Editorial Board
Publication date: September 2018Source: PM&R, Volume 10, Issue 9, Supplement 2Author(s): (Source: PMandR)
Source: PMandR - October 5, 2018 Category: Rehabilitation Source Type: research

Table of Contents
Publication date: September 2018Source: PM&R, Volume 10, Issue 9, Supplement 2Author(s): (Source: PMandR)
Source: PMandR - October 5, 2018 Category: Rehabilitation Source Type: research

Planners, Faculty & Others Involved in SAE Content
Publication date: September 2018Source: PM&R, Volume 10, Issue 9, Supplement 2Author(s): (Source: PMandR)
Source: PMandR - October 5, 2018 Category: Rehabilitation Source Type: research

Disclosure Page
Publication date: September 2018Source: PM&R, Volume 10, Issue 9, Supplement 2Author(s): (Source: PMandR)
Source: PMandR - October 5, 2018 Category: Rehabilitation Source Type: research

Innovations Influencing Physical Medicine and Rehabilitation
Publication date: September 2018Source: PM&R, Volume 10, Issue 9, Supplement 2Author(s): Ning Cao, Alberto Esquenazi (Source: PMandR)
Source: PMandR - October 5, 2018 Category: Rehabilitation Source Type: research

Adaptation, Artificial Intelligence, and Physical Medicine and Rehabilitation
Publication date: September 2018Source: PM&R, Volume 10, Issue 9, Supplement 2Author(s): Daniel T. BarryAbstractAdaptation, cooperation, and trust are at the center of rehabilitation. Artificial intelligence and robots enhance adaptation with guidance for movement, cues for sensation, control of environment, and improved situational awareness. That said, how do we decide to trust complex technologies that might seek personal information or control dangerous equipment? (Source: PMandR)
Source: PMandR - October 5, 2018 Category: 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. Using functional magnetic resonance imaging, they also found evidence for physiological connectivity betwe...
Source: PMandR - October 5, 2018 Category: Rehabilitation Source Type: research

A Review of Stem Cell Therapy for Acquired Brain Injuries and Neurodegenerative Central Nervous System Diseases
Publication date: September 2018Source: PM&R, Volume 10, Issue 9, Supplement 2Author(s): Thomas K. WatanabeAbstractCell-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...
Source: PMandR - October 5, 2018 Category: Rehabilitation Source Type: research

Getting the Best Out of Advanced Rehabilitation Technology for the Lower Limbs: Minding Motor Learning Principles
Publication date: September 2018Source: PM&R, Volume 10, Issue 9, Supplement 2Author(s): Martina Rebekka Spiess, Frans Steenbrink, Alberto EsquenaziAbstractAdvanced technology, including gait-training devices, is increasingly being integrated into neurorehabilitation. However, to use gait-training devices to their optimal potential, it is important that they are applied in accordance with motor learning and locomotor training principles. In this article, we outline the most important principles and explain how advanced gait-training devices are best used to improve therapy outcome. (Source: PMandR)
Source: PMandR - October 5, 2018 Category: Rehabilitation Source Type: research

Exoskeleton and End-Effector Robots for Upper and Lower Limbs Rehabilitation: Narrative Review
Publication date: September 2018Source: PM&R, Volume 10, Issue 9, Supplement 2Author(s): Franco Molteni, Giulio Gasperini, Giovanni Cannaviello, Eleonora GuanziroliAbstractRecovery of upper and lower limbs function is essential to reach independence in daily activities in patients with upper motor neuron syndrome (UMNS). Rehabilitation can provide a guide for motor recovery influencing the neurobiology of neuronal plasticity providing controlled, repetitive, and variable patterns. Increasing therapy dosage, intensity, number of repetition, execution of task-oriented exercises, and combining top-down and bottom-up ...
Source: PMandR - October 5, 2018 Category: Rehabilitation Source Type: research

