Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Sep 2012
Cardiovascular status of individuals with incomplete spinal cord injury from 7 NeuroRecovery Network rehabilitation centers.
To examine cardiovascular (CV) health in a large cohort of individuals with incomplete spinal cord injury (SCI). The CV health parameters of patients were compared based on American Spinal Injury Association Impairment Scale (AIS), neurologic level, sex, central cord syndrome, age, time since injury, Neuromuscular Recovery Scale, and total AIS motor score. ⋯ Resting CV parameters of blood pressure and heart rate are affected by position, age, and neurologic level. OH is more prevalent in cervical injuries, those with lower resting blood pressures and who are lower functioning. Results from this study provide reference for CV parameters for individuals with incomplete SCI. Future research is needed on the impact of exercise on CV parameters.
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Arch Phys Med Rehabil · Aug 2012
Multicenter StudyVariation in adherence to new quality-of-care indicators for the acute rehabilitation of children with traumatic brain injury.
To determine variations in care provided by 9 inpatient rehabilitation units for children with traumatic brain injury (TBI) using newly developed quality indicators. ⋯ The results indicate a tremendous variability and opportunity for improvement in the care of children with TBI.
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Arch Phys Med Rehabil · Aug 2012
Discharge destination as a surrogate for Modified Rankin Scale defined outcomes at 3- and 12-months poststroke among stroke survivors.
To determine the predictive value of discharge destination as a surrogate for defining unfavorable outcome at 3- and 12-months poststroke. ⋯ Discharge destination can provide high predictive values and likelihood ratios for death and disability at 3-months poststroke, as defined by an MRS of score of 2 to 6.
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Arch Phys Med Rehabil · Aug 2012
Multicenter StudyAffect recognition, empathy, and dysosmia after traumatic brain injury.
To investigate if olfaction is associated with affect recognition and empathy deficits after traumatic brain injury (TBI). Prior research has shown that TBI often leads to loss of smell. We hypothesized a relationship with emotion perception, because the neural substrates of the olfactory system overlap with the ventral circuitry of the orbital frontal cortex, which play a critical role in affective responses, such as empathy. ⋯ This study shows that olfactory deficits may be indicative of affect recognition impairments and reduced empathy. Early knowledge of affect recognition and empathy deficits would be valuable so that treatment could be implemented predischarge.
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Arch Phys Med Rehabil · Aug 2012
Randomized Controlled TrialBenefits of exercise maintenance after traumatic brain injury.
To examine the effect of exercise intervention on exercise maintenance, depression, quality of life, and mental health at 6 months for people with traumatic brain injury (TBI) with at least mild depression. ⋯ Exercise may contribute to improvement in mood and quality of life for people with TBI and should be considered as part of the approach to depression treatment.