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    13147 results match your criteria Archives of physical medicine and rehabilitation[Journal]

    1 OF 263

    Validity and reliability of outcome measures assessing dexterity, coordination, and upper limb strength in Autosomal Recessive Spastic Ataxia of Charlevoix-Saguenay.
    Arch Phys Med Rehabil 2018 Feb 17. Epub 2018 Feb 17.
    Groupe de recherche interdisciplinaire sur les maladies neuromusculaires (GRIMN), Centre intégré universitaire de santé et de services sociaux du Saguenay-Lac-St-Jean, Québec, Canada.
    Objective: To document in adults affected by Autosomal Recessive Spastic Ataxia of Charlevoix-Saguenay (ARSACS) the intra- and interrater reliability, standard error of measurement, agreement, minimal detectable change and construct validity of the Nine-Hole Peg Test (NHPT), Standardized Finger-to-Nose Test (SFNT), and grip strength.

    Design: Metrological study.

    Setting: Neuromuscular rehabilitation clinic. Read More

    Home-based neuromuscular electrical stimulation as an add-on to pulmonary rehabilitation does not provide further benefits in patients with chronic obstructive pulmonary disease: A multicenter randomized trial.
    Arch Phys Med Rehabil 2018 Feb 16. Epub 2018 Feb 16.
    ADIR Association, Rouen University Hospital, Rouen, France; Normandie University, UNIROUEN, EA UPRES 3830, Rouen University Hospital, Haute Normandie Research and Biomedical Innovation, Rouen, France; Physiology Department, Rouen University Hospital, Rouen, France.
    Objective: To assess the additional effect of a home-based neuro muscular electrical stimulation (NMES) program as an add-on to pulmonary rehabilitation (PR), on functional capacity in subjects with chronic obstructive pulmonary disease (COPD).

    Design: Single-blind, multicenter randomized trial.

    Setting: Three PR centers. Read More

    Detection of acute and long-term effects of concussion: dual-task gait balance control vs. computerized neurocognitive test.
    Arch Phys Med Rehabil 2018 Feb 16. Epub 2018 Feb 16.
    Department of Human Physiology, University of Oregon, Eugene, OR, USA. Electronic address:
    Objective: Our aim was to examine the acute (within 72 hours of injury) and long-term (2 months post-injury) independent associations between objective dual-task gait balance and neurocognitive measurements among adolescents and young adults with a concussion and matched controls.

    Design: Longitudinal case-control SETTING: Motion analysis laboratory PARTICIPANTS: Participants who sustained a concussion underwent a dual-task gait analysis and computerized neurocognitive testing within 72 hours of injury and again 2 months later. Uninjured controls also completed the same test protocol in similar time increments. Read More

    Virtual reality for upper limb rehabilitation in sub-acute and chronic stroke: a randomized controlled trial.
    Arch Phys Med Rehabil 2018 Feb 14. Epub 2018 Feb 14.
    Laboratory of kinematics and robotics, IRCCS San Camillo Hospital Foundation, Venice, Italy; Department of Neuroscience, The University of Sheffield, Sheffield, United Kingdom.
    Objective: To evaluate the effectiveness of reinforced feedback in virtual environment (RFVE) treatment combined with conventional rehabilitation (CR) in comparison with CR alone, and to study whether changes are related to stroke aetiology (i.e. ischemic or hemorrhagic). Read More

    Toward a meaningful definition of recovery after hip fracture: Comparing two definitions for community-dwelling older adults.
    Arch Phys Med Rehabil 2018 Feb 14. Epub 2018 Feb 14.
    School of Physical & Occupational Therapy, Faculty of Medicine, McGill University, Montreal, QC, Canada.
    Objectives: To examine the course of recovery and resulting health-related quality of life (HRQL) after low-trauma hip fracture using two different definitions of recovery.

    Design: Inception cohort with eight assessments over one year.