Robotic and Sensor Technology for Upper Limb Rehabilitation
Publication date: September 2018Source: PM&R, Volume 10, Issue 9, Supplement 2Author(s): Iris Jakob, Alexander Kollreider, Marco Germanotta, Filippo Benetti, Arianna Cruciani, Luca Padua, Irene AprileAbstractRobotic 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 multidiscipli...
Source: PMandR - October 5, 2018 Category: Rehabilitation Source Type: research

Motorized Biomechatronic Upper and Lower Limb Prostheses—Clinically Relevant Outcomes
Publication date: September 2018Source: PM&R, Volume 10, Issue 9, Supplement 2Author(s): Knut Lechler, Bertrand Frossard, Lynsay Whelan, David Langlois, Roy Müller, Kristleifur KristjanssonAbstractPeople 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. Biomech...
Source: PMandR - October 5, 2018 Category: Rehabilitation Source Type: research

Wearable Movement Sensors for Rehabilitation: A Focused Review of Technological and Clinical Advances
This article presents state-of-the-art and next-generation wearable movement sensors, ranging from inertial measurement units to soft sensors. An overview of clinical applications is presented across a wide spectrum of conditions that have potential to benefit from wearable sensors, including stroke, movement disorders, knee osteoarthritis, and running injuries. Complementary applications enabled by next-generation sensors that will enable point-of-care monitoring of neural activity and muscle dynamics during movement also are discussed. (Source: PMandR)
Source: PMandR - October 5, 2018 Category: Rehabilitation Source Type: research

Brain Computer Interfaces in Rehabilitation Medicine
This article discusses the basic components of BCI for rehabilitation, including recording systems and locations, signal processing and translation algorithms, and external devices controlled through BCI commands. An overview of applications in motor and sensory restoration is provided, along with ethical questions and user perspectives regarding BCI technology. (Source: PMandR)
Source: PMandR - October 5, 2018 Category: Rehabilitation Source Type: research

Ethical Issues Surrounding a New Generation of Neuroprostheses for Patients With Spinal Cord Injuries
Publication date: September 2018Source: PM&R, Volume 10, Issue 9, Supplement 2Author(s): Ryan Solinsky, Laura Specker Sullivan (Source: PMandR)
Source: PMandR - October 5, 2018 Category: Rehabilitation Source Type: research

Is Technology for Orthostatic Hypotension Ready for Primetime?
Publication date: September 2018Source: PM&R, Volume 10, Issue 9, Supplement 2Author(s): Zoe K. Sarafis, Aaron K. Monga, Aaron A. Phillips, Andrei V. KrassioukovAbstractSpinal cord injury (SCI) often results in the devastating loss of motor, sensory, and autonomic function. After SCI, the interruption of descending sympathoexcitatory pathways disrupts supraspinal control of blood pressure (BP). A common clinical consequence of cardiovascular dysfunction after SCI is orthostatic hypotension (OH), a debilitating condition characterized by rapid profound decreases in BP when assuming an upright posture. OH can result in a...
Source: PMandR - October 5, 2018 Category: Rehabilitation Source Type: research

The Transformation of the Rehabilitation Paradigm Across the Continuum of Care
This article will focus on the innovations in healthcare delivery and opportunities to maximize outcomes in the current and future models of care. (Source: PMandR)
Source: PMandR - October 5, 2018 Category: Rehabilitation Source Type: research

Innovations Influencing Physical Medicine and Rehabilitation
Publication date: September 2018Source: PM&R, Volume 10, Issue 9, Supplement 2Author(s): (Source: PMandR)
Source: PMandR - October 5, 2018 Category: Rehabilitation Source Type: research

