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Archives of Physical Medicine and Rehabilitation

Jeff Houck, Daniel Kang, Tyler Cuddeford, Sarah Rahkola
OBJECTIVES: To determine if the patient reported outcome information system (PROMIS) physical function (PF), pain interference (PI), self-efficacy (SE) and global rating of normal function (GRNF) scales are able to accurately characterize a patient's acceptable symptom state (PASS). DESIGN: A cross sectional analysis, using receiver operator curves and chi-square analysis to explore criteria to determine thresholds (80/95% sensitivity/specificity) for PASS that are applicable to PROMIS and GRNF scales...
September 12, 2018: Archives of Physical Medicine and Rehabilitation
Ashley Craig, Yvonne Tran, Rebecca Guest, James Middleton
OBJECTIVE: To establish self-efficacy and depressive mood trajectories in adults with spinal cord injury (SCI), determine their interrelationship over time, and determine the influence that appraisals and co-morbid physical conditions have on the development of self-efficacy. DESIGN: A prospective cohort design. SETTING: Inpatient rehabilitation and community settings. PARTICIPANTS: Eighty-eight adults admitted consecutively into three SCI units (mean age 42...
September 12, 2018: Archives of Physical Medicine and Rehabilitation
Cody Andrews, Sean Smith, Maggi Kennel, Steve Schilling, Claire Kalpakjian
OBJECTIVE: Determine the relationship between functional status and degree of specific organ involvement, physical performance, and subjective well-being Chronic graft-versus-host disease (cGVHD) after allogeneic hematopoietic stem cell transplantation DESIGN: Observational cohort. SETTING: Outpatient clinic. PARTICIPANTS: Adult patients (N = 121) with cGVHD with 634 assessments. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE(S): Karnofsky Performance Status (KPS)...
September 8, 2018: Archives of Physical Medicine and Rehabilitation
Noelle E Carlozzi, Michael A Kallen, Robin Hanks, Elizabeth A Hahn, Tracey A Brickell, Rael T Lange, Louis M French, Anna L Kratz, David S Tulsky, David Cella, Jennifer A Miner, Phillip A Ianni, Angelle M Sander
OBJECTIVE: To develop a new measurement system, the TBI-CareQOL, that can evaluate both general and caregiving-specific aspects of health-related quality of life (HRQOL) in caregivers of persons with traumatic brain injury (TBI). DESIGN: New item pools were developed and refined using literature reviews, qualitative data from focus groups, and cognitive debriefing with caregivers of civilians and service members/veterans with TBI, as well as expert review, reading level assessment, and translatability review; existing item banks and new item pools were assessed using an online data capture system...
September 6, 2018: Archives of Physical Medicine and Rehabilitation
Samantha Backhaus, Dawn Neumann, Devan Parrott, Flora M Hammond, Claire Brownson, James Malec
OBJECTIVE: This study aimed to (1) examine the efficacy of a treatment to enhance a couple's relationship after brain injury (BI) particularly in relationship satisfaction and communication; and (2) determine couples' satisfaction with this type of intervention. DESIGN: Randomized Wait-list Controlled (WC) Trial. SETTING: Midwestern outpatient BI rehabilitation center. INTERVENTION: The Couples CARE intervention is a 16 week, 2-hour, manualized small group treatment utilizing psychoeducation, affect recognition and empathy training, cognitive and dialectical behavioral treatments (CBT, DBT), communication skills training, and Gottman's theoretical framework for couples...
September 6, 2018: Archives of Physical Medicine and Rehabilitation
Hsiu-Yun Hsu, Ta-Shen Kuan, Hsiu-Ching Yang, Ching-Liang Tsai, Chien-Hsien Yeh, Chih-Chun Lin, Li-Chieh Kuo
OBJECTIVE: To investigate the reliability and validity of a modified pinch apparatus devised with three surface textures and two different weights for clinical application. DESIGN: Case-controlled study. SETTING: A university hospital. PARTICIPANTS: The participants included 16 carpal tunnel syndrome (CTS) patients with 20 sensory neuropathy hands, and an equal number of age-gender matched healthy volunteers, as well as twenty healthy young volunteers used to analyze both the testing validity and reliability of the modified device...
September 4, 2018: Archives of Physical Medicine and Rehabilitation
David R Howell, Gregory D Myer, Dustin Grooms, Jed Diekfuss, Weihong Yuan, William P Meehan
OBJECTIVES: (1) to determine effects of concussion related motor impairments at different task complexities in isolation and with a cognitive dual-task and (2) to determine if self-reported balance deficits after concussion are associated with gait, quiet stance, or cognitive dual-task impairments. DESIGN: Cross-sectional SETTING: Sports medicine clinic PARTICIPANTS: Adolescent athletes clinically diagnosed with a sport-related concussion and healthy controls. INTERVENTIONS: Athletes with concussion completed a single/dual-task standing and walking protocol within 14 days of injury and were compared to healthy controls...
