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

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https://www.readbyqxmd.com/read/30217644/popliteal-artery-entrapment-syndrome-return-to-sport-considerations-a-case-report
#1
Todd Hayano, Joan Borg-Stein, David J Cormier, Niki Rybko
This is a case of a 19-year-old female collegiate field hockey player with left leg pain, numbness and tingling. A comprehensive workup including dynamic ultrasound, Magnetic Resonance Imaging (MRI) and Magnetic Resonance Angiogram (MRA) revealed a type VI functional popliteal artery entrapment syndrome (PAES). There are many options for treatment of functional PAES including activity modification, botulinum toxin injection, and surgery. To the authors knowledge there is no published return to sport recommendation for post-surgical functional PAES ...
September 11, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/30217643/ultrasonographic-evaluation-of-the-femoral-cartilage-achilles-tendon-and-plantar-fascia-in-young-women-wearing-high-heeled-shoes
#2
Kamal Mezian, Ayşe Merve Ata, Murat Kara, Şule Şahin Onat, Eda Gürçay, Aslı Çalışkan, Maria Ines Taboas Simoes, Ayşen Akıncı, Levent Özçakar, Franco Franchignoni
BACKGROUND: Specific attention on the musculoskeletal impact of wearing high-heeled shoes (HHS) has mainly focused on knee osteoarthritis and the literature is limited to biomechanical changes. Herewith, the distal femoral cartilage (DFC) has not been morphologically studied. Additionally, although heel elevation is coupled with a shear stress at the heel and overloaded calf muscles, Achilles tendon and plantar fascia thicknesses have not been assessed either. OBJECTIVE: To investigate whether the DFC, Achilles tendon (AT), and plantar fascia (PF) were different in women wearing HHS and flat-heeled shoes (FHS) and specifically, different in terms of AT/PF and DFC thicknesses...
September 11, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/30217642/severe-leg-pain-following-spinal-cord-stimulator-implantation-a-case-report
#3
Weibin Shi, Shannon Schultz, David R Gater
Following spinal cord stimulator (SCS) implantation, post-operative pain is commonly incisional or neuropathic from neurological damage. Occasionally, this new pain may mimic symptoms due to pre-existing pathology. We present a case of immediate, severe, post-operative leg pain secondary to a lower extremity deep vein thrombosis (DVT) and subsequent pulmonary embolism (PE) after percutaneous SCS implantation for failed back syndrome. The risk factors of DVT after spine surgery and perioperative prophylaxis will be further discussed with a brief literature review...
September 11, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/30195708/ankle-joint-and-rearfoot-biomechanics-during-toe-in-and-toe-out-walking-in-people-with-medial-compartment-knee-osteoarthritis
#4
Jesse M Charlton, Gillian L Hatfield, Jordan A Guenette, Michael A Hunt
BACKGROUND: Toe-in and toe-out walking are two strategies which have been shown to be effective in reducing the knee adduction moment in people with knee osteoarthritis. However, despite a positive biomechanical impact on the knee, altering foot rotation may impart unintended forces or joint positions on the ankle that could impact joint health. The kinematic and kinetic changes at the ankle during toe-in or toe-out walking have yet to be examined. OBJECTIVE: To examine ankle/rearfoot biomechanics during toe-in and toe-out walking in those with knee osteoarthritis...
September 6, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/30195707/bone-mineral-density-among-individuals-with-residual-lower-limb-weakness-after-polio
#5
Beth Grill, Pamela Levangie, Maria Cole, Darren Rosenberg, Leah Jensen
BACKGROUND: Literature indicates that individuals with long-term residual lower extremity (LE) weakness after polio have decreased bone mineral density (BMD) deficiencies related to muscle weakness. Where weakness is asymmetrical, bone densitometry (BDt) measured only on the stronger LE may misclassify BMD. OBJECTIVETO DETERMINE: (1) whether femoral neck BMD differed from side-to-side in individuals with asymmetrical LE muscle weakness, and (2) the proportion of individuals at risk for under-diagnosis of low bone density or osteoporosis given unilateral assessment of the femoral neck...
September 6, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/30195706/a-descriptive-study-of-self-reported-injury-in-non-elite-adaptive-athletes
#6
Jennifer A SooHoo, Erek Latzka, Mark A Harrast
BACKGROUND: Adaptive sports programs are increasing across the country and there is a paucity of research investigating the epidemiology and sports injury risk factors in non-elite athletes. OBJECTIVEPRIMARY OBJECTIVE: To assess the demographics, training regime, and injuries incurred by adaptive athletes participating in local adaptive sports clubs. SECONDARY OBJECTIVE: To assess the athletes' type of medical care and prevalence of those with spasticity...
September 6, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/30195705/frequency-and-circumstances-of-falls-reported-by-ambulatory-unilateral-lower-limb-prosthesis-users-a-secondary-analysis
#7
Janis Kim, Matthew J Major, Brian Hafner, Andrew Sawers
BACKGROUND: More than 50% of lower limb prosthesis (LLP) users report falling at least once a year, placing them at high risk for adverse health outcomes like reduced mobility and diminished quality-of-life. Efforts to reduce falls among LLP users have traditionally focused on developing clinical tests to assess fall risk, designing prosthetic components to improve patient safety, and identifying risk factors to recognize potential fallers. Little attention has been directed towards recording, reporting, and characterizing the circumstances of falls among LLP users...
