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

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https://www.readbyqxmd.com/read/27915069/systematic-review-of-the-efficacy-of-particulate-vs-non-particulate-corticosteroids-in-epidural-injections
#1
REVIEW
Priyesh Mehta, Isaac Syrop, Jaspal Ricky Singh, Jonathan Kirschner
OBJECTIVE: To systematically analyze published studies in regards to the comparative efficacy of particulate versus non-particulate corticosteroids for cervical and lumbosacral epidural steroid injections (ESI) in reducing pain and improving function. TYPE: Systematic Review LITERATURE SURVEY: MEDLINE (Ovid), EMBASE, and Cochrane databases were searched from the period of 1950 to December 2015. METHODOLOGY: Criteria for inclusion in this review were: 1) Randomized controlled trials and 2) Retrospective studies comparing particulate versus non-particulate medication in fluoroscopically guided injections using a transforaminal (TF) or interlaminar (IL) approach...
November 30, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27915068/effects-of-the-pulsed-ultrasound-therapy-on-sensory-nerve-conduction-parameters-and-the-pain-threshold-perceptions-in-humans
#2
Othmar Schuhfried, Damir Vukanovic, Christian Kollmann, Karin Pieber, Tatjana Paternostro-Sluga
BACKGROUND: Therapeutic ultrasound is a often used clinical modality in the non-surgical treatment of entrapment neuropathies. To date the possible mechanism of action of pulsed ultrasound therapy on the peripheral nerve in the treatment of entrapment neuropathies is unclear. OBJECTIVE: To examine the effects of pulsed ultrasound therapy on peripheral nerve conduction parameters. DESIGN: A prospective, randomized, single blind, cross-over study...
November 30, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27915067/the-feasibility-and-effects-of-acupuncture-in-an-adolescent-nordic-ski-population
#3
Kristin L Garlanger, William H Fredericks, Alexander Do, Brent A Bauer, Edward R Laskowski
BACKGROUND: Studies investigating the use and effectiveness of acupuncture in adults post exercise have been well documented. Fewer studies involving acupuncture have been completed in the adolescent athlete population. To our knowledge there are no published studies that investigate the use of acupuncture in adolescent athletes within their field of play. OBJECTIVE: To primarily assess the feasibility of performing acupuncture in adolescent Nordic skiers within their athletic environment, and secondarily to measure the effect of acupuncture on muscle soreness and sense of well-being...
November 30, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27890578/adult-complex-regional-pain-syndrome-type-i-a-narrative-review
#4
REVIEW
Martino Bussa, Adriana Mascaro, Lorena Cuffaro, Simona Rinaldi
Complex regional pain syndrome type I (CRPS I) is a multifactorial painful disorder with a complex pathogenesis. Both peripheral and central mechanisms are involved. Acute CRPS I is considered an exaggerated inflammatory disorder but over time, because of altered function of the sympathetic nervous system, and maladaptive neuroplasticity, CRPS I evolves into a neurological disorder. This review thoroughly describes the pathophysiological aspects of CRPS I and summarizes the potential therapeutic options. The mechanisms and targets of the treatment are different in the early and late stages of the disease...
November 23, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27876656/postural-sway-balance-confidence-and-fear-of-falling-in-women-with-knee-osteoarthritis-in-comparison-to-matched-controls
#5
Marcelo Taglietti, Laís Faganello Dela Bela, Josilainne Marcelino Dias, Alexandre Roberto Marcondes Pelegrinelli, Jéssyca Fernandes Nogueira, João Pedro Batista Júnior, Rodrigo Gustavo da Silva Carvalho, Joseph Gerard McVeigh, Ligia Maria Facci, Felipe Arruda Moura, Jefferson Rosa Cardoso
BACKGROUND: Osteoarthritis (OA) is a chronic degenerative disease that commonly affects the knee joints. Individuals over 65 years with knee OA have a greater risk of falls. However, there has be limited examination of the parameters of postural sway (increased time, speed and postural sway area (center of pressure area (CoP)), and OA of the knee. OBJECTIVES: Primary: to determine whether the CoP variables discriminate between patients with knee OA and matched healthy volunteers, and to correlate the CoP variables with the Activities-Specific Balance Confidence Scale (ABC) and Falls Self-Efficacy Scale (FES); Secondary: to compare the CoP of the older women with OA with a control group in bipedal support condition with eyes opened and closed...
November 19, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27871967/prevalence-and-etiology-of-hypogonadism-in-young-men-with-chronic-spinal-cord-injury-a-cross-sectional-analysis-from-two-university-based-rehabilitation-centers
#6
Shannon D Sullivan, Mark S Nash, Eshetu Tefera, Emily Tinsley, Marc R Blackman, Suzanne Groah
BACKGROUND: Spinal cord injury (SCI) triggers an 'accelerated aging' process that may include development of hypogonadism, even among younger men with SCI; however, few studies have investigated the prevalence or etiology of hypogonadism in men with SCI. Young men with SCI are also at increased risk for developing metabolic dysfunction after injury, which may be exacerbated by concomitant testosterone (T) deficiency, thus identifying the prevalence and risk factors for T deficiency in men with SCI is important for their long-term health...
