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 the wheelchair and the upper extremity were collected by an optical tracking system. These kinematic descriptors were subsequently time-normalized with a spline algorithm to provide a graphic description of the wheelchair strokes. MAIN OUTCOME MEASURES:Thirteen discrete variables were compared for the two chairs and the two propulsive strokes. RESULTS:Total elbow motion ranged from 60.9 degrees of flexion to 5.2 degrees of extension. Maximal elbow flexion velocity ranged from 515.4 degrees to 572.8 degrees per second. Kinematic differences between the two wheelchairs were minimal, with a trend for 8.3 degrees to 5.2 degrees more elbow flexion in the lightweight wheelchair (p < .05), depending on the stroke used. With the use of any one chair, the style of the stroke had no significant effect on elbow kinematics, but the use of a pumping stroke did decrease propulsion arc by 12 degrees to 14 degrees (p < .05). CONCLUSION:No major differences regarding elbow kinematics were seen between the two types of wheelchairs. The pumping-stroke technique resulted in a shortened handrim contact arc.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Rudins A,Laskowski ER,Growney ES,Cahalan TD,An KNdoi
10.1016/s0003-9993(97)90333-6subject
Has Abstractpub_date
1997-11-01 00:00:00pages
1204-10issue
11eissn
0003-9993issn
1532-821Xpii
S0003-9993(97)90333-6journal_volume
78pub_type
杂志文章abstract::Because of the coronavirus disease 2019 (COVID-19) epidemic, many cardiac rehabilitation (CR) services and programs are stopped. Because CR is a class I level A recommendation with clinical benefits that are now well documented, the cessation of CR programs can lead to dramatic consequences in terms of public health. ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2020.06.004
更新日期:2020-10-01 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 investigate the effect of ultrasound on the levels of stress protein in experimental arthritis and their relation to the therapeutic effects on arthritic cartilage repair. METHODS:Thirty-six rats with similar degree of early arthritis were divided at random into two groups. In group s, 18 rats received so...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(99)90198-3
更新日期:1999-05-01 00:00:00
abstract:OBJECTIVE:To evaluate the effects of manual lymphatic drainage (MLD) on knee swelling and the assumed consequences of swelling after total knee arthroplasty (TKA). DESIGN:Randomized controlled trial. SETTING:Primary care hospital. PARTICIPANTS:Two groups of 30 patients were randomized before TKA surgery (N=60; 65% w...
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.2016.01.006
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:To investigate the course of mechanical efficiency of handrim wheelchair propulsion during rehabilitation of subjects with (in)complete paraplegia and tetraplegia. DESIGN:Subjects were tested at the start of active rehabilitation (t1), 3 months later (t2), and when discharged from inpatient rehabilitation (t...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2004.11.025
更新日期:2005-07-01 00:00:00
abstract:OBJECTIVE:To assess the effects of an 8-week aquatic exercise training program on functional capacity, balance, and perceptions of fatigue in women with multiple sclerosis (MS). DESIGN:Randomized controlled design. SETTING:Referral center of an MS society. PARTICIPANTS:Women (N=32; mean age ± SD, 36.4±8.2y) with dia...
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.2017.06.015
更新日期:2018-02-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to analyze the ability of the patients with idiopathic scoliosis to transfer the body weight in the frontal plane. DESIGN:Randomized and controlled study. SETTING:A referral center and institutional practice and outpatient care. SUBJECTS:Fifty patients with idiopathic scolios...
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)80630-x
更新日期:1995-07-01 00:00:00
abstract::Botulinum toxin A has been used therapeutically in humans for a variety of conditions since 1980. Over the past few years, it has been used more frequently for spasticity management. We describe the use of botulinum toxin for spasticity or athetosis management in three children with cerebral palsy. Two of these childr...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(96)90042-8
更新日期:1996-05-01 00:00:00
abstract::At least 3 million Americans sustain a mild traumatic brain injury (mTBI) each year, and 1 in 5 have symptoms that persist beyond 1 month. Standards of mTBI care have evolved rapidly, with numerous expert consensus statements and clinical practice guidelines published in the last 5 years. This Special Communication sy...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2019.10.179
更新日期:2020-02-01 00:00:00
abstract:OBJECTIVE:To examine the added benefit of home health services for elderly patients with hip fracture discharged home after inpatient rehabilitation. DATA:Medicare claims from 1% of 1986 beneficiaries followed until 1992. STUDY POPULATION:Persons hospitalized with hip fracture at 70 years or older who had no major Me...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(98)90261-1
更新日期:1998-10-01 00:00:00
abstract:OBJECTIVE:To establish the test-retest and interrater reliability as well as the concurrent construct validity of the Dynamic Gait Index (DGI) as a measure for dynamic balance in people with chronic stroke. DESIGN:Cohort study. SETTING:Day hospital and ambulatory care at a rehabilitation center. PARTICIPANTS:A conse...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2007.08.109
更新日期:2007-11-01 00:00:00
abstract:UNLABELLED:This self-directed learning module highlights a clinical vignette of a female patient with osteoporosis and addresses the clinical presentation, assessment, medical management, and rehabilitation approaches to a patient with an acute vertebral fracture. It is part of the study guide on osteoporosis in the Se...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2004.12.009
更新日期:2005-03-01 00:00:00
abstract:OBJECTIVE:To compare quadriceps fatigability during maximal concentric contractions in persons with multiple sclerosis (MS) and healthy subjects. DESIGN:Observational study. SETTING:Hospital rehabilitation department. PARTICIPANTS:Persons with MS (n=38) and healthy subjects (n=14) were included (N=52). Torque of the...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2016.12.014
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVES:To determine which outcome measures are best and least suited for assessing long-term functional outcome of individuals with traumatic brain injury (TBI) in the community. DESIGN:Survey of participants in the community an average of 5 years after TBI. A battery of outcome measures was given. SETTING:Commun...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2001.21525
更新日期:2001-03-01 00:00:00
abstract::In 83 patients with stroke, multiple regression analysis was used to identify 5 variables, measured at the 1st assessment shortly after stroke, that related to the Barthel ADL score at 6 months. The variables were age, the presence of hemianopia or visual inattention, the presence of urinary incontinence, the motor de...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1983-01-01 00:00:00
abstract:OBJECTIVE:To examine the effect of whole-body vibration (WBV) on running biomechanics in individuals with anterior cruciate ligament reconstruction (ACLR). DESIGN:Single-blind randomized crossover trial. SETTING:Research laboratory. PARTICIPANTS:Individuals (N=20) with unilateral ACLR (age [± SD]=22.3 [±3.3] years; ...
