Abstract：
:Nocturnal hypoxemia occurs commonly in patients with chronic obstructive pulmonary disease (COPD). Because pulmonary hypertension and cardiac arrhythmias are associated with this phenomenon, the detection and treatment of nocturnal hypoxemia should be part of the management of COPD patients. The ability to predict nocturnal hypoxemia by evaluating an awake patient would be desirable economically and logistically because continuous nocturnal oximetry is not widely available and because it is costly and labor intensive. We sought to determine whether awake oximetry would be precise enough to be clinically useful in predicting the degree of nocturnal oxygen desaturation in patients with COPD. We studied 71 patients with COPD. During sleep, the arterial oxygen saturation (SaO2) decreased by an average of 9% with a maximum decrease of 21% (awake SaO2 93.0 +/- 0.4% vs nocturnal lowest SaO2 84.0 +/- 0.7%, p = 0.0001). The nocturnal oxygen desaturation in each patient, however, was poorly predicted from awake SaO2. The standard error of estimate was large with a value of 5.3%. These data suggest that awake SaO2 is not a good predictor of nocturnal oxygen desaturation in individual patients. The lack of a simple relationship between awake SaO2 and nocturnal SaO2 is due to a complex interplay of various physiologic and pathologic mechanisms involved in the control of breathing and oxygenation during sleep.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Mohsenin V,Guffanti EE,Hilbert J,Ferranti Rdoi
10.1016/0003-9993(94)90030-2subject
Has Abstractpub_date
1994-03-01 00:00:00pages
285-9issue
3eissn
0003-9993issn
1532-821Xpii
0003-9993(94)90030-2journal_volume
75pub_type
杂志文章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：:A 40-year-old patient with insulin-dependent (Type I) diabetes mellitus since childhood suffered a C6 spinal transection. Recurrent episodes of hypoglycemia resolved after the patient was placed on an insulin pump. The patient is able to set the insulin delivery rate and maintain the pump without assistance. Spinal co...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1989-01-01 00:00:00
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：UNLABELLED:This learner-directed module on spinal cord injury (SCI) presents a variety of perspectives of the process of personal and environmental adaptation for reintegration. Adaptation is unique to each person and does not predictably follow stages. Models used for understanding the process include biopsychosocial,...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,评审
doi：10.1053/apmr.2002.32178
更新日期：2002-03-01 00:00:00
abstract：OBJECTIVE:To investigate the effect of unilateral upper-limb strength training on the finger-pinch force control of older men. DESIGN:Pretest and post-test 6-week intervention study. SETTING:Exercise science research laboratory. PARTICIPANTS:Eleven neurologically fit older men (age range, 70-80y). INTERVENTION:The ...
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.2007.05.014
更新日期：2007-08-01 00:00:00
abstract：:Reflex sympathetic dystrophy (RSD) has been described primarily in the upper extremity and is infrequently considered part of the differential diagnosis of postamputation pain. The manifestations of autonomic dysfunction may mimic other potential diagnoses of postoperative stump pain. We report a 47-year-old man who d...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1990-02-01 00:00:00
abstract：OBJECTIVE:To review and reassess the findings of Krause and colleagues on the effect of economic and other risk factors on life expectancy after spinal cord injury, using an expanded and updated database. DESIGN:Pooled person-year analysis. SETTING:Model Spinal Cord Injury Systems hospitals. PARTICIPANTS:A total of ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2007.11.025
更新日期：2008-03-01 00:00:00
abstract：OBJECTIVE:To compare isometric torque and cycling power, smoothness and symmetry using repetitive functional magnetic stimulation (FMS) and functional electrical stimulation (FES) in patients with paretic legs with preserved sensibility and in patients without sensibility. DESIGN:Repeated-measures design. SETTING:Lab...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1016/j.apmr.2008.09.572
更新日期：2009-04-01 00:00:00
abstract：:The purpose of the study was to evaluate the differences in the amplitudes of the compound muscle action potentials of the hypothenar muscles and the differences in conduction times. Differences in shoot segment responses were determined by stimulating the ulnar nerve at 2-cm intervals across the elbow in 20 normal ad...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1988-11-01 00:00:00
abstract：OBJECTIVE:To determine the prevalence of the female athlete triad in club triathletes. DESIGN:Cross-sectional. SETTING:Academic medical center in the midwestern United States. PARTICIPANTS:Fifteen women (mean age, 35+/-6 y). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Disordered eating and menstrual status...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2007.02.035
更新日期：2007-05-01 00:00:00
abstract：:The alien hand syndrome classically consists of involuntary movements accompanied by a feeling of foreignness and personification of the affected limb. Autocriticism, in which patients criticize and express astonished frustration with the behavior of the autonomous limb, is a commonly noted feature. Most cases of alie...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(99)90114-4
更新日期：1999-02-01 00:00:00
abstract：OBJECTIVE:To determine whether capsule-preserved hydrodilatation with corticosteroid improves pain and function in patients with refractory adhesive capsulitis (AC) better than intra-articular corticosteroid injection (IACI) alone. DESIGN:Prospective randomized controlled study. SETTING:University-affiliated tertiary...