September 4, 2018: Archives of Physical Medicine and Rehabilitation
Justine Dee, Benjamin Littenberg
OBJECTIVE: To determine if there was a change in the number of outpatient physical therapy (PT) and occupational therapy (OT) visits for Medicare beneficiaries, and in the number of beneficiaries receiving extended courses of >12 therapy visits, after the "Jimmo v. Sebelius" settlement. DESIGN: Cross-sectional analysis of the Medical Expenditure Panel Survey (MEPS) comparing calendar years 2011 through 2012 to 2014 through 2015. SETTING: Community in-home survey...
September 1, 2018: Archives of Physical Medicine and Rehabilitation
Joshua K Johnson, Bryan Lohse, Haley A Bento, Christopher S Noren, Robin L Marcus, Joseph E Tonna
OBJECTIVE: To examine the effect of increasing physical therapy staff in a cardiovascular ICU (CVICU) on temporal measures of physical therapy interventions and on outcomes important to patients and hospitals. DESIGN: Retrospective pre/post subgroup analysis from a quality improvement initiative. SETTING: Academic medical center. PARTICIPANTS: Cardiovascular patients in either a baseline (N=52) or quality improvement period (N=62) with a CVICU length of stay (LOS) ≥ 7 days and use of any one of the following: mechanical ventilation, continuous renal replacement therapy, or mechanical circulatory support...
August 30, 2018: Archives of Physical Medicine and Rehabilitation
Sue C Berney, Joleen W Rose, Linda Denehy, Catherine L Granger, George Ntoumenopoulos, Elise Crothers, Bronwyn Steel, Sandy Clarke, Elizabeth H Skinner
OBJECTIVES: To develop a decision tree that objectively identifies the most discriminative variables in the decision to provide out-of-bed rehabilitation, measure the impact of this decision and to identify the factors that intensive care unit (ICU) practitioners think most influential in that clinical decision. DESIGN: A prospective three-part study: i) consensus identification of influential factors in mobilization via survey, ii) development of an early rehabilitation decision tree and iii) measurement of practitioner mobilisation decision-making...
August 30, 2018: Archives of Physical Medicine and Rehabilitation
Richard Lombard-Vance, Fiadhnait O'Keeffe, Deirdre Desmond, Robert Coen, Nicola Ryall, Pamela Gallagher
OBJECTIVE: To establish a comprehensive profile of cognitive functioning in people engaged in lower limb amputation (LLA) rehabilitation. DESIGN: Cross-sectional study as part of a longitudinal prospective cohort. SETTING: A national, tertiary, rehabilitation hospital. PARTICIPANTS: Adult volunteer participants (N=87) referred for comprehensive rehabilitation for major LLA were sampled from 207 consecutive admissions...
August 30, 2018: Archives of Physical Medicine and Rehabilitation
Ryan Nussbaum, Christopher Kelly, Eleanor Quinby, Ami Mac, Bambang Parmanto, Brad E Dicianno
OBJECTIVE: To conduct systematic review to better define how medical mobile applications (apps) have been utilized in environments relevant to Physical Medicine and Rehabilitation. DATA SOURCES: PUBMED, IEEE, ACM Digital Library, SCOPUS, INSPEC, and EMBASE STUDY SELECTION: A 10-year date limit was utilized, spanning publication dates from June 1, 2006 to June 30, 2016. Terms related to Physical Medicine and Rehabilitation as well as mobile apps were used in ten individual search strategies...
August 29, 2018: Archives of Physical Medicine and Rehabilitation
David B Matchar, Kirsten Eom, Pamela W Duncan, Mina Lee, Rita Sim, Nirmali R Sivapragasam, Christopher T Lien, Marcus Eng Hock Ong
OBJECTIVE: To perform a cost-effectiveness analysis of a multifactorial, tailored intervention to reduce falls among a heterogeneous group of high-risk elderly. DESIGN: Randomized control trial SETTINGS: Communities PARTICIPANTS: Adults aged at least 65 years (N=354) seen at the ED for a fall or fall-related injury and discharged home. INTERVENTIONS: The intervention group received a tailored program of physical therapy focused on progressive training in strength, balance, and gait for a period of 3 months...
August 27, 2018: Archives of Physical Medicine and Rehabilitation
Noelle E Carlozzi, Michael A Kallen, Phillip A Ianni, Elizabeth A Hahn, Louis M French, Rael T Lange, Tracey A Brickell, Robin Hanks, Angelle M Sander
OBJECTIVE: To develop a new measure of caregiver strain for use in caregivers of individuals with traumatic brain injury (TBI), Traumatic Brain Injury Caregiver Quality of Life (TBI-CareQOL) Caregiver Strain. DESIGN: Qualitative data, literature reviews, and cross-sectional survey study. SETTING: Three TBI Model Systems rehabilitation hospitals, an academic medical center, and a military medical treatment facility. PARTICIPANTS: Caregivers (N=560) of civilians (n=344) or service members/veterans (SMVs) with TBI (n=216)...
