Abstract：
:Evidence supporting the use of specific physical agents in the management of chronic pain conditions is not definitive; it is largely incomplete and sometimes contradictory. However, the use of agents in chronic pain management programs is common. Within the broad use of physical agents, they are rarely the sole modality of treatment. A 1995 American Physical Therapy Association position statement asserts that "Without documentation which justifies the necessity of the exclusive use of physical agents/modalities, the use of physical agents/modalities, in the absence of other skilled therapeutic or educational intervention, should not be considered physical therapy". Physical agents may serve as useful adjunctive modalities of pain relief or to enhance the effectiveness of other elements in therapy geared toward resolution of movement impairments and restoration of physical function. Given that a conclusive aggregate of findings is unlikely to exist for all permutations of patient conditions, combined with interacting therapeutic modalities, an evidence-based approach to pain management is not always possible or beneficial to the patient. In the face of inconclusive evidence, a theory-based approach may help determine if the therapeutic effect ofa given physical agent has the possibility of being a useful clinical tool in the context of treating a particular patient's mechanism of pain generation. Until controlled efficacy findings are definitive, careful individual patient response monitoring of thoughtful theoretical application of adjunctive physical agents may be a prudent approach to the management of chronic pain.
journal_name
Phys Med Rehabil Clin N Amauthors
Allen RJdoi
10.1016/j.pmr.2005.12.007subject
Has Abstractpub_date
2006-05-01 00:00:00pages
315-45issue
2eissn
1047-9651issn
1558-1381pii
S1047-9651(05)00118-Xjournal_volume
17pub_type
杂志文章,评审abstract：:Neuromuscular ultrasonography can be used both descriptively and quantitatively in the evaluation of patients with neuromuscular disorders. This article reviews the quantitative use of this technology, particularly measurements of the size and echogenicity of nerve and muscle, as a tool for assessing the severity, pro...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2011.11.009
更新日期：2012-02-01 00:00:00
abstract：:Elderly people have several characteristics that make them unique. They have several factors such as environmental factors and demographic factors such as age, sex, socioeconomic level, and schooling, which contribute to these differences being accentuated. As one ages, these various organic and systemic features are ...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2017.06.007
更新日期：2017-11-01 00:00:00
abstract：:This article has briefly highlighted the area of sport psychology as it relates to performance psychology skills (mental training), including a historical overview and current topics overview. The use of mental training skills may be of interest to the practicing physical medicine and rehabilitation professional in th...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 历史文章,杂志文章,评审
doi：10.1016/j.pmr.2006.05.007
更新日期：2006-08-01 00:00:00
abstract：:This review covers the rationale, mechanisms, and availability of commercially available virtual environment-based interventions for stroke rehabilitation. It describes interventions for motor, speech, cognitive, and sensory dysfunction. Also discussed are the important features and mechanisms that allow virtual envir...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2015.06.001
更新日期：2015-11-01 00:00:00
abstract：:Injuries to the hip and pelvis are the least common of lower extremity injuries in youth sports, but include many of the more serious conditions. This article describes the bone and soft-tissue conditions of the hip and pelvis that may present to health care providers caring for the pediatric and adolescent sporting p...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2007.12.005
更新日期：2008-05-01 00:00:00
abstract：:This article reviews the current options in orthobiologics for the clinical treatment of knee osteoarthritis (OA). We describe a new model of knee OA that fills the gap in our understanding of it as a purely traumatic and/or inflammation-induced cartilage degenerative condition, to a current model of multinodal pathop...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2016.07.004
更新日期：2016-11-01 00:00:00
abstract：:Individuals experience multiple changes as a result of amputation. These changes not only are physical in nature but also may include psychological, financial, and comfort changes across the spectrum of an individual's life. It is important to assess the emotional responses that an individual may experience postsurger...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2013.09.010
更新日期：2014-02-01 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：: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：: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：:Advances in medical and surgical care over the past 20 years have resulted in children who formerly would have died at birth or in infancy now surviving into adulthood, many with significant, permanent physical disabilities, including those due to cerebral palsy (CP). Increased awareness of these problems is needed by...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2009.06.009
