Quantifying and Reducing Retained Botulinum Toxin Postinjection
Publication date: Available online 30 June 2018Source: PM&RAuthor(s): Ryan Solinsky, Steven C. KirshblumAbstractBackgroundRetained botulinum toxin solution may be visible in vials and syringe tips after mixing and presumed complete injections, leaving patients without the full prescribed dose.ObjectiveTo quantify the mean amount of retained toxin within vials, syringes, and needles following spasticity injections (phase 1) and to design/test a targeted intervention for reduced retained toxin (phase 2).DesignProspective cohort quality assurance study.SettingOutpatient spasticity program in a rehabilitation facility.Part...
Source: PMandR - July 18, 2018 Category: Rehabilitation Source Type: research

Pharmacologic Treatment for Depression at Injury Is Associated With Fewer Clinician Visits for Persistent Symptoms After Mild Traumatic Brain Injury: A Medical Record Review Study
ConclusionsDepressed individuals who were pharmacologically treated for depression at the time of TBI had significantly fewer clinician visits for persistent postinjury symptoms than those not pharmacologically treated for depression at the time of injury. Routine depression screening in patients with a high risk for TBI may identify a mood disorder that could contribute to persistent symptoms if left untreated, with its effective management potentially reducing health-related costs.Level of EvidenceIII (Source: PMandR)
Source: PMandR - July 13, 2018 Category: Rehabilitation Source Type: research

Functional Outcomes of an Interdisciplinary Outpatient Rehabilitation Program for Patients with Malignant Brain Tumors
Publication date: Available online 14 March 2018Source: PM&RAuthor(s): Samman Shahpar, Alex W.K. Wong, Susan Keeshin, Sarah Eickmeyer, Patrick Semik, Masha Kocherginsky, Stacy McCartyAbstractBackgroundMalignant brain tumors cause significant impairments in function because of the nature of the disease. Nevertheless, patients with malignant brain tumors can make functional gains equivalent to those with stroke and traumatic brain injury in the inpatient rehabilitation setting. However, the efficacy of outpatient rehabilitation in this population has received little study.ObjectiveTo determine if an interdisciplinary out...
Source: PMandR - July 13, 2018 Category: Rehabilitation Source Type: research

Myocardial Infarction Injury in Patients with Chronic Lung Disease Entering Pulmonary Rehabilitation: Frequency and Association with Heart Rate Parameters
Publication date: Available online 14 March 2018Source: PM&RAuthor(s): Carmen A. Sima, Benny C. Lau, Carolyn M. Taylor, Stephan F. van Eeden, W. Darlene Reid, Andrew W. Sheel, Ashley R. Kirkham, Pat G. CampAbstractBackgroundMyocardial infarction (MI) remains under-recognized in chronic lung disease (CLD) patients. Rehabilitation health professionals need accessible clinical measurements to identify the presence of prior MI in order to determine appropriate training prescription.ObjectivesTo estimate prior MI in CLD patients entering a pulmonary rehabilitation program, as well as its association with heart rate paramete...
Source: PMandR - July 13, 2018 Category: Rehabilitation Source Type: research

Sex Differences in Common Sports Injuries
Publication date: Available online 14 March 2018Source: PM&RAuthor(s): Cindy Lin, Ellen Casey, Daniel Herman, Nicole Katz, Adam TenfordeAbstractCommon sports injuries include bone stress injuries (BSIs), anterior cruciate ligament (ACL) injuries, and concussions. Less commonly recognized are the specific sex differences in epidemiology, risk factors, and outcomes of these conditions by sex. An understanding of these factors can improve their clinical management, from prescribing appropriate prehabilitation to guiding postinjury rehabilitation and return to play. This narrative review summarizes the sex differences in t...
Source: PMandR - July 13, 2018 Category: Rehabilitation Source Type: research

