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PM & R: the Journal of Injury, Function, and Rehabilitation

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https://www.readbyqxmd.com/read/28433831/ultrasonography-of-the-transverse-movement-and-deformation-of-the-median-nerve-and-its-relationships-with-electrophysiological-severity-in-the-early-stages-of-carpal-tunnel-syndrome
#1
Donghwi Park
BACKGROUND: To date, there have been conflicting suggestions regarding theinitial pathogenesis of CTS.It has been characterized as either inflammation of the median nerve caused by compression ornon-inflammatory fibrosis of the subsynovial connective tissue (SSCT). OBJECTIVE: To investigate the initialpathogenesis of CTS, we compared the deformation and displacement of the median nerve in accordance with the electrophysiological severity between patients with CTS (via Bland`s scale) and healthy controls...
April 19, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28433830/spasticity-management-the-current-state-of-transcranial-neuromodulation
#2
REVIEW
Antonino Leo, Antonino Naro, Francesco Molonia, Provvidenza Tomasello, Ileana Saccà, Alessia Bramanti, Margherita Russo, Placido Bramanti, Angelo Quartarone, Rocco Salvatore Calabrò
This narrative review aims to provide an objective view of the non-invasive neuromodulation (NINM) protocols available for treating spasticity, including repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS). On the basis of the relevant randomized controlled trials, we infer that NINM is more effective in reducing spasticity when combined with the conventional therapies than used as a stand-alone treatment. However, the magnitude of NINM aftereffects depends significantly on the applied hemisphere and the underlying pathology...
April 19, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28433829/successful-repeat-sacroplasty-in-a-patient-with-a-recurrent-sacral-insufficiency-fracture-a-case-report
#3
Jeremy I Simon, David B Surrey, Paul Kitei, Matthew Sonagere, Jeffrey Gehret, David Smoger
The standard of care for treatment of sacral insufficiency fractures (SIF) remains conservative management with limited weight-bearing and analgesics, as most fractures heal within 12 weeks. For those who fail conservative therapy, are immobile or cannot tolerate the pain despite analgesic therapy, as well as those who do not improve with time, rest, or activity modification, minimally invasive surgery with percutaneous transverse screw fixation across the fracture is effective. However, a less invasive procedure, percutaneous sacroplasty, may be an option for potential rapid pain reduction...
April 19, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28400223/acute-radial-neuropathy-at-the-spiral-groove-following-massage-a-case-report
#4
Po-Cheng Hsu, Jan-Wei Chiu, Chen-Liang Chou, Jia-Chi Wang
Massage related nerve injury is an uncommon, rarely reported complication. We report an unusual case of radial nerve neuropathy at the spiral groove in a 58 years old woman resulting from a single episode of deep tissue massage. Although the spiral groove is known as the most common site implicated in radial nerve neuropathy, to our knowledge, there have not previously been any reports of massage related spiral groove radial nerve neuropathy. Electrodiagnostic and ultrasound examinations were used to localize the nerve lesion at the spiral groove on the affected side...
April 8, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28400222/self-reported-health-and-safety-awareness-improves-prediction-of-level-of-care-needs-in-veterans-discharged-from-a-post-acute-unit
#5
Julija Stelmokas, Linas A Bieliauskas, Katherine A Kitchen Andren, Robert Hogikyan, Neil B Alexander
OBJECTIVES: Evaluate the differential value of a self-reported health and safety awareness measure relative to other medical, psychosocial, and cognitive factors in predicting level of care (LOC) needs following hospital discharge. DESIGN: Retrospective medical record review. SETTING: Community Living Center Post-Acute Care (CLC-PAC) unit at a Veterans Affairs (VA) hospital. PARTICIPANTS: 175 Veterans admitted to the VA hospital or directly to the CLC-PAC from home...
