Unusual iliac crest stress fracture in a marathoner: A Case Report
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) demonstrates a stress fracture of the left iliac body. This injury is unique in that it did not occur in the setting of low bone mineral density and it does 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 Source Type: research

Functional Outcomes of Acute Inpatient Rehabilitation in Patients With Chronic Graft-Versus-Host Disease
Growing numbers of allogeneic stem cell transplants and improved posttransplant care have led to an increase of individuals with chronic graft-versus-host disease (cGVHD). Although cGVHD leads to functional impairment for many, there is limited literature regarding the benefits of acute inpatient rehabilitation for patients with cGVHD. (Source: PM and R)
Source: PM and R - November 12, 2017 Category: Rehabilitation Authors: Jason Leung, Sean Smith, Claire Kalpakjian Tags: Original Research Source Type: research

Functional Outcomes of Acute Inpatient Rehabilitation In Patients With Chronic Graft-Versus Host Disease
Growing numbers of allogeneic stem cell transplants (HSCT) and improved post-transplant care have led to an increase of individuals with chronic graft versus host disease (cGVHD). Although cGVHD leads to functional impairment for many, there is limited literature regarding the benefits of acute inpatient rehabilitation for cGVHD patients. (Source: PM and R)
Source: PM and R - November 12, 2017 Category: Rehabilitation Authors: Jason Leung, Sean Smith, Claire Kalpakjian Source Type: research

Ultrasound Finding of Ischiofemoral Impingement Syndrome and Novel Treatment With Botulinum Toxin Chemodenervation: A Case Report
Ischiofemoral impingement syndrome (IFIS) is a rare and poorly understood condition that leads to deep gluteal pain, groin, and/or medial thigh pain. It has unique diagnostic challenges, with limited nonoperative treatment options. It is caused by the impingement of the quadratus femoris by the lesser trochanter and the ischium. Currently, there are no validated physical examination maneuvers for IFIS, and the value of ischiofemoral interval for establishing IFIS is also uncertain. Ultrasound-guided corticosteroid injections have been reported. (Source: PM and R)
Source: PM and R - November 11, 2017 Category: Rehabilitation Authors: Yin-Ting Chen, Keyonna M. Jenkins Tags: Case Presentation Source Type: research

Attendance at Prescribed Pelvic Floor Physical Therapy in a Diverse, Urban Urogynecology Population
Pelvic floor physical therapy (PFPT) is a common and effective treatment for several pelvic floor disorders, but there is limited knowledge about adherence to the therapy or what factors influence attendance. (Source: PM and R)
Source: PM and R - November 11, 2017 Category: Rehabilitation Authors: Megan Brady Shannon, Madeleine Genereux, Cynthia Brincat, William Adams, Linda Brubaker, E.R. Mueller, Colleen M. Fitzgerald Tags: Original Research Source Type: research

Ultrasound finding of ischiofemoral impingement syndrome and novel treatment with botulinum toxin chemodenervation: a case report
Ischiofemoral impingement syndrome (IFIS) is a rare and poorly understood condition that leads to deep gluteal pain, groin, and/or medial thigh pain. It has unique diagnostic challenges, with limited non-operative treatment options. It is caused by the impingement of the quadratus femoris by the lesser trochanter and the ischium. Currently there are no validated physical examination maneuvers for IFIS, and the value of ischiofemoral interval for establishing IFIS is also uncertain. Ultrasound-guided corticosteroid injections have been reported. (Source: PM and R)
Source: PM and R - November 11, 2017 Category: Rehabilitation Authors: Yin-Ting Chen, Keyonna M. Jenkins Source Type: research

Attendance At Prescribed Pelvic Floor Physical Therapy In A Diverse, Urban Urogynecology Population
Pelvic floor physical therapy (PFPT) is a common and effective treatment for several pelvic floor disorders, but there is limited knowledge about adherence to the therapy or what factors influence attendance. (Source: PM and R)
Source: PM and R - November 11, 2017 Category: Rehabilitation Authors: M.B. Shannon, M. Genereux, C. Brincat, W. Adams, L. Brubaker, E.R. Mueller, C.M. Fitzgerald Source Type: research

A Novel Protocol for Contact Isolation for Multidrug-Resistant Organisms in Children on Inpatient Rehabilitation and Effects on  Functional Outcomes: A Noninferiority Study
The incidence of contact isolation for multidrug-resistant organisms is increasing in acute hospitals and inpatient rehabilitation units alike. There is limited evidence on the effect of contact isolation on functional outcomes during inpatient rehabilitation. (Source: PM and R)
Source: PM and R - November 10, 2017 Category: Rehabilitation Authors: Kelly L.D. Pham, Kristie F. Bjornson, Marisa Osorio, Kathryn B. Whitlock, Teresa L. Massagli Tags: Original Research Source Type: research

