Abstract:
OBJECTIVE:To test the hypothesis that use of a cane in the nondominant hand during challenging balance tasks would significantly decrease loss of balance in patients with peripheral neuropathy while transferring from bipedal to unipedal stance on an unsteady surface. DESIGN:Nonrandomized control study. SETTING:Tertiary-care institution. PARTICIPANTS:Eight consecutive patients with peripheral neuropathy (PN) and eight age- and gender-matched controls (C) with a mean (SD) age of 65 (8.2) years. METHODS:Subjects were asked to transfer their weight onto their right foot, despite a rapid +/- 2 degrees or +/- 4 degrees frontal plane tilt of the support surface at 70% of weight transfer, and balance unipedally for at least 3 seconds. The efficacy of their weight transfer was evaluated over 112 consecutive randomized and blocked trials by calculating loss of balance as failure rates (%FR) with and without visual feedback, and with and without use of a cane in the nondominant (left) hand. Results were analyzed using a 2 x 2 x 2 x 2 x 2 repeated-measures analysis of variance (rm-ANOVA) and post hoc t tests. RESULTS:The rm-ANOVA showed that the FR of the PN subjects (47.6% [18.1%]) was significantly higher than C (29.2% [15.2%], p = .036). Removing visual feedback, simulating the dark of night, increased the FR fourfold (p = .000). Use of a cane in the contralateral nondominant hand significantly reduced the FR (p = .000), particularly in the PN group (cane x disease interaction: p = .055). Post hoc t tests showed that with or without visual feedback, the cane reduced the FR of the PN group fourfold and enabled them to perform more reliably than matched controls not using a cane (p = .011). An inversion perturbation resulted in a higher FR than an eversion perturbation (p = .007). The PN group employed larger mean peak cane forces (21.9% BW) than C (13.6% BW) in restoring their balance (p = .000). CONCLUSION:Use of a cane by PN patients significantly reduced their risk of losing balance on unstable surfaces, especially under low-light conditions.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Ashton-Miller JA,Yeh MW,Richardson JK,Galloway Tdoi
10.1016/s0003-9993(96)90032-5subject
Has Abstractpub_date
1996-05-01 00:00:00pages
446-52issue
5eissn
0003-9993issn
1532-821Xpii
S0003-9993(96)90032-5journal_volume
77pub_type
杂志文章abstract::Our purpose was to determine the effects of transcutaneous electrical nerve stimulation (TENS) on the soleus H-reflex amplitude in normal subjects. Eleven subjects were tested in five experimental sessions, the purpose of which was to compare the effects of 30 minutes of TENS delivered at either 50 or 99Hz (250 micros...
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:10.1016/0003-9993(94)90090-6
更新日期:1994-10-01 00:00:00
abstract:OBJECTIVE:To examine the interobserver reliability and intrasubject variability of the assessment of lumbar range of motion (ROM) and maximal isometric strength in asymptomatic subjects by using commercially available equipment. DESIGN:A cross-sectional repeated-measures design. SETTING:Ambulatory care in a universit...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2006.01.007
更新日期:2006-04-01 00:00:00
abstract:OBJECTIVE:To use low- and high-dose adrenocorticotropin (ACTH) tests to assess adrenal reserve in men with spinal cord injury (SCI). DESIGN:After an overnight fast, 1 microg and 200 microg ACTH were injected intravenously at time 0 and 60 minutes between 8 AM and 9 AM. Blood was withdrawn at 30-minute intervals from t...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(99)90075-8
更新日期:1999-08-01 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:The kinematics of the elbow joint were studied for two types of wheelchairs and during two types of propulsive strokes. PARTICIPANTS:Ten serially selected healthy volunteers propelled a standard and a lightweight wheelchair on a roller system with both circular and pumping strokes. DESIGN:Kinematic data for...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(97)90333-6
更新日期:1997-11-01 00:00:00
abstract:OBJECTIVES:To examine the safety, feasibility, and balance performance effects of a 4-week home-based balance therapy program using a commercially available videogame system. DESIGN:A pilot study involving a preintervention and postintervention design was conducted with measurements taken at baseline, immediately post...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2011.08.031
更新日期:2012-02-01 00:00:00
abstract:OBJECTIVE:To compare postural balance between patients who have had either a large diameter head total hip arthroplasty or surface replacement arthroplasty. DESIGN:Observational study. SETTING:Outpatient biomechanical laboratory. PARTICIPANTS:Two groups of 14 patients with surface replacement or large diameter head ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2009.01.033
更新日期:2009-09-01 00:00:00
abstract:OBJECTIVES:To identify factors that are associated with older patients' engagement in exercise in the 6 months after hospital discharge. DESIGN:A prospective observational study using qualitative and quantitative evaluation. SETTING:Follow-up of hospital patients in their home setting after discharge from a metropoli...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2011.04.009
更新日期:2011-09-01 00:00:00
abstract::This case report examined whether a 26-year-old man with a 5-year history of nonsevere aplastic anemia could perform aerobic training and whether exercise was beneficial. Testing was performed at baseline and at 8 and 16 weeks and included complete blood tests, graded exercise tests with breath-by-breath gas analyses,...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(00)90146-1
更新日期:2000-02-01 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::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 develop an index that weights diagnostic information (International Classification of Diseases, 9th revision, Clinical Modification, or ICD-9-CM codes) by the extent to which it is expected to affect functional status and inpatient rehabilitation length of stay (LOS). DESIGN:Eleven nationally prominent ph...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(00)90033-9
更新日期:2000-05-01 00:00:00
