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American Journal of Physical Medicine & Rehabilitation

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https://www.readbyqxmd.com/read/28207603/needs-of-stroke-survivors-as-perceived-by-their-caregivers-a-scoping-review
#1
Shilpa Krishnan, Monique R Pappadis, Susan C Weller, Marsja Stearnes, Amit Kumar, Kenneth J Ottenbacher, Timothy A Reistetter
OBJECTIVE: Caregivers usually are not involved while planning the stroke survivor's medical and rehabilitation goals and interventions. This review aimed to identify the needs of stroke survivors as perceived by their caregivers. DESIGN: A literature search from 2003 to 2014 was conducted using Medline, CINAHL, PsychINFO, and Google Scholar. Sixty-six studies were included. Most studies excluded did not encompass caregivers' perspectives. Four reviewers screened the titles, abstracts, and full texts of the articles for inclusion...
February 16, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28207605/ultrasound-guided-fenestration-of-the-carpal-ligament-using-a-double-needle-approach
#2
Gloria E Hwang, Sanjay Kumbar, Todd Stitik, John S Georgy, Hoss Hanna
Injection techniques for carpal tunnel syndrome have evolved from landmark palpation injection techniques to more accurate ultrasound-guided approaches. Presented is a case report describing a technique serendipitously discovered during a carpal ligament fenestration. The case involved a 66-year-old man with a diagnosis of carpal tunnel syndrome. After a failed attempt at treatment using a wrist splint and activity modification, he was treated by median nerve hydrodissection with 100% temporary pain relief...
February 15, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28207604/memory-rehabilitation-strategies-in-nonsurgical-temporal-lobe-epilepsy-a-review
#3
Alessandra Del Felice, Marzia Alderighi, Matteo Martinato, Davide Grisafi, Anna Bosco, Pamela J Thompson, Josemir W Sander, Stefano Masiero
People with temporal lobe epilepsy (TLE) who have not undergone epilepsy surgery often complain of memory deficits. Cognitive rehabilitation is employed as a remedial intervention in clinical settings, but research is limited and findings concerning efficacy and the criteria for choosing different approaches have been inconsistent. We aimed to appraise existing evidence on memory rehabilitation in nonsurgical individuals with temporal lobe epilepsy and to ascertain the effectiveness of specific strategies. A scoping review was preferred given the heterogeneous nature of the interventions...
February 15, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28187005/the-state-of-disability-awareness-in-american-medical-schools
#4
Erica Seidel, Scott Crowe
This study was designed to: (1) determine how many American medical schools include disability awareness in their curriculum, (2) explore the format of disability awareness programs in existence, and (3) understand why some schools do not include disability awareness in their curriculum. An online survey was sent to deans of medical education (or equivalent positions) at accredited allopathic and osteopathic American medical schools (N = 167) in 2015. Seventy-five schools (45%) completed surveys. Fifty-two percent (39/75) reported having a disability awareness program...
February 9, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28181920/can-early-rehabilitation-on-the-general-ward-after-an-intensive-care-unit-stay-reduce-hospital-length-of-stay-in-survivors-of-critical-illness-a-randomized-controlled-trial
#5
Wolfgang Gruther, Karin Pieber, Irene Steiner, Cornelia Hein, Jörg Michael Hiesmayr, Tatjana Paternostro-Sluga
OBJECTIVE: The aim of this study was to evaluate if an early rehabilitation program for survivors of critical illness improves functional recovery, reduces length of stay, and reduces hospital costs. DESIGN: This was a prospective randomized controlled trial. Fifty-three consecutive survivors of critical illness were included in the study. After discharge from the intensive care unit, the intervention group received an early rehabilitation program, and the standard-care group received physical therapy as ordered by the primary care team...
February 8, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28177938/cognitive-correlates-of-timed-up-and-go-subtasks-in-older-people-with-preserved-cognition-mild-cognitive-impairment-and-alzheimer-s-disease
#6
Juliana Hotta Ansai, Larissa Pires de Andrade, Theresa Helissa Nakagawa, Francisco Assis Carvalho Vale, Maria Joana Duarte Caetano, Stephen Ronald Lord, José Rubens Rebelatto
OBJECTIVE: To determine whether impaired Timed Up and Go Test (TUG) subtask performances are associated with specific cognitive domains among older people with preserved cognition (PC), mild cognitive impairment (MCI), and mild Alzheimer's disease (AD). DESIGN: TUG subtasks performances were assessed by the Qualisys motion system. Cognition was assessed by Addenbrooke's Cognitive Examination and the Frontal Assessment Battery (FAB). RESULTS: The highest correlations with transition subtasks were with aspects of executive function, i...
