Current Physical Medicine and Rehabilitation Reports Current Physical Medicine and Rehabilitation Reports RSS feedThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Exercise in Children with Disabilities
AbstractPurpose of ReviewThe goal of this paper is to review the role and importance of exercise in the overall health and fitness of children with disabilities and to identify unique considerations in specific populations.Recent FindingsExercise and activity are known to be of critical importance to the health and well-being of typically developing children and adolescents. Children with disabling conditions are not immune to the obesity epidemic and even less likely to participate in structured or recreational activities than their typically developing peers. Although barriers to participation exist, studies largely supp...
Source: Current Physical Medicine and Rehabilitation Reports - February 1, 2019 Category: Rehabilitation Source Type: research

Active Rehabilitation After Childhood and Adolescent Mild Traumatic Brain Injury: a Narrative Review and Clinical Practice Implications
AbstractPurpose of ReviewDevelopment of rehabilitation strategies for youth after mTBI can be challenging for the rehabilitation professional. The purpose of this narrative review is to highlight current evidence for the use of active rehabilitation to manage common impairments after concussion/mild traumatic brain injury (mTBI).Recent FindingsExertional intolerance, vestibular deficiency, visual problems, and cervical dysfunction are common after mTBI. Active rehabilitation strategies targeting these problems are likely effective at reducing these impairments, leading to improved functioning.SummaryActive rehabilitation r...
Source: Current Physical Medicine and Rehabilitation Reports - January 28, 2019 Category: Rehabilitation Source Type: research

Chronic Pediatric Pain Management: a Review of Multidisciplinary Care and Emerging Topics
AbstractPurpose of ReviewChronic pain is a prevalent, disabling, and expensive pediatric condition. Specific treatment options have limited evidence and are often extrapolated from adult care. This review evaluates pain outcome measures, psychological treatment, pharmacologic management, multidisciplinary treatment models, and emerging topics in pediatric pain medicine.Recent FindingsMultimodal cognitive behavioral therapy and intensive interdisciplinary pain treatment have the strongest evidence for improving pain and function while decreasing healthcare utilization. There is emerging evidence that parental involvement in...
Source: Current Physical Medicine and Rehabilitation Reports - January 25, 2019 Category: Rehabilitation Source Type: research

Health-Related Quality of Life and Family Functioning of Parents of Children with Medical Complexity
We describe the HRQOL of parents of CMC.Recent FindingsOne hundred seventy parents of CMC (mean age =3.4  years; 57% male) in a Comprehensive Care Program at a tertiary care center completed the PedsQL Family Impact Module (PedsQL FIM™). Scores were low across all sections, with a total average of 52 (SD + 17.7). Parental HRQOL was not associated with the child’s medically complexity, level of parental education, parental medical training, number of children, number of CMC in the home, or advance directive status.SummaryParents of CMC report low HRQOL. Strategies to better support parents of CMC are needed. (Source:...
Source: Current Physical Medicine and Rehabilitation Reports - January 25, 2019 Category: Rehabilitation Source Type: research

Examining the Role of Precision Medicine with Oral Baclofen in Pediatric Patients with Cerebral Palsy
AbstractPurpose of ReviewDespite its widespread use, oral baclofen requires a critical review of the pharmacology to determine potential precision medicine applications to improve medication administration. Discussing the dose →exposure→response relationship of oral baclofen allows a conceptual framework in which designing clinical trials would become more successful. This paper seeks to examine some of the areas where variability in exposures can exist and lead to undesired clinical responses.Recent FindingsSeveral factors are at play to implement precision medicine with oral baclofen in the pediatric patient with cer...
Source: Current Physical Medicine and Rehabilitation Reports - January 23, 2019 Category: Rehabilitation Source Type: research

Pediatric Rehabilitation and Critical Care: a Therapeutic Partnership
AbstractPurpose of reviewThe number of children in intensive care units (ICU) who survive critical illness or injury is increasing. Reduction of complications and improvement in outcome may be facilitated by early rehabilitation-oriented interventions and transition to an intensive pediatric rehabilitation unit when medically appropriate.Recent findingsEarly mobilization in the adult ICU has been identified as a contributing factor to improving outcomes. This intervention is being introduced in pediatric ICUs and practice guidelines for implementation are being developed. Timely and coordinated transfers to a pediatric int...
Source: Current Physical Medicine and Rehabilitation Reports - January 21, 2019 Category: Rehabilitation Source Type: research

