Abstract：
:Competence, or decision making capacity, refers to a patient's ability to understand a situation and to make a choice in light of that understanding. It requires the physician to disclose adequate information so that the patient is able to understand and choose. The standard for determining competence is that a person is deemed competent to make medical decisions if the person is capable of giving informed consent. The crucial ethical issue is whether the patient understands and appreciates the nature of the treatment, the risks and benefits, the alternatives and the consequences. Although there is no universally accepted test of a patient's capacity to consent to treatment, the "knowledge and understanding" test offers clinicians a simple competence test that can be administered at the bedside. The physician first identifies the information needed for the patient to give informed consent. Then the physician determines the patient's understanding and appreciation of that information by means of five objective questions. Ultimately, talking to the patient is the only way to determine if the patient is capable of making a medical decision. Of particular ethical interest, however, is rehabilitation medicine's efforts to exempt itself, in the early stages of rehabilitation, from the "moral force" of informed consent. Relying on its unique characteristics as a medical specialty, and on the fact that some of its patients have suffered sudden onset of severe impairment, rehabilitation medicine appears poised to espouse the "thank you theory" of medical practice. In addition, physiatrists may have a professional obligation to fully inform patients when potentially beneficial treatment is withheld from them, such as when they are denied access to or terminated from rehabilitation.
journal_name
Am J Phys Med Rehabiljournal_title
American journal of physical medicine & rehabilitationauthors
Venesy BAsubject
Has Abstractpub_date
1994-06-01 00:00:00pages
219-26issue
3eissn
0894-9115issn
1537-7385journal_volume
73pub_type
杂志文章abstract：OBJECTIVE:1) Describe frequency of back pain only, neck pain only, and co-occurring pain in Veterans with upper limb amputation (ULA); 2) examine changes in pain over one year; and 3) quantify the association of pain and health-related quality of life (HRQoL) and disability. DESIGN:Observational cohort study with a su...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000001694
更新日期：2021-01-11 00:00:00
abstract：:Analyzing multiple nerve conduction study parameters individually is statistically problematic. The goal of this study was to develop a useful factor analysis scheme for assessment of nerve conduction study abnormalities in diabetic neuropathy. Hypotheses were: (1) factor analysis produces a few physiologically meanin...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：
更新日期：1992-02-01 00:00:00
abstract：OBJECTIVE:The purposes of this study were as follows: (1) to compare the characteristics of functional fitness of Japanese stroke survivors with those of control subjects of a similar age; and (2) to relate these characteristics to the extent of physical impairment and the period after stroke onset to better design com...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-200209000-00007
更新日期：2002-09-01 00:00:00
abstract：:As we learn more about the origins of coronary artery disease, research has begun to focus on its prevention. The purpose of this study was to determine if exercise stress testing of the offspring of our cardiac rehabilitation patients would be a useful adjunct to their general cardiac risk factor assessment. In addit...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-199801000-00010
更新日期：1998-01-01 00:00:00
abstract：:Fatigue is the most commonly reported and most disabling of all post-polio sequelae (PPS). Bromocriptine mesylate (Parlodel) was employed in a placebo-controlled trial in five survivors of paralytic polio who continued to report moderate to severe daily fatigue after complying with the conservative treatments prescrib...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1097/00002060-199609000-00007
更新日期：1996-09-01 00:00:00
abstract：:Twenty-five men with spinal cord injuries were studied for evaluation of the hypothalamus-pituitary-adrenal axis, using corticotropin-releasing hormone and insulin-induced hypoglycemia. Twenty-five age-matched healthy male volunteers served as controls. Three spinal cord-injured subjects had hyperprolactinemia, three ...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：
更新日期：1998-03-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to investigate eye-hand coordination in stroke survivors while sitting and standing and its relationship with sensorimotor performance. DESIGN:This was a cross-sectional study conducted at university-based rehabilitation center. Fifteen stroke survivors performed a fast finger-point...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e3182876adb
