The Association of Clinic-based Mobility Tasks and Measures of Community Performance and Risk?
Gait speed is recognized as an important predictor of adverse outcomes in older people. However, it is unknown if other more complex mobility tasks are better predictors of such outcomes. (Source: PM and R)
Source: PM and R - January 9, 2018 Category: Rehabilitation Authors: M.L. Callisaya, J. Verghese Source Type: research

Chronic thigh pain in a young adult diagnosed as synovial sarcoma: A case report
Synovial sarcoma is a slow growing, intermediate to high grade neoplasm with extensive metastatic potential. Accurate diagnosis of synovial sarcoma may pose a challenge to providers because of its indolent growth and variable presentation. The findings of a soft-tissue, periarticular mass with calcifications in a young patient are highly suggestive of synovial sarcoma. Although different imaging modalities can aid in the diagnosis of synovial sarcoma, diagnostic certainty is typically only confirmed by biopsy and histological analysis. (Source: PM and R)
Source: PM and R - January 9, 2018 Category: Rehabilitation Authors: Lauren A. Chambers, John M. Lesher Source Type: research

Re: Is the Routine Use of a Functional Electrical Stimulation Cycle for Lower Limb Movement Standard of Care for Acute Spinal Cord Injury Rehabilitation?
I would like to thank Drs. Stampas and York for their very interesting Point/Counterpoint debate on the use of functional electrical stimulation (FES) cycles as part of the standard of care for patients with spinal cord injury (SCI) [1]. Although some of the authors ’ points may apply only to their hypothetical patient, other comments appear intended to be generalizable. One example of the latter is Dr. York’s statement that “Although there is literature describing the use of FES cycling in chronic SCI to improve the bulk of stimulated muscles, leg bone d ensity, cardiovascular health, and metabolic param...
Source: PM and R - January 1, 2018 Category: Rehabilitation Authors: Gary S. Beaupre Tags: Letter to the Editor Source Type: research

Emerging Technological Advances in Musculoskeletal Ultrasound
Musculoskeletal (MSK) ultrasound (US) use has increased greatly in the past few decades [1,2]. There was a 71.7% increase in outpatient diagnostic MSK US studies from 2000 to 2009, with most of the increase due to use by nonradiologist physicians and podiatrists [3]. In the field of PM&R, residents, fellows, and practitioners are increasingly seeking US education [4]. (Source: PM and R)
Source: PM and R - January 1, 2018 Category: Rehabilitation Authors: Cindy Y. Lin, Chin Chin Ooi, Eric Chan, Kelvin T. Chew Tags: Emerging Issues Source Type: research

The Family Caregiving Dilemma
We often assume that, on discharge from inpatient rehabilitation, families will provide caregiving for their loved ones. The discharge process involves assessing the intensity and skill level of assistance needed by the patient, and decisions about placement recommendations often hinge on the intensity and availability of caregiving resources. This responsibility often falls on family members, and there are ethical issues involving allocation of resources, family duties, and potential harms, among others. (Source: PM and R)
Source: PM and R - January 1, 2018 Category: Rehabilitation Authors: Ryan Stork, Marilyn Martone, Paul Osterman, Teresa A. Savage, Debjani Mukherjee Tags: Ethical Legal Feature Source Type: research

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

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

Academy News – January PM & R
As the primary medical society for the specialty of PM&R, your Academy is focused on moving the specialty and you forward. Academy membership supports initiatives to assist our members with: (Source: PM and R)
Source: PM and R - January 1, 2018 Category: Rehabilitation Tags: Departments Source Type: research

Information for Authors
(Source: PM and R)
Source: PM and R - January 1, 2018 Category: Rehabilitation Source Type: research

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

Spanish Translated Abstracts
(Source: PM and R)
Source: PM and R - January 1, 2018 Category: Rehabilitation Tags: Translated Abstracts Source Type: research

