Abstract:
OBJECTIVE:Traumatic spinal cord injury (SCI) affects 8,000 to 10,000 individuals per year in the United States. One of the most difficult tasks confronting the clinician is the discussion of neurologic recovery and prognosis with the patient and/or family. Our objective is to provide a guide for practitioners to accurately predict neurologic outcome in acute traumatic cervical SCI (tetraplegia). DATA SOURCE:Published reports obtained through MEDLINE search, texts, and studies presented at national conferences. STUDY SELECTION:Peer reviewed studies, in English language, that discussed prognosis after traumatic SCI. CONCLUSION:A comprehensive physical examination of the acute SCI patient is essential in determining the initial level and classification of the injury and is the most accurate method to predict neurologic recovery. Other diagnostic tests, including somatosensory evoked potentials, magnetic resonance imaging, and transcranial magnetic stimulation, may be helpful in further determining outcome when used in association with the clinical examination. The understanding of neurologic recovery should help predict ultimate functional capability and potential needs.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Kirshblum SC,O'Connor KCdoi
10.1016/s0003-9993(98)90244-1subject
Has Abstractpub_date
1998-11-01 00:00:00pages
1456-66issue
11eissn
0003-9993issn
1532-821Xpii
S0003-9993(98)90244-1journal_volume
79pub_type
杂志文章,评审abstract:UNLABELLED:Lee H-J, Lim K-B, Kim D-Y, Lee K-T. Randomized controlled trial for efficacy of intra-articular injection for adhesive capsulitis: ultrasonography-guided versus blind technique. OBJECTIVE:To evaluate the clinical effect of ultrasonography (US)-guided intra-articular injections compared with a blind (unguide...
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.2009.07.025
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVE:To examine sociodemographic and clinical characteristics independently associated with discharge home compared with discharge to a skilled nursing facility (SNF) after acute inpatient rehabilitation. DESIGN:Retrospective cohort study. SETTING:Three tertiary accredited acute care rehabilitation facilities. ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2015.03.007
更新日期:2015-07-01 00:00:00
abstract::After multiple hospital admissions and an inpatient rehabilitation stay, a 68-year-old woman was transferred to our rehabilitation facility with a paraparesis of unknown etiology. Previous studies included four CT scans and three MRIs which did not demonstrate the lesion. A myelogram was noncharacteristic. The correct...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1991-03-01 00:00:00
abstract::A new diaphragmatic breathing technique practiced without the aid of a physical corset is outlined, and the findings from a study of its application in the respiratory rehabilitation of asthmatic patients are presented. Sixty-seven asthmatic adults randomly assigned to either deep diaphragmatic breathing training, phy...
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:1992-08-01 00:00:00
abstract::The inability to communicate personal needs, feelings, and ideas is a frustrating barrier for nonverbal patients with severe physical disabilities. It hampers the physician-patient relationship and medical services. This problem has been diminished with the use of a new communication board for patients with brain stem...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1985-12-01 00:00:00
abstract:OBJECTIVE:To determine the validity of the 6-minute walk test (6MWT) as an outcome measure to evaluate walking capacity in ambulatory patients with amyotrophic lateral sclerosis (ALS). DESIGN:Observational study. SETTING:Multidisciplinary ALS clinic at an academic medical center. PARTICIPANTS:Patients with ALS (N=18...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2017.04.004
更新日期:2017-11-01 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:OBJECTIVE:To examine how intraindividual changes in ambulation characteristics may be used to predict falls. DESIGN:Longitudinal study design. SETTING:Assisted living facility. PARTICIPANTS:Ambulatory older adults (N=26; mean age, 79y). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Continuous measure of aver...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2016.05.013
更新日期:2016-11-01 00:00:00
abstract:OBJECTIVE:To show the possible effect of left- and right-side total hip arthroplasty (THA) on the ability to perform an emergency stop when driving a car. DESIGN:Inception cohort. SETTING:A driving simulator using an actual car cabin, specifically developed for the experiment, was used for testing driving ability. P...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/j.apmr.2014.03.009
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVES:To measure covertly observed continuous sitting and standing tolerance in patients with chronic back pain and to compare observations to physician predictions. DESIGN:Blinded, prospective, cohort study. SETTING:Ambulatory referral centers, both public and private, at 5 major medical centers in the eastern ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2003.09.026
更新日期:2004-05-01 00:00:00
abstract::There is evidence that chronic cane, crutch, and wheelchair users are at increased risk for developing pain and functional compromise of the wrist and hand. This investigation examined the prevalence and risk factors for median mononeuropathy at the wrist in the postpoliomyelitis population. The medical records of 148...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/0003-9993(89)90008-7
更新日期:1989-06-01 00:00:00
abstract::We report on 2 cases of the effect of modafinil on the self-esteem of patients with spinal cord injury (SCI). The first patient was a 33-year-old man with history of polysubstance abuse and a C6 American Spinal Injury Association (ASIA) grade A injury, who presented for follow-up to the outpatient rehabilitation clini...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/j.apmr.2005.01.009
更新日期:2005-09-01 00:00:00
abstract:OBJECTIVE:To assess muscle passive stiffness in medicated Parkinson's disease patients using myotonometry. DESIGN:Case-control study. SETTING:Kinesiology laboratory. PARTICIPANTS:Women with Parkinson's disease (PD) (n=8) and healthy matched elderly women (controls) (n=10) (mean age: PD, 77+/-3y; controls, 77+/-4y). ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2010.01.012
更新日期:2010-05-01 00:00:00
abstract:OBJECTIVE:To evaluate the internal consistency and test-retest reliability, construct validity, and feasibility of the WatLX, a measure of the experience of patients in rehabilitative care. DESIGN:Multisite, cross-sectional, and test-retest self-report study. SETTING:Outpatient rehabilitative care settings. PARTICIP...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2018.04.028
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVE:To assess the effects of a community-based exercise program on motor recovery and functional abilities of the paretic upper extremity in persons with chronic stroke. DESIGN:Randomized controlled trial. SETTING:Rehabilitation research laboratory and a community hall. PARTICIPANTS:A sample of 63 people (> or...
