Undergraduate education in rehabilitation medicine: trends in curriculum development and the impact on specialty manpower and delivery of service.

Abstract:

:One hundred thirteen medical schools which offered full degree programs were identified and surveyed by questionnaires to obtain information which identified the existence, characteristics and involvement of physical medicine or rehabilitation medicine programs. The survey also attempted to identify specific changes which have occurred in undergraduate medical education in rehabilitation medicine since the Commission of Education and Rehabilitation Medicine survey of 1963-64. The results suggest that growth of the programs has not followed the expansion in the number of medical schools nor in the number of students enrolled. The programs have however, improved their administrative standing and involvement in medical schools. The impact on the undergraduate medical student is not satisfactory as judged by elective enrollment and recruiting of residents. Lack of funding was found to be one of the major obstacles to curriculum development, along with a marked shortage of academic physiatrists. The impact of the changes in undergraduate medical school curricula on rehabilitation medicine has produced considerable conjoint teaching in conjunction with a large number of basic science and clinical departments.

journal_name

Arch Phys Med Rehabil

authors

Lehmann JF,Feinberg SD,Warren CG

subject

Has Abstract

pub_date

1976-11-01 00:00:00

pages

497-503

issue

11

eissn

0003-9993

issn

1532-821X

journal_volume

57

pub_type

杂志文章
  • Reliability of the assessment of lumbar range of motion and maximal isometric strength.

    abstract:OBJECTIVE:To examine the interobserver reliability and intrasubject variability of the assessment of lumbar range of motion (ROM) and maximal isometric strength in asymptomatic subjects by using commercially available equipment. DESIGN:A cross-sectional repeated-measures design. SETTING:Ambulatory care in a universit...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2006.01.007

    authors: Roussel N,Nijs J,Truijen S,Breugelmans S,Claes I,Stassijns G

    更新日期:2006-04-01 00:00:00

  • Randomized Controlled Trial to Examine the Impact of Aquatic Exercise Training on Functional Capacity, Balance, and Perceptions of Fatigue in Female Patients With Multiple Sclerosis.

    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

    authors: Kargarfard M,Shariat A,Ingle L,Cleland JA,Kargarfard M

    更新日期:2018-02-01 00:00:00

  • Cross-Sectional Assessment of Factors Related to Pain Intensity and Pain Interference in Lower Limb Prosthesis Users.

    abstract:OBJECTIVE:To determine relationships between pain sites and pain intensity/interference in people with lower limb amputations (LLAs). DESIGN:Cross-sectional survey. SETTING:Community. PARTICIPANTS:Lower limb prosthesis users with unilateral or bilateral amputations (N=1296; mean time since amputation, 14.1y). INTER...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2016.09.118

    authors: Morgan SJ,Friedly JL,Amtmann D,Salem R,Hafner BJ

    更新日期:2017-01-01 00:00:00

  • Diagnostic imaging of heterotopic ossification with coexistent deep-venous thrombosis in flaccid paraplegia.

    abstract::Heterotopic ossification and deep-venous thrombosis can coexist. This raises potential problems because diagnosis depends heavily on imaging studies, and an ideal imaging study which will cost-effectively and noninvasively diagnose both conditions simultaneously is not readily available. A case of coexistent heterotop...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Haselkorn JK,Britell CW,Cardenas DD

    更新日期:1991-03-01 00:00:00

  • Acute weakness syndromes in the critically ill patient.

    abstract::Over the past three decades there has been increasing interest in acute weakness syndromes in critically ill mechanically ventilated patients. Many of these patients require rehabilitation, and some understanding of potential etiologies and functional outcomes for these syndromes is useful to rehabilitation practition...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1016/s0003-9993(00)80010-6

    authors: Sliwa JA

    更新日期:2000-03-01 00:00:00

  • Relationship Between Observational Wisconsin Gait Scale, Gait Deviation Index, and Gait Variability Index in Individuals Poststroke.

    abstract:OBJECTIVE:To compare results of the observational Wisconsin Gait Scale (WGS) and global gait indexes such as Gait Deviation Index (GDI) and Gait Variability Index (GVI), constituting an objective method of assessing gait, and taking into account parameters identified during 3-dimensional gait analysis (3DGA). DESIGN:A...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2018.12.031

    authors: Guzik A,Drużbicki M,Maistrello L,Turolla A,Agostini M,Kiper P

    更新日期:2019-09-01 00:00:00

  • Recovery of standing balance and health-related quality of life after mild or moderately severe stroke.

