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
Self-reported depression and physical activity in adults with mobility impairments.
To test hypothesized associations between depression and physical activity among adults with multiple sclerosis (MS), spinal cord injury (SCI), muscular dystrophy (MD), and postpolio syndrome (PPS). ⋯ Both physical activity measures demonstrated a small but statistically significant association with depression in all 4 diagnostic groups. Research is needed to determine longitudinal relations and whether physical activity interventions could promote improved mood in adults with physical disabilities.
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Arch Phys Med Rehabil · Apr 2013
Controlled Clinical TrialThe immediate effect of posteroanterior mobilization on reducing back pain and the stiffness of the lumbar spine.
To study the immediate effect of posteroanterior mobilization on back pain and the associated biomechanical changes in the lumbar spine. ⋯ Posteroanterior mobilization was found to bring about immediate desirable effects in reducing spinal stiffness and the magnitude of back pain. The restoration of the mechanical properties of the spine may be a possible mechanism that explains the improvement in pain after manual therapy.
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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
Using individual growth curve models to predict recovery and activities of daily living after spinal cord injury: an SCIRehab project study.
To evaluate change in functional outcomes over 1 year after spinal cord injury (SCI). ⋯ Longitudinal outcomes modeled as individual trajectories of change are clinically meaningful. Individual growth curve models could facilitate recovery prediction and outcome evaluation at individual and group levels. However, assessment of the effects of treatment on outcome trajectories will require the addition of outcome measures at time points during intervention and may require the use of outcome measures specific to aspects of rehabilitation, such as mobility and self-care.