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Rehabilitation Medical and Health News Headlines
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All Recent Rehabilitation
Medical News Headlines |
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Academy News
The Annual Assembly Preliminary Program has been packaged with this issue of PM&R. The Academy presents its 70th Annual Assembly and Technical Exhibition on October 22-25, 2009, in Austin, Texas, the Live Music Capital of the World®. Register today to hold your place at workshops, preconference courses, the Job Fair, and more. (Source: PM&R)...
POSTED 06/30/2009 at 06:00 PM --

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A Non-Traumatic Stress Fracture of the Tibial Plateau
Tibial plateau fractures are not always considered in the differential diagnosis of non-traumatic knee pain because they mostly occur from high-energy trauma. However, tibial plateau fractures should be considered in older, osteoporotic patients complaining of knee pain, even if they have not sustained significant trauma to this joint []. No relief of pain in the context of “negative” radiographs should alert the practitioner to consider other diagnostic tests such as bone scan, magnetic resonance imaging (MRI), or computed tomography [] to rule out other pathologies. The purpose of this case is to increase the awareness and suggest a higher index of suspicion for the diagnosis of tibial plateau fractures in older, osteoporotic patients with complaints of non-traumatic knee pain. (Sour......
POSTED 06/30/2009 at 06:00 PM --

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Rotator Cuff Tear in a 12-Year-Old Baseball Pitcher: A Case Report
Rotator cuff injury is common among baseball pitchers. The tremendous forces and torques repetitively generated at the shoulder during the throwing motion place it at risk for injury []. Adolescent baseball players commonly experience shoulder pain owing to issues not seen in the adult population. In the skeletally immature thrower, the physis is the weakest structural link in the kinetic chain and poorly tolerates the biomechanical stress of throwing []. Thus, injuries to the physis, such as Little League shoulder (or proximal humeral epiphysiolysis), occur frequently in young throwers. Rotator cuff injuries, however, are seen much less frequently in the adolescent athlete. Rotator cuff tears, in particular, are extremely uncommon in the pediatric population. A review of the literature yi......
POSTED 06/30/2009 at 06:00 PM --

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Rehabilitation in Nephrogenic Systemic Fibrosis
Nephrogenic system fibrosis (NSF) is a recently described, relatively rare fibrosing disorder that can result in loss of joint motion and significant functional impairment. It is believed to occur in individuals with renal failure that have been exposed to gadolinium-based contrast agents. Although multiple organs can be involved, fibrosis of skin and muscle can result in significant limitations in range of motion and functional status. Numerous modalities to arrest or reverse the disease process have been reported, but there is no definitive treatment. However, little has been written about the benefits of rehabilitation for the functional decline that can result in this condition. Two cases of biopsy-proven nephrogenic systemic fibrosis with resultant functional limitation are reported; ......
POSTED 06/30/2009 at 06:00 PM --

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Your Opinion Please, Doctor: Is Your Patient Unable to Work in Any Capacity?
More often than not, when asked to fill out a disability form on behalf of a patient, I feel conflicted. As a rehabilitation specialist, I am trained to get my patients back to full lives—and livelihoods—to the greatest degree possible. My mantra has always been to preserve and maintain function. I cringe regarding the inevitable question I will be asked: “Is the patient unable to work in any capacity?” And, as I examine this question, I wonder whether I truly believe whether a patient is ever unable to work (barring the extreme examples of severe brain injury and permanent unconsciousness). I think of Stephen Hawking, the famous physicist with amyotrophic lateral sclerosis (ie, Lou Gehrig disease), who is still a prolific scientist, or my patient with severe athetoid cerebral pals......
POSTED 06/30/2009 at 06:00 PM --

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Methylprednisolone After Traumatic Spinal Cord Injury: Yes or No?
A 26-year-old man with no significant medical history is found lying unconscious beside an overturned car. He was taken to a local hospital by paramedics. In the emergency department, he regained consciousness but was unable to recall any details of events leading up to the crash. He reports numbness in both hands. On examination, he is found to have impaired sensation caudal to the axilla bilaterally; trace strength in the right hip flexors, right knee extensors, and left ankle dorsiflexors; and intact anal sensation. Magnetic resonance imaging of the cervical spine shows a fracture of the C6 vertebral body with retropulsion of fragments into the canal and mild compression of the spinal cord. The remainder of the trauma survey reveals fractures of the right 5th, 6th, and 7th ribs. Compute......
POSTED 06/30/2009 at 06:00 PM --