February 7, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28177937/massage-therapy-for-pain-and-function-in-patients-with-arthritis-a-systematic-review-of-randomized-controlled-trials
#7
Nicole L Nelson, James R Churilla
BACKGROUND: Massage therapy is gaining interest as a therapeutic approach to managing osteoarthritis and rheumatoid arthritis symptoms. To date, there have been no systematic reviews investigating the effects of massage therapy on these conditions. DESIGN: Systematic review was used. OBJECTIVES: The primary aim of this review was to critically appraise and synthesize the current evidence regarding the effects of massage therapy as a stand-alone treatment on pain and functional outcomes among those with osteoarthritis or rheumatoid arthritis...
February 7, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28169861/gender-and-ethnic-diversity-in-academic-pm-r-faculty-national-trend-analysis-of-two-decades
#8
Jaeho Hwang, Kia Byrd, Michael O Nguyen, Michael Liu, Yuru Huang, Gordon H Bae
Over the years, a number of studies have demonstrated an increase in gender and ethnic diversity among US physicians. Despite substantial progress in eliminating gender and racial inequities in the field of medicine, women and ethnic minorities are still underrepresented among medical faculty at academic institutions. This study aims to describe the trends in gender and ethnic diversity among Physical Medicine and Rehabilitation (PM&R) faculty through statistical analysis of data describing gender and ethnicity of full-time academic faculty gathered from the Association of American Medical Colleges Faculty Roster from 1994 to 2014...
February 6, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28169860/a-rare-complete-metacarpal-pseudoepiphysis-in-a-teenager-with-a-scaphoid-fracture
#9
Rachel B Geffen, Ricardo E Colberg
A 13-yr-old adolescent boy presented with wrist pain after falling off a scooter onto his outstretched hand. Radiographs revealed a nondisplaced hairline fracture of the scaphoid bone and an irregular radiolucent line in the proximal metaphysis of the second metacarpal bone, consistent with an anomalous growth plate, or complete pseudoepiphysis. Complete pseudoepiphysis is a rare finding, with only a few cases reported. Learning about the common locations of growth plates and the radiographic differences between normal, injured, and anomalous growth plates can help decrease physician error and improve patient outcomes...
February 6, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28169859/transcutaneous-electrical-nerve-stimulation-for-spasticity
#10
Mohammad Etoom, Yazan Khraiwesh, Calogero Foti
No abstract text is available yet for this article.
February 6, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28157133/progression-of-core-stability-exercises-based-on-the-extent-of-muscle-activity
#11
Joaquin Calatayud, José Casaña, Fernando Martín, Markus D Jakobsen, Juan Carlos Colado, Lars L Andersen
OBJECTIVE: The aim of this cross-sectional study was to evaluate a variety of isometric plank exercises. DESIGN: Twenty university students performed the following eight different variants of plank exercises in random order and with 1-min rest intervals: stable prone plank, suspended prone plank, stable roll-out plank, suspended roll-out plank, unilateral stable prone plank, unilateral suspended prone plank, stable lateral plank, and suspended lateral plank. Surface electromyography signals were recorded for the upper rectus abdominis, lower rectus abdominis, external oblique, lumbar erector spinae, and normalized to the maximum voluntary isometric contraction...
February 3, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28157132/unusual-location-of-intramuscular-lipoma-presenting-as-an-extensor-tendon-tear-a-diagnostic-dilemma
#12
Leia Rispoli, Jaspal Ricky Singh, Joseph Piesco
No abstract text is available yet for this article.
February 3, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28151763/the-magnitude-and-time-course-of-muscle-cross-section-decrease-in-intensive-care-unit-patients
#13
Dianne Ten Haaf, Bea Hemmen, Henk van de Meent, Thamar J H BovendʼEerdt
OBJECTIVE: Bedriddenness and immobilization of patients at an intensive care unit may result in muscle atrophy and devaluation in quality of life. The exact effect of immobilization on intensive care unit patients is not known. The aim of this study was to investigate the magnitude and time course of muscle cross-section decrease in acute critically ill patients admitted to the intensive care unit. DESIGN: An observational pilot study was performed in intensive care unit patients...
February 1, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28151762/ultrasonographic-and-electrophysiological-evaluation-of-ulnar-nerve-instability-and-snapping-of-the-triceps-medial-head-in-healthy-subjects
#14
Jae Ho Kang, Byung-Euk Joo, Ki Hoon Kim, Byung Kyu Park, Jaehyung Cha, Dong Hwee Kim
OBJECTIVE: To evaluate the relationship between ulnar nerve instability and snapping of the triceps medial head during elbow flexion. DESIGNS: Twenty-six healthy individuals were recruited. The primary outcome measures were ultrasonographic and electrophysiological parameters of the ulnar nerve. Ulnar nerve instability was classified into three types based on the degree of ulnar nerve movement: no dislocation (Type N), subluxation (Type S), and dislocation (Type D)...
