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The Hirsch Index and Self-Citation in Academic Physiatry Among Graduate Medical Education Program Directors
This study aims to evaluate research output and self-citation in physiatry, establishing a benchmark for the field, in addition to identifying differences between physical medicine and rehabilitation subspecialties. This study identified physical medicine and rehabilitation residency and fellowship program directors and analyzed the number of publications, citations, self-citations, and h-indices. A total of 169 program directors were identified, and the mean number ± SD of publications, citations, and Hirsch Index for the cohort were 16.7 ± 29.5, 348 ± 753, and 5.7 ± 6.7, respectively. When self-citation was excluded,...
Source: American Journal of Physical Medicine and Rehabilitation - February 17, 2022 Category: Rehabilitation Tags: Education & Administration Source Type: research

Botulinum Toxin Type A Injection in the Treatment of Postparetic Facial Synkinesis: An Integrative Review
This study aimed to review the recent literature about botulinum toxin type A treatment patterns, including muscle targets, doses, duration of effect, adverse effects, and clinical outcomes in patients with postparetic synkinesis. A bibliographic research of studies published in the last 10 yrs was carried out on PubMed database, using the medical subject heading terms: botulinum toxin and synkinesis. English-language cohort studies or randomized controlled trials about botulinum toxin type A treatment on patients with postparetic synkinesis were eligible for inclusion. Ten studies met the inclusion criteria, seven prospec...
Source: American Journal of Physical Medicine and Rehabilitation - February 17, 2022 Category: Rehabilitation Tags: Literature Review Source Type: research

Effects of Transcranial Direct Current Stimulation on Muscle Fatigue in Recreational Runners: Randomized, Sham-Controlled, Triple-Blind, Crossover Study—Protocol Study
Conclusion This study will evaluate the effect of tDCS on fatigue in runners, possibly determining an application protocol for this population. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - February 17, 2022 Category: Rehabilitation Tags: Study Protocols Source Type: research

Patterns of Athlete Medication Use at the 2018 PyeongChang Paralympic Games: A Descriptive Cohort Study
Conclusions Analgesic use among athletes who participated at the 2018 PyeongChang Winter Paralympics was high. Para snowboarders and athletes with limb deficiency declared the most analgesics. The new Olympic & Paralympic Model Formulary adequately addressed the medication needs of the athletes attending the 2018 games. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - February 17, 2022 Category: Rehabilitation Tags: Para Sport & Paralympic Sport Section Source Type: research

Validity and Diagnosis in Physical and Rehabilitation Medicine: Critical View and Future Perspectives
This article primarily aimed to provide an overview of standard psychometric properties. A secondary aim was to critically appraise the tools currently used to diagnose chronic musculoskeletal pain disorders. The challenges and limitations of existing diagnostic tools are discussed. Potential approaches on how to improve the conceptualization of the construct of musculoskeletal pain disorders are also discussed. Adopting a network perspective, for example, can better constitute the disease instead of a single known underlying etiology for persistent or recurrent pain symptoms. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - February 17, 2022 Category: Rehabilitation Tags: Special Research Section Source Type: research