abstract:OBJECTIVE:To provide a quantitative synthesis of randomized controlled trials (RCTs) examining the effect of exercise training on muscular and cardiorespiratory fitness in persons with multiple sclerosis (MS). DATA SOURCES:Three electronic databases, PubMed, Google Scholar, and Web of Science, were searched for all re...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.apmr.2016.01.023
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVE:To investigate the effectiveness of a home-based multiple-speed treadmill training program to improve gait performance in persons with a transfemoral amputation (TFA). DESIGN:Repeated measures. SETTING:Research laboratory. PARTICIPANTS:Individuals with a TFA (N=8) who had undergone a unilateral amputation ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2013.08.001
更新日期:2013-12-01 00:00:00
abstract::A computer-based version of the rod-and-frame test for verticality perception has been developed. The task tested verticality perception of subjects by using the computer mouse to rotate a bright rod to a vertical orientation within a square frame that was tilted through a range of angles from 30 degrees counterclockw...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2004.05.022
更新日期:2005-05-01 00:00:00
abstract:OBJECTIVE:To study the relationship between sex differences among men and women in the response to pain and the effect on satisfaction with quality of life (QOL) in poststroke patients approximately 90 days after discharge from inpatient medical rehabilitation. DESIGN:Cross-sectional design. SETTING:Community based. ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2006.12.022
更新日期:2007-04-01 00:00:00
abstract::The purpose of this investigation was to determine the intratester reliability of measurements obtained with the Nicholas Manual Muscle Tester (NMMT) by a tester having minimal experience on individuals with intellectual disabilities. Seventeen individuals classified as moderately mentally retarded between the ages of...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1994-07-01 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::Development of our current research practices has been driven by a number of assumptions and from operating within practical constraints. Technological change is beginning to remove many of these limits, although our research and practice has so far only gradually and partially evolved in response. The U.S. federal go...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/j.apmr.2013.12.014
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVE:Rearfoot motion, particularly rearfoot pronation, has been associated with many foot and leg pathologies. The assessment of abnormal rearfoot pronation frequently involves the use of video assessment in both clinical and research settings, but the reliability of this assessment has not been addressed. DESIGN...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(96)90003-9
更新日期:1996-07-01 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:OBJECTIVES:To investigate the opioid prescription patterns for adults with longstanding physical disability and inflammatory conditions, compared to a mixed group of other opioid users, after excluding cancer patients. DESIGN:Nationally representative cross-sectional study, 2010-2014. SETTING:Medical Expenditure Pane...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2018.06.034
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVES:To determine the characteristics and effectiveness of motor skill interventions in children with developmental coordination disorder (DCD) and to identify potential moderators of training effects using meta-analysis. DATA SOURCES:A search was conducted in 6 databases (CINAHL Plus, Cochrane Library, Embase, ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1016/j.apmr.2017.12.009
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVE:To characterize the preinjury family functioning, emotional distress, and social support of caregivers of persons with traumatic brain injury (TBI). DESIGN:Inception cohort. SETTING:Three Traumatic Brain Injury Model Systems centers' inpatient rehabilitation facilities. PARTICIPANTS:One hundred ninety-one ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1053/apmr.2003.50105
更新日期:2003-02-01 00:00:00
abstract:OBJECTIVE:To examine the effects of acute fatigue of the hip abductors on the control of balance in young and older women. DESIGN:Pretest-posttest. SETTING:University research laboratory. PARTICIPANTS:Healthy young women (n=20; age, 23.0+/-1.5y; height, 166.52+/-4.5 cm; mass, 65.33+/-10.5 kg) and community-dwelling ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2009.01.025
更新日期:2009-07-01 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::The purpose of this study was to determine cardiac output and related cardiovascular responses during postinversion by comparing preinversion (baseline data) to postinversion data in healthy, normal subjects. Each of 20 subjects (means = 22 years) was inverted for five minutes. Cardiac output was measured noninvasivel...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1988-07-01 00:00:00
abstract:OBJECTIVE:To determine the relation between serologic markers of information and clinical characteristics of people with chronic spinal cord injury (SCI). DESIGN:Cross-sectional study. SETTING:Academic medical center SCI outpatient clinic. PARTICIPANTS:Convenience sample of 37 men with chronic SCI and 10 healthy con...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2004.02.009
更新日期:2005-02-01 00:00:00
abstract:OBJECTIVE:To analyze the role of the rectus femoris muscle in nondisabled gait at various walking velocities using fine-wire dynamic electromyography. DESIGN:Descriptive study. Fine-wire electromyography data were collected from the rectus femoris during level walking at four walking speeds. Rectus femoris activity pa...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(99)90085-0
更新日期:1999-08-01 00:00:00
abstract:OBJECTIVES:(1) To examine the mediating effects of depressive symptoms on the relations between employment, grief, depression treatment, and participation enfranchisement after spinal cord injury (SCI); and (2) to examine the moderating role of demographic and injury characteristics, including sex, race, marital status...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2014.01.027
更新日期:2014-06-01 00:00:00