    Setting: Participants were recruited from a tertiary-care hospital and followed in the community. Read More

    What factors are associated with the recovery of autonomy after a hip fracture? A prospective multicentric cohort study.
    Arch Phys Med Rehabil 2018 Feb 10. Epub 2018 Feb 10.
    Servizio di Assistenza Infermieristico Tecnico e Riabilitativo, Istituto Ortopedico Rizzoli, Bologna, Italy.
    Objective: to identify the factors associated with recovering autonomy in the activities of daily living DESIGN: A prospective cohort study SETTING: The orthopedic and orthogeriatric departments of 2 regional hospitals PARTICIPANTS: Patients 65 years of age or older with a diagnosis of fragility hip fracture. There were 840 eligible patients. Forty-three patients were excluded and 55 were lost. Read More

    Functional capacity in adults with cerebral palsy: Lower limb muscle strength matters.
    Arch Phys Med Rehabil 2018 Feb 10. Epub 2018 Feb 10.
    Queensland Cerebral Palsy and Rehabilitation Research Centre, UQ Child Health Research Centre, Faculty of Medicine and Biomedical Sciences, The University of Queensland, South Brisbane, Queensland, Australia.
    Objective: To investigate the relationship between lower limb muscle strength, passive muscle properties and functional capacity outcomes in adults with cerebral palsy (CP).

    Design: Cross-sectional study.

    Setting: Tertiary institution biomechanics laboratory. Read More

    The clinical assessment of spasticity in people with spinal cord damage: recommendations from the Ability Network, an international initiative.
    Arch Phys Med Rehabil 2018 Feb 9. Epub 2018 Feb 9.
    University of Toronto, Toronto, Ontario, Canada.
    A thorough assessment of the extent and severity of spasticity, and its impact on functioning, is central to the effective management of spasticity in persons with spinal cord damage (SCD). These individuals, however, do not always receive adequate assessment of their spasticity. Inadequate assessment compromises management when the impact of spasticity and/or need for intervention are not fully recognized. Read More

    Vastus lateralis motor unit firing rate is higher in females with patellofemoral pain.
    Arch Phys Med Rehabil 2018 Feb 9. Epub 2018 Feb 9.
    University of British Columbia, Department of Physical Therapy; Faculty of Health Sciences, Western University, London, Canada. Electronic address:
    Objective: To compare neural drive, determined from motor unit firing rate, to the vastus medialis and lateralis in females with and without patellofemoral pain.

    Design: Cross-sectional study.

    Setting: University research laboratory. Read More

    Creation and Initial Validation of the International Dysphagia Diet Standardisation Initiative Functional Diet Scale.
    Arch Phys Med Rehabil 2018 Feb 8. Epub 2018 Feb 8.
    International Dysphagia Diet Standardisation Initiative, Brisbane, Australia; . New York-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY; . New York Medical College, Valhalla, New York.
    Objective: To assess consensual validity, inter-rater reliability and criterion validity of the International Dysphagia Diet Standardisation Initiative Functional Diet Scale (IDDSI-FDS), a new functional outcome scale intended to capture the severity of oropharyngeal dysphagia, as represented by the degree of diet texture restriction recommended for the patient.

    Design: Participants assigned IDDSI-FDS scores to 16 clinical cases. Consensual validity was measured against reference scores determined by an author reference panel. Read More

    Optimizing the management of spasticity in people with spinal cord damage: a clinical care pathway for assessment and treatment decision-making from the Ability Network, an international initiative.
    Arch Phys Med Rehabil 2018 Feb 8. Epub 2018 Feb 8.
    MedStar National Rehabilitation Network, Washington DC, USA.
    The recognition, evaluation and management of disabling spasticity in persons with spinal cord damage (SCD) is a challenge for healthcare providers, health systems and patients. To guide the assessment and management of disabling spasticity in individuals with SCD, the Ability Network, an international panel of clinical experts, developed a clinical care pathway. The aim of this pathway is to facilitate treatment decisions that take into account the impact of disabling spasticity on health status, individual preferences and treatment goals, tolerance for adverse events, and burden on caregivers. Read More

    Improvement on the Coma Recovery Scale-Revised during the first four weeks of hospital stay predicts outcome at discharge in intensive rehabilitation after severe brain injury.
    Arch Phys Med Rehabil 2018 Feb 8. Epub 2018 Feb 8.
    IRCCS Don Gnocchi Foundation, Italy; University of Florence, Italy.
    Objectives: to evaluate the prognostic utility of serial assessment on the Coma Recovery Scale-Revised (CRS-R) during the first 4 weeks of intensive rehabilitation in patients surviving from severe brain injury DESIGN: prospective cohort study PARTICIPANTS: Patients consecutively admitted to the Intensive Rehabilitation Unit at the IRCCS Don Gnocchi Foundation (Florence, Italy). Inclusion criteria were diagnosis of unresponsive wakefulness syndrome (UWS) or minimally conscious state (MCS) due to acquired brain injury, age older than 18 years.

