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 comparing obstacle course performance scores of a sample of 237 community-dwelling veterans, aged 67 to 93 yr, with clinical indicators of balance and mobility including age, history of falls, symptoms of balance dysfunction, medication use, orthostatic blood pressure changes, neurologic examination abnormalities, muscle strength, joint range of motion, self-reported activity level, and functional status. Significant correlations were found between obstacle course scores and all clinical indicators except blood pressure changes and age. Multiple regression analysis of selected variables showed that activity level and neurologic abnormalities best determined both qualitative and quantitative obstacle course performance. Non-fallers performed significantly better on the obstacle course than fallers. These results suggest that the obstacle course is valid and has potential as a useful tool in the evaluation of older persons with balance and mobility impairment.
journal_name
Am J Phys Med Rehabiljournal_title
American journal of physical medicine & rehabilitationauthors
Means KM,Rodell DE,O'Sullivan PSdoi
10.1097/00002060-199603000-00003subject
Has Abstractpub_date
1996-03-01 00:00:00pages
88-95issue
2eissn
0894-9115issn
1537-7385journal_volume
75pub_type
杂志文章abstract:OBJECTIVE:Seventy-nine percent of respondents to the 1990 National Post-Polio Survey reported difficulty "thinking of words I want to say," with 37% reporting frequent, moderate-to-severe word finding difficulty. This study was undertaken to objectively document polio survivors' word finding difficulty and to identify ...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/00002060-200007000-00005
更新日期:2000-07-01 00:00:00
abstract::A 38-yr-old woman reported intermittent pain, paresthesia, and weakness in the right upper limb and sweating on the right side of her face and ipsilateral upper limb during the last 4 yrs. Eventually, she was diagnosed with thoracic outlet syndrome, whereby sympathetic nervous system involvement was thought to ensue b...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/PHM.0b013e31820f96fe
更新日期:2011-09-01 00:00:00
abstract::The aim of this essay was to show the impact that driving forces have had on the emergence of rehabilitation as a health strategy in the United States. Specifically, this essay (1) identifies the driving forces that have addressed the development of rehabilitation, (2) examines how the rehabilitative strategy has been...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/PHM.0000000000000864
更新日期:2018-03-01 00:00:00
abstract::Skeletal muscle function is critical to movement and one's ability to perform daily tasks, such as eating and walking. One objective of this article is to review the contractile properties of fast and slow skeletal muscle and single fibers, with particular emphasis on the cellular events that control or rate limit the...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章,评审
doi:10.1097/01.PHM.0000059336.40487.9C
更新日期:2003-04-01 00:00:00
abstract:OBJECTIVES:This article presents analytic results from a prospective study of 313 stroke rehabilitation patients, looking at the relative contributions of different stroke impairments toward prediction of discharge function, rehabilitation length of stay, and discharge destination after inpatient rehabilitation. The re...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/01.phm.0000171005.08744.ab
更新日期:2005-08-01 00:00:00
abstract:OBJECTIVE:The aim of the study was to determine whether somatosensory stimulation affects outcomes of motor training for moderate-to-severe upper limb hemiparesis less than 12 mos before stroke. DESIGN:Fifty-five adults participated in 18 intervention sessions pairing 2 hours of active (n = 33) or sham (n = 22) somato...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1097/PHM.0000000000000971
更新日期:2018-11-01 00:00:00
abstract::Although generally presenting as a chronic, progressive peripheral neuropathy, we present a case of acute alcoholic neuropathy initially mistaken for acute Guillain-Barré syndrome. Electrodiagnostic evaluation of alcoholic neuropathy reveals an axonal neuropathy and may be complicated by demyelination if comorbid nutr...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/PHM.0000000000001244
更新日期:2020-03-01 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::Clinical practice guidelines (CPGs) provide an efficient route from research to practice because they follow a prescribed, vetted process for evidence collection. CPGs offer underserved fields, such as burn rehabilitation, an accessible approach to reliable treatment. A literature search was performed using the terms ...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/PHM.0000000000001442
更新日期:2020-08-01 00:00:00
abstract::A combination of in vivo and in vitro analyses was performed to investigate muscular and neural adaptations of the weaker (nondominant) quadriceps femoris muscle of one healthy individual to short-term electrostimulation resistance training. The increase in maximal voluntary strength (+12%) was accompanied by neural (...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/01.phm.0000197570.03343.18
更新日期:2006-02-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of the placement of a plate under the sole of the forefoot on the excitability of the soleus motoneuron pool in stance. DESIGN:While eight neurologically intact subjects remained in stance, a square plate (30 x 30 mm), either 3 mm or 6 mm in thickness, was placed under the left medi...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/01.PHM.0000087454.19029.7E
更新日期:2003-11-01 00:00:00
abstract::Restorative management of the disabled elderly requires knowledge about realistic functional expectations, in addition to knowledge about a patient's particular disease. Health outlook, especially sense of control, should also be assessed because rehabilitation depends on the patient's active participation. A comparis...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/00002060-199204000-00007
更新日期:1992-04-01 00:00:00
abstract:OBJECTIVE:To provide benchmarking information for a large national sample of patients receiving inpatient rehabilitation after a stroke. DESIGN:Analysis of secondary data from 893 medical rehabilitation facilities located in the United States and contributing information to the Uniform Data System for Medical Rehabili...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/PHM.0b013e3181c1ec38