Characteristics and Outcomes of Children With Conversion Disorder Admitted to a Single Inpatient Rehabilitation Unit, A Retrospective Study
Publication date: Available online 14 March 2018Source: PM&RAuthor(s): Ashlee Bolger, Andrew Collins, Michelle Michels, David PruittAbstractBackgroundConversion disorder (CD) can lead to impaired functioning. Few studies present demographic and outcome data for pediatric patients. Many have had success with rehabilitation; however, further details are not known.ObjectiveTo identify characteristics and outcomes of children admitted to a pediatric inpatient rehabilitation program with CD symptoms.DesignRetrospective study.SettingInpatient rehabilitation unit within a large children’s hospital.PatientsAll patients w...
Source: PMandR - July 13, 2018 Category: Rehabilitation Source Type: research

Information for Authors
Publication date: July 2018Source: PM&R, Volume 10, Issue 7Author(s): (Source: PMandR)
Source: PMandR - July 13, 2018 Category: Rehabilitation Source Type: research

Academy News – July PM&R
Publication date: July 2018Source: PM&R, Volume 10, Issue 7Author(s): (Source: PMandR)
Source: PMandR - July 13, 2018 Category: Rehabilitation Source Type: research

Copyright Page
Publication date: July 2018Source: PM&R, Volume 10, Issue 7Author(s): (Source: PMandR)
Source: PMandR - July 13, 2018 Category: Rehabilitation Source Type: research

Editorial Board
Publication date: July 2018Source: PM&R, Volume 10, Issue 7Author(s): (Source: PMandR)
Source: PMandR - July 13, 2018 Category: Rehabilitation Source Type: research

Table of Contents
Publication date: July 2018Source: PM&R, Volume 10, Issue 7Author(s): (Source: PMandR)
Source: PMandR - July 13, 2018 Category: Rehabilitation 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
Publication date: July 2018Source: PM&R, Volume 10, Issue 7Author(s): Birgit Skoffer, Ulrik Dalgas, Thomas Maribo, Kjeld Søballe, Inger MechlenburgAbstractBackgroundPreoperative 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.ObjectiveTo examine whether preoperative PRT initiated 5 weeks prior to TKA would exacerbate pain and knee effusion, and would allow a progressively increased training load throughout the training period that would subsequently increase muscle strength.D...
Source: PMandR - July 13, 2018 Category: Rehabilitation Source Type: research

OnabotulinumtoxinA for the Treatment of Poststroke Distal Lower Limb Spasticity: A Randomized Trial
ConclusionsOnabotulinumtoxinA significantly improved ankle MAS, CGI, and GAS scores compared with placebo; improvements were consistent and increased with repeated treatments of onabotulinumtoxinA over 1 year in patients with PSLLS.Level of EvidenceI (Source: PMandR)
Source: PMandR - July 13, 2018 Category: Rehabilitation Source Type: research

The Association of Clinic-Based Mobility Tasks and Measures of Community Performance and Risk
Publication date: July 2018Source: PM&R, Volume 10, Issue 7Author(s): Michele L. Callisaya, Joe VergheseAbstractIntroductionGait speed is recognized as an important predictor of adverse outcomes in older people. However, it is unknown whether other more complex mobility tasks are better predictors of such outcomes.ObjectiveTo examine a range of clinic-based mobility tests and determine which were most strongly associated with measures of community performance and risk (CP&R).DesignCross-sectional study.SettingCentral Control Mobility and Aging Study, Westchester County, New York.ParticipantsAged ≥65 years (n = 4...
Source: PMandR - July 13, 2018 Category: Rehabilitation Source Type: research

Dose-Response Effects of Tai Chi and Physical Therapy Exercise Interventions in Symptomatic Knee Osteoarthritis
ConclusionsBoth interventions have approximately linear dose-dependent effects on pain and function; their minimum effective doses range from 2-5 weeks; and patient perceived benefits of exercise influence the timing of response in KOA. These results may help clinicians to optimize patient-centered exercise treatments and better manage patient expectations.Level of EvidenceII (Source: PMandR)
Source: PMandR - July 13, 2018 Category: Rehabilitation Source Type: research