    Interventions: All the patients underwent clinical evaluations using the Italian version of the CRS-R during the first month of hospital stay. Read More

    Self-regulatory strategies as correlates of physical activity behavior in persons with multiple sclerosis.
    Arch Phys Med Rehabil 2018 Feb 8. Epub 2018 Feb 8.
    Department of Physical Therapy; University of Alabama at Birmingham, 1720 2nd, Avenue South, Birmingham, Alabama USA. Electronic address:
    Objective: To examine self-regulation strategies as correlates of physical activity in persons with multiple sclerosis (MS).

    Design: Cross-sectional, or survey, study.

    Setting: University-based research laboratory. Read More

    The Effects of Timing and Intensity of Neurorehabilitation on Functional Outcome after Traumatic Brain Injury: a Systematic Review & Meta-Analysis.
    Arch Phys Med Rehabil 2018 Feb 8. Epub 2018 Feb 8.
    Emma Children's Hospital, Academic Medical Center, Amsterdam, The Netherlands; Clinical Neuropsychology Section, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands; Department of Pediatrics, VU University Medical Center, Amsterdam, The Netherlands.
    Objective: To systematically review evidence on the effects of timing and intensity of neurorehabilitation on the functional recovery of patients with moderate to severe traumatic brain injury (TBI) and aggregate the available evidence using meta-analytic methods.

    Data Sources: Pubmed, Embase, PsycINFO and Cochrane Database.

    Data Selection: Electronic databases were searched for prospective controlled clinical trials assessing the effect of timing or intensity of multidisciplinary neurorehabilitation programs on functional outcome of patients with moderate or severe TBI. Read More

    Aerobic stimulus induced by virtual reality games in stroke survivors.
    Arch Phys Med Rehabil 2018 Feb 8. Epub 2018 Feb 8.
    Exercise Hemodynamic Laboratory, School of Physical Education and Sport, University of São Paulo, São Paulo, SP, Brazil. Electronic address:
    Objective: To evaluate whether virtual reality games (VRG) in stroke survivors produce significant and reproducible heart rate (HR) and oxygen consumption (VO) responses during their execution, corresponding to an intensity between the anaerobic threshold (AT) and the respiratory compensation point (RCP).

    Design: Single subjects repeated measure design SETTING: Stroke survivors registered from a rehabilitation program PARTICIPANTS: Twelve chronic hemiparetic stroke survivors (10 men, 58 ± 12 years) rated at 3 or 4 in the Functional Ambulation Categories (FAC).

    Interventions: Subjects underwent, in a random order, two identical sessions of VRG (console Xbox360+Kinect) and one control session (CONT - 38 min watching a movie). Read More

    The same but different: FIM Summary scores may mask variability in physical functioning profiles.
    Arch Phys Med Rehabil 2018 Feb 8. Epub 2018 Feb 8.
    Division of Rehabilitation Sciences, The University of Texas Medical Branch.
    Objective: To examine how similar summary scores of physical functioning using the FIM can represent very different patient clinical profiles.

    Design: Retrospective cohort study.

    Setting: Inpatient rehabilitation facilities submitting claims and assessment data to the Centers for Medicare and Medicaid Services in 2012 and 2013. Read More

    Rhythm perception and production abilities and their relationship to gait after stroke.
    Arch Phys Med Rehabil 2018 Feb 7. Epub 2018 Feb 7.
    Brain and Mind Institute, Western University, London, ON, Canada; Department of Psychology, Western University, London, ON, Canada.
    Objectives: To assess rhythm abilities, describe their relationship to clinical presentation, and to determine if rhythm production independently contributes to temporal gait asymmetry post-stroke.

    Design: Cross-sectional.

