• Filter By:
• Specialty
• Source
• Condition
• Cancer
• Infectious Disease
• Drug
• Training
• Management
• Procedure
• Therapy
• Vaccine
• Nutrition
• Country

Should This Patient With Global Aphasia After a Left Cerebral Stroke Be Admitted to Your Hospital-Based Inpatient Rehabilitation Unit?
You are the medical director of a very busy, 20-bed, general inpatient rehabilitation unit (IRU) at a community hospital. About 40% of admissions to the unit are persons with moderate and severe stroke from the geographic region, and your census runs very nearly 100% capacity, usually with a waiting list. The neurology service asks you to assess a 60-year-old man with a long history of hypertension and diabetes mellitus who is now 6 days post a large left middle cerebral artery (MCA) ischemic stroke.
Source: PM and R - June 1, 2017 Category: Rehabilitation Authors: Leroy R. Lindsay, Kirk Lercher, Michael W. O ’Dell Tags: Point/Counterpoint Source Type: research

Should This Patient With Ischemic Stroke Receive Fluoxetine?
You admit T.R., a 75-year-old man, to your inpatient rehabilitation unit 10 days after a stroke. He has a medical history of hypertension and type II diabetes. On the day of his admission to the neurology service, he experienced a sudden onset of severe left-sided weakness with a facial droop and slurring of speech. His husband was driving them both to a social event at the time and detoured immediately to the emergency department, where the patient received tissue plasminogen activator (tPA) for a large, right middle cerebral artery thrombosis seen on magnetic resonance imaging.
Source: PM and R - December 1, 2015 Category: Rehabilitation Authors: Heidi Schambra, Brian Im, Michael W. O'Dell Tags: Point/Counterpoint Source Type: research

The Role of Autonomic Function on Sport Performance in Athletes With Spinal Cord Injury
Devastating paralysis, autonomic dysfunction, and abnormal cardiovascular control present significant hemodynamic challenges to individuals with spinal cord injury (SCI), especially during exercise. In general, resting arterial pressure after SCI is lower than with able-bodied individuals and is commonly associated with persistent orthostatic intolerance along with transient episodes of life-threatening hypertension, known as “autonomic dysreflexia.” During exercise, the loss of central and reflexive cardiovascular control attenuates maximal heart rate and impairs blood pressure regulation and blood redistribution, whi...
Source: PM and R - August 1, 2014 Category: Rehabilitation Authors: Andrei Krassioukov, Christopher West Tags: Original Research Source Type: research