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.

Muscular Retraining and Rehabilitation after Shoulder Muscle Tendon Transfer
Muscle tendon transfers around the shoulder involve transferring the tendon of a well-functioning muscle –tendon unit to the site of damaged muscle–tendon insertion. In turn, this restores function and strength of the injured shoulder muscle through dynamic muscular contraction and a tenodesis effect. Rehabilitation after shoulder muscle tendon transfers requires extensive and lengthy rehabilitatio n to achieve satisfactory clinical outcomes. It is crucial to gain detailed understanding of the rehabilitation requirements for different tendon transfer procedures such as the type of immobilization and specific range of m...
Source: Physical Medicine and Rehabilitation Clinics of North America - February 28, 2023 Category: Rehabilitation Authors: Abdulaziz F. Ahmed, Ryan Lohre, Bassem T. Elhassan Source Type: research

Postoperative Rehabilitation After Superior Labrum Anterior Posterior Repair
The 4-phase rehabilitation protocol outlined in this article provides a comprehensive 26-week program to return patients with superior labrum anterior posterior repairs to their preinjury states. It is guided by the principle of gradual return to preinjury function while preserving the integrity of the surgical repair. Objective criteria are present at the conclusion of each phase to ensure patients are progressing appropriately. The goal is to allow patients to return to their previous functional ability in their sport-specific or occupational-specific training. (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - February 27, 2023 Category: Rehabilitation Authors: Alyssa D. Althoff, Colby Brunette, Stephen Brockmeier Source Type: research

Remote Patient Monitoring of Postoperative Rehabilitation
This article will discuss the shift to remote patient rehabilitation and will highlight the benefits and potential pitfalls of remote rehabilitation. It will also discuss ways to monitor patients remotely as they are performing their postoperative rehabilitation exercises. Finally, it will discuss how these remote platforms can be used, and what the user experience is like for the patient and the surgeon. (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - February 27, 2023 Category: Rehabilitation Authors: Brandon J. Erickson, Yousef Shishani, Reuben Gobezie Source Type: research

Shoulder Impingement Syndrome
Shoulder impingement is the most common diagnosis for shoulder pain. Shoulder impingement syndrome has been scrutinized as a misleading “umbrella” term, due to its vague and nonspecific context. It is better subcategorized into subacromial, internal, and subcoracoid impingement. The evaluation and treatment algorithm for each is grossly similar. A thorough history, focused physical examination, and standard radiographs are the f irst steps. Advanced imaging with MRI or ultrasound may be useful. The mainstay of treatment includes physical therapy, anti-inflammatory medications, and injections. Surgical treatment is rese...
Source: Physical Medicine and Rehabilitation Clinics of North America - February 26, 2023 Category: Rehabilitation Authors: Evan H. Horowitz, William R. Aibinder Source Type: research

Physical Therapy for the Treatment of Shoulder Instability
Shoulder instability is the separation of the humeral head from the glenoid. Injury to the static and dynamic stabilizers can result in instability. Anterior shoulder instability is the predominant form of instability. It is usually a result of trauma. Posterior shoulder instability often presents with an insidious onset of pain. Multidirectional instability of the shoulder is symptomatic laxity in more than one plane of motion. The primary goal of rehabilitation is to restore pain-free mobility, strength, and functioning. Rehabilitation implements range of motion and strengthening exercises to restore proprioceptive contr...
Source: Physical Medicine and Rehabilitation Clinics of North America - February 26, 2023 Category: Rehabilitation Authors: Daniel J. Stokes, Timothy P. McCarthy, Rachel M. Frank Source Type: research

Rehabilitation after Shoulder Instability Surgery
This article will focus on the younger, active patient with instability due to deficiencies in the capsulolabral complex and dynamic stabilizers. (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - February 26, 2023 Category: Rehabilitation Authors: Jeffrey R. Hill, John Motley, Jay D. Keener Source Type: research

Postoperative Rehabilitation After Shoulder Arthroplasty
Total shoulder arthroplasty (TSA), including anatomic TSA (aTSA) and reverse TSA (rTSA), has increased in popularity due to reliably good patient outcomes. Postoperative physical therapy (PT) is considered essential to the success of this operation and has become standard practice. The authors present general rehabilitation principles as well as preferred postoperative PT protocols for aTSA and rTSA, which are based on evidence-based literature and the different early postoperative concerns for each of these procedures. (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - February 26, 2023 Category: Rehabilitation Authors: William Polio, Tyler J. Brolin Source Type: research

Basic Science of Allograft Orthobiologics
Orthobiologic procedures are based on altering the microenvironment of musculoskeletal tissues to induce an anti-inflammatory effect and reduce pain, promote healing of these tissues, or provide mechanical support. Allograft tissues have these inherent qualities and can be used as such. This could provide patients whose own autologous tissues may be compromised or have contraindications to harvesting an alternative to treat their orthopedic conditions. Although these allograft therapies are promising, they lack high-quality clinical studies and regulatory guidelines currently limit their use. (Source: Physical Medicine and...
Source: Physical Medicine and Rehabilitation Clinics of North America - November 19, 2022 Category: Rehabilitation Authors: Alberto J. Panero, Peter A. Everts, Hirotaka Nakagawa, Walter Sussman, Xiaofei Qin Source Type: research

