ISSN:0894-9115    

出版商:OVID    

年代:1988

数据来源: OVID

ISSN:0894-9115    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

This paper describes the conceptual basis for the development of a new clinical evaluation instrument, the Tufts Assessment of Motor Performance (TAMP). The TAMP is a 32-item, diagnosis-independent, criterion-referenced test that samples physical performance items in the areas of mobility, activities of daily living and physical aspects of communication. The administrative and scoring criteria of the TAMP are presented, and the multiple measurement dimensions are described. The documentation of patient status and progress, as described in the functional and performance profiles, is outlined. The paper also reports initial interobserver reliability on the intraitem tasks and the summary indexes of the two profiles. Forty individuals (20 adults and 20 children) with neurologic and musculoskeletal disorders comprised the reliability sample. Kappa and intraclass correlations were used to estimate the reliability of three independent raters on individual tasks and aggregate scores, respectively. Task reliability for the assistance and approach measurement dimensions were generally higher than for the more qualitative pattern and proficiency dimensions. Yet over 90% of all the tasks had acceptable reliability, while all the summary indexes had high interobserver reliability. Determination of interobserver reliability data is the initial phase of defining the most appropriate and technically valuable items, and will serve as a basis for item revision and reduction to enhance the clinical utility of the test.

ISSN:0894-9115    

出版商:OVID    

年代:1988

数据来源: OVID

ISSN:0894-9115    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

One-hundred fifty persons with traumatic onset spinal cord injury (SCI) were administered a comprehensive neuropsychologic test battery an average of 7 weeks after SCI, and 67 were retested using the same battery an average of 38 weeks after initial testing. It was hypothesized that if traumatic brain injury were a significant sequela of SCI, retesting would reveal evidence of cognitive recovery over time and would further enable a clearer separation of preinjury cognitive capacity from the effects of injury. Significant improvement in test performance occurred across time to the degree and in a pattern similar to that noted in persons who have sustained mild to moderate traumatic brain injury. Hypothesized relationships between level and extent of SCI, etiology of injury and presence/absence of loss of consciousness and neuropyschologic test scores were not observed. Implications for the rehabilitation process are discussed.

ISSN:0894-9115    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

There is already a body of knowledge in the literature reflecting on the need, the organization and evaluation of a strong medical student physical medicine and rehabilitation experience. However, there is still a need to develop and implement these concepts in many academic programs.This paper will review the strategies for improving medical student education in physical medicine and rehabiliation with emphasis on faculty development, administrative organizations and departmental resources.

ISSN:0894-9115    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Fifty two patients with suspected carpal tunnel syndrome were evaluated electrodiagnostically by using a variety of screening tests. The criteria of normalcy were as follows: distal median motor latency lower than 4.2 ms, distal median sensory latency wrist-to-third finger at 14 cm higher than 3.2 ms for the onset and than 3.8 ms to the peak, median sensory conduction velocity wrist-to-palm at 7 cm higher than 40 m/s peak-to-peak and difference between median and radial sensory latencies wrist-to-first digit at 11 cm using an intermediate position as site of stimulation and measured peak-to-peak (“bactrian sign”) higher than 0.4 ms. Other tests such as median-ulnar comparison using finger 4 were considered less reliable based primarily on the frequent association of carpal tunnel syndrome and Guyon canal entrapment.Carpal tunnel syndrome was confirmed in 49 of 52 suspected cases (94.2%) by at least one abnormal screening test. Bilateral involvement was noted in 65.3% of the cases (32 patients). The “bactrian” (two-hump camels) sign was the single most sensitive test used, being positive in 83.7% of cases. The second most sensitive test was median SNAP (wrist-to-finger) latency and the third, sensory conduction velocity across the carpal tunnel.

ISSN:0894-9115    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Ice water tests (IWT) and gas cystometrograms were performed on 30 consecutive spinal cord injury in-patients on an intermittent catheterization program over a 6-month period. The tests were used to determine the presence of bladder reflex activity. A three-step grading system was formulated to clinically determine the degree of detrusor reflex activity on IWT. A 3+ IWT was used to indicate the expulsion of the catheter from the bladder and urethra following instillation of recently thawed ice; a 2+ IWT meant voiding around the catheter after instillation of 90 ml of ice water; and a 1+ IWT indicated voiding around the catheter after instilling a total of 300 ml of ice water into the bladder. The study shows that the ice water test was more sensitive test than CO2cystometrogram in detecting the presence of detrusor reflex activity.

ISSN:0894-9115    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

A 52-yr-old male developed progressive thoracic myelopathy after a fall. At laminectomy using the standard posterior approach, he was found to have a herniated thoracic disc compressing the spinal cord. Postoperatively, he was paraplegic. We had a series of three such patients. This paper discusses the problems associated with discectomy using the standard posterior approach and reviews the literature about the alternative approaches for surgical treatment available today.

ISSN:0894-9115    

出版商:OVID    

年代:1988

数据来源: OVID

ISSN:0894-9115    

出版商:OVID    

年代:1988

数据来源: OVID