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Archives of Physical Medicine and Rehabilitation

Pinar Akpinar, Arzu Atici, Feyza U Ozkan, Ilknur Aktas, Duygu G Kulcu, Kubra Neslihan Kurt
OBJECTIVE: To assess the reliability of the Spinal Cord Assessment Tool for Spastic Reflexes (SCATS). DESIGN: Observational reliability study of the SCATS . SETTING: Inpatient rehabilitation unit at an education and research hospital. PARTICIPANTS: This study included 47 subjects between the ages of 18 and 88 years with spinal cord injury, American Spinal Injury Association (ASIA) impairment scale grades from A to D with spasticity, and at least 6 months post injury...
October 12, 2016: Archives of Physical Medicine and Rehabilitation
Pierce Boyne, Jeffrey Welge, Brett Kissela, Kari Dunning
OBJECTIVE: To assess the influence of dosing parameters and patient characteristics on the efficacy of aerobic exercise (AEX) post-stroke. DATA SOURCES: A systematic review was conducted using Pubmed, MEDLINE, CINAHL, PEDro and Academic Search Complete. STUDY SELECTION: Studies were selected that compared AEX to a non-aerobic control group among ambulatory persons with stroke. DATA EXTRACTION: Extracted outcome data included: peak oxygen consumption during exercise testing (VO2peak), walking speed and walking endurance (6-minute walk test)...
October 12, 2016: Archives of Physical Medicine and Rehabilitation
Hui-Chuan Huang, Chien-Hung Chang, Chaur-Jong Hu, Meei-Ling Shyu, Chin-I Chen, Chih-Shan Huang, Hsiu-Ting Tsai, Hsiu-Ju Chang
OBJECTIVE: To explore the temporal effects of psychological distress on the functional recovery among stroke survivors. DESIGN: A longitudinal follow-up study. All participants were interviewed at 5 days after stroke onset, and at 1, 2, 3, and 6 months after discharge from acute care hospitals. SETTING: Neurology inpatient and outpatient departments and rehabilitation clinics. PARTICIPANTS: First-time stroke participants (N=62) without cognitive impairment, psychiatric disorders, or cancer were recruited...
October 12, 2016: Archives of Physical Medicine and Rehabilitation
Sara J Morgan, Janna L Friedly, Dagmar Amtmann, Rana Salem, Brian J Hafner
OBJECTIVE: To determine relationships between pain site(s) and pain intensity/interference in people with lower limb amputations. DESIGN: Cross-sectional survey. SETTING: Community. PARTICIPANTS: Lower limb prosthesis users with unilateral or bilateral amputations (n=1296, mean time since amputation = 14.1 years). INTERVENTION: Not applicable. MAIN OUTCOME MEASURES: Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Intensity (1-item to assess average pain), PROMIS Pain Interference (4-item short form to assess the consequences of pain in desired activities), and questions that asked participants to rate the extent to which each of the following were a problem: residual limb pain, phantom limb pain, knee pain on the non-amputated side, back pain, and shoulder pain...
October 11, 2016: Archives of Physical Medicine and Rehabilitation
David Salisbury, Simon J Driver, Megan Reynolds, Monica Bennett, Laura B Petrey, Anne Marie Warren
OBJECTIVE: To investigate trends of hospital-based health care utilization after admission to a Level 1 trauma center following acute traumatic brain injury (TBI). DESIGN: Retrospective review. SETTING: Large urban trauma hospital and a hospital council data registry consisting of 88 member institutions (>150 hospitals) covering 15,000 square miles. PARTICIPANTS: All patients admitted to a Level I trauma center between January 2006 - June 2014 who experienced an acute TBI based on ICD-9 coding...
October 6, 2016: Archives of Physical Medicine and Rehabilitation
Frederico Ribeiro Neto, Patrícia Guanais, Guilherme H Lopes, Elisa Dornelas, Daniela de Campos Barbetta, Alessandra C B Coutinho, Carlos Wellington Gonçalves, Rodrigo Rodrigues Gomes Costa
OBJECTIVE: The study aimed to investigate the influence of strength values and fat mass on functional independence of men with different spinal cord injury levels (SCI). DESIGN: Cross-sectional study; Setting: SARAH Rehabilitation Hospital Network - Brasilia, Brazil. PARTICIPANTS: Forty-five men with SCI were enrolled in the study. INTERVENTIONS: Subjects were assessed in functional independence scales, one maximum repetition test (1RM) and body composition to detect absolute and relative strength: 1RM divided by body mass (BM) and lean body mass (LBM)...
October 4, 2016: Archives of Physical Medicine and Rehabilitation
Flávia A Carvalho, Chris G Maher, Marcia R Franco, Priscila K Morelhão, Crystian B Oliveira, Fernanda G Silva, Rafael Z Pinto
OBJECTIVE: To assess the association of physical activity measures, derived from accelerometer and a self-reported questionnaire, with fear of movement in patients with chronic non-specific low back pain (LBP), and to investigate the association between disability and fear of movement in this population. DESIGN: Cross-sectional study. SETTING: Outpatient physical therapy university clinics. PARTICIPANTS: Patients presenting with non-specific LBP of greater than 3 months duration...
