Journal of Rehabilitation Research and Development最新文献_第7页

Plantar pressure displacement after anesthetic motor block and tibial nerve neurotomy in spastic equinovarus foot. 痉挛性马蹄内翻足的麻醉运动阻滞和胫神经切开术后足底压力移位。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2014.11.0298

Nathalie Khalil, Claudie Chauvière, Loïc Le Chapelain, Hélène Guesdon, Elodie Speyer, Hervé Bouaziz, Didier Mainard, Jean-Marie Beis, Jean Paysant

{"title":"Plantar pressure displacement after anesthetic motor block and tibial nerve neurotomy in spastic equinovarus foot.","authors":"Nathalie Khalil, Claudie Chauvière, Loïc Le Chapelain, Hélène Guesdon, Elodie Speyer, Hervé Bouaziz, Didier Mainard, Jean-Marie Beis, Jean Paysant","doi":"10.1682/JRRD.2014.11.0298","DOIUrl":"https://doi.org/10.1682/JRRD.2014.11.0298","url":null,"abstract":"The aim of this study was to analyze the displacements of center of pressure (COP) using an in-shoe recording system (F-Scan) before and after motor nerve block and neurotomy of the tibial nerve in spastic equinovarus foot. Thirty-nine patients (age 45 ± 15 yr) underwent a motor nerve block; 16 (age 38 ± 15.2 yr) had tibial neurotomy, combined with tendinous surgery (n = 9). The displacement of the COP (anteroposterior [AP], lateral deviation [LD], posterior margin [PM]) was compared between paretic and nonparetic limbs before and after block and surgery. At baseline, the nonparetic limb had a higher AP (17.3 vs 12.3 cm, p < 0.001) and LD (4.0 vs 3.3 cm, p = 0.001) and a smaller PM (2.9 vs 4.7 cm, p = 0.001). For the paretic limb, a significant increase of AP was observed after block (13.5 vs 12.3 cm, p = 0.02) and after surgery (13.7 vs 12.3 cm, p = 0.03). A significant decrease of PM was observed after surgery (4.5 vs 3.3 cm, p < 0.001) with no more difference between two limbs (2.8 vs 3.3 cm; p = 0.44). This study shows that the F-Scan system can be used to quantify impairments and be useful to evaluate the effects of treatment for spastic foot. It suggests that changes in AP displacement following block may predict the effects of neurotomy.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 2","pages":"219-28"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.11.0298","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34522806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Stepped care model of pain management and quality of pain care in long-term opioid therapy. 长期阿片类药物治疗中疼痛管理和疼痛护理质量的阶梯护理模式。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2014.10.0254

B. Moore, Daren Anderson, Lindsey M. Dorflinger, I. Zlateva, Allison Lee, Wesley P. Gilliam, Terrence Tian, K. Khatri, C. Ruser, R. Kerns

{"title":"Stepped care model of pain management and quality of pain care in long-term opioid therapy.","authors":"B. Moore, Daren Anderson, Lindsey M. Dorflinger, I. Zlateva, Allison Lee, Wesley P. Gilliam, Terrence Tian, K. Khatri, C. Ruser, R. Kerns","doi":"10.1682/JRRD.2014.10.0254","DOIUrl":"https://doi.org/10.1682/JRRD.2014.10.0254","url":null,"abstract":"Successful organizational improvement processes depend on application of reliable metrics to establish targets and to monitor progress. This study examined the utility of the Pain Care Quality (PCQ) extraction tool in evaluating implementation of the Stepped Care Model for Pain Management at one Veterans Health Administration (VHA) healthcare system over 4 yr and in a non-VHA Federally qualified health center (FQHC) over 2 yr. Two hundred progress notes per year from VHA and 150 notes per year from FQHC primary care prescribers of long-term opioid therapy (>90 consecutive days) were randomly sampled. Each note was coded for the presence or absence of key dimensions of PCQ (i.e., pain assessment, treatment plans, pain reassessment/outcomes, patient education). General estimating equations controlling for provider and facility were used to examine changes in PCQ items over time. Improvements in the VHA were noted in pain reassessment and patient education, with trends in positive directions for all dimensions. Results suggest that the PCQ extraction tool is feasible and may be responsive to efforts to promote organizational improvements in pain care. Future research is indicated to improve the reliability of the PCQ extraction tool and enhance its usability.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 1 1","pages":"137-46"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.10.0254","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67551676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14

