,Flanagan E,Hoyer Edoi
10.1016/j.apmr.2020.10.142subject
Has Abstractpub_date
2020-12-26 00:00:00eissn
0003-9993issn
1532-821Xpii
S0003-9993(20)31340-Xpub_type
杂志文章abstract：OBJECTIVE:To measure with near-infrared spectroscopy (NIRS) the changes in cerebral hemodynamics and oxygenation in the prefrontal cortex of poststroke patients with hemiplegia performing several rehabilitation tasks and to analyze the different effects of the tasks. DESIGN:Case series pilot study. SETTING:Hospitals ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1053/apmr.2000.9400
更新日期：2000-10-01 00:00:00
abstract：:Compensation by the unaffected upper extremity (UE) was studied in stroke patients who were unable to use the affected UE. The main aim was to evaluate the need of teaching compensatory techniques to stroke patients during rehabilitation of UE function. The study was prospective and community based and included 636 co...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/0003-9993(94)90108-2
更新日期：1994-08-01 00:00:00
abstract：OBJECTIVE:To determine the effectiveness of an ankle-foot orthosis (AFO) on mobility, walking, and balance in people with stroke. DATA SOURCES:The following databases were searched from inception to November 2011: Cochrane Stroke, Movement Disorders and Injuries Groups, MEDLINE, Embase, CINAHL, AMED, PsycINFO, and the...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.apmr.2012.12.025
更新日期：2013-07-01 00:00:00
abstract：OBJECTIVE:To examine the ability of the Spinal Cord Injury-Functional Index/Assistive Technology (SCI-FI/AT) measure to detect change in persons with spinal cord injury (SCI). DESIGN:Multisite longitudinal (12-mo follow-up) study. SETTING:Nine SCI Model Systems programs. PARTICIPANTS:Adults (N=165) with SCI enrolled...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,多中心研究
doi：10.1016/j.apmr.2018.02.014
更新日期：2018-09-01 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：OBJECTIVE:To assess the efficacy of electromyogram (EMG)-triggered neuromuscular stimulation (EMG-stim) in enhancing upper extremity motor and functional recovery of acute stroke survivors. DESIGN:A pilot randomized, single-blinded clinical trial. SETTING:Freestanding inpatient rehabilitation facility. PATIENTS:Nine...
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)90074-0
更新日期：1998-05-01 00:00:00
abstract：OBJECTIVE:To conduct a systematic review of the impact of different injection-guiding techniques on the effectiveness of botulinum toxin type A (BoNT-A) for the treatment of focal spasticity and dystonia. DATA SOURCES:MEDLINE via PubMed, Academic Search Premier, PASCAL, The Cochrane Library, Scopus, SpringerLink, Web ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/j.apmr.2015.05.002
更新日期：2015-11-01 00:00:00
abstract：:A major functional problem for the postpolio patient is the loss of ambulation ability. A retrospective study of lower extremity orthotic management for ambulation was made of 104 subjects with histories of paralytic poliomyelitis who received treatment and evaluation in a postpolio clinic. Thirty-six patients (35%) h...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1989-05-01 00:00:00
abstract：OBJECTIVE:To explore the association between demographic factors and functional performance measures of patients with acute stroke in an inpatient rehabilitation facility (IRF) and falls during the IRF stay and to quantify the diagnostic accuracy of functional outcome measures in identifying fallers. DESIGN:Retrospect...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2019.05.026
更新日期：2019-11-01 00:00:00
abstract：OBJECTIVE:To investigate patient preference, walking speed, and prosthetic use in a geriatric population with transfemoral amputation using a free-swinging prosthetic knee or a locked knee joint. DESIGN:Before-after trial. SETTING:Ambulatory patients at an amputee rehabilitation facility. PARTICIPANTS:A convenience ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1053/apmr.2002.27464
更新日期：2002-02-01 00:00:00
abstract：OBJECTIVE:To determine the effect of 2 different dual tasks on gait variability in people with mild cognitive impairment (MCI) compared with control subjects. DESIGN:Cross-sectional study. SETTING:Memory clinic at a university hospital. PARTICIPANTS:Older adults with MCI (n=43) and cognitively normal control subject...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2011.08.026
更新日期：2012-02-01 00:00:00
abstract：OBJECTIVE:To investigate the therapeutic effect of functional exercise augmented by programmable implanted microstimulators on arm and hand function. DESIGN:Before and after study. SETTING:Implantation was performed in a neurosurgery unit, systems were programmed, and tests were conducted in a university laboratory a...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2008.01.030
更新日期：2008-10-01 00:00:00
abstract：OBJECTIVES:To assess the quality and explore the potential impact of the communication of physical therapy (PT) recommendations in hospital discharge summaries/orders for high-risk subacute care populations, specifically targeting recommendations for (1) maintenance of patient safety, (2) assistance required for mobili...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2015.07.013
更新日期：2015-11-01 00:00:00
abstract：OBJECTIVES:To investigate whether early postoperative aquatic physical therapy is a low-risk and effective form of physical therapy to improve functional outcomes after orthopedic surgery. DATA SOURCES:Databases MEDLINE, CINAHL, AMED, Embase, and PEDro were searched from the earliest date available until October 2011....
