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The goal of this prospective electrophysiologic study is to describe the chronological electromyographic findings observed in a human gastrocnemius muscle following a traumatic tear. A 30-year-old man sustained a tear of the medial gastrocnemius. Needle electromyography was performed serially at 5, 15, and 26 weeks post-injury, with the contralateral gastrocnemius muscle serving as a control. Audiovisual recordings of the studies were analyzed in a blinded manner. Five weeks post-injury, the affected gastro...
Predicting recovery of functional performance within pediatric rehabilitation following brain injury is important for health professionals and families, but information regarding factors associated with change in functional skills ('what the child can do') and functional independence ('what the child does') is limited. This study examined change in functional skills and independence over time in children with moderate-severe brain injury during prolonged inpatient rehabilitation.
Using a feasibility analysis and matched subgroup analysis, this study investigated the implementation/safety/outcomes of a stroke recovery program (SRP) integrating modified cardiac rehabilitation for stroke survivors.
Isolated oculomotor nerve palsy is rarely encountered after mild traumatic brain injury. It is difficult to offer patients accurate management strategies or prognostic assessments because only a few reports have described the management of oculomotor nerve palsy.
Professionalism in medicine is universally embraced, and it is the foundation for core competencies in medical education, clinical practice, and research. Physical Medicine and Rehabilitation physicians must master a complex body of knowledge and use this to responsibly care for patients. Rehabilitation professionals work in various settings; however, each one must establish and maintain ethical standards consistent with the specialty and national standards. For example, the Accreditation Council for Gradua...
The aim of the study was to assess the time effect of intra-articular injection with triamcinolone hexacetonide in rheumatic patients.
To systematically review the available literature concerning complications due to electromyography (EMG) as well as review those associated with nerve conduction studies (NCS).
There is a strong consensus amongst humanitarian response authorities for a need for global action by professional organizations to work towards developing a structured approach to provide a coordinated international response during sudden-onset disasters (SODs). The aim of this report is to develop a Disaster Rehabilitation Response Plan (DRRP) to enable International Society of Physical and Rehabilitation Medicine (ISPRM) to provide leadership and governance role in liaison/coordination with the WHO Emerg...
Ultrasound (US) imaging has several advantages that include the absence of radiation, portability, excellent resolution of neuromuscular structures, and the ability to perform dynamic examinations. Traumatic muscle injury can be comprehensively evaluated using static, dynamic, and Doppler US imaging. In the present review, we briefly discuss mechanisms of traumatic muscle injury, present US images of normal muscles, focus on US assessment of injured muscles, and concisely discuss treatment and rehabilitatio...
The role and function that proprioception plays in movement and motor learning has been debated since the 19 Century, but can be difficult to isolate and study. Lesions at various points along the proprioceptive pathway result in afferent paresis that can be significantly disabling. Compensatory mechanisms can help with successful rehabilitation and provide an opportunity to study the role of these mechanisms in sensory feedback. Here we present two cases of adult patients with complete hemisensory loss fol...
Between 2015 and 2017, the US Department of Veterans Affairs and the US Department of Defense developed a clinical practice guideline for rehabilitation of lower limb amputation to address key clinical questions. A multidisciplinary workgroup of US Department of Veterans Affairs and US Department of Defense amputation care subject matter experts was formed, and an extensive literature search was performed which identified 3685 citations published from January 2007 to July 2016. Articles were excluded based ...
History of stroke and diabetes increases risk for cardiometabolic disease, which can be mitigated through lifestyle management. To evaluate lifestyle risk behaviors among stroke survivors, we compared the prevalence of three lifestyle risk behaviors-physical inactivity, consuming one or less fruit and one or less vegetable daily, and overweight/obesity-between stroke survivors with and without diabetes.
To evaluate the clinical and electrodiagnostic testing (EDX) in ulnar neuropathy at the elbow (UNE) and differences according to site (humeroulnar arcade, HUA, vs. retroepicondylar groove, REG) and injury physiopathology (axonal vs. demyelinating), through prospective multicenter case-control study.
Bone stress injury (BSI) is a common overuse injury in athletes. Risk factors for BSI in athletes include the Female Athlete Triad (Triad); this has not been evaluated in para athletes. The purpose of this study is to identify risk factors, prevalence and anatomical distribution of BSI in para athletes. A cross-sectional online survey on health characteristics and prior fractures including BSI was completed by para athletes training for the 2016 or 2018 Paralympic Games. 260 para athletes completed the surv...
Compression of the lateral antebrachial cutaneous nerve (LACN) is a rare clinical entrapment syndrome often overlooked as an initial etiology of pain . We present a case of an episodic upper extremity painful movement disorder (myoclonus) in a 16 year old female with a remote history of a surgically stabilized supracondylar humeral fracture who was later found to have entrapment of the LACN. The incidence of a painful myoclonus triggered by a peripheral nerve entrapment is unknown . Combining a history and ...
A systematic review and meta-analysis were conducted to determine the efficacy of repetitive transcranial magnetic stimulation (rTMS) in recovering motor function in patients with stroke.