The Veterans Health Administration's traumatic brain injury clinical reminder screen and evaluation: Practice patterns. 退伍军人健康管理局的创伤性脑损伤临床提示筛选和评估:实践模式。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2015.09.0187

Heather G Belanger, Gail Powell-Cope, Andrea M Spehar, Mark McCranie, S Angelina Klanchar, Ruth Yoash-Gantz, Judith B Kosasih, Joel Scholten

{"title":"The Veterans Health Administration's traumatic brain injury clinical reminder screen and evaluation: Practice patterns.","authors":"Heather G Belanger, Gail Powell-Cope, Andrea M Spehar, Mark McCranie, S Angelina Klanchar, Ruth Yoash-Gantz, Judith B Kosasih, Joel Scholten","doi":"10.1682/JRRD.2015.09.0187","DOIUrl":"https://doi.org/10.1682/JRRD.2015.09.0187","url":null,"abstract":"The goals of this study were to describe clinical practice patterns associated with the Veterans Health Administration's (VHA's) Comprehensive Traumatic Brain Injury Evaluation (CTBIE) and determine whether practice patterns vary by patient, provider, or facility characteristics. Veterans (N = 614) who had initial healthcare visits between 2008, and 2011 and who had previously completed the VHA's traumatic brain injury (TBI) screen and subsequent CTBIE were drawn from a national database. Participants were primarily male (95%) with a mean age of 29.8 yr (standard deviation = 8). Chart reviews were conducted on a random sample of charts with completed CTBIEs from 21 sites. Using a cross-sectional design, patient- and facility-specific variables were investigated as potential predictors of practice variation. During the study period, 79% of patients in this national sample were screened within 1 d of their initial healthcare visit and 65% were evaluated via CTBIE within 30 d of screening. Provider and participant characteristics were generally not associated with timeliness. The CTBIE was completed by individuals versus teams at comparable rates. Much of what occurred during the evaluation, beyond TBI-specific procedures, were medical assessments, such as review of medications and other substances.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 6","pages":"767-780"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2015.09.0187","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34794475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Cognitive reserve and executive function: Effect on judgment of health and safety. 认知储备和执行功能:对健康和安全判断的影响。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2015.04.0073

Kristin H Hinrichs, Alex Hayek, David Kalmbach, Nicolette Gabel, Linas A Bieliauskas

{"title":"Cognitive reserve and executive function: Effect on judgment of health and safety.","authors":"Kristin H Hinrichs, Alex Hayek, David Kalmbach, Nicolette Gabel, Linas A Bieliauskas","doi":"10.1682/JRRD.2015.04.0073","DOIUrl":"https://doi.org/10.1682/JRRD.2015.04.0073","url":null,"abstract":"Individuals with the same neurological conditions do not necessarily manifest the same behavioral presentation, which suggests differences in resilience and vulnerability among individuals, a concept known as cognitive reserve. This study sought to explore the relationship among cognitive reserve, executive functioning, and health and safety judgment among a sample of older adult inpatients in an extended medical care unit at a Veterans Health Administration hospital. We hypothesized that cognitive reserve, as determined by an estimate of premorbid intellectual ability, would act as a protective factor against poor judgment in older adults with executive dysfunction. Participants included 200 Veterans who completed a comprehensive neuropsychological assessment, including measures of health and safety judgment, executive functioning, global cognitive functioning, and premorbid intellectual ability. After controlling for global cognitive functioning, executive functioning abilities did not have an effect on judgment abilities among those with high estimated intellectual ability. However, executive functioning had a significant effect on judgment abilities among those with low estimated intellectual ability. Our results suggest that intact executive functioning is critical for making appropriate health and safety decisions for patients with lower measured intellectual abilities and provide further support for the cognitive reserve model. Clinical implications are also discussed.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 6","pages":"863-872"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2015.04.0073","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34794543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Efficacy of extremely low-frequency magnetic field in fibromyalgia pain: A pilot study. 极低频磁场对纤维肌痛疼痛的疗效:一项初步研究。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2015.04.0061

