Two Wrongs Make a Right: The Importance of Clinical Correlation
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - July 28, 2021 Category: Rehabilitation Tags: Visual Vignettes Source Type: research

Sonographic Evaluation of a Snapping Brachialis Muscle
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - July 28, 2021 Category: Rehabilitation Tags: Visual Vignettes Source Type: research

Demonstration With Three-Dimensional Volumetric Magnetic Resonance Sequences of Deep Peroneal Nerve Compression on Os Intermetatarseum Syndrome
The os intermetatarseum is a rare accessory bone of the foot. It is commonly asymptomatic, as are other such accessory bones of the foot. Nevertheless, when it becomes symptomatic, it can cause “os intermetatarseum syndrome.” Reported here is a case of os intermetatarseum syndrome, which is extremely rarely seen. To the best of the authors’ knowledge, there are very few cases of os intermetatarseum syndrome in the literature. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - July 28, 2021 Category: Rehabilitation Tags: Case Reports Source Type: research

Nontraumatic Acute Hyperextension Myelopathy Associated With Weightlifting
We describe the clinical course of a 56-yr-old woman without a significant medical history presenting with nontraumatic paraplegia found to have an infarction of the conus medullaris after intensive lumbar hyperextension exercises. This condition, known as surfer’s myelopathy, has been described in multiple case reports that attributed a similar mechanism and presentation. We present a case of surfer’s myelopathy associated with weightlifting, which has not been previously reported. We conclude that this diagnosis should be considered in patients who present after spine hyperextension activity with nontraumatic...
Source: American Journal of Physical Medicine and Rehabilitation - July 28, 2021 Category: Rehabilitation Tags: Case Reports Source Type: research

Physiatry Reviews for Evidence in Practice Second-Order Peer Review: Are Self-management Programs Effective for Community-Based Rehabilitation?
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - July 28, 2021 Category: Rehabilitation Tags: Physiatry Reviews for Evidence in Practice Source Type: research

Posterior Dislocation of Coccyx: A Rare Cause of Coccydynia
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - July 28, 2021 Category: Rehabilitation Tags: RFS – Teaching Images Source Type: research

Delayed Diagnosis of Nontraumatic Acute Compartment Syndrome in an Adolescent Athlete
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - July 28, 2021 Category: Rehabilitation Tags: RFS – Clinical Vignette Source Type: research

Prevalence of Drinking Within Low-Risk Guidelines During the First 2 Years After Inpatient Rehabilitation for Moderate or Severe Traumatic Brain Injury
The objective of this retrospective, longitudinal study was to investigate the prevalence of drinking within the recommended limits (i.e., low-risk drinking) after moderate/severe traumatic brain injury (TBI). Data were drawn from the National Institute on Disability, Independent Living, and Rehabilitation Research TBI Model Systems National Database, a longitudinal dataset closely representative of the US adult population requiring inpatient rehabilitation for TBI. The sample included 6348 adults with moderate or severe TBI (injured October 2006–May 2016) who received inpatient rehabilitation at a civilian TBI Model...
Source: American Journal of Physical Medicine and Rehabilitation - July 28, 2021 Category: Rehabilitation Tags: Brief Report Source Type: research

Physical Medicine and Rehabilitation Milestone Evaluation Project: Development of Standardized Rotation-Specific Milestone-Incorporated Faculty-of-Resident Evaluation Tools
This tri-institutional study describes the outcomes of utilization of newly developed, standardized, rotation-specific evaluations for faculty assessment of resident achievement of the physical medicine and rehabilitation milestones. Thirty-six physical medicine and rehabilitation faculty, representing three distinct academic institutions, completed a prestudy survey on the adequacy of the rotation-generic resident evaluation tools historically in use at each institution. During the 2016–2017 academic year, faculty in all three institutions consistently used a new set of rotation-specific milestone-incorporated evalu...
Source: American Journal of Physical Medicine and Rehabilitation - July 28, 2021 Category: Rehabilitation Tags: Education & Administration Source Type: research