PM & R Manuscript Reviewers
We extend our sincere gratitude to the following individuals who reviewed manuscripts for PM&R between November 2016 and October 2017. Peer-reviewers are the life-blood of scientific journals and their sacrifice of time and effort has greatly and specifically contributed to PM&R's success. (Source: PM and R)
Source: PM and R - January 1, 2018 Category: Rehabilitation Tags: Departments Source Type: research

Maintaining Opioid Prescription for Chronic Back Pain: Pro Versus Con
A 28-year-old single man presents to your clinic for a new patient evaluation. He has had low back pain for 5 years after a motor vehicle collision. The diagnosis was diskogenic low back pain that was identified by a combination of magnetic resonance imaging and provocation diskography. A microdiskectomy procedure performed 1 year after the collision was not effective in reducing his pain. He eventually was referred to a pain management provider, who supported the ongoing use of hydrocodone/acetaminophen 10 mg/325 mg, 4 per day. (Source: PM and R)
Source: PM and R - January 1, 2018 Category: Rehabilitation Authors: Ameet S. Nagpal, Maxim Eckmann, Stuart M. Weinstein Tags: Point/Counterpoint Source Type: research

Custom Fabrication of a 3-Dimensionally Printed Helmet for Improved Socialization and Subjective Self-Assessment in a Case of Acquired Cranial Defect: A Case Presentation
Traumatic injury and subsequent residual cosmetic deformity are subject of intense scrutiny for their effects on objective health measures assessing patient morbidity and mortality. Although these remain principal concerns of all members of the treatment team, of less immediate yet lasting importance to the patient are the social costs of such disfigurement. Subjective feelings of unease and embarrassment can hinder social reintegration and encourage deteriorating psychosocial health. The following presents a case of one such individual who sustained traumatic brain injury and associated pneumocephalus and osteomyelitis re...
Source: PM and R - December 29, 2017 Category: Rehabilitation Authors: Cesar Colasante, Zachary Sanford, Nileyma Castro, Matthew Bartels Tags: Case Presentation Source Type: research

Patient-Reported Outcome Measures: Utility for Predicting Spinal Surgery in an Integrated Spine Practice
For the majority of patients, spinal surgery is an elective treatment. The decision as to whether and when to pursue surgery is complicated and influenced by myriad factors, including pain intensity and duration, impact on functional activities, referring physician recommendation, and surgeon preference. By understanding the factors that lead a patient to choose surgery, we may better understand the decision-making process, improve outcomes, and provide more effective care. (Source: PM and R)
Source: PM and R - December 26, 2017 Category: Rehabilitation Authors: James R. Babington, Alicia Edwards, Anna Wright, Taitea Dykstra, Andrew S. Friedman, Rajiv K. Sethi Tags: Original Research Source Type: research

Functional Reach, Depression Scores, and Number of Medications Are Associated With Number of Falls in People With Chronic Stroke
Falls are a common adverse event among people with stroke. Previous studies investigating risk of falls after stroke have relied primarily on retrospective fall history ranging from 6-12 months recall, with inconsistent findings. (Source: PM and R)
Source: PM and R - December 26, 2017 Category: Rehabilitation Authors: Aqeel M. Alenazi, Mohammed M. Alshehri, Shaima Alothman, Jason Rucker, Kari Dunning, Linda D ’Silva, Patricia M. Kluding Tags: Original Research Source Type: research

Patient-Reported Outcome Measures: Utility for Predicting Spinal Surgery in an Integrated Spine Practice
For the majority of patients, spinal surgery is an elective treatment. The decision as to when and if to pursue surgery is complicated and influenced by a myriad of factors including pain intensity and duration, impact on functional activities, referring physician recommendation and surgeon preference. By understanding the factors that lead a patient to choose surgery we may better understand the decision making process, improve outcomes, and provide more effective care. (Source: PM and R)
Source: PM and R - December 26, 2017 Category: Rehabilitation Authors: James R. Babington, Alicia Edwards, Anna Wright, Taitea Dykstra, Andrew S. Friedman, Rajiv K. Sethi Source Type: research

