Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Mar 2012
Investigating changes in quality of life and function along the lifespan for people with spinal cord injury.
To track changes in quality of life and function for people with spinal cord injury (SCI) along the lifespan. ⋯ The findings of this study highlight that people with SCI are able to maintain quality of life and participation along the lifespan; however, increases in secondary conditions and a decline in function over time are likely. Rehabilitation services could work more effectively at addressing secondary prevention through enhanced monitoring over time, while broader societal responses are likely to hold the key to optimizing human functioning.
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Arch Phys Med Rehabil · Mar 2012
Randomized Controlled TrialGait training in human spinal cord injury using electromechanical systems: effect of device type and patient characteristics.
To report the clinical improvements in spinal cord injury (SCI) patients associated with intensive gait training using electromechanical systems according to patient characteristics. ⋯ The use of electromechanical systems for intensive gait training in SCI is associated with a marked improvement in lower-limb motor function and gait across a diverse range of patients and is most evident in motor incomplete patients, and for patients who begin the regimen early in the recovery process.
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Arch Phys Med Rehabil · Mar 2012
Quality of care indicators for the structure and organization of inpatient rehabilitation care of children with traumatic brain injury.
To develop evidence-based and expert-driven quality indicators for measuring variations in the structure and organization of acute inpatient rehabilitation for children after traumatic brain injury (TBI) and to survey centers across the United States to determine the degree of variation in care. ⋯ There were clinically and statistically significant variations in the structure and organization of acute pediatric rehabilitation based on the pediatric focus of the unit and volume of children with TBI.
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Arch Phys Med Rehabil · Mar 2012
Behavioral recovery in disorders of consciousness: a prospective study with the Spanish version of the Coma Recovery Scale-Revised.
To describe the clinical characteristics and short-term pattern of evolution of a sample of patients within 1 year after acquiring a brain injury that led to a vegetative state (VS) or a minimally conscious state (MCS). ⋯ The CRS-R seems appropriate for establishing an immediate prognosis in this population. A quick referral of these patients for specialized assessment and rehabilitation facilities is recommended.
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Arch Phys Med Rehabil · Mar 2012
Preliminary results of patient-defined success criteria for individuals with musculoskeletal pain in outpatient physical therapy settings.
(1) To investigate patient-defined parameters of treatment success in an outpatient physical therapy setting with musculoskeletal pain, (2) to determine whether patient-defined treatment success was influenced by selected demographic and clinical factors, and (3) to examine whether patient subgroups existed for ratings of importance for each treatment outcome domain. ⋯ These data indicate that patient-defined criteria for treatment success required greater reductions in the studied outcome domains to be considered successful. These data suggest the potential existence of patient subgroups that either rate improvement in all outcome domains as important or rate pain relief as the most important outcome.