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.2017.11.019
更新日期:2018-05-01 00:00:00
abstract:OBJECTIVES:To discover the effect of sudden-onset disability on spirituality, specifically, to investigate changes following the onset of disability in spiritual concepts and to outline a theoretical framework consisting of relationships with the self, others, the world, and a supreme power. STUDY DESIGN:The study use...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(00)90117-5
更新日期:2000-06-01 00:00:00
abstract:OBJECTIVE:To assess the short-term outcome of a back school program for patients suffering from chronic, nonspecific low back pain (LBP). DESIGN:Quasi-experimental cohort study with a waiting list control group. SETTING:Dutch rehabilitation department. PARTICIPANTS:Experimental group (n = 14) participating in the ba...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2001.23899
更新日期:2001-08-01 00:00:00
abstract:OBJECTIVES:To describe the methods of a longitudinal cohort study among older adults with preclinical disability. The study aims to address the lack of evidence guiding mobility rehabilitation for older adults by identifying those impairments and impairment combinations that are most responsible for mobility decline an...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2012.08.217
更新日期:2013-02-01 00:00:00
abstract:OBJECTIVE:To determine whether the prevalence of gram-negative catheter-related bloodstream infection (CRBSI) is higher in patients with spinal cord injury (SCI) than in patients without SCI. DESIGN:Retrospective chart review from August 1998 to August 2006. SETTING:A Veterans Affairs medical center, which serves as ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2007.08.151
更新日期:2008-02-01 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 determine whether the administration of clenbuterol, a beta2-adrenergic agonist, prevents loss of muscle mass during a period of imposed inactivity. DESIGN:Randomized trial. SETTING:Basic laboratory research. ANIMALS:Thirty Fischer 344 Brown Norway F1 Hybrid rats, 12 and 30 months of age. INTERVENTIONS...
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:10.1053/apmr.2001.23756
更新日期:2001-07-01 00:00:00
abstract:UNLABELLED:This self-directed learning module highlights approaches to the investigation of selected lumbar spine conditions. It is part of the chapter on chronic pain management in the Self-Directed Physiatric Education Program for practitioners in physical medicine and rehabilitation. The first objective explores the...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/j.apmr.2007.12.008
更新日期:2008-03-01 00:00:00
abstract::This article presents a 3-part framework for developing and evaluating prediction models in rehabilitation populations. First, a process for developing and refining prognostic research questions and the scientific approach to prediction models is presented. Primary components of the scientific approach include the stu...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2012.04.021
更新日期:2012-08-01 00:00:00
abstract:OBJECTIVE:To compare functional outcomes between children receiving inpatient rehabilitation at children's hospitals and those at other facilities. DESIGN:Retrospective cohort study. SETTING:Inpatient rehabilitation facilities. PARTICIPANTS:Children (N=28,793) aged 6 months to 18 years who received initial inpatient...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2016.02.026
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVE:To determine the degree of impairments and activity limitations and their interrelationship in complex regional pain syndrome type I (CRPS type I). DESIGN:Cross-sectional study interrelating impairments and objectively measured activity limitations. SETTING:Ambulatory and home environment. PARTICIPANTS:Thi...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2003.06.026
更新日期:2004-04-01 00:00:00
abstract::To investigate variables potentially related to children's distress during electromyography/nerve conduction studies (EMG/NCS), mothers of 39 children ages two to 17 years reported the child's gender, experience with EMG/NCS, previous negative medical/dental experiences, general response to painful procedures, informa...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1992-12-01 00:00:00
abstract::Quantification of cervical extension (CERV EXT) strength is complicated by the inability to stabilize the torso and isolate the CERV EXT muscles. A newly developed machine designed to stabilize the torso and isolate the CERV EXT muscles was used to evaluate the effect of frequency and volume of resistance training on ...
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(93)90065-i
更新日期:1993-10-01 00:00:00
abstract:OBJECTIVE:A recent prevalence study of 353 spinal cord injured (SCI) individuals in the greater Stockholm area showed problematic spasticity in 30% of this population. To treat spasticity, the evaluation becomes crucial. The modified Ashworth scale (MAS) is the clinically most-used scale to grade degree of spasticity. ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(98)90095-8
更新日期:1998-08-01 00:00:00
abstract:OBJECTIVE:To examine whether commonly used comorbidity indexes (Deyo-Charlson comorbidity index, Elixhauser comorbidity index, the Centers for Medicare and Medicaid Services [CMS] comorbidity tiers) capture comorbidities in the acute traumatic and nontraumatic SCI inpatient rehabilitation population. DESIGN:Retrospect...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2020.04.025
更新日期:2020-10-01 00:00:00