Squatting Re-education With Lumbo-Pelvic-Thigh Muscle Cocontraction Improves Functional Performance in Patellofemoral Pain Syndrome: A Case Presentation
Anterior knee pain, with or without joint crepitus during squatting, is the common clinical feature in the individuals with patellofemoral pain syndrome (PFPS). Altered lower extremity alignment and lumbo-pelvic-thigh muscles motor control is often associated with PFPS. Although current interventions recommend individual muscle activation and strength training exercises, the reported benefits of cocontraction −based exercises in PFPS is limited. This might be due to the long-standing hypothesis that exercise-induced cocontraction of thigh muscles may induce a negative effect by increasing the joint contact forces in ...
Source: PM and R - November 10, 2017 Category: Rehabilitation Authors: Nagarajan Manickaraj Tags: Case Presentation Source Type: research

A Novel Protocol for Contact Isolation for Multidrug-Resistant Organisms in Children on Inpatient Rehabilitation and Effects on  Functional Outcomes: A Noninferiority Study
The incidence of contact isolation for multidrug-resistant organisms is increasing in acute hospitals and inpatient rehabilitation units alike. There is limited evidence on the effect of contact isolation on functional outcomes during inpatient rehabilitation. (Source: PM and R)
Source: PM and R - November 10, 2017 Category: Rehabilitation Authors: Kelly L.D. Pham, Kristie F. Bjornson, Marisa Osorio, Kathryn B. Whitlock, Teresa L. Massagli Tags: Original Research Source Type: research

Squatting Re-education With Lumbo-Pelvic-Thigh Muscle Cocontraction Improves Functional Performance in Patellofemoral Pain Syndrome: A Case Presentation
Anterior knee pain, with or without joint crepitus during squatting, is the common clinical feature in the individuals with patellofemoral pain syndrome (PFPS). Altered lower extremity alignment and lumbo-pelvic-thigh muscles motor control is often associated with PFPS. Although current interventions recommend individual muscle activation and strength training exercises, the reported benefits of cocontraction −based exercises in PFPS is limited. This might be due to the long-standing hypothesis that exercise-induced cocontraction of thigh muscles may induce a negative effect by increasing the joint contact forces in ...
Source: PM and R - November 10, 2017 Category: Rehabilitation Authors: Nagarajan Manickaraj Tags: Case Presentation Source Type: research

A novel protocol for contact isolation for multi-drug resistant organisms (MDROs) in children on inpatient rehabilitation and effects on functional outcomes: A Noninferiority study
The incidence of contact isolation for multidrug resistant organisms is increasing in acute hospitals and inpatient rehabilitation units alike. There is limited evidence on the effect of contact isolation on functional outcomes during inpatient rehabilitation. (Source: PM and R)
Source: PM and R - November 10, 2017 Category: Rehabilitation Authors: Kelly L.D. Pham, Kristie F. Bjornson, Marisa Osorio, Kathryn B. Whitlock, Teresa L. Massagli Source Type: research

Squatting re-education with lumbo-pelvic-thigh muscles cocontraction improves functional performance in patellofemoral pain syndrome: a case report
Anterior knee pain with or without joint crepitus during squatting is the common clinical feature in the individuals with patellofemoral pain syndrome (PFPS). Altered lower extremity alignment and lumbo-pelvic-thigh muscles motor control is often associated with PFPS. Although current interventions recommend individual muscle activation and strength training exercises, the reported benefits of cocontraction based exercises in PFPS is limited. It might be due to the long standing hypothesis that the exercise induced cocontraction of thigh muscles may induce a negative effect by increasing the joint contact forces in individ...
Source: PM and R - November 10, 2017 Category: Rehabilitation Authors: Nagarajan Manickaraj Source Type: research

No Exacerbation of Knee Joint Pain and Effusion Following Preoperative Progressive Resistance Training in Patients Scheduled for Total Knee Arthroplasty: Secondary Analyses From a Randomized Controlled Trial
Preoperative progressive resistance training (PRT) is controversial in patients scheduled for total knee arthroplasty (TKA), because of the concern that it may exacerbate knee joint pain and effusion. (Source: PM and R)
Source: PM and R - November 9, 2017 Category: Rehabilitation Authors: Birgit Skoffer, Ulrik Dalgas, Thomas Maribo, Kjeld S øballe, Inger Mechlenburg Tags: Original Research Source Type: research

