Abstract:
:This study examined the validity and reliability of the anaerobic threshold (AT) using blood lactate (ATLa) and respiratory gas exchange (ATg) criteria during cycle ergometry (CE) and wheelchair ergometry (WE) in athletes with spastic cerebral palsy (CP). Eleven subjects attempted a discontinuous incremental test protocol, two minutes work interspersed with one minute rest, twice each on the CE and WE. Only five out of the 11 subjects were able to complete the CE tests, whereas all the subjects were able to complete the WE test. Inadequate hip flexion due to muscle spasticity was the primary limiting factor during the CE tests. Although the maximal aerobic power using this protocol was reliable during WE (r = 0.89, p < .05), the validity and reliability of the AT identified by two independent evaluators using these two techniques was questionable. Evaluator 1 was able to identify ATLa and ATg in seven out of the 11 cases, whereas evaluator 2 was successful in five and seven cases, respectively. It is unclear from these results whether the poor validity and reliability of the AT was due to the discontinuous test protocol used, or whether it was due to inconsistencies in the rate of lactate diffusion from the muscle into the blood due to variations in muscle spasticity during the test.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Bhambhani YN,Holland LJ,Steadward RDsubject
Has Abstractpub_date
1993-03-01 00:00:00pages
305-11issue
3eissn
0003-9993issn
1532-821Xpii
0003-9993(93)90142-Wjournal_volume
74pub_type
杂志文章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 compare quadriceps fatigability during maximal concentric contractions in persons with multiple sclerosis (MS) and healthy subjects. DESIGN:Observational study. SETTING:Hospital rehabilitation department. PARTICIPANTS:Persons with MS (n=38) and healthy subjects (n=14) were included (N=52). Torque of the...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2016.12.014
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVE:To explore the relation between vitamin D and physical function outcomes in people with spinal cord injury (SCI). DESIGN:Cross-sectional study. SETTING:Rehabilitation institute. PARTICIPANTS:Consecutive patients (N=100; 72 men and 28 women) with chronic SCI admitted to a rehabilitation program. INTERVENTI...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2016.01.002
更新日期:2016-05-01 00:00:00
abstract::Heterotopic ossification (HO) is frequently a complication in patients with severe head injury, impeding the rehabilitation process. Detection of HO is often delayed until the appearance of clinical manifestations. To better characterize the frequency and distribution of HO, a three-year prospective study at a pediatr...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1992-03-01 00:00:00
abstract:OBJECTIVE:To quantitatively assess the antispastic effect of intrathecally administered baclofen on muscle stiffness in spastic patients. DESIGN:Case-control study. SETTING:Clinical laboratory in a university hospital of a city of more than 1,000,000 inhabitants. PARTICIPANTS:Eighteen healthy adult volunteers (9 men...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(00)90071-6
更新日期:2000-03-01 00:00:00
abstract:OBJECTIVE:To examine and describe regional variation in outcomes for persons with stroke receiving inpatient medical rehabilitation. DESIGN:Retrospective cohort design. SETTING:Inpatient rehabilitation units and facilities contributing to the Uniform Data System for Medical Rehabilitation from the United States. PAR...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2013.07.018
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:To describe the experiences of clinicians who have used robotic exoskeletons in their practice and acquire information that can guide clinical decisions and training strategies related to robotic exoskeletons. DESIGN:Qualitative, online survey study, and 4 single-session focus groups followed by thematic ana...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2020.08.024
更新日期:2021-02-01 00:00:00
abstract:OBJECTIVE:To evaluate whether early neuropsychologic testing is useful in predicting long-term productivity outcome after traumatic brain injury (TBI). DESIGN:Validation cohort prediction study. SETTING:Four inpatient brain injury rehabilitation programs participating in the Traumatic Brain Injury Model Systems proje...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1053/apmr.2001.23753
更新日期:2001-06-01 00:00:00
abstract:OBJECTIVE:To investigate interlimb coupling in an adult population with left hemiplegia and an age-matched control group to better understand the unique motor control issues in stroke rehabilitation. DESIGN:A chi-square analysis was performed to compare the distribution of participants adopting a given movement patter...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2003.08.084
更新日期:2004-04-01 00:00:00
abstract:OBJECTIVE:To determine whether social skills deficits including unskilled, inappropriate behavior, problems reading social cues (social perception), and mood disturbances (such as depression and anxiety) could be remediated after severe traumatic brain injuries. DESIGN:Randomized controlled trial comparing a social sk...
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.2008.02.029
更新日期:2008-09-01 00:00:00
abstract:UNLABELLED:Cooper RA. Comparison of virtual wheelchair driving performance of people with traumatic brain injury using an isometric and a conventional joystick. OBJECTIVE:To compare wheelchair driving performance in a driving simulator using a conventional joystick and an isometric joystick. DESIGN:Randomized, cohort...
