摘要:

Urodynamic evaluations were performed in 43 male patients with spinal cord injuries, before any therapeutic decisions, and a minimum of 5 mo following the injury. Results were subdivided according to level of injury. Mean detrusor contraction pressures, incidence of detrusor-sphincter dysynergia (DSD), and incidence of detrusor-bladder neck dysynergia (DBND) were calculated. The incidence pattern of DBND was found to follow closely the incidence pattern of DSD, with the highest incidence among the upper thoracic injuries, considerably more than among the cervical injuries. A significantly higher resting detrusor pressure differential was found among the patients with DBND. This was felt to represent sympathetic dysfunction and poor accommodation and is proposed to be secondary to adrenergic detrusor neoinnervation.

ISSN:0894-9115    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0894-9115    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

This study examined patient/proxy agreement for telephone administration of the Functional Independence Measure (FIM) to a sample of 25 community-living stroke patients 18 mo post-stroke and their caregivers. Patients had all received in-patient rehabilitation for stroke. Because use of the FIM is increasing for follow-up purposes, it is important to document whether it is appropriate to administer a telephone version to proxy caregivers in situations in which patients cannot answer for themselves. Proxy agreement results were then compared with those obtained for in-person administration of the FIM to the same sample 1 yr earlier. Overall, proxy agreement for telephone administration was excellent for total scores (intraclass correlation was 0.91) and the physical dimension (0.94) and lower for the cognitive dimension (0.52), closely paralleling results obtained for the earlier in-person administration. Reasons for lower agreement on the cognitive dimension are discussed.

ISSN:0894-9115    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The long-term psychosocial and physical functioning impact of an outpatient interdisciplinary pain management program was evaluated by comparison of pain management completors and a no-treatment group. Although pain intensity did not change and there were no significant differences between groups in several aspects of daily activity, the group that completed the program reported a greater sense of control over pain, had a more hopeful outlook on the future, perceived pain as interfering less with their life, and used strategies that are considered adaptive for long-term management of pain. The results suggest that patients with chronic, complex pain problems can improve perceptions regarding pain control and reduce the interference of pain in their lives. Outlook regarding the future was identified as a critical assessment and treatment variable. Individuals who were more optimistic about the future perceived a greater control over pain and endorsed coping stategies that involve diverting attention, ignoring pain sensations, and making coping self-statements. Although pain intensity rating did not differ, individuals who had a more pessimistic outlook on life considered pain to interfere with their work activity, mood, relations with other people, and overall enjoyment of life to a greater extent than individuals who were more optimistic.

ISSN:0894-9115    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0894-9115    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

A case of bilateral, isolated, proximal musculocutaneous nerve palsy is reported. Initial physical and electromyographic examinations demonstrated complete denervation of the biceps brachii, brachialis, and coracobrachialis muscles bilaterally. Nerve conduction studies of the musculocutaneous nerves initially revealed no evoked potentials. The patient underwent resection with end-to-end anastomosis on the left and neurolysis without resection on the right. Significant functional recovery was noted bilaterally but was more rapid and complete on the side that underwent neurolysis without resection.

ISSN:0894-9115    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0894-9115    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

This report describes a new technique for placing intramuscular fine wire electrodes into muscles for kinesiologic electromyographic (EMG) studies. Currently, a pair of fine wire electrodes (one active, one reference) within a hypodermic needle is inserted into the selected muscle. The needle is then withdrawn, leaving the two fine wires positioned within the muscle. Electrical stimulation of the muscle through these fine wire electrodes confirms their correct placement. However, if positioning is incorrect, additional pairs of wires are inserted within needles until correct placement is achieved. Our “guided” method combines this “blind” technique with diagnostic needle EMG techniques. Using a conventional EMG machine and selective activation of the desired muscle, the electromyographer inserts the hypodermic needle while monitoring the muscle's electrical signal through the advancing fine wire electrodes. This signal is used to “guide” the needle into the proper muscle. Once correct positioning of the wires is confirmed by the EMG signal, the needle is removed. With this technique, additional needle insertions are avoided, electrical stimulation is seldom needed, and rarely studied muscles are accessed as easily as commonly studied ones. We have used this technique with pediatric and adult patients as well as in kinesiologic EMG research and have found it to be well tolerated and reliable.

ISSN:0894-9115    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0894-9115    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0894-9115    

出版商:OVID    

年代:1996

数据来源: OVID