Abstract:
OBJECTIVE:To determine physiological energy cost with Blatchford's "Intelligent Prosthesis" (IP) compared to energy cost with a conventional pneumatic swing phase control (PSPC) mechanism. DESIGN:Before-After trial: subjects fitted with IP walked on programmable treadmill at speeds: 6 min slow, 6 min fast, 8 min while speed changed, between slow, normal, and fast, every minute, and 6 min normal. Breath-by-breath analysis of subject's expired air determined average Vo2 (L/min) within each period. Procedure repeated after 1-week interval using PSPC prosthesis. Testing sessions supervised by experienced prosthetist. SETTING:Rehabilitation centre. SUBJECTS:Volunteer sample. Three men, unilateral transfemoral traumatic amputee patients, ages 39 to 59 years. Normally used ischial containment socket, Blatchford Endolite Stabilised Stance Flex knee with PSPC and Multiflex foot and ankle. INTERVENTIONS:Fitting, programming, and alignment of IP (own socket) by Bioengineering Unit's resident prosthetist, IP's microprocessor programmed to facilitate five walking speeds. MAIN OUTCOME MEASURE:Physiological energy cost (Vo2), of using IP compared to using PSPC mechanism. RESULTS:Two subjects displayed reduced Vo2 of between 5.6% and 9.0% using IP compared to PSPC prosthesis at a pace either faster or slower than their normal pace. Third subject showed no significant change in oxygen consumption despite IP unit being heavier. All subjects displayed reduced Vo2 (averaging 4.1%) using IP for period of variable speed walking. CONCLUSIONS:Although differences were small, they tend to indicate that use of the heavier IP unit lowered the energy cost of walking at speeds other than the amputee's normal pace.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Buckley JG,Spence WD,Solomonidis SEdoi
10.1016/s0003-9993(97)90044-7subject
Has Abstractpub_date
1997-03-01 00:00:00pages
330-3issue
3eissn
0003-9993issn
1532-821Xpii
S0003-9993(97)90044-7journal_volume
78pub_type
杂志文章abstract:OBJECTIVE:To develop and validate the Impact of Multiple Sclerosis Scale (IMSS) and the Symptoms of Multiple Sclerosis Scale (SMSS) using the Extended Disability Status Scale (EDSS) for construct validity. DESIGN:Panel design involving test-retest over 4 months. SETTING:A mailed survey. PARTICIPANTS:Volunteers with ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2006.01.024
更新日期:2006-06-01 00:00:00
abstract::This report describes the design and use of a wheeled walker that can accommodate a ventilator and oxygen tanks. It is constructed of aluminum tubing. The front of the walker has receptacles to support a Mark 7 Bird Ventilator and oxygen tanks. The back end of the walker has a bench seat that is lifted to allow entry ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(96)90201-4
更新日期:1996-12-01 00:00:00
abstract:OBJECTIVES:To examine the convergent validity, sensitivity to change, floor and ceiling effects of the Community Balance and Mobility Scale (CB&M) in community-dwelling stroke survivors. The secondary objective was to determine the correlations between the CB&M and lower-limb motor recovery and strength. DESIGN:Validi...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2010.02.010
更新日期:2010-06-01 00:00:00
abstract::Twelve male patients with traumatic spinal cord injury were randomly divided into a group of six experimental and six control subjects. All subjects were tilted from 0 degree to 70 degrees by 10 degrees increments at five-minute intervals until blood pressure dropped below 70/40, hypotensive symptoms appeared, or 70 d...
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:1984-05-01 00:00:00
abstract::This double-blind study of the effects of diazepam on painful cervical muscle spasms compared with those of phenobarbital and an inert placebo employed clinical, electrogoniometric and electromyographic recording methods for evaluation and computer analysis. The clinical results were equivocal but the technological re...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:
更新日期:1983-03-01 00:00:00
abstract::The degree to which physical therapists correctly predicted motor and functional outcome for stroke patients was investigated. Therapists used an adapted form of the physical therapy portion of the Patient Evaluation Conference System (PECSc)--a 14-item assessment measured on an 8-point scale. At admission to a rehabi...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1989-02-01 00:00:00
abstract:OBJECTIVE:To study the interaction between quality of life in people with spinal cord injury (SCI) and expectations of daily living (self-efficacy) and pain. DESIGN:Cross-sectional study with multiple independent measures. SETTING:Home survey. PARTICIPANTS:Included 106 persons with SCI of 12 months or more in durati...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2007.09.001
更新日期:2007-12-01 00:00:00
abstract::Three patients with severe traumatic brain injury demonstrated significant improvement in arousal and initiation after administration of tricyclic antidepressants. The first patient showed improved motor and speech initiation in response to amitriptyline following several months of functional plateau. The second patie...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(96)90225-7
更新日期:1996-01-01 00:00:00
abstract:OBJECTIVE:To assess the relationship between delays in initiation and termination of tibialis anterior contraction in the hemiplegic lower limb and clinical measures of lower-limb motor impairment and mobility. DESIGN:Cross-sectional correlational study. SETTING:Outpatient rehabilitation clinic of an academic medical...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2006.05.007
更新日期:2006-09-01 00:00:00
abstract:OBJECTIVE:The biomechanics of wheelchair propulsion have been linked to upper extremity injury. Specifically, prior studies have correlated increased median nerve dysfunction with increasing propulsion frequency and a higher rate of rise of the resultant, or total, pushrim force. Despite this link, there is little rese...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(00)90043-1
更新日期:2000-05-01 00:00:00
abstract::Assessment of strength using motor scores derived from the standards of the American Spinal Injury Association (ASIA) was compared with assessment using motor scores based on biomechanical aspects of walking in the prediction of ambulatory performance. Measurements of strength, gait performance, and the energy expendi...
