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Ultrasound in physical medicine and rehabilitation

Mouna Sghir, Mohamed Guedria, Marwa Maraoui, Wafa Haj Hamad, Wafa Said, Saida Jerbi, Wassia Kessomtini
OBJECTIVE: The femur aplasia is a congenital developmental defect of the femur often associated with malformations of the pelvis and lower limb. There are all intermediaries between the short femur and vestigial femoral. The total femur absence (agenesis) is rare. We report a case of a child followed in our Physical Medicine Department for proximal bilateral femoral agenesis. OBSERVATIONS: This is M.S., a 5 years old child, addressed for a waddling gait and a deformation of the trunk...
September 2016: Annals of Physical and Rehabilitation Medicine
Nawaraj Subedi, Priam Heire, Vinay Parmar, Simon Beardmore, Chooi Oh, Fergus Jepson, Syed Ali
Limb amputation is one of the oldest known surgical procedures performed for a variety of indications. Little surgical technical improvements have been made since the first procedure but peri- and post-operative refinements have occurred over time. Postamputation pain (PAP) of the stump is a common complication but is an extremely challenging condition to treat. Imaging allows early diagnosis of the underlying cause such that timely intervention is possible to minimize physical disability with its possible psychological and socioeconomic implications...
August 31, 2016: British Journal of Radiology
Eda Gürçay, Özgür Zeliha Karaahmet, Murat Kara, Şule Şahin Onat, Ayşe Merve Ata, Ece Ünlü, Levent Özçakar
OBJECTIVE: To evaluate the possible radial nerve entrapment of patients with unilateral refractory lateral epicondylitis (LE) by using ultrasound (US) and electroneuromyography. DESIGN: Cross-sectional study. SETTING: Three physical medicine and rehabilitation departments. SUBJECTS: Consecutive 44 patients (15 M, 29 F) with unilateral refractory LE. METHODS: All patients underwent detailed clinical, electrophysiological and ultrasonographic evaluations...
July 31, 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Brittany J Carr, Sherman O Canapp, Debra A Canapp, Lauri-Jo Gamble, David L Dycus
OBJECTIVE: To describe clinical and diagnostic findings as well as management of adhesive capsulitis in dogs. BACKGROUND: Adhesive capsulitis, also known as frozen shoulder, is a syndrome defined by loss of range of motion of the shoulder and may be the end-stage manifestation of several primary conditions. EVIDENTIARY VALUE: This is a case series report of eight dogs with chronic forelimb lameness diagnosed with adhesive capsulitis. METHODS: Medical records (June 1, 2010-September 1, 2015) including, physical examination findings, radiographic findings, magnetic resonance imaging (MRI) findings, arthroscopy findings, and treatment plans were reviewed...
2016: Frontiers in Veterinary Science
Kelly Mann, Juliette Hart, Felix Duerr
INTRODUCTION: Positron emission tomography (PET) imaging with fluorine-18-fluorodeoxyglucose (18F-FDG) is widely known for its use in the diagnosis and tracking of primary and metastatic tumors via uptake and retention of the radiopharmaceutical by hypermetabolic cells. 18F-FDG is also used to study the normal physiology of glucose uptake, metabolism, and muscle activity during and after exercise. BACKGROUND: A pilot study adding PET imaging to the diagnostic evaluation of canine patients undergoing computed tomography (CT) for mild or intermittent thoracic and pelvic limb lameness is ongoing...
2016: Frontiers in Veterinary Science
D Hayashi, F W Roemer, A Guermazi
Osteoarthritis (OA) is a widely prevalent disease worldwide and, with an increasing ageing society, is a challenge for the field of physical and rehabilitation medicine. Technologic advances and implementation of sophisticated post-processing instruments and analytic strategies have resulted in imaging playing a more and more important role in understanding the disease process of OA. Radiography is still the most commonly used imaging modality for establishing an imaging-based diagnosis of OA. The need for an effective non-surgical OA treatment is highly desired, but despite on-going research efforts no disease-modifying OA drugs have been discovered or approved to date...
June 2016: Annals of Physical and Rehabilitation Medicine
L Di Sante, F Camerota, C Celletti, F Ioppolo, V Santilli, E David
Neurothekeoma is a very rare benign connective tissue tumour that presumably derived from nerve sheath cells. We described the case of a rare localization of neurothekeoma in the upper limb with a strange presentation. A 49 years-old woman presented to the Physical Medicine and Rehabilitation Division of the Umberto I Hospital referring an intensive pain associated to paresthesias at the left forearm lasting from six months. The patient had a history of epicondylitis confirmed with an elbow RMN showing an increased thickness of the tendon insertions on the epicondiloidea region of the elbow...
