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

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https://www.readbyqxmd.com/read/28167305/self-reported-driving-difficulty-in-veterans-with-traumatic-brain-injury-its-central-role-in-psychological-well-being
#1
Laraine Winter, Helene J Moriarty, Thomas H Short
BACKGROUND: The ability to drive is a core function supporting independent living. Traumatic brain injury (TBI) may impair driving capacity in numerous ways. Previous research has documented that individuals with TBI have more driving-related problems than other people and has identified predictors of driving status or capacity, mostly among civilians. But no research has examined the implications of driving limitations for the well-being of individuals with TBI. OBJECTIVE: To examine the association between self-reported difficulty in driving with important domains of psychological well-being in veterans with TBI, adjusting for PTSD and years since most recent TBI...
February 3, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28167304/age-related-changes-in-morphology-and-function-of-scapular-muscles-in-asymptomatic-people
#2
Shuhei Morise, Takayuki Muraki, Hiroaki Ishikawa, Shin-Ichi Izumi
BACKGROUND: Aging is a contributing factor to rotator cuff tears. Dysfunction of the scapular muscles can be a potential cause of rotator cuff tears. Although aging can contribute to dysfunction of the scapular muscles, and subsequently result in rotator cuff tears, the effects of aging on scapular muscles are unclear. OBJECTIVE: To determine changes in sizes and electromyographic activities of the scapular muscles with age in asymptomatic subjects. DESIGN: Cross-sectional study PATIENTS: Fifty-four asymptomatic subjects without shoulder pain and dysfunction (18 males and 36 females) were recruited for this study...
February 3, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28167303/psychological-and-lifestyle-factors-that-influence-the-serial-reporting-of-post-concussive-like-symptoms-in-a-non-concussed-population
#3
Arun Prasad Balasundaram, Josie Athens, Anthony Gerard Schneiders, Paul McCrory, Stephen John Sullivan
BACKGROUND: Symptoms related to concussion are generally found to be non-specific in nature as they are also reported by non-concussed individuals. What is currently not known is whether the symptoms vary over time, and whether they are also influenced by a multitude of factors. OBJECTIVE: To investigate the potential influence of psychological, lifestyle, and situational factors on the change in postconcussion-like symptoms reported over seven consecutive days in a cohort of normal individuals...
February 3, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28167302/characterization-of-neck-strength-in-healthy-young-adults
#4
Eva Catenaccio, Weiya Mu, Atira Kaplan, Roman Fleysher, Namhee Kim, Tamar Bachrach, Malka Zughaft Sears, Oren Jaspan, Jaclyn Caccese, Mimi Kim, Mark Wagshul, Walter F Stewart, Richard B Lipton, Michael L Lipton
BACKGROUND: The role of cervical muscle (neck) strength in traumatic brain and spine injury and chronic neck pain disorders is an area of active research. Characterization of the normal ranges of neck strength in healthy young adults is essential to designing future investigations of how strength may act as a modifier for risk and progression in head and neck disorders. OBJECTIVE: To develop a normative reference database of neck strength in a healthy young adult population; and to evaluate the relationship of neck strength to anthropometric measurements...
February 3, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28143720/strategies-for-combating-opioid-induced-constipation-targeted-mechanisms-to-maintain-pain-control-without-compromise
#5
Michael J Brennan, Steven P Stanos
No abstract text is available yet for this article.
January 29, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28111302/post-traumatic-visualized-supernumerary-phantom-limbs-a-case-report
#6
S Courtney-Kay Lamb
The experience of Supernumerary Phantom Limbs (SPLs) is a rare phenomenon known to occur following a variety of neurological ailments. This case report details visualized supernumerary phantom arms and legs in a polytrauma patient with suspicion of seizure as the primary contributing factor. Less than thirty cases of SPLs have been previously described. SPLs are usually confined to the phantom proprioception/sensation of the limb with only six prior cases reporting visualized SPLs, all of which occurred in the setting of isolated stroke...
January 19, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28104531/diagnosis-and-treatment-of-gouty-tophi-in-the-patellar-tendon-using-ultrasound-guided-needle-barbotage-a-case-presentation
#7
Ricardo E Colberg, Rachel B Geffen
A 73-year-old man presented with nontraumatic debilitating anterior left knee pain. Magnetic resonance imaging suggested a partial patellar tendon tear. However, ultrasound imaging revealed multiple small hyperechoic areas with posterior acoustic shadowing with intermixed hypoechoic fluid within the proximal patellar tendon, consistent with gouty tophi. The patient underwent ultrasound-guided needle barbotage of the tophi. Gout was confirmed by the presence of uric acid crystals in the aspirate. He had immediate pain relief...