更新日期：2013-09-01 00:00:00
abstract：:The purpose of this study was to examine the effect of a low-intensity, alternate-day, 12 wk quadriceps muscle-strengthening exercise program on muscle strength and muscle and motor unit integrity in 12 postpolio patients. Patients performed six to ten repetitions of a 5-s duration knee extension exercise with ankle w...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-199601000-00014
更新日期：1996-01-01 00:00:00
abstract：OBJECTIVE:Poststroke depression (PSD) is an important complication that affects stroke rehabilitation. Abnormal cortical-subcortical connectivity may be associated with the development of PSD. However, few studies have focused on the emotional network of PSD in the temporal lobe lesions. The aim of is study was to inve...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000001081
更新日期：2019-04-01 00:00:00
abstract：:We carried out a prospective study to determine the association between immobilization in the immediate postinjury period and the development of pressure ulcers in spinal cord-injured patients following their admission to Charity Hospital, New Orleans. Of 39 patients consecutively admitted to the hospital, 23 (59%) de...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-198806000-00007
更新日期：1988-06-01 00:00:00
abstract：:This brief paper has reviewed a few of the basic concepts related to the understanding of leadership styles. The unavoidable nature of conflict in organizations has been described. One of the best ways a person can make conflict more manageable is to become increasingly aware of his or her own fundamental leadership s...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：
更新日期：1988-02-01 00:00:00
abstract：:Trauma is a major cause of mortality throughout the world. In recent years, major advances have been made in the management of trauma, the end result of which has been reduced mortality and enhanced function. One of these areas is pain control. Improved pain management has not only led to increased comfort in trauma p...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,评审
doi：10.1097/01.PHM.0000107499.24698.CA
更新日期：2004-02-01 00:00:00
abstract：:The aim of the study was to assess physiatrists' knowledge of the cost of medications commonly prescribed at discharge from inpatient rehabilitation units across the spectrum of practice experience from residents to attending physicians. Investigators contacted 92 pharmacies across four major regions of the United Sta...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000001219
更新日期：2020-02-01 00:00:00
abstract：OBJECTIVES:To investigate testosterone and free testosterone levels in male patients after spinal cord injury (SCI) in comparison with healthy subjects, the effects of free testosterone on Functional Independence Measure (FIM) instrument, and their relationship between time since injury, spinal cord injury levels, and ...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e318151fa70
更新日期：2007-10-01 00:00:00
abstract：OBJECTIVE:To evaluate the reliability and validity of a self-report FIM (FIM-SR) in two samples of adults with disabilities. DESIGN:Participants in a clinical trial of amitriptyline for pain (n = 84 with spinal cord injury [SCI], n = 38 with amputation) provided responses to the study measures via telephone interview....
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/01.phm.0000154898.25609.4a
更新日期：2005-03-01 00:00:00
abstract：:Continuous passive motion (CPM) has been commonly used in the postoperative rehabilitation of patients after total knee arthroplasty. In the acute care hospital, most studies have found CPM to be useful in improving range of motion and reducing length of stay. The benefit of CPM in the rehabilitation hospital has not ...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-199306000-00011
更新日期：1993-06-01 00:00:00
abstract：OBJECTIVE:The aim of the study was to evaluate the short-term physiologic effects of respiratory muscle training with normocapnic hyperpnea added to standard exercise training on respiratory muscle endurance/strength and exercise tolerance in patients with chronic obstructive pulmonary disease. DESIGN:The study used a...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1097/PHM.0000000000000988
更新日期：2018-12-01 00:00:00
abstract：:Three boys with muscular dystrophy with known osteoporosis were each treated for 1 yr with weekly alendronate and daily calcium and vitamin D. Measurements of lumbar spine and proximal femur using dual-energy x-ray absorptiometry were obtained at the initiation of the alendronate, at 6 mos, and at 1 yr. All three boys...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e3181583ddc
更新日期：2008-02-01 00:00:00
abstract：OBJECTIVE:To compare the differences of reaching ability and electromyography of ankle muscles between healthy and hemiparetic subjects. DESIGN:This is a cross-sectional control trial. A total of 31 subjects with hemiparesis and 31 age-matched healthy adults meeting our selection criteria participated in this study. S...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/01.phm.0000176573.64931.94
