Abstract:
:Straight-leg raising is used as a diagnostic test for both elastogenic (passive muscle stretch test) and nonelastogenic (Lasègue's test) pathology in patients unable to bend forward from the standing position while holding the knees in extension. The test assessment is based on the range of the leg excursion and the type of pain that is provoked. An instrumental version of Lasègue's test (instrumental straight-leg raising) provides information about the extensibility, elasticity and electrical activity of the hamstrings and back muscles and about pelvic rotation. To investigate the diagnostical value of the additional information, both clinical and instrumental straight-leg raising was done by 30 patients who were unable to touch the ground while bending forward from the standing position with the knees extended. In one group of patients, the electrical activity of the muscles was comparable to that observed in the muscles of a control group of healthy volunteers; in a second group, however, the electrical muscle activity was aberrant. Muscle extensibility and passive muscle elasticity was comparable in patients in the first group and the healthy controls. In the patients with aberrant muscle activity, the elasticity of the passive muscles was not different from the control group, but both leg excursion and muscle extensibility were much smaller. Comparison of the clinically and experimentally diagnosed cause (elastogenic or non-elastogenic) of the movement restriction showed a remarkable discrepancy. We conclude that instrumental straight-leg raising provides valuable additional diagnostical information.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Göeken LN,Hof ALdoi
10.1016/0003-9993(94)90174-0subject
Has Abstractpub_date
1994-04-01 00:00:00pages
470-7issue
4eissn
0003-9993issn
1532-821Xpii
0003-9993(94)90174-0journal_volume
75pub_type
临床试验,杂志文章abstract::Traumatic brain injury can result in persistent impairments of motor performance that interfere with functional activities. This study compared the gross and fine motor performance of 14 traumatically brain-injured children (five to 15 years old, with loss of consciousness for at least 24 hours) to 14 normal children ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1993-02-01 00:00:00
abstract:OBJECTIVES:To assess in healthy adults the validity and the inter- and intrarater reliability of the Internet-based Shaw Gait Assessment (SGA). DESIGN:Concurrent test-retest reliability and validity study with participants, 4 raters, and the Elite motion analysis system (used as the criterion standard). SETTING:Motio...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2004.09.019
更新日期:2005-05-01 00:00:00
abstract:OBJECTIVES:To investigate whether the combination of self-efficacy levels of individuals with spinal cord injury (SCI) or acquired brain injury (ABI) and their significant others, measured shortly after the start of inpatient rehabilitation, predict their personal and family adjustment 6 months after inpatient discharg...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2020.06.003
更新日期:2020-11-01 00:00:00
abstract:OBJECTIVE:To determine if constraint-induced movement therapy (CIMT) is more effective than bimanual training to improve occupational performance and participation in children with congenital hemiplegia. DESIGN:Single-blind randomized comparison trial with evaluations at baseline, 3, and 26 weeks. SETTING:Community f...
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.2010.11.022
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVE:To create upper-extremity and mobility subdomain scores from the Patient-Reported Outcomes Measurement Information System (PROMIS) physical functioning adult item bank. DESIGN:Expert reviews were used to identify upper-extremity and mobility items from the PROMIS item bank. Psychometric analyses were conduct...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2013.05.014
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVE:To identify a set of clinically useful outcome measures for assessment of adults receiving treatment for spasticity. DESIGN:A modified Delphi process was conducted. In round 1, key areas of spasticity assessment and associated outcome measures were identified. In round 2, participants were presented with rev...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2014.08.025
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVE:To describe the neurologic outcomes of 29 spinal epidural abscess (SEA) patients after rehabilitation compared with a case-controlled traumatic spinal cord injury (TSCI) cohort. DESIGN:Five-year retrospective chart review. SETTING:University-affiliated surgical spine unit and inpatient rehabilitation progra...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2008.09.567
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVE:To determine whether patient-reported measures would be clinically sensitive and useful for identifying functional change within an intensive chronic pain program setting by examining 2 patient-reported measures administered as part of physical and occupational therapy for chronic pain. DESIGN:A retrospectiv...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2016.08.471
更新日期:2017-01-01 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 determine whether the measurement properties of the Mayo-Portland Adaptability Inventory Version 4 (MPAI-4) and its participation index (M2PI), which have been adopted as 2 outcome measures in the Veterans Health Administration (VHA) National Polytrauma Rehabilitation Systems of Care, are adequate in vete...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2019.10.191
更新日期:2020-05-01 00:00:00
abstract:OBJECTIVE:To assess parent ratings of treatment acceptability associated with botulinum toxin type A (BTX-A) injection for spasticity in children with cerebral palsy (CP). DESIGN:A single-point survey design across a sequentially recruited cohort, using a standardized evaluation measure. SETTING:Regional specialty he...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2006.08.343
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVE:To evaluate the effects of isokinetic exercise versus a program of patient education on pain and function in older persons with knee osteoarthritis. DESIGN:A randomized, comparative clinical trial, with interventions lasting 8 weeks and evaluations of 12 weeks. SETTING:An outpatient Veterans Affairs Medical...