    abstract:OBJECTIVE:To examine the physiologic and functional recovery of standing balance and health-related quality of life (HRQOL) in people after mild and moderate stroke. DESIGN:Inception cohort study with evaluations at 1 month and 3 months poststroke. SETTING:Laboratory. PARTICIPANTS:Twenty-nine volunteers who had sust...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2006.11.023

    authors: Garland SJ,Ivanova TD,Mochizuki G

    更新日期:2007-02-01 00:00:00

  • Retention of motor changes in chronic stroke survivors who were administered mental practice.

    abstract:OBJECTIVE:To determine retention of motor changes 3 months after participation in a regimen consisting of mental practice (MP) combined with repetitive task-specific (RTP) practice. DESIGN:Prospective, blinded, cohort, pre-post study. SETTING:Outpatient rehabilitation hospital. PARTICIPANTS:Individuals (N=21) in the...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2011.06.009

    authors: Page SJ,Murray C,Hermann V,Levine P

    更新日期:2011-11-01 00:00:00

  • Further assessment to determine the additive effect of botulinum toxin type A on an upper extremity exercise program to enhance function among individuals with chronic stroke but extensor capability.

    abstract:OBJECTIVE:To determine whether dose-specified botulinum toxin type A (BTX-A) and a standardized exercise protocol produce better upper extremity function than placebo and the same exercise program. DESIGN:Double-blind randomized trial. SETTING:A rehabilitation research center. PARTICIPANTS:A convenience sample of pa...

    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.2011.10.026

    authors: Wolf SL,Milton SB,Reiss A,Easley KA,Shenvi NV,Clark PC

    更新日期:2012-04-01 00:00:00

  • Illness and demographic correlates of chronic pain among a community-based sample of people with multiple sclerosis.

    abstract:OBJECTIVE:To investigate the prevalence, nature, and correlates of pain among a community-based sample with multiple sclerosis (MS). DESIGN:A cross-sectional survey and structured pain interview. SETTING:Community. PARTICIPANTS:People with MS (N=219) recruited through systematic sampling from a randomly ordered MS s...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2008.03.022

    authors: Douglas C,Wollin JA,Windsor C

    更新日期:2008-10-01 00:00:00

  • Mild traumatic brain injury and posttraumatic stress disorder and their associations with health symptoms.

    abstract:OBJECTIVE:To determine the association of various symptoms and psychiatric diagnoses with a remote history of mild traumatic brain injury (MTBI) and a current diagnosis of posttraumatic stress disorder (PTSD). DESIGN:Cross-sectional cohort study. SETTING:Nonclinical. PARTICIPANTS:Three groups of randomly selected co...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2009.01.023

    authors: Vanderploeg RD,Belanger HG,Curtiss G

    更新日期:2009-07-01 00:00:00

  • Clenbuterol in the prevention of muscle atrophy: a study of hindlimb-unweighted rats.

    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

    authors: Herrera NM Jr,Zimmerman AN,Dykstra DD,Thompson LV

    更新日期:2001-07-01 00:00:00

  • Rectus femoris: its role in normal gait.

    abstract:OBJECTIVE:To analyze the role of the rectus femoris muscle in nondisabled gait at various walking velocities using fine-wire dynamic electromyography. DESIGN:Descriptive study. Fine-wire electromyography data were collected from the rectus femoris during level walking at four walking speeds. Rectus femoris activity pa...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(99)90085-0

    authors: Annaswamy TM,Giddings CJ,Della Croce U,Kerrigan DC

    更新日期:1999-08-01 00:00:00

  • Comparing the lower limb tasks questionnaire to the Western Ontario and McMaster Universities Osteoarthritis Index: agreement, responsiveness, and convergence with physical performance for knee osteoarthritis patients.

    abstract:OBJECTIVE:To compare the Lower Limb Tasks Questionnaire (LLTQ) with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) in terms of agreement, responsiveness, and convergence. DESIGN:Cross-sectional with an exploratory repeated-measures subsample analysis. SETTING:Community-based seniors' cente...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2012.09.013

    authors: McKay C,Prapavessis H,McNair P

    更新日期:2013-03-01 00:00:00

  • Renal function in patients with spinal cord injury: the eighth year of a ten-year continuing study.