Neurophysiological Adaptation and Neuromodulatory Treatment Approaches in Patients Suffering from Post-stroke Dysphagia
AbstractPurpose of ReviewThis review gives an outline of the current state of knowledge on swallowing-related neurophysiology, neuroplasticity mechanisms following dysphagic stroke and neuromodulatory treatment approaches to enhance recovery processes for faster and better rehabilitation of post-stroke dysphagia.Recent FindingsA widely distributed network including bilateral cortical and subcortical as well as medullary structures is involved in the act of swallowing. Distinct brain areas are related to specific aspects of swallowing control. Stroke lesions in these areas may lead to post-stroke dysphagia. Compensatory reo...
Source: Current Physical Medicine and Rehabilitation Reports - November 15, 2018 Category: Rehabilitation Source Type: research

Guideline Approaches for Cardioendocrine Disease Surveillance and Treatment Following Spinal Cord Injury
AbstractPurpose of ReviewPersons with spinal cord injuries (SCI) commonly experience individual risks and coalesced health hazards of the cardiometabolic syndrome (CMS). This review will examinethe role of exercise and nutritional intervention as countermeasures to these disease risks.Recent FindingsThe CMS hazards of overweight/obesity, insulin resistance, hypertension, and dyslipidemia are strongly associated with physical deconditioning and are common after SCI. Both the CMS diagnosis and physical deconditioning worsen the prognosis for all-cause cardiovascular disease occurring early after SCI. Evidence supports a ther...
Source: Current Physical Medicine and Rehabilitation Reports - November 15, 2018 Category: Rehabilitation Source Type: research

Enhancing Swallowing-Respiration Coordination
AbstractPurpose of ReviewThis review was designed to summarize our current understanding of optimal respiratory-swallowing coordination and to highlight a novel intervention to improve coordination in patients with dysphagia consequent to head and neck cancer and treatment. Additional consideration was given to the challenges of recording respiratory movements for clinical and research purposes surrounding respiratory-swallowing coordination.Recent FindingsOur recent findings in normal humans reveal that the respiratory pause to accommodate swallowing interrupts quiet breathing in a restricted range of lung volumes from mi...
Source: Current Physical Medicine and Rehabilitation Reports - October 25, 2018 Category: Rehabilitation Source Type: research

Diaphragm Pacers in Pediatric Patients with Cervical Spinal Cord Injury: a Review and Implications for Inpatient Rehabilitation
AbstractPurpose of reviewPediatric spinal cord injury (SCI) at C3 level and above results in tetraplegia and profound respiratory insufficiency requiring long-term positive pressure ventilation (PPV) and is associated with significant complications and morbidity. Diaphragm pacing (DP), a form of functional electrical stimulation (FES) of the diaphragm, provides natural negative pressure breathing which can replace or decrease PPV need. There are numerous reported benefits of DP including improved speech, reduced caregiver burden, and decrease in secretions. The purposes of this paper are to review the limited literature on...
Source: Current Physical Medicine and Rehabilitation Reports - September 27, 2018 Category: Rehabilitation Source Type: research

Managing Spasticity in a Pregnant Woman with Spinal Cord Injury: a Review
AbstractPurpose of ReviewThis paper aims to review the available treatment options for spasticity management that can be used for pregnant women with spinal cord injury (SCI).Recent FindingsThere are extensive reviews exploring the approach to care for the parturient with SCI. These often include a discussion on common medications used and their potential impact on pregnancy and lactation. However, there are no specific guidelines on managing spasticity in pregnancy. Existing review articles show a low level of evidence for commonly utilized physical interventions in spasticity management. There are several case reports on...
Source: Current Physical Medicine and Rehabilitation Reports - September 6, 2018 Category: Rehabilitation Source Type: research

Management and Treatment of Patients with Dysphagia
AbstractPurpose of reviewDysphagia occurs when food or liquid is prevented from moving from the mouth to the stomach. The normal aging process and age-related disease contribute to the prevalence of dysphagia as do acquired acute and chronic progressive diseases. This paper will define compensatory techniques and discuss research that has led to evidence-based rehabilitative approaches in the treatment of deglutitive disorders.Recent findingsThe multidisciplinary science of deglutology has advanced in evaluation including the use of high-resolution manometry and computed tomography to compliment radiographic techniques in ...
Source: Current Physical Medicine and Rehabilitation Reports - August 29, 2018 Category: Rehabilitation Source Type: research