Abstract:
:This study explores relationships between behavior of spinal cord injured persons during hospitalization and their medical and behavioral status after discharge. It illustrates a logic for identifying, selecting and testing indicators of patient performance that predict important aspects of outcome. Key behavioral measures were obtained for 14 patients, including independence, diversity, level of activity, and mobility. Factor analysis and multiple regression analysis were used to identify significant predictors of outcome. A subset of inhospital measures predicted an estimated 39% of the variance in unscheduled readmissions to the rehabilitation center, and 70% of the variance in independent functioning after discharge. Inhospital mobility predicted an estimated 68% of the variance in the rate of activities performed outside the home. In general, measures obtained late in hospital stays were the best predictors of both medical and behavioral status. Patient behavior during hospitalization can have practical implications for planning health care services and clinical practice.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Norris-Baker C,Stephens MA,Rintala DH,Willems EPsubject
Has Abstractpub_date
1981-12-01 00:00:00pages
602-8issue
12eissn
0003-9993issn
1532-821Xjournal_volume
62pub_type
杂志文章abstract:OBJECTIVE:To establish baseline ADH levels in spinal cord injury patients and to evaluate whether spinal cord patients have attenuation of diurnal variation of ADH similar to children with enuresis and elderly with nocturnal polyuria. DESIGN:Twenty-seven healthy quadriplegic patients, ASIA impairment scale A, were eva...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(97)90155-6
更新日期:1997-05-01 00:00:00
abstract::To evaluate the efficacy and function of EMG feedback (FB) in muscle reeducation, voluntary muscle contractions with and without EMG FB were compared under controlled experimental conditions in normal human subjects (n=10). Each subject was instructed to produce 12 sustained, 30-second contractions of the left abducto...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1982-06-01 00:00:00
abstract::The primary purpose of this study was to establish clinical norms for adults aged 20 to 75+ years on four tests of hand strength. A dynamometer was used to measure grip strength and a pinch gauge to measure tip, key, and palmar pinch. A sample of 310 male and 328 female adults, ages 20 to 94, from the seven-county Mil...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1985-02-01 00:00:00
abstract::A new above-knee prosthetic mechanism with synchronous motions of the knee and ankle has been designed based on kinematic principles. Knee flexion is synchronized with ankle dorsiflexion by a synchronizer rod and lever. Unlike other above-knee units, the knee joint is aligned about one inch in front of a line between ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1976-10-01 00:00:00
abstract:OBJECTIVE:To determine whether a simple educational intervention can influence use of prescription medications at an institution. DESIGN:Cost-effectiveness analysis of prescribing behavior before and after an educational intervention. SETTING:A large, urban, free-standing academic rehabilitation hospital. PARTICIPAN...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2001.22624
更新日期:2001-05-01 00:00:00
abstract:OBJECTIVE:A recent prevalence study of 353 spinal cord injured (SCI) individuals in the greater Stockholm area showed problematic spasticity in 30% of this population. To treat spasticity, the evaluation becomes crucial. The modified Ashworth scale (MAS) is the clinically most-used scale to grade degree of spasticity. ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(98)90095-8
更新日期:1998-08-01 00:00:00
abstract:OBJECTIVE:To test the hypotheses that people with hemiplegia using arms and legs to propel their wheelchairs perform better backward than forward and prefer the backward direction. DESIGN:Within-participant cross-sectional design. PARTICIPANTS:Manual wheelchair users (N=18) with hemiplegia caused by stroke, a sample ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2013.03.001
更新日期:2013-09-01 00:00:00
abstract::There is a striking absence of data on the cardiovascular fitness of mentally retarded adults and what limited data are reported reflect field or submaximal laboratory tests. This study sought to develop a protocol that would allow maximal aerobic testing (VO2max) of mentally retarded adults in the laboratory. Of 21 s...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1987-06-01 00:00:00
abstract:OBJECTIVE:To examine the physiologic and functional recovery of standing balance and health-related quality of life (HRQOL) in people after mild and moderate stroke. DESIGN:Inception cohort study with evaluations at 1 month and 3 months poststroke. SETTING:Laboratory. PARTICIPANTS:Twenty-nine volunteers who had sust...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2006.11.023
更新日期:2007-02-01 00:00:00
abstract:OBJECTIVE:To identify predictors of participation in school activities from two sets of functional variables using classification and regression tree analysis. DESIGN:Relational study. PARTICIPANTS:A nationwide sample of 341 children with various disabling conditions, including physical and cognitive/behavioral types...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(00)90081-9
更新日期:2000-03-01 00:00:00
abstract:OBJECTIVE:To use low- and high-dose adrenocorticotropin (ACTH) tests to assess adrenal reserve in men with spinal cord injury (SCI). DESIGN:After an overnight fast, 1 microg and 200 microg ACTH were injected intravenously at time 0 and 60 minutes between 8 AM and 9 AM. Blood was withdrawn at 30-minute intervals from t...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(99)90075-8
更新日期:1999-08-01 00:00:00
abstract:OBJECTIVES:To compare respiratory muscle strength in stroke survivors (SS) with that in a control group (CG) of healthy people matched by age and sex, as well as to investigate any relation between respiratory muscle strength and the distance walked during the 6-minute walk test (6MWT). DESIGN:Cross-sectional study. ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2015.10.089
