Abstract：
:Musculoskeletal injuries can result from overuse or incorrect use of manual wheelchairs, and can hinder rehabilitation efforts. The purpose of this study was to investigate wheelchair propulsion biomechanics of spinal cord injured, non-athletic wheelchair users. We studied changes in the variables that occur with fatiguing wheelchair propulsion to determine how the user's physical characteristics and the state of fatigue influence risk of injury. Twenty male paraplegic patients were videotaped during propulsion to fatigue on a stationary, instrumented wheelchair positioned on a roller with adjustable frictional resistance. Peak handrim force was significantly correlated with concentric shoulder flexion and elbow extension isokinetic torques. Significant changes (p < 0.05) with fatigue were found in increased peak handrim force, decreased ulnar/radial deviation range of motion, and increased trunk forward lean. Of the three upper extremity joints, highest calculated joint moments were found in shoulder flexion (p < 0.05). These biomechanical results suggest that potentially harmful changes occur with fatigue, and that the shoulder may be the most prone to musculotendinous-type overuse injury.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Rodgers MM,Gayle GW,Figoni SF,Kobayashi M,Lieh J,Glaser RMsubject
Has Abstractpub_date
1994-01-01 00:00:00pages
85-93issue
1eissn
0003-9993issn
1532-821Xpii
0003-9993(94)90343-3journal_volume
75pub_type
杂志文章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：OBJECTIVES:To determine whether nocturnal splinting of workers identified through active surveillance with symptoms consistent with carpal tunnel syndrome (CTS) would improve symptoms and median nerve function as well as impact medical care. DESIGN:Randomized controlled trial. SETTING:A Midwestern auto assembly plant...
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/j.apmr.2004.05.013
更新日期：2005-01-01 00:00:00
abstract：:Herpes zoster (HZ)-induced abdominal wall pseudohernia has been frequently reported, but there has been no report describing HZ-induced trunk muscle paresis leading to functional problems. We describe a 73-year-old man with T12 and L1 segmental paresis caused by HZ presenting with abdominal wall pseudohernia, scoliosi...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2009.10.011
更新日期：2010-02-01 00:00:00
abstract：OBJECTIVE:To synthesize the best available evidence regarding the risk of dementia and chronic cognitive impairment (CCI) after mild traumatic brain injury (MTBI). DATA SOURCES:MEDLINE and other databases were searched (2001-2012) using a previously published search strategy and predefined criteria. Peer-reviewed repo...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/j.apmr.2013.06.036
更新日期：2014-03-01 00:00:00
abstract：OBJECTIVES:To (1) describe depressive symptom severity and suicidal ideation (SI) in persons with progressive multiple sclerosis (MS); (2) compare depressive symptom severity and SI in persons with progressive MS and persons with relapsing-remitting multiple sclerosis (RRMS); and (3) identify common and unique risk fac...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2020.09.385
更新日期：2020-10-17 00:00:00
abstract：:Two advanced magnetic resonance neuroimaging techniques, functional magnetic resonance imaging (fMRI) and diffusion tensor imaging (DTI), have recently made their way into clinically oriented research and hold great promise to study the brain's adaptive changes of function and structure after aphasic stroke, respectiv...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/j.apmr.2011.02.023
更新日期：2012-01-01 00:00:00
abstract：OBJECTIVE:To present preliminary data on the health-related consequences for people with spinal cord injury (SCI) of participation in a prepaid, risk-based, managed care plan. DESIGN:Baseline data from a longitudinal interview survey. SETTING:Massachusetts. PARTICIPANTS:Subjects were 114 independently living adults ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(99)90257-5
更新日期：1999-11-01 00:00:00
abstract：OBJECTIVE:To synthesize literature about the effect of early physical therapy (PT) for acute low back pain (LBP) on subsequent health services utilization (HSU), compared to delayed PT or usual care. DATA SOURCES:Electronic databases (MEDLINE, CINAHL, Embase) were searched from their inception to May 2018. STUDY SELE...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2018.11.025
更新日期：2019-07-01 00:00:00
abstract：:Several nations currently share a major concern for provision of services to severely disabled persons. The focus of this concern has been upon those services which promote maximum integration and independence of severely disabled individuals in the community. Recent efforts in this direction by governments, private c...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1979-10-01 00:00:00
abstract：:Rehabilitation has prospered in the last several years, but that prosperity is threatened by competition, manpower shortages, continuing preoccupation with costs, and government deliberations about funding changes. The comprehensive treatment team has been the foundation of rehabilitation, but its appropriateness has ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,评审
doi：
更新日期：1991-04-01 00:00:00
abstract：:A 12-week high resistance home exercise program was completed by 10 subjects with slowly progressive neuromuscular diseases (NMD) and 6 normal control subjects (CTL). After evaluating baseline maximal isometric and isokinetic strength of the elbow flexors and knee extensors, subjects completed the home program using a...
