Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Nov 2002
Reliability of the two-minute walk test in individuals with transtibial amputation.
To determine inter- and intrarater reliability of the two-minute walk test (2MWT) in individuals with transtibial amputation. ⋯ Although the 2MWT showed evidence of inter- and intrarater reliability in individuals with unilateral below-knee amputation, the distance walked in 2 minutes continued to improve over time. This improvement was not solely the result of a training and learning effect.
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Arch Phys Med Rehabil · Nov 2002
Responsiveness of the Impact on Participation and Autonomy questionnaire.
To evaluate the responsiveness of a newly developed generic questionnaire, the Impact on Participation and Autonomy (IPA), which focuses on 2 aspects of participation: perceived participation and the experience of problems. ⋯ The IPA detected within-person improvement over time, but its responsiveness must be confirmed in a larger study sample.
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Arch Phys Med Rehabil · Nov 2002
Dynamic imaging in mild traumatic brain injury: support for the theory of medial temporal vulnerability.
To determine whether patients with mild traumatic brain injury (TBI) and persistent postconcussive symptoms have evidence of temporal lobe injury on dynamic imaging. ⋯ Patients with mild TBI and persistent postconcussive symptoms have a high incidence of temporal lobe injury (presumably involving the hippocampus and related structures), which may explain the frequent finding of memory disorders in this population. The abnormal temporal lobe findings on PET and SPECT in humans may be analogous to the neuropathologic evidence of medial temporal injury provided by animal studies after mild TBI.
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Arch Phys Med Rehabil · Oct 2002
Randomized Controlled Trial Clinical TrialImmediate effects of various physical therapeutic modalities on cervical myofascial pain and trigger-point sensitivity.
To investigate the immediate effect of physical therapeutic modalities on myofascial pain in the upper trapezius muscle. ⋯ Ischemic compression therapy provides alternative treatments using either low pressure (pain threshold) and a long duration (90s) or high pressure (the average of pain threshold and pain tolerance) and short duration (30s) for immediate pain relief and MTrP sensitivity suppression. Results suggest that therapeutic combinations such as hot pack plus active ROM and stretch with spray, hot pack plus active ROM and stretch with spray as well as TENS, and hot pack plus active ROM and interferential current as well as myofascial release technique, are most effective for easing MTrP pain and increasing cervical ROM.
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Arch Phys Med Rehabil · Sep 2002
Herpes zoster of the head and limbs: electroneuromyographic and clinical findings in 158 consecutive cases.
To quantify electromyographic and neurographic changes and to correlate them with the clinical data of outpatients with herpes zoster. ⋯ Sensory axonal neuropathy, often associated with similar motor involvement, can be shown by classical electrophysiologic methods in herpes zoster. The severity of damage to motor fibers was related to damage to sensory fibers, but no relation was found between peripheral axon damage and PHN. The site of motor system damage may be the ventral roots, plexus, or peripheral nerve. The probability of complications and the severity of sensory and motor peripheral axonal damage were increased in older patients. Appropriate antiviral therapy seems to reduce the incidence of segmental zoster paresis and the severity of damage to the peripheral fibers. A reduced extent of herpetic rash was the only factor to correlate with a good outcome of PHN.