Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Aug 2013
Review Meta AnalysisMeta-analysis of botulinum toxin A detrusor injections in the treatment of neurogenic detrusor overactivity after spinal cord injury.
To examine the effectiveness of botulinum toxin type A (BTX-A) on neurogenic detrusor overactivity (NDO) in individuals with spinal cord injury (SCI). ⋯ Results of the meta-analysis indicate BTX-A is effective in treating NDO after SCI. The use of BTX-A was associated with a decrease in incontinence episodes, catheter use, and bladder pressures.
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Arch Phys Med Rehabil · Aug 2013
Randomized Controlled TrialMetabolic responses to 4 different body weight-supported locomotor training approaches in persons with incomplete spinal cord injury.
To describe metabolic responses accompanying 4 different locomotor training (LT) approaches. ⋯ DGO and TM walking training was less effective in increasing V˙o2 and velocity across participant-selected walking speeds, while TS and OG training was more effective in improving these parameters and also walking economy. Therefore, the latter 2 approaches hold greater promise for improving clinically relevant outcomes such as enhanced endurance, functionality, or in-home/community ambulation.
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Arch Phys Med Rehabil · Aug 2013
Clinical TrialIntrarater and interrater reliability of select clinical tests in patients referred for diagnostic facet joint blocks in the cervical spine.
To measure the intra- and interrater reliability of select standardized clinical tests used for the assessment of patients with axial neck pain referred for diagnostic facet joint blocks. ⋯ The standardized clinical tests exhibited moderate to substantial reliability in patients with axial neck pain referred for diagnostic facet joint blocks. The data justify the incorporation of these tests into a clinical prediction model to screen patients before referral for diagnostic facet blocks.
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Arch Phys Med Rehabil · Aug 2013
Correlation between voluntary cough and laryngeal cough reflex flows in patients with traumatic brain injury.
To correlate voluntary cough and laryngeal cough reflex (LCR) flows in patients with traumatic brain injury (TBI). ⋯ As LCR can be measured as a numerical value and significantly correlates with PCF, LCR can be used to estimate cough ability of patients with TBI who cannot cooperate with PCF measurement.
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Arch Phys Med Rehabil · Aug 2013
Effectiveness of pulmonary rehabilitation in exercise capacity and quality of life in chronic obstructive pulmonary disease patients with and without global fat-free mass depletion.
To investigate the effectiveness of pulmonary rehabilitation (PR) in exercise capacity and quality of life in patients with chronic obstructive pulmonary disease (COPD) with and without global fat-free mass (FFM) depletion. ⋯ Benefits of PR to exercise capacity were similar comparing FFM depleted and nondepleted COPD patients. Although FFM change tended to be greater in depleted patients, this increase had no definite relation with clinical outcomes.