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.apmr.2012.07.020
更新日期：2013-01-01 00:00:00
abstract：OBJECTIVES:To compare the effects of biofeedback with those of active exercise and passive treatment in treating work-related neck and shoulder pain. DESIGN:A randomized controlled trial with 3 intervention groups and a control group. SETTING:Participants were recruited from outpatient physiotherapy clinics and a loc...
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.2010.12.037
更新日期：2011-06-01 00:00:00
abstract：OBJECTIVE:To determine whether strength training is beneficial for people with cerebral palsy (CP). DATA SOURCES:We used electronic databases to find trials conducted from 1966 though 2000; key words used in our search were cerebral palsy combined with exercise, strength, and physical training. We supplemented this se...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,评审
doi：10.1053/apmr.2002.34286
更新日期：2002-08-01 00:00:00
abstract：UNLABELLED:Significant pain is experienced by the majority of cancer patients during the course of their illness. Despite the widespread availability of effective therapy, undertreatment remains common. Opioid pharmacotherapy has emerged as the mainstay of cancer pain management. Coanalgesic administration, disease-mod...
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：UNLABELLED:This self-directed learning module highlights the basic acute care management of traumatic and nontraumatic spinal cord injury (SCI). It is part of the chapter on SCI medicine in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. Acute traum...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/j.apmr.2006.12.002
更新日期：2007-03-01 00:00:00
abstract：OBJECTIVE:To investigate the association between gliding and lateral femoral pain with trochanteric fracture (TF). DESIGN:Prospective cohort study. SETTING:The survey was conducted at approximately 3 weeks and 11 weeks post operation. PARTICIPANTS:Patients (N=23) with TF after surgery. INTERVENTIONS:Not applicable....
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2019.09.011
更新日期：2020-03-01 00:00:00
abstract：OBJECTIVES:To conduct a pilot study of weight-supported ambulation training after incomplete spinal cord injury (SCI), and to assess its safety. DESIGN:Quasiexperimental, repeated measures, single group. SETTING:Veterans Affairs medical center. PATIENTS:Three subjects with incomplete, chronic, thoracic SCIs; 2 class...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1053/apmr.2001.23198
更新日期：2001-06-01 00:00:00
abstract：:Pulmonary embolus can have insidious onset and unusual etiology. This case report of a 35-year-old woman with hyperthyroidism, atrial fibrillation, and an above-knee amputation demonstrates the subtle presentation of pulmonary emboli. On the rehabilitation ward of a tertiary care hospital, the patient developed undula...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1989-09-01 00:00:00
abstract：:Normal values for the soleus H-reflex were established in 83 preterm and term infants 31 to 45 weeks postconceptional age. Infants at conceptional ages 31 to 34 weeks (n = 30) had a mean H-latency (msec) of 19.2 +/- 2.16; infants 35 to 39 weeks (n = 26), 16.67 +/- 1.48; and infants 40 to 45 weeks (n = 27), 15.94 +/- 1...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1991-01-01 00:00:00
abstract：:The utility of the dexamethasone suppression test (DST) in the diagnosis of depression was examined in an outpatient sample of 29 stroke patients. Results indicated that the DST's sensitivity was 15%, its specificity was 67%, and its positive predictive value was 48%. These findings suggest that the DST yields no more...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1991-12-01 00:00:00
abstract：OBJECTIVE:To investigate the course of mechanical efficiency of handrim wheelchair propulsion during rehabilitation of subjects with (in)complete paraplegia and tetraplegia. DESIGN:Subjects were tested at the start of active rehabilitation (t1), 3 months later (t2), and when discharged from inpatient rehabilitation (t...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,多中心研究
doi：10.1016/j.apmr.2004.11.025
更新日期：2005-07-01 00:00:00
abstract：:The term "EMG disease" is used by some to describe the unexpected finding of diffusely increased insertional activity on needle electromyography in an otherwise asymptomatic person. The cause is unknown, but it has been hypothesized that these patients actually have a subclinical myotonic disorder. We describe 2 patie...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2007.06.013
更新日期：2007-09-01 00:00:00
abstract：OBJECTIVE:To investigate the relation between duration of posttraumatic amnesia (PTA) and functional outcome in a traumatically brain injured population. PATIENTS:Two hundred seventy-six patients with traumatic brain injury (TBI) who were admitted to a Level I university trauma center and required inpatient rehabilita...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(97)90135-0
更新日期：1997-10-01 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 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：:The functional effects of three types of therapy for subjects with long-term incomplete cervical spinal cord injuries were investigated. Men and women, aged 18 to 45 years, were assigned to one of four groups using a restricted randomization process. The training period was divided into two consecutive eight-week time...
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：1990-08-01 00:00:00
abstract：:Personality hardiness, which has been conceptualized as a potential internal resource facilitating stress resistance, was examined in conjunction with Type A behavior, perceived family cohesion and adaptability, and sociodemographic and medical variables to assess the independent differential correlations of these fac...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1991-04-01 00:00:00
