Respiratory Synkinesis Seen in the Biceps Brachii Muscle Resulting From Meningitis 20 Years Ago
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - November 17, 2018 Category: Rehabilitation Tags: Video Gallery Source Type: research

Ultrasonographic Findings in a Latissimus Dorsi Injury in a Beach Volleyball Player
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - November 17, 2018 Category: Rehabilitation Tags: Visual Vignettes Source Type: research

Reversible Visual Field Defect After Isolated Intraventricular Hemorrhage
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - November 17, 2018 Category: Rehabilitation Tags: Visual Vignettes Source Type: research

On Loneliness: Where Politics, Medicine, Psychology, and Society Meet
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - November 17, 2018 Category: Rehabilitation Tags: Letters to the Editor Source Type: research

Letter to the Editor About the Article "Aquatic Exercises in the Treatment of Low Back Pain: A Systematic Review of the Literature and Meta-Analysis of Eight Studies"
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - November 17, 2018 Category: Rehabilitation Tags: Letters to the Editor Source Type: research

Influencing Health Behavior Change Related to Musculoskeletal Conditions: The Need to Expand the Evidence Base and the Case for Multitheory Model
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - November 17, 2018 Category: Rehabilitation Tags: Letters to the Editor Source Type: research

Retraction: Sato et al. Am J Phys Med Rehabil 2005;84:692–8
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - November 17, 2018 Category: Rehabilitation Tags: Retraction Source Type: research

Physical Medicine and Rehabilitation Role on Notalgia Paresthetica: Case Report and Treatment Review
This article presents a case report of a 39-yr-old woman with pain, pruritus, and a hyperpigmented area in the right dorsal infra scapular region. The diagnosis of notalgia paresthetica was established. She was successfully treated with topical anesthetics, postural corrective exercises, scapular muscle strengthening, and pectoral muscle stretching. In this context, different treatment options were reviewed. A small set of pharmacological and nonpharmacological techniques were identified. Several of these modalities belong to the physical medicine and rehabilitation field of action. (Source: American Journal of Physical Me...
Source: American Journal of Physical Medicine and Rehabilitation - November 17, 2018 Category: Rehabilitation Tags: Case Report Source Type: research

State of the States: Growing PhysiatryAssociation of Academic Physiatrists Position Statement Addressing Academic Physiatry and Physical Medicine and Rehabilitation Growth
This article presents disparities in medical student exposure to physiatry, physical medicine and rehabilitation residency positions, the number of practicing physiatrists, and physical medicine and rehabilitation–relevant patient care needs, by state. In the model, these disparities are highlighted to provide guidance and expose gaps/opportunities for targeted physiatric growth. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - November 17, 2018 Category: Rehabilitation Tags: AAP Position Statement Source Type: research

Evidence-Based Physiatry: Pediatric Neuromuscular Rehabilitation in the Era of Precision Medicine
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - November 17, 2018 Category: Rehabilitation Tags: Evidence-Based Physiatry Source Type: research

Bone Marrow Fat Physiology in Relation to Skeletal Metabolism and Cardiometabolic Disease Risk in Children With Cerebral Palsy
In conclusion, although inadequate mechanical loading may initiate poor skeletal development, subsequent expansion of bone marrow fat may further impede skeletal acquisition and increase cardiometabolic disease risk in those with cerebral palsy. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - November 17, 2018 Category: Rehabilitation Tags: Literature Review Source Type: research

Efficacy of Compression Gloves in the Rehabilitation of Distal Radius Fractures: Randomized Controlled Study
Conclusion This randomized controlled trial shows that using compression gloves during the rehabilitation phase after distal radius fracture improves daily functioning and reduces adverse symptoms. These improvements, which are important in their own right, are also expected to aid in preventing the development of chronic conditions and disability. Evidence Level II Un-blinded prospective comparative study. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - November 17, 2018 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Association of Admission Functional Status and Assistive Device Provision for Veterans Poststroke: A Retrospective Study
Conclusions Functional status can provide some objectivity to the largely subjective assistive device provision decision-making process; however, many other factors must be considered simultaneously, complicating efforts to standardize provision. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - November 17, 2018 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Relation Between Memory Impairment and the Fornix Injury in Patients With Mild Traumatic Brain Injury: A Diffusion Tensor Tractography Study
Objective We investigated the relation between memory impairment and the fornix injury in patients with mild traumatic brain injury, using diffusion tensor tractography. Design Eighty-six chronic patients with mild traumatic brain injury and 50 normal control subjects were recruited. Fractional anisotropy and fiber volume were measured for each reconstructed fornix. The patients were classified according to the following three types: type A (47 patients), intact integrity of both fornical crura; type B (27 patients), showed a discontinuation in either fornical crus; and type C (12 patients), discontinuations in both f...
Source: American Journal of Physical Medicine and Rehabilitation - November 17, 2018 Category: Rehabilitation Tags: Original Research Articles Source Type: research

