The Effects of Botulinum Toxin Injections on Plantar Flexor Spasticity in Different Phases After Stroke: A Secondary Analysis From a Double-Blind, Randomized Trial
ConclusionsOur serial measurements of the outcome parameters indicated that BT-A could be expected to lead to consistent improvement in both the muscle tone and gait quality in those with plantar flexor spasticity regardless of stroke chronicity, including those injected as early as within the first 6 months.Level of EvidenceI (Source: PMandR)
Source: PMandR - August 21, 2018 Category: Rehabilitation Source Type: research
Examination of Factors Related to the Effect of Improving Gait Speed With Functional Electrical Stimulation Intervention for Stroke Patients
ConclusionThe factors related to 10mWT showing changes beyond the minimal clinically important difference were found to be patient gender, number of interventions, and active ankle joint dorsiflexion ROM before intervention. When patients with stroke who have greater active ankle joint ROM, and are female, use FES positively, they may benefit more from using FES.Level of EvidenceII (Source: PMandR)
Source: PMandR - August 21, 2018 Category: Rehabilitation Source Type: research
Functional Reach, Depression Scores, and Number of Medications Are Associated With Number of Falls in People With Chronic Stroke
ConclusionsNumber of medications, depression scores, and decreased FRT distance at baseline were associated with increased number of falls. Increased medications might indicate multiple comorbidities or polypharmacy effect; increased depression scores may indicate psychological status; and decreased functional reach distance could indicate dynamic balance impairments.Level of EvidenceII (Source: PMandR)
Source: PMandR - August 21, 2018 Category: Rehabilitation Source Type: research
Anthropometric Prediction of Visceral Adipose Tissue in Persons With Motor Complete Spinal Cord Injury
ConclusionAbdominal circumference and SFT demonstrated an alternative way to predict VAT CSA. VATAnthro-CSA estimated VATMRI more accurately than BMI, waist circumference, and SFT in individuals with chronic SCI.Level of EvidenceI (Source: PMandR)
Source: PMandR - August 21, 2018 Category: Rehabilitation Source Type: research
What Types of Treatment Are Provided for Patients With Carpal Tunnel Syndrome? A Retrospective Analysis of Commercial Insurance
ConclusionsFor more than one-half of patients with CTS no treatment was provided after an initial visit. Surgery rates were much lower than what has previously been reported in the literature. Generally, patients with CTS receive treatments that are supported by current treatment guidelines.Level of EvidenceNA (Source: PMandR)
Source: PMandR - August 21, 2018 Category: Rehabilitation Source Type: research
Footwear-Generated Dynamic Biomechanical Manipulation and Perturbation Training for Chronic Nonspecific Low Back Pain
ConclusionAt 6 months, patients with CNSLBP undergoing home-based therapy with footwear-generated biomechanical manipulation and perturbation training demonstrated significant improvement of objective gait parameters, pain, and function.Level of EvidenceIV (Source: PMandR)
Source: PMandR - August 21, 2018 Category: Rehabilitation Source Type: research
Considerations for Exercise Prescription in Patients With Bone Metastases: A Comprehensive Narrative Review
This article examines the physical sequelae of bone metastases and outlines the factors for consideration with exercise prescription in metastatic bone disease, including bone health, pain levels, and oncologic treatment. This article includes a comprehensive review of the evidence from trials of exercise prescription in this population, including the efficacy and safety outcomes of exercise interventions. Exercise interventions for patients with bone metastases are associated with positive physical and self-reported outcomes. Studies reviewed reporting adverse events did not find a high fracture incidence with exercise in...
Source: PMandR - August 21, 2018 Category: Rehabilitation Source Type: research
Morbidity and Mortality Rounds in Rehabilitation—Benefits for Enhancing Quality Beyond Just the “M&M”
Publication date: August 2018Source: PM&R, Volume 10, Issue 8Author(s): Alexander Lo (Source: PMandR)
Source: PMandR - August 21, 2018 Category: Rehabilitation Source Type: research
Spanish Translated Abstracts
Publication date: August 2018Source: PM&R, Volume 10, Issue 8Author(s): (Source: PMandR)
Source: PMandR - August 21, 2018 Category: Rehabilitation Source Type: research
Impact of neck position on the probability of common carotid artery puncture during ultrasound guided stellate ganglion block
ConclusionsWe suggest that the full-contralateral neck rotation posture in either the supine or decubitus position is most beneficial for avoiding damage to the carotid artery during the ultrasound-guided stellate ganglion block.Level of evidenceNot applicable (Source: PMandR)
Source: PMandR - August 21, 2018 Category: Rehabilitation Source Type: research
A single trial may be used for measuring muscle strength with dynamometers in individuals with stroke: A cross-sectional study
ConclusionsA single trial, after familiarization, may be used for measuring the strength of the upper and lower-limb muscles with hand-held dynamometers in individuals with sub-acute and chronic stroke. This increases the clinical applicability of hand-held dynamometers for strength measurement, as it reduces the assessment burden placed on the subjects and therapists. (Source: PMandR)
Source: PMandR - August 21, 2018 Category: Rehabilitation Source Type: research
A review of botulinum toxin A for the treatment of neurogenic bladder
Publication date: Available online 21 August 2018Source: PM&RAuthor(s): Lauren Folgosa Cooley, Stephanie KielbAbstractPrior to FDA approval of intradetrusor botulinum toxin (BoTA) injections for the treatment of neurogenic bladder, patients had limited treatment options including ‘off-label’ use of pharmacotherapies (anti-cholinergics, beta agonists, and alpha-blockers) or invasive interventions including bladder augmentation and urinary diversion procedures. Herein, we provide a comprehensive, literature review detailing the salient clinical literature which led to FDA approval of intradetrusor BoTA for neurogenic bla...
Source: PMandR - August 21, 2018 Category: Rehabilitation Source Type: research
Virtual Reality for Neurorehabilitation: Insights from Three European Clinics
Publication date: Available online 16 August 2018Source: PM&RAuthor(s): Owen O’Neil, Manuel Maurie Fernandez, Jürgen Herzog, Marta Beorchia, Valerio Gower, Furio Gramatica, Klaus Starrost, Lorenz KiwullAbstractVirtual reality for the treatment of motor impairment is a burgeoning application of digital technology in neurorehabilitation. Virtual reality systems pose an opportunity for healthcare providers to augment the dose of task orientated exercises delivered both in the clinic, and via telerehabilitation models in the home. The technology is almost exclusively applied as an adjunct to traditional approaches and is ty...
Source: PMandR - August 16, 2018 Category: Rehabilitation Source Type: research
Bone Marrow–Derived and Adipose-Derived Mesenchymal Stem Cell Therapy in Primary Knee Osteoarthritis: A Narrative Review
This article provides an overview of MSC-derived therapy and offers a comprehensive review of adipose- and bone marrow–derived MSC therapy in primary knee osteoarthritis OA.Level of Evidence▪▪▪ (Source: PMandR)
Source: PMandR - August 8, 2018 Category: Rehabilitation Source Type: research
Regenerative Sports Medicine: Past, Present, and Future (Adapted From the PASSOR Legacy Award Presentation; AAPMR; October 2016)
Publication date: Available online 19 July 2018Source: PM&RAuthor(s): Joanne Borg-Stein, Hector Osoria, Todd Hayano (Source: PMandR)
Source: PMandR - August 8, 2018 Category: Rehabilitation Source Type: research
