Further experience in development of an objective structured clinical examination for physical medicine and rehabilitation residents.

Abstract:

:Since the last report, two additional objective structured clinical examinations (PGY-2, PGY-3, and PGY-4, as well as incoming PGY-2) have been administered. As a result, our curriculum has been modified to strengthen physical examination skills, including specific workshops. Interrater reliability of evaluators has been tested for the first time to verify reliability, and refinements have been made in the standardized checklist grading system. The interrater grading of history-taking had good reliability (0.73-0.96), as did neurological and spine physical examination (0.84-0.88). The interrater grading reliability of small and large joint examination was more problematic (0.46-0.62) because of examiners' inability to have full visibility, evaluator's fatigue, and confusing evaluation scoring descriptions. We now use a two-point grading scale (correct or incorrect) for history but continue a three-point scale (correct, partially correct, or incorrect) for physical examination. The examination schedule is being modified to add more encounters, give time for trainee feedback, and further refinement of grading expectations for a more efficient and reliable scoring system.

journal_name

Am J Phys Med Rehabil

authors

Jain SS,DeLisa JA,Eyles MY,Nadler S,Kirshblum S,Smith A

doi

10.1097/00002060-199807000-00009

subject

Has Abstract

pub_date

1998-07-01 00:00:00

pages

306-10

issue

4

eissn

0894-9115

issn

1537-7385

journal_volume

77

pub_type

杂志文章
  • Mobility-related assistive technology device classifications: implications for outcomes research.

    abstract::This article evaluates six mobility-related device classifications for their ability to support assistive technology outcomes research. Our evaluation considered classifications that had been created for various purposes, including those created to support third-party reimbursement decisions, consumer education and sa...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1097/PHM.0b013e3181bc0d55

    authors: Shoemaker LL,Lenker JA,Fuhrer MJ,Jutai JW,Demers L,DeRuyter F

    更新日期:2009-12-01 00:00:00

  • Robotic approaches for rehabilitation of hand function after stroke.

    abstract::The goal of this review was to discuss the impairments in hand function after stroke and present previous work on robot-assisted approaches to movement neurorehabilitation. Robotic devices offer a unique training environment that may enhance outcomes beyond what is possible with conventional means. Robots apply forces...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1097/PHM.0b013e31826bcedb

    authors: Lum PS,Godfrey SB,Brokaw EB,Holley RJ,Nichols D

    更新日期:2012-11-01 00:00:00

  • Influence of rotators on the kinematic adaptations in stubby prosthetic gait.

    abstract::We report on the results of gait analysis in a patient with bilateral knee disarticulation amputations who used short nonarticulated prosthetic limbs (stubbies) to meet his ambulation needs over an extended period. To compensate for the loss of knee and ankle articulations, exaggerated pelvic obliquity (hip hiking), t...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-200204000-00015

    authors: Gitter A,Paynter K,Walden G,Darm T

    更新日期:2002-04-01 00:00:00

  • Relationship between self-reported disability and caregiver hours.

    abstract:OBJECTIVE:In a large, population-based cohort of patients with spinal cord dysfunction, we assessed the relationship between self-reported physical function and hours of care received. DESIGN:Data were obtained by a cross-sectional, self-administered survey used to help establish a national registry of veterans with s...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-200109000-00007

    authors: Samsa GP,Hoenig H,Branch LG

    更新日期:2001-09-01 00:00:00

  • Use of power assist wheels results in increased distance traveled compared with conventional manual wheeling.

    abstract:OBJECTIVE:To evaluate the impact of power assist wheels on the distance traveled by manual wheelchair users and analyze potential cofactors in the magnitude of response and to test the hypothesis that wheelers would travel significantly further with power assist wheels. DESIGN:A 16-wk A (Preintervention)-B (Interventi...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e3181e72286

    authors: Levy CE,Buman MP,Chow JW,Tillman MD,Fournier KA,Giacobbi P Jr

    更新日期:2010-08-01 00:00:00

  • Research agenda for geriatric rehabilitation.

    abstract::The Research Agenda Setting Process is a joint endeavor by the American Geriatrics Society and the Hartford Foundation to increase geriatric expertise in the surgical and related specialties. This article provides the results of the Research Agenda Setting Process project on research needs in geriatric rehabilitation,...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1097/01.phm.0000143435.79146.9f

    authors: Hoenig H,Siebens H

    更新日期:2004-11-01 00:00:00

  • Spinal muscular atrophy type 1 quality of life.

