Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Apr 2013
Randomized Controlled Trial Multicenter StudyEffects of a multifactorial fall prevention program on fall incidence and physical function in community-dwelling older adults with risk of falls.
To evaluate effects of a multifactorial fall prevention program on fall incidence and physical function in community-dwelling older adults. ⋯ The multifactorial fall prevention program with exercise intervention improved functional performance at 3 months for community-dwelling older adults with risk of falls, but did not reduce falls at 1-year follow-up. Fall incidence might have been decreased simultaneously in both groups by heightened awareness engendered during assessments, education, referrals, and recommendations.
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Arch Phys Med Rehabil · Apr 2013
Multicenter StudyWalking to meet physical activity guidelines in knee osteoarthritis: is 10,000 steps enough?
To study if step goals (eg, walking 10,000 steps a day) approximate meeting the 2008 Physical Activity Guidelines for Americans. ⋯ Among this sample of older adults with or at high risk of knee OA, walking ≥10,000 steps a day did not translate into meeting public health guidelines. These findings highlight the disparity between the number of steps believed to be needed per day and the recommended time-intensity guidelines to achieve positive health benefits.
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Arch Phys Med Rehabil · Apr 2013
Multicenter Study Comparative StudyComparing rehabilitation services and outcomes between older and younger people with spinal cord injury.
To compare patient and injury characteristics, rehabilitation services, and outcomes between people incurring traumatic spinal cord injury (SCI) at younger and older ages. ⋯ Older injured individuals experienced a different clinical pathway from younger patients. The present study suggests the need for development of a rehabilitation program tailored specifically to older adults.
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Arch Phys Med Rehabil · Apr 2013
Multicenter StudyRole of body weight in therapy participation and rehabilitation outcomes among individuals with traumatic spinal cord injury.
To examine the association between body weight, therapy participation, and functional outcomes among people with spinal cord injury (SCI). ⋯ Patients who had an unhealthy body weight, that is, being underweight or obese, often have therapy participation and profiles different from those deemed healthy, or just overweight. For patients with paraplegia AIS grades A, B, and C, being overweight or obese was associated with diminished motor FIM outcomes at discharge from rehabilitation. The relation between body weight status, therapy participation, and outcomes are not consistent among study group participants.
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Arch Phys Med Rehabil · Apr 2013
Multicenter StudyAcute rehospitalizations during inpatient rehabilitation for spinal cord injury.
To investigate frequency of and reasons for readmission to acute care (RTAC) during inpatient rehabilitation after traumatic spinal cord injury (SCI), and to identify factors associated with RTAC. ⋯ Approximately 11% of SCI patients experience RTAC during the course of rehabilitation for a variety of medical and surgical reasons. RTACs are associated with longer rehabilitation LOS.