Table Of ContentArchives of Physical Medicine and 
Rehabilitation 
  Volume 88, Issue 11, Pages , 1369-1545 (November 2007) 
 
 
Masthead 
 1. 
    Page A2 
Editorial Board 
 2. 
    Page A3 
Table of Contents 
 3. 
    Pages A9-A10 
 
 ORIGINAL ARTICLES 
Somatosensory Stimulation Enhances the Effects of Training Functional 
 4. 
    Hand Tasks in Patients With Chronic Stroke 
Pages 1369-1376 
Pablo Celnik, Friedhelm Hummel, Michelle Harris-Love, Rebecca Wolk 
and Leonardo G. Cohen 
Electromyographic Activity in the Immobilized Shoulder Girdle 
 5. 
    Musculature During Ipsilateral Kinetic Chain Exercises 
Pages 1377-1383 
Jay Smith, Diane L. Dahm, Brian R. Kotajarvi, Andrea J. Boon, Edward 
R. Laskowski, David J. Jacofsky and Kenton R. Kaufman 
Clinical Correlates of Elevated Serum Concentrations of Cytokines and 
 6. 
    Autoantibodies in Patients With Spinal Cord Injury 
Pages 1384-1393 
Andrew L. Davies, Keith C. Hayes and Gregory A. Dekaban 
Smoking Among Veterans With Multiple Sclerosis: Prevalence 
 7. 
    Correlates, Quit Attempts, and Unmet Need for Services 
Pages 1394-1399 
Aaron P. Turner, Daniel R. Kivlahan, Lewis E. Kazis and Jodie K. 
Haselkorn
Employment After Traumatic Brain Injury: Differences Between Men 
 8. 
    and Women 
Pages 1400-1409 
John D. Corrigan, Lee A. Lineberry, Eugene Komaroff, Jean A. 
Langlois, Anbesaw W. Selassie and Kenneth D. Wood 
Reliability and Validity of the Dynamic Gait Index in Persons With 
 9. 
    Chronic Stroke 
Pages 1410-1415 
Johanna Jonsdottir and Davide Cattaneo 
Exercise Prevents Fatigue and Improves Quality of Life in Prostate 
 10. 
    Cancer Patients Undergoing Radiotherapy 
Pages 1416-1422 
Uma Monga, Susan L. Garber, John Thornby, Carlos Vallbona, 
Anthony J. Kerrigan, Trilok N. Monga and Kuno P. Zimmermann 
The Segway Personal Transporter as an Alternative Mobility Device for 
 11. 
    People With Disabilities: A Pilot Study 
Pages 1423-1428 
Bonita Sawatzky, Ian Denison, Shauna Langrish, Shonna Richardson, 
Kelly Hiller and Bronwyn Slobogean 
Efficacy of a Fabricated Customized Splint and Tendon and Nerve 
 12. 
    Gliding Exercises for the Treatment of Carpal Tunnel Syndrome: A 
Randomized Controlled Trial 
Pages 1429-1435 
Teresa L. Brininger, Joan C. Rogers, Margo B. Holm, Nancy A. Baker, 
Zong-Ming Li and Robert J. Goitz 
Reliability of the Family Impact of Assistive Technology Scale for 
 13. 
    Families of Young Children With Cerebral Palsy 
Pages 1436-1440 
Stephen E. Ryan, Kent A. Campbell and Patricia J. Rigby 
Differences in Isometric Neck Muscle Strength Between Healthy 
 14. 
    Controls and Women With Chronic Neck Pain: The Use of a Reliable 
Measurement 
Pages 1441-1445 
Barbara Cagnie, Ann Cools, Veerle De Loose, Dirk Cambier and 
Lieven Danneels 
Normalizing Lower-Extremity Strength Data for Children Without 
 15. 
    Disability Using Allometric Scaling 
Pages 1446-1451 
Tishya A. Wren and Jack R. Engsberg
Review Article 
Exercise Therapy and Other Types of Physical Therapy for Patients 
 16. 