Transcranial Direct Current Stimulation for Poststroke Motor Recovery: Challenges and Opportunities
Publication date: September 2018Source: PM&R, Volume 10, Issue 9, Supplement 2Author(s): Wuwei Feng, Steven A. Kautz, Gottfried Schlaug, Caitlyn Meinzer, Mark S. George, Pratik Y. ChhatbarAbstractThere has been a renewed research interest in transcranial direct current stimulation (tDCS) as an adjunctive tool for poststroke motor recovery as it has a neuro-modulatory effect on the human cortex. However, there are barriers towards its successful application in motor recovery as several scientific issues remain unresolved, including device-related issues (ie, dose-response relationship, safety and tolerability concerns, ...
Source: PMandR - October 5, 2018 Category: Rehabilitation Source Type: research

Is hydrotherapy effective to improve balance, functional mobility, motor status, and quality of life in subjects with Parkinson’s disease? A systematic review and meta-analysis
ConclusionsHydrotherapy combined or not with other therapies may improve balance and functional mobility in subjects with PD when compared to land-based therapy alone or usual care.Level of evidenceLevel I (Source: PMandR)
Source: PMandR - October 5, 2018 Category: Rehabilitation Source Type: research

Distribution Patterns of Vasculature Around Cervical Nerve Roots
ConclusionThere was a non-neglectable prevalence of vulnerable vessels either at the targeted nerve root or at the site of the needle's projected pathway to the nerve root. (Source: PMandR)
Source: PMandR - October 5, 2018 Category: Rehabilitation Source Type: research

The Influence of Cognitive Behavioral Therapy on Pain, Quality of Life, and Depression in Patients Receiving Physical Therapy for Chronic Low Back Pain: A Systematic Review
ConclusionsAlthough appearing to be advantageous by reducing pain and disability and enhancing functional capacity and quality of life, CBT effects on depression cannot be teased out from the effects of PT. (Source: PMandR)
Source: PMandR - October 5, 2018 Category: Rehabilitation Source Type: research

Resistance training improves quality of life and associated factors in patients with fibromyalgia syndrome
Publication date: Available online 25 September 2018Source: PM&RAuthor(s): Alexandro Andrade, Sofia Mendes Sieczkowska, Guilherme Torres VilarinoAbstractBackgroundPatients with primary symptoms of fibromyalgia (FM) have a lower quality of life than healthy people of the same age. The current treatment for FM is palliative, as there is no cure. Therefore, among strategies used to alleviate the symptoms, physical exercise has been recommended.ObjectiveTo investigate the effects of a resistance training (RT) program on quality of life and associated factors in patients with FM.DesignNon-randomized clinical trial.PatientsF...
Source: PMandR - October 5, 2018 Category: Rehabilitation Source Type: research

An Interdisciplinary Approach to Reducing Opioid Prescriptions to Patients with Chronic Pain in a Spinal Cord Injury Center
ConclusionsThe multidisciplinary interventional approach was associated with marked decreases in the percent of patients receiving opioids and the amounts of opioids being prescribed. This reduction could have a significant impact on the opioid crisis.Level of EvidenceIII (Source: PMandR)
Source: PMandR - October 5, 2018 Category: Rehabilitation Source Type: research

Ask the Authors
Publication date: Available online 28 September 2018Source: PM&RAuthor(s): David J. Kennedy, Sherilyn W. Driscoll (Source: PMandR)
Source: PMandR - October 5, 2018 Category: Rehabilitation Source Type: research

Ask the Authors
Publication date: Available online 29 September 2018Source: PM&RAuthor(s): Heidi Prather, Cecilia Pascual-Garrido (Source: PMandR)
Source: PMandR - October 5, 2018 Category: Rehabilitation Source Type: research

Quantification of Urinary Loss in Nulliparous Athletes During 1 Hour of Sports Training
ConclusionAthletes did not seem to have a good knowledge of UI symptoms, and the modified pad test could be an alternative to quantify urine loss; however, it is necessary to perform accuracy tests. None of the athletes reported discomfort or decreased performance when performing the pad test.Level of evidenceII. (Source: PMandR)
Source: PMandR - September 22, 2018 Category: Rehabilitation Source Type: research

