Abstract:
OBJECTIVE:To predict the place of discharge or discharge Functional Independence Measure (FIM) score for stroke survivors with moderate disability using neural network modeling. Our previous work demonstrated that the FIM predicts the level of recovery for stroke survivors with either severe or mild disabilities. DESIGN:Neural network analysis. SETTING:Tertiary care rehabilitation program. PATIENTS:One hundred forty-seven consecutive stroke survivors admitted for rehabilitation with admission FIM scores between 37 and 96 were used as the training and internal test set. Seventeen other randomly selected stroke survivors were used as the external test set. INTERVENTION:A neural network model was developed using a small set of clinical variables and the admission FIM score. MAIN OUTCOME MEASURE:Neural network model predicting place of discharge or discharge FIM score. RESULTS:A working and accurate model was developed to predict the discharge FIM score. The model was able to predict the 17 external test cases with an accuracy = 88%, sensitivity = 83%, specificity = 91%, positive predictive value = 83%, and negative predictive value = 91%. CONCLUSION:Neural network modeling is useful in the prediction of functional recovery and helps in discharge planning and allocation of rehabilitation resources.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Oczkowski WJ,Barreca Sdoi
10.1016/s0003-9993(97)90222-7subject
Has Abstractpub_date
1997-04-01 00:00:00pages
340-5issue
4eissn
0003-9993issn
1532-821Xpii
S0003-9993(97)90222-7journal_volume
78pub_type
杂志文章abstract::This study was undertaken to determine whether adaptations to short-term exercise training after myocardial infarction, could affect the response of heart rate, blood pressure and double product at submaximal workload, and the behavior of electrocardiographic ST segment depression. We studied 60 patients (group A) who...
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/s0003-9993(95)80613-x
更新日期:1995-03-01 00:00:00
abstract:OBJECTIVE:To evaluate the effectiveness of short-term, comprehensive inpatient pulmonary rehabilitation in severe chronic obstructive pulmonary disease (COPD). DESIGN:Retrospective analysis of several outcome measures. SETTING:Inpatient pulmonary rehabilitation unit. PARTICIPANTS:Thirty-eight consecutive adult patie...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(96)90132-x
更新日期:1996-11-01 00:00:00
abstract:OBJECTIVE:To assess the diagnostic and clinical utility of the 2-item Generalized Anxiety Disorder Scale (GAD-2) for screening anxiety symptoms in individuals with multiple sclerosis (MS). DESIGN:Cross-sectional. SETTING:University-affiliated MS neurology and rehabilitation center. PARTICIPANTS:The sample comprised ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2018.05.029
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVES:To measure the amplitude and symmetry of lateral pelvic displacement (LPD) in patients with acute hemiparetic stroke; to assess the relationship between LPD and walking speed; and to quantify changes in LPD during 1- and 4-week intervals in the early stages of gait rehabilitation. DESIGN:LPD amplitude and s...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(03)00142-4
更新日期:2003-08-01 00:00:00
abstract:OBJECTIVE:To retrospectively assess whether cardiopulmonary exercise testing would be well tolerated in individuals with Alzheimer disease (AD) compared with a nondemented peer group. DESIGN:We retrospectively reviewed 575 cardiopulmonary exercise tests (CPETs) in individuals with and without cognitive impairment caus...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/j.apmr.2014.04.007
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVE:To show cortical reorganization in hemiparetic patients with a primary motor cortex (M1) infarct including the precentral knob by using functional magnetic resonance imaging (fMRI). DESIGN:Case-control. SETTING:Outpatient clinics in the rehabilitation department of a university hospital. PARTICIPANTS:Two s...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2004.11.043
更新日期:2005-08-01 00:00:00
abstract::The purpose of this study was to analyze and compare the effects of the leg during swing and stance phases of forward propulsion of the body for both men and women. Twelve able-bodied subjects, six men and six women, were studied with a Vicon(a) gait-analysis system. A two-dimensional, sagittal-plane biomechanical ana...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract::Myotonic dystrophy is a rare genetic neuromuscular disorder with multisystem involvement. Hydrocephalus and cognitive deterioration are not commonly considered part of adult-onset myotonic dystrophy. This report describes a case of progressive distal muscle weakness, cognitive decline, and longstanding ventricular enl...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/s0003-9993(98)90105-8
更新日期:1998-08-01 00:00:00
abstract::A prospective longitudinal study involving 233 children with cerebral palsy was carried out to select signs useful for early prognostication of ambulation. All patients were followed from the time they were 12 months old and their progress was observed until they reached the age of 3 to 11 years. The population consis...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1976-04-01 00:00:00
abstract:OBJECTIVE:To examine the effects of communication skills training on physiotherapists' supportive behavior during clinical practice. DESIGN:Randomized trial. SETTING:Hospital outpatient physiotherapy clinics. PARTICIPANTS:Physiotherapists (N=24) and patients (N=24) with chronic low back pain. INTERVENTIONS:Two hosp...