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：1994-05-01 00:00:00
abstract：:To determine if reproducible and reliable measurements of intra-articular temperature could be performed in an animal model, surface and intra-articular measurements were studied in 30 rabbits. Anterior insertion of a thermometer probe into the joint cavity was found to be a reliable method for measuring intra-articul...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1983-03-01 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 investigate whether use of auxiliary sensory input will result in modulated grip force. DESIGN:Case-control study. SETTING:Free-standing acute inpatient rehabilitation hospital. PARTICIPANTS:Six people with unilateral hemiparesis due to unilateral stroke and 6 control subjects without neurologic disorde...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1016/j.apmr.2004.06.070
更新日期：2005-04-01 00:00:00
abstract：OBJECTIVES:To describe the prevalence and characteristics of phantom limb pain (PLP) and the use and perceived effectiveness of standard medical and self-treatment methods by traumatic amputees with combat-related injuries. DESIGN:A retrospective descriptive questionnaire study. SETTING:Outpatient amputee clinic at a...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2007.11.037
更新日期：2008-06-01 00:00:00
abstract：OBJECTIVE:To compare the effect of 3 different approaches to balance training on dual-task balance performance in older adults with balance impairment. DESIGN:A double-blind, randomized controlled trial. SETTING:University research laboratory. PARTICIPANTS:Older adults (N=23) with balance impairment (mean age, 74.8y...
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.2008.09.559
更新日期：2009-03-01 00:00:00
abstract：OBJECTIVE:To compare 3-dimensional (3D) shoulder joint reaction forces and stride characteristics during bilateral forearm crutches and front-wheeled walker ambulation in persons with incomplete spinal cord injury (SCI). DESIGN:Cross-sectional cohort study. SETTING:Biomechanics laboratory. PARTICIPANTS:Fourteen adul...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2005.07.311
更新日期：2006-01-01 00:00:00
abstract：:Stroke frequently results in psychologic distress and activity limitations across multiple domains of functioning. However, most stroke outcome measurement tools and clinical trial endpoints are narrowly focused on neurologic symptom status and physical aspects of functioning, and rarely assess other important compone...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1053/apmr.2002.36838
更新日期：2002-12-01 00:00:00
abstract：OBJECTIVE:To test the psychometric properties of a newly developed measure of caregiver self-efficacy, the Caregiver Self-Efficacy Scale for Transfers (CSEST), a 14-item questionnaire that measures the perceived self-efficacy of adult caregivers of dependent children and focuses on their perceived abilities and the cha...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2007.01.019
更新日期：2007-04-01 00:00:00
abstract：:A prospective longitudinal study involving 233 children with cerebral palsy was carried out to select signs useful for early prognostication of ambulation. All patients were followed from the time they were 12 months old and their progress was observed until they reached the age of 3 to 11 years. The population consis...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1976-04-01 00:00:00
abstract：OBJECTIVE:To describe group therapy utilization in spinal cord injury (SCI) inpatient rehabilitation. DESIGN:Prospective observational study. SETTING:Six inpatient rehabilitation facilities. PARTICIPANTS:Patients (N=1376) receiving initial rehabilitation after traumatic SCI. INTERVENTIONS:Not applicable. MAIN OUTC...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,多中心研究
doi：10.1016/j.apmr.2012.11.049
更新日期：2013-04-01 00:00:00
abstract：OBJECTIVE:To investigate the effect of stage duration on peak physiological response to arm ergometry incremental exercise testing in individuals with spinal cord injury or disease (SCI/D) in support of developing a more individualized approach to testing. DESIGN:Parallel reliability study. SETTING:University researc...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1016/j.apmr.2016.04.020
更新日期：2016-11-01 00:00:00
abstract：:Decreases in muscular strength, endurance, and angular velocity have previously been demonstrated in the elderly. Osteoarthritis (OA), especially of the knee, may cause further reductions in these parameters and lead to functional limitations. This study measured the effects of a quantitative progressive exercise musc...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1016/0003-9993(93)90087-q
更新日期：1993-12-01 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：:Policy drives practice, and health services research (HSR) is at the intersection of policy, practice, and patient outcomes. HSR specific to rehabilitation and disability is particularly needed. As rehabilitation researchers and providers, we are uniquely positioned to provide the evidence that guides reforms targetin...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2017.06.026
更新日期：2018-01-01 00:00:00
abstract：:While participation is increasingly defined as the key outcome of rehabilitation, disagreements on and shortcomings in the definition, operationalization, and measurement of this concept abound and interfere with the progress of clinical services and research. This article explores a number of the major issues related...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/j.apmr.2009.10.036
更新日期：2010-09-01 00:00:00
abstract：OBJECTIVES:To investigate the effects of dual-task balance training on static and dynamic balance, functional mobility, cognitive level, and sleep quality in individuals with transfemoral amputation. DESIGN:Randomized controlled clinical trial. PARTICIPANTS:Transfemoral amputees (N=20). INTERVENTIONS:Participants we...
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.2020.06.009
更新日期：2020-10-01 00:00:00
abstract：OBJECTIVE:To assess the effects on functional outcomes and treatment adherence of wearable technology and serious games (ie, interactive computer applications with specific purposes useful in the "real world") currently used in physical rehabilitation of patients after traumatic bone and soft tissue injuries. DATA SOU...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2017.10.018
更新日期：2018-09-01 00:00:00
abstract：:Lumbosacral and associated leg pain and paresthesias arousing patients from a sound sleep, or Vesper's curse, has been previously reported. An increase in right atrial filling pressure reflected in elevated paraspinal venous volumes within the reduced confines of a stenotic lumbar spine has been cited as the cause of ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1990-05-01 00:00:00
abstract：:A diagnosis of depression is frequently considered in the evaluation of patients after cerebrovascular accident (CVA); however, the usual clinical signs of depression may be either masked in depressed patients or mimicked in nondepressed patients. The dexamethasone suppression test (DST), first used to screen patients...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1983-09-01 00:00:00
