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A Medication Combination for the Treatment of Central Post-Stroke Pain (CPSP) via the Adjuvant use of Prednisone with Gabapentin: A Case Report
Publication date: Available online 25 September 2015 Source:PM&R Author(s): Luis Batlle, Ryan Mattie, Robert Irwin Case Description CPSP is a neuropathic pain syndrome that can occur from pathology of the brain. The case presented is of a female with multiple comorbidities and who was found to have an acute infarct in the left middle and anterior cerebral artery territories. She began to complain of worsening diffuse right upper and lower extremity pain, and central post-stroke pain was diagnosed. First-line agents were contraindicated due to medical comorbidities, and chronic kidney disease only permitted the...
Source: PMandR - September 26, 2015 Category: Rehabilitation Source Type: research

Hemiplegic Shoulder Pain
This article provides rehabilitation specialists with an approach to evaluation and management of those with hemiplegic shoulder pain.
Source: Physical Medicine and Rehabilitation Clinics of North America - September 9, 2015 Category: Rehabilitation Authors: Richard D. Wilson, John Chae Source Type: research

Foot and ankle impairments affect balance and mobility in stroke (FAiMiS): the views and experiences of people with stroke.
CONCLUSIONS: Foot and ankle impairments such as pain, altered somatosensory input and weakness significantly contribute to problems with community ambulation, balance and fear of falling in people with chronic stroke. Specific foot and ankle impairments may also negatively contribute to perceptions of physical appearance and self-esteem. Therapeutic management approaches within clinical practice appear to focus mostly on the gross performance of the lower limb with little emphasis on the specific assessment or treatment of the foot or ankle. Implications for Rehabilitation Foot pain, sensory impairments and muscle weakness...
Source: Disability and Rehabilitation - June 9, 2015 Category: Rehabilitation Authors: Gorst T, Lyddon A, Marsden J, Paton J, Morrison SC, Cramp M, Freeman J Tags: Disabil Rehabil Source Type: research

Chronic Pain
This issue of the Physical Medicine and Rehabilitation Clinics of North America deals with strategies for evaluating and treating chronic pain. Physiatrists need skill in managing chronic pain because they encounter it frequently. Some physiatrists focus their clinical practices on patients who have pain as their major reason for seeking health care. These include physiatrists who work at pain centers, and ones who focus on the management of spinal disorders. Other physiatrists treat patients who are disabled by conditions that are not necessarily painful, such as spinal cord injury and stroke.
Source: Physical Medicine and Rehabilitation Clinics of North America - May 1, 2015 Category: Rehabilitation Authors: James P. Robinson, Virtaj Singh Tags: Preface Source Type: research

Pain in stroke patients: characteristics and impact on the rehabilitation treatment. A multicenter cross-sectional study.
CONCLUSIONS: The results from this multicenter study showed that in about ¼ of the patients, pain negatively influenced the rehabilitation program delaying the recovery and likely increasing the cost of rehabilitation. CLINICAL REHABILITATION IMPACT: Clinicians should pay more attention to pain, especially neuropathic pain, in post--stroke patients. Tailored pharmacological therapy, to treat and prevent pain, might improve patients' compliance during the rehabilitation process. PMID: 25739508 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - February 26, 2015 Category: Rehabilitation Authors: Aprile IG, Briani C, Pazzaglia C, Cecchi F, Negrini S, Padua L Tags: Eur J Phys Rehabil Med Source Type: research

Systematic Literature Review of AbobotulinumtoxinA in Clinical Trials for Adult Upper Limb Spasticity
Conclusions: On the basis of data extracted from 12 randomized clinical studies, a strong evidence base (9/12 studies) exists for the use of ABO to reduce ULS caused by stroke.
Source: American Journal of Physical Medicine and Rehabilitation - February 24, 2015 Category: Rehabilitation Tags: Literature Review Source Type: research

Hemiplegic Shoulder Pain: An Approach to Diagnosis and Management
This article develops an effective approach for diagnosis and treatment using the best available evidence to aid practitioners in obtaining optimal results.
Source: Physical Medicine and Rehabilitation Clinics of North America - March 17, 2014 Category: Rehabilitation Authors: John M. Vasudevan, Barbara J. Browne Source Type: research

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