    abstract::In the eighth year of a continuing study of renal function in patients with spinal cord injury, 78 percent had good function, 13 percent mild deterioration, 4 percent moderate deterioration and 5 percent severe deterioration of kidney function. No single factor was shown to be a dominant cause of decreased function. T...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Price M,Kottke FJ,Olson ME

    更新日期:1975-02-01 00:00:00

  • Lumbar spinal moments in chronic back pain patients during supported lifting: a dynamic analysis.

    abstract:OBJECTIVES:The main objective of this study was to test the hypothesis that peak L4/L5 moments (torque) placed on the lumbar spine by chronic back pain subjects are reduced using pain-reducing postural adaptations. A secondary objective was to determine the relation between lumbar moments while lifting and self-reporte...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(97)90059-9

    authors: Wilson DJ,Hickey KM,Gorham JL,Childers MK

    更新日期:1997-09-01 00:00:00

  • Employment Stability in Veterans and Service Members With Traumatic Brain Injury: A Veterans Administration Traumatic Brain Injury Model Systems Study.

    abstract:OBJECTIVE:To examine incidence and predictors of employment stability in veterans and military service members with traumatic brain injury (TBI) who return to work. DESIGN:Prospective observational cohort study. SETTING:Four rehabilitation centers. PARTICIPANTS:Veterans and military service members (N=110) with mild...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.apmr.2017.05.012

    authors: Dillahunt-Aspillaga C,Pugh MJ,Cotner BA,Silva MA,Haskin A,Tang X,Saylors ME,Nakase-Richardson R

    更新日期:2018-02-01 00:00:00

  • Characterizing occupational therapy practice in stroke rehabilitation.

    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

    authors: Richards LG,Latham NK,Jette DU,Rosenberg L,Smout RJ,DeJong G

    更新日期:2005-12-01 00:00:00

  • Independent Association of Vitamin D With Physical Function in People With Chronic Spinal Cord Injury.

    abstract:OBJECTIVE:To explore the relation between vitamin D and physical function outcomes in people with spinal cord injury (SCI). DESIGN:Cross-sectional study. SETTING:Rehabilitation institute. PARTICIPANTS:Consecutive patients (N=100; 72 men and 28 women) with chronic SCI admitted to a rehabilitation program. INTERVENTI...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2016.01.002

    authors: Barbonetti A,Sperandio A,Micillo A,D'Andrea S,Pacca F,Felzani G,Francavilla S,Francavilla F

    更新日期:2016-05-01 00:00:00

  • Functional electrical stimulation improves activity after stroke: a systematic review with meta-analysis.

    abstract:OBJECTIVE:To investigate the effect of functional electrical stimulation (FES) in improving activity and to investigate whether FES is more effective than training alone. DATA SOURCES:Cochrane Central Register of Controlled Trials, Ovid Medline, EBSCO Cumulative Index to Nursing and Allied Health Literature, Ovid EMBA...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.apmr.2015.01.013

    authors: Howlett OA,Lannin NA,Ada L,McKinstry C

    更新日期:2015-05-01 00:00:00

  • Psychogenic and pharmacologic induction of the let-down reflex can facilitate breastfeeding by tetraplegic women: a report of 3 cases.

    abstract::Although an increasing number of women are becoming pregnant and rearing children after spinal cord injury (SCI), scant literature exists on breastfeeding after injury. In particular, it is unclear whether women with SCI above T7 can sustain breastfeeding in a manner similar to neurologically intact nursing mothers. A...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2004.10.039

    authors: Cowley KC

    更新日期:2005-06-01 00:00:00

  • Time course analysis of the effects of botulinum toxin type a on elbow spasticity based on biomechanic and electromyographic parameters.

    abstract:OBJECTIVE:To quantify changes of elbow spasticity over time after botulinum toxin type A (BTX-A) injection in the upper extremity of stroke patients. DESIGN:Before-after trial in which the therapeutic effects were followed up at 2, 6, and 9 weeks after the BTX-A injection (Botox). SETTING:Hospital. PARTICIPANTS:Chro...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2007.08.166

    authors: Lee HM,Chen JJ,Wu YN,Wang YL,Huang SC,Piotrkiewicz M

    更新日期:2008-04-01 00:00:00

  • Automated Mechanical Peripheral Stimulation Effects on Gait Variability in Individuals With Parkinson Disease and Freezing of Gait: A Double-Blind, Randomized Controlled Trial.

    abstract:OBJECTIVE:To assess the effects of automated peripheral stimulation (AMPS) in reducing gait variability of subjects with Parkinson disease (PD) and freezing of gait (FOG) treated with AMPS and to explore the effects of this treatment on gait during a single task (walking) and a dual task (walking while attending the wo...

