Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Jan 1999
Comparative StudyInspiratory muscle training protocol using a pressure threshold device: effect on dyspnea in chronic obstructive pulmonary disease.
To evaluate the ability of patients with chronic obstructive pulmonary disease (COPD) to accomplish 6 weeks of inspiratory muscle training (IMT) using a pressure threshold device, and to observe how the training affected inspiratory muscle strength and dyspnea. ⋯ Using a constant-load pressure threshold device to attain loads of >30% of the patient's baseline PImax is a feasible way to accomplish inspiratory muscle training in adults with severe COPD.
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Arch Phys Med Rehabil · Jan 1999
Comparative StudySomatosensory and motor evoked potentials at different stages of recovery from severe traumatic brain injury.
To detect changes of somatosensory evoked potentials (SEPs) and motor evoked potentials (MEPs) at different stages of recovery from severe brain injury and to determine whether they can be used to predict late functional outcome. ⋯ SEPs from LLs can be very useful in monitoring the postacute phase of traumatic brain injury and in identifying patients who require further intensive rehabilitation. MEPs may be of questionable value.
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To determine the frequency and extent to which subjects with Charcot-Marie-Tooth (CMT) disease report pain and to compare qualities of pain in CMT to other painful neuropathic conditions. ⋯ Neuropathic pain is a significant problem for many people with CMT. The frequency and intensity of pain reported in CMT is comparable in many ways to PHN, CRPS-1, DN. and PNI. Further studies are needed to examine possible pain generators and pharmacologic and rehabilitative modalities to treat pain in CMT.
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Arch Phys Med Rehabil · Dec 1998
The Capabilities of Upper Extremity instrument: reliability and validity of a measure of functional limitation in tetraplegia.
To evaluate the reliability and validity of the Capabilities of Upper Extremity (CUE) instrument, designed to measure upper extremity functional limitations in individuals with tetraplegia. Functional limitations are actions such as reaching or grasping and are a link between the domains of impairment and disability. ⋯ The CUE exhibits good homogeneity, reliability, and validity; further work is needed to determine its sensitivity to change in function.
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Arch Phys Med Rehabil · Dec 1998
Long-term outcomes and life satisfaction of adults who had pediatric spinal cord injuries.
To determine long-term outcomes and life satisfaction of adults who sustained pediatric spinal cord injury (SCI). ⋯ Individuals who had pediatric SCI, much like adult-onset SCI, have the greatest opportunity for a satisfying adult life if rehabilitation emphasizes psychosocial factors such as education, employment, and long-term health management.