Patient-Reported Outcome Measures: Utility for Predicting Spinal Surgery in an Integrated Spine Practice
ConclusionsContrary to our hypothesis, this analysis demonstrates that the PROMs evaluated in this study, alone are insufficient to identify patients who may elect to pursue spinal surgery. Male gender and increasing age correlate with decision for later spinal surgery.Level of EvidenceII (Source: PMandR)
Source: PMandR - July 13, 2018 Category: Rehabilitation Source Type: research

Can Ultrasound Be Used to Improve the Palpation Skills of Physicians in Training? A Prospective Study
ConclusionsOur findings demonstrate that palpation accuracy improves after ultrasound assisted LHBT palpation training. These data suggest that the use of ultrasound may be beneficial when teaching musculoskeletal palpation skills to health care professionals.Level of EvidenceII (Source: PMandR)
Source: PMandR - July 13, 2018 Category: Rehabilitation Source Type: research

Exercise Prescription Using a Group-Normalized Rating of Perceived Exertion in Adolescents and Adults With Spina Bifida
ConclusionA significant linear regression model and table of interchangeable values was developed for participants with SB. The group-normalized RPE (WHEEL, 5.74; Borg, 13.95) can be used to prescribe and self-regulate arm ergometer exercise intensity approximating the Vpt.Level of EvidenceIII (Source: PMandR)
Source: PMandR - July 13, 2018 Category: Rehabilitation Source Type: research

Efficacy of Injected Corticosteroid Type, Dose, and Volume for Pain in Large Joints: A Narrative Review
Publication date: July 2018Source: PM&R, Volume 10, Issue 7Author(s): Daniel M. Cushman, Benjamin Bruno, Jacob Christiansen, Andrew Schultz, Zachary L. McCormickAbstractCorticosteroid injections are commonly used in the treatment of disorders of the large joints. This review assimilates the available literature on corticosteroid injections into the glenohumeral joint, subacromial space, hip joint, and knee joint. A systematic method to review available literature revealed 84 articles that fit the inclusion criteria. For each injection location, four items were examined: overall efficacy of injection, superior type of s...
Source: PMandR - July 13, 2018 Category: Rehabilitation Source Type: research

The Suicidal Outpatient: Balancing Autonomy, Trust, and Responsibilities
Publication date: July 2018Source: PM&R, Volume 10, Issue 7Author(s): Elizabeth E. Sita, R. Brett Lloyd, Lynne C. Brady Wagner, Vu Q.C. Nguyen, Eric Swirsky, Debjani Mukherjee (Source: PMandR)
Source: PMandR - July 13, 2018 Category: Rehabilitation Source Type: research

Functional Impairments in a Patient with Morvan Syndrome: A Case Presentation
Publication date: July 2018Source: PM&R, Volume 10, Issue 7Author(s): Stephanie Tow, Desi Carozza, Kim BarkerAbstractA 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 neur...
Source: PMandR - July 13, 2018 Category: Rehabilitation 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.Level of EvidenceV (Source: PMandR)
Source: PMandR - July 13, 2018 Category: Rehabilitation Source Type: research

Unusual Iliac Crest Stress Fracture in a Marathoner: A Case Presentation
Publication date: July 2018Source: PM&R, Volume 10, Issue 7Author(s): Amy M. West, Kelly C. McInnisAbstractThis case presentation describes a 50-year-old healthy woman who developed left-sided hip pain while training for the Boston Marathon. Magnetic resonance imaging 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. It should be con...
Source: PMandR - July 13, 2018 Category: Rehabilitation Source Type: research

Squatting Re-education With Lumbo-Pelvic-Thigh Muscle Cocontraction Improves Functional Performance in Patellofemoral Pain Syndrome: A Case Presentation
Publication date: July 2018Source: PM&R, Volume 10, Issue 7Author(s): Nagarajan ManickarajAbstractAnterior 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 c...
Source: PMandR - July 13, 2018 Category: Rehabilitation Source Type: research