April 8, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28400221/validation-of-a-self-monitoring-tool-for-use-in-exercise-therapy
#6
Camilla S Powierza, Michael D Clark, Jaime M Hughes, Kevin A Carneiro, Jason P Mihalik
BACKGROUND: Aerobic exercise at a sub-symptom heart rate has been recommended as therapy for Post-Concussion Syndrome (PCS). Assessing adherence with an accurate heart rate monitoring instrument is difficult limiting the proliferation of large-scale randomized controlled trials. OBJECTIVE: To evaluate the validity of the Fitbit Charge HR against electrocardiogram (EKG) to monitor heart rate during a treadmill-based exercise protocol. DESIGN: A methods comparison study...
April 8, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28389399/integrating-musculoskeletal-education-and-patient-care-at-medical-student-run-free-clinics
#7
Thomas McQuillan, Nate Wilcox-Fogel, Emily Kraus, Amy Ladd, Michael Fredericson
BACKGROUND: Student-run free clinics (SRFCs) have emerged as an important educational component of United States (US) medical schools. Despite the prevalence of musculoskeletal (MSK) problems presenting to SRFCs, students and clinics are often unprepared to diagnose and treat common MSK complaints. OBJECTIVE: We sought to determine the scope of diagnosis and treatment at a medical student-run free clinic specializing in musculoskeletal care utilizing physical medicine and rehabilitation (PM&R) residents...
April 4, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28389398/-numb-leg-in-a-cross-fit-athlete-a-case-report
#8
Stephan Esser, Mckennan Thurston, Krishna Nalluri, Aurelio Muzaurieta
Participation in "CrossFit" athletics and Olympic-styled lifting by the general populace has rapidly increased in the last 10 years. Such athletic engagement poses unique, inadequately defined risks to the participant. We describe the case of a 36 y/o male presenting to an outpatient sports medicine clinic with six weeks of numbness and tingling in the lateral right proximal thigh. After thorough examination and EMG testing, he was found to have a lateral femoral cutaneous neuropathy caused by performing supine gluteal bridges with a weighted barbell resting across his anterior thighs...
April 4, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28366524/advanced-hip-osteoarthritis-causing-autonomic-dysreflexia-and%C3%A2-severe-spasticity-in-a-patient-with-spinal-cord-injury-a-case-report
#9
Brittany Bickelhaupt, Megan Richard, Michelle Trbovich
The life expectancy of persons with spinal cord injury (SCI) is increasing due to advances in medicine and technology. As a result, there is a higher incidence of age-associated illnesses in this population. Degenerative joint disease is a common age-associated illness that causes pain and thus, in persons with SCI above the T6 level, can serve as a noxious stimulus to trigger autonomic dysreflexia (AD). This is a case report of severe bilateral hip osteoarthritis (OA) causing unyielding AD in a person with tetraplegia leading to bilateral girdle stone surgeries...
March 31, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28365401/reverse-shoulder-arthroplasty-in-patients-with-amputation-or-paralysis-of-the-contralateral-upper-extremity-one-arm-patients
#10
Eduard Alentorn-Geli, Nathan R Wanderman, Andrew T Assenmacher, Bassem T Elhassan, Joaquín Sánchez-Sotelo, Robert H Cofield, John W Sperling
BACKGROUND: Theoretically, patients with only one functional arm secondary to contralateral amputation or paralysis will subject their only functional upper extremity to increased loads. This could become an issue after reverse shoulder arthroplasty (RSA). However, there are no reported data on the implant survival or function for patients with a nonfunctional contralateral upper extremity. OBJECTIVE: To report the outcomes of RSA in patients with contralateral upper extremity amputation or paralysis...
March 29, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28363689/medication-and-supplement-use-in-disability-football-world-championships
#11
Daniel Broman, Osman Hassan Ahmed, Philippe M Tscholl, Richard Weiler
BACKGROUND: Individuals with an impairment make up over 15% of the world's population, many of whom can benefit greatly from participation in sport. The provision of medical services in disability sport is a challenging area with a lack of scientific evidence. Given the positive impact that sport can have on the people with an impairment, it is vital that measures are taken to better understand the medical issues posed by disability sport. It is well established that medications and supplements are over-used in sport, particularly within professional football, but there is no current evidence on medication or supplement use in elite disability football...
