Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Nov 2002
Clinical Trial Controlled Clinical TrialChanges in sagittal lumbar configuration with a new method of extension traction: nonrandomized clinical controlled trial.
To determine if a new method of lumbar extension traction can increase lordosis in chronic low back pain (LBP) subjects with decreased lordosis. ⋯ This new method of lumbar extension traction is the first nonsurgical rehabilitative procedure to show increases in lumbar lordosis in chronic LBP subjects with hypolordosis. The fact that there was no change in control subjects' lumbar lordosis indicates the stability of the lumbar lordosis and the repeatability of x-ray procedures. Because, on average, chronic LBP patients have hypolordosis, additional randomized trials should be performed to evaluate the clinical significance of restoration of the lumbar lordosis in chronic LBP subjects.
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To evaluate the measurement properties of the Revised Oswestry Disability Questionnaire (RODQ) by using rating scale analyses. ⋯ By using the abbreviated scale, suggested item order, and predicted responses, abbreviated versions of the instrument can be applied to measure LBP-D more efficiently.
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Arch Phys Med Rehabil · Nov 2002
Clinical and electrophysiologic correlates of quantitative sensory testing in patients with incomplete spinal cord injury.
To determine the degree of association among indices of preserved sensation derived from quantitative sensory testing (QST), somatosensory evoked potentials (SEPs), and the clinical characteristics of patients with spinal cord injury (SCI). ⋯ The low degree of association between QST measures and sensory scores is likely attributable to measurement limitations of both assessments, as well as various neuroanatomic and neuropathologic factors. QST provides more sensitive detection of preserved sensory function than does standard clinical examination in patients with incomplete SCI.
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Arch Phys Med Rehabil · Nov 2002
Reliability of the two-minute walk test in individuals with transtibial amputation.
To determine inter- and intrarater reliability of the two-minute walk test (2MWT) in individuals with transtibial amputation. ⋯ Although the 2MWT showed evidence of inter- and intrarater reliability in individuals with unilateral below-knee amputation, the distance walked in 2 minutes continued to improve over time. This improvement was not solely the result of a training and learning effect.
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Arch Phys Med Rehabil · Nov 2002
Responsiveness of the Impact on Participation and Autonomy questionnaire.
To evaluate the responsiveness of a newly developed generic questionnaire, the Impact on Participation and Autonomy (IPA), which focuses on 2 aspects of participation: perceived participation and the experience of problems. ⋯ The IPA detected within-person improvement over time, but its responsiveness must be confirmed in a larger study sample.