    Setting: Large urban rehabilitation hospital and university. Read More

    Muscular strength as a predictor of all-cause mortality in apparently healthy population: a systematic review and meta-analysis of data from approximately 2 million men and women.
    Arch Phys Med Rehabil 2018 Feb 6. Epub 2018 Feb 6.
    Universidad de Castilla-La Mancha. Health and Social Research Center, Cuenca, Spain; Universidad Autónoma de Chile, Facultad de Ciencias de la Salud, Talca, Chile.
    Objective: The aim of the present systematic review and meta-analysis was to determine the relationship between muscular strength and all-cause mortality risk and to examine the sex-specific impact of muscular strength on all-cause mortality in apparently healthy population.

    Data Sources: Two authors systematically searched MEDLINE, EMBASE and SPORTDiscus databases and conducted manual searching of reference lists of selected articles.

    Study Selection: Eligible cohort studies were those that examined the association of muscular strength with all-cause mortality in apparently healthy population. Read More

    Evaluating the Use of Medicare Part D in the Spinal Cord Injury/Disorder Veteran Population.
    Arch Phys Med Rehabil 2018 Feb 6. Epub 2018 Feb 6.
    Center for Management of Complex Chronic Care, Edward Hines Jr. Department of VA Hospital, Chicago, IL; Institute for Healthcare Studies, Feinberg School of Medicine, Northwestern University, Chicago, IL. Electronic address:
    Objective: To examine the different sources of medications, the most common drugs classes filled, and the characteristics associated with Medicare Part D pharmacy use in Veterans with spinal cord injuries/disorders (SCI/D).

    Design: This was a retrospective, cross-sectional observation study.

    Setting: Department of Veterans Affairs (VA) PARTICIPANTS: Veterans with SCI/D using Medicare or Veteran Affairs Pharmacy benefits. Read More

    Assessment of sleep quantity and sleep disturbances during recovery from sports-related concussion in youth athletes.
    Arch Phys Med Rehabil 2018 Feb 6. Epub 2018 Feb 6.
    Children's Healthcare of Atlanta, Atlanta, GA.
    Objective: To determine the relationship between sleep quantity and sleep disturbances on symptoms and neurocognitive ability at the acute phase (<7 days) and post-sports-related concussion (SRC; >21 days).

    Design: Prospective inception cohort study SETTING: General community setting of regional middle and high schools.

    Participants: Sample included 528 youth athletes with SRC and 443 controls ages 10-18. Read More

    Descriptive Findings of the VA Polytrauma Rehabilitation Centers TBI Model Systems National Database.
    Arch Phys Med Rehabil 2018 Feb 6. Epub 2018 Feb 6.
    Biostatistics Program, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR.
    Objective: Present initial descriptive findings from the Veterans Affairs (VA) Polytrauma Rehabilitation Centers (PRC) Traumatic Brain Injury (TBI) Model Systems (MS) National Database.

    Design: Prospective cohort study.

    Setting: VA PRC TBIMS National Database. Read More

    On the reporting of experimental and control therapies in stroke rehabilitation trials: A systematic-review.
    Arch Phys Med Rehabil 2018 Feb 2. Epub 2018 Feb 2.
    Program in Physical Therapy, Program in Occupational Therapy, Department of Neurology; Washington University School of Medicine in St. Louis.
    Objective: To use the Centralized Open-Access Rehabilitation database for Stroke (SCOAR) to explore reporting of both experimental and control interventions in randomized controlled trials (RCTs) for stroke rehabilitation (including upper and lower extremity therapies).

    Data Sources: SCOAR was created from a search of MEDLINE, EMBASE, Cochrane CENTRAL, Cochrane-CDSR, and CINAHL from the earliest available date to May 2014.

    Study Selection: 2,892 titles were reduced to 514 manuscripts which were screened by full text. Read More

    Effectiveness of client-centred 'tune-ups' on community reintegration, mobility, and quality of life after stroke: a randomized controlled trial.
    Arch Phys Med Rehabil 2018 Feb 2. Epub 2018 Feb 2.
    School of Physical Therapy, Western University; Department of Physical Therapy, University of British Columbia. Electronic address:
    Objective: To explore the effectiveness of a two week client-centred rehabilitation intervention (tune-up) delivered 6 months post-inpatient discharge on community reintegration at one-year in people with stroke.