The Effect of Yoga Asana “Vrksasana (Tree Pose)” on Balance in Patients With Postmenopausal Osteoporosis: A Randomized Controlled Trial
In this study, the effect of the add-on effect of the Tree Pose (Vrksasana) on the balance of patients with postmenopausal osteoporosis was investigated. Design Thirty-two patients with postmenopausal osteoporosis were randomly assigned to conservative exercise group (30 mins/d for 12 wks) or Tree Pose–added exercise group (30-min conventional exercise + 2-min Tree Pose/d for 12 wks) by Microsoft Excel randomization option. The balance of the patients was evaluated with Berg Balance Scale, Timed Up and Go Test, single-leg standing test, tandem walk test, tandem stance test, and Korebalance static&dynamic balance t...
Source: American Journal of Physical Medicine and Rehabilitation - February 17, 2022 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Diagnosed Concussion and Undiagnosed Head Trauma Is Associated With Long-Term Concussion-Related Symptoms in Former College Football Players
Conclusions Undiagnosed head injuries, which are less likely to be managed by a healthcare professional, were significantly associated with concussion-related symptoms later in life. These findings suggest that proper identification and management of concussions may prevent later symptoms, but more research is needed to test this conclusion. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - February 17, 2022 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Digitally Assisted Versus Conventional Home-Based Rehabilitation After Arthroscopic Rotator Cuff Repair: A Randomized Controlled Trial
Conclusions The results demonstrate that digital therapeutics can be used to achieve similar, if not superior, short- and long-term outcomes as conventional approaches after arthroscopic rotator cuff repair, while being far less human resource intensive than conventional care. Level of evidence: II. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - February 17, 2022 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Virtual Reality Augments Movement During Physical Therapy: A Pragmatic Randomized Trial
Objective Virtual reality facilitates physical therapy via improved engagement. Although shown to benefit specific patient populations, such as stroke patients, it is less established in otherwise healthy adults and children receiving outpatient physical therapy. The primary objective was to compare total physical therapy–guided movement supplemented with virtual reality with physical therapy–guided movement alone without virtual reality. Design This pragmatic, randomized, crossover study compared physical therapy–guided movement supplemented with virtual reality with physical therapy–guided movement alo...
Source: American Journal of Physical Medicine and Rehabilitation - February 17, 2022 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Effect of Traditional Plus Virtual Reality Rehabilitation on Prognosis of Stroke Survivors: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
This study used RevMan 5.3 software for meta-analysis. Result A total of 21 randomized controlled trials were included, which enrolled 619 patients. Traditional plus virtual reality rehabilitation is better than traditional rehabilitation in upper limb motor function recovery measured by Fugl-Meyer Assessment–Upper Extremity (mean difference = 3.49, 95% confidence interval = 1.24 to 5.73, P = 0.002) and manual dexterity assessed by Box and Block Test (mean difference = 6.59, 95% confidence interval = 3.45 to 9.74, P (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - February 17, 2022 Category: Rehabilitation Tags: Original Research Articles Source Type: research

The Influence of Race, Sex, and Social Disadvantage on Self-reported Health in Patients Presenting With Chronic Musculoskeletal Pain
Conclusions Compared with race and sex, social disadvantage is more consistently associated with worse physical and behavioral health in patients with chronic musculoskeletal pain. Investment to ameliorate disadvantage in geographically defined communities may improve health in sociodemographically at-risk populations. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - February 17, 2022 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Clinical Factors Associated With Balance Function in the Early Subacute Phase After Stroke
Objective The aim of the study was to investigate the key factors of balance function in the early subacute phase after stroke. Design Ninety-four stroke patients were included. Multiple variables were evaluated, including demographic factors, clinical variables (stroke type; lesion site; Mini-Mental State Examination; motor strength of the hip, knee, and ankle joints; Fugl-Meyer Assessment of lower extremity), neurophysiological variables (amplitude ratio of somatosensory evoked potential of the tibial nerves), and laterality index of fractional anisotropy of the corticospinal tract using diffusion tensor imagi...
Source: American Journal of Physical Medicine and Rehabilitation - February 17, 2022 Category: Rehabilitation Tags: CME Article . 2022 Series . Number 3 Source Type: research

A New and Dedicated Video Gallery: EURO-MUSCULUS/USPRM Protocols for Dynamic Ultrasound Examination of the Joints
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - February 17, 2022 Category: Rehabilitation Tags: Editorial Source Type: research

Dynamic Ultrasound Examination for Asymptomatic/Bilateral Peroneus Brevis Muscle Hernias
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - January 21, 2022 Category: Rehabilitation Tags: Visual Vignette Source Type: research

Double Eyelid Tape as a Treatment Option for Severe Ptosis in Patients With Myotonic Dystrophy Type 1
Myotonic dystrophy is a systemic disorder associated with progressive muscle weakness of the limbs and multiorgan dysfunction. This condition commonly affects the levator palpebrae superioris muscle, which leads to ptosis and eventually affects patients’ activities of daily living. The effects of ptosis on activities of daily living are usually overlooked; therefore, the importance of treatment is underestimated, and surgical procedures are considered infeasible in patients with preexistent levator palpebrae superioris muscle weakness. This case report describes the case of a middle-aged man with myotonic dystrophy type ...
Source: American Journal of Physical Medicine and Rehabilitation - January 21, 2022 Category: Rehabilitation Tags: Case Report Source Type: research