Hydrodilatation With Corticosteroid for the Treatment of Adhesive Capsulitis: A Systematic Review
Current evidence suggests that corticosteroid injection alone expedites the recovery of pain-free range of motion (ROM) in patients with adhesive capsulitis compared to physiotherapy or placebo. However, it remains unclear whether the addition of hydrodilatation with corticosteroid provides improvement in pain-free ROM as well as pain relief. (Source: PM and R)
Source: PM and R - November 9, 2017 Category: Rehabilitation Authors: Michael Catapano, Nimish Mittal, John Adamich, Dinesh Kumbhare, Harpreet Sangha Tags: Analytical Review Source Type: research

No exacerbation of knee joint pain and effusion following preoperative progressive resistance training in patients scheduled for total knee arthroplasty: secondary analyses from a randomized controlled trial
Preoperative progressive resistance training (PRT) is controversial in patients scheduled for total knee arthroplasty (TKA), because of the concern that it may exacerbate knee joint pain and effusion. (Source: PM and R)
Source: PM and R - November 9, 2017 Category: Rehabilitation Authors: Birgit Skoffer, Ulrik Dalgas, Thomas Maribo, Kjeld S øballe, Inger Mechlenburg Source Type: research

Hydrodilatation with Corticosteroid for the Treatment of Adhesive Capsulitis: A Systematic Review
Current evidence suggests that corticosteroid injection alone expedites the recovery of pain-free ROM in patients with adhesive capsulitis compared to physiotherapy or placebo. However, it remains unclear whether the addition of hydrodilatation with corticosteroid provides improvement in pain-free ROM as well as pain relief. (Source: PM and R)
Source: PM and R - November 9, 2017 Category: Rehabilitation Authors: Michael Catapano, Nimish Mittal, John Adamich, Dinesh Kumbhare, Harpreet Sangha Source Type: research

Ask the Authors
(Source: PM and R)
Source: PM and R - November 7, 2017 Category: Rehabilitation Source Type: research

Physical Medicine and Rehabilitation Value in Bundled Payment for Total Joint Replacement and Cardiac Surgery: The Rusk Experience
“Change is the law of life. And those who look only to the past or the present are certain to miss the future.”—John F. Kennedy, June 26, 1963Physiatry is at a crossroads. We may shortly find that we cannot rely on traditional care structures such as inpatient units, consultancies, and interve ntional procedures if we are to thrive in a world of value-based care. Pressures on costs, centralization of patient flow, outcomes reporting, and systemic consolidation will all necessitate a new approach. (Source: PM and R)
Source: PM and R - November 1, 2017 Category: Rehabilitation Authors: Steven R. Flanagan, Jonathan Whiteson, Geoffrey Hall, Christopher J. Standaert Tags: Practice Management Source Type: research

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

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

Academy News – November 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 - November 1, 2017 Category: Rehabilitation Source Type: research

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

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

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

The Effects of an 8-Week Stabilization Exercise Program on Lumbar Multifidus Muscle Thickness and Activation as Measured With Ultrasound Imaging in Patients With Low Back Pain: An  Exploratory Study
Lumbar stabilization exercise programs (LSEP) produce positive effects on clinical outcomes, but the underlying mechanisms remain relatively unexplored. Psychological and neuromuscular mechanisms can be involved, such as a better activation of the lumbar multifidus, which represents one possibility. (Source: PM and R)
Source: PM and R - October 30, 2017 Category: Rehabilitation Authors: Christian Larivi ère, Dany H. Gagnon, Sharon M. Henry, Richard Preuss, Jean-Pierre Dumas Tags: Original Research Source Type: research

Use of Mental Health Services by Adolescents After Traumatic Brain Injury: A Secondary Analysis of a Randomized Controlled Trial
Mental health problems are common after pediatric traumatic brain injury (TBI). Many patients in need of mental health services do not receive them, but studies have not consistently used prospective and objective methods or followed samples for more than 1 year. (Source: PM and R)
Source: PM and R - October 30, 2017 Category: Rehabilitation Authors: Andrea R.S. Huebner, Amy Cassedy, Tanya M. Brown, H. Gerry Taylor, Terry Stancin, Michael W. Kirkwood, Shari L. Wade Tags: Original Research Source Type: research