The Effect of Stabilization Exercises on Pain, Disability, and Pelvic Floor Muscle Function in Postpartum Lumbopelvic Pain: A Randomized Controlled Trial
This study was performed at the physiotherapy clinic, Zahedan University of Medical Science, from January to November 2017. Participants Thirty-six multiparous women with persistent postpartum lumbopelvic pain were recruited at least 3 mos after delivery. Interventions Subjects in the training group (n = 18) received electrotherapy modalities and specific stabilizing exercises. The control group (n = 18) received only electrotherapy modalities. Main Outcome Measures Pain, disability, and bladder base displacement (at rest and pelvic floor muscles contraction) were measured through visual analog scale, Oswestry Dis...
Source: American Journal of Physical Medicine and Rehabilitation - November 17, 2018 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Improvement During Inpatient Rehabilitation Among Older Adults With Guillain-Barré Syndrome, Multiple Sclerosis, Parkinson Disease, and Stroke
Conclusions Patients with Guillain-Barré syndrome, multiple sclerosis, Parkinson disease, and stroke should improve during inpatient rehabilitation but anticipated outcomes for patients with Guillain-Barré syndrome should be even higher. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - November 17, 2018 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Onabotulinum Toxin A Injections Into the Salivary Glands for Spinal Muscle Atrophy Type I: A Prospective Case Series of 4 Patients
Conclusion Ultrasound-guided onabotulinum toxin A injections to the salivary glands may be a safe and effective method of decreasing drooling in patients with spinal muscular atrophy type I. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - November 17, 2018 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Short-Term Effects of Normocapnic Hyperpnea and Exercise Training in Patients With Chronic Obstructive Pulmonary Disease: A Pilot Study
Conclusions Short-term normocapnic hyperpnea training added to standard exercise, compared with exercise training alone, improves respiratory muscle endurance and strength but not exercise tolerance in patients with chronic obstructive pulmonary disease. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - November 17, 2018 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Co-morbidities Associated With Early Mortality in Adults With Spina Bifida
Conclusions Clinicians treating individuals with spina bifida should be aware of the potential for earlier mortality in individuals with myelomeningocele, hydrocephalus, and Chiari II malformation, especially with regard to infection, respiratory failure, renal failure, shunt malfunction, and cancer. To Claim CME Credits Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME CME Objectives Upon completion of this article, the reader should be able to: (1) Discuss the importance of recognizing co-morbidities in adult individuals with spina bifida; (2) Describe secondary co...
Source: American Journal of Physical Medicine and Rehabilitation - November 17, 2018 Category: Rehabilitation Tags: Original Research Articles CME Article . 2018 Series . Number 12 Source Type: research

Herniation of Hoffa's Fat Pad Through the Lateral Retinaculum: Usefulness of Dynamic Ultrasonography to Diagnose a Lateral Knee Mass
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - October 19, 2018 Category: Rehabilitation Tags: Visual Vignettes Source Type: research

Ultrasonographic Imaging of the Median Nerve With a Struthers Ligament
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - October 19, 2018 Category: Rehabilitation Tags: Visual Vignettes Source Type: research

Response to the Letter to the Editor on the Article “Evaluation of Posterosuperior Labral Tear With Shoulder Sonography After Intra-articular Injection”
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - October 19, 2018 Category: Rehabilitation Tags: Letters to the Editor Source Type: research

Evaluation of Posterosuperior Labral Tear With Shoulder Sonography After Intra-articular Injection
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - October 19, 2018 Category: Rehabilitation Tags: Letters to the Editor Source Type: research