November 2015: La Clinica Terapeutica
Imran J Siddiqui, Jennifer Luz, Joanne Borg-Stein, Kevin O'Connor, Marcia Bockbrader, Heather Rainey, David Way, Sam Colachis, David P Bahner, Minna J Kohler
BACKGROUND: Exposure to musculoskeletal ultrasound (MSUS) is now a mandatory component of physical medicine and rehabilitation (PM&R) residency training. However, reports on the extent of the implementation and efficacy of MSUS education are lacking in the literature. OBJECTIVE: To determine the extent to which PM&R residencies are implementing MSUS education. DESIGN: Cross-sectional. SETTING: Institutional. PARTICIPANTS: Thirty-six of the 78 United States PM&R residency programs accredited by the Accreditation Council for Graduate Medical Education...
July 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Kristopher Karvelas, Craig Ziegler, Monica E Rho
BACKGROUND: Electromyography (EMG) and musculoskeletal (MSK) ultrasound (US) are core learning objectives during physical medicine and rehabilitation (PM&R) training. However, there have been no prior studies using MSK US to assess the acquisition of EMG procedural skills during residency training. This study aims to demonstrate the differences in skillful needle placement between junior and senior physiatry residents. The integration of both EMG and MSK US may have tremendous potential for additional learning opportunities related to electrodiagnostic education...
August 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Arash Babaei-Ghazani, Bina Eftekhar-Sadat
A 26-year-old female who had been diagnosed with rheumatoid arthritis (RA) 5 years previously, developed multiple extra-articular cysts on shoulder and elbow. She referred to Physical Medicine and Rehabilitation department for musculoskeletal ultrasound guided intervention. RA cysts were resistance to previous blind injections and surgical resection. She had anterior shoulder and elbow pain and hand paresthesia. The average diameters of the cysts in sonography were 3 cm. The patient was keen to treat the cysts on her right shoulder and elbow as it hampered her activity of daily livings...
September 6, 2015: Journal of Back and Musculoskeletal Rehabilitation
Jennifer Luz, Imran Siddiqui, Nitin B Jain, Minna J Kohler, Jayne Donovan, Paul Gerrard, Joanne Borg-Stein
Musculoskeletal ultrasound (MSUS) training is now a required component of physiatry residency, but formal curriculum guidelines are not yet required or established. The authors' objective was to assess the educational value of a collaborative residency MSUS training program. The authors designed a structured MSUS training curriculum for residents based on the authors' experience and previous literature. Twenty-five residents participated in this MSUS curriculum designed by faculty and chief residents. Resident volunteers were trained by the faculty as "table trainers" who taught their peers in small groups...
December 2015: American Journal of Physical Medicine & Rehabilitation
Yeşim Akkoç, Murat Ersöz, Nur Yüceyar, Hakan Tunç, Kurtuluş Köklü, Tahir Kurtuluş Yoldaş, Ülkü Dönmez, Cihat Uzunköprü, Ebru Alemdaroğlu, Şule Bilen, Ufuk Emre, Şenay Özdolap, Elif Tuncay, Canan Yücesan, Haydar Gök, Merve Bahar Ercan, Kürşat Uygunol, Belgin Koçer, Murat Zinnuroğlu
OBJECTIVE: To determine the frequency and severity as well as the diagnosis and treatment of overactive bladder problems in patients with multiple sclerosis (MS) followed up at five centers in Turkey. DESIGN: Survey study. SETTING: Outpatient tertiary clinics of physical medicine and rehabilitation and neurology. PARTICIPANTS: Consecutive MS patients scheduled for outpatient follow-up (n = 309). INTERVENTION: MS patients were asked to complete a questionnaire regarding the frequency and severity, as well as the diagnosis and treatment of their overactive bladder problems...
2016: Journal of Spinal Cord Medicine
Tugce O Misirlioglu, Kenan Akgun, Deniz Palamar, Meryem G Erden, Tuba Erbilir
BACKGROUND: Piriformis syndrome (PS), which is characterized by pain radiating to the gluteal region and posterior leg, is accepted as one of the causes of sciatalgia. Although the importance of local piriformis muscle injections whenever PS is clinically suspected has been shown in many studies, there are not enough studies considering the clinical efficacy of these injections. OBJECTIVE: To investigate the differences between local anesthetic (LA) and LA + corticosteroid (CS) injections in the treatment of PS...
March 2015: Pain Physician
Deniz Palamar, Derya Uluduz, Sabahattin Saip, Gul Erden, Halil Unalan, Ulku Akarirmak
BACKGROUND: The effectiveness of greater occipital nerve block (GONB) in patients with primary headache syndromes is controversial. Few studies have been evaluated the usefulness of GONB in patients with migraine without aura (MWOA). OBJECTIVE: To compare the effectiveness of ultrasound-guided GONB using bupivacaine 0.5% and placebo on clinical improvement in patients with refractory MWOA in a randomized, double-blinded clinical trial. STUDY DESIGN: A prospective, randomized, placebo-controlled, double-blind pilot trial...
