An Atypical Presentation of Hirayama Disease With Lower Limb Myelopathic Symptoms Only
Hirayama disease is a rare neuromuscular disease, which classically presents as lower motor neuron weakness and atrophy in the upper limbs and specifically the C7–T1 myotomes. Proposed pathogenesis relates to microcirculatory dysfunction in the territory of the anterior spinal artery caused by epidural venous plexus engorgement with forward displacement of the posterior dura and spinal cord during neck flexion, leading to chronic ischemic changes in the lower cervical anterior horn cells. Diagnosis hinges upon clinical and radiographic findings, and treatment is generally conservative given the self-limited nature of the...
Source: American Journal of Physical Medicine and Rehabilitation - November 26, 2021 Category: Rehabilitation Tags: Case Reports Source Type: research

Isolated Anterior Interosseous Neuropathy Affecting Only the Flexor Digitorum Profundus to the Index Finger After Shoulder Arthroscopy: A Case Report and Review of the Literature
We present a rare case of anterior interosseous nerve neuropathy affecting only the flexor digitorum profundus to the index finger and occurring after shoulder arthroscopy. This unique presentation used a combination of both electrodiagnostic testing and neuromuscular ultrasound to obtain an accurate diagnosis and highlights the importance of these complementary tests in the evaluation of nerve disorders. To our knowledge, anterior interosseous nerve neuropathy after shoulder arthroscopy affecting only the flexor digitorum profundus to the index finger has not been previously described in the literature. (Source: American ...
Source: American Journal of Physical Medicine and Rehabilitation - November 26, 2021 Category: Rehabilitation Tags: Case Reports Source Type: research

Recurrent Intramuscular Hematomas in a 40-Yr-Old Female Renal Transplant Recipient
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - November 26, 2021 Category: Rehabilitation Tags: RFS – Teaching Images Source Type: research

Acute-Onset Oculobulbar and Proximal Weakness in a Patient With Crohn’s Disease: A Clinical Vignette
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - November 26, 2021 Category: Rehabilitation Tags: RFS – Clinical Vignettes Source Type: research

A Case of Persistent Diplopia Postconcussion in a 34-Yr-Old Woman
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - November 26, 2021 Category: Rehabilitation Tags: RFS – Clinical Vignettes Source Type: research

Physical Medicine and Rehabilitation Program Directors’ Perspectives on US Medical Licensing Examination Step 1 Scoring Changes
In response to increasing dependence on US Medical Licensing Examination Step 1 scores for resident selection, and to improve medical student well-being and education, the Federation of State Medical Boards and the National Board of Medical Examiners announced that no sooner than 2022, Step 1 score reporting would change from numeric to pass/fail. To gauge the impact that this change will have on the residency application process in physical medicine and rehabilitation, an anonymous survey was electronically distributed to program directors of all accredited physical medicine and rehabilitation residency programs in the Un...
Source: American Journal of Physical Medicine and Rehabilitation - November 26, 2021 Category: Rehabilitation Tags: Education & Administration Source Type: research

Evaluation of Diversity and Inclusion Presence Among US Physical Medicine and Rehabilitation Residency Program Websites
The primary aim of this study was to evaluate the presence of diversity and inclusion promotion among US physical medicine and rehabilitation residency program Websites. A list of physical medicine and rehabilitation residency programs was obtained from the Fellowship and Residency Electronic Interactive Database. The program Website links were obtained from the Fellowship and Residency Electronic Interactive Database or Google. Two reviewers evaluated the presence of 11 predetermined diversity and inclusion metrics. The presence of individual resident and faculty photos and biographies was also evaluated. Cross-sectional ...
Source: American Journal of Physical Medicine and Rehabilitation - November 26, 2021 Category: Rehabilitation Tags: Education & Administration Source Type: research

Time-Trial Performance of Para-Cycling Athletes With Visual Impairment in Tandem Competitions: A Retrospective Analysis of 20 Yrs
Identifying performance variables associated with visual impairment classification in para-cycling is one of the steps to improve the evidence-based classification system, and consequently, bring equality in Paralympic sports. Thus, this retrospective study aimed to analyze a 1-km tandem-track race performance among para-cyclists (male and female) with different visual impairment degrees (B1, B2, and B3) and to verify the retrospective performance over 20 yrs in all sport classes. The data were extracted from 427 para-cyclists (251 male and 176 female) who competed in the Para-Cycling World Championships and Paralympic Gam...
Source: American Journal of Physical Medicine and Rehabilitation - November 26, 2021 Category: Rehabilitation Tags: Para Sport & Paralympic Sport Section Source Type: research

