Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · May 2005
Randomized Controlled Trial Comparative Study Clinical TrialEffects of home strength training and stretching versus stretching alone after lumbar disk surgery: a randomized study with a 1-year follow-up.
To assess the adherence to and effects of a 12-month combined strength and stretching home exercise regimen versus stretching alone, on patient outcome after lumbar disk surgery. ⋯ At the 12-month follow-up, no statistically significant changes were found in the physical function, pain, or disability measures between the groups. In the STG, training adherence with regard to training frequency and intensity remained too low to lead to specific training-induced adaptations in the neuromuscular system. Progressive loading, supervision of training, and psychosocial support is needed in long-term rehabilitation programs to maintain patient motivation.
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Arch Phys Med Rehabil · May 2005
Randomized Controlled Trial Comparative Study Clinical TrialModerate-heeled shoes and knee joint torques relevant to the development and progression of knee osteoarthritis.
To determine if women's dress shoes with heels of just 1.5 in (3.8 cm) in height increases knee joint torques, which are thought to be relevant to the development and/or progression of knee osteoarthritis (OA) in both the medial and patellofemoral compartments. ⋯ Even shoes with moderately high heels (1.5 in) significantly increase knee torques thought to be relevant in the development and/or progression of knee OA. Women, particularly those who already have knee OA, should be advised against wearing these types of shoes.
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Arch Phys Med Rehabil · May 2005
Randomized Controlled Trial Comparative Study Clinical TrialIncreasing days at work using function-centered rehabilitation in nonacute nonspecific low back pain: a randomized controlled trial.
To evaluate the effect of function-centered compared with pain-centered inpatient rehabilitation in patients whose absence from work is due to chronic nonspecific low back pain (LBP). ⋯ Function-centered rehabilitation increases the number of work days, self-efficacy, and lifting capacity in patients with nonacute nonspecific LBP.
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Arch Phys Med Rehabil · May 2005
Comparative StudyMultidimensional assessment of acute confusion after traumatic brain injury.
To describe the phenomenology of posttraumatic confusional state (PTCS) and to provide preliminary validation of a new procedure, the Confusion Assessment Protocol (CAP), for assessing PTCS. ⋯ The CAP is a brief, structured, repeatable measure of multiple neurobehavioral aspects of PTCS. Confusion status as determined by CAP assessment contributed to prediction of outcome at rehabilitation discharge after adjustment for other potential predictors.
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To examine thermal pain perception before, 5 minutes after, and 30 minutes after 30 minutes of treadmill exercise at 75% of maximal oxygen uptake (V o 2 max). ⋯ Pain perception to thermal stimuli was unaltered after 30 minutes of exercise at 75% of V o 2 max, an intensity and duration of exercise previously shown to alter pain perception to electric and mechanical stimuli.