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(99)90032-1
更新日期:1999-10-01 00:00:00
abstract:OBJECTIVES:To investigate and compare the mechanism of swallowing with respect to the viscosity of ingested material between patients with and without dysphagia. DESIGN:Prospectively collected and retrospectively analyzed clinical study. SETTING:General teaching hospital, rehabilitation unit. PARTICIPANTS:We retrosp...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2016.07.013
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVE:To determine the value of the Functional Independence Measure (FIM) score as a prognostic indicator for prosthetic use in the lower limb amputee patient. DESIGN:Cohort study of 41 patients with lower limb amputations. SETTING:University hospital rehabilitation unit. MAIN OUTCOME MEASURES:FIM motor subscore...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(96)90303-2
更新日期:1996-06-01 00:00:00
abstract:OBJECTIVES:To examine the change in life satisfaction over time and potential contributing factors among adults with pediatric-onset spinal cord injury (SCI). DESIGN:Prospective dynamic cohort study. SETTING:Community. PARTICIPANTS:Individuals who sustained a SCI before age 19 years (N=278) were initially interviewe...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2008.06.008
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVE:To assess the efficacy of an off-loading wheelchair seat cushion in removing pressure from high-risk ischial tuberosities and the coccyx/sacrum in wheelchair sitting. DESIGN:Repeated-measures design. SETTING:Private research laboratory. PARTICIPANTS:Manual wheelchair users with chronic spinal cord injuries...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2016.04.004
更新日期:2016-11-01 00:00:00
abstract:OBJECTIVE:To determine whether the administration of clenbuterol, a beta2-adrenergic agonist, prevents loss of muscle mass during a period of imposed inactivity. DESIGN:Randomized trial. SETTING:Basic laboratory research. ANIMALS:Thirty Fischer 344 Brown Norway F1 Hybrid rats, 12 and 30 months of age. INTERVENTIONS...
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.2001.23756
更新日期:2001-07-01 00:00:00
abstract:OBJECTIVE:To investigate the relations between Medical Research Council (MRC) dyspnea grade and peripheral muscle force, activities of daily living (ADL) performance, health status, lung function, and exercise capacity in subjects with idiopathic pulmonary fibrosis (IPF). DESIGN:Prospective cross-sectional observation...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2014.01.016
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVE:To demonstrate that after spinal cord injury (SCI) suppression of the parathyroid-vitamin D axis is associated with the degree of neurologic impairment and not the level of injury. DESIGN:A retrospective analysis of clinical and biochemical data obtained from hospital records of patients with SCI compared to...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(97)90075-7
更新日期:1997-07-01 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::Twenty-two stroke patients and their spouses were studied. All patients were living at home and had had a stroke at least one year previously. Of the 22 patients 14 were men and eight were women. Couples were assessed on the variables of morale, family functioning, health status, and patient functional capacity. For a...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/0003-9993(86)90107-3
更新日期:1986-02-01 00:00:00
abstract:OBJECTIVES:To describe, from the perspective of U.S. Department of Veterans Affairs (VA) polytrauma rehabilitation providers, (1) patients with combat-related polytrauma and their rehabilitation, (2) polytrauma patient family member involvement in rehabilitation, and (3) the impact on providers of providing polytrauma ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2007.10.017
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:To determine whether the Feldenkrais method is an effective intervention for chronic neck/scapular pain in patients with visual impairment. DESIGN:Randomized controlled trial with an untreated control group. SETTING:Low vision center. PARTICIPANTS:Patients (N=61) with visual impairment (mean, 53.3 y) and n...
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.2014.05.013
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVE:To evaluate the usefulness of combined intercostal and diaphragm pacing to maintain independence from mechanical ventilation. DESIGN:A prospective trial. SETTING:Clinical research center at a large tertiary hospital. PARTICIPANTS:Four ventilator-dependent subjects with spinal cord injury with only unilater...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/j.apmr.2004.11.027
更新日期:2005-06-01 00:00:00
abstract:OBJECTIVE:To examine the effects of an individualized physical therapy (PT) program for a subject with pectus excavatum and bilateral shoulder pain. DESIGN:Single-case study of a man diagnosed with moderate-to-severe pectus excavatum and constant bilateral shoulder pain. Exercise tolerance was measured through the Bru...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2008.04.014
更新日期:2008-11-01 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::A quadriplegic patient with a C6 lesion had a stroke with aphasia and right hemiplegia 20 years after his cervical cord injury. The combination of hemiplegia and quadriplegia created unusual rehabilitation problems, the most disabling of which was a painful flexion contracture of the right elbow that prevented any use...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1984-12-01 00:00:00
abstract::The purpose of this study was to investigate the effects of 3 intensities of isometric handgrip contractions on selected cardiovascular parameters and perception of effort, and to determine the relationship of these cardiovascular parameters to perception of effort. Seven healthy subjects were instructed to maintain 3...
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:1982-05-01 00:00:00
abstract::The purpose of this study was to determine, in ten healthy subjects, the extent of soleus motoneuronal excitability during conditions of increased (transcutaneous electrical nerve stimulation [TENS]), decreased (Xylocaine [lidocaine]a anaesthesia) and normal (placebo anaesthesia) cutaneous inputs. Increased cutaneous ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract:OBJECTIVES:To examine the frequency and reasons for rehospitalization in persons with acute traumatic spinal cord injury (SCI) during follow-up years and to examine the association between rehospitalization and demographics, neurologic category, payer sources, length of stay (LOS), discharge motor FIM instrument score,...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2004.03.016
更新日期:2004-11-01 00:00:00