Rehabilitation and Pediatric Oncology: Supporting Patients and Families During and After Treatment
AbstractPurpose of reviewWith increasing survival rates in pediatric oncology, more attention has been paid to improving physical, cognitive, and psychosocial functioning for individuals on and off of treatment. We highlight the need for a multidisciplinary approach in providing care for pediatric oncology patients and their families.Recent findingsThere is an emerging field of evidence to support specific interventions within the fields of physical therapy/exercise, speech/language and occupational therapy, individual and family-focused psychotherapy, cognitive remediation, medication, tele-health, and school re-entry. Mu...
Source: Current Physical Medicine and Rehabilitation Reports - June 1, 2018 Category: Rehabilitation Source Type: research

Minimizing Disability from Graft-Versus-Host Disease
AbstractPurpose of ReviewGraft-versus-host disease (GVHD) is a complication of hematopoietic stem cell transplantation which can result in significant disability. Any organ system may be affected, and as a result, a wide variety of functional impairments may occur. Rehabiliation services can improve patient outcomes and quality of life, but an understanding of the underlying disease process is necessary.Recent FindingsThere have been few studies published recently regarding the management of functional impairments in GVHD patients. The National Institutes of Health Consensus Development Project on Criteria in Chronic Graft...
Source: Current Physical Medicine and Rehabilitation Reports - June 1, 2018 Category: Rehabilitation Source Type: research

The Trouble Ankle: Persistent Pain After Inversion Ankle Injury
AbstractPurpose of reviewPersistent pain after an inversion ankle injury is a relatively common occurrence in a sports medicine clinic and can be challenging for both the patient and team of healthcare providers.Recent findingsResearch to date has outlined diagnostic and treatment paradigms for persistent ankle pain after an inversion injury. Surgical techniques and non-surgical approaches are evolving, and balance and proprioceptive training as a part of a functional rehabilitation program is beneficial.SummaryPersistent pain after and inversion ankle injury can be difficult; however, careful consideration of anatomy, pat...
Source: Current Physical Medicine and Rehabilitation Reports - June 1, 2018 Category: Rehabilitation Source Type: research

Efficacy of Percutaneous Ultrasonic Ablation of Soft Tissue (Tenex) in Tendinopathy and Fasciopathy
AbstractPurpose of ReviewPercutaneous ultrasonic ablation of soft tissue, otherwise known as percutaneous ultrasonic tenotomy (PUT) and percutaneous ultrasonic fasciotomy (PUF), has been utilized in the past several years for the treatment of chronic recalcitrant tendinopathy and fasciopathy. Recent studies have begun to investigate the efficacy of this procedure.Recent FindingsIn a limited number of case series, patients with chronic recalcitrant tendinopathy and fasciopathy do well following percutaneous ultrasonic ablation with improvement in pain and functional scores. In studies investigating the elbow, there is evide...
Source: Current Physical Medicine and Rehabilitation Reports - June 1, 2018 Category: Rehabilitation Source Type: research

The Changing Role of Electrodiagnostic Testing in Cancer Rehabilitation
AbstractPurpose of reviewGiven advances in oncological treatments, cancer rehabilitation physicians should be aware of their potential side effects on the peripheral nervous system and the evolving role of electrodiagnostic testing (EDX).Recent findingsImmune checkpoint inhibitors may cause severe neuromuscular side effects. Novel methods of radiation delivery (hypofractionated and single-fraction radiation) may also lead to nerve and muscle injury. Recent advances in diagnosis and treatment of paraprotein-related neuropathies are important to recognize.SummaryEDX is an essential diagnostic tool utilized by clinicians eval...
Source: Current Physical Medicine and Rehabilitation Reports - June 1, 2018 Category: Rehabilitation Source Type: research

Inpatient cancer rehabilitation: past, present, and future perspectives
AbstractPurpose of reviewAs cancer transitions from a terminal diagnosis to a chronic medical condition, viewpoints must also change regarding how rehabilitation fits into the continuum of care. The purpose of this review is to describe the history of inpatient rehabilitation, the current state as it relates to delivery of care for the oncology survivor, and the future models that may improve patient access.Recent findingsInpatient rehabilitation can provide an intensive setting for interdisciplinary interventions. Care is typically provided in inpatient rehabilitation facilities (IRF), skilled nursing facilities (SNF), an...
Source: Current Physical Medicine and Rehabilitation Reports - June 1, 2018 Category: Rehabilitation Source Type: research

Reasoning and Decision Making in Clinical Swallowing Examination
AbstractPurpose of ReviewDysphagia has significant negative impact on health outcomes and hence evidence-based assessment and management of impaired swallowing is central to quality healthcare.Recent FindingsApproaches to the Clinical Swallowing Examination (CSE) vary considerably. It has been suggested that the patterns of item use within a CSE are non-random, and are influenced by the clinician ’s decision making and reasoning processes relevant to each specific clinical scenario. These observations are in line with current models of diagnostic reasoning in the health professions and may reflect a dual process of analy...
Source: Current Physical Medicine and Rehabilitation Reports - May 24, 2018 Category: Rehabilitation Source Type: research