Ultrasound Imaging for Muscle Variations: Digastric Flexor Carpi Ulnaris, Gastrocnemius Tertius, and Supernumerary Fibularis Longus in an Asymptomatic Family
In this report, we demonstrated and discussed a similar scenario in an asymptomatic individual (and his close family members) using ultrasound imaging for scanning the digastric flexor carpi ulnaris, gastrocnemius tertius, and supernumerary fibularis longus muscles. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - October 19, 2018 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Femoral Artery Bypass Graft Pseudoaneurysm Rupture in a Transfemoral Amputee
The case of a patient with an actively bleeding pseudoaneurysm associated with remnants of a polytetrafluoroethylene femoral bypass graft in his transfemoral residual limb is described. Initial graft placement was due to peripheral arterial disease. During subsequent transfemoral amputation, remnants of the nonpatent graft were retained in the residuum. After 4 yrs of lower limb prosthesis use, a proximal anastomosis pseudoaneurysm developed (with avulsion of graft remnants). The patient presented to clinic with a 5-day history of increased left groin fullness and largely nonradiating pain (rated 10/10). He was diagnosed w...
Source: American Journal of Physical Medicine and Rehabilitation - October 19, 2018 Category: Rehabilitation Tags: Case Reports Source Type: research

Physiatry, Pain Management, and the Opioid Crisis: A Focus on Function
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - October 19, 2018 Category: Rehabilitation Tags: AAP Position Statement Source Type: research

Evidence-Based Physiatry: Managing Low Back Pain Wisely
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - October 19, 2018 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Poststroke Depression: A Long-Term Problem for Stroke Survivors Erratum
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - October 19, 2018 Category: Rehabilitation Tags: Erratum Source Type: research

The Prevalence of Scoliosis in Spina Bifida Subpopulations: A Systematic Review
Prevalence of scoliosis within spina bifida subpopulations is important for diagnostics and therapeutic purposes. This review determined the prevalence of scoliosis within spina bifida subpopulations by means of a systematic literature review by using the following databases: Medline PubMed, Embase, Cochrane, and Pedro. All Dutch- and English-written literature using the MESH terms “spinal dysraphism,” “neural tube defects,” and “scoliosis” was analyzed using the exclusion criteria: animal studies, case reports, studies regarding the prevalence of spina bifida among patients with scolios...
Source: American Journal of Physical Medicine and Rehabilitation - October 19, 2018 Category: Rehabilitation Tags: Literature Review Source Type: research

