Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Mar 2004
Clinical Trial Controlled Clinical TrialA new clinical test for cervicocephalic kinesthetic sensibility: "the fly".
To investigate the reliability and discriminative ability of a new test designed to detect accuracy of neck movements. ⋯ Better reliability was detected for the asymptomatic group than for the WAD group. The test could discriminate between the asymptomatic group versus the chronic WAD group.
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Arch Phys Med Rehabil · Mar 2004
A new instrument for outcome assessment in rehabilitation medicine: Spinal cord injury ability realization measurement index.
To introduce a new measure of disability weighted for the neurologic deficit in patients with spinal cord lesions and to examine the effect on the instrument of being in rehabilitation. ⋯ The preliminary version of the SCI-ARMI can be used to assess quantitatively changes in functional ability, isolating them from the effect of neurologic changes.
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Arch Phys Med Rehabil · Mar 2004
Predictive value of fear avoidance in developing chronic neck pain disability: consequences for clinical decision making.
To improve clinical decision making in posttraumatic neck pain by investigating the additional value of fear-avoidance variables in predicting chronic neck pain disability. ⋯ A simple rating of baseline neck pain disability within a week of the trauma, separately or in combination with a test for fear of movement, can be used to predict future outcome. Patients showing fear of movement can be offered an intervention that focuses on reduction of this fear.
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Arch Phys Med Rehabil · Mar 2004
Comparative StudyA comparison of true and premodulated interferential currents.
To compare true and premodulated interferential currents (IFCs) in terms of sensory, motor, and pain thresholds; maximum electrically induced torque (MEIT); and comfort. ⋯ The findings indicate that premodulated IFC, delivered via 2 large electrodes, may be clinically more effective than the traditional true IFC arrangement in terms of depth efficiency, torque production, and patient comfort.
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Arch Phys Med Rehabil · Mar 2004
Comparative StudyQuantitative posturography in altered sensory conditions: a way to assess balance instability in patients with chronic whiplash injury.
To quantify neck mobility and posture with and without various postural perturbations. ⋯ Patients with chronic whiplash injury had a protective response to neck movement and different tuning, sequencing, and execution of the postural synergies probably because of excessive reliance on visual input despite a possible deficit and altered vestibular and/or proprioceptive activity. In healthy volunteers, the pain induced by a single bolus injection of hypertonic saline was probably too limited in intensity and spreading to decrease postural stability.