Guide to Enhancing Swallowing Initiation: Insights from Findings in Healthy Subjects and Dysphagic Patients
AbstractPurpose of ReviewDifficulty in initiating swallowing is one of the main symptoms of oropharyngeal dysphagia. Therefore, enhancing swallowing initiation is an important approach for the treatment of oropharyngeal dysphagia. This review aims to introduce recent approaches to enhancing swallowing and to discuss their therapeutic potential.Recent FindingsBoth central interventions such as non-invasive brain stimulation and peripheral interventions such as electrical stimulation to peripheral tissues are conducted to enhance swallowing. Recent studies have paid more attention to generating neuroplasticity to produce lon...
Source: Current Physical Medicine and Rehabilitation Reports - May 23, 2018 Category: Rehabilitation Source Type: research

Shoulder Preservation in Spinal Cord Injury: One Clinic ’s Approach to Treatment and Prevention
AbstractPurpose of ReviewShoulder pain in those with spinal cord injury (SCI) is a debilitating condition that creates significant secondary complications. This review will present recent literature exploring shoulder pain demographics, causes, treatment recommendations, and one clinic ’s stance on treatment and prevention.Recent FindingsShoulder pain affects between 37 and 84% of the population living with spinal cord injury. Home-based programs have been found to be effective in reducing pain levels by nearly 50%, to improve the functional independence, participation, and quality of life of those affected. However, onl...
Source: Current Physical Medicine and Rehabilitation Reports - May 18, 2018 Category: Rehabilitation Source Type: research

Buttock Pain in the Athlete: the Role of Pelvic Floor Dysfunction
AbstractPurpose of ReviewPelvic floor dysfunction is an often overlooked cause of buttock pain in the athlete. Literature on pelvic floor dysfunction in athletes is limited, and therefore, it is frequently missed on evaluation and left untreated. This purpose of this article is to review the role that pelvic floor dysfunction plays in several musculoskeletal conditions experienced by athletes and to discuss pertinent history and physical examination findings that will help healthcare providers identify and treat athletes with pelvic floor dysfunction.Recent FindingsRecent studies show the prevalence of pelvic floor dysfunc...
Source: Current Physical Medicine and Rehabilitation Reports - April 9, 2018 Category: Rehabilitation Source Type: research

Changing Paradigms in the Rehabilitation of Inpatients with Brain Tumors
AbstractNeurologic tumors account for over 50% of American acute inpatient rehabilitation facility cancer admissions. WHO grade IV astrocytoma (also known as glioblastoma multiforme, high-grade glioma or GBM) is the most common primary brain tumor in adults and is invariably fatal. The majority of primary brain tumor patients experience neurologic deficits. However, under-referral from oncology to rehabilitation has been reported. This brief narrative review article covers functional, medical, and regulatory considerations when rehabilitating brain tumor inpatients. (Source: Current Physical Medicine and Rehabilitation Reports)
Source: Current Physical Medicine and Rehabilitation Reports - April 2, 2018 Category: Rehabilitation Source Type: research

Current Diagnosis and Management of Chronic Exertional Compartment Syndrome
AbstractPurpose of ReviewThe goal of this paper is to review the current evidence on diagnosis and management of chronic exertional compartment syndrome (CECS) of the lower leg. We sought to answer the question of whether recent research and innovations have demonstrated diagnostic alternatives or adjuncts to intramuscular compartment pressure testing and whether there are effective treatment options other than surgical fasciotomy.Recent FindingsResearch has shown promising outcomes with non-operative management including targeted alterations to running biomechanics. There is also research demonstrating efficacy in the use...
Source: Current Physical Medicine and Rehabilitation Reports - March 24, 2018 Category: Rehabilitation Source Type: research

Minimizing Disability from Graft-Versus-Host Disease
AbstractPurpose of ReviewGraft-versus-host disease (GVHD) is a complication of hematopoietic stem cell transplantation which can result in significant disability. Any organ system may be affected, and as a result, a wide variety of functional impairments may occur. Rehabiliation services can improve patient outcomes and quality of life, but an understanding of the underlying disease process is necessary.Recent FindingsThere have been few studies published recently regarding the management of functional impairments in GVHD patients. The National Institutes of Health Consensus Development Project on Criteria in Chronic Graft...
Source: Current Physical Medicine and Rehabilitation Reports - March 24, 2018 Category: Rehabilitation Source Type: research

The Trouble Ankle: Persistent Pain After Inversion Ankle Injury
AbstractPurpose of reviewPersistent pain after an inversion ankle injury is a relatively common occurrence in a sports medicine clinic and can be challenging for both the patient and team of healthcare providers.Recent findingsResearch to date has outlined diagnostic and treatment paradigms for persistent ankle pain after an inversion injury. Surgical techniques and non-surgical approaches are evolving, and balance and proprioceptive training as a part of a functional rehabilitation program is beneficial.SummaryPersistent pain after and inversion ankle injury can be difficult; however, careful consideration of anatomy, pat...
Source: Current Physical Medicine and Rehabilitation Reports - March 24, 2018 Category: Rehabilitation Source Type: research

Patellar Dislocations: Review of Current Literature and Return to Play Potential
AbstractAcute patellar dislocation is a common cause of traumatic hemarthrosis and is associated with multiple anatomical abnormalities including patella alta, trochlea dysplasia, and malalignment of lower limbs. The medial patellofemoral ligament (MPFL) stabilizes the patella in the early flexion or terminal extension and ruptures in most of first-time patellar dislocations. Thorough radiological evaluations of the MPFL and predisposing anatomical properties are required for the planning of management of recurrent instability. Conservative treatment is the mainstay management of first-time patellar dislocation and achieve...
Source: Current Physical Medicine and Rehabilitation Reports - March 22, 2018 Category: Rehabilitation Source Type: research