    abstract:OBJECTIVE:To compare healthcare professionals' assessment of the quality of life of spinal muscular atrophy type 1 children with that of the care providers for the children. DESIGN:The care providers of all 53 surviving spinal muscular atrophy type 1 children managed in one neuromuscular disease clinic were sent Liker...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-200302000-00009

    authors: Bach JR,Vega J,Majors J,Friedman A

    更新日期:2003-02-01 00:00:00

  • Neuromuscular adaptations to electrostimulation resistance training.

    abstract::A combination of in vivo and in vitro analyses was performed to investigate muscular and neural adaptations of the weaker (nondominant) quadriceps femoris muscle of one healthy individual to short-term electrostimulation resistance training. The increase in maximal voluntary strength (+12%) was accompanied by neural (...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/01.phm.0000197570.03343.18

    authors: Maffiuletti NA,Zory R,Miotti D,Pellegrino MA,Jubeau M,Bottinelli R

    更新日期:2006-02-01 00:00:00

  • Impaired hypothalamus-pituitary-adrenal axis in men with spinal cord injuries.

    abstract::Twenty-five men with spinal cord injuries were studied for evaluation of the hypothalamus-pituitary-adrenal axis, using corticotropin-releasing hormone and insulin-induced hypoglycemia. Twenty-five age-matched healthy male volunteers served as controls. Three spinal cord-injured subjects had hyperprolactinemia, three ...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Huang TS,Wang YH,Lee SH,Lai JS

    更新日期:1998-03-01 00:00:00

  • Functional neuroimaging and cognitive rehabilitation for people with traumatic brain injury.

    abstract::Cognitive deficits are a common consequence of traumatic brain injury. Although such deficits are amenable to rehabilitation, methods for individualizing cognitive interventions are still unrefined. Functional neuroimaging methods such as positron emission tomography and functional magnetic resonance imaging are emerg...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1097/01.phm.0000150787.26860.12

    authors: Strangman G,O'Neil-Pirozzi TM,Burke D,Cristina D,Goldstein R,Rauch SL,Savage CR,Glenn MB

    更新日期:2005-01-01 00:00:00

  • Amantadine for adynamic speech: possible benefit for aphasia?

    abstract:OBJECTIVE:Dopaminergic agents may stimulate behavior and verbal expression after frontal lobe dysfunction. Although amantadine is used in neurorehabilitation of motivational disorders and head injury, it is not commonly prescribed to improve aphasia. This pilot study examined verbal fluency on and off amantadine for no...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e31811473b3

    authors: Barrett AM,Eslinger PJ

    更新日期:2007-08-01 00:00:00

  • Feasibility and Neurobehavioral Changes of 10-Day Simulated Microgravity in Acute Ischemic Stroke Patients.

    abstract:OBJECTIVE:The aim of the study was to investigate feasibility and functional changes of simulated microgravity with 6-degree head-down-tilt (HDT) bed rest in acute ischemic stroke. DESIGN:Patients without lesions in the cingulate cortex and/or cerebellum were enrolled. They underwent HDT for 30 minutes twice per day f...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 临床试验,杂志文章

    doi:10.1097/PHM.0000000000000765

    authors: Koo KI,Park DK,Hwang CH

    更新日期:2017-11-01 00:00:00

  • Lumbar stabilization: a review of core concepts and current literature, part 2.

    abstract::Lumbar-stabilization exercise programs have become increasingly popular as a treatment for low-back pain. In this article, we outline an evidence-based medicine approach to evaluating patients for a lumbar-stabilization program. We also discuss typical clinical components of this type of program and the rationale for ...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1097/01.phm.0000250566.44629.a0

    authors: Barr KP,Griggs M,Cadby T

    更新日期:2007-01-01 00:00:00

  • Differences in sensory conduction velocity between different sensory branches and segments of the median and ulnar nerves.

    abstract::Abnormality of absolute values of median sensory conduction velocities and differences in conduction velocity between median and ulnar nerves are used as criteria for abnormality in the diagnosis of carpal tunnel syndrome. Detailed studies of sensory conduction in various median and ulnar branches and segments indicat...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-198910000-00002

    authors: Joynt RL

    更新日期:1989-10-01 00:00:00

  • Chief residency in PM&R. A balance of education and administration.