Teresa Paolucci, Giulia Piccinini, Marco Iosa, Cristina Piermattei, Simona de Angelis, Maria Rosaria Grasso, Federico Zangrando, Vincenzo Maria Saraceni

{"title":"Efficacy of extremely low-frequency magnetic field in fibromyalgia pain: A pilot study.","authors":"Teresa Paolucci, Giulia Piccinini, Marco Iosa, Cristina Piermattei, Simona de Angelis, Maria Rosaria Grasso, Federico Zangrando, Vincenzo Maria Saraceni","doi":"10.1682/JRRD.2015.04.0061","DOIUrl":"https://doi.org/10.1682/JRRD.2015.04.0061","url":null,"abstract":"The purpose of this pilot study was to determine the efficacy of an extremely low-frequency magnetic field (ELF-MF) in decreasing chronic pain in fibromyalgia (FM) patients. Thirty-seven females were recruited and randomized into two groups: one group was first exposed to systemic ELF-MF therapy (100 microtesla, 1 to 80 Hz) and then to sham therapy, and the other group received the opposite sequence of intervention. Pain, FM-related symptoms, and the ability to perform daily tasks were measured using the Visual Analog Scale, Fibromyalgia Impact Questionnaire (FIQ), Fibromyalgia Assessment Scale (FAS), and Health Assessment Questionnaire (HAQ) at baseline, end of first treatment cycle, beginning of second treatment cycle (after 1 mo washout), end of second treatment cycle, and end of 1 mo follow-up. ELF-MF treatment significantly reduced pain, which increased on cessation of therapy but remained significantly lower than baseline levels. Short-term benefits were also observed in FIQ, FAS, and HAQ scores, with less significant effects seen in the medium term. ELF-MF therapy can be recommended as part of a multimodal approach for mitigating pain in FM subjects and improving the efficacy of drug therapy or physiotherapy.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 6","pages":"1023-1034"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2015.04.0061","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34971400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 12

The biomechanical response of persons with transfemoral amputation to variations in prosthetic knee alignment during level walking. 经股截肢患者在水平行走时对假膝对齐变化的生物力学反应。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2014.12.0311

Sara R Koehler-McNicholas, Robert D Lipschutz, Steven A Gard

{"title":"The biomechanical response of persons with transfemoral amputation to variations in prosthetic knee alignment during level walking.","authors":"Sara R Koehler-McNicholas, Robert D Lipschutz, Steven A Gard","doi":"10.1682/JRRD.2014.12.0311","DOIUrl":"https://doi.org/10.1682/JRRD.2014.12.0311","url":null,"abstract":"Prosthetic alignment is an important factor in the overall fit and performance of a lower-limb prosthesis. However, the association between prosthetic alignment and control strategies used by persons with transfemoral amputation to coordinate the movement of a passive prosthetic knee is poorly understood. This study investigated the biomechanical response of persons with transfemoral amputation to systematic perturbations in knee joint alignment during a level walking task. Quantitative gait data were collected for three alignment conditions: bench alignment, 2 cm anterior knee translation (ANT), and 2 cm posterior knee translation (POST). In response to a destabilizing alignment perturbation (i.e., the ANT condition), participants significantly increased their early-stance hip extension moment, confirming that persons with transfemoral amputation rely on a hip extensor strategy to maintain knee joint stability. However, participants also decreased the rate at which they loaded their prosthesis, decreased their affected-side step length, increased their trunk flexion, and maintained their prosthesis in a more vertical posture at the time of opposite toe off. Collectively, these results suggest that persons with transfemoral amputation rely on a combination of strategies to coordinate stance-phase knee flexion. Further, comparatively few significant changes were observed in response to the POST condition, suggesting that a bias toward posterior alignment may have fewer implications in terms of stance-phase, knee joint control.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 6","pages":"1089-1106"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.12.0311","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34864758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 20

