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

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https://www.readbyqxmd.com/read/30010052/interdisciplinary-pain-management-improves-pain-and-function-in-pediatric-patients-with-chronic-pain-associated-with-joint-hypermobility-syndrome
#1
Gadi Revivo, Diane K Amstutz, Christine M Gagnon, Zachary L McCormick
BACKGROUND: The relationship 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 (JHS). 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 13, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/30010051/proximal-iliotibial-band-enthesopathy-in-a-runner-a-case-report
#2
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 MRI 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 13, 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
#3
REVIEW
Prathap Jayaram, Uzoh Ikepeama, 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...
July 13, 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
#4
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: 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 12, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29964211/botulinum-toxin-techniques-within-pediatric-physiatry
#5
Andrea Paulson, Christina K Zigler, Amy Houtrow, David Pruitt
BACKGROUND: Intramuscular botulinum toxin injections are utilized for treatment of focal spasticity in children, particularly in those with a diagnosis of cerebral palsy. There are a variety of techniques used when performing botulinum toxin injections without clear standards for pediatric providers. OBJECTIVE: To describe current practice techniques for botulinum toxin injections among pediatric physiatrists. DESIGN: Cross sectional survey using RedCap Software...
June 29, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29964215/pregnancy-results-in-lasting-changes-in-knee-joint-laxity
#6
Stacey R Chu, Elizabeth H Boyer, Bruce Beynnon, Neil A Segal
BACKGROUND: Altered joint laxity may contribute to joint dysfunction. Knee joint laxity has been shown to increase during pregnancy, but its long-term persistence is unknown. OBJECTIVE: To determine whether pregnancy leads to lasting increases in knee joint compliance and laxity that persist greater than 4 months postpartum. DESIGN: Prospective cohort study SETTING: A motion analysis laboratory at an academic medical center. PARTICIPANTS: Fifty healthy women in their first trimester of pregnancy with mean±SD age of 29...
June 28, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29964214/safety-considerations-in-prescription-of-nsaids-for-musculoskeletal-pain-a-narrative-review
#7
REVIEW
Katie M Hatt, Anita Vijapura, Ian Maitin, Ernesto Cruz
Non-steroidal anti-inflammatory drugs (NSAIDs) are frequently prescribed for the treatment of painful musculoskeletal conditions. When prescribing oral NSAIDs, clinicians must consider coexisting cardiovascular, cerebrovascular, gastrointestinal and renal disease as oral NSAIDs are associated with a broad spectrum of adverse effects on these systems. The varying safety profiles of NSAIDs can be attributed to differences in the extent to which the drug inhibits cyclooxygenase (COX)-1 versus COX-2 and their potential for drug-drug interactions...
June 28, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29964213/cardiovascular-risk-factors-among-older-adults-with-long-term-spinal-cord-injury
#8
Sophie Jörgensen, Mattias Hill, Jan Lexell
BACKGROUND: Individuals with spinal cord injury (SCI) now live longer, which increases the risk of cardiovascular disease. Knowledge of cardiovascular risk factors amenable to intervention are therefore needed to support their healthy aging. OBJECTIVE: To describe the occurrence of cardiovascular risk factors among older adults with long-term SCI and investigate the association with sociodemographics and injury characteristics. DESIGN: Cross-sectional descriptive cohort study...
June 28, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29964212/dextromethorphan-quinidine-for-pseudobulbar-affect-following-stroke-safety-and-effectiveness-in-the-prism-ii-trial
#9
Richard D Zorowitz, David N Alexander, Andrea E Formella, Fred Ledon, Charles Davis, Joao Siffert
BACKGROUND: Dextromethorphan (DM)/quinidine (Q) was approved for pseudobulbar affect (PBA) treatment based upon efficacy and safety trials in patients with PBA secondary to amyotrophic lateral sclerosis or multiple sclerosis. The PRISM II trial evaluated DM/Q as PBA treatment in patients with stroke, dementia or traumatic brain injury. OBJECTIVE: To report results from the stroke cohort of PRISM II, including the Stroke Impact Scale (SIS). DESIGN: Open-label trial evaluating twice daily DM/Q over 90 days STUDY PARTICIPANTS: Adults (n=113) with a clinical diagnosis of PBA secondary to stroke; stable psychiatric medications were allowed...