    With Neuromuscular Diseases: A Systematic Review 
Pages 1452-1464 
Edith H. Cup, Allan J. Pieterse, Jessica M. ten Broek-Pastoor, Marten 
Munneke, Baziel G. van Engelen, Henk T. Hendricks, Gert J. van der 
Wilt and Rob A. Oostendorp 
 
 Clinical Notes 
Allergic Reactions to Gadodiamide Following Interventional Spinal 
 17. 
    Procedures: A Report of 4 Cases 
Pages 1465-1467 
Casey J. O’Donnell and William G. Cano 
Prolonged, Severe Intrathecal Baclofen Withdrawal Syndrome: A Case 
 18. 
    Report 
Pages 1468-1471 
Colby R. Hansen, Judith L. Gooch and Teresa Such-Neibar 
Development of Spontaneous Intracranial Hypotension Concurrent 
 19. 
    With Grade IV Mobilization of the Cervical and Thoracic Spine: A 
Case Report 
Pages 1472-1473 
J. Skye Donovan, Charles W. Kerber, William H. Donovan and 
Lawrence F. Marshall 
Refusal to Eat, Capacity, and Ethics in Stroke Patients: A Report of 3 
 20. 
    Cases 
Pages 1474-1477 
Hillel M. Finestone and Jeff Blackmer 
 
 Special Section 
State-of-the-Science on Postacute Rehabilitation: Setting a Research 
 21. 
    Agenda and Developing an Evidence Base for Practice and Public 
Policy. An Introduction 
Pages 1478-1481 
Allen W. Heinemann 
State-of-the-Science on Postacute Rehabilitation: Measurement and 
 22. 
    Methodologies for Assessing Quality and Establishing Policy for 
Postacute Care 
Pages 1482-1487 
Pamela W. Duncan and Craig A. Velozo
Access to Postacute Rehabilitation 
 23. 
    Pages 1488-1493 
Melinda Beeuwkes Buntin 
Growth and Payment Adequacy of Medicare Postacute Care 
 24. 
    Rehabilitation 
Pages 1494-1499 
Sally J. Kaplan 
Assessing the Effectiveness of Postacute Care Rehabilitation 
 25. 
    Pages 1500-1504 
Robert L. Kane 
The Uniform Postacute Assessment Tool: Systematically Evaluating the 
 26. 
    Quality of Measurement Evidence 
Pages 1505-1512 
Mark V. Johnston, Daniel Graves and Maureen Greene 
The State-of-the-Science: Access to Postacute Care Rehabilitation 
 27. 
    Services. A Review 
Pages 1513-1521 
Kenneth J. Ottenbacher and James E. Graham 
The State-of-the-Science: Challenges in Designing Postacute Care 
 28. 
    Payment Policy 
Pages 1522-1525 
Leighton Chan 
Effectiveness of Multidisciplinary Rehabilitation Services in Postacute 
 29. 
    Care: State-of-the-Science. A Review 
Pages 1526-1534 
Janet A. Prvu Bettger and Margaret G. Stineman 
Postacute Rehabilitation Research and Policy Recommendations 
 30. 
    Pages 1535-1541 
Dexanne B. Clohan, Elizabeth M. Durkin, Joy Hammel, Patrick 
Murray, John Whyte, Marcel Dijkers, Bruce M. Gans, Daniel E. 
Graves, Allen W. Heinemann and Greg Worsowicz 
 
 Departments 
 
 Letters to the Editor 
Reduced Longitudinal Excursion of the Median Nerve in Carpal Tunnel 
 31. 
    Syndrome 
Page 1542 
Myron M. LaBan
Saphenous Nerve Conduction Study Techniques 
 32. 
    Page 1542 
Seyed Mansoor Rayegani 
The author responds 
 33. 
    Page 1543 
Anthony Chiodo 
 
 Organizational News--AAPM &R 
Journal-Based CME Evaluation and Application 
 34. 
    Page 1544 
CME Processing Fees and Application 
 35. 
