Osseointegration Amputation Reconstruction
AbstractPurpose of ReviewTo review the topic of osseointegration amputation reconstruction, which inserts a transcutaneous metal implant into the remaining intramedullary bone of a person with an amputation to facilitate a direct bone-anchored connection to an external prosthesis, eliminating the molded socket interface.Recent FindingsEvidence continues to build that patients function better and have a higher quality of life with osseointegration implants compared with traditional socket prosthetics. The indications for osseointegration are expanding to additional patient populations and the long-term outcomes available ar...
Source: Current Physical Medicine and Rehabilitation Reports - March 18, 2022 Category: Rehabilitation Source Type: research

Blood Biomarkers in Brain Injury Medicine
AbstractPurpose of ReviewThis review seeks to explore blood-based biomarkers with the potential for clinical implementation.Recent FindingsEmerging non-proteomic biomarkers hold promise for more accurate diagnostic and prognostic capabilities, especially in the subacute to chronic phase of TBI recovery. Furthermore, there is a growing understanding of the overlap between TBI-related and dementia-related blood biomarkers.SummaryGiven the significant heterogeneity inherent in the clinical diagnosis of traumatic brain injury (TBI), there has been an exponential increase in TBI-related biomarker research over the past two deca...
Source: Current Physical Medicine and Rehabilitation Reports - February 26, 2022 Category: Rehabilitation Source Type: research

The Effectiveness of the Contralaterally Controlled Functional Electrical Stimulation in Post-stroke Patients: a Systematic Review
AbstractPurpose of ReviewThis systematic review of randomized controlled trials (RCTs) aimed to systematically evaluate the findings of the randomized controlled trials (RCTs) concerned with the use of CCFES on stroke survivors at acute, subacute, and chronic phases.Recent FindingsThis systematic review included seven RCTs, with mean PEDro score of 5.7 and total sample of 297 participants. Conflicting evidence was found about the effect of CCFES to improve gross manual dexterity assessed by BBT, and sensorimotor function of the upper limb evaluated by FMA-UE, in stroke patients, while no evidence was found on the effect of...
Source: Current Physical Medicine and Rehabilitation Reports - February 11, 2022 Category: Rehabilitation Source Type: research

Surgical and Technological Advances in the Management of Upper Limb Amputation
AbstractPurpose of ReviewThe surgical management of upper limb amputees has undergone a long period of minimal advancement. However, recent developments in the field have sparked significant innovation. This review will focus on surgical advancements in peripheral nerve management, partial hand amputations, and residual limb optimization.Recent FindingsTargeted muscle reinnervation and regenerative peripheral nerve interface are relatively new techniques for peripheral motor nerve and pain management. Intraneural peripheral electrodes have shown promising early results for sensory nerve input. The “Starfish procedure” ...
Source: Current Physical Medicine and Rehabilitation Reports - February 3, 2022 Category: Rehabilitation Source Type: research

Evidence-Based Amputee Rehabilitation: a Systematic Approach to the Restoration of Function in People with Lower Limb Loss
AbstractPurpose of ReviewThe purpose of this review is to illustrate how existing outcome measures and clinical models can be applied to outline an evidence-based rehabilitation program for people with lower limb loss (LLL). The use of outcome measures in rehabilitation in addition to providing a numeric value of a person ’s rehabilitation status can identify patient-specific functional impairments, activity limitations, establish treatment goals, guide targeted treatment interventions, detect change over time, and classify patients and with some populations develop predictive models.Recent FindingsThe model for the reha...
Source: Current Physical Medicine and Rehabilitation Reports - January 21, 2022 Category: Rehabilitation Source Type: research

Evaluating Real-World Ambulation and Activity in Prosthetic Users with Wearable Sensors
AbstractPurpose of ReviewThe purpose of this review is to gather information that would motivate researchers, prosthetic development engineers, and health care providers to expand the emphasis on functional mobility, activity, and exercise that prosthetic users perform in real-world settings. Intuitive measures of daily activity performed in-tandem with laboratory assessments could provide a more complete perspective of functional performance.Recent FindingsThe use of wearable sensors to assess prosthetic use has gained traction in the recent decade and can provide ecologically valid real-world mobility and activity data. ...
Source: Current Physical Medicine and Rehabilitation Reports - January 13, 2022 Category: Rehabilitation Source Type: research

Swallowing Disorders in the Elderly
AbstractPurpose of ReviewGradual decline in swallowing functions occurs people age and may lead to the loss of swallowing safety and efficiency. This review article summarizes recent findings related to swallowing disorders in the elderly and discusses possible interventions.Recent FindingsAge-induced changes include declines in general sensory perception and the mass and strength of the swallowing-related muscles. Geriatric conditions such as frailty, sarcopeni, and specific diseases may further exacerbate the deterioration of swallowing function. Comprehensive interventions are required including resistant training, oral...
Source: Current Physical Medicine and Rehabilitation Reports - January 11, 2022 Category: Rehabilitation Source Type: research