November 18, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27871966/improvement-in-compensation-for-chronic-post-stroke-homonymous-hemianopsia-following-initiation-of-an-ssri-a-case-report
#7
Benjamin A Abramoff, S Byron Milton, Samir R Belagaje
Homonymous hemianopsia (HH) is a common adverse outcome following stroke. Spontaneous improvement more than 6 months post stroke is thought to be unlikely, and traditional visual rehabilitation techniques lack clear evidence of efficacy. The case presented is of a 22 year-old woman who demonstrated improved compensation of her stroke-induced HH following the initiation of a selective serotonin reuptake inhibitor (SSRI). There is evidence supporting the use of SSRIs to improve post-stroke cognitive impairment, motor impairment and depression...
November 18, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27867020/a-randomized-dose-escalation-study-of-intravenous-baclofen-in-healthy-volunteers-clinical-tolerance-and-pharmacokinetics
#8
Natalie S Schmitz, Linda E Krach, Lisa D Coles, Usha Mishra, Suresh K Agarwal, James C Cloyd, Robert L Kriel
BACKGROUND: Abrupt discontinuation of baclofen can result in a potentially severe withdrawal syndrome. The current treatment for baclofen withdrawal is inadequate, resulting in a critical need to develop an alternative method to prevent or treat this withdrawal syndrome. OBJECTIVE: To evaluate the safety profile and pharmacokinetics of oral (PO) and investigational intravenous (IV) baclofen formulations at clinically relevant doses. DESIGN: Randomized, open-label, dose escalation, crossover study SETTING: Contract Research Organization (CRO) METHODS: Three cohorts of 12 healthy adults received single doses of PO baclofen (10mg, 15 mg or 20 mg) and 10-minute infusions of IV baclofen (7...
November 17, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27840298/isolated-unilateral-hand-weakness-due-to-cortical-cerebral-ischemia
#9
Wei Qu, Matthew Gardiner
Isolated hand weakness is a relatively common clinical presentation. The differential diagnosis includes peripheral and central neurological lesions. This is a report of sudden onset, pure hand weakness, without any other neurological signs or symptoms in the setting of prolonged hospital stay for bilateral diabetic foot ulcerations. A brain magnetic resonance image identified an "inverted omega sign" along the right precentral gyrus and paracentral lobule, consistent with an area of acute cortical infarction...
November 11, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27840296/soleus-muscle-herniation-with-magnetic-resonance-imaging-and-ultrasound-correlation-in-a-female-long-distance-runner-a-case-report
#10
David J Cormier, Alfred C Gellhorn, Jaspal R Singh
This is a case of a 40-year-old female endurance athlete with right leg pain while running. A comprehensive workup revealed a fascial defect with soleus muscle herniation. Although historically in many practice settings magnetic resonance imaging is the diagnostic imaging modality of choice for suspected muscle herniation through the fascia, the use of ultrasound is increasing because of lower cost, ease of access, and dynamic evaluation. To the authors' knowledge, there has not been a direct comparison between the accuracy of magnetic resonance imaging versus ultrasound in determining the size or location of a soleus muscle herniation...
November 11, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27840300/management-of-severe-hemiballismus-treatment-challenges-in-the-acute-inpatient-rehabilitation-setting-a-case-presentation
#11
Michael Hodde, Kelly E Rowe, Krishna Surapaneni, Phillip Terrigno, Anthony Brighenti, Eric L Altschuler
We report a case of a patient with profound right-sided hemiballismus resulting from an acute unilateral left thalamic lesion. The hemiballismus was significant and persistent, resulting in profound functional disability. We discuss the use of low-dose haloperidol in conjunction with acute rehabilitation in the treatment of hemiballismus, resulting in decreased amplitude and frequency of adventitious movements and leading to substantial functional gains in our patient. To our knowledge, this is the first extensive report of successful rehabilitation of a patient with functionally disabling hemiballismus...
November 10, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27840299/the-strengthening-effect-of-electrical-stimulation-on-lumbar-paraspinal-muscles-in-the-sitting-position-a-randomized-controlled-trial
#12
Young-Ah Choi, Shi-Uk Lee
BACKGROUND: Sedentary lifestyle, a prevalent finding in modern society, can lead to weakness of the lumbar trunk musculature. Electrical stimulation (ES), in addition to lumbar strengthening exercises, has been shown to increase muscle strength. OBJECTIVE: To assess the strengthening effect of ES on the lumbar paraspinal muscles during prolonged sitting. DESIGN: Randomized, controlled, single-blind study. SETTING: Tertiary hospital...
