Current Physical Medicine and Rehabilitation Reports This 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.

Visual Disturbances After Concussion
AbstractPurpose of ReviewConcussion frequently results in visual symptoms, necessitating careful neuro-ophthalmic examination. Both afferent and efferent visual systems are sensitive to brain injury. The present review focuses on the pathophysiology, clinical presentations, examinations, management, and future directions regarding visual disturbances after concussion.Recent FindingsPhotophobia is common in both acute and chronic concussion. Abnormalities of accommodation, convergence, saccades, and smooth pursuits can result in blurred vision, double vision, and difficulty with near work. Vision-based testing is crucial in...
Source: Current Physical Medicine and Rehabilitation Reports - July 27, 2023 Category: Rehabilitation Source Type: research

Current Clinical Approaches to Acute Medial Collateral Ligament Injuries
AbstractPurpose of ReviewMedial collateral ligament (MCL) injury in the knee is common in athletes. Updated knowledge of the subject is important. This paper reviews the literature over the past 10 years regarding MCL diagnosis, management, and return to play (RTP).Recent FindingsThe recent literature focuses on the role of ultrasound in the diagnosis of MCL injuries, the use of orthobiologics for acute MCL injury management, and better characterization of timing for RTP.SummaryPoint-of-care ultrasound (POCUS), in the hands of an experienced individual, is a reasonable alternative if magnetic resonance imaging (MRI) is not...
Source: Current Physical Medicine and Rehabilitation Reports - July 24, 2023 Category: Rehabilitation Source Type: research

Cannabinoids in Symptomatic Treatment for People with Multiple Sclerosis: a Systematic Review of Randomised Studies
AbstractPurpose of Review The use of cannabinoid-based medicines in symptomatic treatment for people with multiple sclerosis (MS) is high. This review aimed to assess benefit and harms of cannabinoids, including synthetic, herbal and plant-derived cannabinoids, for reducing symptoms in adults with MS.Recent FindingsCannabinoids exert effects of potential relevance to MS: their action of neuroinflammation suppression, their immunomodulatory and neuroprotective effects in the central nervous system could benefit people with MS. Nabiximols is approved and available for people with MS and moderate or severe spasticity in ma...
Source: Current Physical Medicine and Rehabilitation Reports - July 18, 2023 Category: Rehabilitation Source Type: research

Buttock Pain in Athletes: a Narrative Review
AbstractPurpose of ReviewThe goal of this review is to provide a guide to systematically evaluate and diagnose sport-related buttock pain. Since buttock pain is a common yet challenging complaint for sports medicine clinicians, we have developed an overview of the common diagnoses in athletes presenting with buttock pain using an anatomical framework to illustrate the complex anatomy and multiple pain generators that may refer to this area.Recent FindingsThe differential diagnosis for buttock pain is large; the most common causes of buttock pain in athletes include myofascial pain, referred pain from the lumbar spine, prox...
Source: Current Physical Medicine and Rehabilitation Reports - July 17, 2023 Category: Rehabilitation Source Type: research

The Evaluation and Management of Visceral Complications in Radiation Fibrosis Syndrome Part 2
AbstractContemporary cancer treatment involves multi-modal therapeutics, and external beam ionizing radiation is utilized in approximately 50% of cases. Radiotherapy destroys cancer cells both directly via apoptosis and indirectly by disrupting cellular mitosis. Healthy tissues may be inadvertently exposed to radiation in the treatment process, leading to cellular damage and subsequent toxicity.Purpose of ReviewProvide an overview of intrabdominal and pelvic radiation fibrosis syndrome, focusing on clinical application in the cancer rehabilitation setting.Recent FindingsWhile cancer cells are the primary target of radiatio...
Source: Current Physical Medicine and Rehabilitation Reports - July 7, 2023 Category: Rehabilitation Source Type: research

Brain Injury: How Dietary Patterns Impact Long-Term Outcomes
We examined Mediterranean, Dietary Approaches to Stop Hypertension, plant-based, ketogenic, and intermittent fasting dietary patterns through publications of clinical trials and systematic reviews. While many reviews had significant positive findings, some were limited by generalizability.SummaryWhile there is extensive literature on the immediate nutrition goals in the inpatient setting following an acute TBI exposure, there is limited literature discussing the nature of diet and nutrition in the post-acute setting. Fortunately, most individuals with TBI exposure survive their initial injury and continue into the recovery...
Source: Current Physical Medicine and Rehabilitation Reports - July 5, 2023 Category: Rehabilitation Source Type: research

Brain Injury: How Dietary Pattens Impact Long-Term Outcomes
We examined Mediterranean, Dietary Approaches to Stop Hypertension, plant-based, ketogenic, and intermittent fasting dietary patterns through publications of clinical trials and systematic reviews. While many reviews had significant positive findings, some were limited by generalizability.SummaryWhile there is extensive literature on the immediate nutrition goals in the inpatient setting following an acute TBI exposure, there is limited literature discussing the nature of diet and nutrition in the post-acute setting. Fortunately, most individuals with TBI exposure survive their initial injury and continue into the recovery...
Source: Current Physical Medicine and Rehabilitation Reports - July 5, 2023 Category: Rehabilitation Source Type: research