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::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:OBJECTIVES:To investigate whether the rate of change of muscle strength in people with joint hypermobility syndrome (JHS) who have anterior knee pain (AKP) differs when compared to 2 control groups who have AKP and to evaluate the relationship between strength and pain as well as the effect of strength upon activity an...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2018.11.021
更新日期:2019-07-01 00:00:00
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:Tertia...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(96)90032-5
更新日期:1996-05-01 00:00:00
abstract:OBJECTIVES:To examine the impact of a new prosthesis on an experienced and highly motivated prosthetic limb user, to evaluate the effects of training and the ability of clinical measures to detect change, and to gain insight into the mechanisms by which improvement occurs. DESIGN:A single-case study. SETTING:An outpa...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2007.09.058
更新日期:2008-06-01 00:00:00
abstract::The purpose of this study was to examine the relationship between the initial intramedullary hemorrhage, as seen by magnetic resonance imaging (MRI), and the neurologic deficit and eventual neurologic outcome of acute cervical spinal cord injured subjects. MRI and motor assessments were performed on 24 subjects with m...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1993-09-01 00:00:00
abstract::A 37-year-old woman presented with congenital loss of all peripheral sensory modalities, sparing only her face, paraspinal area and proximal limbs. She was otherwise neurologically normal. Her sensory neuropathy was complicated by autoamputation of phalanges, pathologic fractures, failed total hip replacement, burns, ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1985-02-01 00:00:00
abstract::This study included patients who presented with at least one chronic nonhealing ulcer and had been told by their referring physician that they would require amputation at the transmetatarsal level or higher. Hospital records of all patients seen in a comprehensive wound-healing clinic from August 1984 through January ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1989-10-01 00:00:00
abstract:OBJECTIVES:To evaluate fall risk in stroke patients based on single- and dual-task gait analyses, and to investigate the difference between 2 cognitive tasks in the dual-task paradigm. DESIGN:Prospective cohort study. SETTING:Rehabilitation hospitals. PARTICIPANTS:Subacute stroke patients (N=32), able to walk withou...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2012.11.023
更新日期:2013-04-01 00:00:00
abstract::Reproductive rehabilitation of men after spinal cord injury has been made possible by the application of assisted ejaculatory techniques such as electroejaculation. Although this technique may predictably overcome the barrier of semen recovery, the problem of seminal dysfunction still remains. This report describes on...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
abstract:UNLABELLED:Hayes BT, Hicks-Little CA, Harter RA, Widrick JJ, Hoffman MA. Intersession reliability of Hoffmann reflex gain and presynaptic inhibition in the human soleus muscle. OBJECTIVE:To determine the day-to-day reliability of Hoffmann reflex (H-reflex) gain and presynaptic inhibition of spinal reflexes in the huma...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2009.07.023
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVE:To investigate in vitro the effect of different on-off electrostimulation times on the fatigue of 2 pelvic muscles, the iliococcygeus and pubococcygeus (mainly fast), and the soleus muscle of the limb (mainly slow). DESIGN:Nonrandomized controlled trial and before-after trial. SETTINGS:In vitro study in tis...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2002.30925
更新日期:2002-04-01 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:Examine neurorehabilitation therapists' clinical predictions and attributions for outcomes. DESIGN:Single sample, repeated measures. PARTICIPANTS:A sample of 51 neurorehabilitation therapists selected from representative disciplines including occupational therapy, physical therapy, speech therapy, and recre...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(95)80505-2
更新日期:1995-06-01 00:00:00
abstract::The Centers for Disease Control and Prevention (CDC) published "The Report to Congress on the Management of Traumatic Brain Injury in Children" in the spring of 2018. The report is a call to action for professionals providing care for children with traumatic brain injury in the health, social, and educational sectors ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2018.05.012
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the validity of the Prosthetic Upper Extremity Functional Index (PUFI), a parent- and older child-report measure that evaluates the extent of Prosthetic limb use, ease of task performance with and without the prosthesis, and its usefulness. DESIGN:Evaluation of discriminant validity (the PUFI's a...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/ampr.2003.50127
更新日期:2003-04-01 00:00:00
abstract:OBJECTIVE:To evaluate radiation exposure to spinal interventionalists while performing transforaminal epidural steroid injections (TFESIs). DESIGN:Prospective study. SETTING:Multidisciplinary spine center. PARTICIPANTS:One hundred consecutive patients with either herniated nucleus pulposus (HNP) or lumbar spinal ste...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2002.32439
更新日期:2002-05-01 00:00:00
abstract:OBJECTIVE:To investigate corticomotor changes induced by body weight-supported treadmill training (BWSTT) in patients with short or long poststroke duration. DESIGN:Single-blinded and randomized controlled trial. SETTING:Neurologic physical therapy research laboratory. PARTICIPANTS:Hemiparesis patients (N=18) whose ...
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.2009.11.021
更新日期:2010-04-01 00:00:00
abstract::Twenty-nine C4 to C7 motor-complete spinal cord injured subjects were evaluated to determine whether the manual muscle test (MMT) performed within 24 hours of injury or at 72 hours after injury better predicts short-term functional muscle recovery. A single muscle in the zone of injury that had a muscle grade between ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1991-07-01 00:00:00
abstract:OBJECTIVE:To investigate the effects of a physical therapy (PT) program in groups of people with Parkinson's disease (PD). DESIGN:Randomized controlled trial with a crossover design. SETTING:Two outpatient rehabilitation clinics in Boston and Amsterdam, respectively. PARTICIPANTS:Sixty-eight subjects diagnosed with ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1016/j.apmr.2004.08.008
更新日期:2005-04-01 00:00:00