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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

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

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

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

Study regarding the effectiveness of extracorporeal shock wave therapy on spasticity
Discussion – conclusion The limits of the study are given by the small number of patients included, a lack of a medium and long-term assessment of the therapeutic effect evaluation and the absence of a placebo controlled group.
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation Source Type: research

Prevalence and Treatment Characteristics of Spastic Hypertonia on First-Time Admission to Acute Inpatient Rehabilitation
Conclusions Spasticity is a common sequela of upper motor neuron injury for patients admitted to inpatient rehabilitation. Early recognition and management are essential to prevent contractures, minimize pain, and maximize functional recovery.
Source: American Journal of Physical Medicine and Rehabilitation - March 23, 2022 Category: Rehabilitation Tags: Original Research Articles 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

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

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

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

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

Time for Food—Including Nutrition on Physiatrists' Tables
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, and opportunities for interprofessional collaborations.
Source: PM and R - March 31, 2016 Category: Rehabilitation Authors: Rani Polak, Marie L. Dacey, Edward M. Phillips Tags: Emerging Issue Source Type: research

Demystifying post-stroke pain: from etiology to treatment
Unintended dural punctures with cerebral spinal fluid (CSF) leak are recognized as a frequent complication of spinal surgery. Although there are conservative and invasive options to treat post-operative CSF leaks, existing literature defines neither an algorithmic treatment approach nor a universally accepted standard of care. We believe that a transforaminal epidural blood patch (EBP) can serve as a minimally invasive, cost-effective option to treat post-surgical CSF leaks that do not resolve with conservative management.
Source: PM and R - June 14, 2016 Category: Rehabilitation Authors: Bradly Goodman, Sridhar Vallabhaneni, Bradley Cubitt, Srinivas Mallempati Source Type: research

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