Functional Reach, Depression Scores and Number of Medications are Associated with Number of Falls in People with Chronic Stroke
Falls are a common adverse event among people with stroke. Previous studies investigating risk of falls after stroke have relied primarily on retrospective fall history ranging from 6-12 months recall, with inconsistent findings. (Source: PM and R)
Source: PM and R - December 26, 2017 Category: Rehabilitation Authors: Aqeel M. Alenazi, Mohammed M. Alshehri, Shaima Alothman, Jason Rucker, Kari Dunning, Linda D ’Silva, Patricia M. Kluding Source Type: research

Challenging Diagnosis and Inpatient Rehabilitation of Acute Bilateral Neuralgic Amyotrophy Possibly Attributed to Lyme Disease —A Case Report
In this report, we discuss the diagnosis, electrodiagnostic progression, pain management, goals for inpatient rehabilitation, and overall prognosis of NA. (Source: PM and R)
Source: PM and R - December 19, 2017 Category: Rehabilitation Authors: Shangming Zhang, Lucy Q. Zhang, Megan Wright, David R. Gater Tags: Case Presentation Source Type: research

Challenging diagnosis and inpatient rehabilitation of acute bilateral neuralgic amyotrophy possibly attributed to Lyme disease-A case report
In this report, we discussed the diagnosis, electrodiagnostic progression, pain management, goals for inpatient rehabilitation and overall prognosis of NA. (Source: PM and R)
Source: PM and R - December 19, 2017 Category: Rehabilitation Authors: Shangming Zhang, Lucy Q. Zhang, Megan Wright, David R. Gater Source Type: research

The PM & R Journal Implements a Social Media Strategy to Disseminate Research and Track Alternative Metrics in Physical Medicine and Rehabilitation
This report describes how a social media strategy for the journal PM&R using metrics, including alternative metrics, contributes to the dissemination of research and other information in the field of physical medicine and rehabilitation. The primary goal of the strategy was to disseminate information about rehabilitation medicine, including but not limited to new research published in the journal, to health care professionals. (Source: PM and R)
Source: PM and R - December 15, 2017 Category: Rehabilitation Authors: William N. Niehaus, Julie K. Silver, Matthew S. Katz Tags: Perspectives Source Type: research

The PM & R Journal Implements a Social Media Strategy to Disseminate Research and Track Alternative Metrics in Physical Medicine and Rehabilitation
This report describes how a social media strategy for the journal PM&R using metrics, including alternative metrics, contributes to the dissemination of research and other information in the field of physical medicine and rehabilitation. The primary goal of the strategy was to disseminate information about rehabilitation medicine, including but not limited to new research published in the journal, to healthcare professionals. (Source: PM and R)
Source: PM and R - December 15, 2017 Category: Rehabilitation Authors: William N. Niehaus, Julie K. Silver, Matthew S. Katz Source Type: research

Can Ultrasound Be Used to Improve the Palpation Skills of Physicians in Training? A Prospective Study
Accurate diagnosis of musculoskeletal disorders relies heavily on the physical examination, including accurate palpation of musculoskeletal structures. The literature suggests that there has been a deterioration of physical examination skills among medical students and residents, in part due to increased reliance on advanced imaging. It has been shown that knowledge of musculoskeletal anatomy and physical examination skills improve with the use of ultrasound; however, the literature is limited. (Source: PM and R)
Source: PM and R - December 7, 2017 Category: Rehabilitation Authors: Ryan Woods, Steve J. Wisniewski, Daniel R. Lueders, Thomas P. Pittelkow, Dirk R. Larson, Jonathan T. Finnoff Tags: Original Research Source Type: research

