Abstract:
:Thirty percent of persons with multiple sclerosis (pwMS) require caregiving owing to their disability, and 80% of care to pwMS is provided by informal unpaid caregivers. The average caregiver is male, in a spousal/partner relationship with the pwMS, and provides more than 4 hours per day of care for many years. The physical, emotional, and time-intensive nature of caregiving for pwMS frequently impairs the caregiver's own physical and emotional health. Rehabilitation medicine professionals should be aware of the high risk of caregiver burden. Assessment of caregiver needs and appropriate intervention will help minimize the burden on caregivers.
journal_name
Phys Med Rehabil Clin N Amauthors
Hillman Ldoi
10.1016/j.pmr.2013.06.007subject
Has Abstractpub_date
2013-11-01 00:00:00pages
619-27issue
4eissn
1047-9651issn
1558-1381pii
S1047-9651(13)00034-Xjournal_volume
24pub_type
杂志文章,评审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::Neck pain should not, and must not, be confused with cervical radicular pain. Equating the two conditions, or confusing them, results in misdiagnosis, inappropriate investigations, and inappropriate treatment that is destined to fail. So critical is the difference that pedagogically it is unwise to include the two top...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.pmr.2011.03.008
更新日期:2011-08-01 00:00:00
abstract::It should be obvious from this article that usually only a focused history and physical examination are needed to evaluate a back patient. A summary of guideline recommendations presented by the Agency for Health Care Policy and Research is provided in Table 7. If followed, few serious mistakes will occur, and a more ...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1998-05-01 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::Fencing is a sport in which two people attempt to score points by making their weapon (epee, foil, or saber) contact their opponent. The most common types of injury seen in fencing are weapon injuries; strains, sprains, and trauma; and nontraumatic injuries, the pathologic findings of which are discussed in this artic...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.pmr.2006.05.008
更新日期:2006-08-01 00:00:00
abstract::Tone management is one of the primary roles of a pediatric physiatrist. Hypertonicity frequently inhibits normal movement patterns in children with central nervous system lesions but at times can reinforce muscle group firing and be useful for a child's function. Treatment approaches should be individualized based on ...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.pmr.2014.09.008
更新日期:2015-02-01 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::Telerehabilitation refers to the virtual delivery of rehabilitation services into the patient's home. This methodology has shown to be advantageous when used to enhance or replace conventional therapy to overcome geographic, physical, and cognitive barriers. The exponential growth of technology has led to the developm...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.pmr.2018.12.002
更新日期:2019-05-01 00:00:00
abstract::This article offers conservative treatment strategies for patients suffering from musculoskeletal causes of neck pain. Basic pharmacology is reviewed, including that of opioids, nonsteroidal anti-inflammatory drugs, adjuvants, and topical analgesics. Moreover, indications for therapeutic exercise, manual therapy, and ...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.pmr.2011.04.001
更新日期:2011-08-01 00:00:00
abstract::Volleyball has become one of the world's most popular participatory sports in recent years. There are many dynamic skills and movements needed to play the game. As a result, many overuse and traumatic injuries to the extremities and back may occur. This article addresses the history of the sport and its terminology. C...
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::During peacetime, the military physiatrist uses orthotics in much the same way as the civilian physiatrist. In wartime, the focus shifts to a return-to-duty scope of care, and orthotic use is limited. This article discussed orthotic use in the wartime and military training/deployment setting with special emphasis on t...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s1047-9651(03)00076-7
更新日期:2002-02-01 00:00:00
abstract::Neuromuscular disorders associated with monoclonal gammopathies are usually uncovered in approximately 10% of patients presenting with peripheral neuropathy complaints. This discovery should prompt further evaluation for underlying plasma cell dyscrasias. The most frequent monoclonal disorders associated with neuropat...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.pmr.2007.10.005
更新日期:2008-02-01 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::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::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::With the growing number of female athletes, an increase is occurring in the number of sports-related injuries, which can cause physical, psychological, academic, and financial suffering. Female athletes are reported to be two to eight times more likely to sustain an anterior cruciate ligament (ACL) injury than male at...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.pmr.2007.05.002
更新日期:2007-08-01 00:00:00
abstract::Restrictive lung disease occurs commonly in patients with neuromuscular disease. The earliest sign of respiratory compromise in the patient with neuromuscular disease is nocturnal hypoventilation, which progresses over time to include daytime hypoventilation and eventually the need for full-time mechanical ventilation...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.pmr.2012.08.010
更新日期:2012-11-01 00:00:00
abstract::This article reviews and summarizes the literature on patient safety issues in the rehabilitation of adults with an amputation. Safety issues in the following areas are discussed; the prosthesis, falls, wound care, pain, and treatment of complex patients. Specific recommendations for further research and implementatio...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.pmr.2012.02.011
更新日期:2012-05-01 00:00:00
abstract::This review by a 10-member panel of experts in surgical prehabilitation addresses processes that may improve oncologic care. Surgical prehabilitation is the process on the continuum of care that occurs between the time of cancer diagnosis and the beginning of surgical treatment. The panel focused on the current state-...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.pmr.2016.09.002
更新日期:2017-02-01 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::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::Although Para athletes (the International Paralympic Committee term for sportspeople with a disability) are exposed to a risk of concussion just like their able-bodied counterparts, there has been little research into the incidence of concussion in para sport. Existing assessment and management guidelines and tools ha...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.pmr.2018.01.002
更新日期:2018-05-01 00:00:00
abstract::It is beneficial for both worker and employer for the worker to return to work (RTW) as early as possible after an illness, injury, or prolonged absence. Because employers are ultimately responsible for the RTW decision, a medical RTW assessment is commonly required to assure that the worker is medically able to and p...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章
doi:10.1016/j.pmr.2019.04.002
更新日期:2019-08-01 00:00:00
abstract::Unfortunately, current conventional medical treatments for low back pain are not managing the problem effectively. Standard approaches to treatment, particularly surgery, may even be exacerbating the problem and causing additional pain and suffering. In this context, it is understandable that LBP patients often go out...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1998-05-01 00:00:00
abstract::Ambulation requires significant motor coordination. Because of inherent differences in body proportions, level of coordination, motivation, and other factors, each individual gait pattern is unique. However, despite the existence of these individual differences that contribute to each person's own unique walking style...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.pmr.2012.11.010
更新日期:2013-05-01 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::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::Amyotrophic lateral sclerosis (ALS) is a devastating, progressive motor neuron disorder that poses a myriad of clinical problems. Patients who have ALS are best cared for in a multidisciplinary fashion, with involvement of clinicians from various specialties, including neurology, physical medicine and rehabilitation, ...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.pmr.2008.04.004
更新日期:2008-08-01 00:00:00
abstract::Orthopedics and neurosurgery offer multiple surgical modalities for improving the function, care, and well-being of children with spasticity. One surgical approach is not the best for all children with spasticity not adequately controlled with more conservative measures. For that reason, a multidisciplinary evaluation...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:2001-11-01 00:00:00
abstract::Care and treatment of female runners will improve as further knowledge regarding the unique factors that affect them becomes available. For care and treatment to be their most effective, current and recent information needs to be disseminated among health care providers, coaches, teachers, school administrators, and p...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.pmr.2005.03.002
更新日期:2005-08-01 00:00:00