August 25, 2018: Archives of Physical Medicine and Rehabilitation
Tijn van Diemen, Ilse J W van Nes, Jan H B Geertzen, Marcel W M Post
OBJECTIVES: Examine whether coping flexibility at admission to first spinal cord injury (SCI) rehabilitation was predictive of distress 1 year after discharge. DESIGN: Longitudinal inception cohort study. SETTING: Rehabilitation center. PARTICIPANTS: Of the 210 people admitted to their first inpatient SCI rehabilitation program, 188 met the inclusion criteria. n=150 (80%) agreed to participate; the data of participants (N=113) with a complete dataset were used in the statistical analysis...
August 25, 2018: Archives of Physical Medicine and Rehabilitation
Marcas M Bamman, Gary R Cutter, David M Brienza, John Chae, Daniel M Corcos, Stephanie DeLuca, Edelle Field-Fote, Mona N Fouad, Catherine E Lang, Anne Lindblad, Robert W Motl, Carla G Perna, Darcy Reisman, Kenneth M Saag, Sean I Savitz, Kathryn H Schmitz, Jennifer Stevens-Lapsley, John Whyte, Carolee J Winstein, Mary E Michel
The purpose of this Special Communication is to summarize guidelines and recommendations stemming from an expert panel convened by the National Institutes of Health (NIH), National Center for Medical Rehabilitation Research (NCMRR) for a workshop entitled, The Future of Medical Rehabilitation Clinical Trials, held 29-30 September 2016 at the NCMRR offices in Bethesda, Maryland. The ultimate goal of both the workshop and this summary is to offer guidance on clinical trials design and operations to the medical rehabilitation research community, with the intent of maximizing the impact of future trials...
August 24, 2018: Archives of Physical Medicine and Rehabilitation
Jayme S Knutson, Amy S Fried, Kristine M Hansen, Terri Z Hisel, Mary Y Harley
OBJECTIVE: To evaluate the convergent validity and responsiveness of the Stroke Upper Limb Capacity Scale (SULCS) in comparison to the Arm Motor Ability Test (AMAT), the Box and Blocks Test (BBT), and the upper limb Fugl-Meyer Assessment (FMA). The SULCS is a relatively new measure that was designed to be easier to score and less time consuming than some existing measures. DESIGN: Prospective repeated-measures design SETTING: Clinical research laboratory of a large public hospital PARTICIPANTS: Patients (n=61) <2 years post-stroke with moderate to severe upper limb hemiparesis...
August 24, 2018: Archives of Physical Medicine and Rehabilitation
Jorge L Candiotti, Deepan C Kamaraj, Brandon Daveler, Cheng-Shiu Chung, Garrett G Grindle, Rosemarie Cooper, Rory A Cooper
OBJECTIVE: To compare the Mobility Enhancement roBotic (MEBot) wheelchair's capabilities with commercial Electric Powered Wheelchairs (EPWs) by performing a systematic usability evaluation. DESIGN: Usability in terms of effectiveness, efficacy, and satisfaction was evaluated using quantitative measures. A semi-structured interview was employed to gather feedback about the users' interaction with MEBot. SETTING: Lab testing of EPW driving performance with two devices in a controlled setting simulating common EPW driving tasks...
August 24, 2018: Archives of Physical Medicine and Rehabilitation
Juultje Sommers, Emily Klooster, Siebrand B Zoethout, Huub LA van den Oever, Frans Nollet, Robert Tepaske, Janneke Horn, Raoul Hh Engelbert, Marike van der Schaaf
OBJECTIVE: To evaluate the feasibility and safety of exercise testing and to describe the physiological response to exercise of patients in the Intensive Care Unit (ICU). DESIGN: A prospective observational multicenter study. SETTING: Two mixed medical-surgical ICUs. PARTICIPANTS: Patients (N= 37; with no primary neurological disorders, 59% male; median age 50 years; ICU length of stay 14.5 days; APACHE IV 73.0) who had been mechanically ventilated for more than 48 hours and were hemodynamically stable enough to perform physical exercise...
August 21, 2018: Archives of Physical Medicine and Rehabilitation
Dawn Neumann, Barbra Zupan
OBJECTIVE: To compare empathic responses to affective film clips in participants with traumatic brain injury (TBI) and Healthy controls (HCs), and examine associations with affect recognition. DESIGN: Cross sectional study using a quasi-experimental design. SETTING: Multi-site study conducted at a post-acute rehabilitation facility in the USA and a University in Canada. PARTICIPANTS: A convenience sample of 60 adults with moderate to severe TBI and 60 HCs, frequency matched for age and sex...
August 21, 2018: Archives of Physical Medicine and Rehabilitation
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