scispace - formally typeset
Search or ask a question

Showing papers in "Archives of Physical Medicine and Rehabilitation in 1999"


Journal ArticleDOI
TL;DR: While great improvements in life expectancy have been achieved since the Model SCI Systems program began, current data support the need for renewed efforts to improve the prevention and treatment of the complications of spinal cord injury.

775 citations


Journal ArticleDOI
TL;DR: Healthy young men and women possess different endurance profiles for the spine stabilizing musculature, and data of endurance times and their ratios between extensor, flexor, and lateral flexor groups in healthy normal subjects are useful for patient evaluation and for providing clinical training targets.

654 citations


Journal ArticleDOI
TL;DR: The results indicate that the mechanism of preparatory spinal control is altered in people with lower back pain for movement at a variety of speeds.

634 citations


Journal ArticleDOI
TL;DR: Pressure ulcers, autonomic dysreflexia, and pneumonia/atelectasis were the most common long-term secondary medical complications found at annual follow-ups, and risk factors included complete injury, tetraplegia, older age, concomitant illness, and violent injury.

594 citations


Journal ArticleDOI
TL;DR: The 10-week combined program of muscle strengthening and physical conditioning resulted in gains in all measures of impairment and disability and these gains were not associated with measurable changes of spasticity in either quadriceps or ankle plantarflexors.

472 citations


Journal ArticleDOI
TL;DR: The 6-minute walk test is reliable and is valid in relation to the performance and self-reported indicators of physical functioning tested in this study, and could serve as a useful integrated measure of mobility.

457 citations


Journal ArticleDOI
TL;DR: The significance of neglect as a major source of stroke-related long-term disability justifies further research efforts to develop appropriate therapeutic modalities for this complex, multifactorial syndrome.

423 citations


Journal ArticleDOI
TL;DR: Fatigue can contribute to functional impairment up to 13 months after stroke, and its recognition and treatment are important for maximizing recovery.

423 citations


Journal ArticleDOI
TL;DR: Findings suggested a spiraling model of decline in which muscle strength has a significant role in older women, which was associated with greater degree of disability.

409 citations


Journal ArticleDOI
TL;DR: Both the prevalence and intensity of shoulder pain was significantly higher inSubjects with tetraplegia than in subjects with paraplegia and efforts to monitor and prevent shoulder pain should continue after rehabilitation.

407 citations


Journal ArticleDOI
TL;DR: Thoracic spine position significantly affectsScapular kinematics during scapular plane abduction, and the slouched posture is associated with decreased muscle force.

Journal ArticleDOI
TL;DR: The modified Ashworth scale is reliable and may assist in studies on the prevalence of spasticity after stroke and the relationship between tone and function and the Tone Assessment Scale is not reliable for measuring posture and associated reactions.

Journal ArticleDOI
TL;DR: The Timed "up and go" test is a reliable instrument with adequate concurrent validity to measure the physical mobility of patients with an amputation of the lower extremity.

Journal ArticleDOI
TL;DR: CI therapy is an efficacious treatment for chronic stroke patients, especially in terms of real world outcome, and there was a substantial improvement in the performance times of the laboratory tests and in the quality of movement.

Journal ArticleDOI
TL;DR: In this paper, the authors presented data on neurologic recovery gathered by the Model Spinal Cord Injury (SCI) Systems over a 10-year period. And they found that SCI caused by violence is more likely than SCI from nonviolent etiologies to result in a complete injury.

Journal ArticleDOI
TL;DR: There is a relatively stable but high rate of re hospitalization for at least 3 years after injury, and the costs of rehospitalization should be considered when evaluating the long-term consequences of injury.

Journal ArticleDOI
TL;DR: Muscle strength declined with age in ambulatory elderly people and showed modest, but significant, positive correlation with 1,25( OH)2 vitamin D in both sexes and with 25(OH)D in male subjects, suggesting vitamin D deficiency appears to contribute to the age-related loss of muscle strength.

Journal ArticleDOI
TL;DR: Treadmill training with partial body weight support in hemiparetic subjects allows them to practice a favorable gait characterized by a greater stimulus for balance training because of the prolonged single stance period of the affected limb, a higher symmetry, less plantar flexor spasticity, and a more regular activation pattern of the shank muscles as compared with floor walking.

Journal ArticleDOI
TL;DR: Exercising in a virtual environment offers the potential for significant gains in cognitive function after a 4-week intervention program and significant improvements in reaction times and movement times were gained following a single bout of VR exercise.

Journal ArticleDOI
TL;DR: Flexion, extension, and abduction movements performed with the patient placed in a standardized supine test position are suitable both for test of ROM and degree of spasticity, indicating that the patient's self-report is an important complement to the clinical assessment.

Journal ArticleDOI
TL;DR: Life satisfaction after SCI can be reliably measured by means of the Satisfaction With Life Scale, andrelates of subjective well-being parallel those suggested by earlier studies and those for the population at large.

Journal ArticleDOI
TL;DR: Use of the stimulator improved walking and those with stroke demonstrated a short-term "carry-over" effect, and multiple sclerosis patients gained similar orthotic benefit but no " carry-over."

Journal ArticleDOI
TL;DR: This study found subject weight to be related to pushrim forces and median nerve function and it may be possible to prevent median nerve injury in manual wheelchair users.

Journal ArticleDOI
TL;DR: In this article, the authors identify trends in the demographic and injury data of persons with spinal cord injury (SCI) and identify trends and changes in the clinical features of patients who have been admitted to the Model SCI Care Systems.

Journal ArticleDOI
TL;DR: These instruments have potential for research use among patients with SCI and are supported by scores from the QWB, IADL, and physical health measures of the BRFSS and SF-36 showing greater impairment for quadriplegia than paraplegia.

Journal ArticleDOI
TL;DR: It is suggested that individuals with nontraumatic SCI represent a significant proportion of SCI rehabilitation admissions and, although differing from those with traumatic SCI in demographic and injury patterns, can achieve similar functional outcomes.

Journal ArticleDOI
TL;DR: A comprehensive review of the medical literature from 1950 to 1998 revealed 79 articles examining associations between rehabilitation interventions and functional outcome after stroke, with a weak relationship with improved functional outcome at hospital discharge and follow-up.

Journal ArticleDOI
TL;DR: Impaired cognitive status at admission lowered the rehabilitation outcome of elderly hip fracture patients and cognitive impairment was strongly and directly associated with functional gain in these patients.

Journal ArticleDOI
TL;DR: The cognition items of the Functional Independence Measure are not informative for detecting changes over time in SCI; at best, these items could serve as a crude cognition screening assessment.

Journal ArticleDOI
TL;DR: The continued declining lengths of acute care hospitalization after SCI have resulted in the occurrence in the rehabilitation setting of medical complications that were previously seen in acute care.