Functional Impairments Associated With Patient Activation Among Community-Dwelling Older Adults
This article explores the associations of stages with the following three dimensions of patient activation: self-care efficacy, patient-doctor communication, and health-information seeking. We hypothesized that higher activity of daily living and instrumental activity of daily living stages (greater limitation) are associated with a lower level of patient activation. Methods Patient activation factors were derived from the 2004 and 2009 Medicare Current Beneficiary Survey. In this cross-sectional study (N = 8981), the associations of activity limitation stages with patient activation factors were assessed in latent fact...
Source: American Journal of Physical Medicine and Rehabilitation - October 19, 2018 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Narrative Medicine in Amyotrophic Lateral Sclerosis and a Rehabilitation Project Based on International Classification of Functioning, Disability and Health
Objective The aim of the study was to systematize the disability condition related to amyotrophic lateral sclerosis patients using the International Classification of Functioning, Disability and Health (ICF) and narrative medicine approach as a common tool to identify a patient's functional problems. Once identified, this can be used as the basis for an individual rehabilitation project. Design This is an observational study on patients residing in a central region of Italy with a diagnosis of amyotrophic lateral sclerosis. The narrative approach involved listening to the patients' stories while guiding them with a se...
Source: American Journal of Physical Medicine and Rehabilitation - October 19, 2018 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Influence of Creatine Supplementation on Apoptosis Markers After Downhill Running in Middle-Aged Men: A Crossover Randomized, Double-Blind, and Placebo-Controlled Study
Objective Strenuous exercise can induce apoptosis in a variety of tissues. We investigated the effects of creatine loading on apoptosis markers after downhill running. Design Twenty-two middle-aged men were randomly assigned to either a creatine or a placebo group. Crossover design, double-blind controlled supplementation was performed using 20 g/d−1 of creatine or maltodextrin for 7 days. Downhill running (12% incline) at 70% of heart rate maximum for 40 mins was performed on the eighth day. Blood samples were taken on the day before supplementation, after supplementation and after running. Results There wer...
Source: American Journal of Physical Medicine and Rehabilitation - October 19, 2018 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Amount and Socio-Ecological Correlates of Exercise in Men and Women at Cardiac Rehabilitation Completion
Objective The aim of the study was to describe (1) the amount of physical activity (PA) in cardiac rehabilitation (CR) graduates by sex, and (2) the correlates of their PA. Design Secondary analysis of baseline data from a randomized trial was undertaken. Graduates were recruited from three CR programs. Participants completed a questionnaire, which assessed constructs from the socio-ecological model (i.e., individual-level, social- and physical-environmental levels). Physical activity was measured objectively using an ActiGraph GT3X accelerometer. Multilevel modeling was performed. Results Two hundred fifty-five pa...
Source: American Journal of Physical Medicine and Rehabilitation - October 19, 2018 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Nerve Stimulation Enhances Task-Oriented Training for Moderate-to-Severe Hemiparesis 3–12 Months After Stroke: A Randomized Trial
Conclusions Somatosensory stimulation can improve objective outcomes of motor training for moderate-to-severe hemiparesis less than 12 mos after stroke, although it needs to be determined whether the magnitude of between-groups differences in this study is clinically relevant. Future studies should investigate the intervention's impact on disability and functional recovery for this population as well as neurophysiological mechanisms underlying intervention effects. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - October 19, 2018 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Effectiveness of Physiotherapy Interventions on Spasticity in People With Multiple Sclerosis: A Systematic Review and Meta-Analysis
Conclusions Physiotherapy interventions can be a safe and beneficial option for spasticity in people with multiple sclerosis. No firm conclusion can be drawn on overall spasticity. Further researches in different spasticity aspects are needed. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - October 19, 2018 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Functional Outcome of Elderly Hip Fracture Patients Is Not Affected By Prefracture Dementia
Objective The aim of the study was to examine whether a diagnosis of prefracture dementia (PFD) affects functional outcome at discharge from a geriatric rehabilitation setting. Design A total of 211 consecutive elderly hip fracture patients were evaluated retrospectively. We used the Functional Independence Measure (FIM) and analyzed data by t test, χ2 test, and multiple linear regression analysis. Results Patients with PFD were older (P = 0.001), presented with lower Mini-Mental State Examination scores (P (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - October 19, 2018 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Mobility Analysis of AmpuTees II: Comorbidities and Mobility in Lower Limb Prosthesis Users
Conclusions Clinicians should consider patient age and history of stroke, peripheral vascular disease, or anxiety/panic disorders when optimizing a lower limb prosthesis users' mobility because these variables may be predictive of modest but clinically meaningful decreased prosthetic mobility. By contrast, common comorbid health conditions such as arthritis, chronic obstructive pulmonary disease, congestive heart failure, and diabetes do not seem predictive of decreased mobility among lower limb prosthesis users. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - October 19, 2018 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Effects of Repetitive Transcranial Magnetic Stimulation on Walking and Balance Function after Stroke: A Systematic Review and Meta-Analysis
Conclusion These results suggest that rTMS, particularly ipsilesional stimulation, significantly improves walking speed. Future studies with larger sample sizes and an adequate follow-up period are required to further understand the effects of rTMS on lower limb function and its relationship with changes in cortical excitability with the help of functional neuroimaging techniques. To Claim CME Credits Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME CME Objectives Upon completion of this article, the reader should be able to: 1) Understand the potential neurophysiol...
Source: American Journal of Physical Medicine and Rehabilitation - October 19, 2018 Category: Rehabilitation Tags: Original Research Articles CME Article . 2018 Series . Number 11 Source Type: research

Ultrasound-Guided Injection of Botulinum Toxin for Cricopharyngeal Dysphagia
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - September 19, 2018 Category: Rehabilitation Tags: Video Gallery Source Type: research

The Power of Doppler in the Popliteal Fossa: Sonographic Diagnosis of a Fibular Nerve Neurofibroma in a Patient With Posterior Knee Swelling
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - September 19, 2018 Category: Rehabilitation Tags: Visual Vignettes Source Type: research

An Uncommon Cause of Upper Limb Pain: Cervical Perineural (Tarlov) Cyst Chain
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - September 19, 2018 Category: Rehabilitation Tags: Visual Vignettes Source Type: research

Response to the Letter to the Editor on “The Effectiveness of Technology-Supported Exercise Therapy for Low Back Pain: A Systematic Review”
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - September 19, 2018 Category: Rehabilitation Tags: Letters to the Editor Source Type: research

Exercise Therapy for Low Back Pain: A Systematic Review
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - September 19, 2018 Category: Rehabilitation Tags: Letters to the Editor Source Type: research

