Physical Medicine and Rehabilitation Clinics of North America 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.

Copyright
ELSEVIER (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - June 24, 2021 Category: Rehabilitation Source Type: research

Contributors
SANTOS F. MARTINEZ, MD, MS (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - June 24, 2021 Category: Rehabilitation Source Type: research

Contents
Santos F. Martinez (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - June 24, 2021 Category: Rehabilitation Source Type: research

Forthcoming Issues
Non-Spine Ablation Procedures (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - June 24, 2021 Category: Rehabilitation Source Type: research

Pandemics Shaping our World
Afraid to leave the safety of my home and concerned about facing the invisible opponent that has been tormenting our community. Would someone in my family be ravaged by this virus that left so many neighbors with respiratory failure? Waiting for a cure, a magic antidote to the fear and suffering that has embraced not only our local community but also the world. (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - June 3, 2021 Category: Rehabilitation Authors: Darren C. Rosenberg, Craig Rovito Tags: Preface Source Type: research

Palliative Care for Polio and Postpolio Syndrome
Palliative care is a team-based approach focusing on relief of physical, psychosocial, and existential distress and communication about serious illness. Patients with poliomyelitis and postpolio syndrome are at risk for contractures and can benefit from involvement of physical and occupational therapy. Hypersialorrhea can be treated with anticholinergic medications, botox, or radiation. Patients with dyspnea may require noninvasive positive pressure ventilation  ± opioids or benzodiazepines. Constipation is often due to autonomic dysfunction and decreased mobility. There is a higher burden of anxiety. Early conversation...
Source: Physical Medicine and Rehabilitation Clinics of North America - May 26, 2021 Category: Rehabilitation Authors: John Y. Rhee, Kate Brizzi Source Type: research

Psychiatric Approaches and Outcomes
This article addresses the provision of polio-informed psychological treatment as well as ways of creating a culture that supports mental health within medical setti ngs. (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - May 26, 2021 Category: Rehabilitation Authors: Stephanie T. Machell Source Type: research

Acute Flaccid Myelitis
This article reviews the case definition of AFM as well as its epidemiology and association with enteroviral infection. The clinical presentation, diagnostic investigation with particular attention to electrodiagnostics, acute management, and surgical options are described. Clinical outcomes and considerations for acute and long-term rehabilitation management are discussed extensively based on review of current literature, highlighting avenues for further study. (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - May 19, 2021 Category: Rehabilitation Authors: William Ide, Michelle Melicosta, Melissa K. Trovato Source Type: research

Joint and Back Pain
Postpolio syndrome (PPS) is a sequela with symptoms that often occur in patients who previously survived poliomyelitis. Pain is a characteristic feature of PPS. Although poliomyelitis is no longer commonly seen in the western world, there is a significant portion of patients living with PPS. Recognizing the signs of PPS is integral in developing treatment plans. Conservative management is routinely considered first-line therapy; however, alternate treatments, pharmacologic and minimally invasive, are used in more refractory cases. Approaching patients living with pain and PPS requires a holistic approach and an understandi...
Source: Physical Medicine and Rehabilitation Clinics of North America - May 19, 2021 Category: Rehabilitation Authors: Angela Samaan, Miguel X. Escalon Source Type: research

Health Care Delivery, Patient Resources, and Community Reintegration
When providing health care services, clinicians should provide patient-centered and family-centered care. When providing care for medically complex patients, it is important to think about how health care teams are working together to care for patients. Health care providers need to think about how they can guide their patients to become more independent, have an improved quality of life, and have improved access to their homes and community environments when possible. Clinicians need to recognize the importance of caregivers and the burdens that are put on caregivers. Clinicians should provide support to caregivers whenev...
Source: Physical Medicine and Rehabilitation Clinics of North America - May 19, 2021 Category: Rehabilitation Authors: Jenna Raheb Source Type: research

Medical Comorbidities and Complications Associated with Poliomyelitis and Its Sequelae
Survivors of poliomyelitis may experience long-term sequelae that put them at increased risk for injury, pain, cardiovascular deconditioning, and functional decline. Osteoporotic fractures and entrapment neuropathies, in particular, may result in greater impairments in one ’s mobility and ability to perform activities of daily living. Dysphagia may necessitate the use of compensatory swallow strategies to minimize aspiration risk. Comorbid conditions, including hypertension, dyslipidemia, obesity, and stroke, are also very prevalent in this population. Risk factor m odification, including diet, exercise, and medication c...
Source: Physical Medicine and Rehabilitation Clinics of North America - May 19, 2021 Category: Rehabilitation Authors: Lauren T. Shapiro, Andrew L. Sherman Source Type: research

Approach to Fatigue and Energy Conservation
Fatigue, a common complaint in individuals with postpolio syndrome (PPS), is defined as an overwhelming sustained feeling of exhaustion and diminished capacity for physical and mental work. A comprehensive medical work-up is needed to rule out all other causes of fatigue. A sleep study should be considered for individuals with PPS who complain of fatigue. Self-reported outcome measures, such as the Fatigue Severity Scale, are reliable and valid tools to measure fatigue in this population. Fatigue management consists of individualized treatment of underlying medical conditions, energy conservation, pacing techniques, and li...
Source: Physical Medicine and Rehabilitation Clinics of North America - May 19, 2021 Category: Rehabilitation Authors: Beth Grill, Maria Cole Source Type: research

Bracing
The goals of bracing in polio and postpolio are to optimize joint position and support weak muscles with the goal of reducing falls, reducing deformities, and optimizing energy conservation. Orthoses are primarily used in the lower extremities to optimize gait. Less frequently, upper extremity orthoses are required. Polio survivors are at increased risk of falls and injuries. Appropriate bracing and compliance with the prescribed device can prevent falls and injuries. The best orthotic results are often achieved with patients who have significant deficits but walk regularly, are well motivated, and are willing to adapt the...
Source: Physical Medicine and Rehabilitation Clinics of North America - May 19, 2021 Category: Rehabilitation Authors: Claudia A. Wheeler Source Type: research

Nerve Conduction Study/Electromyography: Common Neuropathies and Considerations for Patients with Polio
Acute poliomyelitis is now extremely rare in the United States. Worldwide there are still sporadic outbreaks, which are typically treated with acute inoculation programs. Although polio has effectively been eradicated, the full scope of the disease and its myriad manifestations both in the acute phase and in the postpolio syndrome phase, remain areas of fertile research, debate, and stimulating topics. (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - May 12, 2021 Category: Rehabilitation Authors: Andrew Dubin Source Type: research

Neuromuscular Scoliosis
Scoliosis has a very high prevalence among patients with neuromuscular disease involving the thoracic spine and truncal muscles. Physical examination and radiographs are used to screen for presence of scoliosis and monitor progression. Management includes therapy participation, optimizing equipment and orthotic use, and possible surgical intervention. Unlike idiopathic adolescent scoliosis, curves tend to progress despite orthotic use compliance. Associated pelvic obliquity creates risk for pressure sores and pain. As such, education of caregivers is a key point of optimizing management. (Source: Physical Medicine and Reha...
Source: Physical Medicine and Rehabilitation Clinics of North America - May 12, 2021 Category: Rehabilitation Authors: Brian D. Wishart, Emily Kivlehan Source Type: research