更新日期：2005-10-01 00:00:00
abstract：:A 36-year-old male with history of industrial accident causing traumatic left hip disarticulation, pubic symphysis and right sacroiliac joint fractures presented with a three-year history of left-sided lower back pain radiating down the amputated limb. Computed tomography lumbar spine showed osteophytes surrounding th...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000001585
更新日期：2020-09-02 00:00:00
abstract：:Intrathecal baclofen (ITB) therapy is widely used in the management of spastic hypertonia and dystonia resulting from a multitude of conditions that present with upper motor neuron syndrome signs, such as cerebral palsy, stroke, brain and spinal injuries, and multiple sclerosis. We report successful management of post...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/01.phm.0000233173.32432.6f
更新日期：2006-09-01 00:00:00
abstract：:There are basic principles and techniques of measurement that are relevant across biomedical disciplines. The purpose of this article is to explain some of the most important of these for medical rehabilitation, to illustrate how to use them to choose assessment instruments and to describe the nature of measurement in...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-199102000-00008
更新日期：1991-02-01 00:00:00
abstract：:Topical formulations of diclofenac, a nonsteroidal anti-inflammatory drug commonly prescribed to treat musculoskeletal complaints such as osteoarthritis, low back pain, and myofascial pain, are available in the form of a solution, gel, and patch. The topical application of diclofenac results in substantially lower sys...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000000172
更新日期：2014-11-01 00:00:00
abstract：:The H reflex is a monosynaptic reflex whose latency can be used to evaluate pathology of the S1 nerve root and axon. Little has been written about the use of the H reflex amplitude in evaluating S1 nerve root and axon. Little has been written about the use of the H reflex amplitude in evaluating S1 nerve physiology. A...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-199705000-00003
更新日期：1997-05-01 00:00:00
abstract：OBJECTIVE:To investigate the hypothesis that the multiple-site injection technique is associated with better outcomes than the single-point injection method in children with cerebral palsy and spastic equinus gait. DESIGN:A total of 17 children (nine boys, eight girls ages 1.8-9.4 yrs; eight hemiplegics, eight diplegi...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,随机对照试验
doi：10.1097/PHM.0b013e31816ddaa9
更新日期：2008-05-01 00:00:00
abstract：OBJECTIVE:This study was undertaken to demonstrate that the ankle frontal muscle power absorption and generation at push-off are related to the foot's initial position at heel-strike with respect to the body center of mass. DESIGN:Nineteen able-bodied male subjects participated in this study and were divided into two ...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1097/00002060-200206000-00007
更新日期：2002-06-01 00:00:00
abstract：:An obstacle course, consisting of a series of 12 simulated functional tasks, has been developed to aid in the evaluation of rehabilitation interventions for elderly individuals with balance and mobility dysfunction. The validity of the obstacle course as a measure of balance and functional mobility was tested by compa...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-199603000-00003
更新日期：1996-03-01 00:00:00
abstract：OBJECTIVE:To compare the sensitivity of median sensory nerve conduction tests performed by stimulating digital branches in patients with carpal tunnel syndrome. DESIGN:A prospective study in 506 hands of patients with carpal tunnel syndrome diagnosed electrophysiologically. RESULTS:The sensitivity of median sensory n...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/01.PHM.0000104662.71129.B9
更新日期：2004-01-01 00:00:00
abstract：:This work summarizes our knowledge of the physiological basis of fatigue and the effects of exercise and pharmacological interventions on fatigue. Fatigue may be defined as physical and/or mental weariness resulting from exertion, that is, an inability to continue exercise at the same intensity with a resultant deteri...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,评审
doi：10.1097/phm.0b013e31802ba53c
更新日期：2007-01-01 00:00:00
abstract：OBJECTIVES:To study changes in quality of life (QOL) and to explore predictors of QOL of community-dwelling older adults with physical disabilities. DESIGN:A 2-yr longitudinal study involved a convenience sample of 49 people with physical disabilities aged 60-94 yrs. QOL was estimated twice at a 2-yr interval with the...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e318186b5bd
更新日期：2008-10-01 00:00:00