    Page 1545
OfficialJournaloftheAmericanCongressofRehabilitationMedicineandtheAmericanAcademyofPhysicalMedicineandRehabilitation
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EDITOR-IN-CHIEF
Jeffrey R. Basford, MD, PhD (Academy)
Rochester,MN
ACADEMY EDITOR CONGRESS EDITOR
Leighton Chan, MD, MPH Allen W. Heinemann, PhD, ABPP
Bethesda,MD Chicago,IL
PublicationsDirector EditorialCoordinators
MichaelA.Vasko,MA CarolJ.Manow
EditorialAssistant Lupe Soto
KristenR.Golem EditorialAdministrator
KarenK.Parks
Editorial Board
MichaelL.Boninger,MD(Academy) PatrickK.Murray,MD(Academy)
Pittsburgh,PA Cleveland,OH
BruceCaplan,PhD,ABPP(Congress) MaryM.Rodgers,PhD,PT(Congress)
Wynnewood,PA Baltimore,MD
MartinD.Hoffman,MD(Academy) ElliotJ.Roth,MD(Congress)
Mather,CA Chicago,IL
KennethM.Jaffe,MD(Congress) DaleC.Strasser,MD(Academy)
Seattle,WA Atlanta,GA
DavidD.Kilmer,MD(Academy) DeniseG.Tate,PhD,ABPP(Congress)
Sacramento,CA AnnArbor,MI
DavidE.Krebs,DPT,PhD(Congress) RobertA.Werner,MD(Academy)
Boston,MA AnnArbor,MI
JayM.Meythaler,MD,JD(Congress)
Detroit,MI
Associate Board
JonathanF.Bean,MD,MS(Academy) MarkS.Kaplan,MD(Academy)
Boston,MA Boston,MA
BrendaJ.Brouwer,PhD(Congress) ChristinaM.Marciniak,MD(Academy)
Kingston,ON Chicago,IL
JohnChae,MD(Academy) JulieD.Moreland,MSc(Congress)
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Fairfax,VA Baltimore,MD
HelenHoenig,MD,MPH,OT(Congress) RobertW.Teasell,MD,FRCPC(Academy)
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Volume 88 No 11
November 2007
Table of Contents
ORIGINAL ARTICLES
1369 SomatosensoryStimulationEnhancestheEffectsofTrainingFunctionalHandTasksin
PatientsWithChronicStroke
PabloCelnik,MD,FriedhelmHummel,MD,MichelleHarris-Love,PhD,RebeccaWolk,BA,LeonardoG.Cohen,MD
1377 ElectromyographicActivityintheImmobilizedShoulderGirdleMusculature CMECredit
DuringIpsilateralKineticChainExercises
JaySmith,MD,DianeL.Dahm,MD,BrianR.Kotajarvi,PT,AndreaJ.Boon,MD,EdwardR.Laskowski,MD,
DavidJ.Jacofsky,MD,KentonR.Kaufman,PhD
1384 ClinicalCorrelatesofElevatedSerumConcentrationsofCytokinesand CMECredit
AutoantibodiesinPatientsWithSpinalCordInjury
AndrewL.Davies,MSc,KeithC.Hayes,PhD,GregoryA.Dekaban,PhD
1394 SmokingAmongVeteransWithMultipleSclerosis:PrevalenceCorrelates,QuitAttempts,and
UnmetNeedforServices
AaronP.Turner,PhD,DanielR.Kivlahan,PhD,LewisE.Kazis,ScD,JodieK.Haselkorn,MD,MPH
1400 EmploymentAfterTraumaticBrainInjury:DifferencesBetweenMenandWomen
JohnD.Corrigan,PhD,LeeA.Lineberry,MS,EugeneKomaroff,PhD,JeanA.Langlois,ScD,MPH,
AnbesawW.Selassie,DrPH,KennethD.Wood,PhD
1410 ReliabilityandValidityoftheDynamicGaitIndexinPersonsWithChronicStroke CMECredit
JohannaJonsdottir,ScD,DavideCattaneo,PT
1416 ExercisePreventsFatigueandImprovesQualityofLifeinProstateCancerPatientsUndergoing
Radiotherapy
UmaMonga,MD,SusanL.Garber,MA,OTR,JohnThornby,PhD,CarlosVallbona,MD,AnthonyJ.Kerrigan,PhD,
