Diminished Kinesthetic and Visual Motor Imagery Ability in Adults With Chronic Low Back Pain: Mental Task and Chronic Low Back Pain
ConclusionsIt appears that patients with CLBP have greater difficulty generating visual and kinesthetic motor images compared with asymptomatic participants, and they also need more time to perform these mental tasks.Level of EvidenceII (Source: PMandR)
Source: PMandR - July 10, 2018 Category: Rehabilitation Source Type: research

Congenital Partial Aplasia of the Atlas Causing Functional Angular Displacement of the Posterior Arch
Publication date: Available online 4 July 2018Source: PM&RAuthor(s): Lance M. Mabry, Michael D. Ross, Sonja I. Dardenelle (Source: PMandR)
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 9, 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 7, 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 5, 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 5, 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 5, 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 5, 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 5, 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 5, 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 5, 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 5, 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 5, 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 5, 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 5, 2018 Category: Rehabilitation Source Type: research