Effect of Polydeoxyribonucleotide Injection in a Patient With Carpal Tunnel Syndrome
Ultrasound-guided corticosteroid injection into the carpal tunnel is widely performed for the management of carpal tunnel syndrome. However, this injection may worsen the condition in patients with type 2 diabetes mellitus. Polydeoxyribonucleotide was recently recognized as a substitute for corticosteroid because of its anti-inflammatory effects. A 41-yr-old woman with type 2 diabetes mellitus was admitted to our rehabilitation clinic with a 1-mo history of numbness and tingling in her right hand and first three fingers tips. She declined corticosteroid treatment because of a previous episode of uncontrolled blood glucose ...
Source: American Journal of Physical Medicine and Rehabilitation - September 19, 2018 Category: Rehabilitation Tags: Case Reports Source Type: research

Successful First Gait of a Child With Hip-Disarticulation Prosthesis
An infant boy underwent hip disarticulation for infantile fibrosarcoma immediately after birth. His rehabilitation began when he was 4 mos old and involved training with his left (residual) leg. He could stand with support at 12 mos. His initial prosthesis fitting was performed at the age of 13 mos. He could stand and walk with support at 15 mos of age and could walk with no additional support and go up and down stairs at 2 yrs. A single-axis prosthetic knee joint was introduced at the age of 2 yrs 3 mos. His first gait using a hip prosthesis was successful, and his prosthesis was replaced at appropriate intervals with no ...
Source: American Journal of Physical Medicine and Rehabilitation - September 19, 2018 Category: Rehabilitation Tags: Case Reports Source Type: research

Rehabilitation for Cancer Survivors: How We Can Reduce the Healthcare Service Inequality in Low- and Middle-Income Countries
Cancer diagnosis often substantially affects patient's physical, psychological, and emotional status. Most patients with cancer experience declining of energy, activity levels, social-cultural participation, and relationships. In addition, cancer progression and adverse effects of aggressive cancer treatment often cause debilitating pain, fatigue, weakness, joint stiffness, depression, emotional instability, limited mobility, poor nutritional status, skin breakdown, bowel dysfunction, swallowing difficulty, and lymphedema leading into functional impairment and disability that can be addressed through rehabilitation care. C...
Source: American Journal of Physical Medicine and Rehabilitation - September 19, 2018 Category: Rehabilitation Tags: Analysis & Perspective Source Type: research

Evidence-Based Physiatry: Clinical Practice Guideline Noninvasive Treatments for Low Back Pain
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - September 19, 2018 Category: Rehabilitation Tags: Evidence-Based Physiatry Source Type: research

Delirium Screening and Management in Inpatient Rehabilitation Facilities
Delirium is an acute and fluctuating disturbance in cognition attention and awareness that is often a reflection of abnormal physiological condition of an individual. Delirium is highly prevalent among an older population and is associated with high mortality, poor medical and functional outcomes, and high healthcare cost. Delirium often has iatrogenic triggers, and it has been recognized as a quality indicator of healthcare organizations. Despite its high prevalence and significance, more than 50% of the delirium cases are underrecognized by healthcare professionals and remained untreated. Most patients in inpatient rehab...
Source: American Journal of Physical Medicine and Rehabilitation - September 19, 2018 Category: Rehabilitation Tags: Literature Review Source Type: research

Cost-Effectiveness Analysis of Routine Venous Doppler Ultrasound for Diagnosis of Deep Venous Thrombosis at Admission to Inpatient Rehabilitation
Objective The aims of the study were to identify whether timing of venous thromboembolism diagnosis is associated with differences in patient outcomes and to perform a cost-effectiveness analysis of routine venous Doppler ultrasound at admission to inpatient rehabilitation, taking into account costs associated with prolonged inpatient rehabilitation length of stay, and development of pulmonary embolism. Design This was a retrospective cohort study of 2312 consecutive patient discharges from a single inpatient rehabilitation facility for an 18-mo period. Cost-effectiveness model was built using TreeAge Healthcare Pro. ...
Source: American Journal of Physical Medicine and Rehabilitation - September 19, 2018 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Corticosteroid Injections Into Lumbar Facet Joints: A Prospective, Randomized, Double-Blind Placebo-Controlled Trial
Conclusions Corticosteroid injections into the lumbar z-joints were not effective in reducing the need for radiofrequency neurotomy of the medial branches in those with z-joint pain confirmed by dual comparative medial branch blocks. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - September 19, 2018 Category: Rehabilitation Tags: Original Research Articles Source Type: research