January 16, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28093373/improved-arousal-and-motor-function-using-zolpidem-in-a-patient-with-space-occupying-intracranial-lesions-a-case-report
#8
Martin Nicholas Bomalaski, Sean Robinson Smith
: Patients with disorders of consciousness (DOC) have profound functional limitations with few treatment options for improving arousal and quality of life. Zolpidem is a nonbenzodiazepine hypnotic used to treat insomnia that has also been observed to paradoxically improve arousal in those with DOC, such as the vegetative or minimally conscious states. Little information exists on its use in patients with DOC who have intracranial space-occupying lesions. We present a case of a 24-year-old man in a minimally conscious states due to central nervous system lymphoma who was observed to have increased arousal and improved motor function after the administration of zolpidem...
January 16, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28093372/does-trainee-involvement-in-fluoroscopic-injections-affect-fluoroscopic-time-immediate-pain-reduction-and-complication%C3%A2-rate
#9
Daniel Cushman, Masaru Teramoto, Bradley Curtis, David T Lee, Austin Marcolina, Zachary McCormick
BACKGROUND: Patients have expressed concern about undergoing procedures involving trainees, even with direct attending physician supervision. Little literature has examined the effect of trainee involvement on patient outcomes. OBJECTIVE: We aimed to evaluate the effect of trainee involvement on patient complications, immediate pain reduction, and fluoroscopic time for different fluoroscopic injection types. DESIGN: Retrospective review. SETTING: Four academic outpatient institutions with Accreditation Council for Graduate Medical Education (ACGME)-accredited residency (physical medicine and rehabilitation, or anesthesiology) or fellowship (sports medicine or pain medicine) programs from 2000 to 2015...
January 16, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28093371/sonographically-guided-knee-meniscus-injections-feasibility-techniques-and-validation
#10
Michael R Baria, Jacob L Sellon, Dan Lueders, Jay Smith
BACKGROUND: There is a growing interest in the use of biologic agents such as platelet-rich plasma and mesenchymal stem/stromal cells to treat musculoskeletal injuries, including meniscal tears. Although previous research has documented the role of diagnostic ultrasound to evaluate meniscal tears, sonographically guided (SG) techniques to specifically deliver therapeutic agents into the meniscus have not been described. OBJECTIVE: To describe and validate SG injection techniques for the body and posterior horn of the medial and lateral meniscus...
January 16, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28093369/rehabilitation-of-the-pontine-ataxia-dysmetria-syndrome
#11
Stephanie Li, Kasondra Hartman, Krishna Surapaneni, Eric L Altschuler
: We present a case of a patient with significant ataxia and dysmetria following a lacunar pontine infarction and review the literature on this uncommon syndrome. The patient had an excellent clinical course with near resolution of symptoms and signs in less than 3 weeks. We illustrate the patient's ataxia and dysmetria with videos and also use the videos to demonstrate and characterize the features of the dysmetria. Interestingly, the characteristics of the dysmetria appear to be different from those seen in patients with dysmetria arising from a cerebellar or thalamic lesion...
January 16, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28093374/predictors-of-pharmacological-intervention-in-adolescents-with-protracted-symptoms-after-sports-related-concussion
#12
Shanti M Pinto, Maria F Twichell, Luke C Henry
BACKGROUND: Though recovery after concussion is spontaneous and typically occurs within two to three weeks, a subset of adolescents develop persistent symptoms after a sports-related concussion. Medications are frequently prescribed as part of a comprehensive treatment approach to alleviate these symptoms; however, there are no guidelines for prescription of pharmacologic therapy after concussion. OBJECTIVE: To investigate common factors that are associated with the use of medications (anti-epileptic, anti-depressant, neurostimulant, or sleeping medication) during recovery from a sports-related concussion...
January 13, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28093370/a-comparison-of-locomotor-therapy-interventions-partial-body-weight-supported-treadmill-lokomat%C3%A2-and-g-eo%C3%A2-training-in-persons-with-traumatic-brain-injury
#13
Alberto Esquenazi, Stella Lee, Amanda Wikoff, Andrew Packel, Theresa Toczylowski, John Feeley
BACKGROUND: Literature in the application of gait training techniques in persons with traumatic brain injury is limited. Current techniques require of multiple staff and are physically demanding. The use of a robotic locomotor training may provide improved training capacity for this population. OBJECTIVE: To examine the impact of three different modes of locomotor therapy on gait velocity and spatiotemporal symmetry using: an end effector robot (G-EO™); a robotic exoskeleton (Lokomat®) and manual assisted partial-body weight supported treadmill training (PBWSTT) in participants with traumatic brain injury...
