Showing papers in "Archives of Physical Medicine and Rehabilitation in 2008"

TL;DR: The sensitivity of the projections to increasing or decreasing incidence was investigated, and alternative sets of estimates of limb loss related to dysvascular conditions based on assumptions of a 10% or 25% increase or decrease in incidence of amputations for these conditions were developed.

TL;DR: Both the NDI and NRS exhibit fair to moderate test-retest reliability in patients with mechanical neck pain and both instruments also showed adequate responsiveness in this patient population.

TL;DR: The results of the current study illustrate that temporal asymmetry can be found in many independently ambulating stroke patients and highlights the need for a standard assessment of poststroke gait symmetry in light of the complex relationship with motor impairment and velocity.

TL;DR: Shah et al. as discussed by the authors investigated the biochemical milieu of the upper trapezius muscle in subjects with active, latent, or absent myofascial trigger points (MTPs) and compared this with that of the noninvolved gastrocnemius muscle.

TL;DR: In the group of subacute stroke patients, hand functioning improved more after mirror therapy in addition to a conventional rehabilitation program compared with a control treatment immediately after 4 weeks of treatment and at the 6-month follow-up, whereas mirror therapy did not affect spasticity.

TL;DR: The feasibility of continuous, in vivo recovery of small molecules from soft tissue without harmful effects is shown and the milieu of the gastrocnemius in subjects with active MTPs in the trapezius differs from subjects without active MTFs.

TL;DR: The findings suggest the dose-dependent benefits of exercise and that high-intensity exercise can normalize corticomotor excitability in early PD.

TL;DR: The authors' data provide some of the first estimates of MCID values for upper-extremity standardized measures early after stroke, and future studies with larger sample sizes are needed to refine these estimates and to determine whetherMCID values are modified by time poststroke.

TL;DR: For the majority of the reach directions, maximum excursion distances and stance leg angular displacement values achieved stability within the first 4 practice trials, justifying a reduction in the recommended number of practice trials from 6 to 4 and supporting the trend toward simplifying SEBT administration.

TL;DR: The findings identify new predictor variables for risk of falling that underscore the importance of dynamic balance recovery performance through ML stepping in relation to neuromusculoskeletal factors contributing to lateral balance stability.

TL;DR: An overview of the development and evolution of family-centered theory as an underlying conceptual foundation for contemporary health services is offered, which includes key concepts, accepted definitions, barriers, and supports that can influence successful implementation.

TL;DR: No differences on functional ability measures were found between the TBI groups at either time period postinjury, with both groups exhibiting incomplete recovery of functional status at the 1-year follow-up.

TL;DR: Characteristics and rehabilitation outcomes among patients who received inpatient rehabilitation for blast and other injuries sustained in Iraq and Afghanistan during the Global War on Terror are described.

TL;DR: The best available evidence suggests that musculoskeletal injury is an important health issue for dancers at all skill levels, and comprehensive injury prevention and management strategies may help decrease the incidence of future injury.

TL;DR: Improvements seen after intensive cognitive rehabilitation may be related to interventions directed at the self-regulation of cognitive and emotional processes and the integrated treatment of cognitive, interpersonal, and functional skills.

TL;DR: Findings suggest that management of fear of falling and osteoporosis are important components of comprehensive fall-injury prevention programs for people aging with MS.

TL;DR: Cognitive rehabilitation in MS is in its relative infancy and more methodologically rigorous research is needed to determine the effectiveness and efficacy of various cognitive rehabilitation interventions.

TL;DR: Equilibrium and gait improved in patients with PD receiving conventional WBV or conventional PT in the setting of a comprehensive rehabilitation program, and there was no conclusive evidence for superior efficacy of WBV compared with conventional balance training.

TL;DR: Two studies appearing in Archives present groundbreaking findings that can reduce some of the controversy surrounding myofascial trigger points (MTPs) and place a solid histochemical base under the important clinical distinction between active and latent MTPs.

TL;DR: Pua et al. as mentioned in this paper examined the relative and absolute intrarater test-retest reliability of muscle strength and range of motion (ROM) measurements performed in people with hip osteoarthritis.

TL;DR: This study supported the primary hypothesis that older patients show greater decline over the first 5 years after TBI than younger patients and suggested that TBI survivors, especially older patients, may be candidates for neuroprotective therapies afterTBI.

TL;DR: The methodologic quality of the majority of studies for the purpose of establishing trigger point reproducibility is generally poor, and Clinicians and scientists are urged to move toward simpler, global assessments of patient status.

TL;DR: The physical activity level increased during inpatient rehabilitation, but this increase did not continue after discharge, and the level 1 year after discharge was distinctly lower than the level in able-bodied persons.

TL;DR: Differences in strength and range of motion between participants who exhibit medial knee displacement during a squat that is corrected by a heel lift and those who do not are determined.

TL;DR: The diagnosis of mild TBI was frequently absent from ED medical records despite patients reporting findings consistent with a mild T BI diagnosis when interviewed by study personnel, suggesting that asking a few targeted questions of ED patients with likely mechanisms of injury could begin to improve diagnosis and, in turn, improve patient management and the accuracy of estimates of Mild TBI incidence.

TL;DR: The findings support the feasibility and justify the incorporation of home-based motor imagery exercises to improve walking skills for poststroke hemiparesis.

TL;DR: The FAB scale is a predictive measure of faller status when used with independently functioning older adults and a practitioner can be confident in more than 7 out of 10 cases that an older adult who scores 25 or lower on the FAB Scale is at high risk for falls and in need of immediate intervention.

TL;DR: These results are the first to explore trajectories of recovery directly as a function of multiple cognitive domains, demonstrating that recovery in the first year postinjury is asymptotic in nature, with more accelerated recovery occurring during the first 5 to 6 months.

TL;DR: Primary conditions that have been the traditional focus of prevention efforts, pressure ulcers, urinary tract infections, amputations, fractures, and depressive symptoms were associated with higher risk for mortality; however, further research is needed to identify the association of specific conditions with causes of death and to determine whether interventions can modify these conditions and ultimately improve survival.

TL;DR: To differentiate between the individual roles of deformation and ischemia in the onset of skeletal muscle damage, 2 complementary approaches have been selected and a sequence of events leading to cell necrosis is proposed.