June 28, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29964210/can-a-brief-training-session-prepare-physician-sonographers-of-differing-experience-to-measure-the-ischiofemoral-space-a-reliability-study
#10
Brennan J Boettcher, John H Hollman, Jeffrey M Payne, Adam C Johnson, Jonathan T Finnoff
OBJECTIVE: The primary aim of this study was to determine the inter-rater and intra-rater reliability of ultrasound (US) measurements of the ischiofemoral space (IFS) following a brief training session. A secondary aim was to determine if reliability correlated with sonographer experience. DESIGN: Prospective SETTING: Physical Medicine and Rehabilitation department within a tertiary care institution. PARTICIPANTS: Seven male and 3 female individuals were recruited to serve as models...
June 28, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29964209/predictors-of-performance-on-the-american-board-of-physical-medicine-and-rehabilitation-maintenance-of-certification-examination
#11
Sherilyn W Driscoll, Carolyn C Geis, Mikaela M Raddatz, Carolyn L Kinney, Lawrence R Robinson
BACKGROUND: Maintenance of certification (MOC) in Physical Medicine and Rehabilitation is a process of lifelong learning which begins after successfully completing an Accreditation Council of Graduate Medical Education (ACGME) accredited residency and passing the American Board of Physical Medicine and Rehabilitation (ABPMR) Part I and Part II Examinations. We seek to identify factors predictive of successful MOC Examination performance. OBJECTIVE: To identify characteristics predictive of successful completion on the ABPMR MOC Examination DESIGN: Retrospective review SETTING: American Board of Physical Medicine and Rehabilitation database review PARTICIPANTS: 4,545 diplomates who completed the MOC Examination between January 2006 and December 2017 METHODS: MOC Examination performance was the primary outcome variable...
June 28, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29964208/quantifying-and-reducing-retained-botulinum-toxin-post-injection
#12
Ryan Solinsky, Steven C Kirshblum, Steven C Kirshblum
BACKGROUND: Retained botulinum toxin solution may be visible in vials and syringe tips after mixing and presumed complete injections, leaving patients without the full prescribed dose. OBJECTIVE: To quantify the mean amount of retained toxin within vials, syringes, and needles following spasticity injections (phase 1), and to design/test a targeted intervention for reduced retained toxin (phase 2). DESIGN: Prospective cohort quality assurance study...
June 28, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29933094/phenol-neurolysis-for-management-of-shoulder-spasticity-in-early-recovery-from-traumatic-brain-injury-a-case-report
#13
Manuel F Mas, Craig DiTommaso, Sheng Li
This case describes a 16-year-old boy who suffered a severe traumatic brain injury. The patient gradually recovered but developed debilitating spasticity mainly in left triceps muscle, abnormal positioning of shoulder girdle complex, and shoulder pain. Phenol (6%) was injected to axillary and radial nerves under guidance of electrical stimulation and ultrasound imaging at 10 weeks after initial injury. After injection, triceps spasticity and shoulder pain was immediately reduced and abnormal positions of shoulder girdle complex and elbow joint gradually returned to functional limits over 2 weeks...
June 19, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29933093/correlation-of-measurements-of-the-pre-arthritic-hip-between-plain-radiography-and-computed-tomography
#14
Mary E Air, Julian R Harrison, Joseph T Nguyen, Bryan T Kelly, Eric A Bogner, Peter J Moley
BACKGROUND: Prior studies have compared radiographic and computed tomography (CT) imaging for evaluation of pre-arthritic hip pain. However, the inter-modality, inter-rater, and intra-rater consistencies of those parameters have not been investigated. OBJECTIVE: To determine if radiographs with an anteroposterior pelvis view and 45°-Dunn lateral view reliably correlate with CT in the context of lateral center edge (LCE), Tonnis, alpha, and beta angle measurements for femoroacetabular impingement or hip dysplasia diagnosis...