January 13, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28082181/return-to-the-primary-acute-care-service-among-patients-with-multiple-myeloma-on-an-acute-inpatient-rehabilitation-unit
#14
Jack B Fu, Jay Lee, Ben C Shin, Julie K Silver, Dennis W Smith, Jatin J Shah, Eduardo Bruera
BACKGROUND: Pancytopenia, immunosuppression, and other factors may place patients with multiple myeloma at risk for medical complications. These patients often require inpatient rehabilitation. No previous studies have looked at risk factors for return to the primary acute care service of this patient population. OBJECTIVE: To determine the percentage of and factors associated with return to the primary acute care service of multiple myeloma rehabilitation inpatients...
January 8, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28082180/patient-centered-goal-setting-in-a-hospital-based-outpatient-stroke-rehabilitation-center
#15
Danielle B Rice, Amanda McIntyre, Magdalena Mirkowski, Shannon Janzen, Ricardo Viana, Eileen Britt, Robert Teasell
BACKGROUND: Goal-setting can have a positive impact on stroke recovery during rehabilitation. Patient participation in goal formulation can ensure that personally relevant goals are set, and can result in greater satisfaction with the rehabilitation experience, along with improved recovery of stroke deficits. This, however, not yet been studied in a stroke outpatient rehabilitation setting. OBJECTIVE: To assess patient satisfaction of meeting self-selected goals during outpatient rehabilitation following a stroke...
January 8, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28082179/strengthening-of-quadriceps-by-neuromuscular-magnetic-stimulation-in-healthy-subjects
#16
Shin-Seung Yang, Sungju Jee, Seon Lyul Hwang, Min Kyun Sohn
BACKGROUND: Quadriceps muscle strengthening is one of the rehabilitation strategies for improving walking in some people with gait impairments, and neuromuscular electrical stimulation (NMES) has been used for that reason. The strengthening effect of neuromuscular magnetic stimulation (NMMS) on the quadriceps has been demonstrated in various conditions, but not specifically for gait training. The purpose of this study was to determine whether the effect of NMMS is clinically applicable...
January 8, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28082178/the-course-of-concussion-recovery-in-children-6-12-years-of-age-experience-from-an-interdisciplinary-rehabilitation-clinic
#17
Sarah R Risen, Jennifer Reesman, Gayane Yenokyan, Beth S Slomine, Stacy J Suskauer
BACKGROUND: Current concussion evidence is derived largely from teenagers and adults. Concussion in younger children occurs within the context of neuromaturation, with differing age-based pathophysiological responses to injury. Therefore, our current understanding of concussion in older children and adults is unlikely to directly apply to younger children. OBJECTIVE: To describe patient variables, clinical course, and factors associated with time to discharge from concussion care in children 6-12 years of age with concussion treated in an interdisciplinary rehabilitation-based concussion clinic...
January 8, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28082177/long-term-dosing-of-intrathecal-baclofen-in-the-treatment-of-spasticity-after-acquired-brain-injury
#18
Mithra B Maneyapanda, Zachary L McCormick, Christina Marciniak, Christopher Reger
BACKGROUND: Intrathecal baclofen (ITB) often is used to treat severe spasticity of cerebral origin. Although literature exists regarding the efficacy of ITB, there has been minimal investigation related to dosing in the adult-acquired brain injury population, particularly at long-term duration. OBJECTIVE: To investigate long-term dosing of ITB in adult patients with spasticity of cerebral origin due traumatic brain injury (TBI), stroke, and hypoxic-ischemic encephalopathy (HIE)...
January 8, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28082176/combined-transcranial-direct-current-stimulation-and-vision%C3%A2-restoration-training-in-subacute-stroke-rehabilitation-a%C3%A2-pilot-study
#19
Raimund Alber, Hermann Moser, Carolin Gall, Bernhard A Sabel
BACKGROUND: Visual field defects after posterior cerebral artery stroke can be improved by vision restoration training (VRT), but when combined with transcranial direct current stimulation (tDCS), which alters brain excitability, vision recovery can be potentiated in the chronic stage. To date, the combination of VRT and tDCS has not been evaluated in postacute stroke rehabilitation. OBJECTIVES: To determine whether combined tDCS and VRT can be effectively implemented in the early recovery phase following stroke, and to explore the feasibility, safety and efficacy of an early intervention...
January 8, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27993736/the-clinical-value-of-assessing-lumbar-posteroanterior-segmental-stiffness-a-narrative-review-of-manual-and-instrumented-methods
#20
REVIEW
Arnold Y L Wong, Gregory N Kawchuk
Abnormal spinal segmental motion/stiffness is purported to be a cause, or an effect of, low back pain. Therefore, the assessment of posteroanterior segmental spinal stiffness is a common practice in clinical and research settings. In clinical settings, manipulative practitioners routinely assess spinal stiffness manually to guide clinical decision-making. Unfortunately, the reliability of manual segmental spinal stiffness assessment is poor. As a result, various spinal stiffness-testing devices have been developed to improve the reliability and accuracy of spinal stiffness measures...
December 16, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
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