Post-traumatic Headache: Recent Developments and Future Directions
AbstractPurpose of ReviewThis review seeks to update the reader on the most recent advancements in post-traumatic headache, identify gaps in the current state of the science, and discuss treatment and future research.Recent FindingsPost-traumatic headache is a heterogeneous disorder, pathologically distinct from other, primary headaches yet sharing some common pathways. Recently, criteria for post-traumatic headache have been further refined, but subsequent publications have also identified controversies and proposed further revisions. Most recently, calcitonin gene –related peptide-modulating drugs are being investigate...
Source: Current Physical Medicine and Rehabilitation Reports - July 7, 2022 Category: Rehabilitation Source Type: research

Multiple Sclerosis Management: Current Clinical Approaches to Disease-Modifying Therapy
AbstractPurpose of ReviewThe treatment landscape for multiple sclerosis has evolved and expanded significantly over the past 30  years, with now over 20 disease-modifying therapies available on the market. This review is meant to provide an update on disease-modifying therapy management.Recent FindingsMultiple sclerosis presents heterogeneously and it is impossible to predict the disease course on an individual basis. However, there are some clinical and radiographic findings which suggest a more severe and disabling course warranting high-efficacy treatment.SummaryTreatment is chosen based on shared decision-making betwe...
Source: Current Physical Medicine and Rehabilitation Reports - July 7, 2022 Category: Rehabilitation Source Type: research

The Use of Diagnostic Ultrasound in Sports Muscle Injuries in Football (Soccer) Players: State-of-the-art Review
AbstractRecent findingsMuscle injuries count for one third of all sports injuries and are the most common injuries in football (soccer) players. There is a clear need to define the best approach for patients from an accurate diagnosis to complete functional recovery and return to play. In this context, especially in the last decades, the use of diagnostic ultrasound has become a key tool in the management of muscle injuries, even if complete agreement is still lacking.Purpose of the reviewThis state-of-the-art review aims to critically discuss the use of diagnostic ultrasound in the management of muscle injuries in footbal...
Source: Current Physical Medicine and Rehabilitation Reports - June 13, 2022 Category: Rehabilitation Source Type: research

Heterotopic Ossification in Patients with Burns: a Systematic Literature Review
AbstractPurpose of ReviewThe aim of this literature review is to review and join case studies and reports of heterotopic ossification development in patients sustaining burn injuries.Recent FindingsThe authors conducted a systematic literature search in PubMed, Cochrane library, EMBASE, and Scopus and reviewed cases from 1961 to 2020 of heterotopic ossification development in patients after burn injuries; the search included only publication in the English language.The authors found 37 publications of heterotopic ossification in patients sustaining burn injuries, reporting a total of 530 cases, from 1961 to 2020.The averag...
Source: Current Physical Medicine and Rehabilitation Reports - May 26, 2022 Category: Rehabilitation Source Type: research

Update on Management of Leg Pain in Athletes
Conclusions from these studies can familiarize practitioners with new methodologies in an ever-changing medical field to best treat their patients.Recent FindingsThe mainstay of treatment for several injuries of the leg includes conservative measures like rest, activity modification, physical therapy, and non-steroidal anti-inflammatory medications. While these remain valuable first line treatments, this review delves into recent studies which have shown efficacy of alternative therapies including extracorporeal shockwave therapy (ESWT), non-surgical percutaneous tenotomy, botulinum toxin injection, prolotherapy, and plate...
Source: Current Physical Medicine and Rehabilitation Reports - May 25, 2022 Category: Rehabilitation Source Type: research

Recovery After Sports Concussions: Focus on Psychological Factors
AbstractPurpose of ReviewMany factors can delay recovery after a sports-related concussion (SRC). There has been relatively greater emphasis on identifying neurophysiological complications, especially in the acute cohort. However, it is important to be aware of behavioral and psychological factors that may be overlooked in this population.Recent FindingsMore information is emerging regarding clinical profiles that confer greater risks for delayed recovery after concussion. Additionally, there is more awareness that young athletes can be affected by many of the confounders that affect recovery for adults with mild traumatic...
Source: Current Physical Medicine and Rehabilitation Reports - May 19, 2022 Category: Rehabilitation Source Type: research

Rehabilitation Strategies for Cognitive and Neuropsychiatric Manifestations of COVID-19
AbstractPurpose of ReviewExtrapulmonary manifestations of COVID-19 are abundant, including after recovery of acute SARS-CoV-2 infection. This review seeks to explore the cognitive and neuropsychiatric manifestations of COVID-19 and post-acute sequelae of SARS-CoV-2 (PASC), including Long COVID syndromes. Furthermore, the review will discuss rehabilitation strategies for the emerging neurological consequences of COVID-19 to help those experiencing long-term effects of COVID-19.Recent FindingsThere is emerging evidence depicting the neural involvement of COVID-19. Health priorities have shifted from understanding pathogenesi...
Source: Current Physical Medicine and Rehabilitation Reports - May 14, 2022 Category: Rehabilitation Source Type: research

