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Source: Archives of Physical Medicine and Rehabilitation
Management: Hospitals

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Total 66 results found since Jan 2013.

Clinician Adherence to a Standardized Assessment Battery Across Settings and Disciplines in a Poststroke Rehabilitation Population
Abstract: Objectives: (1) To examine clinician adherence to a standardized assessment battery across settings (acute hospital, inpatient rehabilitation facilities [IRFs], outpatient facility), professional disciplines (physical therapy [PT], occupational therapy, speech-language pathology), and time of assessment (admission, discharge/monthly), and (2) to evaluate how specific implementation events affected adherence.Design: Retrospective cohort study.Setting: Acute hospital, IRF, and outpatient facility with approximately 118 clinicians (physical therapists, occupational therapists, speech-language pathologists).Participa...
Source: Archives of Physical Medicine and Rehabilitation - February 15, 2013 Category: Rehabilitation Authors: Marghuretta D. Bland, Audra Sturmoski, Michelle Whitson, Hilary Harris, Lisa Tabor Connor, Robert Fucetola, Jeff Edmiaston, Thy Huskey, Alexandre Carter, Marian Kramper, Maurizio Corbetta, Catherine E. Lang Tags: Original Articles Source Type: research

Randomized Controlled Trial of Surface Peroneal Nerve Stimulation for Motor Relearning in Lower Limb Hemiparesis
Abstract: Objective: To compare the motor relearning effect of a surface peroneal nerve stimulator (PNS) versus usual care on lower limb motor impairment, activity limitation, and quality of life among chronic stroke survivors.Design: Single-blinded randomized controlled trial.Setting: Teaching hospital of academic medical center.Participants: Chronic stroke survivors (N=110;>12wk poststroke) with unilateral hemiparesis and dorsiflexion strength of ≤4/5 on the Medical Research Council scale.Interventions: Subjects were stratified by motor impairment level and then randomly assigned to ambulation training with either a su...
Source: Archives of Physical Medicine and Rehabilitation - February 11, 2013 Category: Rehabilitation Authors: Lynne R. Sheffler, Paul N. Taylor, Douglas D. Gunzler, Jaap H. Buurke, Maarten J. IJzerman, John Chae Tags: Journal-Based CME Article Source Type: research

Effect of High- and Low-Frequency Repetitive Transcranial Magnetic Stimulation on Visuospatial Neglect in Patients With Acute Stroke: A Double-Blind, Sham-Controlled Trial
This study was a prospective, double-blind, sham-controlled trial. Data are presented from 27 patients (15 men, 12 women; mean age, 67.0y) randomly assigned to receive 10 sessions of low-frequency (1Hz) rTMS over the nonlesioned PPC, high-frequency (10Hz) rTMS over the lesioned PPC, or sham stimulation.Setting: National university hospital.Participants: Patients (N=27) diagnosed with visuospatial neglect after stroke.Intervention: Ten sessions of rTMS over a 2-week period.Main Outcome Measures: The severity of visuospatial neglect was assessed pre- and posttreatment using the Motor-Free Visual Perception Test, line bisecti...
Source: Archives of Physical Medicine and Rehabilitation - January 7, 2013 Category: Rehabilitation Authors: Bo Ryun Kim, Min Ho Chun, Dae-Yul Kim, Sook Joung Lee Tags: Featured Articles Source Type: research

Is It Possible to Individualize Intensity of Eccentric Cycling Exercise From Perceived Exertion on Concentric Test?
Abstract: Objective: To assess the safety and acute effects of a procedure using perceived exertion during a prior submaximal concentric (CON) test to individualize eccentric (ECC) cycling exercise intensity.Design: Prospective, monocentric open study.Setting: Technological investigation platform at a physical medicine and rehabilitation department in a university hospital.Participants: Healthy subjects (N=18; 15 men, 3 women) aged between 22 and 37 years.Interventions: The subjects performed 3 cycling exercises: (1) incremental CON test to determine the comfortable pedaling power (CPP) corresponding to a Borg scale rating...
Source: Archives of Physical Medicine and Rehabilitation - December 26, 2012 Category: Rehabilitation Authors: Davy Laroche, Charles Joussain, Claire Espagnac, Claire Morisset, Nicolas Tordi, Vincent Gremeaux, Jean-Marie Casillas Tags: Original Articles Source Type: research

Effects of Noxious Versus Innocuous Thermal Stimulation on Lower Extremity Motor Recovery 3 Months After Stroke
Abstract: Objective: To examine the effects of thermal stimulation (TS) on the lower extremity (LE) movement and function in patients with stroke.Design: A double-blinded randomized controlled trial.Setting: A university hospital.Participants: Patients (N=34) at least 3 months after stroke were randomly assigned into the experimental and the control groups.Interventions: In addition to regular rehabilitation, the experimental group received a 30-minute noxious TS protocol (heat pain 46–47°C/cold pain 2–3°C) 3days/wk for 8 weeks, and the control group received a 30-minute innocuous TS protocol (heat 40–41°C/cold 23...
Source: Archives of Physical Medicine and Rehabilitation - November 26, 2012 Category: Rehabilitation Authors: Hsin-Wen Hsu, Chia-Ling Lee, Miao-Ju Hsu, Hung-Chia Wu, Roxane Lin, Ching-Lin Hsieh, Jau-Hong Lin Tags: Original Articles Source Type: research

Position-Dependent, Hyperexcitable Patellar Reflex Dynamics in Chronic Stroke
Abstract: Objectives: To quantify tendon tap response (TTR) properties and their position dependence using multiple neuromechanical parameters, and to analyze correlations among neuromechanical and clinical measures.Design: Hyperexcitable dynamics of TTR were investigated in a case-control manner. An instrumented hammer was used to induce the patellar deep tendon reflex (DTR), with reflex-mediated electromyography and torque responses measured across a range of knee flexion.Setting: Research laboratory in a rehabilitation hospital.Participants: Chronic hemiplegic stroke survivors (n=9) and healthy subjects (n=13).Intervent...
Source: Archives of Physical Medicine and Rehabilitation - October 12, 2012 Category: Rehabilitation Authors: Chung-Yong Yang, Xin Guo, Yupeng Ren, Sang Hoon Kang, Li-Qun Zhang Tags: Original Articles Source Type: research