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 have been developed for the general sport population but may not be appropriate for use in some para-athletes. This review examines what is currently known about concussion in para sport and identifies challenges and opportunities in moving knowledge on this topic forward.
journal_name
Phys Med Rehabil Clin N Amauthors
Kissick J,Webborn Ndoi
10.1016/j.pmr.2018.01.002subject
Has Abstractpub_date
2018-05-01 00:00:00pages
299-311issue
2eissn
1047-9651issn
1558-1381pii
S1047-9651(18)30002-0journal_volume
29pub_type
杂志文章,评审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：: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：: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：: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：: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：:Baseball players place significant stress across their shoulders and elbows during the throwing motion, causing unique patterns of injuries in the overhead throwing athlete. Specific nerve injuries include suprascapular neuropathy, quadrilateral space syndrome, and cubital tunnel syndrome. Nonoperative treatment inclu...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章
doi：10.1016/j.pmr.2008.10.007
更新日期：2009-02-01 00:00:00
abstract：:This article reviews the theories and applications of acupuncture to musculoskeletal pain management. First, Chinese theories of acupuncture are discussed briefly. Next, current understanding of nociception and central pain modulation is discussed in detail,followed by discussion of the physiologic effect of acupunctu...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2004.03.009
更新日期：2004-11-01 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：:Spasticity is a major physical complication of many neurologic and traumatic conditions of the brain and spine and can lead to muscle contracture, joint stiffness, reduced range of movement, skin breakdown, and pain. The management of spasticity includes a range of pharmacologic and nonpharmacologic interventions, oft...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2018.03.004
更新日期：2018-08-01 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：: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：:Neuromuscular electrical stimulation may have an important role in improving the motor function of stroke survivors. Active, repetitive movement training mediated by transcutaneous cyclic and EMG-triggered NMES may facilitate the motor recovery of stroke survivors. Multicenter, double-blinded, randomized clinical tria...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/s1047-9651(02)00051-7
更新日期：2003-02-01 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：: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 ph...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2013.06.007
更新日期：2013-11-01 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：: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：: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：: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 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：:As public demand for complementary and alternative medicine increases,it is important for physical medicine and rehabilitation physicians to have some basic understanding of complementary and alternative medicine or at least to appreciate some of the approved indications so that appropriate referrals can be made. Beca...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章
doi：10.1016/S1047-9651(03)00129-3
更新日期：2004-11-01 00:00:00
abstract：:In this article, the problem of urinary tract infections (UTIs) after spinal cord injury and disorders is defined, the relationship of bladder management to UTIs is discussed, and mechanical and medical strategies for UTI prevention in spinal cord injury and disorders are described. ...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2014.04.002
更新日期：2014-08-01 00:00:00
abstract：:Rehabilitation and regenerative medicine therapies has shown improved outcomes for tissue regeneration. Regenerative rehabilitation guides protocols regarding when to start therapy, types of stimuli administered, and graded exercise programs, taking into account biological factors and technologies designed to optimize...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2016.07.002
更新日期：2016-11-01 00:00:00
abstract：:The prosthetic socket must act as a customized connection between the residual limb's surrounding tissues and the prosthetic components. The socket must be designed to control weight bearing, suspension, and ambulation stability. When making a below-the-knee socket, the prosthetist attempts to maximize loading and min...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：2000-08-01 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：: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：: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：:There has been an increase in the use of ultrasound (US) to help guide interventional procedures involving the musculoskeletal system. To perform these procedures safely and accurately, two steps must occur. First, the appropriate structure must be localized using diagnostic US imaging. Second, a needle must be guided...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2010.04.004
更新日期：2010-08-01 00:00:00
abstract：:BT is likely effective in controlling spasticity in the smaller muscles of the arm and hand, although there has been only one large controlled trial. For lower limb spasticity, the outcomes are more mixed. No large randomized, controlled trials have been done, and the larger size of the muscles results in a decreased ...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/s1047-9651(03)00064-0
更新日期：2003-11-01 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 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