The Development of a Novel International Elective in Physical Medicine and Rehabilitation
This article describes the development of an international rotation in physical medicine and rehabilitation including specific competency-based physical medicine and rehabilitation global health learning objectives, predeparture training, rotation structure, and postrotation feedback mechanisms. The aim is to present the development of the program as a resource for both residents and program directors to help create and maximize existing rotations at their own institutions. Learners must complete predeparture requirements that include completion of a musculoskeletal rotation and global health didactics intended to provide ...
Source: American Journal of Physical Medicine and Rehabilitation - July 28, 2021 Category: Rehabilitation Tags: Education & Administration Source Type: research

Cumulative Efficacy of Longitudinal Repeat Salivary Gland OnabotulinumtoxinA Injection: A Retrospective Study
Aim We hypothesized that repeat onabotulinumtoxinA (BTX-A) injections to salivary glands would have a cumulative effect on drooling, leading to prolonged efficacy duration. Methods We retrospectively reviewed medical records and conducted a telephone survey of individuals treated with BTX-A to the salivary glands to investigate ongoing efficacy or adverse effects. Outcome measures were duration of decrease in drooling and adverse events. The main independent variable was the number of injections. We identified 52 consecutive individuals (26 females) with cerebral palsy with an average age of 9 yrs, 3 mos ±...
Source: American Journal of Physical Medicine and Rehabilitation - July 28, 2021 Category: Rehabilitation Tags: Original Research Articles Source Type: research

What Determines the Quality of Rehabilitation Clinical Practice Guidelines?: An Overview Study
Objective The aim of the study was to determine what factors determine the quality of rehabilitation clinical practice guidelines. Design Six databases were searched for articles that had applied the Appraisal of Guidelines for Research & Evaluation II quality assessment tool to rehabilitation clinical practice guidelines. The 573 deduplicated abstracts were independently screened by two authors, resulting in 81 articles, the full texts of which were independently screened by two authors for Appraisal of Guidelines for Research & Evaluation II application to rehabilitation clinical practice guidelines, r...
Source: American Journal of Physical Medicine and Rehabilitation - July 28, 2021 Category: Rehabilitation Tags: Original Research Articles Source Type: research

The Effect of Alpha Lipoic Acid on the Recovery of Sciatic Nerve Injury in Rats: A Prospective Randomized Controlled Trial
Conclusion Alpha lipoic acid has the potential to accelerate the process of nerve healing in the context of SNCI in rats. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - July 28, 2021 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Developing a Framework for Designing and Deploying Technology-Assisted Rehabilitation After Stroke: A Qualitative Study
Conclusions The results suggest a four-pronged framework, the A3E framework that stands for Accessibility, Adaptability, Accountability, and Engagement, to comprehensively address existing barriers in providing rehabilitation services. This framework can guide technology developers and clinicians in designing and deploying technology-assisted rehabilitation solutions for poststroke rehabilitation, particularly using telerehabilitation. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - July 28, 2021 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Morphological and Functional Changes of the Tibialis Anterior Muscle After Combined Mirror Visual Feedback and Electromyographic Biofeedback in Poststroke Patients: A Randomized Trial
Objective The aim of the study was to investigate the morphological and functional changes of the tibialis anterior muscle after mirror visual feedback combined with electromyographic biofeedback in poststroke patients. Design A total of 46 poststroke patients were randomly divided into three groups: a mirror visual feedback + electromyographic biofeedback group, a mirror visual feedback group, and a control group. The mirror visual feedback + electromyographic biofeedback group was treated with both mirror visual feedback and electromyographic biofeedback, and the mirror visual feedback group was treated with m...
Source: American Journal of Physical Medicine and Rehabilitation - July 28, 2021 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Carpal Tunnel Syndrome in Autoimmune Rheumatic Diseases and Inflammatory Bowel Diseases: Retrospective Population Cohort Study
Conclusions Patients with Sjögren syndrome and rheumatic arthritis are susceptible to carpal tunnel syndrome. Patients with autoimmune rheumatic diseases/inflammatory bowel diseases have similar surgical rates as general population. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - July 28, 2021 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Nociceptive Flexion Reflex Threshold in Chronic Pain Patients: A Needed Update for the Current Evidence
Conclusions A lower nociceptive flexion reflex threshold in patients experiencing chronic pain conditions may imply hyperexcitability in central nervous system processing. As a preliminary study, the findings would act as a basis for developing a methodology assisting current clinical practices (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - July 28, 2021 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Lumbar Bracing for Chronic Low Back Pain: A Randomized Controlled Trial
Conclusions In patients with uncomplicated chronic low back pain, a back brace when combined with education and exercise instruction did not provide any pain relief compared with education and exercise instruction alone. 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) Describe the effect of lumbar back bracing on pain intensity in patients with chronic low back pain; (2) Discuss the effects of lumbar back bracing on pain-related disability, function, and...
Source: American Journal of Physical Medicine and Rehabilitation - July 28, 2021 Category: Rehabilitation Tags: CME Article . 2021 Series . Number 8 Source Type: research

