Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Aug 2015
ReviewPast and current use of walking measures for children with spina bifida: a systematic review.
To describe walking measurement in children with spina bifida and to identify patterns in the use of walking measures in this population. ⋯ Despite a demonstrated need to measure walking in children with spina bifida, few valid, reliable, and responsive measures have been established for this population.
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Arch Phys Med Rehabil · Aug 2015
Multicenter Study Observational StudyPsychotropic Medication Use During Inpatient Rehabilitation for Traumatic Brain Injury.
To describe psychotropic medication administration patterns during inpatient rehabilitation for traumatic brain injury (TBI) and their relation to patient preinjury and injury characteristics. ⋯ Many psychotropic medications are used during inpatient rehabilitation. In general, lower admission FIM cognitive score groups were administered more of the medications under investigation compared with those with higher cognitive function at admission. Considerable site variation existed regarding medications administered. The current investigation provides baseline data for future studies of effectiveness.
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Arch Phys Med Rehabil · Aug 2015
Comparative Study Observational StudyEnteral Nutrition for Patients With Traumatic Brain Injury in the Rehabilitation Setting: Associations With Patient Preinjury and Injury Characteristics and Outcomes.
To determine the association of enteral nutrition (EN) with patient preinjury and injury characteristics and outcomes for patients receiving inpatient rehabilitation after traumatic brain injury (TBI). ⋯ For patients receiving inpatient rehabilitation after TBI and matched on a propensity score of >40% for the likely use of EN, clinicians should strongly consider, when possible, EN for ≥25% of the rehabilitation stay and especially with a formula that contains at least 20% protein rather than a standard formula.
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Arch Phys Med Rehabil · Aug 2015
Multicenter StudyTest-retest reliability of the Neuromuscular Recovery Scale.
To determine the test-retest reliability of the Neuromuscular Recovery Scale (NRS), a measure to classify lower extremity and trunk recovery of individuals with spinal cord injury (SCI) to typical preinjury performance of functional tasks without use of external and behavioral compensation. ⋯ The NRS had excellent test-retest reliability when conducted by trained therapists in adults with chronic SCI across all levels of injury severity. All raters had undergone standardized training in use of the NRS. The minimal requirement of training to achieve test-retest reliability has not been established.
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Arch Phys Med Rehabil · Aug 2015
Multicenter StudyInterrater reliability of the Neuromuscular Recovery Scale for spinal cord injury.
To determine the interrater reliability of the Neuromuscular Recovery Scale (NRS), an outcome measure designed to classify people with complete or incomplete spinal cord injury (SCI) into 4 phase-of-injury groups by assessing motor performance based on normal preinjury function and disallowing use of compensation for 4 treadmill-based items and 6 overground/mat items. ⋯ NRS had strong interrater reliability, a necessary first step in establishing its utility as a clinical and research outcome measure.