Motorized Biomechatronic Upper and Lower Limb Prostheses —Clinically Relevant Outcomes
People with major limb amputations are severely impaired when it comes to activity, body structure and function, as well as participation. Demographic statistics predict a dramatic increase of this population and additional challenges with their increasing age and higher levels of amputation. Prosthetic use has been shown to have a positive impact on mobility and depression, thereby affecting the quality of life. Biomechatronic prostheses are at the forefront of prosthetic development. Actively powered designs are now regularly used for upper limb prosthetic fittings, whereas for lower limbs the clinical use of actively po...
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Knut Lechler, Bertrand Frossard, Lynsay Whelan, David Langlois, Roy M üller, Kristleifur Kristjansson Tags: Innovations Influencing Physical Medicine and Rehabilitation Source Type: research

New Treatment Approaches on the Horizon for Spastic Hemiparesis
This article presents 2 recent articles that propose novel interventions for treating spastic hemiparesis by changing biological infrastructure. In 18 patients with unilateral spastic arm paralysis due to chronic cerebral injury greater than 5 years ’ duration, Zheng et al transferred the C7 nerve from the nonparalyzed side to the side of the arm that was paralyzed. Over a follow-up period of 12 months, they found greater improvement in function and a reduction of spasticity compared to rehabilitation alone. (Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Nathaniel H. Mayer Tags: Innovations Influencing Physical Medicine and Rehabilitation Source Type: research

A Review of Stem Cell Therapy for Acquired Brain Injuries and Neurodegenerative Central Nervous System Diseases
Cell-based therapies have been the subject of much discussion regarding their potential role in enhancing central nervous system function for a number of pathologic conditions. Much of the current research has been in preclinical trials, with clinical trials in the phase I or I/II stage. Nevertheless, there is considerable interest in the public about the potential regenerative role that stem cells may have in improving function for these neurologic conditions. This review will describe the different types of stem cells that are available, review their possible effects, and discuss some of the variables that investigators ...
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Thomas K. Watanabe Tags: Innovations Influencing Physical Medicine and Rehabilitation Source Type: research

Robotic and Sensor Technology for Upper Limb Rehabilitation
Robotic and sensor-based neurologic rehabilitation for the upper limb is an established concept for motor learning and is recommended in many national guidelines. The complexity of the human hands and arms and the different activities of daily living are leading to an approach in which robotic and sensor-based devices are used in combination to fulfill the multiple requirements of this intervention. A multidisciplinary team of the Fondazione Don Carlo Gnocchi (FDG), an Italian nonprofit foundation, which spans across the entire Italian territory with 28 rehabilitation centers, developed a strategy for the implementation of...
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Iris Jakob, Alexander Kollreider, Marco Germanotta, Filippo Benetti, Arianna Cruciani, Luca Padua, Irene Aprile Tags: Innovations Influencing Physical Medicine and Rehabilitation Source Type: research

The Transformation of the Rehabilitation Paradigm Across the Continuum of Care
As healthcare continues to evolve, there are changes in the delivery of care for patients with severe neurologic injuries. Although the acute hospital stay is shortening, physiatrists can play a key role in preparing patients for rehabilitation, minimizing longer-term complications and helping to determine the most appropriate paths for further treatment. Inpatient rehabilitation facilities (IRFs) continue to be an important part of the care continuum for patients with severe injuries, but the role of IRFs has also evolved as patients have been admitted with increasing medical and neurologic complexity and length of stay c...
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Thomas K. Watanabe, Alberto Esquenazi, Steven Flanagan Tags: Innovations Influencing Physical Medicine and Rehabilitation Source Type: research

Innovations Influencing Physical Medicine and Rehabilitation
We are very pleased and honored to have been asked to serve as the guest editors of this special issue, “Innovations Influencing Physical Medicine and Rehabilitation,” and to be able to leverage its content with the theme of this year’s American Academy of Physical Medicine and Rehabilitation (AAPMR) annual assembly. This special issue is also significant as it is the last to be published under Dr Weinstein’s tutelage, who as editor-in-chief, has led PM&R with editorial excellence for the past decade. (Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Ning Cao, Alberto Esquenazi Tags: Innovations Influencing Physical Medicine and Rehabilitation Source Type: research

Editorial Board
(Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Source Type: research

Table of Contents
(Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Source Type: research

Innovations Influencing Physical Medicine and Rehabilitation
(Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Source Type: research

Planners, Faculty & Others Involved in SAE Content
(Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Source Type: research

Disclosure Page
(Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Source Type: research

Quantification of Urinary Loss in Nulliparous Athletes During 1 Hour of Sports Training
Urinary incontinence (UI) is a pelvic floor dysfunction that can affect nulliparous female athletes because of the effect of sports activities on pelvic floor muscles. (Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Keyla M. dos Santos, Thuane H. da Roza, Soraia C. Tonon da Luz, Julia P. Hort, Joyce M. Kruger, Bruna Schevchenco Tags: Original Research Source Type: research

Re: Aerobic Exercise Combined with Noninvasive Positive Pressure Ventilation Increases Serum Brain-Derived Neurotrophic Factor in Healthy Males by Kawazu et  al
We are writing in regard to an article published on May 18, 2016, by T. Kawazu et  al titled “Aerobic Exercise Combined with Noninvasive Positive Pressure Ventilation Increases Serum Brain-Derived Neurotrophic Factor in Healthy Males.” (Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: L. Brian Barnett, Joe E. Springer, Robert M. Worthing Tags: Letter to the Editor Source Type: research

Reply
We thank Barnett and colleagues for their interest in our study. In their letter to the Editor, they asked for clarification on a number of points. The points are as follows: (1) clarify the inclusion/exclusion criteria, the manner in which subjects were randomized, and if allocation concealment or blinding of any party occurred; (2) clarify the process in determining the intensity level and duration of exercise; (3) clarify the basis by which the authors settled on a 3-week washout period, and if there is evidence to support their claim that the time period was sufficient; (4) provide the data used in their calculations ...
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Takeshi Nakamura Tags: Letter to the Editor Source Type: research

A Checklist for Analyzing Data
Understandably, when researchers get data, they are eager to learn what the data have to say regarding the main study hypotheses. This excitement, combined with looming deadlines, can result in researchers skipping the most important steps of a data analysis. For example, researchers might rush to run formal statistical tests that compare their groups before they have properly cleaned and vetted their data. In a proper data analysis, the bulk of an analyst ’s time is not spent on running final statistical models, but rather on tasks such as cleaning, checking, understanding, and plotting the data. (Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Kristin L. Sainani Tags: Statistically Speaking Source Type: research