Long-Term Decreased Exercise Capacity of COVID-19 Patients Who Received Mechanical Ventilation in Japan: A Case Series
The long-term exercise capacity of coronavirus disease 2019 patients with acute respiratory distress syndrome is not clear. The 6-min walking distance of four patients with coronavirus disease 2019–associated acute respiratory distress syndrome was followed for 6 mos after admission to the hospital. These four patients were admitted to the intensive care unit of our hospital and received mechanical ventilation. Rehabilitation therapy (positioning, postural drainage, and passive range-of-motion exercises) was started after intensive care unit admission. Mobilization therapy, including muscle power training, sitting on...
Source: American Journal of Physical Medicine and Rehabilitation - July 28, 2021 Category: Rehabilitation Tags: SPECIAL SECTION on COVID-19 and PM'R Source Type: research

Extended Neuralgic Amyotrophy Syndrome in a Confirmed COVID-19 Patient After Intensive Care Unit and Inpatient Rehabilitation Stay
The cause of neuralgic amyotrophy is often unknown but is commonly associated with a recent upper respiratory viral tract infection. Since the beginning of the COVID-19 pandemic, there has been a tireless effort to understand the sequelae of the virus. A 46-yr-old woman who presented after a COVID-19 hospitalization complicated by hypoxic respiratory failure requiring intubation and mechanical ventilation for 23 days was subsequently found to have lower limb sensorium changes as well as upper limb weakness. Left shoulder abduction and extension were both 3/5 in motor strength, and left hip flexion strength was 4/5 with dim...
Source: American Journal of Physical Medicine and Rehabilitation - July 28, 2021 Category: Rehabilitation Tags: SPECIAL SECTION on COVID-19 and PM'R Source Type: research

Proposed Decannulation Criteria for COVID-19 Patients
A 66-yr-old man had been intubated for 21 days for severe COVID-19 infection. He then underwent tracheotomy, retained the tube for 2 mos, and then was discharged home on 10 liters of O2/min breathing via a tracheostomy collar. We were consulted for tracheostomy tube decannulation. Mechanical insufflation-exsufflation was used via the tracheostomy tube to clear secretions, increase vital capacity, and normalize O2 saturation. He practiced nasal and mouthpiece noninvasive ventilatory support once a capped fenestrated cuffless tracheostomy tube was placed, although he did not need noninvasive ventilatory support after decannu...
Source: American Journal of Physical Medicine and Rehabilitation - July 28, 2021 Category: Rehabilitation Tags: SPECIAL SECTION on COVID-19 and PM'R Source Type: research

Hospitalized Patients With COVID-19 and Neurological Complications Experience More Frequent Decline in Functioning and Greater Rehabilitation Needs
The coronavirus disease 2019 has been reported to cause various serious neurological sequelae. However, there is little information available about the impact of the disease and its complications on patients’ functional status and their postacute needs. Hence, this study was performed to address the current gap in knowledge about the function and postacute needs of those with neurological complications of coronavirus disease 2019. A prospective chart review was completed for 319 patients admitted with coronavirus disease 2019 between March 4 and May 1, 2020. Primary outcomes included rate of new functional decline, d...
Source: American Journal of Physical Medicine and Rehabilitation - July 28, 2021 Category: Rehabilitation Tags: SPECIAL SECTION on COVID-19 and PM'R Source Type: research