    Design: A multi-centre randomized controlled trial with two groups: an intervention and a control having the same exposure to assessment.

    Setting: Three research laboratories. Read More

    Differences in Physical Performance Measures among Patients with Unilateral Lower-Limb Amputations Classified as Functional Level K3 versus K4.
    Arch Phys Med Rehabil 2018 Jan 31. Epub 2018 Jan 31.
    Christiana Spine Center, Newark, DE.
    Objective: To determine if differences in physical function, assessed via self-report questionnaires and physical performance tests, exist between individuals with lower-limb loss using a prosthetic device classified as a K3 versus a K4 functional level.

    Design: Cross-sectional study.

    Setting: University of Delaware Physical Therapy Amputee Clinic. Read More

    The effectiveness of botulinum toxin A for persistent upper limb pain after breast cancer treatment: a double-blinded randomized controlled trial.
    Arch Phys Med Rehabil 2018 Jan 30. Epub 2018 Jan 30.
    University Hospitals Leuven, Orthopaedics, Department of Development and Regeneration, and KU Leuven - University of Leuven, Institute for Orthopaedic Research and Training, Leuven, Belgium.
    ObjectiveTo investigate the effect of a single Botulinum Toxin A infiltration in the pectoralis major muscle in addition to a standard physical therapy program for treatment of persistent upper limb pain in breast cancer survivors.

    Design: Double-blinded (patient and assessor) randomized controlled trial SETTING: University Hospital Leuven, Belgium PARTICIPANTS: Fifty breast cancer patients with pain.

    Intervention: The intervention group received a single Botulinum Toxin A (BTX-A) infiltration. Read More

    Lower quadriceps rate of force development is associated with worsening physical function in adults with or at risk for knee osteoarthritis: 36-month follow-up data from the Osteoarthritis Initiative.
    Arch Phys Med Rehabil 2018 Jan 30. Epub 2018 Jan 30.
    Professor, Department of Rehabilitation Medicine, The University of Kansas, Kansas City, KS, USA. Electronic address:
    Objective: The purpose of this study was to determine the association between quadriceps rate of force development (RFD) and decline in self-reported physical function and objective measures of physical performance.

    Design: Longitudinal cohort study SETTING: Community-based sample from 4 urban areas PARTICIPANTS: Osteoarthritis Initiative participants with or at risk for knee OA, who had no history of knee/hip replacement, knee injury, or rheumatoid arthritis (N=2630).

    Interventions: Not applicable. Read More

    Comparison of self-report vs. sensor-based methods for measuring the amount of upper limb activity outside the clinic.
    Arch Phys Med Rehabil 2018 Feb 2. Epub 2018 Feb 2.
    Program in Physical Therapy, Department of Neurology, Program in Occupational Therapy, Washington University, St. Louis, MO. Electronic address:
    Objective: To compare self-reported with sensor-measured upper limb (UL) performance in daily life for individuals with chronic (≥ 6 months), UL paresis post-stroke.

    Design: Secondary analysis of 64 participants enrolled in a Phase II randomized, parallel, dose-response UL movement trial. This analysis compared the accuracy and consistency between self-reported UL performance and sensor-measured UL performance at baseline and immediately post an 8-week intensive UL task-specific intervention. Read More

    Investigating the variability in mild traumatic brain injury definitions: a prospective cohort study.
    Arch Phys Med Rehabil 2018 Jan 30. Epub 2018 Jan 30.
    Clinical Sciences, Murdoch Children's Research Institute, Melbourne; Department of Paediatrics, University of Melbourne, Melbourne; Emergency Department, Royal Children's Hospital, Melbourne.
    Objective: To prospectively compare the proportion of traumatic brain injuries (TBIs) that would be classified as 'mild' using different published definitions by applying published definitions of mild TBI to a large prospectively collected dataset and to examine the variability in the proportions included by various definitions. High rates of mild TBI in children makes it a major public health issue, however, there is a wide variation in how mild TBI is defined in literature and guidelines.

    Design: Prospective observational study. Read More

    The effect of whole body vibration on sagittal plane running mechanics in individuals with anterior cruciate ligament reconstruction: a randomized crossover trial.
    Arch Phys Med Rehabil 2018 Jan 30. Epub 2018 Jan 30.
    Department of Kinesiology & Health Science, Utah State University; Logan Utah, USA.
    Objective: To examine the effect of whole body vibration (WBV) on running biomechanics in individuals with anterior cruciate ligament reconstruction (ACLR).