Concomitant use of opioids and benzodiazepines in the outpatient setting: A retrospective study
Publication date: Available online 19 September 2018Source: PM&RAuthor(s): Jeremy Simon, Jeffrey Gehret, David Stolzenberg, Pedro K. Beredjiklian, Jonathon Teng, Taylor Paskey, Robin RajuAbstractBackgroundBenzodiazepines have been identified as a concurrent factor in opioid related deaths. Although the dangers of concomitant administration of opioids and benzodiazepines are well documented, implementation of this knowledge into practice may be lagging behind.ObjectiveTo examine the concomitant use of opioids and benzodiazepines in the outpatient setting.DesignRetrospective study.SettingAcademic outpatient multispecialt...
Source: PMandR - September 21, 2018 Category: Rehabilitation Source Type: research

Chronic Thigh Pain in a Young Adult Diagnosed as Synovial Sarcoma: A Case Report
We present a case describing the diagnostic workup of synovial sarcoma with an emphasis on imaging findings in a patient with increasing symptomatology spanning more than a decade.Level of EvidenceV (Source: PMandR)
Source: PMandR - September 15, 2018 Category: Rehabilitation Source Type: research

Information for Authors
Publication date: September 2018Source: PM&R, Volume 10, Issue 9Author(s): (Source: PMandR)
Source: PMandR - September 15, 2018 Category: Rehabilitation Source Type: research

Rehabilitation Course and Specification of Dysmetria of a Patient With Ataxia, Dysmetria, and Hemiparesis After a Stroke in the Corona Radiata: A Case Presentation
We present a case of a patient with ataxia, dysmetria, and hemiparesis after a stroke in the corona radiata. The patient had an excellent clinical course with near resolution of symptoms in 2 and a half weeks and returned back to work full duty and full time a couple of weeks later. We use videos of several neurologic tests to demonstrate and characterize the dysmetria. Interestingly, a key characteristic of the dysmetria appears to be different from that seen in patients with dysmetria arising from a cerebellar, thalamic, or pontine lesion. We propose a possible neurophysiologic mechanism—damage to and redundancy of...
Source: PMandR - September 15, 2018 Category: Rehabilitation Source Type: research

Ultrasound-Guided Percutaneous Needle Tenotomy for Chronic Tensor Fascia Lata Tendinopathy: A Case Series and Description of Sonographic Findings
Publication date: September 2018Source: PM&R, Volume 10, Issue 9Author(s): David M. Bradberry, Walter I. Sussman, Kenneth R. MautnerAbstractProximal tensor fascia lata tendinopathy at its origin on the anterior superior iliac crest is one potential cause of lateral hip pain. However, there is limited literature regarding the mechanism, disease course, or management of this condition. There is growing evidence supporting the effective treatment of percutaneous needle tenotomy (PNT) for chronic tendinopathy. Only a single case series has examined the efficacy of PNT for tendinopathy about the hip and pelvis. Presented he...
Source: PMandR - September 15, 2018 Category: Rehabilitation 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
Publication date: September 2018Source: PM&R, Volume 10, Issue 9Author(s): L. Brian Barnett, Joe E. Springer, Robert M. Worthing (Source: PMandR)
Source: PMandR - September 15, 2018 Category: Rehabilitation Source Type: research

Reply
Publication date: September 2018Source: PM&R, Volume 10, Issue 9Author(s): Takeshi Nakamura (Source: PMandR)
Source: PMandR - September 15, 2018 Category: Rehabilitation Source Type: research

Academy News – September PM&R
Publication date: September 2018Source: PM&R, Volume 10, Issue 9Author(s): (Source: PMandR)
Source: PMandR - September 15, 2018 Category: Rehabilitation Source Type: research

Copyright Page
Publication date: September 2018Source: PM&R, Volume 10, Issue 9Author(s): (Source: PMandR)
Source: PMandR - September 15, 2018 Category: Rehabilitation Source Type: research