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.2014.11.007
更新日期:2015-05-01 00:00:00
abstract:OBJECTIVE:To evaluate the reliability and validity of clinical tests for measuring cervical muscle strength or endurance in participants with and without neck pain. DATA SOURCE:Systematic review and meta-analysis on reliability and validity. Literature search was conducted on January 28, 2020, using 5 databases: MEDLI...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/j.apmr.2020.11.018
更新日期:2020-12-28 00:00:00
abstract:OBJECTIVE:To investigate the effects of pulsed magnetic fields (PMF) and pulsed electromagnetic fields (PEMF) on healing in experimental Achilles tendon inflammation in the rat. DESIGN:Prospective randomized trial. SETTING:University medical school. METHODS:Exposure of the Achilles tendon and injury by a weight of 9...
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/s0003-9993(97)90232-x
更新日期:1997-04-01 00:00:00
abstract:OBJECTIVES:To determine whether there is a postprandial increase of rectal pressure in patients with spinal cord injury (SCI) and to compare their rectal pressures with those of healthy volunteers. DESIGN:A before-after trial comparing SCI and control subjects. SETTING:Patients were recruited from the register of an ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2003.50071
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVES:To determine preliminary efficacy and to identify baseline characteristics predicting who would benefit most from fast walking training plus a step activity monitoring program (FAST+SAM) compared with fast walking training (FAST) alone in persons with chronic stroke. DESIGN:Randomized controlled trial with ...
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.2016.01.039
更新日期:2016-09-01 00:00:00
abstract::Pressure pain thresholds and pressure pain tolerances on non-trigger-point muscle and bone were measured with a dolorimeter in 46 female patients with primary fibromyalgia and in 50 healthy women of the same age. The pressure pain thresholds and the pressure pain tolerances on both muscle and bone were lower in the fi...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1992-09-01 00:00:00
abstract:OBJECTIVE:To compare isometric torque and cycling power, smoothness and symmetry using repetitive functional magnetic stimulation (FMS) and functional electrical stimulation (FES) in patients with paretic legs with preserved sensibility and in patients without sensibility. DESIGN:Repeated-measures design. SETTING:Lab...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/j.apmr.2008.09.572
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVE:To investigate risk factors associated with subjective complaints of dizziness in 12 elderly patients with Parkinson disease (PD), in whom no obvious cause for this symptom could be found. DESIGN:A case-controlled study, with patients prospectively recruited in a nonblinded fashion. SETTING:Patients were se...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(96)90013-1
更新日期:1996-07-01 00:00:00
abstract:OBJECTIVE:To conduct an in-depth examination of the environmental and behavioral circumstances associated with falls and near-falls experienced by elderly individuals and to evaluate the usefulness of reenactment as a method for studying falls. DESIGN:Observational and self-report data of incidents were obtained throu...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(97)90261-6
更新日期:1997-02-01 00:00:00
abstract::A case of Pancoast tumor presenting as cervical radiculopathy is reported, including the clinical, EMG, and radiologic findings. A 64-year-old man with a two-month history of left shoulder pain and left arm numbness at the medial aspect of the hand and forearm presented for electrodiagnostic examination, and a severe ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1990-07-01 00:00:00
abstract:OBJECTIVES:To describe the development of the Amputee Mobility Predictor (AMP) instrument designed to measure ambulatory potential of lower-limb amputees with (AMPPRO) and without (AMPnoPRO) the use of a prosthesis, and to test its reliability and validity. DESIGN:Measurement study using known groups method and concur...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/ampr.2002.32309
