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. Rehabilitation education and training is necessary to provide and retain adequate multidisciplinary rehabilitation providers for current and future needs in Nepal. The implementation of evidence-based recommendations to improve the quality of rehabilitation services and access to rehabilitation is critical to maximize individual and community well-being.
journal_name
Phys Med Rehabil Clin N Amauthors
Dhakal R,Groves CCdoi
10.1016/j.pmr.2019.07.004subject
Has Abstractpub_date
2019-11-01 00:00:00pages
787-794issue
4eissn
1047-9651issn
1558-1381pii
S1047-9651(19)30049-Xjournal_volume
30pub_type
杂志文章,评审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：: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：: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：: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：: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：: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：: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：: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：: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
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：: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：: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：: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：: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：:Chronic pelvic pain can result from various intra- and extra-pelvic etiologies. Although patient history and physical examination may narrow the differential diagnosis, frequently, the different etiologies have overlapping presentations. Imaging examinations such as US and/or MR imaging may help delineate the cause of...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2017.03.004
更新日期：2017-08-01 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：: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：: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：:Visual dysfunctions and symptoms are commonly experienced after even mild traumatic brain injury (TBI) despite excellent visual acuity. All individuals who have experienced a TBI/concussion should be screened for vision symptoms and visual dysfunction. A TBI-specific eye examination is necessary to identify the visual...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2018.09.001
更新日期：2019-02-01 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：: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：: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：:Fatigue is common in neuromuscular disease and it may affect quality of life; however, it has not been adequately studied. We can approach fatigue in neuromuscular diseases systematically. Questionnaires are used to assess subjective or experienced fatigue, and with the wide availability of the Internet, many patients...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2011.11.003
更新日期：2012-02-01 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：: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：: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：:The impact of musculoskeletal diseases on the overall function and well-being of a person with spinal cord injury (SCI) cannot be overstated. Even relatively minor musculoskeletal problems can lead to significant secondary disabilities and new societal limitations. This article reviews common musculoskeletal problems ...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：2000-02-01 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：: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：:Conservative management of low back pain includes the use of lumbar epidural steroid injections, which have become increasingly more popular in the last 20 years. The body of literature regarding the efficacy of these injections is vast, conflicting, and difficult to summarize. This article reviews the updated evidenc...
journal_title：Physical medicine and rehabilitation clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.pmr.2010.10.006
更新日期：2011-02-01 00:00:00