ABPMR Certification Exams
Publication date: July 2018Source: PM&R, Volume 10, Issue 7Author(s): (Source: PMandR)
Source: PMandR - July 13, 2018 Category: Rehabilitation Source Type: research

Spanish Translated Abstracts
Publication date: July 2018Source: PM&R, Volume 10, Issue 7Author(s): (Source: PMandR)
Source: PMandR - July 13, 2018 Category: Rehabilitation Source Type: research

The Use of Nerve Transfers to Restore Upper Extremity Function in Cervical Spinal Cord Injury
ConclusionsMany patients living with SCI are candidates for nerve transfer surgery to restore upper extremity function. Although the ultimate efficacy of these surgeries is not yet determined, this study attempts to report the criteria we are using and may ultimately determine the timing for intervention and which transfers are most useful for this heterogeneous population.Level of EvidenceIV (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Relationships Among Perceived Functional Capacity, Self-Efficacy, and Disability After Dysvascular Amputation
Publication date: Available online 24 March 2018Source: PM&RAuthor(s): Matthew J. Miller, Dawn M. Magnusson, Guy Lev, Thomas T. Fields, Paul F. Cook, Jennifer E. Stevens-Lapsley, Cory L. ChristiansenAbstractBackgroundProsthesis rehabilitation after dysvascular transtibial amputation (TTA) is focused on optimizing functional capacity with limited emphasis on promoting health self-efficacy. Self-efficacy interventions decrease disability for people living with chronic disease, but the influence of self-efficacy on disability is unknown for people with dysvascular TTA.ObjectivesTo identify if self-efficacy mediates the re...
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Proximal Linear Extension of Skin Hypopigmentation After Ultrasound-Guided Corticosteroid Injection for de Quervain Tenosynovitis: A Case Presentation
Publication date: Available online 28 March 2018Source: PM&RAuthor(s): Carlo Milani, Cindy LinAbstractde Quervain tenosynovitis is a stenosing tenosynovitis of the first dorsal compartment of the wrist that can lead to painful functional impairment of the upper limb. This case presentation describes a rare adverse effect of corticosteroid injection (CSI) involving local skin atrophy and hypopigmentation with proximal linear extension. In this case, hypopigmentation developed from the wrist to beyond the elbow after CSI with ultrasound guidance and targeted placement of the injectate in the extensor tendon sheath of the...
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Effects of Whole Body Vibration on Tibia Strength and Structure of Competitive Adolescent Swimmers: A Randomized Controlled Trial
ConclusionWBV, at the chosen intensities and durations, had no effect on adolescent swimmers’ bone strength or structure. Future studies should test other weight-bearing interventions aiming to improve bone strength and structure of adolescent swimmers.Level of Evidence▪▪▪ (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Benefits of Hippotherapy and Horse Riding Simulation Exercise on Healthy Older Adults: A Systematic Review
ConclusionsResults indicate that hippotherapy might improve balance, mobility, gait ability, and muscle strength, as well as could induce hormonal and cerebral activity changes in healthy older adults. Benefits of horse riding simulation could be limited to physical fitness and muscular activity.Level of Evidence▪▪▪ (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Genicular Radiofrequency Ablation for the Treatment of Post-traumatic Knee Pain: A Case Presentation
Publication date: Available online 5 April 2018Source: PM&RAuthor(s): Jonathan D. Carrier, Michelle Poliak-TunisAbstractThis is the first reported case presentation utilizing cooled genicular radiofrequency ablation (C-RFA) for the treatment of post-traumatic knee pain. The patient is a 29-year-old male who sustained open right femoral and tibial fractures following 2 motor vehicle collisions. He was deemed too young to undergo total knee arthroplasty by orthopedic surgery. It was recommended he trial diagnostic genicular nerve blocks followed by C-RFA. The procedure provided a>50% reduction in average pain with an ...
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Comparing the Effects of Dual-Task Gait Testing in New and Established Ambulators With Lower Extremity Amputations
Publication date: Available online 5 April 2018Source: PM&RAuthor(s): Courtney Frengopoulos, Michael W.C. Payne, Jeffrey D. Holmes, Ricardo Viana, Susan W. HunterAbstractBackgroundGait is a complex process that involves coordinating motor and sensory systems through higher-order cognitive processes. Walking with a prosthesis after lower extremity amputation challenges these processes. However, the factors that influence the cognitive-motor interaction in gait among lower extremity amputees has not been evaluated. To assess the interaction of cognition and mobility, individuals must be evaluated using the dual-task para...
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Comparative Sonographic and Magnetic Resonance Images of an Acute Pronator Teres Full-Thickness Tear
Publication date: Available online 5 April 2018Source: PM&RAuthor(s): Claudia Ghisa, Evan Peck (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Dynamic Sonographic Visualization of an Occult Posterior Lateral Meniscocapsular Separation: A Case Report
We report a case of an 18-year-old female softball catcher with unrevealing magnetic resonance imaging despite continued left knee locking and discomfort with deep squatting. Meniscocapsular separation was revealed only on dynamic sonographic exam, where knee flexion revealed a 3.1-mm gap that developed between the capsule and peripheral meniscus. Arthroscopy confirmed the sonographic findings, and repair resulted in complete resolution of symptoms. This case highlights the utility of dynamic diagnostic sonography in a rare case of posterior lateral meniscocapsular separation. (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Effect of Wheelchair Stroke Pattern on Upper Extremity Muscle Fatigue
ConclusionsThese data demonstrate that the SC wheelchair propulsion pattern appears to be more fatiguing to shoulder muscles than the P propulsion pattern. However, more data would need to be collected to find a significant difference.Level of Evidence▪▪▪ (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Stiff Person Syndrome With Evidence of Nonspecific Focal Myositis Secondary to Sustained Muscle Contraction: A Case Report
We report the case of a 36-year-old woman with SPS in association with nonspecific focal myositis secondary to sustained muscle contraction. She presented with stiffness and pain in her extremities, and diazepam and baclofen were ineffective. With immunotherapy, her serum creatinine kinase levels reduced; however, her clinical symptoms progressively worsened. (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