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVE:Motor Unit Number Index (MUNIX) is a quantitative electrophysiological measure that provides an index of the number of motor neurons supplying a muscle. The aim of this exploratory study is to assess the utility of MUNIX in the evaluation of patients with lumbar spinal stenosis (LSS). DESIGN:Participants wer...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/PHM.0000000000001681
更新日期:2021-01-08 00:00:00
abstract:OBJECTIVES:The purpose of this study was to assess the effects of acute joint effusion on balance in patients with knee osteoarthritis. DESIGN:Forty-four female subjects with painful knee osteoarthritis participated in this single-blind, randomized, controlled clinical trial. All subjects were randomly assigned to eit...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1097/PHM.0b013e318269d78f
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:To document the relationship between sleep disturbance and chronic low back pain in patients referred to a physical medicine and rehabilitation clinic. DESIGN:This is a prospective cross-sectional survey of 268 patients 18 yrs or older being evaluated for low back pain of greater than 6 months at a tertiary ...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/01.phm.0000214259.06380.79
更新日期:2006-05-01 00:00:00
abstract::The Research Agenda Setting Process is a joint endeavor by the American Geriatrics Society and the Hartford Foundation to increase geriatric expertise in the surgical and related specialties. This article provides the results of the Research Agenda Setting Process project on research needs in geriatric rehabilitation,...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章,评审
doi:10.1097/01.phm.0000143435.79146.9f
更新日期:2004-11-01 00:00:00
abstract:OBJECTIVE:To compare balance, mobility, recent falls, and injuries among elderly African American and white women. DESIGN:This was a nonexperimental study. Participants, who were older than 65 yr of age, able to walk at least 30 ft, not residing in a nursing home, and with no acute medical problems, were recruited fro...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/00002060-200001000-00008
更新日期:2000-01-01 00:00:00
abstract::Osteoarthritis is an age-related condition that commonly affects the middle-aged and elderly population including individuals who continue to pursue an active and athletic lifestyle. Running is an easily accessible activity with many health benefits; thus, it is becoming a popular form of exercise, even in older indiv...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章,评审
doi:10.1097/PHM.0000000000001082
更新日期:2019-05-01 00:00:00
abstract::This study compared multidimensional and unidimensional measures of functional outcome from traumatic brain injury in a referred sample of 67 persons with moderate to severe traumatic brain injury who resided in the community or in a nonhospital facility. Four outcome indicators (independence in self-care, independenc...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/00002060-199603000-00005
更新日期:1996-03-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to investigate the relationship between a clinical test of ankle plantarflexor strength and ankle power generation (APG) at push-off during walking. DESIGN:This is a prospective cross-sectional study of 102 patients with traumatic brain injury. OUTCOME MEASURES:Handheld dynamometry...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/PHM.0000000000000196
更新日期:2015-02-01 00:00:00
abstract::Functional independence measure (FIM) scores are frequently used as if the various sections are of equal importance and as if the interval between each score is equal. We tested this hypothesis by using marketing research techniques to assess the value to rehabilitation nurses and therapists of four of the six section...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:
更新日期:1994-02-01 00:00:00
abstract:OBJECTIVE:To examine changes in functional status and health-related quality of life (HRQOL) during inpatient stroke rehabilitation to examine the associations between changes in the two measures. DESIGN:Two independently collected databases were combined for a retrospective analysis. One contained the objectively ass...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/01.phm.0000240666.24142.f7
更新日期:2006-10-01 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:OBJECTIVE:The aim of the study was to compare changes in the concentration of serum biomarkers in response to continuous versus interval walking exercise in participants with knee osteoarthritis. DESIGN:This study used a two-phase sequential design. Twenty-seven participants with unilateral knee osteoarthritis complet...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1097/PHM.0000000000001068
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVES:The aims of the study were to systematically review the available literature concerning complications due to electromyography and to review those associated with nerve conduction studies. DESIGN:A systematic review was undertaken of Medline and Cochrane Central Register of Controlled Trials. Any complicatio...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/PHM.0000000000001304
更新日期:2020-02-01 00:00:00
abstract::Neuroendocrine dysfunctions are among the various complications that occur after traumatic brain injury. We report a case of onset of diabetes insipidus during acute rehabilitation of a 20-yr-old patient with a traumatic brain injury caused by a gunshot wound. Our case is the latest onset of diabetes insipidus after t...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/00002060-200210000-00013
更新日期:2002-10-01 00:00:00
abstract:OBJECTIVE:To demonstrate the prevalence and prognostic value of electrocardiographic abnormalities in patients with chronic spinal cord injury. METHODS:All electrocardiographs obtained in the Palo Alto Veterans Affairs Medical Center since 1987 have been digitally recorded and stored in a computerized database. For th...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/00002060-200208000-00008
更新日期:2002-08-01 00:00:00
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:OBJECTIVE:We measured the surface electromyographic activities of vastus medialis obliquus and vastus lateralis in 16 subjects with patellofemoral joint pain syndrome. DESIGN:Each subject performed bilateral static knee extension exercises at 60% of his or her maximal voluntary effort under different combinations of h...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1097/00002060-200111000-00003
更新日期:2001-11-01 00:00:00