Editorial Board
Publication date: September 2018Source: PM&R, Volume 10, Issue 9Author(s): (Source: PMandR)
Source: PMandR - September 15, 2018 Category: Rehabilitation Source Type: research

Table of Contents
Publication date: September 2018Source: PM&R, Volume 10, Issue 9Author(s): (Source: PMandR)
Source: PMandR - September 15, 2018 Category: Rehabilitation Source Type: research

Development and Persistence of Suspected Neuropathic Pain After Total Knee Arthroplasty in Individuals With Osteoarthritis
Publication date: September 2018Source: PM&R, Volume 10, Issue 9Author(s): Matthew Fitzsimmons, Eloise Carr, Linda Woodhouse, Geoff P. BostickAbstractBackgroundDespite the effectiveness of total knee arthroplasty (TKA) for osteoarthritis (OA), up to 20% will report knee pain 1 year after surgery. One possible reason is the development of neuropathic pain before or after TKA.ObjectiveTo longitudinally describe suspected neuropathic pain in patients pre- and post-TKA and to explore relations between pre-TKA suspected neuropathic pain and post-TKA outcomes.DesignProspective observational study.SettingParticipants wer...
Source: PMandR - September 15, 2018 Category: Rehabilitation Source Type: research

Predicting 1 Repetition Maximum Using Handheld Dynamometry
Publication date: September 2018Source: PM&R, Volume 10, Issue 9Author(s): Alicia En Ling Tan, Tiffany L. Grisbrook, Novia Minaee, Sîan A. WilliamsAbstractBackgroundIsometric assessment of muscular function using a handheld dynamometer (HHD) is frequently used in clinic environments. However, there is controversy in terms of the validity of isometric assessment to monitor changes in dynamic performance. One repetition maximum (1RM) is considered the gold standard for evaluating dynamic strength, though clinicians do not often use 1RM testing, preferring to be cautious with clients who have preexisting impairments...
Source: PMandR - September 15, 2018 Category: Rehabilitation Source Type: research

Evaluation of Performance-Based Outcome Measures for the Upper Limb: A Comprehensive Narrative Review
Publication date: September 2018Source: PM&R, Volume 10, Issue 9Author(s): Sophie Wang, C. Janice Hsu, Lauren Trent, Tiffany Ryan, Nathan T. Kearns, Eugene F. Civillico, Kimberly L. KontsonAbstractObjective performance-based outcome measures (OMs) have the potential to provide unbiased and reproducible assessments of limb function. However, very few of these performance-based OMs have been validated for upper limb (UL) prosthesis users. OMs validated in other clinical populations (eg, neurologic or musculoskeletal conditions) could be used to fill gaps in existing performance-based OMs for UL amputees. Additionally, a ...
Source: PMandR - September 15, 2018 Category: Rehabilitation Source Type: research

A Checklist for Analyzing Data
Publication date: September 2018Source: PM&R, Volume 10, Issue 9Author(s): Kristin L. Sainani (Source: PMandR)
Source: PMandR - September 15, 2018 Category: Rehabilitation Source Type: research

Lumbar Intraspinal Spindle Cell Rhabdomyosarcoma as a Rare Cause of Spinal Stenosis: A Case Report
Publication date: September 2018Source: PM&R, Volume 10, Issue 9Author(s): Donel A. Sequea, Maria E. ReeseAbstractRhabdomyosarcoma (RMS) represents the most common sarcoma in childhood yet is extremely rare in adults, with only a handful of cases reported. Here we present a case of intraspinal spindle cell RMS in an adult who presented as a typical case of spinal stenosis. To our knowledge, this is the first reported case of lumbar intraspinal spindle cell RMS in an adult patient. Furthermore, RMS phenotypically presents more aggressively in adults compared with children.Level of EvidenceV (Source: PMandR)
Source: PMandR - September 15, 2018 Category: Rehabilitation Source Type: research