更新日期：2009-08-01 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：: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：:Movement therapy refers to a broad range of Eastern and Western mindful movement-based practices used to treat the mind, body, and spirit concurrently. Forms of movement practice are universal across human culture and exist in ancient history. Research demonstrates forms of movement therapy, such as dance, existed in ...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2020.07.002
更新日期：2020-11-01 00:00:00
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：:Focal entrapment neuropathies in the foot, as compared to those of the hand, represent a daunting diagnostic challenge to many electromyographers. This article emphasizes an understanding of the anatomy of the foot as a fundamental key to its electrodiagnostic evaluation. The anatomic course of specific nerves will be...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1998-11-01 00:00:00
abstract：:Serious neurologic complications following cervical transforaminal epidural steroid injections (CTFESI) and cervical interlaminar epidural steroid injections (CILESI) have been reported. For CILESI, this is caused by aberrant needle placement or space-occupying lesions, such as hematoma or abscess. For CTFESI, this is...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2017.08.012
更新日期：2018-02-01 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
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：:New knowledge of the structure and function of the human genome and novel genomic technologies are being applied to the study of sporadic amyotrophic lateral sclerosis (ALS). These studies can examine tens to hundreds of thousands of items at once, and depend on sophisticated computer processing. Current studies are f...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2008.04.001
更新日期：2008-08-01 00:00:00
abstract：:This article describes the evidence for the physiologic foundation and interpretation of the videofluorographic swallowing study (VFSS). The purpose and clinical efficacy of VFSS are explained. Standardization of the VFSS procedure, protocol, interpretation, and reporting is highlighted as a critical step in future cl...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章
doi：10.1016/j.pmr.2008.06.004
更新日期：2008-11-01 00:00:00
abstract：:Chronic pain associated with traumatic spinal cord injury (SCI) can be quite challenging to the physiatrist. This highly prevalent condition within the SCI population requires an appropriate evaluative approach including a thorough history, a targeted physical examination, and appropriate use of diagnostic testing. Th...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2014.01.002
更新日期：2014-05-01 00:00:00
abstract：:Orthopedic conditions are common in adults with cerebral palsy (CP). Although CP is argued to be a nonprogressive condition of the brain, the musculoskeletal components tend to worsen and deteriorate over time leading to chronic pain, function limitation, and a decline in mobility. Orthopedic care of adults with CP ha...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2019.09.013
更新日期：2020-02-01 00:00:00
abstract：:The primary role of neuroimaging in the clinical context of sports-related concussion is the exclusion of a more severe, unsuspected intracranial injury. Computed tomography remains the test of choice for this purpose. Magnetic resonance imaging is more commonly used as a secondary test for the investigation of persis...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2011.08.005
更新日期：2011-11-01 00:00:00
abstract：:Frailty is a complex subject, and all aspects of frailty are intertwined. This article identifies and discusses the individual aspects of frailty. These aspects, including sarcopenia, nutrition, obesity, relative strength, inflammatory markers, osteopenia and osteoporosis, aerobic capacity, absolute strength, balance,...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2007.04.004
更新日期：2007-08-01 00:00:00
abstract：:Although most patients recover from acute whiplash injuries, those with chronic whiplash syndrome develop signs of central nervous system (CNS) amplification of pain and have a poor prognosis. In this context, specific pain generators from acute whiplash have been identified through clinical, biomechanical, and animal...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2015.01.003
更新日期：2015-05-01 00:00:00
abstract：:There are many inherent difficulties in the collection of epidemiologic ski data, but important trends have been identified. Further investigation into controllable risk factors is currently in progress in an attempt to reduce injury incidence, along with prophylactic strength training and conditioning programs. A com...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1999-02-01 00:00:00
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 ...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章
doi：
更新日期：2001-08-01 00:00:00
abstract：:Physiatrists are a valuable resource in legal settings, where assessment of functional capacity to perform work and of future medical needs must be determined. Physiatrists help determine what future medical care is needed to restore and maintain an individual at the maximum level of life function. This article focuse...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/s1047-9651(01)00004-3
更新日期：2002-05-01 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