Self-Efficacy and Pressure Ulcer Prevention After Spinal Cord Injury —Results From a Nationwide Community Survey in Switzerland (SwiSCI)
Pressure ulcers (PUs) are a common and severe health condition in persons with spinal cord injury (SCI). Skin-care strategies for PU prevention are usually provided during the first rehabilitation session. However, individuals with SCI often do not perform these strategies continuously, especially after discharge. The influence of psychological factors such as general self-efficacy (GSE) on the performance of PU prevention behavior has not yet been sufficiently explored. (Source: PM and R)
Source: PM and R - December 7, 2017 Category: Rehabilitation Authors: Kerstin Hug, Caroline Stumm, Isabelle Debecker, Carolina Saskia Fellinghauer, Claudio Peter, Magret Hund-Georgiadis Tags: Original Research Source Type: research

Can Ultrasound Be Used to Improve the Palpation Skills of Physicians in Training? A Prospective Study
Accurate diagnosis of musculoskeletal disorders relies heavily upon the physical examination, including accurate palpation of musculoskeletal structures. The literature has suggested there has been deterioration of physical examination skills among medical students and residents in part due to increased reliance on advanced imaging. It has been shown that knowledge of musculoskeletal anatomy and physical examination skills improve with the use of ultrasound; however, the literature is limited. (Source: PM and R)
Source: PM and R - December 7, 2017 Category: Rehabilitation Authors: Ryan Woods, Steve J. Wisniewski, Daniel R. Lueders, Thomas P. Pittelkow, Dirk R. Larson, Jonathan T. Finnoff Source Type: research

Self-efficacy and Pressure Ulcer Prevention after Spinal Cord Injury – Results from a Nationwide Community Survey in Switzerland (SwiSCI)
Pressure ulcers (PUs) are a common and severe health condition in persons with spinal cord injury (SCI). Skin-care strategies for PU prevention are usually provided during first rehabilitation. However, individuals with SCI often do not perform these strategies continuously, especially after discharge. The influence of psychological factors such as general self-efficacy (GSE) on the performance of PU prevention behavior has not yet been sufficiently explored. (Source: PM and R)
Source: PM and R - December 7, 2017 Category: Rehabilitation Authors: Kerstin Hug, Caroline Stumm, Isabelle Debecker, Carolina Saskia Fellinghauer, Claudio Peter, Magret Hund-Georgiadis Source Type: research

Functional Impairments in a Patient with Morvan Syndrome: A  Case Presentation
A 48-year-old man with lung squamous cell carcinoma was admitted to acute care with cognitive impairment after recent chemotherapy. He developed myoclonus, ataxia, agitation, and visual hallucinations. Morvan syndrome, a rare voltage-gated potassium channel antibody disorder characterized by neuromyotonia with central nervous system dysfunction, was eventually diagnosed. He received plasmapheresis and was admitted to inpatient rehabilitation, where he safely participated in therapies. By focusing on neuromuscular rehabilitation, balance training, fine motor skills, and cognitive retraining emphasizing skills relevant to th...
Source: PM and R - December 5, 2017 Category: Rehabilitation Authors: Stephanie Tow, Desi Carozza, Kim Barker Tags: Case Presentation Source Type: research

Changes in Oxygen Consumption and Heart Rate After Acute Myocardial Infarction During 6-Month Follow-up
Exercise intensity is a particularly important determinant of physiological responses to exercise training in patients with acute myocardial infarction. Heart rate (HR) is commonly used as a practical way of prescribing and monitoring exercise as specific intensities based on a linear relationship between the percentage of maximum HR (%HRmax) and the percentage of maximum oxygen consumption (%VO2max) regardless of age, gender, or exercise mode. (Source: PM and R)
Source: PM and R - December 5, 2017 Category: Rehabilitation Authors: Yuri Choe, Jae-Young Han, In-Sung Choi, Hyeng-Kyu Park Tags: Original Research Source Type: research

