Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Aug 2014
Controlled Clinical TrialEffect of interferential current stimulation in management of hemiplegic shoulder pain.
To study the immediate effects of interferential current stimulation (IFC) on shoulder pain and pain-free passive range of motion (PROM) of the shoulder in people with hemiplegic shoulder pain (HSP). ⋯ This study provides evidence that IFC is effective for the relief of pain during movement and also increases the pain-free PROM of the shoulder in people with HSP.
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Arch Phys Med Rehabil · Aug 2014
Psychometric properties of the Brief Fatigue Inventory in community-dwelling older adults.
To investigate the psychometric properties of the Brief Fatigue Inventory (BFI) in community-dwelling older adults. ⋯ Fatigue is a common and debilitating symptom in the aging population. The current study provides novel findings in validating and establishing a bidimensional factor structure for the BFI in older adults. Severity and interference were differentially related to important health outcomes; therefore, using these subscales in addition to the total BFI score is recommended with older adults. Because of its relatively short administration time and established psychometric properties, the BFI can be successfully incorporated into longitudinal studies and clinical trials.
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Arch Phys Med Rehabil · Aug 2014
Relationship between sleep, pain, and disability in patients with spinal pathology.
To characterize sleep and its relationship with disability and pain in patients with spine pathology. ⋯ Despite its being intuitive that sleep disorders will be present in patients with spinal disorders, it was surprising that sleep quality was an independent predictor of disability along with pain. Furthermore, sleep quality is more closely correlated to disability than leg pain, which is the current focus of medical interventions.
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Arch Phys Med Rehabil · Aug 2014
Utilization of behavioral therapy services long-term after traumatic brain injury in young children.
To examine associations of clinical need, defined by elevated parent ratings of child behavior problems and utilization of behavioral health services in young children with traumatic brain injury (TBI) and an orthopedic injury (OI) comparison group. ⋯ The results document unmet long-term behavioral health needs after both TBI and OI in children and underscore the importance of monitoring and treatment of postinjury behavior problems.
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To determine which patient-, treatment-, and facility-level characteristics were associated with home discharge among patients hospitalized for stroke within the Department of Veterans Affairs. ⋯ We found sociological, clinical, and facility-level factors associated with home discharge after hospitalization for acute stroke. Findings document the importance of considering a broad range of characteristics rather than focusing only on a few specific traits during discharge planning.