TrilokN.Monga,MD,KunoP.Zimmermann,DO,PhD
1423 TheSegwayPersonalTransporterasanAlternativeMobilityDeviceforPeopleWith
Disabilities:APilotStudy
BonitaSawatzky,PhD,IanDenison,BPT,ShaunaLangrish,MOT,ShonnaRichardson,MOT,KellyHiller,BPT,
BronwynSlobogean,BA
1429 EfficacyofaFabricatedCustomizedSplintandTendonandNerveGlidingExercisesforthe
TreatmentofCarpalTunnelSyndrome:ARandomizedControlledTrial
MAJTeresaL.Brininger,SP,USA,JoanC.Rogers,PhD,MargoB.Holm,PhD,NancyA.Baker,ScD,Zong-MingLi,PhD,
RobertJ.Goitz,MD
1436 ReliabilityoftheFamilyImpactofAssistiveTechnologyScaleforFamiliesofYoungChildren
WithCerebralPalsy
StephenE.Ryan,BESc,PEng,KentA.Campbell,PhD,PatriciaJ.Rigby,MHSc,OTReg(Ont)
1441 DifferencesinIsometricNeckMuscleStrengthBetweenHealthyControlsandWomenWith
ChronicNeckPain:TheUseofaReliableMeasurement
BarbaraCagnie,PT,PhD,AnnCools,PT,PhD,VeerleDeLoose,PT,DirkCambier,PT,PhD,LievenDanneels,PT,PhD
1446 NormalizingLower-ExtremityStrengthDataforChildrenWithoutDisabilityUsingAllometric
Scaling
TishyaA.Wren,PhD,JackR.Engsberg,PhD
REVIEW ARTICLE
1452 ExerciseTherapyandOtherTypesofPhysicalTherapyforPatientsWithNeuromuscular
Diseases:ASystematicReview
EdithH.Cup,MSc,OT,AllanJ.Pieterse,PT,JessicaM.tenBroek-Pastoor,MSc,PT,MartenMunneke,PhD,PT,
BazielG.vanEngelen,MD,PhD,HenkT.Hendricks,MD,PhD,GertJ.vanderWilt,PhD,RobA.Oostendorp,PhD,PT
Volume 88 No 11
November 2007
Table of Contents (continued)
CLINICAL NOTES
1465 AllergicReactionstoGadodiamideFollowingInterventionalSpinalProcedures:AReportof
4Cases
CaseyJ.O’Donnell,DO,WilliamG.Cano,MD
1468 Prolonged,SevereIntrathecalBaclofenWithdrawalSyndrome:ACaseReport
ColbyR.Hansen,MD,JudithL.Gooch,MD,TeresaSuch-Neibar,DO
1472 DevelopmentofSpontaneousIntracranialHypotensionConcurrentWithGradeIV
MobilizationoftheCervicalandThoracicSpine:ACaseReport
J.SkyeDonovan,PT,PhD,OCS,CharlesW.Kerber,MD,WilliamH.Donovan,MD,LawrenceF.Marshall,MD
1474 RefusaltoEat,Capacity,andEthicsinStrokePatients:AReportof3Cases
HillelM.Finestone,MD,CM,FRCPC,JeffBlackmer,MD,MHSc,FRCPC
SPECIAL SECTION
1478 State-of-the-ScienceonPostacuteRehabilitation:SettingaResearchAgendaandDevelopingan
EvidenceBaseforPracticeandPublicPolicy.AnIntroduction
AllenW.Heinemann,PhD
1482 State-of-the-ScienceonPostacuteRehabilitation:MeasurementandMethodologiesfor
AssessingQualityandEstablishingPolicyforPostacuteCare
PamelaW.Duncan,PhD,PT,CraigA.Velozo,PhD,OT
1488 AccesstoPostacuteRehabilitation
MelindaBeeuwkesBuntin,PhD
1494 GrowthandPaymentAdequacyofMedicarePostacuteCareRehabilitation
SallyJ.Kaplan,PhD
1500 AssessingtheEffectivenessofPostacuteCareRehabilitation
RobertL.Kane,MD
1505 TheUniformPostacuteAssessmentTool:SystematicallyEvaluatingtheQualityof
MeasurementEvidence
MarkV.Johnston,PhD,DanielGraves,PhD,MaureenGreene,MS
1513 TheState-of-the-Science:AccesstoPostacuteCareRehabilitationServices.AReview