October 3, 2016: Archives of Physical Medicine and Rehabilitation
Larissa Myaskovsky, Shasha Gao, Leslie Rm Hausmann, Kellee R Bornemann, Kelly H Burkitt, Galen E Switzer, Michael J Fine, Samuel L Phillips, David Gater, Ann M Spungen, Lynn Worobey, Michael L Boninger
OBJECTIVE: In this study of Veterans with spinal cord injury (SCI) or amputated limb (AL), our objectives were to (a) compare patient demographics, medical factors, cultural and psychosocial characteristic by race; (b) compare wheelchair quality by race; and, (c) assess the independent associations of patient race and the other factors with wheelchair quality. DESIGN: Cross sectional cohort study SETTING: Three VA Medical Centers affiliated with academic medical centers...
October 3, 2016: Archives of Physical Medicine and Rehabilitation
Angela Navarrete-Opazo A, Julio Alcayaga J, Oscar Sepúlveda, Gonzalo Varas
OBJECTIVE: To test the effect of combined intermittent hypoxia (IH) and body weight-supported treadmill training (BWSTT) on standing and dynamic balance in persons with incomplete spinal cord injury (iSCI). DESIGN: Randomized, triple-blind, placebo-controlled study. SETTING: "Instituto Teletón Santiago" and "Hospital Clínico Mutual de seguridad" in Santiago, Chile. PARTICIPANTS: Persons with ASIA C and D chronic iSCI (> 1 year post-injury) were randomly assigned to either IH plus BWSTT (n=18) or continued normoxia (Nx, placebo) plus BWSTT protocol (n=17)...
October 1, 2016: Archives of Physical Medicine and Rehabilitation
Rachael Frost, Sara Levati, Doreen McClurg, Marian Brady, Brian Williams
OBJECTIVE: To systematically review methods for measuring adherence used in home-based rehabilitation trials, and evaluate their validity, reliability and acceptability. DATA SOURCES: Phase 1: We searched CENTRAL, EED and HTA (Jan 2000-April 2013) to identify adherence measures used in randomised controlled trials of allied health professional home-based rehabilitation interventions. Phase 2: We searched Medline, Embase, CINAHL, AMED, PsycINFO, CENTRAL, ProQuest and Web of Science (inception-April 2015) for measurement property assessments (MPAs) for each measure...
October 1, 2016: Archives of Physical Medicine and Rehabilitation
Louise M Fuller, Brenda Button, Ben Tarrant, Ranjana Steward, Lisa Bennett, Greg Snell, Anne E Holland
OBJECTIVE: This study aimed to investigate the effects of a supervised longer (14 week) versus shorter duration, (7 week) rehabilitation program after lung transplantation (LTX). DESIGN: Randomised controlled trial SETTING: Post lung transplantation patients were randomised to either a shorter rehabilitation program (7 weeks) or a longer program (14 weeks) in an outpatient rehabilitation gym setting. PARTICIPANTS: Post lung transplantation patients aged 18 years or older who had undergone either single (SLTX) or bilateral lung (BSLTX) transplantation...
September 30, 2016: Archives of Physical Medicine and Rehabilitation
Naiane Teixeira Bastos de Oliveira, Sandra Maria Sbeghen Ferreira Freitas, Fernanda Ferreira Fuhro, Maurício Antônio da Luz Júnior, Cesar Ferreira Amorim, Cristina Maria Nunes Cabral
OBJECTIVE: To determine the amplitude of the electromyographic activity of trunk muscles during Pilates exercises in women with and without chronic low back pain (LBP). DESIGN: Case control study. SETTING: Clinic of a school. PARTICIPANTS: Sixty women divided into LBP Group (LBPG) and Control Group (CG). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Amplitude of the electromyographic activity (root mean square values) of the gluteus maximus and external oblique muscles collected during three Pilates exercises: Shoulder bridge performed in the mat, and Hip roll and Breathing performed in equipment...
September 29, 2016: Archives of Physical Medicine and Rehabilitation
Minyoung Lee, Sang Heon Lee, TaeYeong Kim, Hyun-Joon Yoo, Sung Hoon Kim, Dong-Won Suh, Jaebum Son, BumChul Yoon
OBJECTIVE: To explore the feasibility of a newly developed smartphone-based exercise program with an embedded self-classification algorithm for office workers with neck pain, by examining its effect on the pain intensity, functional disability, quality of life, fear-avoidance, and cervical range of motion (ROM). DESIGN: Single-group repeated-measures design. SETTING: The laboratory and participants' home and work environments. PARTICIPANTS: Offices workers with neck pain (n=23; mean ± SD, 28...