March 28, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28347900/william-m-fowler-jr-md-1926-2017
#12
Gregory T Carter, Craig M McDonald
No abstract text is available yet for this article.
March 25, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28336430/female-physicians-are-underrepresented-in-recognition-awards-from-the-american-academy-of-physical-medicine-and-rehabilitation
#13
Julie K Silver, Saurabha Bhatnagar, Cheri A Blauwet, Ross D Zafonte, Nicole L Mazwi, Chloe S Slocum, Jeffrey C Schneider, Adam S Tenforde
BACKGROUND: Medical specialty societies are important resources for physicians in advancing their careers. There is a gap in the literature regarding gender disparities within these societies. This study assesses one area where disparities may exist: recognition awards. OBJECTIVE: To determine whether female physicians are underrepresented among recognition award recipients by the American Academy of Physical Medicine and Rehabilitation (AAPM&R). DESIGN: Surveillance study...
March 21, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28323198/ultrasound-visualization-of-a-test-for-nonphysiologic-deficits
#14
Eric L Altschuler, Reed C Williams
No abstract text is available yet for this article.
March 18, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28284965/48th-walter-j-zeiter-lecture-physiatry-in-the-era-of-population-health-management-why-we-must-change
#15
William A Adair
No abstract text is available yet for this article.
March 8, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28286053/onabotulinumtoxina-for-lower-limb-spasticity-guidance-from-a%C3%A2-delphi-panel-approach
#16
Alberto Esquenazi, Abraham Alfaro, Ziyad Ayyoub, David Charles, Khashayar Dashtipour, Glenn D Graham, John R McGuire, Ib R Odderson, Atul T Patel, David M Simpson
BACKGROUND: OnabotulinumtoxinA is approved for the treatment of upper and lower limb spasticity in adults. Guidance on common postures and onabotulinumtoxinA injection paradigms for upper limb spasticity has been developed via a Delphi Panel; however, similar guidance for lower limb spasticity has not been established. OBJECTIVE: To define a clinically recommended treatment paradigm for the use of onabotulinumtoxinA for each common posture among patients with poststroke lower limb spasticity (PSLLS) and to identify the most common PSLLS aggregate postures...
March 7, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28279676/erratum
#17
(no author information available yet)
No abstract text is available yet for this article.
March 6, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28274842/rehabilitation-traumatology-a-narrative-review
#18
REVIEW
Donna Bloodworth, Sindhu Pandit, Patrick Mullan, Faye C Tan
Rehabilitation Traumatology has developed within Physical Medicine and Rehabilitation as a specialized area of knowledge in which the physiatrist works with the Traumatology team to enhance the functional outcome of trauma patients. The American Heritage Dictionary defines Traumatology as "the branch of medicine that deals with the treatment of serious wounds, injuries, and disabilities" [1]. It defines rehabilitate as "to restore to good health or useful life, as through therapy and education" [1]. Thus the authors propose Rehabilitation Traumatology be "the branch of medicine that deals with the treatment of serious wounds, injuries, and disabilities", "to restore (the patient) to good health or useful life"...
March 5, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28214616/exploring-factors-influencing-low-back-pain-in-people-with-nondysvascular-lower-limb-amputation-a-national-survey
#19
Hemakumar Devan, Paul Hendrick, Leigh Hale, Allan Carman, Michael P Dillon, Daniel Cury Ribeiro
BACKGROUND: Chronic low back pain (LBP) is a common musculoskeletal impairment in people with lower limb amputation. Given the multifactorial nature of LBP, exploring the factors influencing the presence and intensity of LBP is warranted. OBJECTIVE: To investigate which physical, personal, and amputee-specific factors predicted the presence and intensity of LBP in persons with nondysvascular transfemoral amputation (TFA) and transtibial amputation (TTA). DESIGN: A retrospective cross-sectional survey...
March 2, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28237692/randomization-test-an-alternative-analysis-for-the-difference-of-two-means
#20
Regina L Nuzzo
No abstract text is available yet for this article.
February 16, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
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