Protocols and Techniques for Orthobiologic Procedures
Many procedural techniques have been described and used for orthobiologics procedures with little research on the ideal technique. This section outlines the commonly used materials and techniques from start to finish for these procedures. Post-procedure pain is common during and after many of these injections, and local and regional anesthesia during these procedures is discussed. Accuracy and safety of tendon, ligament, cartilage, intra-osseous, and spinal orthobiologic procedures are improved with the utilization of image guidance. (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - November 19, 2022 Category: Rehabilitation Authors: Michael Khadavi, Adam Pourcho, Luga Podesta Source Type: research

Orthobiologic Treatment of Ligament Injuries
Ligament injuries are common causes of joint pain, dysfunction, and disability resulting in disruption of joint homeostasis. Ligament injuries have historically been treated surgically. The autologous orthobiologic preparation used for treatment can influence the varying results reported. Therefore, to truly understand and compare results of these powerful therapies, reporting standardization, such as harvesting techniques, concentration techniques, quantification of the delivered product (platelets, progenitor cells), formulations (leukocyte content), number of injections performed, activation, injection technique (guided...
Source: Physical Medicine and Rehabilitation Clinics of North America - November 19, 2022 Category: Rehabilitation Authors: Luga Podesta, Eric S. Honbo, Raymond Mattfeld, Michael Khadavi Source Type: research

Orthobiologic Interventions for Muscle Injuries
Muscle injuries represent a common problem in active populations. Orthobiologics continue to be studied for their ability to improve muscle healing. To date, the basic science research for treating muscle injuries with platelet-rich plasma or stem cell remains novel. Furthermore, there are even fewer clinical studies on these topics, and their findings are inconclusive. Reviewing the literature, muscle injuries treated with ultrasound-guided leukocyte-rich PRP injections appear to have the strongest evidence. Scar formation remains a major barrier in muscle injury healing, and there is optimism for future orthobiologic tre...
Source: Physical Medicine and Rehabilitation Clinics of North America - November 19, 2022 Category: Rehabilitation Authors: Philip M. Stephens, Ryan P. Nussbaum, Kentaro Onishi Source Type: research

Clinical Rationale and Rehabilitation Guidelines for Post Biologic Therapy
The use of orthobiologic modalities such as platelet-rich plasma in orthopedics and sports medicine to deliver high concentrations of naturally occurring biologically active growth factors and proteins to the site of injury is very promising and continues to evolve. Early protection and tissue-specific progressive loading are critical components to successful outcomes following orthobiologic intervention. Each tissue heals and responds differently. Ligament, tendon, muscle, and articular cartilage each have unique healing properties that require tissue-specific loading. The authors have found using a criteria-based loading...
Source: Physical Medicine and Rehabilitation Clinics of North America - November 19, 2022 Category: Rehabilitation Authors: Eric S. Honbo, Raymond Mattfeld, Michael Khadavi, Luga Podesta Source Type: research

Orthobiologic Standardization and Clinical Outcome Measurement
There is a pressing need for the standardization of orthobiologics, considering the cellular components, concentrations, and methods of injections may vary wildly, currently without significant standards of care. There is a growing body of evidence that these factors matter significantly for patient outcomes, so it is imperative that orthobiologic constituents are measured and standardized. Cell counts may be performed for platelet-rich plasma and bone marrow aspirate-based injections, whereas adipose should have standardized processing techniques as cellular quantification is more difficult. (Source: Physical Medicine and...
Source: Physical Medicine and Rehabilitation Clinics of North America - November 19, 2022 Category: Rehabilitation Authors: Joshua Martin, Gerard Malanga Source Type: research

Evidence-Based Approach to Orthobiologics for Osteoarthritis and Other Joint Disorders
Osteoarthritis and cartilage lesions are a major cause of functional limitations which is why the goal of biological treatment is to preserve the native joint to delay the onset of OA. As a result of improvements in surgical techniques and technology, treatment options are more and more available, allowing the treatment of a whole range of injuries, from minor to extensive lesions both acute and chronic. In chondral lesion treatment, restoring hyaline-like cartilage provides improved durability of repaired tissue and desirable wear characteristics. Biological cell-based cartilage restoration treatment was developed to addr...
Source: Physical Medicine and Rehabilitation Clinics of North America - November 19, 2022 Category: Rehabilitation Authors: Katarzyna Herman, Alberto Gobbi Source Type: research

Expanding our Knowledge of Orthobiologic Therapies
We are extremely excited to present the current issue of Physical Medicine and Rehabilitation Clinics of North America, “Regenerative Medicine Update.” We have put together an all-star lineup of authors who are some of the world's authorities in the basic science of orthobiologics, cell-based therapies, and the application of these therapies as a first-line treatment, or in combination with surgical procedures to enhance surgical outcomes. (Source: Physical Medicine and Rehabilitation Clinics of North America)
Source: Physical Medicine and Rehabilitation Clinics of North America - November 19, 2022 Category: Rehabilitation Authors: Michael Khadavi, Luga Podesta Tags: Preface Source Type: research