Functional Impairments in a Patient with Morvan Syndrome: A  Case Presentation
A 48-year-old man with lung squamous cell carcinoma was admitted to acute care with cognitive impairment after recent chemotherapy. He developed myoclonus, ataxia, agitation, and visual hallucinations. Morvan syndrome, a rare voltage-gated potassium channel antibody disorder characterized by neuromyotonia with central nervous system dysfunction, was eventually diagnosed. He received plasmapheresis and was admitted to inpatient rehabilitation, where he safely participated in therapies. By focusing on neuromuscular rehabilitation, balance training, fine motor skills, and cognitive retraining emphasizing skills relevant to th...
Source: PM and R - December 5, 2017 Category: Rehabilitation Authors: Stephanie Tow, Desi Carozza, Kim Barker Tags: Case Presentation Source Type: research

The Functional Impairments in a Patient with Morvan ’s Syndrome: A Case Report
A 48 year-old man with lung squamous cell carcinoma was admitted to acute care with cognitive impairment after recent chemotherapy. He developed myoclonus, ataxia, agitation, and visual hallucinations. Morvan ’s Syndrome, a rare voltage-gated potassium channel antibody disorder characterized by neuromyotonia with central nervous system dysfunction, was eventually diagnosed. He received plasmapheresis and was admitted to inpatient rehabilitation, where he safely participated in therapies. By focusing on neuromuscular rehabilitation, balance training, fine motor skills, and cognitive retraining emphasizing skills relev...
Source: PM and R - December 5, 2017 Category: Rehabilitation Authors: Stephanie Tow, Desi Carozza, Kim Barker Source Type: research

Changes of Oxygen Consumption and Heart Rate after Acute Myocardial Infarction during 6-Month Follow-up
Exercise intensity is a particularly important determinant of physiological responses to exercise training in patients with acute myocardial infarction. Heart rate (HR) is commonly used as a practical way of prescribing and monitoring exercise as specific intensities based on linear relationship between the percentage of maximum heart rate (%HRmax) and the percentage of maximum oxygen consumption (%VO2max) regardless of age, sex or exercise mode. (Source: PM and R)
Source: PM and R - December 5, 2017 Category: Rehabilitation Authors: Yuri Choe, Jae-Young Han, In-Sung Choi, Hyeng-Kyu Park Source Type: research

Musculoskeletal and Sports Medicine Physical Medicine and Rehabilitation Curriculum Guidelines
The following Musculoskeletal and Sports Medicine Physical Medicine and Rehabilitation (PM&R) Curriculum Guidelines were developed to define a recommended training strategy for PM&R residents in the realm of musculoskeletal and sports medicine. This document has been endorsed by the American Medical Society for Sports Medicine, the American Academy of Physical Medicine and Rehabilitation, and the Association of Academic Physiatrists. There are other published educational resources for sports medicine faculty that provide direction in improving the quality of sports medicine fellowship programs [1]. (Source: PM and R)
Source: PM and R - December 1, 2017 Category: Rehabilitation Authors: Jason L. Zaremski, Matthew C. Diamond, Andrea Aagesen, Ellen Casey, Brian Davis, Mark Ellen, Kenneth Mautner, Kelly McInnis, Jerome Nichols, Ashwin Rao, Brian Krabak Tags: Special Communication Source Type: research

A Tale of Two Treatments for Patellofemoral Pain
A 23-year-old female competitive runner presents with bilateral retropatellar pain. She has been evaluated by a physician previously and diagnosed with patellofemoral pain (PFP). Treatment to date has included physical therapy, which has been focused on quadriceps strengthening and passive modalities. She reports the treatment to be of minimal benefit. (Source: PM and R)
Source: PM and R - December 1, 2017 Category: Rehabilitation Authors: Irene Davis, Christopher Powers, Adam Tenforde, Jaspal Ricky Singh Tags: Point/Counterpoint Source Type: research