The effects of an 8-week stabilization exercise program on lumbar multifidus muscle thickness and activation as measured with ultrasound imaging in patients with low back pain: An exploratory study
Lumbar statilization exercise programs (LSEP) produce positive effects on clinical outcomes, but the underlying mechanisms remain fairly unexplored. Psychological and neuromuscular mechanisms can be involved such as a better activation of the lumbar multifidus which represents one possibility. (Source: PM and R)
Source: PM and R - October 30, 2017 Category: Rehabilitation Authors: Christian Larivi ère, Dany H. Gagnon, Sharon M. Henry, Richard Preuss, Jean-Pierre Dumas Source Type: research

Use of Mental Health Services by Adolescents After Traumatic Brain Injury: A Secondary Analysis of a Randomized Controlled Triala
Mental health problems are common after pediatric traumatic brain injury (TBI). Many patients in need of mental health services do not receive them, but studies have not consistently used prospective and objective methods or followed samples for more than 1 year. (Source: PM and R)
Source: PM and R - October 30, 2017 Category: Rehabilitation Authors: Andrea R.S. Huebner, Amy Cassedy, Tanya M. Brown, H. Gerry Taylor, Terry Stancin, Michael W. Kirkwood, Shari L. Wade Source Type: research

Successful Treatment of Multifactorial Chronic Daily Headaches at an Interdisciplinary Chronic Pain Program: A Case Study
We report a case of a patient with a complex medical history experiencing multifactorial CDH referred for and eventually enrolled in an interdisciplinary chronic pain program. Focusing on enhancing the patient ’s function while minimizing the use of medications and invasive procedures, this comprehensive rehabilitation intervention consists of diverse treatment approaches, including cognitive-behavioral therapy, physical and occupational therapy, and medical interventions. (Source: PM and R)
Source: PM and R - October 27, 2017 Category: Rehabilitation Authors: Sarah A. Mihalov, Karina J. Bouffard, Jeffrey R. Cara Tags: Case Presentation Source Type: research

Effectiveness of Circuit-Based Exercises on Gait Speed, Balance,  and Functional Mobility in People Affected by Stroke: A Meta-Analysis
Several interventions have been proposed to rehabilitate patients with neurologic dysfunctions due to stroke. However, the effectiveness of circuit-based exercises according to its actual definition, ie, an overall program to improve strength, stamina, balance or functioning, was not provided. (Source: PM and R)
Source: PM and R - October 27, 2017 Category: Rehabilitation Authors: Ana Clara Bonini-Rocha, Anderson L úcio Souza de Andrade, André Marques Moraes, Liana Barbaresco Gomide Matheus, Leonardo Rios Diniz, Wagner Rodrigues Martins Tags: Analytical Review Source Type: research

Anxiety and Insomnia in Young and Middle-Aged Adult Hip Pain Patients With and Without Femoroacetabular Impingement and Developmental Hip Dysplasia
In young and middle-aged adults with and without hip deformity, hip pain receives treatment focused primarily related to hip structure. Because this hip pain may be chronic, these patients develop other coexisting, modifiable disorders related to pain that may go undiagnosed in this young and active population, including insomnia and anxiety. (Source: PM and R)
Source: PM and R - October 27, 2017 Category: Rehabilitation Authors: Heidi Prather, Andrew Creighton, Chris Sorenson, Scott Simpson, Maria Reese, Devyani Hunt, Monica Rho Tags: Original Research Source Type: research

Participant-Reported Benefits of Involvement in an Adaptive Sports Program: A Qualitative Study
Although participation in adaptive sports offers numerous benefits for persons with disabilities, a substantial number of eligible persons do not take part. Previous studies have identified personal and environmental factors that promote or inhibit adaptive sports participation. However, these studies have considered a relatively narrow range of factors. (Source: PM and R)
Source: PM and R - October 27, 2017 Category: Rehabilitation Authors: Emma C. Lape, Jeffrey N. Katz, Elena Losina, Hannah M. Kerman, Marissa A. Gedman, Cheri A. Blauwet Tags: Original Research Source Type: research

Diagnostic Validity of Combining History Elements and Physical Examination Tests for Traumatic and Degenerative Symptomatic Meniscal Tears
The current approach to the clinical diagnosis of traumatic and degenerative symptomatic meniscal tears (SMTs) proposes combining history elements and physical examination tests without systematic prescription of imaging investigations, yet the evidence to support this diagnostic approach is scarce. (Source: PM and R)
Source: PM and R - October 27, 2017 Category: Rehabilitation Authors: Simon D écary, Michel Fallaha, Pierre Frémont, Johanne Martel-Pelletier, Jean-Pierre Pelletier, Debbie E. Feldman, Marie-Pierre Sylvestre, Pascal-André Vendittoli, François Desmeules Tags: Original Research Source Type: research