February 1, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28151761/feasibility-of-restoring-walking-in-multiple-sclerosis-with-multichannel-implanted-electrical-stimulation
#15
Stephen M Selkirk, Rudi Kobetic, Lisa M Lombardo, Gilles Pinault, Ronald J Triolo
A patient with multiple sclerosis-related gait dysfunction was followed over the course of his disease. Despite aggressive treatment, he developed significant weakness in ankle dorsiflexors and hip and knee flexors and was no longer capable of consistently taking a step on his own. With electrical stimulation of hip and knee flexors and ankle dorsiflexors using implanted electrodes, he was able to consistently walk short distances as far as 30 m, thus significantly improving his Expanded Disability Status Scale score...
February 1, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28145921/the-effect-of-elective-rotations-on-the-self-assessment-examination-results-of-physical-medicine-and-rehabilitation-residents-implications-for-minimizing-educational-resource-disparities-in-taiwan
#16
I-Nan Lien, Pei-Shen Wu, Tyng-Guey Wang, Wen-Shiang Chen, Henry L Lew
OBJECTIVE: The aims of the study were (1) to assess whether a knowledge disparity existed between physical medicine and rehabilitation residents from community hospitals versus those from medical centers, before the introduction of short-term elective training at the end of 2008 and (2), if such disparity existed, to determine whether 1-month short-term elective training was associated with minimizing such disparity, as reflected in the self-assessment examination scores. DESIGN: Self-assessment examination scores from 2007-2016 were analyzed in each of the following three topics: (a) cardiac rehabilitation, (b) pulmonary rehabilitation, and (c) orthotics...
January 31, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28145920/successful-treatment-of-gluteal-pain-from-obturator-internus-tendinitis-and-bursitis-with-ultrasound-guided-injection
#17
Boqing Chen, Leia Rispoli, Todd Stitik, Michelle Leong
This case report describes what the authors believe is the first case of a patient with obturator internus tendinitis and bursitis successfully treated with a corticosteroid injection using a trans-tendinous lateral to medial approach. The patient presented with right gluteal pain not relieved by physical therapy or right hip and ischial bursa corticosteroid injections. Pelvic and lumbar spine MRIs and EMG/NCS findings were unremarkable. Physical examination demonstrated tenderness to palpation at the right middle lower gluteal region...
January 31, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28145919/chronic-effects-of-different-rest-intervals-between-sets-on-dynamic-and-isometric-muscle-strength-and-muscle-activity-in-trained-older-women
#18
José Claudio Jambassi Filho, André Luiz Demantova Gurjão, Marilia Ceccato, Alexandre Konig Garcia Prado, Luiza Herminia Gallo, Sebastião Gobbi
OBJECTIVE: This study investigated the chronic effects of different rest intervals (RIs) between sets on dynamic and isometric muscle strength and muscle activity. DESIGN: We used a repeated-measures design (pretraining and posttraining) with independent groups (different RI). Twenty-one resistance-trained older women (66.4 ± 4.4 years) were randomly assigned to either a 1-minute RI group (G-1 min; n = 10) or 3-minute RI group (G-3 min; n = 11). Both groups completed 3 supervised sessions per week during 8 weeks...
January 31, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28141599/gastrointestinal-hemorrhage-related-to-fluoxetine-in-a-patient-with-stroke
#19
Tze Chao Wee
We report on a patient who developed massive gastrointestinal hemorrhage related to the use of fluoxetine in combination with aspirin and clopidogrel. A 58-year-old man was admitted with a posterior circulation infarct with significant weakness in all four limbs and dysarthria. Aspirin and clopidogrel were started. Fluoxetine was started for pharmacological neurostimulation to promote motor recovery and for low mood. He developed gastrointestinal hemorrhage a week after fluoxetine was started. Fluoxetine was suspended and investigations failed to reveal the source of the bleeding...
January 30, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28134660/muscle-strength-but-not-muscle-oxidative-capacity-varies-between-the-morning-and-the-afternoon-in-patients-with-multiple-sclerosis-a-pilot-study
#20
Inez Wens, Dominique Hansen
Despite frequent muscle strength or muscle oxidative capacity (based on exercise-onset oxygen uptake [VO2] kinetics) assessments in patients with multiple sclerosis, the impact of time of day on these parameters is often not taken into account. Based on observations in healthy subjects, it remains to be studied whether muscle strength, and/or exercise-onset VO2 kinetics, varies between the morning and the afternoon in patients with multiple sclerosis. In this prospective observational pilot study, walking capacity, exercise-onset VO2 kinetics, isometric knee extension/flexion strength (dynamometry), and self-reported fatigue were measured in 11 patients with multiple sclerosis (age, 51...
January 27, 2017: American Journal of Physical Medicine & Rehabilitation
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