Spanish Translated Abstracts
Publication date: September 2018Source: PM&R, Volume 10, Issue 9Author(s): (Source: PMandR)
Source: PMandR - September 15, 2018 Category: Rehabilitation Source Type: research

Popliteal Artery Entrapment Syndrome – Return to Sport Considerations: A Case Report
Publication date: Available online 11 September 2018Source: PM&RAuthor(s): Todd Hayano, Joan Borg-Stein, David J. Cormier, Niki RybkoAbstractThis is a case of a 19-year-old female collegiate field hockey player with left leg pain, numbness and tingling. A comprehensive workup including dynamic ultrasound, Magnetic Resonance Imaging (MRI) and Magnetic Resonance Angiogram (MRA) revealed a type VI functional popliteal artery entrapment syndrome (PAES). There are many options for treatment of functional PAES including activity modification, botulinum toxin injection, and surgery. To the authors knowledge there is no publis...
Source: PMandR - September 11, 2018 Category: Rehabilitation Source Type: research

Ultrasonographic Evaluation of the Femoral Cartilage, Achilles Tendon and Plantar Fascia in Young Women Wearing High-heeled Shoes
ConclusionsWe found thickening of the right MFC and left AT in those wearing HHS, whereas PF thickness was not significantly different. (Source: PMandR)
Source: PMandR - September 11, 2018 Category: Rehabilitation Source Type: research

Severe Leg Pain Following Spinal Cord Stimulator Implantation – A Case Report
We present a case of immediate, severe, post-operative leg pain secondary to a lower extremity deep vein thrombosis (DVT) and subsequent pulmonary embolism (PE) after percutaneous SCS implantation for failed back syndrome. The risk factors of DVT after spine surgery and perioperative prophylaxis will be further discussed with a brief literature review. (Source: PMandR)
Source: PMandR - September 11, 2018 Category: Rehabilitation Source Type: research

Treatment of Knee Meniscus Pathology: Rehabilitation, Surgery, and Orthobiologics
Publication date: Available online 7 September 2018Source: PM&RAuthor(s): Paul S. Chirichella, Steven Jow, Stephen Iacono, Hannah E. Wey, Gerard A. MalangaAbstractThe meniscal tear treatment paradigm traditionally begins with conservative measures such as physical therapy with referral for operative management for persistent or mechanical symptoms. As a result, the partial meniscectomy is performed more than any other orthopedic procedure in the United States. This treatment paradigm has shifted as recent literature supports the attempt to preserve or repair the meniscus whenever possible given its importance for the s...
Source: PMandR - September 7, 2018 Category: Rehabilitation Source Type: research

Frequency and circumstances of falls reported by ambulatory unilateral lower limb prosthesis users: a secondary analysis
ConclusionThis secondary analysis revealed that falls remain frequent among ambulatory LLP users, and that clinicians and researchers may wish to prioritize falls owing to disruptions of BoS that occur while walking. Additional research with a larger sample is required to confirm and expand upon these results. (Source: PMandR)
Source: PMandR - September 7, 2018 Category: Rehabilitation Source Type: research

Ankle joint and rearfoot biomechanics during toe-in and toe-out walking in people with medial compartment knee osteoarthritis
Publication date: Available online 7 September 2018Source: PM&RAuthor(s): Jesse M. Charlton, Gillian L. Hatfield, Jordan A. Guenette, Michael A. HuntABSTRACT:BackgroundToe-in and toe-out walking are two strategies which have been shown to be effective in reducing the knee adduction moment in people with knee osteoarthritis. However, despite a positive biomechanical impact on the knee, altering foot rotation may impart unintended forces or joint positions on the ankle that could impact joint health. The kinematic and kinetic changes at the ankle during toe-in or toe-out walking have yet to be examined.ObjectiveTo examin...
Source: PMandR - September 7, 2018 Category: Rehabilitation Source Type: research