更新日期:2002-05-01 00:00:00
abstract:UNLABELLED:Richards LG, Latham NK, Jette DU, Rosenberg L, Smout RJ, DeJong G. Characterizing occupational therapy practice in stroke rehabilitation. OBJECTIVES:To describe how occupational therapy (OT) activities during stroke inpatient rehabilitation vary by admission functional status and over time and how time spen...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2005.08.127
更新日期:2005-12-01 00:00:00
abstract::The effects of pending litigation for compensation on treatment outcomes of patients with chronic low back pain, were assessed. The 81 patients with chronic low back pain who participated in a six-week behavioral treatment program organized around the theme of self-control, were differentiated according to whether the...
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:OBJECTIVES:To investigate the effects of dual-task balance training on static and dynamic balance, functional mobility, cognitive level, and sleep quality in individuals with transfemoral amputation. DESIGN:Randomized controlled clinical trial. PARTICIPANTS:Transfemoral amputees (N=20). INTERVENTIONS:Participants we...
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.2020.06.009
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVE:To develop and evaluate the psychometric properties of an item set measuring economic quality of life (QOL) for use by individuals with disabilities. DESIGN:Survey. SETTING:Community settings. PARTICIPANTS:Individuals with disabilities completed individual interviews (n=64), participated in focus groups (n...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2014.02.030
更新日期:2015-04-01 00:00:00
abstract:UNLABELLED:This self-directed study module highlights biomechanics unique to dance that predispose to common injuries of the lower extremity and discusses preventative strategies. It is part of the study guide on sports and performing arts medicine in the Self-Directed Physiatric Education Program for practitioners and...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1053/j.apmr.2003.12.004
更新日期:2004-03-01 00:00:00
abstract::Policy drives practice, and health services research (HSR) is at the intersection of policy, practice, and patient outcomes. HSR specific to rehabilitation and disability is particularly needed. As rehabilitation researchers and providers, we are uniquely positioned to provide the evidence that guides reforms targetin...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2017.06.026
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVES:To examine the correlation between physical examination parameters, commonly referred to as "nerve root tension signs," and H-reflex latency measurements both pre- and postepidural steroid-bupivacaine (Marcaine) injection, and to propose mechanisms of pain alleviation. DESIGN:Prospective observational, with...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2003.09.024
更新日期:2004-09-01 00:00:00
abstract:OBJECTIVE:To demonstrate that after spinal cord injury (SCI) suppression of the parathyroid-vitamin D axis is associated with the degree of neurologic impairment and not the level of injury. DESIGN:A retrospective analysis of clinical and biochemical data obtained from hospital records of patients with SCI compared to...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(97)90075-7
更新日期:1997-07-01 00:00:00
abstract::A case-control study was undertaken to see if symptoms of upper gastrointestinal (UGI) (oropharyngeal, esophageal, and gastric) dysfunction occurred more frequently in males afflicted with Duchenne muscular dystrophy (DMD) than healthy controls. Subjects included 55 children with confirmed DMD and 55 age-matched contr...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1990-09-01 00:00:00
abstract:OBJECTIVE:To describe functioning in people living with spinal cord injuries (SCI) in Switzerland. DESIGN:Secondary analysis of cross-sectional survey data. SETTING:Community, Switzerland. PARTICIPANTS:Individuals (N=1549) 16 years of age or older with a history of traumatic or nontraumatic SCI and permanently resid...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2018.04.015
更新日期:2018-10-01 00:00:00