Abstract：
:These cases represent individuals who feel they have a severe impairment and are "disabled." They have been labeled with fibromyalgia. They are truly distressed. Their symptoms, their courses, are more chronic and refractory than those of medically ill patients, and they are high users of medical services, laboratory investigations, and surgical procedures. These patients see multiple providers simultaneously and frequently switch physicians. They are difficult to care for, and they reject psychosocial factors as an influence on their symptoms. Such persons "see themselves as victims worthy of a star appearance on the Oprah Winfrey show. A sense of bitterness emerges...." Shorter, a historian, believes that fibromyalgia is "heaven-sent to doctors as a diagnostic label for pain patients who display an important neurotic component in their illness. Our culture increasingly encourages patients to conceive vague and nonspecific symptoms as evidence of real disease and to seek specialist help for them; and the rising ascendancy of the media and the breakdown of the family encourage patients to acquire the fixed belief that they have a given illness...." Regarding the finding of "disability," this is a social construct, and many authors believe it is society and the judicial system who must decide who can work. To remain objective, the physician should report the objective clinical information. Physicians need not and should not sit in judgment of the veracity of another human being.
journal_name
Phys Med Rehabil Clin N Amauthors
Wolfe CVkeywords:
subject
Has Abstractpub_date
2001-08-01 00:00:00pages
709-18issue
3eissn
1047-9651issn
1558-1381journal_volume
12pub_type
杂志文章abstract：:The role of the physiatrist in provision of medicolegal expert testimony in cases involving traumatic brain injury is challenging and complex. This article provides an overview of how such work should be conducted from a practical perspective including discussion of ethical, legal, medical, and business aspects of suc...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2016.12.012
更新日期：2017-05-01 00:00:00
abstract：:Although basic research has revealed many mechanisms involved in the repair or elimination of damaged neurons, turning these mechanisms into clinically useful neuroprotective interventions is a slow process. Numerous neurotrophic factors seem to mediate neuronal repair and viability, but because the neurotrophic facto...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1999-05-01 00:00:00
abstract：:This article provides an essential curriculum in cervical spine radiology. It discusses the uses of plain radiographs, MR imaging, computed tomography (CT), and CT myelography, in addition to the methodologies of discography, epidural injections under visualization, and facet and nerve root injections. It explains how...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/s1047-9651(03)00035-4
更新日期：2003-08-01 00:00:00
abstract：:Traumatic brain injury (TBI) continues to be a major public health problem. Proposed treatments have not withstood testing in clinical trials because of failure to account for different types of TBI and other weaknesses in trial design. Management goals continue to be prevention and prompt treatment of secondary insul...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2016.12.002
更新日期：2017-05-01 00:00:00
abstract：:To be accurate with chronic pain assessment, the medical examiner should be alert to specific diagnoses in addition to global markers of decreased function associated with chronic pain, such as disability and depression. The key to accurate assessment is to avoid making assumptions before doing a complete history and ...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2014.12.009
更新日期：2015-05-01 00:00:00
abstract：:Most knee structures can be accurately targeted using ultrasound guidance. These structures are usually superficial, and the overlying soft tissues are mobile and compressible, facilitating excellent visualization with a high-frequency linear array transducer. The circumferential accessibility to the knee affords flex...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2016.04.010
更新日期：2016-08-01 00:00:00
abstract：:Contractures are exceedingly common impairments in selected progressive NMD conditions, particularly those with excessive fibrosis and fatty infiltration into muscle (i.e., dystrophic myopathies) and more severe NMD conditions, resulting in significant weakness and wheel-chair reliance, such as SMA. Less than antigrav...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1998-02-01 00:00:00
abstract：:Expert opinion on life expectancy must make reasonable factual assumptions, which entails finding a proper group to which the individual being assessed will be compared, as well as use of appropriate and reliable technical methods. Reasonable judgment should be exercised in the selection of the studies employed. A sch...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2013.03.007
更新日期：2013-08-01 00:00:00
abstract：:As a low-income country with a significant burden of disease and frequent natural disasters, the need for rehabilitation in Nepal is significant. Rehabilitation services currently available in Nepal are limited, but the government has recently adopted a 10-year action plan to address rehabilitation needs nationwide. R...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2019.07.004
更新日期：2019-11-01 00:00:00
abstract：:This review of traumatic brain injury encompasses its impact on society, pathophysiology, and rehabilitative management. Topics include mild traumatic brain injury, outcomes, prognosis, cognitive rehabilitation, behavioral management, and neurologic and medical complications. Emphasis is placed on clinically relevant ...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2007.06.005
更新日期：2007-11-01 00:00:00
abstract：:It is likely that transcranial magnetic brain stimulation will be used for the clinical treatment of stroke and stroke-related impairments in the future. The anatomic target and stimulation parameters will likely vary for any clinical focus, be it weakness, pain, or cognitive or communicative dysfunction. Biomarkers m...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2018.12.010
更新日期：2019-05-01 00:00:00
abstract：:Pelvic and sacral dysfunctions resulting from sports-related injuries are unusual. A simple groin pull, however, can prohibit an athlete from participating in sports activities for an extended period of time. Pelvic floor dysfunctions can be particularly impairing for women athletes, and are rarely discussed in sports...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：2000-11-01 00:00:00
abstract：:Electrodiagnosis can classify hereditary motor and sensory neuropathies (HMSN) into two basic types: primarily demyelinating with secondary axonal loss and primarily axonal. For the most part, the various forms of HMSN show uniform symmetric nerve conduction slowing, in contrast to acquired neuropathies, which may be ...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/s1047-9651(02)00127-4
更新日期：2003-05-01 00:00:00