Radial Nerve Compression Secondary to Orthopedic Fixation Plate for Humeral Shaft Fracture: Iatrogenic Double Crush Syndrome
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - June 25, 2021 Category: Rehabilitation Tags: Visual Vignette Source Type: research

Familial Hyperckemia and Calf Hypertrophy Secondary to a Caveolin-3 Mutation
Idiopathic hyperckemia has been described as persistent serum creatine kinase elevation at least 1.5 times the upper limit of normal in individuals with otherwise normal laboratory findings and neurological examination. This type of hyperckemia encompasses both sporadic and familial cases, which have been found to be asymptomatic or subclinical, presenting with mild symptoms, such as myalgias or cramps. Genetic causes of hyperckemia have been rarely described. The authors aim to describe a benign autosomal dominant condition caused by a rare mutation in the caveolin gene. Caveolin gene encodes for structural membrane prote...
Source: American Journal of Physical Medicine and Rehabilitation - June 25, 2021 Category: Rehabilitation Tags: Case Report Source Type: research

Classically Described, Paradoxically Underrecognized: A Case of Proximal Weakness, Hyporeflexia/Areflexia, and Dysautonomia
We present a case of chronic, progressive proximal weakness with dysautonomia and hyporeflexia/areflexia ultimately diagnosed with Lambert-Eaton myasthenic syndrome. An approach to neuroanatomical localization is discussed leading to the appropriate selection of electrodiagnostic studies. The electrophysiologic triad of Lambert-Eaton myasthenic syndrome is demonstrated with diffusely reduced motor amplitudes, decrement with low-frequency repetitive nerve stimulation, and increment of motor amplitudes after maximum voluntary contraction. Subsequent serologic testing for P/Q-type voltage-gated calcium channel antibodies are ...
Source: American Journal of Physical Medicine and Rehabilitation - June 25, 2021 Category: Rehabilitation Tags: RFS – Clinical Vignette Source Type: research

HIV Neuropathy–Associated Foot Drop, a Presenting Sign of HIV Infection, Resolving After Initiation of Antiretroviral Therapy: A Clinical Vignette
Peripheral neuropathy is one of the most frequent complaints in patients with HIV. Many complex syndromes exist, with the etiology being secondary to the disease process itself, antiretroviral medication, or immune reconstitution. However, isolated mononeuropathy is rare. In this case, we present a previously healthy man who complained of several months of worsening right foot drop that did not improve with physical therapy or lifestyle interventions. He had begun to use an solid ankle-foot orthotic on this right lower limb to minimize tripping and prevent falls. He had no other neuromuscular involvement or constitutional ...
Source: American Journal of Physical Medicine and Rehabilitation - June 25, 2021 Category: Rehabilitation Tags: RFS – Clinical Vignette Source Type: research

Correlation of Electrodiagnostic Findings in C8 Radiculopathies With Radiographic Data: A Retrospective Chart Review
Signs and symptoms of a C8 radiculopathy could mimic common comorbidities such as entrapment and peripheral neuropathies. These conditions and a C8 radiculopathy both can result in abnormal findings on needle examination of intrinsic hand muscles. It was hypothesized that needle examination of C8-innervated muscles in the forearm might improve concordance with magnetic resonance imaging (MRI) in the presence of underlying comorbidities. A retrospective analysis of electromyogram and C-spine MRI data in 80 patients with negative MRI of C-spine for C8-T1 neuroforaminal stenosis was performed. The percentage of false-positive...
Source: American Journal of Physical Medicine and Rehabilitation - June 25, 2021 Category: Rehabilitation Tags: Brief Report Source Type: research

Board Certification in Physical Medicine and Rehabilitation: A New Approach for a New Era
The American Board of Physical Medicine and Rehabilitation’s revised mission and vision emphasize lifelong learning throughout its board certification processes. More formative approaches have been incorporated into both initial and continuing certification. These changes are based in adult learning theory and are supported by an ongoing board research endeavor. Board certification in the future is envisioned as a partnership with physicians to facilitate ongoing learning and positively impact patient outcomes. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - June 25, 2021 Category: Rehabilitation Tags: Education & Administration Source Type: research