    Design: Single-blind randomized crossover trial.

    Setting: Research laboratory. Read More

    Predictors for employment status in people with multiple sclerosis: a 10-year longitudinal observational study.
    Arch Phys Med Rehabil 2018 Jan 30. Epub 2018 Jan 30.
    Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Stockholm, Sweden; Karolinska University Hospital, Function Area Occupational Therapy and Physiotherapy, Stockholm, Sweden. Electronic address:
    Objective: To identify predictors for employment status after 10 years in a cohort of people with multiple sclerosis (MS), with the aim to increase knowledge concerning factors present at an early stage important for working life and work-life balance.

    Design: A 10-year longitudinal observational cohort study.

    Setting: People with a definite MS diagnosis, who at inclusion were outpatients at an MS Centre at a university hospital in Stockholm, Sweden. Read More

    Hospital Readmissions among Total Hip Replacement Patients in 2009 and 2014.
    Arch Phys Med Rehabil 2018 Jan 30. Epub 2018 Jan 30.
    Duke University School of Nursing, Durham, NC.
    Objective: To document changes in 30-day hospital readmission rates and causes for returning to the hospital for care among THR patients in US hospitals in 2009 and 2014.

    Design: Cross-sectional, retrospective descriptive. We used data from the Nationwide Readmissions Database (NRD) which is drawn from the Healthcare Cost and Utilization Project (HCUP) net - sponsored by the Agency for Healthcare Research and Quality (AHRQ). Read More

    Responsiveness of the Traumatic Brain Injury - Quality of Life (TBI-QOL) Measurement System.
    Arch Phys Med Rehabil 2018 Jan 30. Epub 2018 Jan 30.
    University of Texas Health Science Center at Houston, School of Public Health, Department of Biostatistics.
    Objective: To assess the responsiveness of the Traumatic Brain Injury - Quality of Life (TBI-QOL) measurement system.

    Design: Participants completed the 20 TBI-QOL item banks and the Participation Assessment with Recombined Tools - Objective (PART-O) Productivity Subscale at baseline and 6-month follow-up assessments. Participants were categorized into three groups (increased productivity, unchanged productivity, and decreased productivity) based on PART-O Productivity scores. Read More

    Pre-operative Risk Factors for Postoperative Falls in Persons with Hip or Knee Arthroplasty: A Longitudinal Study of Data from the Osteoarthritis Initiative.
    Arch Phys Med Rehabil 2018 Jan 30. Epub 2018 Jan 30.
    Associate Professor, Department of Orthopaedic Surgery, VCU Health, 1200 E. Marshall St. Department of Orthopaedic Surgery, Box 980153, Richmond, VA.
    Objective: The primary purpose was to identify preoperative risk factors associated with post-hospitalization falls over an approximate 2-year postoperative period in patients undergoing hip and knee arthroplasty.

    Design: The study utilized a longitudinal cohort design.

    Setting: Participants were recruited from communities surrounding four urban university-based medical centers. Read More

    Turning Data Into Information Opportunities To Advance Rehabilitation Quality, Research And Policy.
    Arch Phys Med Rehabil 2018 Jan 30. Epub 2018 Jan 30.
    Carolinas Rehabilitation.
    Attention to healthcare quality and safety has increased dramatically. The focus internally within an organization is not without influence from external policy and research findings. Compared with other specialties, efforts to align and advance rehabilitation research, practice and policy using electronic health record data are in the early stages. Read More

    Community Reintegration, Participation, and Employment Issues in Veterans and Service Members With Traumatic Brain Injury.
    Arch Phys Med Rehabil 2018 Feb;99(2S):S1-S3
    Health Services Research and Development Service Center of Innovation on Disability and Rehabilitation Research, James A. Haley Veterans Hospital, Tampa, FL. Electronic address:
    Traumatic brain injury (TBI) has been called the signature injury of the post-9/11 wars in Iraq, Afghanistan, and neighboring countries. Although similarities exist between veterans and service members with TBI, levels of severity and different constellations of coexisting comorbid conditions affect them differently. These conditions affect physical, cognitive, and emotional function, which in turn can complicate community reintegration (CR), or the ability to return to family, vocational, and community life. Read More