An Introduction to Bayesian Data Analysis for Correlations
This article provides an introduction to Bayesian methods for exploring the relationship between 2 quantitative variables, illustrated with a dataset from the literature and analyzed with free, easy-to-use software. (Source: PM and R)
Source: PM and R - December 1, 2017 Category: Rehabilitation Authors: Regina L. Nuzzo Tags: Statistically Speaking Source Type: research

Editorial Board
(Source: PM and R)
Source: PM and R - December 1, 2017 Category: Rehabilitation Source Type: research

Table of Contents
(Source: PM and R)
Source: PM and R - December 1, 2017 Category: Rehabilitation Source Type: research

Academy News – December PM & R Journal
As the primary medical society for the specialty of PM&R, your Academy is focused on moving the specialty and you forward. Academy membership supports initiatives to assist our members with: (Source: PM and R)
Source: PM and R - December 1, 2017 Category: Rehabilitation Source Type: research

Information for Authors
(Source: PM and R)
Source: PM and R - December 1, 2017 Category: Rehabilitation Source Type: research

Copyright Page
(Source: PM and R)
Source: PM and R - December 1, 2017 Category: Rehabilitation Source Type: research

Spanish Translated Abstracts
(Source: PM and R)
Source: PM and R - December 1, 2017 Category: Rehabilitation Tags: Translated Abstracts Source Type: research

Lumbar Medial Branch Block Volume-Dependent Dispersion Patterns as a Predictor for Ablation Success: A Cadaveric Study
Lumbar facet arthropathy is a common cause of low back pain. Literature supports treatment with radiofrequency ablation (RFA) of associated nerves that innervate lumbar facets when alternative conservative therapies have failed. Diagnostic local anesthetic blocks precede therapeutic ablation, but have a false-positive rate of 27%-63%, and some authors have questioned their utility in predicting therapeutic response to RFA. The authors of the current study believe that injectate volume may be a contributing factor to false positivity. (Source: PM and R)
Source: PM and R - November 22, 2017 Category: Rehabilitation Authors: Sayed E. Wahezi, Edward Alexeev, John S. Georgy, Nogah Haramati, Stephen A. Erosa, Jay M. Shah, Sherry Downie Tags: Original Research Source Type: research

Lumbar Medial Branch Block Volume Dependent Dispersion Patterns as a Predictor for Ablation Success: A Cadaveric Study
Lumbar facet arthropathy is a common cause of low back pain. Literature supports treatment with radiofrequency ablation (RFA) of associated nerves that innervate lumbar facets when alternative conservative therapies have failed. Diagnostic local anesthetic blocks precede therapeutic ablation, but have a false positive rate of 27-63%, and some have questioned their utility in predicting therapeutic response to RFA. The authors believe that injectate volume may be a contributing factor to false positivity. (Source: PM and R)
Source: PM and R - November 22, 2017 Category: Rehabilitation Authors: Sayed E. Wahezi, Edward Alexeev, John S. Georgy, Nogah Haramati, Stephen A. Erosa, Jay M. Shah, Sherry Downie Source Type: research

Sister Elizabeth Kenny and Polio in America: Doyenne or Demagogue in Her Role in Rehabilitation Medicine?
(Source: PM and R)
Source: PM and R - November 22, 2017 Category: Rehabilitation Authors: Bruce E. Becker Source Type: research

Unusual Iliac Crest Stress Fracture in a Marathoner: A Case Presentation
This case presentation describes a 50-year-old healthy woman who developed left-sided hip pain while training for the Boston Marathon. Magnetic resonance imaging (MRI) demonstrated a stress fracture of the left iliac body. This injury was unique in that it did not occur in the setting of low bone mineral density and it did not fall into the current published radiographic categorization based on location of injury. This case illustrates an uncommon and atypical bone stress injury in an endurance athlete. (Source: PM and R)
Source: PM and R - November 13, 2017 Category: Rehabilitation Authors: Amy M. West, Kelly C. McInnis Tags: Case Presentation Source Type: research