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Efficacy of Lumbosacral Transforaminal Epidural Steroid Injections: A Systematic Review
Objective: To critically review the best available studies evaluating the efficacy of lumbosacral transforaminal epidural steroid injections (TFESIs) in the treatment of radicular pain.Data Sources: MEDLINE, EMBASE, and the Cochrane database were searched for the period between 1950 and May 2008. Search terms included epidural steroid injection (ESI), transforaminal ESI, foraminal ESI, selective nerve root block, nerve root injection (NRI), selective NRI, periradicular infiltration, and periradicular injection. Randomized controlled trials (RCTs), published in English, which evaluated the efficacy of fluoroscopically guided TFESIs were reviewed.Study Selection: Studies were analyzed with a quality checklist modeled after the 2001 CONSORT Statement: Revised Recommendations for Improving the......
POSTED 06/30/2009 at 06:00 PM --

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Changes for the New AMA Guides to Impairment Ratings, 6th Edition: Implications and Applications for Physician Disability Evaluations
Conclusion: Further work is needed to refine and validate ADL-based functional assessment tools applicable to medical impairment ratings, and to demonstrate the levels of consistency and reliability of the new rating method. Of equal importance, operational standardization across systems is also needed to enable common criteria and metrics to be developed and applied when determining the non-medical aspects of disability according to vocational and non-vocational pursuits and quality of life. Impairment ratings cannot be optimally designed to serve as the singular determinant of, nor be held solely accountable for, the disability awards. (Source: PM&R)...
POSTED 06/30/2009 at 06:00 PM --

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Inter-rater Reliability of Three Musculoskeletal Physical Examination Techniques Used to Assess Motion in Three Planes While Standing
Conclusions: The inter-rater reliability for 3 basic maneuvers of the Total Body Functional Profile is good among musculoskeletal health care providers of different disciplines. These 3 maneuvers may be used consistently as part of the musculoskeletal physical examination. (Source: PM&R)...
POSTED 06/30/2009 at 06:00 PM --

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Exploratory Analysis of the Relationships between Aerobic Capacity and Self-Reported Fatigue in Patients with Rheumatoid Arthritis, Polymyositis, and Chronic Fatigue Syndrome
Conclusions: This study confirms that patients with chronic, but stable RA, PM, or CFS are fatigued and have significantly decreased aerobic capacity. Self-reports of physical activity predicted VO2peak, and may be used as an indicator of activity-based aerobic capacity. Self-reports of fatigue, however, did not correlate with VO2peak and hence are assessing something other than an index of aerobic capacity, and provide additional information about patients' perceptions, which will require further investigation. (Source: PM&R)...
POSTED 06/30/2009 at 06:00 PM --

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Prospective Evaluation of the Clinical Prediction of Electrodiagnostic Results in Carpal Tunnel Syndrome
Conclusions: The developed clinical point-score rule was most predictive in subjects with high point score; however, the majority of the referrals to the electrodiagnostic laboratory indicated that the electrodiagnostic studies provided additional, independent information beyond what could be obtained by the clinical point score. (Source: PM&R)...
POSTED 06/30/2009 at 06:00 PM --

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Spatiotemporal and Kinematic Effect of Peroneal Nerve Stimulation Versus an Ankle-Foot Orthosis in Patients With Multiple Sclerosis: A Case Series
Conclusions: With the exception of ankle dorsiflexion angle at initial contact, PNS and AFO have a variable effect on spatiotemporal and kinematic gait parameters in individual subjects with multiple sclerosis. Further studies are indicated to determine the clinical significance of intrasubject differences between device conditions. (Source: PM&R)...
POSTED 06/30/2009 at 06:00 PM --