Management of Acute Ankle Sprains in the Athlete
AbstractPurpose of the ReviewAnkle sprains are one of the most common sports injuries, resulting in sequelae that can ultimately affect function, return to play, and increase the risk of re-injury. This narrative review analyzes the scientific literature regarding acute ankle sprains in the athletic population and provides an overview of the clinical management as well as secondary prevention of this injury.Recent FindingsA detailed clinical assessment is necessary to confirm diagnosis, establish the severity of the sprain, and document associated injuries. The rehabilitation program can include functional and early mobili...
Source: Current Physical Medicine and Rehabilitation Reports - January 4, 2022 Category: Rehabilitation Source Type: research

Targeted Muscle Reinnervation as a Surgical Approach for Phantom Limb Pain Management Following Amputation
AbstractPurpose of ReviewThe goal of this paper is to review the current literature on targeted muscle reinnervation (TMR). This procedure has been developed over the past decade and has the potential to create intuitive and rapid control of prosthetics while also treating phantom limb and residual limb pain.Recent FindingsIn 2019, two major articles changed the way we understand the effects of the procedure. One was a randomized control trial by Dumanian et al. (Annals of Surgery 270(2):238 –246, 2019) that showed that TMR improved phantom limb pain to a statistically significant degree. The other was a well-designed st...
Source: Current Physical Medicine and Rehabilitation Reports - December 1, 2021 Category: Rehabilitation Source Type: research

Radiofrequency Techniques for the Alleviation of Post-amputation Phantom Limb Pain: a Systematic Review
ConclusionsDespite the limited quantity and quality of evidence, radiofrequency techniques show potential therapeutic benefits for phantom limb pain. (Source: Current Physical Medicine and Rehabilitation Reports)
Source: Current Physical Medicine and Rehabilitation Reports - November 26, 2021 Category: Rehabilitation Source Type: research

Current Status and Advancement of Ultrasound Imaging Technologies in Musculoskeletal Studies
AbstractPurpose of ReviewThis paper aims to review the currently available ultrasound imaging technologies in musculoskeletal studies by showcasing recent representative works in the field. Brief comments on the technical characteristics and potential advancement of these technologies are provided.Recent Findings.Other than the conventional brightness-mode (B-mode) ultrasound, recent ultrasound imaging technologies used for investigating musculoskeletal systems mainly include ultrasound elastography (UE), photoacoustic imaging (PAI), contrast agent-enhanced ultrasound (CEUS) imaging, and three-dimensional (3D) ultrasound i...
Source: Current Physical Medicine and Rehabilitation Reports - November 25, 2021 Category: Rehabilitation Source Type: research

Update on Exercise-Based Rehabilitation Approaches for Neurogenic Dysphagia
This article provides clinicians and researchers with a summary of recent research over the past 5  years for exercise-based rehabilitation for neurogenic dysphagia. Research that utilized rehabilitation paradigms in the neurogenic population is emphasized.Recent FindingsNumerous studies utilizing exercise-based rehabilitation in both non-neurogenic and neurogenic populations provide positive findings following treatment. Recruitment criteria and outcome measures were variable across studies and generally focused on signs and symptoms of dysphagia rather than underlying swallowing impairment. Dosing regimens frequently va...
Source: Current Physical Medicine and Rehabilitation Reports - November 23, 2021 Category: Rehabilitation Source Type: research

Advances in Swallowing Neurophysiology Across Pediatric Development: Current Evidence and Insights
AbstractPurpose of ReviewThis review article analyzes current evidence on the neurophysiology of swallowing during development and offers expert opinion on clinical implications and future research directions.Recent FindingsIn the past 5  years, basic and clinical research has offered advances in our understanding of pediatric swallowing neurophysiology. Animal models have elucidated the role of brainstem circuits and the peripheral and central nervous systems in neonatal swallowing. Recent human studies have further showcased that fetal and infant swallowing require cerebral inputs in order to develop functionally. Final...
Source: Current Physical Medicine and Rehabilitation Reports - November 18, 2021 Category: Rehabilitation Source Type: research

Silent Manipulation for Adhesive Capsulitis
AbstractPurpose of ReviewThis review aims to critically analyze the scientific literature on silent manipulation (SM) and offer an expert opinion on how past research translates to clinical practice. SM is a new treatment method for adhesive capsulitis, commonly known as frozen shoulder, in which a patient is treated with shoulder manipulation following an ultrasound-guided cervical nerve root block.Recent FindingsSM showed good results in the short term, with improvements in range of motion (ROM), pain, and clinical scores. The results in patients with diabetes mellitus (DM) were also good but were slightly worse than tho...
Source: Current Physical Medicine and Rehabilitation Reports - November 16, 2021 Category: Rehabilitation Source Type: research

Role of Ultrasound in Managing Hamstring Muscle Injuries
AbstractPurpose of ReviewHamstring muscle injuries are common amongst athletes and can result in significant time away from sport. This review article evaluates and discusses the current literature on magnetic resonance imaging (MRI) vs. musculoskeletal ultrasound (US) for prevention, diagnosis, and management of hamstring muscle injuries.Recent FindingsMRI has commonly been used for diagnosis of hamstring injuries and can offer prognostic information regarding return to play. US offers similar clinical information with some notable advantages over MRI.SummaryUS is a valuable imaging modality that can be used for diagnosis...
Source: Current Physical Medicine and Rehabilitation Reports - November 15, 2021 Category: Rehabilitation Source Type: research