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Telehealth in Physical Medicine and Rehabilitation: A Narrative Review
Publication date: May 2017 Source:PM&R, Volume 9, Issue 5, Supplement Author(s): Adam S. Tenforde, Jaye E. Hefner, Jodi E. Kodish-Wachs, Mary A. Iaccarino, Sabrina Paganoni Telehealth refers to health care interactions that leverage telecommunication devices to provide medical care outside the traditional face-to-face, in-person medical encounter. Technology advances and research have expanded use of telehealth in health care delivery. Physical medicine and rehabilitation providers may use telehealth to deliver care to populations with neurologic and musculoskeletal conditions, commonly treated in both acute care ...
Source: PMandR - May 18, 2017 Category: Rehabilitation Source Type: research

Application and outcomes of therapy combining transcranial direct current stimulation and virtual reality: a systematic review.
CONCLUSIONS: The use of tDCS combined with VR showed positive results in both healthy and impaired patients. Future studies with larger sample sizes and homogeneous participants are required to confirm the benefits of tDCS and VR. Implications for Rehabilitation tDCS with VR intervention can be an alternative to traditional rehabilitation programs. tDCS with VR is a promising type of intervention with a variety of positive effects. Application of tDCS with VR is appropriated to both healthy and impaired patients. There is no consensus of tDCS with VR application. PMID: 27677678 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation. Assistive Technology. - September 26, 2016 Category: Rehabilitation Authors: Massetti T, Crocetta TB, Silva TD, Trevizan IL, Arab C, Caromano FA, Monteiro CB Tags: Disabil Rehabil Assist Technol Source Type: research

Hemiplegic Shoulder Pain Reduces Quality of Life After Acute Stroke: A Prospective Population-Based Study
Conclusion: Hemiplegic shoulder pain reduces health-related quality of life at 12 months. More effort should be directed towards screening and management of this frequent complication of stroke.
Source: American Journal of Physical Medicine and Rehabilitation - September 20, 2016 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Short-term effect of local muscle vibration treatment versus sham therapy on upper limb in chronic post-stroke patients: a randomized controlled trial.
CONCLUSION: Rehabilitation treatment with local muscle high frequency (300 Hz) vibration for 30 minutes, 3 times a week for 4 weeks, could significantly improve muscle strength and decrease muscle tonus, disability and pain in upper limb of hemiplegic post-stroke patients. CLINICAL REHABILITATION IMPACT: Local muscle vibration treatment might be an additional and safe tool in the management of chronic post-stroke patients, granted its high therapeutic efficiency, limited cost and short and repeatable protocol of use. PMID: 27598342 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - September 5, 2016 Category: Rehabilitation Authors: Costantino C, Galuppo L, Romiti D Tags: Eur J Phys Rehabil Med Source Type: research

Demystifying Poststroke Pain: From Etiology to Treatment
Publication date: Available online 16 June 2016 Source:PM&R Author(s): Andrew K. Treister, Maya N. Hatch, Steven C. Cramer, Eric Y. Chang Pain after stroke is commonly reported but often incompletely managed, which prevents optimal recovery. This situation occurs in part because of the esoteric nature of poststroke pain and its limited presence in current discussions of stroke management. The major specific afflictions that affect patients with stroke who experience pain include central poststroke pain, complex regional pain syndrome, and pain associated with spasticity and shoulder subluxation. Each disorder...
Source: PMandR - July 10, 2016 Category: Rehabilitation Source Type: research

Demystifying post-stroke pain: from etiology to treatment
Publication date: Available online 16 June 2016 Source:PM&R Author(s): Andrew K. Treister, Maya N. Hatch, Steven C. Cramer, Eric Y. Chang Pain following stroke is commonly reported but often incompletely managed, which prevents optimal recovery. This is in part due to the esoteric nature of post-stroke pain and its limited presence in current discussions of stroke management. The major specific afflictions that affect patients with stroke who develop pain include central post-stroke pain (CPSP), complex regional pain syndrome (CRPS), and pain associated with spasticity and shoulder subluxation. Each disorder ...
Source: PMandR - June 15, 2016 Category: Rehabilitation Source Type: research