Mental Health and Spinal Cord Injury: Clinical Considerations for Rehabilitation Providers
AbstractPurpose of ReviewAssessing and addressing the mental and behavioral health concerns of individuals with SCI during rehabilitation is crucial, as untreated mental health distress can lead to reduced gains in rehabilitation and poor overall health. This review provides an overview of the latest research on prevalence rates of common mental and behavioral health concerns in the SCI population, highlighting disability-specific factors that may impact traditional assessment and treatment of mental health concerns.Recent FindingsWhile those with SCI are at a heightened risk for experiencing mental health distress, overal...
Source: Current Physical Medicine and Rehabilitation Reports - April 28, 2022 Category: Rehabilitation Source Type: research

Current Approaches in Telehealth and Telerehabilitation for Spinal Cord Injury (TeleSCI)
AbstractPurpose of ReviewTelehealth and telerehabilitation in spinal cord injury (teleSCI) is a growing field that can improve access to care and improve health outcomes in the spinal cord injury population. This review provides an overview of the recent literature on the topic of teleSCI and provides insights on current evidence, future directions, and considerations when using teleSCI for clinical care.Recent FindingsTeleSCI is used most often for preventive health; management of chronic pain, anxiety, and depression; and rehabilitation-related interventions. As video telehealth becomes mainstream, growth in wearable mon...
Source: Current Physical Medicine and Rehabilitation Reports - April 26, 2022 Category: Rehabilitation Source Type: research

Sleep Disturbances Following Traumatic Brain Injury
AbstractPurpose of ReviewSleep disorders are prevalent following TBI and evolve over time. This review will discuss physiologic underpinnings of sleep disturbances, review a structured assessment, and propose management strategies for treating sleep disorders after TBI.Recent FindingsSleep disorders after TBI may alter normal sleep regulators and systems such as the glymphatic system, resulting in long-term consequences. Additional means of evaluation of sleep such as wearables and home polysomnography may impact our understanding of prevalence and treatment of sleep after TBI.SummarySleep disturbances are common after TBI...
Source: Current Physical Medicine and Rehabilitation Reports - April 22, 2022 Category: Rehabilitation Source Type: research

Ultrasound Evaluation of Peripheral Nerve Trauma
This article reviews more recent innovation in high-frequency ultrasound and the relative value of use in peripheral nerve trauma.Recent FindingsThere has been dramatic innovation in high-frequency diagnostic ultrasound recently with marked improvements in image quality and spatial resolution. Ultrasound has a number of advantages over other forms of imaging for assessment of peripheral nerves. It also provides invaluable anatomic information in the context of peripheral nerve trauma and serves as an important adjunct to electrophysiologic testing.SummaryHigh-frequency ultrasound has been a progressively improving technolo...
Source: Current Physical Medicine and Rehabilitation Reports - April 19, 2022 Category: Rehabilitation Source Type: research

Multisensory Integration in Bionics: Relevance and Perspectives
AbstractPurpose of reviewThe goal of the review is to highlight the growing importance of multisensory integration processes connected to bionic limbs and somatosensory feedback restoration.Recent findingsRestoring quasi-realistic sensations by means of neurostimulation has been shown to provide functional and motor benefits in limb amputees. In the recent past, cognitive processes linked to the artificial sense of touch seemed to play a crucial role for a full prosthesis integration and acceptance.SummaryArtificial sensory feedback implemented in bionic limbs enhances the cognitive integration of the prosthetic device in ...
Source: Current Physical Medicine and Rehabilitation Reports - April 19, 2022 Category: Rehabilitation Source Type: research

Urological Care After Spinal Cord Injury
AbstractPurpose of ReviewNeurogenic bladder (NGB) dysfunction is a major source of morbidity and decreased quality of life after spinal cord injury (SCI). This review article analyzes the literature and explains the complexity of diagnosis, stresses the need for a thorough evaluation, and emphasizes clinical implications for management. Following a structured approach, it is essential to offer patient-centered care.Recent FindingsRecent advances in management of NGB disorders using minimally invasive techniques like intra-detrusor onabotulinumtoxinA have revolutionized the management of detrusor overactivity. Neuromodulati...
Source: Current Physical Medicine and Rehabilitation Reports - April 12, 2022 Category: Rehabilitation Source Type: research

Rehabilitation of Adult Patients with Primary Brain Tumors
AbstractPurpose of ReviewTo review the medical complications and functional impairments of primary brain tumor survivors and the role of rehabilitation medicine in survivorship care.Recent FindingsPrimary brain tumors share many similar symptoms and functional impairments with stroke and traumatic brain injury. A call for the inclusion of rehabilitation services as part of neuro-oncological care can improve outcomes from patients with PBT to meet the rehabilitative and supportive care needs of the patient with PBT and their caregivers.SummaryFurther studies on the impact of both inpatient and outpatient rehabilitation serv...
Source: Current Physical Medicine and Rehabilitation Reports - April 11, 2022 Category: Rehabilitation Source Type: research

Advances in Upper Extremity Prosthetic Technology: Rehabilitation and the Interprofessional Team
AbstractPurpose of ReviewThe aim of this paper is to explore current trends and advancements that lead to improved practitioner knowledge and patient care resulting in better outcomes. It is common for the physiatrist to lead the team of interprofessional practitioners in the care of individuals with upper limb absence. The focus of the care is to understand and access prosthetic options, but there are often other health factors and relevant issues to consider.Recent FindingsSome of the latest updates offer solutions to pain management, prosthetic control, access to relevant evidence, and outcomes-related data. An interest...
Source: Current Physical Medicine and Rehabilitation Reports - March 19, 2022 Category: Rehabilitation Source Type: research