The Experts below are selected from a list of 55893 Experts worldwide ranked by ideXlab platform
Sepideh Behnezhad - One of the best experts on this subject based on the ideXlab platform.
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Smoking as a risk factor for Physical Impairment: a systematic review and meta-analysis of 18 cohort studies.
Journal of addictive diseases, 2019Co-Authors: Sohrab Amiri, Sepideh BehnezhadAbstract:AbstractSmoking has various negative effects on diseases and disabilities. The authors examined the relationships between smoking and Physical Impairments in this meta-analysis. Two databases inclu...
Elizabeth Colantuoni - One of the best experts on this subject based on the ideXlab platform.
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risk factors for Physical Impairment after acute lung injury in a national multicenter study
American Journal of Respiratory and Critical Care Medicine, 2014Co-Authors: Dale M Needham, Amy W Wozniak, Catherine L Hough, Peter E Morris, Victor D Dinglas, James C Jackson, Pedro A Mendeztellez, Carl Shanholtz, Wesley E Ely, Elizabeth ColantuoniAbstract:Rationale: Existing studies of risk factors for Physical Impairments in acute lung injury (ALI) survivors were potentially limited by single-center design or relatively small sample size. Objectives: To evaluate risk factors for three measures of Physical Impairments commonly experienced by survivors of ALI in the first year after hospitalization. Methods: A prospective, longitudinal study of 6- and 12-month Physical outcomes (muscle strength, 6-minute-walk distance, and Short Form [SF]-36 Physical Function score) for 203 survivors of ALI enrolled from 12 hospitals participating in the ARDS Network randomized trials. Multivariable regression analyses evaluated the independent association of critical illness–related variables and intensive care interventions with Impairments in each Physical outcome measure, after adjusting for patient demographics, comorbidities, and baseline functional status. Measurements and Main Results: At 6 and 12 months, respectively, mean (± SD) values for strength (presented as proportion of maximum strength score evaluated using manual muscle testing) was 92% (± 8%) and 93% (± 9%), 6-minute-walk distance (as percent-predicted) was 64% (± 22%) and 67% (± 26%), and SF-36 Physical Function score (as percent-predicted) was 61% (± 36%) and 67% (± 37%). After accounting for patient baseline status, there was significant association and statistical interaction of mean daily dose of corticosteroids and intensive care unit length of stay with Impairments in Physical outcomes. Conclusions: Patients had substantial Impairments, from predicted values, for 6-minute-walk distance and SF-36 Physical Function outcome measures. Minimizing corticosteroid dose and implementing existing evidence-based methods to reduce duration of intensive care unit stay and associated patient immobilization may be important interventions for improving ALI survivors’ Physical outcomes.
Rana S. Hinman - One of the best experts on this subject based on the ideXlab platform.
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Physical Impairments and activity limitations in people with femoroacetabular impingement: a systematic review
British journal of sports medicine, 2014Co-Authors: Laura E. Diamond, Fiona Dobson, Kim L. Bennell, Tim V. Wrigley, Paul W. Hodges, Rana S. HinmanAbstract:Femoroacetabular impingement (FAI) is a morphological hip condition that can cause hip and/or groin pain in younger active adults. Understanding the nature of Physical Impairments and activity limitations associated with symptomatic FAI is important to evaluate outcomes and guide development of rehabilitation strategies. The purpose of this systematic review was to establish: (1) whether people with symptomatic FAI demonstrate Physical Impairments and/or activity limitations compared with people without FAI; and (2) whether treatment affects these parameters. Four databases (Pubmed, CINAHL, SportDISCUS and Cochrane Library) were searched until the 21 June 2013. Studies evaluated measures of Physical Impairment and/or activity limitations in people with symptomatic FAI and included either: (1) a comparison control group; or (2) a pretreatment and post-treatment comparison. Methodological quality was assessed using the Newcastle-Ottawa Scale. 16 studies were included. The most commonly reported Physical Impairment was decreased range of motion (ROM) into directions of hip joint impingement. Other Impairments included altered sagittal and frontal plane hip ROM during gait, altered sagittal plane hip ROM during stair climbing, and decreased hip adductor and flexor muscle strength. Effects of surgery on Physical Impairments are inconsistent but suggest improved hip ROM during gait, but not during stair climbing. Squatting depth improves following surgical intervention for symptomatic FAI. People with symptomatic FAI demonstrate Physical Impairments and activity limitations. Surgical intervention may restore some deficiencies, but not all. Further studies of Physical Impairment and activity limitation are needed to evaluate outcomes from surgical and conservative interventions and to inform rehabilitation programmes. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
Sohrab Amiri - One of the best experts on this subject based on the ideXlab platform.