更新日期:2016-02-01 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::In 1914, Von Monakow described diaschisis, the recovery of lost cortical function in regions positionally distant from, but linked by neuronal tracts to, the primary site of cortical damage. Cerebellar diaschisis after cortical insult is detailed in the literature; however, cortical diaschisis after cerebellar insult ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(97)90175-1
更新日期:1997-05-01 00:00:00
abstract::The purpose of this study was to determine the reliability of isokinetic and isometric measurement of strength for tests of knee extension and hip abduction on men with mental retardation (MR). In addition, the relationships between isokinetic measures of peak torque (PT) and total work (TW) and isometric peak torque ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/0003-9993(93)90012-y
更新日期:1993-08-01 00:00:00
abstract::Tetraplegic arms of patients with spinal cord injury at C5 or C6 level are often held in a flexed supinated position. In supination the function of the hand is limited. This report presents a newly developed orthosis giving active pronation of the forearm for a C6 complete tetraplegic. The orthosis consists of a preti...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract:OBJECTIVE:To compare outcomes in stroke survivors who received rehabilitation services in an acute inpatient rehabilitation setting (multidisciplinary rehabilitation team) with outcomes in survivors in a home-based setting (family caregivers, limited team supervision). DESIGN:Randomized clinical trial, with mean follo...
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:10.1053/apmr.2001.25973
更新日期:2001-10-01 00:00:00
abstract:OBJECTIVE:To investigate bone mineral density (BMD) levels in patients with Parkinson's disease (PD) who sustained a hip fracture. DESIGN:Case-control study. SETTING:Rehabilitation hospital in Italy. PARTICIPANTS:We investigated 831 out of 887 white patients consecutively admitted to a rehabilitation hospital becaus...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2006.07.265
更新日期:2006-11-01 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:OBJECTIVE:To assess the long-term efficacy of selective tibial neurotomy in the treatment of spastic equinovarus foot in hemiplegic patients. DESIGN:Intervention study (before-after trial) with an observational design and 2-year follow-up. SETTING:Spasticity group in a university hospital. PARTICIPANTS:Hemiplegic pa...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/j.apmr.2010.04.010
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVE:To validate the administration of the Life-Space Assessment (LSA) and Physical Activity Scale for the Elderly (PASE) surveys to proxy informants, as would be necessary when measuring long-term outcomes in acutely ill, hospitalized older adults who are initially incapacitated but eventually return to the commu...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2014.03.027
更新日期:2014-08-01 00:00:00
abstract:OBJECTIVE:To study the value of physical, mental, and social characteristics as predictors of functional outcome of elderly amputees. DESIGN:Prospective, inception cohort study; comparisons with reference populations. SETTING:Main hospitals, rehabilitation centers, nursing homes, patients' own residence settings in 1...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(02)04952-3
更新日期:2003-06-01 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::Spontaneous intracranial hypotension (SIH) has been clinically defined as the development of severe orthostatic headaches caused by an acute cerebrospinal fluid (CSF) leak. Typically, intracranial hypotension occurs as a complication of lumbar puncture, but recent reports have identified cases caused by minor trauma. ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2007.08.111
更新日期:2007-11-01 00:00:00
abstract::Of the several roads that lead to practice in the specialty of physical medicine and rehabilitation (PM&R), the most common is from a US medical school to a PM&R residency to specialty practice. To reduce the predicted shortage of PM&R physicians, more medical students must be attracted to the specialty. Past studies ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1986-11-01 00:00:00
abstract::Impaired hand function is a problem for children with spastic quadriparetic cerebral palsy. When combined with decreased visual acuity and visuoperceptual loss the problem is compounded. A joystick switch control, which is easy to use and provides a visual cue for attracting attention to the switch, is described. ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1990-08-01 00:00:00
abstract:OBJECTIVE:To evaluate the change in the 6-minute walk test (6-MWT) distance relative to changes in key functional capacity measures after 16 weeks of exercise training in older patients (≥65y) who have heart failure with preserved ejection fraction (HFpEF). DESIGN:Prospective, randomized, single-blinded (by researcher...
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.2016.08.481
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVE:To determine the predictive value of discharge destination as a surrogate for defining unfavorable outcome at 3- and 12-months poststroke. DESIGN:Analysis of the prospectively collected data from a randomized, placebo-controlled trial in patients with ischemic stroke presenting within 3 hours of symptom onse...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2012.02.032
更新日期:2012-08-01 00:00:00
abstract::Previous studies have cast doubt on the efficacy of intra-articular steroids in the treatment of rotator cuff tears. This investigation re-evaluated the question, using shoulder arthrography both to substantiate the diagnosis of rotator cuff tear and to assure accurate intra-articular injection of steroid. Successful ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1981-11-01 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