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.2005.08.113
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVE:To review and reassess the findings of Krause and colleagues on the effect of economic and other risk factors on life expectancy after spinal cord injury, using an expanded and updated database. DESIGN:Pooled person-year analysis. SETTING:Model Spinal Cord Injury Systems hospitals. PARTICIPANTS:A total of ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2007.11.025
更新日期:2008-03-01 00:00:00
abstract::This study examined the extent of kinematic symmetry of lower limbs when walking. Twelve able-bodied subjects were measured with a device which recorded three-dimensional motion of hip and knee joints bilaterally. Comparisons of right and left sagittal, transverse, and coronal plane motions were conducted in the time ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1984-04-01 00:00:00
abstract::This study was designed to determine the following about a geriatric rehabilitation population: (1) the relationship between patients' self-reports of depression and anxiety and staff observations of compromised participation in treatment secondary to emotional dysfunction; (2) the relationship of observations among d...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1992-06-01 00:00:00
abstract::This first report on the use of the Wright linear pump and its successful application in the treatment of a child with Park-Weber syndrome indicates that sequenced linear pumping is efficacious when previously tried single cell intermittent compression fails. Programmable intermittent pressure in the management of lym...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1983-03-01 00:00:00
abstract:OBJECTIVES:To identify (1) the annual incidence of subsequent injury and injury-related hospitalizations in persons with preexisting spinal cord injury (SCI) and (2) risk and protective behaviors associated with differential risk for injury. DESIGN:Longitudinal mailed survey. Participants were enrolled in 1997 to 1998...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2010.07.219
更新日期:2010-11-01 00:00:00
abstract:UNLABELLED:Cooper RA. Comparison of virtual wheelchair driving performance of people with traumatic brain injury using an isometric and a conventional joystick. OBJECTIVE:To compare wheelchair driving performance in a driving simulator using a conventional joystick and an isometric joystick. DESIGN:Randomized, cohort...
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.2011.03.011
更新日期:2011-08-01 00:00:00
abstract:OBJECTIVES:To report the cognitive features of patients with severe coronavirus disease 2019 (COVID-19) entering the postacute phase, to understand whether COVID-19 acute respiratory distress syndrome itself could result in long-term cognitive deficits, and to determine whether neuropsychological treatment after the ac...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2020.09.376
更新日期:2021-01-01 00:00:00
abstract:OBJECTIVE:To describe environmental factors that influence participation of people with disabilities. DESIGN:Constant comparative, qualitative analyses of transcripts from 36 focus groups across 5 research projects. SETTING:Home, community, work, and social participation settings. PARTICIPANTS:Community-dwelling peo...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2014.12.008
更新日期:2015-04-01 00:00:00
abstract::Our purpose was to determine the effects of transcutaneous electrical nerve stimulation (TENS) on the soleus H-reflex amplitude in normal subjects. Eleven subjects were tested in five experimental sessions, the purpose of which was to compare the effects of 30 minutes of TENS delivered at either 50 or 99Hz (250 micros...
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(94)90090-6
更新日期:1994-10-01 00:00:00
abstract:OBJECTIVES:To review the various causes of urinary incontinence (UI) in elderly patients and to outline a therapeutic approach to the clinical management of UI. DATA SOURCES:Online search of MEDLINE and additional references selected from the articles found during the search. STUDY SELECTION:All peer-reviewed article...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1053/apmr.2001.9392
更新日期:2001-01-01 00:00:00
abstract::Pathology influencing the serratus anterior muscle contributes to classical medial winging of the scapula. Serratus anterior weakness or injury interferes with regular shoulder movement as this muscle stabilizes the medial border of the scapula against the thorax and rotates the scapula upward and laterally with arm e...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/0003-9993(86)90018-3
更新日期:1986-10-01 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::This essay complements the scientific and practice scope of the American Academy of Neurology Guideline on Disorders of Consciousness by providing a discussion of the ethical, palliative, and policy aspects of the management of this group of patients. We endorse the renaming of "permanent" vegetative state to "chronic...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2018.07.003
更新日期:2018-09-01 00:00:00
abstract::Fifty-nine patients with severe chronic obstructive pulmonary disease (COPD) performed pulmonary function and exercise tests before and after participation in a 12-day pulmonary rehabilitation inpatient program. Postdischarge follow-ups were performed at three months. Training consisted of twice daily aerobic exercise...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1988-02-01 00:00:00
abstract:OBJECTIVE:To determine if bone mineral density (BMD) is associated with the probability of stress fractures in premenopausal women. DESIGN:Case-control study. SETTING:Large Army post, Fort Lewis, WA. PARTICIPANTS:Twenty-seven active duty Army women with documented stress fractures within the last 2 years and 158 fem...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(00)90225-9
更新日期:2000-01-01 00:00:00