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 neuromus...
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 conside...
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 cocontrac...
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
ConclusionsThis study provides initial evidence that the relationship between self-reported functional capacity and disability is partially mediated by self-efficacy after dysvascular TTA. The longitudinal effect of self-efficacy should be further examined to identify causal pathways of disability after dysvascular amputation. Furthermore, additional factors contributing to the relationship between self-reported functional capacity and disability need to be identified.Level of EvidenceTo be determined. (Source: PMandR)
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 fir...
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 increas...
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
ConclusionsCognitive distractions while walking pose challenges to individuals regardless of etiology, level of amputation, or time with the prosthesis. These findings highlight that individuals are at risk for adverse events when performing multiple tasks while walking.Level of Evidence▪▪▪ (Source: PMandR)
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