September 27, 2016: Archives of Physical Medicine and Rehabilitation
Sara Maldonado-Martín, Peter H Brubaker, Joel Eggebeen, Kathryn P Stewart, Dalane W Kitzman
OBJECTIVE: To evaluate the change in six-minute walk test (6-MWT) relative to changes in key functional capacity measures after 16-week of exercise training in older (>65 years) heart failure with preserved ejection fraction (HFpEF) patients. DESIGN: Prospective, randomized single blinded (by researchers to patient group) comparison of two groups of HFpEF patients. SETTINGS: Hospital and clinic records. Ambulatory outpatients. PARTICIPANTS: Participants (N=47) randomized to attention control (n=24, AC) or exercise training (n=23, ET) group INTERVENTION: The ET group performed cycling and walking at 50-70% VO2peak intensity (3 days per week, 60 min each session)...
September 27, 2016: Archives of Physical Medicine and Rehabilitation
Chieh Grace Lau, Wai Kwong Tang, Xiang Xin Liu, Hua Jun Liang, Yan Liang, Vincent Mok, Adrian Wong, Gabor S Ungvari, Mansur A Kutlubaev, Ka Sing Wong
OBJECTIVE: To examine the relationship between neuroticism and fatigue in Chinese stroke patients. DESIGN: Cross-sectional. SETTING: PARTICIPANTS: One hundred and ninety-one ischemic stroke survivors recruited from the above-mentioned acute stroke unit between May 2010 and September 2011. INTERVENTIONS: None. MAIN OUTCOME MEASURES: The personality trait of neuroticism was measured with the neuroticism subscale of the Chinese version of the NEO-five-factor Inventory (NEO-FFI)...
September 24, 2016: Archives of Physical Medicine and Rehabilitation
Alan H Weintraub, Donald J Gerber, Robert G Kowalski
OBJECTIVE: To describe incidence, clinical characteristics, complications, and outcomes in post-traumatic hydrocephalus (PTH) following traumatic brain injury (TBI) for patients treated in an inpatient rehabilitation program. DESIGN: Cohort study with retrospective comparative analysis SETTING: Inpatient rehabilitation hospital PARTICIPANTS: All patients admitted for TBI from 2009 to 2013 diagnosed with PTH, defined as ventriculomegaly, delayed clinical recovery discordant with injury severity, hydrocephalus symptoms, or positive lumbar puncture results...
September 23, 2016: Archives of Physical Medicine and Rehabilitation
Sarah J Ozinga, Susan M Linder, Jay L Alberts
OBJECTIVE: To determine the accuracy of inertial measurement unit data from a mobile device using the mobile device relative to posturography to quantify postural stability in individuals with Parkinson's disease (PD). DESIGN: Criterion standard. SETTING: Motor control laboratory at Cleveland Clinic. PARTICIPANTS: Fourteen mild to moderate individuals with PD and 14 healthy age-matched community dwelling controls completed the project...
September 23, 2016: Archives of Physical Medicine and Rehabilitation
Sophie Heywood, Jodie McClelland, Benjamin Mentiplay, Paula Geigle, Ann Rahmann, Ross Clark
OBJECTIVE: To investigate the effectiveness of aquatic exercise in improving lower limb strength in people with musculoskeletal conditions. DATA SOURCES: A systematic search utilized five databases including MEDLINE, Cumulative Index to Nursing and Allied Health Literature, Embase, SPORTdiscus and The Cochrane Library. STUDY SELECTION: Randomized controlled trials evaluating aquatic exercise with a resistance training component for adults with musculoskeletal conditions compared with no intervention or land-based exercise were identified...
September 22, 2016: Archives of Physical Medicine and Rehabilitation
Jennifer Baldwin, Marnee McKay, Claire Hiller, Elizabeth J Nightingale, Niamh Moloney, Joshua Burns
OBJECTIVE: To provide reference data for the Cumberland Ankle Instability Tool (CAIT) and investigate the prevalence and correlates of perceived ankle instability in a large healthy population. DESIGN: Cross-sectional observational study. SETTING: University laboratory. PARTICIPANTS: Self-reported healthy individuals (n=900; age range 8-101 years, stratified by age and gender) from the 1000 Norms Project. INTERVENTIONS: Not applicable...
September 22, 2016: Archives of Physical Medicine and Rehabilitation
Andrea L Cheville, Jeffrey R Basford, Ian Parney, Ping Yang, Felix E Diehn
OBJECTIVES: To test whether the presence of patient- and imaging-level characteristics: 1) are associated with clinically meaningful changes in mobility among late stage cancer patients with metastatic brain involvement; and 2) can predict their risk of near-term functional decline. DESIGN: Prospective nested cohort study SETTING: Quaternary academic medical center PARTICIPANTS: The study population consisted of a nested cohort of the 66 patients with imaging confirmed brain metastases among a larger cohort of 311 patients with late stage lung cancer...
September 22, 2016: Archives of Physical Medicine and Rehabilitation
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