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Smoking as a risk factor for Physical Impairment: a systematic review and meta-analysis of 18 cohort studies.
Journal of addictive diseases, 2019Co-Authors: Sohrab Amiri, Sepideh BehnezhadAbstract:AbstractSmoking has various negative effects on diseases and disabilities. The authors examined the relationships between smoking and Physical Impairments in this meta-analysis. Two databases inclu...
Steven Z. George - One of the best experts on this subject based on the ideXlab platform.
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Adding Physical Impairment to Risk Stratification Improved Outcome Prediction in Low Back Pain.
Physical therapy, 2020Co-Authors: Jason M. Beneciuk, Steven Z. GeorgeAbstract:Identifying subgroups of low back pain (LBP) has the potential to improve prediction of clinical outcomes. Risk stratification is one such strategy that identifies similar characteristics indicative of a common clinical outcome trajectory. The purpose of this study was to determine if an empirically derived subgrouping approach based on Physical Impairment measures improves information provided from the STarT Back Tool (SBT). At baseline in this secondary analysis of a cohort study, patients (N = 144) receiving Physical therapy for LBP completed the SBT and tests (active lumbar flexion, extension, lateral bending, and passive straight-leg raise) from a validated Physical Impairment index. Clinical outcomes were assessed at 4 weeks and included the Numerical Pain Rating Scale and Oswestry Disability Index. Exploratory hierarchical agglomerative cluster analysis identified empirically derived subgroups based on Physical Impairment measures. Independent samples t testing and chi-square analysis were used to assess baseline subgroup differences in demographic and clinical measures. Spearman rho correlation coefficient was used to assess baseline SBT risk and Impairment subgroup relationships, and a 3-way mixed-model ANOVA was used to assessed SBT risk and Impairment subgroup relationships with clinical outcomes at 4 weeks. Two Physical Impairment-based subgroups emerged from cluster analysis: (1) low-risk Impairment (n = 119, 81.5%), characterized by greater lumbar mobility; and (2) high-risk Impairment (n = 25, 17.1%), characterized by less lumbar mobility. A weak, positive relationship was observed between baseline SBT risk and Impairment subgroups (rs = .170). An Impairment-by-SBT risk-by-time interaction effect was observed for Oswestry Disability Index scores but not for Numerical Pain Rating Scale scores at 4 weeks. Physical Impairment subgroups were not redundant with SBT risk categories and could improve prediction of 4-week LBP disability outcomes. Physical Impairment subgroups did not improve the prediction of 4-week pain intensity scores. Subgroups based on Physical Impairment and psychosocial risk could lead to better prediction of LBP disability outcomes and eventually allow for treatment options tailored to Physical and psychosocial risk. © The Author(s) 2020. Published by Oxford University Press on behalf of the American Physical Therapy Association. All rights reserved. For permissions, please email: journals.permissions@oup.com.
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comparison of Physical Impairment functional and psychosocial measures based on fear of reinjury lack of confidence and return to sport status after acl reconstruction
American Journal of Sports Medicine, 2015Co-Authors: Trevor A Lentz, Steven Z. George, Giorgio Zeppieri, Susan M Tillman, Michael W Moser, Kevin W Farmer, Terese L ChmielewskiAbstract:Background:Fear of reinjury and lack of confidence influence return-to-sport outcomes after anterior cruciate ligament (ACL) reconstruction. The Physical, psychosocial, and functional recovery of patients reporting fear of reinjury or lack of confidence as their primary barrier to resuming sports participation is unknown.Purpose:To compare Physical Impairment, functional, and psychosocial measures between subgroups based on return-to-sport status and fear of reinjury/lack of confidence in the return-to-sport stage and to determine the association of Physical Impairment and psychosocial measures with function for each subgroup at 6 months and 1 year after surgery.Study Design:Case-control study; Level of evidence, 3.Methods:Physical Impairment (quadriceps index [QI], quadriceps strength/body weight [QSBW], hamstring:quadriceps strength ratio [HQ ratio], pain intensity), self-report of function (International Knee Documentation Committee [IKDC]), and psychosocial (Tampa Scale for Kinesiophobia–shortened for...
