Abstract：
:Recent studies have clarified the role of hypoxic-ischemic damage as a secondary factor in traumatic brain injury (TBI). Many trauma centers are now consistently using the Revised Trauma Score (Glasgow Coma Scale, systolic blood pressure, and respiratory rate) to assist with triage of multitrauma patients. This study investigated the predictive power of the Revised Trauma Score (RTS) instead of the Glasgow Coma Scale (GCS) in determination of disability as measured by the Disability Rating Scale (DRS). Data were obtained as part of the National Institute for Disability and Rehabilitation Research TBI Model Systems database on 501 patients receiving acute medical care and inpatient rehabilitation within a coordinated neurotrauma program for treatment of TBI. Initial RTS and GCS were obtained on admission to the emergency department, along with the lowest GCS measured in the first 24 h. Analysis of initial RTS and GCS demonstrated modest, but statistically significant Pearson's correlations with DRS at rehabilitation admission (-0.18 and -0.25, respectively) and discharge (-0.22 and -0.24, respectively). Lowest GCS within the first 24 h postinjury also failed to show a strong relationship with DRS at rehabilitation admission (-0.28) and discharge (-0.24). Multiple regression analysis performed on RTS subsets for systolic blood pressure and respiratory rate did not reveal an added predictive value. Although RTS may be important in emergency triage for its ability to predict mortality, this study indicates its limited usefulness in prediction of disability.
journal_name
Am J Phys Med Rehabiljournal_title
American journal of physical medicine & rehabilitationauthors
Zafonte RD,Hammond FM,Mann NR,Wood DL,Millis SR,Black KLdoi
10.1097/00002060-199611000-00011subject
Has Abstractpub_date
1996-11-01 00:00:00pages
456-61issue
6eissn
0894-9115issn
1537-7385journal_volume
75pub_type
杂志文章abstract：OBJECTIVES:To investigate the effect of abdominal massage on clinical aspects of bowel dysfunction and colonic transit time in patients with spinal cord injury. Twenty-four patients were placed on a standard bowel program (phase I), after which abdominal massage was added to the regimen (phase II). Parameters of gastro...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1097/01.phm.0000247649.00219.c0
更新日期：2006-12-01 00:00:00
abstract：OBJECTIVE:To evaluate health-related quality of life and disability in multiple-trauma patients requiring intensive care unit management. DESIGN:A total of 87 survivors of multiple trauma, with a median age of 31 yrs and a median Injury Severity Score of 22, were enrolled in the present study. The Nottingham Health Pr...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/01.phm.0000107497.77487.c1
更新日期：2004-03-01 00:00:00
abstract：:Patients with spinal cord injury (SCI) possess higher arterial stiffness index (SI) than the healthy population. This study aimed to clarify the effect of post-morbid duration on arterial stiffening change among SCI sufferers. Seventy-one SCI patients were recruited. The demographic data including age, gender, level o...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000000565
更新日期：2017-02-01 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：OBJECTIVE:The aim of this study was to test whether fractionated irradiation in photobiomodulation therapy enhances short-term recovery in patients with moderate severity ankle sprain. DESIGN:Nineteen patients were randomly assigned to one of two groups: one group receiving photobiomodulation therapy combined with the...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,随机对照试验
doi：10.1097/PHM.0000000000001178
更新日期：2019-08-01 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 aim of this study was to investigate the effects of a task-oriented ambulation training program in regaining walking, balance, and activity of daily living performance for ambulation-challenged residents with walking potential in long-term care facilities. DESIGN:Fifty ambulation-challenged residents wit...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,随机对照试验
doi：10.1097/PHM.0b013e3182555de3
更新日期：2012-07-01 00:00:00
abstract：:Rats pretrained to walk a narrow balance beam received unilateral sensorimotor cortex lesions, resulting in a contralateral transient paresis that lasted 14 days. In a dose-dependent manner, a single injection of the antidepressant trazodone given 24 hours after injury transiently slowed motor recovery compared with i...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-199310000-00007
更新日期：1993-10-01 00:00:00
abstract：OBJECTIVE:To examine the impact of diabetes mellitus (DM) on functional outcomes after acute rehabilitation for cerebrovascular accident (CVA). DESIGN:A retrospective research design was used to analyze outcomes in patients with a primary diagnosis of unilateral stroke (n = 367) admitted to an urban, acute rehabilitat...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e31813e0769
更新日期：2007-09-01 00:00:00
abstract：:Ultrasound-guided cervical medial branch block (CMBB) is commonly performed to diagnose and treat head, neck, and shoulder pain. However, its use at the C7 level has been shown to be less accurate than at other levels, which may increase the chance of injury owing to the imprecision of needle site provided by the ultr...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000000613
更新日期：2017-06-01 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：:The F-response is a valuable tool for evaluating the functional integrity of proximal nerve segments. Although many studies have focused on the various F-response characteristics observed (e.g., latency, amplitude, duration, persistence, etc.), few have examined the significance of stimulus parameters on the resultant...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-199409000-00003