Beyond a Hashtag: Strategies to Move Toward a More Inclusive Physiatry Workforce
This article aims to provide strategic and intentional evidence-based recommendations for programs to follow. Holistic review, implicit bias training, structured interviews, and targeted outreach for those underrepresented in medicine are some of the tools that will help students enter and become successful in our specialty. Furthermore, this article provides novel guidance and considerations for virtual interviews during the COVID-19 pandemic. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - June 25, 2021 Category: Rehabilitation Tags: Education & Administration Source Type: research

Early Predictors of Neurological Outcomes After Traumatic Spinal Cord Injury: A Systematic Review and Proposal of a Conceptual Framework
Conclusions This study provides a comprehensive review of predictors of neurological outcomes after traumatic spinal cord injury. It also highlights the heterogeneity of outcomes used by studies to assess neurological recovery. The proposed conceptual framework classifies predictors and illustrates their relationships with outcomes. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - June 25, 2021 Category: Rehabilitation Tags: Literature Review Source Type: research

Using Elastographic Ultrasound to Assess the Effect of Cupping Size of Cupping Therapy on Stiffness of Triceps Muscle
The objective of this study was to compare the effect of cup size of cupping therapy on muscle stiffness. Design A repeated measures design with a counterbalanced design was used to test three cup sizes (45, 40, and 35 mm in inner diameter) in 12 healthy participants. Strain elastography was used to measure stiffness of the triceps before and after cupping therapy at 300 mm Hg for 5 mins. Strain elastogram was converted to the grayscale for the quantification of stiffness. Results The overall stiffness of triceps significantly reduced after cupping therapy with the 45-mm (106.2 ± 7.7, P (Source: Americ...
Source: American Journal of Physical Medicine and Rehabilitation - June 25, 2021 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Impact of Predefined Angles and a Revised APPLES Mnemonic on Accuracy and Performance Time for Simulated Ultrasound-Guided Injections
Conclusions Predefined angles seem to positively impact procedure time and accuracy for some target depths, and the APPLES mnemonic could be a helpful mental checklist for many novice operators. These may be useful tools to facilitate safe and efficient ultrasound-guided procedures in the clinical space. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - June 25, 2021 Category: Rehabilitation Tags: Original Research Articles Source Type: research

A Systematic Review of the Efficacy of Corticosteroid Injections of Tendon Sheaths, Excluding Stenosing Tenosynovitis of the Wrist and Hand
Conclusions Low-quality studies exist that suggest tendon sheath injections may provide at least short-term improvement in pain. Controlled studies are required to fully demonstrate efficacy. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - June 25, 2021 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Association Between 2010 Medicare Reforms and Utilization of Postacute Inpatient Rehabilitation in Ischemic Stroke
Objective The aim of the study was to investigate whether the elimination of trial admissions and the initiation of documentation requirements, via the 2010 Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility Prospective Payment System Rule, limited inpatient rehabilitation facility access while increasing skilled nursing facility utilization compared with home discharge in ischemic stroke patients. Design This is a retrospective observational study using Get with the Guidelines – Stroke hospital data between January 1, 2008 and December 31, 2015 (N = 1,643,553). Results Bet...
Source: American Journal of Physical Medicine and Rehabilitation - June 25, 2021 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Pressure Pain Threshold in Patients With Chronic Pain: A Systematic Review and Meta-Analysis
Introduction In chronic pain conditions, the pressure pain threshold has been used to investigate the presence of central sensitization. Methods A systematic review and meta-analysis were conducted to compare the threshold in chronic pain patients and healthy individuals. Ovid MEDLINE and Embase up to July 2019 were used to conduct the search. Search strategy included terms and sets of terms that describe the concepts “sensory testing” and “pain measurement.” Results The included studies consisted of 24 were case-control studies and 12 cross-sectional studies. The pooled total samp...
Source: American Journal of Physical Medicine and Rehabilitation - June 25, 2021 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Platelet-Rich Plasma Content of Active Spinal Cord Injured Patients: A Controlled Laboratory Study
Conclusions Spinal cord injury patients have fewer platelets and transforming growth factor β in their platelet-rich plasma at baseline compared with controls. Exercise increased platelet, leukocyte, and transforming growth factor β yield, compensating for the baseline deficits. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - June 25, 2021 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Effect of Radial Extracorporeal Shock Wave Combined With Ultrashort Wave Diathermy on Fibrosis and Contracture of Muscle
Conclusions Radial extracorporeal shock wave combined with ultrashort wave diathermy was effective in alleviating immobilization-induced contracture and fibrosis of muscle, as well as reducing the molecular manifestations of muscle fibrosis. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - June 25, 2021 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Executive Function Moderates Functional Outcomes of Engagement Strategies During Rehabilitation in Older Adults
Conclusions For older adults undergoing rehabilitation, greater functional improvement with the motivational techniques of Enhanced Medical Rehabilitation was contingent on patients having intact executive function. Given that executive function impairments are common in rehabilitation populations, new strategies are needed to improve treatment outcomes in physical/occupational therapy. 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 role of b...
Source: American Journal of Physical Medicine and Rehabilitation - June 25, 2021 Category: Rehabilitation Tags: CME Article . 2021 Series . Number 7 Source Type: research