    abstract::The role of the Physical Medicine and Rehabilitation (PM&R) chief resident (CR) in physiatry residency education programs is the subject of annual deliberation in many academic centers. A national survey of PM&R programs was conducted to determine CR number, selection method, responsibilities, duration of service, and...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-199607000-00003

    authors: Young MA,Stiens SA,Hsu P

    更新日期:1996-07-01 00:00:00

  • Hemipelvectomy: high-level amputation surgery and prosthetic rehabilitation.

    abstract::The hemipelvectomy, most commonly performed for pelvic tumor resection, is one of the most technically demanding and invasive surgical procedures performed today. Adequate soft tissue coverage and wound complications after hemipelvectomy are important considerations. Rehabilitation after hemipelvectomy is optimally ma...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1097/PHM.0000000000000068

    authors: Houdek MT,Kralovec ME,Andrews KL

    更新日期:2014-07-01 00:00:00

  • Demonstration with 3D Volumetric MR sequences of Deep Peroneal Nerve Compression on Os Intermetatarseum Syndrome: A case Report.

    abstract::The os intermetatarseum is a rare accessory bone of the foot. It is commonly asymptomatic, as are other such accessory bones of the foot. Nevertheless, when it becomes symptomatic, it can cause "os intermetatarseum syndrome". The case is here reported of os intermetatarseum syndrome, which is extremely rarely seen. To...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000001664

    authors: Sakci Z,Aydin F,Tuncer K,Ogul H

    更新日期:2020-12-11 00:00:00

  • Strength training for walking in neurologic rehabilitation is not task specific: a focused review.

    abstract::The aim of this systematic review was to investigate the task specificity of strength training programs for walking in neurologic rehabilitation. Nine electronic databases were searched from conception to October 2012 for randomized controlled trials that used strength training to improve walking in adult neurologic p...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1097/PHM.0000000000000058

    authors: Williams G,Kahn M,Randall A

    更新日期:2014-06-01 00:00:00

  • Perioperative exercise programs improve early return of ambulatory function after total hip arthroplasty: a randomized, controlled trial.

    abstract:OBJECTIVE:Patients with endstage hip arthritis have poor ambulatory function. The aim of this study was to determine if perioperative exercise programs are well tolerated by these elderly patients and if a customized program can achieve an earlier recovery of normal ambulatory function after total hip arthroplasty. DE...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00002060-200211000-00001

    authors: Wang AW,Gilbey HJ,Ackland TR

    更新日期:2002-11-01 00:00:00

  • Older Age Is Associated with Lower Optimal Vibration Frequency in Lower-Limb Muscles During Whole-Body Vibration.

    abstract:OBJECTIVE:The aim of this study was to compare the optimal vibration frequency (OVF), which corresponds to maximal electromyographic muscle response during whole-body vibration, between young, middle-aged, and older women in four muscles of the lower-limbs. DESIGN:OVF was measured as the frequency corresponding to max...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000000193

    authors: Carlucci F,Orlando G,Haxhi J,Laudani L,Giombini A,Macaluso A,Pigozzi F,Sacchetti M

    更新日期:2015-07-01 00:00:00

  • Neuroendocrine changes during functional electrical stimulation.

    abstract::This study examined the effects of a computerized functional electrical stimulation exercise program on plasma beta-endorphin-like immunoreactivity (BEP-ir), cortisol levels and depression parameters in spinal cord-injured individuals. Nine subjects from 1.2 to 33.5 yr postinjury with both motor and sensory complete l...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-199206000-00006

    authors: Twist DJ,Culpepper-Morgan JA,Ragnarsson KT,Petrillo CR,Kreek MJ

    更新日期:1992-06-01 00:00:00

  • Revisiting physiologic and psychologic triggers that increase spasticity.

    abstract:OBJECTIVE:The aims of this study were to systematically identify and summarize the literature examining the impact of physiologic and psychologic triggers on spasticity and discuss the evidence supporting various types of triggers. DESIGN:PubMed, EMBASE, CINAHL, and PEDro databases were searched using specific keyword...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1097/phm.0b013e31827d68a4

    authors: Phadke CP,Balasubramanian CK,Ismail F,Boulias C

    更新日期:2013-04-01 00:00:00

  • Invariant characteristics of gait initiation.

    abstract::Studies were undertaken first to describe the invariant characteristics of gait initiation and second to better understand the function of each limb in the process of gait initiation. Analysis of variance indicated significant main effects for speed for time to onset of EMG activity and force plate recordings, time to...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-199108000-00009

    authors: Brunt D,Lafferty MJ,Mckeon A,Goode B,Mulhausen C,Polk P

    更新日期:1991-08-01 00:00:00

  • Description and interobserver reliability of the Tufts Assessment of Motor Performance.

