Changes in Oxygen Consumption and Heart Rate After Acute Myocardial Infarction During 6-Month Follow-up
ConclusionsThis study showed that the %HRmax correlates better with the %VO2max in the late-stage post-AMI than in the initial stage. We should therefore set and monitor the exercise intensity using maximal oxygen consumption in the early stage of exercise training after onset of acute myocardial infarction.Level of EvidenceIV (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation 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
ConclusionsThe modified contact isolation protocol, having resulted in noninferior functional outcomes in inpatient rehabilitation may provide adequate contact isolation while allowing for noninferior functional outcomes. This may be a guide in the face of an ever-increasing need for contact isolation.Level of EvidenceIII (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research
Attendance at Prescribed Pelvic Floor Physical Therapy in a Diverse, Urban Urogynecology Population
ConclusionsTwo-thirds (66%) of patients initiated PFPT but less than one-third (29%) completed the treatment course. There appears to be an opportunity to augment PFPT attendance, as well as explore racial disparities in attendance.Level of EvidenceII (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research
Sonographically Guided Plantaris Tendon Release: A Cadaveric Validation Study
ConclusionSonographically guided PT release is technically feasible and can be performed while avoiding injury to the Achilles tendon and regional neurovascular structures. Additional research is warranted to further define the role of sonographically guided PT release in patients with suspected PT-mediated Achilles region pain syndromes.Level of Evidence▪▪▪ (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research
Phenol Neurolysis for the Management of Shoulder Spasticity in Early Recovery From Traumatic Brain Injury—A Case Report
Publication date: Available online 19 June 2018Source: PM&RAuthor(s): Manuel F. Mas, Craig DiTommaso, Sheng LiAbstractThis case describes a 16-year-old boy who suffered a severe traumatic brain injury. The patient gradually recovered but developed debilitating spasticity mainly in left triceps muscle, abnormal positioning of shoulder girdle complex, and shoulder pain. Phenol (6%) was injected to axillary and radial nerves under the guidance of electrical stimulation and ultrasound imaging at 10 weeks after the initial injury. After injection, triceps spasticity and shoulder pain were immediately reduced, and abnormal posit...
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research
The Rehabilitation of Advanced Heart Failure Patients After Left Ventricular Assist Device: A Narrative Review
Publication date: Available online 19 June 2018Source: PM&RAuthor(s): Sarah M. Eickmeyer, Kim D. Barker, Anjum Sayyad, Leslie RydbergAbstractBecause more patients with advanced heart failure are receiving a left ventricular assist device (LVAD) as destination therapy or a bridge to transplantation, there is increasing attention on functional outcomes and quality of life after LVAD implantation. Rehabilitation providers in the acute inpatient rehabilitation setting increasingly will treat patients with an LVAD and should understand the exercise physiology, medical management, rehabilitation considerations, and outcomes afte...
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research
Correlation of Measurements of the Prearthritic Hip Between Plain Radiography and Computed Tomography
ConclusionEquivalent angle measurement readings on CT and radiographs were consistent among physicians. CT measurements correlated well with radiographic measurements. This suggests that if a standardized procedure is used to find the center of the femoral head, a positive correlation among LCE, alpha, beta, and Tonnis angles measured on CT can be obtained between multiple readers.Level of EvidenceIII (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research
Can a brief training session prepare physician sonographers of differing experience to measure the ischiofemoral space? A reliability study
ConclusionsFollowing a brief training session, experienced sonographers demonstrated excellent IFS measurement intra-rater reliability, while PGY-4 and PGY-2 sonographers demonstrated fair intra-rater reliability. All sonographers demonstrated fair inter-rater reliability. (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research
Cardiovascular Risk Factors Among Older Adults With Long-Term Spinal Cord Injury
ConclusionsThe high occurrence of cardiovascular risk factors among older adults with long-term SCI can pose additional consequences to their health. Regular assessments and interventions targeting cardiovascular risk in this population are therefore warranted. Further research is needed to identify modifiable factors associated with their risk profile. (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research
Botulinum toxin: Techniques within pediatric physiatry
ConclusionThere is considerable variability present in one common procedure performed by pediatric physiatrists. (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research
Pregnancy Results in Lasting Changes in Knee Joint Laxity
ConclusionsPregnancy resulted in lasting decrease in multiplanar knee laxity and compliance in the varus and posterior directions with increase in anterior compliance. The effects of these changes in laxity and compliance of the passive stabilizers on knee loading patterns, articular contact stresses and risk for OA and other musculoskeletal disorders will require additional research. (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research
Safety Considerations in Prescription of NSAIDs for Musculoskeletal Pain: A Narrative Review
Publication date: Available online 30 June 2018Source: PM&RAuthor(s): Katie M. Hatt, Anita Vijapura, Ian Maitin, Ernesto CruzAbstract:Non-steroidal anti-inflammatory drugs (NSAIDs) are frequently prescribed for the treatment of painful musculoskeletal conditions. When prescribing oral NSAIDs, clinicians must consider coexisting cardiovascular, cerebrovascular, gastrointestinal and renal disease as oral NSAIDs are associated with a broad spectrum of adverse effects on these systems. The varying safety profiles of NSAIDs can be attributed to differences in the extent to which the drug inhibits cyclooxygenase (COX)-1 versus C...
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research
Predictors of Performance on the American Board of Physical Medicine and Rehabilitation Maintenance of Certification Examination
ConclusionsBetter performance on the MOC Examination is associated with better performance on Part I and Part II Examinations, taking the exam earlier in the 10 year cycle, younger age, and less time since completion of training. Diplomates who are at higher risk for failing the exam may need to prepare differently for MOC Exam than those who are more likely to pass.Level of EvidenceLevel III Retrospective Study (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research
Quantifying and reducing retained botulinum toxin post-injection
ConclusionsA potentially clinically significant amount of botulinum toxin solution is retained following mixing and injections. Implementation of guidelines significantly decreased wasted botulinum toxin.Level of EvidenceIII (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research
Dextromethorphan/Quinidine for Pseudobulbar Affect Following Stroke: Safety and Effectiveness in the PRISM II Trial
ConclusionsDM/Q effectively treated PBA and was associated with global and functional improvement; adverse events were consistent with the known safety profile of DM/Q. (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research