    Effects of community-based exercise in adults with severe burns: a randomized controlled trial.
    Arch Phys Med Rehabil 2018 Jan 20. Epub 2018 Jan 20.
    Department of Surgery, University of Texas Medical Branch, Galveston, TX, United States; Shriners Hospitals for Children, Galveston, TX, United States. Electronic address:
    Objective: To investigate the efficacy of community-based exercise programs (COMBEX) in the rehabilitation of adult burn patients as compared to standard of care (SOC).

    Design: Randomized controlled trial, with 2:1 randomization.

    Setting: Assessments were performed in a hospital setting. Read More

    Effectiveness of Neuromuscular Electrical Stimulation on Lower Limb Hemiplegic Patients following Chronic Stroke: A Systematic Review.
    Arch Phys Med Rehabil 2018 Jan 18. Epub 2018 Jan 18.
    Department of Rehabilitation Medicine, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, No.107 West Yanjiang Road, Guangzhou, 510120, Guangdong, China. Electronic address:
    Objective: To investigate the effectiveness of neuromuscular electrical stimulation (NMES) with or without other interventions in improving lower limb activity after chronic stroke.

    Data Source: Electronic databases including PubMed, EMBase, Cochrane Library, PEDro (Physiotherapy Evidence Database) and PsycINFO were searched from the inception to January, 2017.

    Study Selection: We selected the randomized controlled trials (RCTs) involving chronic stroke survivors with lower limb dysfunction and comparing NMES or combined with other interventions with control of no electrical-stimulated treatment. Read More

    What are the determinants of dental care expenditures in institutions for adults with disabilities? Findings from a National Survey.
    Arch Phys Med Rehabil 2018 Jan 17. Epub 2018 Jan 17.
    CESP - Centre de recherche médecine, sciences, santé, santé mentale, société - UMR 1018.
    Objective: To analyze the determinants of dental care expenditures among adults with disabilities living in institutions.

    Design: The French National Health and Disability Survey - Institution Section (cross sectional survey, 2009), and The French National Health Insurance database (SNIIRAM).

    Setting: Institutional setting. Read More

    Diagnostic Accuracy of the Veteran Affairs' Traumatic Brain Injury Screen.
    Arch Phys Med Rehabil 2018 Jan 17. Epub 2018 Jan 17.
    Neuropsychologist, Lexington VAMC C-306; University of Kentucky College of Medicine, Departments of Physical Medicine and Rehabilitation, Neurosurgery, & Psychology.
    Objective: To comprehensively estimate the diagnostic accuracy and reliability of the Department of Veterans Affairs (VA) TBI Clinical Reminder Screen (TCRS).

    Design: Cross-sectional, prospective, observational study using the Standards for Reporting of Diagnostic Accuracy (STARD) criteria.

    Setting: Three VA Polytrauma Network Sites. Read More

    Objective Sleep Measures in Subacute Stroke Inpatients Associated with Levels and Improvements in Activities of Daily Living.
    Arch Phys Med Rehabil 2018 Jan 12. Epub 2018 Jan 12.
    Sleep Medicine Center, Chung Shan Medical University Hospital, Taichung, Taiwan; Department of Physical Medicine and Rehabilitation, Chung Shan Medical University Hospital, Taichung, Taiwan; Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan. Electronic address:
    Objective: To investigate whether objective polysomnographic measures of prevalent sleep problems such as sleep-disordered-breathing (SDB) and insomnia are associated with activities of daily living levels in inpatients at rehabilitation units DESIGN: Retrospective and observational study SETTING: Single rehabilitation center PARTICIPANTS: One hundred twenty-three enrolled subacute stroke inpatients (61.6 ± 13.1 years; 23. Read More

    Agreement of Musculoskeletal Ultrasound and Clinical Assessment of Shoulder Impairment in Manual Wheelchair Users With Various Duration of Spinal Cord Injury.
    Arch Phys Med Rehabil 2018 Jan 12. Epub 2018 Jan 12.
    Division of Sports Medicine, Drexel University College of Medicine, Philadelphia, PA.
    Objectives: To determine (1) agreement of musculoskeletal ultrasound (MSK-US) findings of shoulder pathology and related shoulder special test results in individuals with varied durations of manual wheelchair (MWC) use after spinal cord injury (SCI); and (2) whether shoulder musculoskeletal impairments, per MSK-US and clinical examination, differed in individuals with SCI and varying durations of MWC use.

