Abstract：
OBJECTIVE:Pain during needle electrode examination (NEE) is often poorly tolerated. No previous studies have evaluated the effect of lidocaine iontophoresis on pain reduction during NEE. Our objective was to determine whether pretreatment with lidocaine iontophoresis mitigates the pain felt during NEE. DESIGN:In this prospective randomized, placebo-controlled, double-blinded study, the subjects were recruited from among patients scheduled for electromyographic evaluation of the bilateral upper limbs in a hospital-based clinic; they were randomized to receive either lidocaine (4%) or placebo (normal saline) administered through iontophoresis (40 mA/min) to the left opponens pollicis. The right opponens pollicis was untreated. A bilateral opponens pollicis NEE was then performed in standard fashion using a monopolar needle electrode, immediately after which the subjects rated their pain using a 10-cm Visual Analog Scale. RESULTS:Fourteen subjects were studied. Paired t tests revealed that iontophoresis significantly decreased pain (untreated side: 6.61 ± 1.96, n = 7; treated side: 4.63 ± 2.90, n = 7; P < 0.05). However, there were no significant side-to-side differences in either group (lidocaine: 7.29 ± 1.56 vs. 5.63 ± 3.12; P = 0.19 and placebo: 5.93 ± 2.19 vs. 3.63 ± 2.48; P = 0.1). CONCLUSIONS:Pretreatment with iontophoresis significantly reduced pain during NEE. However, the lack of group differences between lidocaine and saline iontophoresis suggested that the analgesic effect may have been attributable primarily to the iontophoresis modality itself rather than to the medication administered with iontophoresis.
journal_name
Am J Phys Med Rehabiljournal_title
American journal of physical medicine & rehabilitationauthors
Annaswamy TM,Morchower AHdoi
10.1097/PHM.0b013e318228c6d3subject
Has Abstractpub_date
2011-12-01 00:00:00pages
961-8issue
12eissn
0894-9115issn
1537-7385journal_volume
90pub_type
杂志文章,随机对照试验abstract：OBJECTIVE:Corticosteroid injection into the carpal tunnel is frequently used for the treatment of carpal tunnel syndrome (CTS). Steroids are usually mixed with local anesthetics, which have positive effects that can aid the treatment of CTS by inhibiting the spontaneous discharge ability of excitable cells. The aim of ...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,随机对照试验
doi：10.1097/PHM.0b013e31820639ec
更新日期：2011-04-01 00:00:00
abstract：OBJECTIVES:To explore an individualized sonographic muscle thickness ratio and its cut-off values in the diagnosis of sarcopenia. DESIGN:A total of 326 community-dwelling adults were included in this cross-sectional study. Total skeletal muscle mass was evaluated by bioelectrical impedance analysis, and 9-site muscle ...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000001439
更新日期：2020-04-03 00:00:00
abstract：OBJECTIVE:To assess the prevalence of 25-hydroxyvitamin D insufficiency and deficiency in the outpatient rehabilitation setting and to identify patient characteristics associated with low serum 25-hydroxyvitamin D levels. DESIGN:25-Hydroxyvitamin D levels from 136 rehabilitation outpatients at an academic rehabilitati...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e3181f71112
更新日期：2010-11-01 00:00:00
abstract：OBJECTIVE:Decreased postural stability is a common problem associated with hemiparesis secondary to stroke. The purpose of this study was to evaluate dynamic postural control in patients with hemiparesis and in normal subjects matched for age. DESIGN:Quantitative posturography (EquiTest System) was performed to assess...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：
更新日期：2003-06-01 00:00:00
abstract：OBJECTIVE:To investigate whether there is a difference in functional improvement in the affected arm of chronic stroke patients when comparing two methods of electrical stimulation. DESIGN:Explanatory trial in which 30 chronic stroke patients with impaired arm function were randomly allocated to either alternating ele...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.1097/01.phm.0000133435.61610.55
更新日期：2004-08-01 00:00:00
abstract：OBJECTIVE:To evaluate the reliability and validity of a self-report FIM (FIM-SR) in two samples of adults with disabilities. DESIGN:Participants in a clinical trial of amitriptyline for pain (n = 84 with spinal cord injury [SCI], n = 38 with amputation) provided responses to the study measures via telephone interview....