September 6, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/30195704/treatment-of-knee-meniscus-pathology-rehabilitation-surgery-and-orthobiologics
#8
REVIEW
Paul S Chirichella, Steven Jow, Stephen Iacono, Hannah E Wey, Gerard A Malanga
The meniscal tear treatment paradigm traditionally begins with conservative measures such as physical therapy with referral for operative management for persistent or mechanical symptoms. As a result, the partial meniscectomy is performed more than any other orthopedic procedure in the United States. This treatment paradigm has shifted as recent literature supports the attempt to preserve or repair the meniscus whenever possible given its importance for the structural integrity of the knee joint and the risk of early osteoarthritis associated after meniscus excision...
September 6, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/30179664/quantification-of-urinary-loss-in-nulliparous-athletes-during-1-hour-of-sports-training
#9
Keyla M Dos Santos, Thuane H da Roza, Soraia C Tonon da Luz, Julia P Hort, Joyce M Kruger, Bruna Schevchenco
BACKGROUND: urinary incontinence (UI) is a pelvic floor dysfunction that can affect nulliparous female athletes due to the effect of sports modalities on the pelvic floor muscles (PFM). OBJECTIVES: To verify and quantify the loss of urine in nulliparous athletes during 1-hour of sports training using a modified pad test protocol. DESIGN: cross-sectional. SETTING: secondary, institutional practice. PARTICIPANTS: 104 nulliparous athletes...
September 1, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/30145343/profiling-the-isokinetic-muscle-strength-of-athletes-involved-in-sports-characterized-by-constantly-varied-functional-movements-performed-at-high-intensity-a-cross-sectional-study
#10
Caroline Motta, Claudio A B de Lira, Valentine Z Vargas, Rodrigo L Vancini, Marilia S Andrade
BACKGROUND: Constantly varied functional movements performed at high intensity (FMHI) is a type of strength and general conditioning program that has gained widespread popularity in recent years. The very intense exercises performed with lower and upper limbs may create muscular asymmetry or imbalance between agonist and antagonist muscles, and therefore the characterization of isokinetic muscle strength, side-to-side difference, and balance ratios for lower and upper limbs may contribute to a better understanding of the modality characteristics...
August 24, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/30145342/ultrasonographic-evaluation-for-the-effect-of-extracorporeal-shock-wave-therapy-on-gastrocnemius-muscle-spasticity-in-patients-with-chronic-stroke
#11
Chang Han Lee, Shi-Uk Lee, Seung Hun Lee, Jun-Il Yoo
BACKGROUND: Extracorporeal shock wave therapy (ESWT) has been suggested as a useful treatment for spasticity in patients with stroke. To date, most studies have used clinical or biomechanical assessments to determine the effects of treatment. OBJECTIVES: To assess the effect of a single session of ESWT through ultrasonographic assessment on spasticity in patients with chronic stroke. DESIGN: Randomized controlled trial. SETTING: Rehabilitation center...
August 24, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/30138721/impact-of-neck-position-on-the-probability-of-common-carotid-artery-puncture-during-ultrasound-guided-stellate-ganglion-block
#12
Dong Yoon Park, Seok Kang, Hyo Jung Kang, Jun Kyu Choi, Jae Do Kim, Joon Shik Yoon
BACKGROUND: The carotid artery must be avoided during stellate ganglion block. However, information on optimal neck position during the ultrasound-guided approach is limited. OBJECTIVE: To investigate the relation between the target area of the procedure and the carotid artery in accordance with different neck positions. DESIGN: Observational study. SETTING: Tertiary university. PARTICIPANTS: A total of 30 sides of the neck from 18 healthy participants were included...
August 21, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/30138720/a-review-of-botulinum-toxin-a-for-the-treatment-of-neurogenic-bladder
#13
REVIEW
Lauren Folgosa Cooley, Stephanie Kielb
Prior to FDA approval of intradetrusor botulinum toxin (BoTA) injections for the treatment of neurogenic bladder, patients had limited treatment options including "off-label" use of pharmacotherapies (anticholinergics, beta agonists, and alpha-blockers) or invasive interventions including bladder augmentation and urinary diversion procedures. Herein, we provide a comprehensive literature review detailing the salient clinical literature that led to FDA approval of intradetrusor BoTA for neurogenic bladder...
August 21, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/30138719/a-single-trial-may-be-used-for-measuring-muscle-strength-with-dynamometers-in-individuals-with-stroke-a-cross-sectional-study
#14
Larissa Tavares Aguiar, Júlia Caetano Martins, Ludmylla Ferreira Quintino, Sherindan Ayessa Ferreira de Brito, Luci Fuscaldi Teixeira-Salmela, Christina Danielli Coelho de Morais Faria
BACKGROUND: The mean of 3 trials is commonly employed to report measures of muscle strength after a stroke. However, only a single trial showed that consistent and reliable results could be found regarding dynamometric measures of grip, pinch, and trunk strength in individuals with stroke. Nevertheless, no studies were found that investigated whether only a single trial could be used for the assessment of the strength of both the upper and lower limb muscles. OBJECTIVE: To determine the best scoring method (one vs the means of 2 or 3 trials) to measure the strength of the upper and lower limb muscles in individuals with sub-acute and chronic stroke...