An Incidental Periscapular Lipoma With Marked Bone Erosion in an Elderly Woman With Contralateral Shoulder Pain
Publication date: Available online 26 April 2018Source: PM&RAuthor(s): Esra Gizem Koyuncu, Üstün Aydıngöz, Öner İskender, Murat Kara, Levent Özçakar (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Lumbar Epidural Varix Causing Radicular Pain: A Case Report and Differential Diagnosis of Lumbar Cystic Lesions
We report a case of a 36-year-old woman presenting with lumbar radicular pain caused by a lumbar epidural varix. Lumbar MRI revealed a cystic lesion in the ventral epidural space posterior to the right L4 body. Surgery was conducted and histopathology confirmed the diagnosis of an epidural varix. Lumbar epidural varices and other lumbar cystic lesions can commonly cause radicular pain. Physicians will benefit from increased awareness of epidural varices as a cause of lumbosacral radicular pain and the associated radiologic findings supporting differential diagnosis. In particular, careful interpretation of MRI scans may he...
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Differences in Knee and Hip Adduction and Hip Muscle Activation in Runners With and Without Iliotibial Band Syndrome
ConclusionThe results of this study suggest that lateral knee pain in runners localized to the distal iliotibial band is associated with increased knee adduction at 30 minutes. Increased tensor fasciae latae muscle activation at three minutes is noted, but more investigation is needed to better understand the clinical meaning. These findings are consistent with but not conclusive evidence supporting the theory that neuromuscular factors of the hip muscles may contribute to increased knee adduction in runners with iliotibial band syndrome. We advise caution using these findings to support treatments intended to modify tenso...
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Stenosis and Neurological Level Discrepancies in Cervical Spondylotic Myelopathy
ConclusionsLower motor neuron involvement in CSM is usually not concordant with the structural lesion. For accurate diagnosis and treatment, physicians should recognize that myotomal involvement in CSM is often due to canal stenosis one to four levels above the lesion. (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Prevalence and Risk Factors for Musculoskeletal Pain in Keyboard Musicians: A Systematic Review
ConclusionKeyboard musicians presented a high prevalence of musculoskeletal pain, especially in the upper extremity regions of the body. Female, ageing, playing behaviors, and sedentary lifestyle showed an increased likelihood to report musculoskeletal pain.Level of evidenceLevel II (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