Demystifying Poststroke Pain: From Etiology to Treatment
Pain after stroke is commonly reported but often incompletely managed, which prevents optimal recovery. This situation occurs in part because of the esoteric nature of poststroke pain and its limited presence in current discussions of stroke management. The major specific afflictions that affect patients with stroke who experience pain include central poststroke pain, complex regional pain syndrome, and pain associated with spasticity and shoulder subluxation. Each disorder carries its own intricacies that require specific approaches to treatment and understanding.
Source: PM and R - June 14, 2016 Category: Rehabilitation Authors: Andrew K. Treister, Maya N. Hatch, Steven C. Cramer, Eric Y. Chang Tags: Narrative Review Source Type: research

Time for Food—Including Nutrition on Physiatrists' Tables
Publication date: April 2016 Source:PM&R, Volume 8, Issue 4 Author(s): Rani Polak, Marie L. Dacey, Edward M. Phillips Unhealthy nutrition is a leading factor in various rehabilitation diagnoses such as stroke and several musculoskeletal complications. Further, the association between nutrition, pain management, and brain plasticity support the importance of having rehabilitation patients follow healthy nutrition guidelines. The goal of this brief report is to emphasize the importance of nutritional counseling to physiatrists and to briefly describe recommended communication skills, behavioral change strategies...
Source: PMandR - April 8, 2016 Category: Rehabilitation Source Type: research

Frequency and characteristics of goal attainment following BoNT-A injection for management of spasticity.
CONCLUSIONS: Although active goals are commonly identified by people with spasticity, passive goals were more likely to be achieved following BoNT-A injection. A long duration of spasticity does not preclude patients from achieving mobility and transfer goals. Non-stroke participants were more likely to achieve mobility and transfer goals. Implications for Rehabilitation Patients with chronic spasticity should be considered for BoNT-A as clinically meaningful outcomes can be achieved. When spasticity is present in multiple muscles, the GAS can be an assistive tool to guide clinicians in determining which muscles are a prio...
Source: Disability and Rehabilitation - December 30, 2015 Category: Rehabilitation Authors: Mullins D, Winter A, Fini N, Dixon C, Aldous S, Palit M, Holland AE Tags: Disabil Rehabil Source Type: research

Systematic review of the influence of spasticity on quality of life in adults with chronic neurological conditions.
CONCLUSIONS: Spasticity is associated with worse health status, however its relationship with overall QOL is not established. The relationship between spasticity and QOL is confounded by other impairments and requires multivariate analysis. Implications for Rehabilitation Effective management of spasticity may result in significant improvements in HRQOL. It is important to address multiple factors in the management of spasticity including pain, bladder problems, fatigue and sleep, as the interplay of these may have significant negative effects on HRQOL. Clinician-administered methods for measuring spasticity, such as the A...
Source: Disability and Rehabilitation - December 29, 2015 Category: Rehabilitation Authors: Milinis K, Young CA, Trajectories of Outcome in Neurological Conditions (TONiC) study Tags: Disabil Rehabil Source Type: research

Effectiveness of neuromuscular taping on painful hemiplegic shoulder: a randomised clinical trial.
CONCLUSION: Our study demonstrates that NMT decreases pain and increases the ROM in subjects with shoulder pain after a stroke. Implications for Rehabilitation Painful hemiplegic shoulder is a frequent complication after stroke with negative impacts on functional activities and on quality of life of people, moreover restricts rehabilitation intervention. Neuromuscular taping is a technique introduced by David Blow for the treatment of neuromuscoloskeletal problems. This study shows the reduction of pain and the improvement of range of motion after the application of an upper limb neuromuscular taping. Rehabilitation profes...
Source: Disability and Rehabilitation - December 18, 2015 Category: Rehabilitation Authors: Pillastrini P, Rocchi G, Deserri D, Foschi P, Mardegan M, Naldi MT, Villafañe JH, Bertozzi L Tags: Disabil Rehabil Source Type: research

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