Postacute Sequelae of COVID-19 Infection and Development of a Physiatry-Led Recovery Clinic
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - June 25, 2021 Category: Rehabilitation Tags: SPECIAL SECTION on COVID-19 and PM&R Source Type: research

A Clinical Vignette on Community Transition After Inpatient Rehabilitation for a Veteran With New Spinal Cord Injury–Related Disability During the COVID-19 Pandemic
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - June 25, 2021 Category: Rehabilitation Tags: SPECIAL SECTION on COVID-19 and PM&R Source Type: research

Inpatient Rehabilitation After COVID-19 Hospitalization in a Patient With Lung Transplant: A Case Study
Severe acute respiratory syndrome coronavirus 2, also known as coronavirus 2019 (COVID-19), has impacted the lives of many older individuals, with those with comorbidities having the highest risk of severe disease. Specifically, immunosuppression and chronic obstructive pulmonary disease are two important risk factors. This case report describes the rehabilitation course of a 62-yr-old woman with a history of a double lung transplant for chronic obstructive pulmonary disease in 2016 who contracted a severe COVID-19 infection. After nearly a month in the intensive care unit, she underwent a 10-day course of inpatient rehabi...
Source: American Journal of Physical Medicine and Rehabilitation - June 25, 2021 Category: Rehabilitation Tags: SPECIAL SECTION on COVID-19 and PM&R Source Type: research

A Tribute to Margaret Grace Stineman, MD
The field of physical medicine and rehabilitation mourns the death of Margaret Grace Stineman, MD. She was an incredibly productive researcher who helped to shape the delivery of rehabilitation care. She was a trusted colleague, mentor, and friend to many. Her outstanding accomplishments were acknowledged by her numerous awards and her election into honorary societies. Dr Stineman spent her career at the University of Pennsylvania and retired as Professor Emeritus in 2014. She is survived by her mother and innumerable colleagues and friends who were touched by her passion, intelligence, and dedication. (Source: American Jo...
Source: American Journal of Physical Medicine and Rehabilitation - June 25, 2021 Category: Rehabilitation Tags: Editorial Source Type: research

Letter to the Editor Regarding “Effects of Transcutaneous Neuromuscular Stimulation on Swallowing Disorders: A Systematic Review and Meta-Analysis”
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - May 27, 2021 Category: Rehabilitation Tags: Letter to the Editor Source Type: research