The Possible Effect of Oxytocin in Postpartum Recovery From a Stroke: A Case Report
Publication date: Available online 26 April 2018Source: PM&RAuthor(s): Han Gil Seo, Hyun Haeng Lee, Byung-Mo OhAbstractPregnancy is a risk factor for stroke in young women, but the effect of delivery on recovery and rehabilitation after stroke has not been elucidated in pregnant patients with stroke. This case report presents a pregnant patient with stroke who recovered successfully after cesarean delivery during rehabilitation. The possible effect of oxytocin is discussed as a factor promoting recovery from stroke. (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

The Effect of Arch Drop on Tibial Rotation and Tibiofemoral Contact Stress in Postpartum Women
Publication date: Available online 26 April 2018Source: PM&RAuthor(s): Kaitlin Rabe, Neil A. Segal, Saphia Waheed, Donald D. AndersonAbstractBackgroundWomen are at greater risk for knee osteoarthritis and numerous other lower limb musculoskeletal disorders. Arch drop during pregnancy and the resultant excessive pronation of the feet may alter loading patterns and contribute to the greater prevalence of knee osteoarthritis in women.ObjectiveTo determine the effect of arch drop on tibial rotation and tibiofemoral contact stress.DesignInterventional study with internal control.SettingBiomechanics laboratory.ParticipantsEl...
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Table of Contents
Publication date: May 2018Source: PM&R, Volume 10, Issue 5Author(s): (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

49th W. J. Zeiter Lecture, The Specialty of Hope: How Physiatry Made Boston Strong
Publication date: May 2018Source: PM&R, Volume 10, Issue 5Author(s): David M. Crandell (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Refractory Knee Osteoarthritis: Adipose-Derived Stromal Cells Versus Bone Marrow Aspiration Concentrate
Publication date: May 2018Source: PM&R, Volume 10, Issue 5Author(s): Gerard A. Malanga, Samuel Dona, Joanne Borg-Stein, Michael Auriemma, Jaspal R. Singh (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Removable Rigid Dressings for Postoperative Management of Transtibial Amputations: A Review of Published Evidence
Publication date: May 2018Source: PM&R, Volume 10, Issue 5Author(s): James P. Reichmann, Phillip M. Stevens, John Rheinstein, Christopher D. KreulenAbstractForty years of clinical experience and peer-reviewed research studies support the use of nonweight-bearing removable rigid dressings (RRDs) as an effective means of postoperative management of transtibial amputations. We reviewed the published medical evidence regarding the use of RRDs as a postoperative management strategy, culminating in an evidence-based practice recommendation. Published peer-reviewed literature on the topic was searched and classified by level ...
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Participant-Reported Benefits of Involvement in an Adaptive Sports Program: A Qualitative Study
ConclusionsTo gain the benefits of participation, athletes overcame significant barriers, several of which may be modifiable, including transportation and difficult-to-find information about program offerings. The importance of community and raising awareness of athletes’ own abilities suggests a key role for mentorship. Our study contributes to the understanding of experiential aspects that motivate participation in adaptive sports.Level of EvidenceIV (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

The Relationship Between Sacral Slope and Symptomatic Isthmic Spondylolysis in a Cohort of High School Athletes: A Retrospective Analysis
ConclusionsThe interdependence of positional parameters, such as sacral slope, with anatomic parameters, such as pelvic incidence, can affect lumbar lordosis and therefore upright positioning and loading of the spine. Sacral slope may be an important variable for clinicians to consider when caring for young athletes with low back pain, particularly when the index of suspicion for spondylolysis is high.Level of EvidenceIV (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research