    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.2018.05.009

    authors: Kleiner AFR,Souza Pagnussat A,Pinto C,Redivo Marchese R,Salazar AP,Galli M

    更新日期:2018-12-01 00:00:00

  • The effects of body mass index on peak seat-interface pressure of institutionalized elderly.

    abstract:OBJECTIVE:To determine if body mass index (BMI) influenced seat-interface pressure in a population of institutionalized elderly. DESIGN:A cross-sectional comparison of peak seat-interface pressure in 4 groups of institutionalized elderly was compared with BMI scores defined as either thin (<20 kg/m(2)), desirable rang...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1053/apmr.2002.32741

    authors: Kernozek TW,Wilder PA,Amundson A,Hummer J

    更新日期:2002-06-01 00:00:00

  • Effect of scapular stabilization during horizontal adduction stretching on passive internal rotation and posterior shoulder tightness in young women volleyball athletes: a randomized controlled trial.

    abstract:OBJECTIVE:To evaluate the effect of scapular stabilization during horizontal adduction stretching (cross-body) on posterior shoulder tightness (PST) and passive internal rotation (IR). DESIGN:Randomized controlled trial with single blinding. SETTING:Athletic club. PARTICIPANTS:Asymptomatic volleyball players who are...

    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.2014.09.038

    authors: Salamh PA,Kolber MJ,Hanney WJ

    更新日期:2015-02-01 00:00:00

  • Proof of principle of a brain-computer interface approach to support poststroke arm rehabilitation in hospitalized patients: design, acceptability, and usability.

    abstract:OBJECTIVE:To evaluate the feasibility of brain-computer interface (BCI)-assisted motor imagery training to support hand/arm motor rehabilitation after stroke during hospitalization. DESIGN:Proof-of-principle study. SETTING:Neurorehabilitation hospital. PARTICIPANTS:Convenience sample of patients (N=8) with new-onset...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2014.05.026

    authors: Morone G,Pisotta I,Pichiorri F,Kleih S,Paolucci S,Molinari M,Cincotti F,Kübler A,Mattia D

    更新日期:2015-03-01 00:00:00

  • Comparing stroke rehabilitation outcomes between acute inpatient and nonintense home settings.

    abstract:OBJECTIVE:To compare outcomes in stroke survivors who received rehabilitation services in an acute inpatient rehabilitation setting (multidisciplinary rehabilitation team) with outcomes in survivors in a home-based setting (family caregivers, limited team supervision). DESIGN:Randomized clinical trial, with mean follo...

    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.2001.25973

    authors: Ozdemir F,Birtane M,Tabatabaei R,Kokino S,Ekuklu G

    更新日期:2001-10-01 00:00:00

  • Interface pressures in above-knee sockets.

    abstract::The interface pressures in above-knee sockets of amputee patients were measured during the stance phase of the gait cycle. The pressures were monitored with a pneumatic sensor array that covered the inside of the socket. A pressure map of the socket surface was developed. This map has been related to the fit of the pr...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Krouskop TA,Brown J,Goode B,Winningham D

    更新日期:1987-10-01 00:00:00

  • Health care utilization by persons with chronic disabilities who have been vocationally rehabilitated.

    abstract::This investigation focuses on the effect of vocational rehabilitation on persons with chronic disabilities who have epilepsy, heart disease, spinal cord injury, arthritis, or emphysema. A thesis is proposed that such rehabilitants might be more vulnerable to unemployment than others, and it is also hypothesized that t...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Zelle' JA,Taranto KF

    更新日期:1976-06-01 00:00:00

  • Efficacy of partial body weight-supported treadmill training compared with overground walking practice for children with cerebral palsy: a randomized controlled trial.

    abstract:OBJECTIVE:To evaluate the efficacy of 9 weeks of twice-weekly partial body weight-supported treadmill training (PBWSTT) for children with cerebral palsy (CP) and moderate to severe walking difficulty compared with overground walking. DESIGN:Randomized controlled trial. SETTING:Metropolitan Specialist School for child...

    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.2009.10.029

    authors: Willoughby KL,Dodd KJ,Shields N,Foley S

    更新日期:2010-03-01 00:00:00