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.2011.03.011
更新日期:2011-08-01 00:00:00
abstract:OBJECTIVE:To use an established dysphagia clinical screening system to evaluate outcomes in acute stroke patients. DESIGN:Case-control study. SETTING:Tertiary care center. PARTICIPANTS:Acute stroke patients (n = 56) consecutively referred to a speech pathology service. MAIN OUTCOME MEASURES:Outcomes (ie, pneumonia,...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2000.6301
更新日期:2000-08-01 00:00:00
abstract:OBJECTIVES:To examine aphasia outcomes and to determine whether the observed language profiles vary by race-ethnicity. DESIGN:Retrospective cross-sectional study using a convenience sample of persons of with aphasia (PWA) obtained from AphasiaBank, a database designed for the study of aphasia outcomes. SETTING:Aphasi...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2016.10.010
更新日期:2017-04-01 00:00:00
abstract::Ten individuals with spinal muscular atrophy (SMA) and chronic ventilatory insufficiency were trained in the use of assisted coughing techniques and received intermittent positive pressure ventilation (IPPV) via oral and/or nasal interfaces for a mean of 5.3 (range = 1 to 17) years. During this time they had significa...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/s0003-9993(95)80603-2
更新日期:1995-03-01 00:00:00
abstract:OBJECTIVE:To examine the relationship of body mass index (BMI) with multiple health indices among persons with spinal cord injury (SCI). DESIGN:Multicenter cross-sectional study. SETTING:A total of 16 SCI Model Systems throughout the United States. PARTICIPANTS:A total of 1107 men and 274 women (N=1381), mean age ± ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2010.06.030
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVE:To systematically review the psychometric evidence on the 2-minute walk test (2MWT). DATA SOURCES:Electronic searches of databases including MEDLINE, CINAHL, Academic Search Premier, SPORTDiscus, PsycINFO, EMBASE, the Cochrane Library, and DARE were done until February 2014 using a combination of subject hea...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.apmr.2014.03.034
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVES:Work-related components are an essential part of rehabilitation programs to support return to work of patients with musculoskeletal disorders. In Germany, a guideline for work-related medical rehabilitation was developed to increase work-related treatment components. In addition, new departments were approve...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/j.apmr.2018.06.018
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVE:To define further the relation between unipedal stance testing and peripheral neuropathy. DESIGN:Prospective cohort. SETTING:Electroneuromyography laboratory of a Veterans Affairs medical center and a university hospital. PATIENTS:Ninety-two patients referred for lower extremity electrodiagnostic studies. ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2001.17830
更新日期:2001-02-01 00:00:00
abstract::Fifty-six shoulders in 50 patients with adhesive capsulitis were divided into 2 groups, using different treatment programs. Group A comprised 28 shoulders in 26 patients. These were treated by therapeutic heating modalities followed by therapeutic exercises and gentle rhythmic stabilization manipulation. Group B total...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1983-01-01 00:00:00
abstract:OBJECTIVE:To better understand the needs of spouses who provide care to spinal cord injury (SCI) survivors, by comparing their self-perceptions and complaints with those of their partners with disabilities and with those of spouses who do not provide care. DESIGN:Survey, including demographics, health concerns questio...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(97)90194-5
更新日期:1997-08-01 00:00:00
abstract:OBJECTIVES:To describe return to work (RTW) for motor vehicle accident (MVA) survivors with mild traumatic brain injury (MTBI) and to examine relationships between RTW and injury severity, cognitive impairment, social interaction, discharge disposition, and sociodemographics. DESIGN:Inception cohort assessed within 1 ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(99)90275-7
更新日期:1999-04-01 00:00:00
abstract:OBJECTIVES:To assess the quality and explore the potential impact of the communication of physical therapy (PT) recommendations in hospital discharge summaries/orders for high-risk subacute care populations, specifically targeting recommendations for (1) maintenance of patient safety, (2) assistance required for mobili...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2015.07.013
更新日期:2015-11-01 00:00:00
abstract::A quadriplegic patient with obstructive emphysema caused by mucus in the bronchi of the hyperinflated lung, demonstrated by chest radiograph and corrected by bronchoscopic aspiration of secretions from the hyperexpanded side, is reported. Subsequently, this phenomenon recurred in the opposite lung. This case is of par...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1987-05-01 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 evaluate the effects of functional electric stimulation (FES) of lower limb muscles during 30 minutes of upright standing on the central and peripheral hemodynamic response in persons with spinal cord injury (SCI). DESIGN:A repeated-measure design. Subjects were used as their own control and underwent 2 t...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2001.25984
更新日期:2001-11-01 00:00:00
abstract:OBJECTIVE:To assess and compare the reliability and validity of the Houghton Scale, the Prosthetic Profile of the Amputee Locomotor Capabilities Index (PPA-LCI), and the Prosthetic Evaluation Questionnaire (PEQ) mobility subscale, 3 disease-specific self-report measures of functional mobility for lower extremity prosth...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2001.25987
更新日期:2001-10-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to identify exercise protocols incorporating isometric contractions that provide pain relief in women with fibromyalgia. DESIGN:A before-after trial. SETTING:A physical therapy department in an academic setting. PARTICIPANTS:Fifteen women (mean ± SD, 52±11y) with fibromyalgia....
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.2010.10.006
更新日期:2011-01-01 00:00:00
abstract::A study is presented of a biomechanical comparison of two different aided gait patterns used by rheumatoid arthritis patients after knee joint surgery. Subjects using alternating and step-to gait patterns were compared when ambulating with forearm-support crutches. Data were collected via instrumented walking aids and...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1990-04-01 00:00:00
abstract::The inability to communicate personal needs, feelings, and ideas is a frustrating barrier for nonverbal patients with severe physical disabilities. It hampers the physician-patient relationship and medical services. This problem has been diminished with the use of a new communication board for patients with brain stem...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1985-12-01 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