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Warranties And Reimbursements For Family Caregivers Provide Alternative Payment Methods
The New York Times reports on a proposal for a new health care reimbursement model that offers warranties to patients, a topic also examined in a piece by Francois de Brantes in the journal, Health Affairs. (Source: Caregivers / Homecare News From Medical News Today)...
POSTED 06/29/2009 at 06:00 AM --

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House Of Delegates Elects Directors, Officers, And Committee Member Prior To PT '09 In Baltimore
The American Physical Therapy Association (APTA) House of Delegates elected officers, directors, and a member of the Nominating Committee during its annual meeting prior to PT 2009, June 10-13, in Baltimore. R. Scott Ward, PT, PhD, was reelected president. Paul A. Rockar Jr, PT, DPT, MS, was elected vice president. Mary C. Sinnott PT, DPT, MEd, Nicole L. Stout, PT, MPT, CLT-LANA, and Kathleen K. Mairella, PT, DPT, MA, were elected directors. Aimee B. (Source: Rehabilitation News From Medical News Today)...
POSTED 06/29/2009 at 06:00 AM --

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California Rulings: State Can Cut Medi-Cal Benefits But Not Home Care Wages
"A federal judge on Thursday blocked a $2 hourly wage cut for California in-home care workers that was slated to begin July 1, potentially increasing California's budget deficit by another $98 million," The Sacramento Bee reports. In an oral injunction, the judge ordered the state "to continue paying up to $12. (Source: Caregivers / Homecare News From Medical News Today)...
POSTED 06/29/2009 at 03:00 AM --

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The health and psychosocial functioning of caregivers of children with neurodevelopmental disorders.
CONCLUSIONS: Caregivers of children with both neurodevelopmental disorders and behaviour problems exhibited a greater number of health and psychosocial problems. While addressing children's behaviour problems, health care professionals should also consider caregiver physical and psychosocial health, as this may also have an impact on children's well-being.
PMID: 19360498 [PubMed - in process] (Source: Disability and Rehabilitation)...
POSTED 06/27/2009 at 05:31 PM --

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A case study of the changing nature of a non-government organisation: a focus on disability and development.
CONCLUSIONS: These broader issues of vision, structure (relationships) and evaluation within and outside of the organisation, needs to be addressed to provide a foundation upon which funding initiatives can be developed. A closer relationship between funders and projects/programmes would do much to enhance the partnership and would ensure that the projects are able to measure and report results in a manner that is conducive to increasing support.
PMID: 19360500 [PubMed - in process] (Source: Disability and Rehabilitation)...
POSTED 06/27/2009 at 05:31 PM --

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Parent's conceptions of intensive group training. The case of cerebral palsy.
CONCLUSIONS: The conceptions express positive and negative functions of IGT as perceived by parents. These functions in turn can be considered as reflections of basic wants and needs. The results demonstrate that IGT have a potential to contribute to feelings of enhanced care competence among parents, of being supported and of increased strength and vitality. All parents did not have needs of participation in IGT for themselves. There is also a risk that IGT is experienced as an additional burden and may have negative effects on family-functioning.
PMID: 19378396 [PubMed - indexed for MEDLINE] (Source: Disability and Rehabilitation)...
POSTED 06/27/2009 at 05:31 PM --

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J Rehabil Res Dev; +172 new citations
172 new pubmed citations were retrieved for your search.
Click on the search hyperlink below to display the complete search results:
J Rehabil Res Dev
These pubmed results were generated on 2009/06/27PubMed, a service of the National Library of Medicine, includes over 15 million
citations for biomedical articles back to the 1950's.
These citations are from MEDLINE and additional life science journals.
PubMed includes links to many sites providing full text articles and other related resources. (Source: J Rehabil Res Dev)...
POSTED 06/27/2009 at 05:28 PM --

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Self- and manual mobilization improves spine mobility in men with ankylosing spondylitis -- a randomized study.
Conclusion: This study shows that eight weeks of self- and manual mobilization treatment improved chest expansion, posture and spine mobility in patients with ankylosing spondylitis.
PMID: 19403551 [PubMed - in process] (Source: Clinical Rehabilitation)...
POSTED 06/27/2009 at 05:18 PM --

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