November 10, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27840297/gender-dependent-differences-in-hip-range-of-motion-and-impingement-testing-in-asymptomatic-college-freshman-athletes
#13
Sylvia Czuppon, Heidi Prather, Devyani M Hunt, Karen Steger-May, Nancy J Bloom, John C Clohisy, Richard Larsen, Marcie Harris-Hayes
BACKGROUND: Athletic activity is a proposed factor in the development and progression of intra-articular hip pathology. Early diagnosis and preventive treatments in "at risk" athletes is needed. OBJECTIVES: Primary: To report hip range of motion (ROM) and prevalence of positive impingement testing in asymptomatic college freshman athletes; Secondary: To determine if an association exists between hip ROM and a positive flexion-adduction-internal rotation (FADIR) test...
November 10, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27836771/differential-activation-of-the-dorsal-neck-muscles-during-a-light-arm-elevation-task-in-patients-with-chronic-nonspecific-neck-pain-and-asymptomatic-controls-an-ultrasonographic-study
#14
Raziyeh Baghi, Leila Rahnama, Noureddin Karimi, Fereshte Goodarzi, Asghar Rezasoltani, Shapour Jaberzadeh
BACKGROUND: Disturbance in neck muscle function is a well-known complication of chronic nonspecific neck pain (CNNP). It is, however, unclear which muscles are more susceptible to functional impairment in patients with CNNP during upper limb tasks. OBJECTIVES: To compare ultrasonographic changes in dorsal neck muscles thickness in patients with CNNP and asymptomatic controls while they performed a light load upper-limb movement. DESIGN: Case control...
November 9, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27825837/effects-of-functional-electrical-stimulation-on-reducing-falls-and-improving-gait-parameters-in-multiple-sclerosis-and-stroke
#15
Elisa Gervasoni, Riccardo Parelli, Marcin Uszynski, Alessandro Crippa, Alberto Marzegan, Angelo Montesano, Davide Cattaneo
BACKGROUND: Loss of neuromuscular control of the ankle joint is a common impairment in neurologic conditions, leading to abnormal gait and a greater risk of falling. Limited information, however, is available on the effectiveness of functional electrical stimulation (FES) on reducing falls, and no studies have investigated its usefulness in improving lower limbs kinematics related to foot clearance and energy recovery. SETTING: Clinical setting. STUDY DESIGN: Prospective longitudinal study...
November 4, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27816532/visualization-of-the-soft-tissues-at-the-lateral-and-medial-epicondyles-of-the-elbow
#16
Kimia Kani, Jack Porrino, Nirvikar Dahiya, Mihra Taljanovic, Hyojeong Mulcahy, Felix Chew
No abstract text is available yet for this article.
November 2, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27816531/visualization-of-the-plantar-aponeurosis
#17
Kimia Kani, Jack Porrino, Nirvikar Dahiya, Mihra Taljanovic, Hyojeong Mulcahy, Felix Chew
No abstract text is available yet for this article.
November 2, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27810582/functional-and-environmental-factors-are-associated-with-sustained-participation-in-adaptive-sports
#18
Cheri A Blauwet, Heidi Y Yang, Sebastian A Cruz, Jamie E Collins, Karen C Smith, Elena Losina, Jeff N Katz
BACKGROUND: Although community-based adaptive sports have become a popular means of rehabilitation for individuals with disabilities, little is known regarding the factors that lead to sustained participation. OBJECTIVE: To determine the demographic, environmental, disability-related, and functional factors associated with sustained participation in a community-based adaptive sports program. DESIGN: Retrospective cohort study. SETTING: Community-based adaptive sports program...
November 1, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27810581/effect-of-botulinum-toxin-on-disabling-neuropathic-pain-a-case-presentation-suggesting-a-new-therapeutic-strategy
#19
Michelangelo Buonocore, Laura Demartini, Silvia Mandrini, Anna Dall'Angelo, Elena Dalla Toffola
: This case presentation describes a 47-year-old woman who developed complex regional pain syndrome type II with severe neuropathic pain following iatrogenic transection of the tibial nerve at the ankle. The pain and disability progressively worsened over time, markedly impaired ambulation, and were not relieved despite various analgesic treatments. After injection of botulinum toxin (abobotulinumtoxinA, BoNT-A) in the leg muscles the tendons of which pass through the tarsal tunnel (together with the tibial nerve), her pain decreased and her walking capacity improved...
November 1, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27789336/differential-plantaris-achilles-tendon-motion-a-sonographic-and-cadaveric-investigation
#20
Jay Smith, Håkan Alfredson, Lorenzo Masci, Jacob L Sellon, Charonn D Woods
OBJECTIVE: To determine whether differential, multidirectional motion exists between the plantaris tendon (PT) and Achilles tendon (AT) as documented by dynamic ultrasound (US) and post-dissection examination in an unembalmed cadaveric model. DESIGN: Prospective, cadaveric laboratory investigation. SETTING: Procedural skills laboratory in a tertiary medical center. SUBJECTS: 20 unembalmed knee-ankle-foot specimens (9 right, 11 left) obtained from 6 male and 10 female donors ages 55-96 years (mean 80 years) with BMI's of 14...
October 24, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
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