Reverse Shoulder Arthroplasty in Weight-Bearing Shoulders of  Wheelchair-Dependent Patients: Outcomes and Complications at 2 to 5 years
Wheelchair-dependent patients rely on their upper extremities for mobility and transfers. This entails the heavy use of upper extremities as weight-bearing joints, leading to shoulder overuse with increased prevalence of rotator cuff –related disorders and ultimately to challenging cases for shoulder surgeons when a joint replacement is needed. (Source: PM and R)
Source: PM and R - October 27, 2017 Category: Rehabilitation Authors: Eduard Alentorn-Geli, Nathan R. Wanderman, Andrew T. Assenmacher, Joaqu ín Sánchez-Sotelo, Robert H. Cofield, John W. Sperling Tags: Original Research Source Type: research

Sonographic Identification of the Flexor Digitorum Accessorius  Longus Tendon
The purpose of this article is to review the anatomy of the flexor digitorum accessorius longus (FDAL) muscle and its sonographic appearance. To our knowledge, there is no prior publication that describes the sonographic identification or anatomy of this ankle and foot muscle variant. (Source: PM and R)
Source: PM and R - October 27, 2017 Category: Rehabilitation Authors: Jeffrey R. LaVallee, Adam M. Pourcho, P. Troy Henning, H. Wayne Lambert Tags: Images Source Type: research

Anxiety and Insomnia in Young and Middle-Aged Adult Hip Pain Patients With and Without Femoroacetabular Impingement and Developmental Hip Dysplasia
In young and middle-aged adults with and without hip deformity, hip pain receives treatment focused primarily related to hip structure. Because this hip pain may be chronic, these patients develop other coexisting, modifiable disorders related to pain that may go undiagnosed in this young and active population, including insomnia and anxiety. (Source: PM and R)
Source: PM and R - October 27, 2017 Category: Rehabilitation Authors: Heidi Prather, Andrew Creighton, Chris Sorenson, Scott Simpson, Maria Reese, Devyani Hunt, Monica Rho Tags: Original Research Source Type: research

Effectiveness of Circuit-Based Exercises on Gait Speed, Balance,  and Functional Mobility in People Affected by Stroke: A Meta-Analysis
Several interventions have been proposed to rehabilitate patients with neurologic dysfunctions due to stroke. However, the effectiveness of circuit-based exercises according to its actual definition, ie, an overall program to improve strength, stamina, balance or functioning, was not provided. (Source: PM and R)
Source: PM and R - October 27, 2017 Category: Rehabilitation Authors: Ana Clara Bonini-Rocha, Anderson L úcio Souza de Andrade, André Marques Moraes, Liana Barbaresco Gomide Matheus, Leonardo Rios Diniz, Wagner Rodrigues Martins Tags: Analytical Review Source Type: research

Successful Treatment of Multifactorial Chronic Daily Headaches at an Interdisciplinary Chronic Pain Program: A Case Study
We report a case of a patient with complex medical history experiencing multifactorial CDH referred for and eventually enrolled in an interdisciplinary chronic pain program. Focusing on enhancing the patient ’s function while minimizing the use of medications and invasive procedures, this comprehensive rehabilitation intervention consists of diverse treatment approaches, including cognitive-behavioral therapy, physical and occupational therapy, and medical interventions. (Source: PM and R)
Source: PM and R - October 27, 2017 Category: Rehabilitation Authors: Sarah A. Mihalov, Karina Bouffard, Jeffrey R. Cara Source Type: research

Effectiveness of Circuit-Based Exercises on gait speed, balance and functional mobility in People Affected by Stroke: A Meta-Analysis
Several interventions are proposed to rehabilitate patients with neurological dysfunctions due to stroke. The effectiveness of Circuit-Based Exercises according to its actual definition, i.e., an overall program to improve strength, stamina, balance or functioning, was not provided. (Source: PM and R)
Source: PM and R - October 27, 2017 Category: Rehabilitation Authors: Ana Clara Bonini-Rocha, Anderson L úcio Souza de Andrade, André Marques Moraes, Liana Barbaresco Gomide Matheus, Leonardo Rios Diniz, Wagner Rodrigues Martins Source Type: research