    Design: Cross-sectional cohort study.

    Setting: Laboratory setting. Read More

    Moderators Of Treatment Outcomes Following Telehealth Self-Management And Education In Adults With Multiple Sclerosis: A Secondary Analysis Of A Randomized Controlled Trial.
    Arch Phys Med Rehabil 2018 Jan 11. Epub 2018 Jan 11.
    Department of Rehabilitation Medicine, School of Medicine, University of Washington; Multiple Sclerosis Center of Excellence - West, VA Puget Sound Health Care System, Seattle Division.
    Objective: To examine moderators of treatment effects in a randomized controlled trial comparing a telehealth self-management intervention to a telehealth MS education intervention for fatigue, pain, and mood in adults with multiple sclerosis (MS).

    Design: Secondary analysis of a single-blind randomized controlled trial.

    Setting: community. Read More

    The effects of functional training, bicycle exercise and exergaming on walking capacity of elderly with Parkinson's disease: a pilot randomized controlled single-blinded trial.
    Arch Phys Med Rehabil 2018 Jan 11. Epub 2018 Jan 11.
    Department of Biomorphology of the Federal University of Bahia, Salvador, Brazil.
    Objectives: To compare the effects of functional training, bicycle exercise and exergaming on walking capacity of elderly with Parkinson disease (PD).

    Design: A pilot randomized controlled single-blinded trial.

    Setting: A State Reference Health Care Centre for Elderly, a public reference outpatient clinic for the elderly. Read More

    Reaction Time and Joint Kinematics during Functional Movement in Recently Concussed Individuals.
    Arch Phys Med Rehabil 2018 Jan 11. Epub 2018 Jan 11.
    Matthew Gfeller Sport-Related Traumatic Brain Injury Research Center, Department of Exercise and Sport Science, University of North Carolina at Chapel Hill; Human Movement Science Curriculum, Department of Allied Health Sciences, University of North Carolina at Chapel Hill.
    Objective: To compare movement reaction time and joint kinematics between recently concussed and matched control recreational athletes during 3 functional tasks.

    Design: Cross-sectional.

    Setting: Laboratory. Read More

    Changing physical activity behavior in people with Multiple Sclerosis: A Systematic Review and Meta-Analysis.
    Arch Phys Med Rehabil 2018 Jan 11. Epub 2018 Jan 11.
    Department of Psychology, Faculty of Education and Health Sciences, University of Limerick, Ireland.
    Objective: To systematically review the literature on behavioural interventions for people with Multiple Sclerosis (pwMS) that aim to change physical activity (PA) behaviour. To explore if these interventions are clinically-effective in improving PA, theory-based and employ established behaviour change techniques (BCTs).

    Data Sources: A systematic electronic search was conducted on databases EBSCO (including AMED, Biomedical Reference Collection: Expanded, CINHAL, MEDLINE, PsycArticles, PsycInfo), PubMed, EMBASE, and Web of Science from April 2017 to May 2017. Read More

    Motor Skill Interventions in Children with Developmental Coordination Disorder: A Systematic Review and Meta-Analysis.
    Arch Phys Med Rehabil 2018 Jan 9. Epub 2018 Jan 9.
    School of Medical and Health Sciences, Edith Cowan University, Western Australia.
    Objectives: To determine the characteristics and effectiveness of motor skill interventions in children with developmental coordination disorder (DCD) and to identify potential moderators of training effects using meta-analysis.

    Data Sources: A search was conducted in six databases (CINAHL Plus, Cochrane Library, Embase, Eric, PsycInfo, and PubMed) for papers published between 1995 and August 2017 using search items which were grouped in three components (motor skill interventions, DCD, and age group of interest).

    Study Selection: Studies were included if they have recruited children with DCD aged 3-17 years, reported performance of motor-related skills as outcomes, published in peer-reviewed journals, and written in English. Read More

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