Isolated Neck Extensor Myopathy: A Case Presentation of RapidĀ Onset and Spontaneous Recovery
We present a unique case of INEM with rapid onset and complete clinical recovery within a time frame of 4 months.Level of EvidenceV (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Pulmonary Rehabilitation in a Patient With Bronchiectasis and Underlying Cerebral Palsy: A Case Presentation
Publication date: May 2018Source: PM&R, Volume 10, Issue 5Author(s): Seo Yeon Yoon, Yong Wook Kim, Ja Young ChoiAbstractBronchiectasis is a chronic pulmonary disease characterized by the permanent dilatation of the airways, with recurrent infections. As the disease progresses, extrapulmonary symptoms manifest. If the patient with bronchiectasis has an underlying central nervous system disease such as cerebral palsy (CP), extrapulmonary functions decline faster. The co-occurrence of these 2 diseases may make care more complex, and there have been no reports about pulmonary rehabilitation (PR) in this class of patients. Here...
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Transient Hypokalemic Quadriplegia After a Lumbar Transforaminal Epidural Dexamethasone Injection: A Case Report
Publication date: May 2018Source: PM&R, Volume 10, Issue 5Author(s): Maryam Tahmasbi Sohi, William J. Sullivan, Dustin J.M. AndersonAbstractA 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 ...
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

The PM&R Journal Implements a Social Media Strategy to Disseminate Research and Track Alternative Metrics in Physical Medicine and Rehabilitation
This report describes how a social media strategy for the journal PM&R using metrics, including alternative metrics, contributes to the dissemination of research and other information in the field of physical medicine and rehabilitation. The primary goal of the strategy was to disseminate information about rehabilitation medicine, including but not limited to new research published in the journal, to health care professionals. Several different types of metrics were studied, including alternative metrics that are increasingly being used to demonstrate impact in academic medicine. A secondary goal was to encourage diversity...
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

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

Cardiovascular Responses During Resistance Exercise in Patients With Parkinson Disease
ConclusionsPatients with PD present attenuated increases in SBP and HR during resistance exercise in comparison with healthy subjects. These results support that resistance exercise is safe and well tolerated for patients with PD from a cardiovascular point of view supporting its recommendation for this population.Level of evidenceII (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Patients With Chronic Spinal Pain Benefit From Pain Neuroscience Education Regardless the Self-Reported Signs of Central Sensitization: Secondary Analysis of a Randomized Controlled Multicenter Trial
ConclusionPain neuroscience education is useful in all patients with chronic spinal pain as it improves kinesiophobia and the perceived negative consequences and cyclicity of the illness regardless the self-reported signs of central sensitization. Regarding pain catastrophizing, pain neuroscience education is more effective in patients with high self-reported symptoms of central sensitization.Level of EvidenceLevel I, therapy (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Assessing the Longer-Term Effects of Mild Traumatic Brain Injury on Self-Reported Driving Ability
ConclusionsIndividuals with a history of mTBI are more likely to deliberately drive in a manner that risks the safety of others and are at a heightened risk of being involved in a recent car crash. Future work should examine predictor variables in greater depth and incorporate performance-based measures of driving ability to further explore these topics. (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Safe Needle Approach for Examination of the Rhomboid Major
ConclusionNeedle electromyographic examination of the RM can be performed easily and safely through the lower part of the RM that is not covered by the trapezius.Level of Evidencenot applicable. (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Motor Retraining (MoRe) for Functional Movement Disorders: Outcomes From a 1-Week Multidisciplinary Rehabilitation Program
ConclusionsThe majority of FMD patients experienced improvement from a 1-week multidisciplinary inpatient rehabilitation program. Treatment outcomes were not negatively correlated with longer disease duration or psychiatric comorbidities. The results from our study are encouraging, although further long-term prospective randomized studies are needed.Level of EvidenceIII (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Reliability of the Star Excursion Balance Test and Two New Similar Protocols to Measure Trunk Postural Control
ConclusionsSEBT, SEST, and SETT are reliable field protocols to measure postural control. However, whereas the SEBT assesses postural control in single-leg stance, SEST and SETT provide trunk postural control measures with lower influence of the lower-limbs.Level of EvidenceTo be determined. (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Participation in Daily Life: Influence on Quality of Life in Ambulatory Children with Cerebral Palsy
ConclusionsThe results suggest that participation in daily life is negatively influenced by physical impairment and that levels of participation are positively associated with psychosocial and total QOL among ambulatory children with CP. This suggests that participation influences QOL and further studies are needed to determine the aspects of participation directly impacting QOL in ambulatory children with CP.Level of EvidenceTo be determined. (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

The Feasibility of Blood Flow Restriction Exercise in Patients With Incomplete Spinal Cord Injury
ConclusionsResults suggest that controlled BFR exercise can be safely performed by individuals with iSCI without added cardiovascular strain or heightened pain.Level of EvidenceTo be determined. (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Objective Technical Considerations for Appropriate Digital Subtraction Imaging During Cervical Transforaminal Epidural Steroid Injection
Publication date: Available online 26 May 2018Source: PM&RAuthor(s): Zachary L. McCormick, Vinil N. Shah (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

The Role of Pelvic Floor Muscle Training in the Conservative and Surgical Management of Female Stress Urinary Incontinence: Does the Strength of the Pelvic Floor Muscles Matter?
Publication date: Available online 26 May 2018Source: PM&RAuthor(s): Anna Maria Lasak, Marjorie Jean-Michel, Phuong Uyen Le, Roshni Durgam, Jessica HarrocheAbstractThe purpose of this review is to provide an in-depth overview of the role of pelvic floor muscle (PFM) training in the management of stress urinary incontinence (SUI). The definition, epidemiology, and pathogenesis of SUI are described. We review the anatomy of the PFM and the importance of PFM strength in maintaining urinary continence and establishing normal voiding function. A brief description of the surgical options currently available for SUI and the exist...
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research