Whole-body Vibration for Motor Impairments in Patients With Spinal Cord Injury: A Systematic Review
AbstractPurpose of ReviewThis review was conducted to investigate the impacts of whole-body vibration (WBV) on motor impairments in individuals with spinal cord injury (SCI).Recent FindingsSeven studies met the specified eligibility criteria. A total of 147 participants (Mean age  = 43.34), 19.73% of whom were women. Participants with incomplete SCI comprised 98.64% of the total participants. The Physiotherapy Evidence Database (PEDro) median score was six. The majority of studies showed positive impacts of WBV on motor impairments in individuals with SCI.SummaryThe WBV intervention can be safe in patients with SCI. Th...
Source: Current Physical Medicine and Rehabilitation Reports - June 27, 2023 Category: Rehabilitation Source Type: research

Non-surgical Treatment Recommendations for Knee Osteoarthritis
AbstractPurpose of ReviewOsteoarthritis (OA) of the knee is a common disease with associated direct and indirect costs having a significant societal impact. This review is conducted to discuss various treatment options for knee OA, highlight the most recent evidence regarding efficacy, and devise clinical recommendations to meet the needs of the patients.Recent FindingsPharmacologically, options tend to be limited. Simple analgesics such as acetaminophen and nonsteroidal anti-inflammatory drugs are widely used, with efficacy and safety being questioned. Mild opioids can be considered, although strong opioids are discourage...
Source: Current Physical Medicine and Rehabilitation Reports - June 22, 2023 Category: Rehabilitation Source Type: research

Rigid Dressings for Lower Limb Amputees: a Systematic Review and Meta-analysis
This study adds non-randomized studies of intervention (NRSI) to supplement existing evidence and provides a comprehensive analysis of efficacy and adverse events outcomes.SummaryThe significant results that favor the use of the rigid dressings included a reduction in the time to wound healing, time to prosthetic fitting, stump volume, and post-operative pain, as well as a lower incidence of adverse events of revision and joint contracture. However, caution is needed in interpreting these results due to the high risk of bias among the included studies. (Source: Current Physical Medicine and Rehabilitation Reports)
Source: Current Physical Medicine and Rehabilitation Reports - June 7, 2023 Category: Rehabilitation Source Type: research

Patellar Tendinopathy: Diagnosis and Management
AbstractPurpose of ReviewPatellar tendinopathy is a common cause of anterior knee pain. This review discusses the current concepts relating to the development of this condition and the best evidence on diagnosis and management of this condition.Recent FindingsPatellar tendon biomechanics should be considered as a predisposing factor for development of patellar tendinopathy. Diagnosis is clinical and supported by ultrasound or MRI. The most reliable treatment is targeted exercise therapy with several useful adjunctive treatments available and undergoing more study. For refractory cases, minimally invasive and arthroscopic s...
Source: Current Physical Medicine and Rehabilitation Reports - June 2, 2023 Category: Rehabilitation Source Type: research

Abdominal Wall Muscle Injuries in Athletes
AbstractPurpose of ReviewAbdominal wall muscle injuries are observed in numerous sports. This review provides the practitioner with a solid understanding of the clinical anatomy and sonoanatomy of the abdominal wall and distills key aspects of the diagnosis, triage, and management of common abdominal wall muscle injuries.Recent FindingsThe anatomy of the abdominal wall muscles is a less thought about entity for most sports medicine providers. Recent advances in the quality of ultrasound imaging allows for efficient evaluation in the office, often obliviating the need for other imaging modalities. MRI and CT remain critical...
Source: Current Physical Medicine and Rehabilitation Reports - May 29, 2023 Category: Rehabilitation Source Type: research

Update on Interventional Procedural Considerations for Tendinopathy
AbstractPurpose of ReviewThis review article analyzes the procedural considerations for common interventional treatment options for tendinopathy such as platelet-rich plasma, shockwave therapy, and percutaneous needle tenotomy. The focus will be to provide a comprehensive summary of the available evidence-based recommendations for important pre-procedural and post-procedural considerations when performing these interventional treatments.Recent FindingsEvidence-based recommendations exist and are summarized for how different intrinsic patient factors, medications, dietary elements, exercise regimens, pre-procedural and post...
Source: Current Physical Medicine and Rehabilitation Reports - May 26, 2023 Category: Rehabilitation Source Type: research

Role of Stem Cells for Knee Cartilage Injuries in Athletes
AbstractPurpose of ReviewKnee cartilage injuries are common in athletes and can be difficult to treat due to poor healing potential. The use of stem cells for such conditions has emerged as a promising management option with the hope that this treatment can assist with symptom control, cartilage regeneration, and quicker return to play for athletes.Recent FindingsThere is current low-level evidence to support that stem cells may be beneficial in the treatment of knee cartilage injuries for athletes, with the most data being published for knee osteoarthritis. Although stem cells appear to be a safe treatment with no signifi...
Source: Current Physical Medicine and Rehabilitation Reports - May 24, 2023 Category: Rehabilitation Source Type: research

Hydrodissection of Peripheral Nerve Entrapments
AbstractPurpose of ReviewThe goal of this review was to describe the efficacy of hydrodissection for peripheral nerve entrapments and to explore its utility as a non-surgical treatment modality.Recent FindingsUltrasound guided hydrodissection of nerve entrapments can improve quality of life and prevent the need for surgery in some cases.SummaryHydrodissection proves a useful and efficacious tool in treating peripheral nerve entrapments of both the upper and lower extremity. There is a lack of consensus in injectate type and volume of injectate, but all hydrodissection were performed with ultrasound guidance and many improv...
Source: Current Physical Medicine and Rehabilitation Reports - May 20, 2023 Category: Rehabilitation Source Type: research