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 outside of the conventional medical system seeking other treatment options. Conventional medical physicians who treat low back pain patients, therefore, need to become more aware of the fact that their patients may be using complementary/alternative medical therapies.
journal_name
Phys Med Rehabil Clin N Amauthors
Berman BM,Jonas W,Swyers JPsubject
Has Abstractpub_date
1998-05-01 00:00:00pages
497-513, xissue
2eissn
1047-9651issn
1558-1381journal_volume
9pub_type
杂志文章,评审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::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::The acquired demyelinating neuropathies can be divided into those with an acute onset and course and those with a more chronic course. The acute neuropathies present as Guillain-Barré syndrome and include acute inflammatory demyelinating polyradiculoneuropathy (AIDP), Miller Fisher syndrome, acute motor axonal neuropa...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:2001-05-01 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::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::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::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::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::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::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::Every examination of disability among children must first grapple with definition of disability. The challenges to identifying disability among children involve not only determining the appropriate paradigm for defining disability, but also applying that paradigm to children in a meaningful way. This discussion of the...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s1047-9651(02)00043-8
更新日期:2002-11-01 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::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::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::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 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::There are special aspects of aging with an amputation and with being elderly at the time of an amputation. Older adults who have undergone amputation have many issues to contend with, including comorbidities that affect postoperative care and rehabilitation, general deconditioning and loss of mobility (especially if t...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.pmr.2004.06.004
更新日期:2005-02-01 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::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::Foot and ankle injuries account for nearly one-third of running injuries. Achilles tendinopathy, plantar fasciopathy, and ankle sprains are 3 of the most common types of injuries sustained during training. Other common injuries include other tendinopathies of the foot and ankle, bone stress injuries, nerve conditions ...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.pmr.2015.08.007
更新日期:2016-02-01 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::EBP is not a new concept. To practice using the newest and best research evidence, clinicians must have the knowledge and skills to find and appraise the quality of the evidence. This process starts with the formulation of a focused question, followed by an effective search for the best evidence, critical appraisal of...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s1047-9651(02)00027-x
更新日期:2002-11-01 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::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 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::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::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::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::Contractures are exceedingly common impairments in selected progressive NMD conditions, particularly those with excessive fibrosis and fatty infiltration into muscle (i.e., dystrophic myopathies) and more severe NMD conditions, resulting in significant weakness and wheel-chair reliance, such as SMA. Less than antigrav...
journal_title:Physical medicine and rehabilitation clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1998-02-01 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