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.2016.10.012
更新日期：2017-05-01 00:00:00
abstract：:The response to the coronavirus disease 2019 (COVID-19) pandemic in the United States has resulted in rapid modifications in the delivery of health care. Key among them has been surge preparation to increase both acute care hospital availability and staffing while using state and federal waivers to provide appropriate...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2020.10.104
更新日期：2021-02-01 00:00:00
abstract：OBJECTIVE:To investigate the effect of an elasticated abdominal binder on respiratory, voice, and blood pressure outcomes for people with a motor complete acute tetraplegia during the first year after injury. DESIGN:Randomized crossover study. SETTING:Large university-affiliated referral hospital. PARTICIPANTS:Conse...
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.2012.06.010
更新日期：2012-12-01 00:00:00
abstract：OBJECTIVE:To determine if a single, over-the-counter dose of the H1 antagonist chlorpheniramine maleate (CM) alters total peripheral resistance (TPR) and oxygen uptake (VO2) during submaximal exercise. DESIGN:The study was a prospective, longitudinal, double-blind, random crossover analysis of the cardiovascular and r...
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)90365-3
更新日期：1998-07-01 00:00:00
abstract：OBJECTIVE:To improve clinical decision making in posttraumatic neck pain by investigating the additional value of fear-avoidance variables in predicting chronic neck pain disability. DESIGN:An inception cohort with baseline assessment 1 week posttrauma and outcome assessment 24 weeks posttrauma. Predictive factors inc...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2003.06.019
更新日期：2004-03-01 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：:Termination of motor rehabilitation is often recommended as patients with cerebrovascular accident (CVA) become more chronic and/or when they fail to respond positively to motor rehabilitation (commonly termed a "plateau"). Managed-care programs frequently reinforce this practice by restricting care to patients respon...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/j.apmr.2003.12.031
更新日期：2004-08-01 00:00:00
abstract：OBJECTIVE:To generate a brief screening measure to assist frontline rehabilitation health care workers to rapidly and validly screen patients for depressive symptoms. DESIGN:Case series. SETTING:Inpatient rehabilitation unit. PARTICIPANTS:Five hundred patients (age, >/=60y) cognitively able to complete the outcome m...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2004.04.042
更新日期：2005-03-01 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 examine the effects of communication skills training on physiotherapists' supportive behavior during clinical practice. DESIGN:Randomized trial. SETTING:Hospital outpatient physiotherapy clinics. PARTICIPANTS:Physiotherapists (N=24) and patients (N=24) with chronic low back pain. INTERVENTIONS:Two hosp...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.apmr.2014.11.007
更新日期：2015-05-01 00:00:00
abstract：:Electromyographic biofeedback was compared with simple exercise therapy as to its effectiveness in improving foot-drop in 22 stroke patients. The study was designed to be a rigorous trial of biofeedback and the patients tested were aged and had stroke of long duration. One group of 11 patients underwent 6 weeks of exe...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章
doi：
更新日期：1982-05-01 00:00:00
abstract：:Based on observations of changes in muscle function associated with aging, and the exacerbation of these changes with frailty, a program of muscle strengthening has been developed to correct specific defects in muscles. This pilot study was undertaken on 18 functionally impaired nursing home residents (age range 60 to...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1991-03-01 00:00:00
abstract：OBJECTIVE:To evaluate the clinical effects of spinal cord stimulation (SCS) to restore cough in subjects with cervical spinal cord injury. DESIGN:Clinical trial assessing the clinical outcomes and side effects associated with the cough system. SETTING:Outpatient hospital or residence. PARTICIPANTS:Subjects (N=9; 8 m...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1016/j.apmr.2008.11.014
更新日期：2009-05-01 00:00:00
abstract：:The purpose of this study was to determine the effects of 8 weeks of circuit strength training (CST) followed by 8 weeks of jogging and then 8 weeks, of CST or jogging. During the final 8 weeks, the subjects were randomly assigned to either CST or jogging groups. The subjects (n=16, x age = 29 yrs) exercised 3 days/we...
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：1979-03-01 00:00:00
abstract：OBJECTIVE:To assess the effects of an 8-week aquatic exercise training program on functional capacity, balance, and perceptions of fatigue in women with multiple sclerosis (MS). DESIGN:Randomized controlled design. SETTING:Referral center of an MS society. PARTICIPANTS:Women (N=32; mean age ± SD, 36.4±8.2y) with dia...
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.2017.06.015
更新日期：2018-02-01 00:00:00
abstract：OBJECTIVE:To determine the neuromuscular and performance effects of acute and long-term exposure to selective serotonin reuptake inhibitors (SSRIs). DESIGN:Two randomized, double-blind, crossover studies. SETTING:Departments of Kinesiology and Medicine, McMaster University, Hamilton, Ont, Canada. PARTICIPANTS:Eleven...
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.2001.23275
更新日期：2001-07-01 00:00:00
abstract：OBJECTIVES:To assess reliability of traditional and fractal dimension measures of quiet stance center of pressure (COP). DESIGN:Cross-sectional study. SETTING:University laboratory. PARTICIPANTS:Thirty young healthy men (n=20) and women (n=10) (mean age, 23 y). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:C...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1016/j.apmr.2005.05.014
更新日期：2005-10-01 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：OBJECTIVES:To quantify differences in active cervical range of motion (aCROM) between patients with neck pain and those without neck pain, in patients with whiplash-associated disorders (WADs) and nontraumatic neck pain, and in patients with acute complaints versus those with chronic complaints. DATA SOURCES:Seven bib...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.apmr.2016.10.003
更新日期：2017-07-01 00:00:00