更新日期：1994-09-01 00:00:00
abstract：OBJECTIVE:This study examined the magnitude of work-related disability in postmenopausal women with breast cancer compared with healthy controls. It also examined demographic and clinical correlates of work-related disability in postmenopausal women with breast cancer. STUDY DESIGN:This was an exploratory secondary an...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000001138
更新日期：2019-07-01 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：OBJECTIVE:The aim of this study was to evaluate the relationship between body mass index (BMI) and change in motor impairment and functional mobility after a gait rehabilitation intervention in chronic stroke subjects. DESIGN:Correlation and linear regression analyses of pretreatment and end-of-treatment Fugl-Meyer sc...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,随机对照试验
doi：10.1097/PHM.0b013e31826458c6
更新日期：2012-11-01 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：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
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：OBJECTIVE:To assess changes over time and responsiveness of the Cochin Hand Function Scale (CHFS) and Mouth Handicap In Systemic Sclerosis (MHISS) scale in patients with systemic sclerosis (SSc). DESIGN:This was a prospective longitudinal study. PARTICIPANTS:Participants were drawn from a convenience sample of indivi...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000000611
更新日期：2016-12-01 00:00:00
abstract：:Evidence-based medicine is regarded by many as the new paradigm in medical practice. Sixty-seven medical school faculty and trainees in a physical medicine and rehabilitation department were surveyed with regard to training and competence in the use of evidence-based medicine techniques. The majority of subjects in th...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-199905000-00008
更新日期：1999-05-01 00:00:00
abstract：:The purpose of this study was to stimulate the laryngeal cough reflex using a nebulized, mild chemical irritant and to record an associated laryngeal evoked potential from the internal branch of the superior laryngeal nerve. The laryngeal evoked potential was obtained on ten normal subjects from the right internal bra...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-199811000-00014
更新日期：1998-11-01 00:00:00
abstract：OBJECTIVES:To establish the correlations of measures of self-reported disability, self-efficacy, physical performance, level of pain, and estimates of aerobic capacity (PvO2 ) in subjects with low back pain. DESIGN:Fifty-one low back pain subjects, ranging in age from 26 to 65 yr, entered the study. Participants compl...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-200212000-00005
更新日期：2002-12-01 00:00:00
abstract：:This study examined whether inability to perform adaptive locomotor tests predicts self-reported incident mobility disability. InCHIANTI study participants (N = 611; age, 50-85 yrs) who could walk 7 m at self-selected speed and who had no self-reported mobility disability at baseline were included. The ability to comp...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e31827d634e
更新日期：2013-08-01 00:00:00
abstract：:A man in his 70s presented for acute rehabilitation with severe acute flaccid asymmetric weakness in both lower limbs. Cerebrospinal fluid and serum immunoglobulin M titers were positive for West Nile virus. Electrodiagnostic studies demonstrated severe diffuse motor axonopathy consistent with an anterior myelitis. El...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/01.phm.0000184160.87895.ea
更新日期：2005-11-01 00:00:00
abstract：OBJECTIVE:Patients hospitalized with traumatic brain injury comprise a large portion of the population treated at trauma centers, and physiatry consultants evaluate many traumatic brain injury patients in this setting. The purpose of this study was to delineate relationships between physical medicine and rehabilitation...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/01.PHM.0000073825.09942.8F
更新日期：2003-07-01 00:00:00
abstract：:This study explores the "higher order" cognitive abilities of conceptual reasoning, problem solving, mental flexibility, and efficiency in 36 adolescents with spina bifida. The subjects, age 10 to 23 years, were assessed on a set of neuropsychological measures, and an individual profile analysis was conducted. All sub...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-199805000-00011
更新日期：1998-05-01 00:00:00
abstract：OBJECTIVE:The aim of the study was to compare the quality of life (QOL) of patients undergoing hematopoietic stem cell transplantation who improved their functional capacity during hospitalization (increased functional capacity group) with that of patients who maintained or decreased functional capacity during hospital...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000001125
更新日期：2019-06-01 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：:This study examined the effects of a computerized functional electrical stimulation exercise program on plasma beta-endorphin-like immunoreactivity (BEP-ir), cortisol levels and depression parameters in spinal cord-injured individuals. Nine subjects from 1.2 to 33.5 yr postinjury with both motor and sensory complete l...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-199206000-00006
更新日期：1992-06-01 00:00:00
abstract：OBJECTIVE:Foot deformities are one of the most common musculoskeletal problems in children with cerebral palsy (CP). These deformities affect the walking ability and function of the patients. Talar cartilage is the hyaline joint cartilage of the tibiotalar joint that plantarflexes and dorsiflexes of the ankle. The aim ...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000001499
更新日期：2020-12-01 00:00:00