KennethJ.Ottenbacher,PhD,OTR,JamesE.Graham,PhD,DC
1522 TheState-of-the-Science:ChallengesinDesigningPostacuteCarePaymentPolicy
LeightonChan,MD,MPH
1526 EffectivenessofMultidisciplinaryRehabilitationServicesinPostacuteCare:State-of-the-
Science.AReview
JanetA.PrvuBettger,ScD,MargaretG.Stineman,MD
1535 PostacuteRehabilitationResearchandPolicyRecommendations
DexanneB.Clohan,MD,ElizabethM.Durkin,PhD,JoyHammel,PhD,PatrickMurray,MD,MS,JohnWhyte,MD,PhD,
MarcelDijkers,PhD,BruceM.Gans,MD,DanielE.Graves,PhD,AllenW.Heinemann,PhD,GregWorsowicz,MD
DEPARTMENTS
1542 LetterstotheEditor
ReducedLongitudinalExcursionoftheMedianNerveinCarpalTunnelSyndrome
SaphenousNerveConductionStudyTechniques
ORGANIZATION NEWS—AAPM&R
1544 Journal-BasedCMEEvaluationandApplication
1369
ORIGINAL ARTICLE
Somatosensory Stimulation Enhances the Effects of Training
Functional Hand Tasks in Patients With Chronic Stroke
Pablo Celnik, MD, Friedhelm Hummel, MD, Michelle Harris-Love, PhD, Rebecca Wolk, BA,
Leonardo G. Cohen, MD
ABSTRACT.CelnikP,HummelF,Harris-LoveM,WolkR, advancesinourunderstandingofmoreeffectiveschedulesand
CohenLG.Somatosensorystimulationenhancestheeffectsof structureoftrainingprotocols,3,4motorimpairmentrepresents
training functional hand tasks in patients with chronic stroke. a frequent sequela. Somatosensory input is required for accu-
Arch Phys Med Rehabil 2007;88:1369-76. ratemotorperformance5,6andformoreeffectivemotorlearn-
ing.6 As predicted by these data, patients with intact somato-
Objective: To test the hypothesis that somatosensory stim-
sensory function experience more satisfactory response to
ulation would enhance the effects of training functional hand rehabilitation interventions,7 and recovery of sensation in pa-
tasks immediately after practice and 1 day later in chronic
tients with sensory deficits is associated with improvement in
subcortical stroke patients. motor control.8
Design: Single-blinded and randomized, crossover study.
In healthy subjects, relatively brief application of somato-
Setting: Human research laboratory.
sensorystimulationintheformofperipheralnervestimulation
Participants: Nine chronic subcortical stroke patients.
(PNS) results in enhanced activation of the contralateral pri-
Interventions: Three separate sessions of motor training marysensorimotorcortex(SM1)9,10andincreasedcontralateral
preceded by (1) synchronous peripheral nerve stimulation motorcorticalexcitability.11-15Inpatientswithchronicstroke,
(PNS), (2) no stimulation, or (3) asynchronous PNS.
somatosensory stimulation applied to peripheral nerves inner-
Main Outcome Measures: Time to complete the Jebsen-
vating weak body parts transiently enhances motor perfor-
Taylor Hand Function Test (JTHFT time) and corticomotor mance.16-18 Although most of these studies14,16-18 measured
excitability tested with transcranial magnetic stimulation.
