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 insults (hypotension, hypoxia, and other physiologic derangements). This goal is best accomplished by careful attention to airway, breathing, circulation, and basic principles of intensive care unit management. Attempts to intervene prophylactically to prevent intracranial hypertension or other complications have not been beneficial and may even have deleterious effects.
journal_name
Phys Med Rehabil Clin N Amauthors
Whitaker-Lea WA,Valadka ABdoi
10.1016/j.pmr.2016.12.002subject
Has Abstractpub_date
2017-05-01 00:00:00pages
227-243issue
2eissn
1047-9651issn
1558-1381pii
S1047-9651(16)30125-5journal_volume
28pub_type
杂志文章,评审abstract::As more people survive burn injuries, there is an increasing focus on managing the complications of burn injuries with the ultimate goal of improving survivors' quality of life. Musculoskeletal and neurologic sequelae are significant complications of burn injury. Electrical injury is a subcategory of burns with multip...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.pmr.2011.01.003
更新日期:2011-05-01 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::This article focuses on the role of pain and fatigue in aging people who have physical impairments and provides a brief summary of definitions, descriptions, and classifications of pain and fatigue; implications of these secondary conditions on the health and functioning; multidisciplinary assessment and treatment opt...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.pmr.2009.12.010
更新日期:2010-05-01 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::Understanding poststroke upper limb impairment is essential to planning therapeutic efforts to restore function. However, determining which upper limb impairment to treat and how is complex because the impairments are not static and multiple impairments may be present simultaneously. How impairments contribute to uppe...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.pmr.2015.06.008
更新日期:2015-11-01 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::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::Although brain magnetic resonance (MR) imaging is increasingly being used as an objective outcome measure in treatment trials for multiple sclerosis (MS), findings correlating conventional MR imaging and disabilities in established MS have been inconsistent. In some studies, measures of MR lesion status, such as numbe...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1998-08-01 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::Imaging sports injuries is challenging, interesting, and evolving. The use of imaging and its various modalities depends on the clinicians' and radiologists' comfort and facility with those modalities, with the clinician playing the pivotal role. Imaging can be used to make diagnoses, define prognoses, influence treat...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:2000-05-01 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::Accurate disability evaluation of a patient with TBI is a very difficult and detailed process. It requires an excellent background concerning the evaluation of all the physical, cognitive, behavioral, and functional abnormalities associated with TBI. Texts that highlight all these abnormalities include Medical Rehabil...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:2001-08-01 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::Complementary movement therapies have been developed by individuals trained in a variety of disciplines. Movement therapies involve the body, mind, and spirit, and therefore the most informed opinion and recommendations come from personal experience. This article explores nine of the more popular Western movement ther...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1999-08-01 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::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::It is now well recognized that the natural course of cervical radiculopathy is generally favorable. Comprehensive, aggressive, nonsurgical management often is successful with respect to functional outcomes, pain reduction, and patient satisfaction. Surgery is avoidable for most patients. The focus of this article is a...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s1047-9651(02)00008-6
更新日期:2002-08-01 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::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::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::Many people who sustain a brain injury also lose decisional capacity. They need someone who will be a partner with clinicians in making decisions on their behalf. This article reviews ethical aspects of decision making; the legal foundation in the United States for surrogate decision making; the experience of surrogat...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.pmr.2006.10.001
更新日期:2007-02-01 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::Care of young dancers requires a unique approach during a critical time of growth and development. Young dancers' well-being depends on factors including sleep, mental health, growth-associated musculoskeletal imbalances, and nutrition. Puberty is a particularly important time for young dancers. It coincides with an i...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.pmr.2020.09.005
更新日期:2021-02-01 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::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 modal...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.pmr.2005.12.007
更新日期:2006-05-01 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::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::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::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::This article provides a critical review of what is currently known concerning the nature and scope of depression in persons who have MS. It begins with a discussion of relevant terminology,which is followed by a summary of the research literature concern-ing the prevalence; severity; and risk factors for, and impact o...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.pmr.2005.01.010
更新日期:2005-05-01 00:00:00