March 2015: Pain Physician
Levent Özçakar, Murat Kara, Ke-Vin Chang, Alparslan Bayram Çarl, Nuray Akkaya, Fatih Tok, Wen-Shiang Chen, Tyng-Guey Wang, Levent Tekin, Alper Murat Ulaşl, Carl P C Chen, Erhan Çapkn, Martine De Muynck
This article is an eventual consensus of experts from the European Musculoskeletal Ultrasound Study Group (EURO-MUSCULUS) and the Ultrasound Study Group in Physical and Rehabilitation Medicine (USPRM) pertaining to the use of musculoskeletal ultrasound in physical and rehabilitation medicine. Nineteen important reasons (as regards general advantages, specific conditions in physical and rehabilitation medicine, as well as comparisons with other imaging tools) have been highlighted to consolidate the scenario of how/why the probe of ultrasound needs to become the stethoscope, the extended hand, and the pen of physiatrists...
June 2015: American Journal of Physical Medicine & Rehabilitation
Elisa Edi Anna Nadia Lioce, Matteo Novello, Gianni Durando, Alessandro Bistolfi, Maria Vittoria Actis, Giuseppe Massazza, Chiara Magnetto, Caterina Guiot
The aim of the study described here was to quantitatively assess thermal and mechanical effects of therapeutic ultrasound (US) by sonicating a joint-mimicking phantom, made of muscle-equivalent material, using clinical US equipment. The phantom contains two bone disks simulating a deep joint (treated at 1 MHz) and a superficial joint (3 MHz). Thermal probes were inserted in fixed positions. To test the mechanical (cavitational) effects, we used a latex balloon filled with oxygen-loaded nanobubbles; the dimensions of the oxygen-loaded nanobubbles were determined before and after sonication...
November 2014: Ultrasound in Medicine & Biology
Joline E Brandenburg, Sarah F Eby, Pengfei Song, Heng Zhao, Jeffrey S Brault, Shigao Chen, Kai-Nan An
The use of brightness-mode ultrasound and Doppler ultrasound in physical medicine and rehabilitation has increased dramatically. The continuing evolution of ultrasound technology has also produced ultrasound elastography, a cutting-edge technology that can directly measure the mechanical properties of tissue, including muscle stiffness. Its real-time and direct measurements of muscle stiffness can aid the diagnosis and rehabilitation of acute musculoskeletal injuries and chronic myofascial pain. It can also help monitor outcomes of interventions affecting muscle in neuromuscular and musculoskeletal diseases, and it can better inform the functional prognosis...
November 2014: Archives of Physical Medicine and Rehabilitation
Monica E Rho, Samuel K Chu, Aaron Yang, Farah Hameed, Cindy Yuchin Lin, Peter J Hurh
OBJECTIVE: To determine the accuracy of knee and acromioclavicular (AC) joint line palpation in Physical Medicine and Rehabilitation (PM&R) residents using ultrasound (US) verification. DESIGN: Cohort study. SETTING: PM&R residency program at an academic institution. PARTICIPANTS: Twenty-four PM&R residents participating in a musculoskeletal US course (7 PGY-2, 8 PGY-3, and 9 PGY4 residents). METHODS: Twenty-four PM&R residents participating in an US course were asked to palpate the AC joint and lateral joint line of the knee in a female and male model before the start of the course...
October 2014: PM & R: the Journal of Injury, Function, and Rehabilitation
T E McAlindon, R R Bannuru, M C Sullivan, N K Arden, F Berenbaum, S M Bierma-Zeinstra, G A Hawker, Y Henrotin, D J Hunter, H Kawaguchi, K Kwoh, S Lohmander, F Rannou, E M Roos, M Underwood
OBJECTIVE: To develop concise, up-to-date, patient-focused, evidence-based, expert consensus guidelines for the management of knee osteoarthritis (OA), intended to inform patients, physicians, and allied healthcare professionals worldwide. METHOD: Thirteen experts from relevant medical disciplines (primary care, rheumatology, orthopedics, physical therapy, physical medicine and rehabilitation, and evidence-based medicine), three continents and ten countries (USA, UK, France, Netherlands, Belgium, Sweden, Denmark, Australia, Japan, and Canada) and a patient representative comprised the Osteoarthritis Guidelines Development Group (OAGDG)...
March 2014: Osteoarthritis and Cartilage
Eunkuk Kim, Jong Ha Lee
OBJECTIVE: To determine the efficacy of autologous platelet-rich plasma (PRP) compared with dextrose prolotherapy (DP) in patients with chronic recalcitrant plantar fasciitis (PF) DESIGN: A single-blinded, randomized, controlled study. SETTING: Department of Physical Medicine and Rehabilitation of a university hospital. PARTICIPANTS: Twenty-one patients with a clinical diagnosis of chronic PF confirmed by diagnostic ultrasound (plantar fascia thickness >4 mm) were randomly assigned to the PRP group (n = 10) or the DP group (n = 11)...
February 2014: PM & R: the Journal of Injury, Function, and Rehabilitation
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