Safety of Every-Other-Day Fasting in the Treatment of Spinal Cord Injury: A Randomized Controlled Trial
Every-other-day fasting is effective for a variety of major human diseases, but the safety of these interventions is uncertain for patients with spinal cord injury. A randomized controlled study was conducted to investigate the safety of every-other-day fasting in patients with spinal cord injury. Participants who met the diagnostic inclusion and exclusion criteria were randomly divided into the control and every-other-day fasting groups. In the every-other-day fasting group, fasting lasted from 09:00 p.m. on day 1 to 06:00 p.m. on the following day (day 2). Dinner on day 2 was restricted to approximately 30% of the averag...
Source: American Journal of Physical Medicine and Rehabilitation - November 26, 2021 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Instructional Cueing Alters Upper Limb Muscle Activity and Kinematics During Elastic Resistance Exercise
Objective The purpose of this study was to quantify the differences in upper limb muscle activity and kinematics when performing shoulder elastic resistance exercises with no cue, slouched posture, and corrected posture. Design Fifteen healthy participants completed four shoulder elastic resistance exercises (unilateral flexion, bilateral flexion, external rotation, and external rotation with towel) across three simulated body postures (no cue, corrected posture, and slouched posture). Surface electromyography was measured on 16 upper limb muscles and kinematics were collected. Two-way repeated-measures analyses...
Source: American Journal of Physical Medicine and Rehabilitation - November 26, 2021 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Lifetime Prevalence of Nonspecific Low Back Pain in Adolescents: A Cross-sectional Epidemiologic Survey
Background Many nonconclusive studies have been conducted on low back pain (LBP) in adolescents and associated factors. Objective The aim was to assess the lifetime prevalence and associated factors of LBP in adolescents. Materials and Methods A questionnaire was administered in high school students (14–19-yr-old participants) in Veneto region (Italy). The self-administered, structured questionnaire included anthropometric data; psychologic factors and lifestyle; presence, intensity, and family history of LBP; referral to professional health care for LBP; and a short version of the International Physica...
Source: American Journal of Physical Medicine and Rehabilitation - November 26, 2021 Category: Rehabilitation Tags: Original Research Articles Source Type: research

The Effect of Continuous Passive Motion in Patients Treated With Total Knee Arthroplasty for Osteoarthritis: A Systematic Review and Meta-analysis of Randomized Controlled Trials
Conclusions This study demonstrated a limited role of continuous passive motion in patients operated with total knee arthroplasty. Thus, there is at this stage no indication for continuous passive motion procedures in patients operated with total knee arthroplasty as a standard postoperative care. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - November 26, 2021 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Quantity and Quality of Physical Medicine and Rehabilitation Clerkships in US Medical Schools
Conclusions Physical medicine and rehabilitation clerkships are not underrepresented but are underemphasized, in undergraduate medical schools. Furthermore, these clerkships use inconsistent learning objectives. Thus, findings suggest the need to draw attention to physical medicine and rehabilitation clerkships by offering them as selectives and to develop a list of standardized learning objectives. This exploratory study developed such a groundbreaking list and invites the physical medicine and rehabilitation community to test it. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - November 26, 2021 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Benefits of 1-Yr Home Training With Functional Electrical Stimulation Cycling in Paraplegia During COVID-19 Crisis
The purpose of this observational study was to report the experience of a 1-yr home training with functional electrical stimulation cycling of a person with T4 American Impairment Scale A paraplegia for 9 yrs, homebound due to the COVID-19 health crisis. The 40-yr-old participant had a three-phase training: V1, isometric stimulation; V2, functional electrical stimulation cycling for 3 sessions/wk; and V3, functional electrical stimulation cycling for 2–4 sessions/wk. Data on general and physical tolerance, health impact, and performance were collected. Borg Scale score relating to fatigue was 10.1 before training and 11....
Source: American Journal of Physical Medicine and Rehabilitation - November 26, 2021 Category: Rehabilitation Tags: SPECIAL SECTION on COVID-19 and PM&R Source Type: research

Postacute/Long COVID in Pediatrics: Development of a Multidisciplinary Rehabilitation Clinic and Preliminary Case Series
The long-term sequelae after SARS-CoV-2 infections in children is unknown. Guidance is needed on helpful models of care for an emerging subset of pediatric patients with postacute/long COVID who continue to experience persistent symptoms after initial COVID-19 diagnosis. Here, we describe a pediatric multidisciplinary post–COVID-19 rehabilitation clinic model as well as a case series of the initial cohort of patients who presented to this clinic. A consecutive sample of nine patients (pediatric patients (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - November 26, 2021 Category: Rehabilitation Tags: SPECIAL SECTION on COVID-19 and PM&R Source Type: research