August 21, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/30121365/virtual-reality-for-neurorehabilitation-insights-from-3-european-clinics
#15
REVIEW
Owen O'Neil, Manuel Maurie Fernandez, Jürgen Herzog, Marta Beorchia, Valerio Gower, Furio Gramatica, Klaus Starrost, Lorenz Kiwull
Virtual reality for the treatment of motor impairment is a burgeoning application of digital technology in neurorehabilitation. Virtual reality systems pose an opportunity for health care providers to augment the dose of task-oriented exercises delivered both in the clinic, and via telerehabilitation models in the home. The technology is almost exclusively applied as an adjunct to traditional approaches and is typically characterized by the use of gamified exergames which feature task-oriented physiotherapy exercises...
August 16, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/30010050/bone-marrow-derived-and-adipose-derived-mesenchymal-stem-cell-therapy-in-primary-knee-osteoarthritis-a-narrative-review
#16
REVIEW
Prathap Jayaram, Uzoh Ikpeama, Joshua B Rothenberg, Gerard A Malanga
Regenerative medicine in the context of musculoskeletal injury is a broad term that offers potential therapeutic solutions to restore or repair damaged tissue. The current focus in recent literature and clinical practice has been on cell based therapy. In particular, much attention has been centered on autologous bone marrow concentrate (BMAC) and adipose-derived (AD) mesenchymal stem cells (MSCs) for cartilage and tendon disorders. This article provides an overview of MSC-derived therapy and offers a comprehensive review of adipose- and bone marrow-derived MSC therapy in primary knee osteoarthritis OA...
August 7, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/30081216/measurement-of-cervical-multifidus-and-longus-colli-muscle-dimensions-in-patients-with-cervical-radiculopathy-and-healthy-controls-using-ultrasonography-a-reliability-study
#17
S Amiri-Arimi, M A Mohseni Bandpei, A Rezasoltani, K Javanshir, A Biglarian
BACKGROUND: Cervical radiculopathy is a musculoskeletal disorder with an increasing prevalence in office workers. In recent years, ultrasonography (US) has been reported to be a valid, inexpensive, and noninvasive technique for the objective evaluation of muscle morphology. However, measuring deep cervical paraspinal muscle dimensions using US in patients with cervical radiculopathy has not been described. OBJECTIVE: To evaluate intra-session and intersession reliabilities of US to measure dimensions of deep cervical muscles at rest in patients with chronic cervical radiculopathy and healthy controls...
August 3, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/30010051/proximal-iliotibial-band-syndrome-in-a-runner-a-case-report
#18
Gregory Decker, Devyani Hunt
Overuse injuries of the hip are frequent among runners and often present a diagnostic dilemma requiring imaging modalities beyond radiographs, delayed diagnosis, and prolonged time away from sport and activity. We report a case of a 38-year-old female recreational runner with progressive lateral hip pain and magnetic resonance imaging findings of edema along the gluteal aponeurotic fascia and origin of the tensor fascia lata muscle consistent with the diagnosis of enthesopathy of the proximal iliotibial band...
July 31, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/30010052/interdisciplinary-pain-management-improves-pain-and-function-in-pediatric-patients-with-chronic-pain-associated-with-joint-hypermobility-syndrome
#19
Gadi Revivo, Diane K Amstutz, Christine M Gagnon, Zachary L McCormick
BACKGROUND: The relation between chronic musculoskeletal pain and joint hypermobility in a small percentage of the pediatric population is well described. However, literature discussing the treatment of chronic pain associated with joint hypermobility in pediatrics is limited. The present study examines the impact of interdisciplinary treatment on chronic pain in pediatrics with joint hypermobility syndrome. OBJECTIVE: To determine if pediatric patients with chronic pain related to joint hypermobility can be effectively treated with an intensive, interdisciplinary pain management program, as measured by changes in pain, psychosocial and physical functioning, as well as parental coping...
July 30, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/30010049/frequency-and-characteristics-of-recommendations-from-interdisciplinary-outpatient-cancer-rehabilitation-monthly-team-meetings
#20
Jegy M Tennison, An Ngo-Huang, Jack B Fu, Anissa E Hill, Seyedeh S Dibaj, Eduardo Bruera
BACKGROUND: Ambulatory cancer rehabilitation programs vary widely in the types of services offered, and there is a lack of consistency with respect to the coordination of rehabilitation with oncologic treatment plans. There are no guidelines for outpatient interdisciplinary rehabilitation team meetings, and the types and characteristics of recommendations that a physiatrist can provide during these meetings have not been reported. OBJECTIVE: To identify the frequency and characteristics of different types of recommendations that were derived through monthly interdisciplinary outpatient rehabilitation team meetings involving physiatrists, physical therapists, and occupational therapists...
July 29, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
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