Anxiety and insomnia in young- and middle-aged adult hip pain patients with and without femoroacetabular impingement and developmental hip dysplasia
Hip pain in young and middle- aged adults with and without hip deformity receive treatment focused primarily related to hip structure. Because their hip pain may be chronic, these patients develop other modifiable co-existing disorders related to pain that go undiagnosed in this young and active population including insomnia and anxiety. (Source: PM and R)
Source: PM and R - October 27, 2017 Category: Rehabilitation Authors: Heidi Prather, Andrew Creighton, Chris Sorenson, Scott Simpson, Maria Reese, Devyani Hunt, Monica Rho Source Type: research

Participant-reported benefits of involvement in an adaptive sports program: a qualitative study
While participation in adaptive sports offers numerous benefits for persons with disabilities, a substantial number of eligible persons do not take part. Previous studies have identified personal and environmental factors that promote or inhibit adaptive sports participation. However, these studies have considered a relatively narrow range of factors. (Source: PM and R)
Source: PM and R - October 27, 2017 Category: Rehabilitation Authors: Emma C. Lape, Jeffrey N. Katz, Elena Losina, Hannah M. Kerman, Marissa A. Gedman, Cheri A. Blauwet Source Type: research

Diagnostic validity of combining history elements and physical examination tests for traumatic and degenerative symptomatic meniscal tears
Current approach to the clinical diagnosis of traumatic and degenerative symptomatic meniscal tears (SMT) propose combining history elements and physical examination tests without systematic prescription of imaging investigations, yet the evidence to support this diagnostic approach is scarce. (Source: PM and R)
Source: PM and R - October 27, 2017 Category: Rehabilitation Authors: Simon D écary, Michel Fallaha, Pierre Frémont, Johanne Martel-Pelletier, Jean-Pierre Pelletier, Debbie Feldman, Marie-Pierre Sylvestre, Pascal-André Vendittoli, François Desmeules Source Type: research

Reverse Shoulder Arthroplasty In Weight-Bearing Shoulders Of Wheelchair-Dependent Patients
Wheelchair-dependent patients rely on their upper extremities for mobility and transfers. This entails the heavy use of upper extremities as weight-bearing joints, leading to shoulder overuse with increased prevalence of rotator cuff-related disorders, and ultimately to challenging cases for shoulder surgeons when a joint replacement is needed. (Source: PM and R)
Source: PM and R - October 27, 2017 Category: Rehabilitation Authors: Eduard Alentorn-Geli, Nathan R. Wanderman, Andrew T. Assenmacher, Joaqu ín Sánchez-Sotelo, Robert H. Cofield, John W. Sperling Source Type: research

Sonographic Identification of the Flexor Digitorum Accessorius Longus Tendon
(Source: PM and R)
Source: PM and R - October 27, 2017 Category: Rehabilitation Authors: Jeffrey R. LaVallee, Adam M. Pourcho, P. Troy. Henning, H Wayne Lambert Source Type: research

Transient Hypokalemic Quadriplegia After a Lumbar Transforaminal Epidural Dexamethasone Injection: A Case Report
A 30-year-old man with no significant medical history presented with hypokalemic quadriplegia 4 hours after he received a lumbar transforaminal epidural steroid injection (ESI) containing dexamethasone and lidocaine. A comprehensive workup ruled out acquired and hereditary causes of hypokalemic paralysis. Symptoms gradually resolved within hours after potassium restoration with no residual neurologic deficits. Paralysis after transforaminal ESI is uncommon but has been associated with particulate steroids that can coalesce into aggregates and occlude vessels. (Source: PM and R)
Source: PM and R - October 23, 2017 Category: Rehabilitation Authors: Maryam Tahmasbi Sohi, William J. Sullivan, Dustin J.M. Anderson Tags: Case Presentation Source Type: research

Transient Hypokalemic Quadriplegia Following a Lumbar Transforaminal Epidural Dexamethasone Injection: A Case Report
A 30-year-old male with no significant past medical history presented with hypokalemic quadriplegia four hours after he received a lumbar transforaminal epidural steroid injection (TFESI) containing dexamethasone and lidocaine. A comprehensive work up ruled out acquired and hereditary causes of hypokalemic paralysis. Symptoms gradually resolved within hours after potassium restoration with no residual neurologic deficits. Paralysis after TFESI is uncommon, but has been associated with particulate steroids that can coalesce into aggregates and occlude vessels. (Source: PM and R)
Source: PM and R - October 23, 2017 Category: Rehabilitation Authors: Maryam Tahmasbi Sohi, William J. Sullivan, Dustin J.M. Anderson Source Type: research