performance immediately after the end of stimulation, little is
Results: After familiarization practice, during which all
known about the mechanisms and ability of PNS to modulate
patients reached a performance plateau, training under the
the effects of motor training in chronic subcortical stroke
effectsofPNSreducedJTHFTtimeby10%beyondthepost- patients.Recently,astudy19investigatedtheeffectsofmedian
familiarizationplateau.Thisbehavioralgainwasaccompanied
nervestimulationontheperformanceoffunctionalhandtasks
by a specific reduction in GABAergically mediated intracorti-
in cortical stroke patients and found improvement and better
cal inhibition in the motor cortex. These findings were not
retentionafterPNSrelativetocontrolstimulation.Thisstudy,
observedaftersimilarpracticeundertheinfluenceofnostim-
however, did not investigate the effects on subcortical stroke
ulation or asynchronous PNS sessions.
patients who may have different mechanisms of motor recov-
Conclusions:Somatosensorystimulationmayenhancethe ery20anddidnotdeterminetheneuroplasticchangesassociated
training of functional hand tasks in patients with chronic
to PNS.
stroke, possibly through modulation of intracortical GABAergic
In this study, we tested the hypothesis that PNS would
pathways.
enhance the effects of training functional hand tasks immedi-
Key Words: Electric stimulation; Motor skills; Rehabilita-
atelyand1dayafterpractice,inagroupofsubcorticalstroke
tion; Stroke.
patients. In addition, using transcranial magnetic stimulation
© 2007 by the American Congress of Rehabilitation Medi-
(TMS),weinvestigatedtheunderlyingmechanismsassociated
cine and the American Academy of Physical Medicine and
with PNS and motor training effects.
Rehabilitation
METHODS
MOTOR TRAINING IS EXTENSIVELY used as part of
rehabilitative treatments to facilitate relearning of activ- Participants
ities of daily living (ADLs) after stroke.1,2 Despite recent Werecruited9patientsthroughtheStrokeNeurorehabilita-
tion Clinic of the National Institutes of Health (table 1). All
participantshadahistoryofsinglesubcorticalischemicstroke,
at least 1 year prior to participation in the study, leading to
From the Human Cortical Physiology Section and Stroke Neurorehabilitation
Clinic,NationalInstituteofNeurologicalDisordersandStroke,NationalInstitutesof initial severe upper arm motor pareses (Medical Research
Health,Bethesda,MD(Celnik,Hummel,Harris-Love,Wolk,Cohen);Departmentsof Council scale score (cid:1)2) with subsequent good recovery of
Physical Medicine and Rehabilitation and Neurology, Johns Hopkins University, function to the point of being able to complete the Jebsen-
Baltimore,MD(Celnik);andDepartmentofNeurology,HamburgUniversityMedical
TaylorHandFunctionTest(JTHFT).Theyallsignedinformed
Center,Hamburg,Germany(Hummel).
SupportedbytheIntramuralResearchProgramoftheNationalInstituteofNeu- consent according to the Declaration of Helsinki and the Na-
rological Disorders and Stroke, National Institutes of Health; the Rehabilitation tional Institute of Neurological Disorders and Stroke Institu-
Medicine Scientist Training Program (grant no. 5K12HD001097); and the A. v. tional Review Board approved the experimental protocol.
HumboldtFoundation(Feodor-Lynengrant).
Nocommercialpartyhavingadirectfinancialinterestintheresultsoftheresearch
supporting this article has or will confer a benefit upon the authors or upon any Experimental Design
organizationwithwhichtheauthorsareassociated.
All subjects participated in this single-blinded randomized,
RequestreprintstoLeonardoG.Cohen,MD,HumanCorticalPhysiologySection,
NINDS,NIH,Bethesda,MD20817,e-mail:[email protected]. counterbalanced crossover study. Initially, all subjects partici-
patedinafamiliarizationsessioninwhichtheytrainedwiththe
0003-9993/07/8811-11566$32.00/0
doi:10.1016/j.apmr.2007.08.001 JTHFT 30 times (3 blocks of 10 repetitions, separated by
ArchPhysMedRehabilVol88,November2007
Description:State-of-the-Science on Postacute Rehabilitation: Measurement and . contact: Keida Spurlock, Tel: 212-633-3986, fax: 212-633-3820, e-mail, 
[email protected].  manual muscle testing positions, each subject was given in- .. LabView 6.1; National Instruments Corp, 11500 N Mopac Expwy,.