abstract：:Clinical and electrical myotonia is caused by a small group of neuromuscular disorders. This article reviews myotonia and its differential diagnosis. The use of electrodiagnostic testing to evaluate the primary myotonic disorders (myotonic dystrophy and the nondystrophic myotonias) is also discussed. ...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2012.08.015
更新日期：2013-02-01 00:00:00
abstract：:Because of increased choreographic demands, early specialization, multi-genre dancers, and high incidence of career-ending injuries, there is a need for enhanced training methodologies to address the unique needs of today's professional dancer. It is imperative for company directors, instructors, choreographers, and d...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2020.09.003
更新日期：2021-02-01 00:00:00
abstract：:This article reviews the current knowledge regarding the benefits and contraindications of exercise on individuals with neuromuscular diseases (NMDs). Specific exercise prescriptions for individuals with NMDs do not exist because the evidence base is limited. Understanding the effect of exercise on individuals with NM...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2012.06.001
更新日期：2012-08-01 00:00:00
abstract：:CRF is indisputably a significant problem with important public health and medical economic implications. As the prevalence of cancer survivorship grows, the impact of CRF will increase. Physiatrists have not historically played an active role in caring for affected patients. In the author's opinion, this is unfortuna...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2008.12.005
更新日期：2009-05-01 00:00:00
abstract：:The determination of whether a patient should pursue an active or passive treatment program is often made by medical practitioners. Knowledge about all forms of treatment, including complementary and alternative (CAM) treatments, is essential in the treatment of low back pain. Medical practitioner-directed active trea...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章
doi：10.1016/j.pmr.2010.06.006
更新日期：2010-11-01 00:00:00
abstract：:The advent of equipment capable of performing SEPs, MEPs, and EMG in a multiplexed manner and in a timely fashion brings a new level of monitoring that far exceeds the previous basic monitoring done with SEPs only. Whether this more comprehensive monitoring will result in greater protection of the nervous system await...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/s1047-9651(03)00106-2
更新日期：2004-02-01 00:00:00
abstract：:Following the lead of Washington state and passage of the Lystedt Law in 2009, all states now have sports concussion laws designed to help protect youth athletes. This article examines the 3 basic tenets of youth sports concussion laws, challenges in implementation of state laws, and the first measures of success. Som...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2015.12.006
更新日期：2016-05-01 00:00:00
abstract：:Chronic pelvic pain is a common condition. Establishing a diagnosis can be complicated by the interplay between various organ systems, including urologic, gynecologic, gastrointestinal, neurologic, endocrinological, psychological, and musculoskeletal. Frequently, the patient will have seen multiple providers and under...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2018.06.011
更新日期：2018-11-01 00:00:00
abstract：:Osteoporosis is the most common metabolic bone disorder. Vertebral compression fractures (VCFs) are a significant cause of back pain. Pain after VCF can be attributed to incomplete healing and progressive collapse of the bone. Conservative management has been the historical treatment option for patients with painful p...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2010.07.001
更新日期：2010-11-01 00:00:00
abstract：:Every examination of disability among children must first grapple with definition of disability. The challenges to identifying disability among children involve not only determining the appropriate paradigm for defining disability, but also applying that paradigm to children in a meaningful way. This discussion of the...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/s1047-9651(02)00043-8
更新日期：2002-11-01 00:00:00
abstract：:Traumatic spinal cord injury (SCI) often results in several life-altering impairments, including paralysis, sensory loss, and neurogenic bowel/bladder dysfunction. Some of these SCI-related conditions can be accommodated with compensatory strategies. Perhaps no SCI-associated condition is more troublesome and recalcit...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2020.03.004
更新日期：2020-08-01 00:00:00
abstract：:Painful conditions affect a significant population in the United States. As the scientific understanding of the benefits and harms of opioid therapy has evolved, so too has the application of prescription opioid therapy for the treatment of pain. The rapid increase in the use of prescription and illicit opioids over t...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2020.01.004
更新日期：2020-05-01 00:00:00
abstract：:Pain is one of the most common, severe, and treatment-resistant complications that follows SCI. Recent years have seen a surge of research on methods for assessing and treating spinal cord injury pain. In this article, pain after SCI is reviewed in terms of nature, scope, assessment techniques, and treatment strategie...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2007.03.001
更新日期：2007-05-01 00:00:00
abstract：:This article reviews the causes of stroke and emphasizes the underlying vascular pathology. The risk factors associated with the pathologic processes are examined, with emphasis on the beneficial impact on stroke risk through the risk factor modification. Risk factor modification is a powerful tool in stroke preventio...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1999-11-01 00:00:00
abstract：:The following guideline covers a wide array of shoulder conditions seen in the workers' compensation, as well as the nonworkers' compensation, population. The guideline is intended to help establish work relatedness and aid in making the diagnosis of shoulder injuries and degenerative conditions. It also provides a no...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2015.04.007
更新日期：2015-08-01 00:00:00
abstract：:Shoulder stiffness is a common but poorly understood disorder of the glenohumeral joint. Many terms are used to describe a stiff shoulder, including frozen shoulder and adhesive capsulitis. This article reviews the terminology, classification, diagnostic options, and management options of shoulder stiffness. Conservat...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章
doi：10.1016/j.pmr.2003.12.007
更新日期：2004-08-01 00:00:00
abstract：:Anterior cruciate ligament (ACL) injury is a common sports injury which can have severe negative consequences. Neuromuscular factors that increase risk, such as knee landing kinematics, may be ameliorated through training. Effective ACL injury prevention programs exist, although the ideal program is yet to be determin...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2014.06.010
更新日期：2014-11-01 00:00:00