Postoperative Treatment of Intracranial Hypotension Venous Congestion–Associated Brain Injury With Zolpidem
A previously independent 75-yr-old man developed postoperative intracranial hypotension–associated venous congestion after an elective T10-pelvis fusion, which was complicated by durotomy. Postoperative day 0 magnetic resonance imaging noted symmetric edema of the basal ganglia, thalami, and cerebellar cortex as well as smooth diffuse pachymeningeal enhancement and dural thickening, consistent with postoperative intracranial hypotension–associated venous congestion. On postoperative day 0, patient developed tonic clonic seizures, and on postoperative day 2, patient was unable to follow commands or blink to visu...
Source: American Journal of Physical Medicine and Rehabilitation - May 27, 2021 Category: Rehabilitation Tags: Case Reports Source Type: research

Motor Relearning After Hypoglossal-Facial Nerve Anastomosis
This report highlights the details of her rehabilitation regimen including the specific techniques used to enhance motor relearning of facial expression through movement of the tongue. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - May 27, 2021 Category: Rehabilitation Tags: Case Reports Source Type: research

Two Cases of Intramuscular Hemangiomas in the Upper Limbs: From Sonography to Pathology
Intramuscular hemangiomas are benign soft tissue tumors that are rarely found in the upper limbs. Diagnosing these tumors may be challenging owing to their pertinent nonspecific symptoms—often leading to misdiagnoses like tendinitis or muscle strain. In this article, two cases of intramuscular hemangiomas are presented—one in flexor pollicis brevis muscle and the other one in flexor digitorum superficialis muscle. Both subjects had nonspecific clinical symptoms whereby ultrasound imaging led to prompt diagnosis. To this end, the authors strongly advocate sonographic examination as an extension of physical exami...
Source: American Journal of Physical Medicine and Rehabilitation - May 27, 2021 Category: Rehabilitation Tags: Case Reports Source Type: research

A Model for Vision Rehabilitation and the Role of the Physiatrist on the Interdisciplinary Team
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - May 27, 2021 Category: Rehabilitation Tags: Physiatry Reviews for Evidence in Practice Source Type: research

Radicular Pain After Hip Disarticulation: A Clinical Vignette
A 36-yr-old man with a history of industrial accident causing traumatic left hip disarticulation, pubic symphysis, and right sacroiliac joint fractures presented with a 3-yr history of left-sided lower back pain radiating down the amputated limb. Computed tomography lumbar spine showed osteophytes surrounding the sacroiliac joint bilaterally with reduced left L4–L5 foraminal space. A fluoroscopically guided left sacroiliac steroid injection led to mild improvement in low back pain. Magnetic resonance imaging of the lumbar spine without contrast showed transitional type L5 vertebral body with left-sided flowing osteop...
Source: American Journal of Physical Medicine and Rehabilitation - May 27, 2021 Category: Rehabilitation Tags: RFS – Clinical Vignette Source Type: research

Velocity of the Body Center of Mass During Walking on Split-Belt Treadmill
Walking on split-belt treadmills (each belt rotating at a different velocity) has inspired a growing number of researchers to study gait adaptation and rehabilitation. An overlooked peculiarity of this artificial form of gait is that the mean velocity adopted by the participant, considered as a whole system represented by the body Center of Mass, can be different from the mean velocity of the two belts. Twelve healthy adults (21–34 yrs) were requested to walk for 15 mins on a treadmill with belts rotating at 0.4 and 1.2 m sec−1, respectively (mean = 0.8 m sec−1). Each belt was supported by four 3-dimensio...
Source: American Journal of Physical Medicine and Rehabilitation - May 27, 2021 Category: Rehabilitation Tags: Brief Report Source Type: research

Association of Academic Physiatrists Women’s Task Force Follow-up Report
The Association of Academic Physiatrists convened a Women’s Task Force in 2016, under the leadership of then Association of Academic Physiatrists President Gerard Francisco, MD, to evaluate data and metrics pertaining to the representation and inclusion of female physiatrists in the society. An initial published report focused on a retrospective analysis of data in categories such as leadership, conference presentations, and recognition awards. The findings, which highlighted areas in which the Association of Academic Physiatrists had been successful in supporting gender equity as well as areas in which female physia...
Source: American Journal of Physical Medicine and Rehabilitation - May 27, 2021 Category: Rehabilitation Tags: Analysis & Perspective Source Type: research