Explaining modified 2-min walk test outcomes in male Veterans with traumatic or nontraumatic lower-limb amputation. 解释创伤性或非创伤性下肢截肢的男性退伍军人改良的2分钟步行测试结果。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2015.03.0038

Brian J Loyd, Thomas T Fields, Ryan O Stephenson, Jennifer Stevens-Lapsley, Cory L Christiansen

{"title":"Explaining modified 2-min walk test outcomes in male Veterans with traumatic or nontraumatic lower-limb amputation.","authors":"Brian J Loyd, Thomas T Fields, Ryan O Stephenson, Jennifer Stevens-Lapsley, Cory L Christiansen","doi":"10.1682/JRRD.2015.03.0038","DOIUrl":"https://doi.org/10.1682/JRRD.2015.03.0038","url":null,"abstract":"Little evidence exists to support the presence of differences in spatiotemporal gait parameters and ambulation ability between those individuals with traumatic and nontraumatic lower-limb amputation (LLA). We conducted an exploratory study of 81 male Veterans with unilateral amputation to quantify differences in spatiotemporal gait parameters and ambulatory mobility between Veterans with traumatic and nontraumatic LLA. Furthermore, we identified variables that significantly contributed to the explanation of variability in modified 2-min walk test distance. All participants completed the modified 2-min walk test and a spatiotemporal gait analysis using an instrumented walkway during a routine physical therapy visit. Veterans with nontraumatic LLA walked significantly shorter mean distances during a modified 2-min walk test than Veterans with traumatic LLA. Variables identified as significant contributors to modified 2-min walk test variability were amputated limb stance time, amputated limb step length, and percentage of the gait cycle spent in double support. These findings demonstrate that differences in spatiotemporal gait parameters and ambulatory mobility exist between Veterans with traumatic and nontraumatic LLA and identify important spatiotemporal parameters of gait contributing to this decline. These parameters should be considered as targets for intervention and future investigation.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 6","pages":"1035-1044"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2015.03.0038","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34864759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Registering methodology for imaging and analysis of residual-limb shape after transtibial amputation. 经胫骨截肢后残肢形态成像与分析的登记方法。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2014.10.0272

Alexander S Dickinson, Joshua W Steer, Christopher J Woods, Peter R Worsley

{"title":"Registering methodology for imaging and analysis of residual-limb shape after transtibial amputation.","authors":"Alexander S Dickinson, Joshua W Steer, Christopher J Woods, Peter R Worsley","doi":"10.1682/JRRD.2014.10.0272","DOIUrl":"https://doi.org/10.1682/JRRD.2014.10.0272","url":null,"abstract":"Successful prosthetic rehabilitation following lower-limb amputation depends upon a safe and comfortable socket-residual limb interface. Current practice predominantly uses a subjective, iterative process to establish socket shape, often requiring several visits to a prosthetist. This study proposes an objective methodology for residual-limb shape scanning and analysis by high-resolution, automated measurements. A three-dimensional printed \"analog\" residuum was scanned with three surface digitizers on 10 occasions. Accuracy was measured by the scan height error between repeat analog scans and the computer-aided design (CAD) geometry and the scan versus CAD volume. Subsequently, 20 male residuum casts from ambulatory individuals with transtibial amputation were scanned by two observers, and 10 were repeat-scanned by one observer. The shape files were aligned spatially and geometric measurements extracted. Repeatability was evaluated by intraclass correlation, Bland-Altman analysis of scan volumes, and pairwise root-mean-square error ranges of scan area and width profiles. Submillimeter accuracy was achieved when scanning the analog shape, and using male residuum casts the process was highly repeatable within and between observers. The technique provides clinical researchers and prosthetists the capability to establish their own quantitative, objective, multipatient data sets, providing an evidence base for training, long-term follow-up, and interpatient outcome comparison, for decision support in socket design.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 2","pages":"207-18"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34458775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 30

Prosthetic interventions for people with transtibial amputation: Systematic review and meta-analysis of high-quality prospective literature and systematic reviews. 经胫骨截肢患者的假肢干预:高质量前瞻性文献和系统综述的系统回顾和荟萃分析。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2015.03.0046

