Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Oct 1999
Comparative StudyNeoplastic versus traumatic spinal cord injury: an outcome comparison after inpatient rehabilitation.
To compare outcomes of patients with neoplastic spinal cord compression (SCC) to outcomes of patients with traumatic spinal cord injury (SCI) after inpatient rehabilitation. ⋯ Patients with neoplastic SCC can achieve rates of functional gain comparable to those of their counterparts with traumatic SCI. While patients with traumatic SCI achieve greater functional improvement, patients with neoplastic SCC have a shorter rehabilitation LOS and can achieve comparable success with discharge to the community.
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To evaluate the construct validity of the Pain Patient Profile (P-3), a brief self-report instrument designed to measure anxiety, depression, and somatization in patients presenting with pain. ⋯ The P-3 is a useful instrument for initial screening of psychological distress in pain patients. Some patients may show elevations on more than one of the clinical scales, which either indicates that the P-3 does not distinguish well among these constructs or reflects the well-established comorbidity of these constructs.
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Arch Phys Med Rehabil · Oct 1999
Randomized Controlled Trial Comparative Study Clinical TrialOsteoarthritis of the knee: isokinetic quadriceps exercise versus an educational intervention.
To evaluate the effects of isokinetic exercise versus a program of patient education on pain and function in older persons with knee osteoarthritis. ⋯ Isokinetic exercise is an effective and well-tolerated treatment for knee osteoarthritis, but a much less costly education program also showed some benefits.
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Arch Phys Med Rehabil · Oct 1999
Comparative StudyThe value of electrodiagnostic consultation for patients with upper extremity nerve complaints: a prospective comparison with the history and physical examination.
To determine whether electrodiagnostic testing changes diagnostic certainty compared with a detailed history and physical examination, and whether interactions between medical information, the extent of testing, and diagnostic certainty imply a need for advanced medical knowledge on the part of the tester. ⋯ This study, in which all electrodiagnostics, histories, and physical examinations were performed by a single physician, suggests that electrodiagnosis substantially alters clinical impressions in a large percentage of patients. The complex relationship between clinical information, the extent of testing, and final diagnostic certainty suggests that specialized medical knowledge is required for accurate electrodiagnosis.
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Arch Phys Med Rehabil · Oct 1999
Quantitative sensory testing in patients with incomplete spinal cord injury.
To examine the utility of quantitative sensory testing (QST) to characterize sensory dysfunction in patients with spinal cord injury (SCI). ⋯ With QST in SCI there is a need for repeated measurements across days to establish stable baseline measures or outcomes following intervention. QST is a useful adjunct to clinical examination for assessment of preserved sensation.