June 19, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29929019/the-rehabilitation-of-advanced-heart-failure-patients-after-left-ventricular-assist-device-a-narrative-review
#15
REVIEW
Sarah M Eickmeyer, Kim D Barker, Anjum Sayyad, Leslie Rydberg
As an increasing number of patients with advanced heart failure are receiving a Left Ventricular Assist Device (LVAD) as either destination therapy or bridge to transplantation, there is increasing attention on functional outcomes and quality of life after LVAD implantation. Rehabilitation providers in the acute inpatient rehabilitation setting increasingly will treat patients with LVAD and should understand the exercise physiology, medical management, rehabilitation considerations, and outcomes after rehabilitation for patients with LVAD...
June 18, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29908934/congenital-partial-aplasia-of-the-atlas-causing-functional-angular-displacement-of-the-posterior-arch
#16
Lance M Mabry, Michael D Ross, Sonja I Dardenelle
No abstract text is available yet for this article.
June 14, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29908933/diminished-kinesthetic-and-visual-motor-imagery-ability-in-adults-with-chronic-low-back-pain
#17
Roy La Touche, Mónica Grande-Alonso, Ferran Cuenca-Martínez, Luis Gónzalez-Ferrero, Luis Suso-Martí, Alba Paris-Alemany
BACKGROUND: Low back pain (LBP) is the most prevalent musculoskeletal problem among adults. It has been observed that patients with chronic pain have maladaptive neuroplastic changes and difficulty in imagination processes. OBJECTIVE: To assess the ability of patients with chronic LBP (CLBP) to generate kinesthetic and visual motor images and the time they spent on this mental task compared with asymptomatic participants. DESIGN: Prospective, A cross-sectional study...
June 14, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29908296/sonographically-guided-plantaris-tendon-release-a-cadaveric-validation-study
#18
Jay Smith, Håkan Alfredson, Lorenzo Masci, Jacob L Sellon, Charonn D Woods
BACKGROUND: The plantaris tendon (PT) has been implicated in the pathogenesis of symptoms in a subset of patients with Achilles region pain syndromes and has been traditionally managed via open surgical resection. Although the PT can be visualized on ultrasound, a minimally invasive technique for sonographically guided PT release has not been formally described. OBJECTIVE: To validate a technique to perform sonographically guided PT release in an unembalmed cadaveric model...
June 13, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29860023/cytotoxic-effects-of-nonionic-iodinated-contrast-agent-on-human-adipose-derived-mesenchymal-stem-cells
#19
Tao Wu, Hai Nie, Allan B Dietz, David R Salek, Jay Smith, Andre J van Wijnen, Wenchun Qu
BACKGROUND: Transplantation of mesenchymal stem cells (MSCs) is a promising therapy for degenerative spine conditions. However, cell therapy for painful spine degeneration presently requires use of contrast agents during fluoroscopy-guided injections, and the effects of these agents on MSCs represents a gap in knowledge. OBJECTIVE: To investigate the biological effects of contrast media (CM) that are coinjected with MSCs. DESIGN: Prospective observational study...
June 1, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29860022/validity-reliability-and-responsiveness-of-the-spanish-version-of-the-optimal-instrument
#20
Arrate Pinto-Carral, Tania Fernández-Villa, Andrew A Guccione, Federico Montero Cuadrado, José Ma Cancela, Antonio José Molina
BACKGROUND: The Outpatient Physical Therapy Improvement in Movement Assessment Log (OPTIMAL) is a self-report instrument developed to measure the ability to perform mobility actions. OBJECTIVE: To validate a Spanish version of the OPTIMAL instrument. DESIGN: Cross-cultural adaptation and validation study. SETTING: Primary and specialized outpatient care settings. PARTICIPANTS: Three hundred seven patients beginning physical therapy treatment and 30 subjects from the general population...
June 1, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
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