M Jason Highsmith, Jason T Kahle, Rebecca M Miro, Michael S Orendurff, Amanda L Lewandowski, John J Orriola, Bryce Sutton, Jan P Ertl

{"title":"Prosthetic interventions for people with transtibial amputation: Systematic review and meta-analysis of high-quality prospective literature and systematic reviews.","authors":"M Jason Highsmith, Jason T Kahle, Rebecca M Miro, Michael S Orendurff, Amanda L Lewandowski, John J Orriola, Bryce Sutton, Jan P Ertl","doi":"10.1682/JRRD.2015.03.0046","DOIUrl":"https://doi.org/10.1682/JRRD.2015.03.0046","url":null,"abstract":"Considering transtibial amputation (TTA) rehabilitation costs and complexity, high-quality literature should inform clinical practice. Systematic reviews (SRs) suggest this is not the case. This article's purpose was to review the highest-quality evidence available to guide clinical practice for TTA regarding five prosthetic intervention areas. Six databases were searched for high-quality SRs and prospective clinical trials (randomized clinical trials [RCTs]). Reviewers screened, sorted, rated (i.e., methodologic quality, bias risk), and extracted article data. Meta-analyses were conducted when possible. Thirty-one references were included (25 RCTs and 6 SRs). Five topical areas emerged (alignment, feet and ankles, interface, postoperative care, pylons). Twenty-three evidence statements were supported by level 2 evidence and eight by level 1 evidence. All RCTs reported randomization and reasonable data presentation. Concealed allocation and blinding were not widely used. Mean attrition was 11%. SRs included no meta-analyses. Functional level was poorly reported. Grouping feet and ankle components by functional classification enabled meta-analyses, though variance was considerable given the small sample sizes. Prosthetic interventions are generally safe for TTAs. High-quality literature enabled formulation of evidence statements to support select clinical practice areas, though quantity was lacking. Thus, numerous topics related to TTA care lack rigorous evidence. Although blinding in prosthetic research requires increased funding and effort, it could greatly improve the methodologic quality of prosthetic research.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 2","pages":"157-84"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2015.03.0046","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34457087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 41

Gait kinematics and kinetics are affected more by peripheral arterial disease than by age. 外周动脉疾病对步态运动学和动力学的影响大于年龄。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2015.02.0027

Sara A Myers, Bryon C Applequist, Jessie M Huisinga, Iraklis I Pipinos, Jason M Johanning

{"title":"Gait kinematics and kinetics are affected more by peripheral arterial disease than by age.","authors":"Sara A Myers, Bryon C Applequist, Jessie M Huisinga, Iraklis I Pipinos, Jason M Johanning","doi":"10.1682/JRRD.2015.02.0027","DOIUrl":"https://doi.org/10.1682/JRRD.2015.02.0027","url":null,"abstract":"Peripheral arterial disease (PAD) produces abnormal gait and disproportionately affects older individuals. The current study investigated PAD gait biomechanics in younger (<65 yr) and older (>/=65 yr) subjects. The study included 61 patients with PAD (31 younger, age: 57.4 +/- 5.3 yr, and 30 older, age: 71.9 +/- 5.2 yr) and 52 nondisabled age-matched control subjects. Patients with PAD were tested during pain-free walking and compared with control subjects. Joint kinematics and kinetics (torques) were compared using a 2 x 2 analysis of variance (groups: patients with PAD vs control subjects, age: younger vs older). Patients with PAD had significantly increased ankle and decreased hip range of motion during the stance phase as well as decreased ankle dorsiflexor torque compared with control subjects. Gait changes in older individuals are largely constrained to time-distance parameters. Joint kinematics and kinetics are significantly altered in patients with PAD during pain-free walking. Symptomatic PAD produces a consistent ambulatory deficit across ages definable by advanced biomechanical analysis. The most important finding of the current study is that gait, in the absence of PAD and other ambulatory comorbidities, does not decline significantly with age based on advanced biomechanical analysis. Therefore, previous studies must be examined in the context of patients with potential PAD being present in the population, and future ambulatory studies must include PAD as a confounding factor when assessing the gait function of elderly individuals.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 2","pages":"229-38"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2015.02.0027","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34522836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 16