    abstract::This paper describes the conceptual basis for the development of a new clinical evaluation instrument, the Tufts Assessment of Motor Performance (TAMP). The TAMP is a 32-item, diagnosis-independent, criterion-referenced test that samples physical performance items in the areas of mobility, activities of daily living a...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-198810000-00003

    authors: Gans BM,Haley SM,Hallenborg SC,Mann N,Inacio CA,Faas RM

    更新日期:1988-10-01 00:00:00

  • Effectiveness of device-assisted ultrasound-guided steroid injection for treating plantar fasciitis.

    abstract:OBJECTIVE:The aim of this study was to investigate the effectiveness of device-assisted ultrasound-guided steroid injection for treating plantar fasciitis. DESIGN:An ultrasound-guided injection device designed with space for securing a transducer and syringe was used to guide steroid injection. Patients with unilatera...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/PHM.0b013e318278a831

    authors: Chen CM,Chen JS,Tsai WC,Hsu HC,Chen KH,Lin CH

    更新日期:2013-07-01 00:00:00

  • Customized device for pediatric upper limb rehabilitation in obstetric brachial palsy.

    abstract::A 12-yr-old child, with a history of gestational Erb-Duchenne palsy and, later, musculoskeletal injuries in the left arm caused by a car accident, inspired the design of a customized exoskeleton-like device. Such piece, intended for rehabilitation, has one degree of freedom because the exercise routine involves elbow ...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e3182a51c95

    authors: López NM,de Diego N,Hernández R,Pérez E,Ensinck G,Valentinuzzi ME

    更新日期:2014-03-01 00:00:00

  • SONOGRAPHIC THIGH ADJUSTMENT RATIO - STAR A Golden Formula for the Diagnosis of Sarcopenia.

    abstract:OBJECTIVES:To explore an individualized sonographic muscle thickness ratio and its cut-off values in the diagnosis of sarcopenia. DESIGN:A total of 326 community-dwelling adults were included in this cross-sectional study. Total skeletal muscle mass was evaluated by bioelectrical impedance analysis, and 9-site muscle ...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000001439

    authors: Kara M,Kaymak B,Ata AM,Özkal Ö,Kara Ö,Baki A,Ayçiçek GŞ,Topuz S,Karahan S,Soylu AR,Çakir B,Halil M,Özçakar L

    更新日期:2020-04-03 00:00:00

  • Correlation of polyelectromyographic patterns and clinical motor manifestations in children with cerebral palsy.

    abstract:OBJECTIVE:We investigated the correlation between movement patterns, measured by polyelectromyography (PEMG), and clinical motor manifestations in children with cerebral palsy. DESIGN:Subjects included 53 children with spastic cerebral palsy (diplegic [n = 43] and quadriplegic [n = 10] groups) and 18 normal children. ...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/01.PHM.0000078180.72129.5C

    authors: Chen CL,Wu CY,Wong AM,Cheng PT,Hong WH,Chen HC

    更新日期:2003-08-01 00:00:00

  • Specificity of needle electromyography for lumbar radiculopathy in 55- to 79-yr-old subjects with low back pain and sciatica without stenosis.

    abstract:OBJECTIVE:The aim of this study was to determine the specificity of needle electromyography for lumbar radiculopathy in subjects with low back pain and sciatica without stenosis. DESIGN:Subjects 55 yrs or older with diagnoses of low back pain and sciatica underwent a standardized monopolar needle evaluation by blinded...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e31820b163b

    authors: Tong HC

    更新日期:2011-03-01 00:00:00

  • Bilateral Quadriceps Muscle Strength and Pain Correlate With Gait Speed and Gait Endurance Early After Unilateral Total Knee Arthroplasty: A Cross-sectional Study.

    abstract:OBJECTIVE:The aim of this study was to determine the correlations between objective performance-based physical function, self-reported physical function, quality of life, and gait function at 1 mo after unilateral total knee arthroplasty. DESIGN:Cross-sectional data from 195 patients who underwent unilateral primary t...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000001222

    authors: Suh MJ,Kim BR,Kim SR,Han EY,Nam KW,Lee SY,Park YG,Kim WB

    更新日期:2019-10-01 00:00:00