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/01.phm.0000154898.25609.4a
更新日期：2005-03-01 00:00:00
abstract：OBJECTIVES:To establish the correlations of measures of self-reported disability, self-efficacy, physical performance, level of pain, and estimates of aerobic capacity (PvO2 ) in subjects with low back pain. DESIGN:Fifty-one low back pain subjects, ranging in age from 26 to 65 yr, entered the study. Participants compl...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-200212000-00005
更新日期：2002-12-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to examine the associations of onset days, time from stroke onset to inpatient rehabilitation facility (IRF) admission, and patient outcomes (FIM gain, discharge destination, and IRF length of stay), using nationally representative data. DESIGN:A secondary data analysis was conducte...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000000226
更新日期：2015-02-01 00:00:00
abstract：:We describe a 38-yr-old polio survivor with newly developed weakness from myotonic dystrophy. He suffered muscle atrophy and weakness in his legs as a result of poliomyelitis at the age of 3 yrs. After a stable interval of about 30 yrs, he felt new weakness and fatigue in his legs. Electromyography revealed generalize...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e318190b935
更新日期：2009-02-01 00:00:00
abstract：:In this retrospective, consecutive case series, we report the nonsurgical and rehabilitation outcomes of consecutive patients who presented with pronounced painless weakness arising from disk extrusion. Seven consecutive patients who chose physiatric care were followed clinically, and strength return was monitored. Ea...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/01.phm.0000167616.30854.16
更新日期：2005-07-01 00:00:00
abstract：OBJECTIVE:1) Describe frequency of back pain only, neck pain only, and co-occurring pain in Veterans with upper limb amputation (ULA); 2) examine changes in pain over one year; and 3) quantify the association of pain and health-related quality of life (HRQoL) and disability. DESIGN:Observational cohort study with a su...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000001694
更新日期：2021-01-11 00:00:00
abstract：:The mission statements of academic medical centers call on them to accomplish many goals. This often leads to conflicting choices when selecting activities and establishing policies. When individual faculty members are expected to divide work time to meet research, teaching and clinical needs, careful planning and dis...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-199302000-00013
更新日期：1993-02-01 00:00:00
abstract：OBJECTIVES:To study secondary osteoporosis postmenopause in women with hemiplegia and to show the therapeutic effects of etidronate and how osteoporotic conditions relate to the activities of daily living (ADL). DESIGN:Eighty-one postmenopausal women with hemiplegia were admitted within 6 mo of their first cerebrovasc...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1097/00002060-200103000-00003
更新日期：2001-03-01 00:00:00
abstract：:This review is concerned with the epidemiology of lower limb amputations, frequency and results of limbsaving procedures and the contemporary management of dysvascular amputees. National data showed no decline in the number and rates of amputations from 1981-1985, but the frequency of bypass surgery increased indicati...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-198808000-00003
更新日期：1988-08-01 00:00:00
abstract：BACKGROUND:Neck pain is one of the major public health problems, which has a great impact on people's lives. OBJECTIVES:The purpose of this study was to systematically review published studies conducted on the effect of different exercise programs on activity, size, endurance, and strength of deep cervical flexor (DCF...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,评审
doi：10.1097/PHM.0000000000000721
更新日期：2017-08-01 00:00:00
abstract：OBJECTIVE:To compare the treatment effectiveness of botulinum toxin type A (BTX-A) and phenol blocks in managing lower limb spasticity and gait dysfunction in children with cerebral palsy. DESIGN:This is a case-controlled study that took place in a tertiary center's gait laboratory. A total of 27 ambulatory children w...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/01.phm.0000118038.02326.ca
更新日期：2004-04-01 00:00:00
abstract：:An estimated 90% of all wheelchairs are hand-rim propelled, a physically straining form of ambulation that can lead to repetitive strain injuries in the arms and, eventually, to secondary impairments and disability. Further disability in wheelchair-dependent individuals can lead to a sedentary lifestyle and thereby cr...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,评审
doi：10.1097/00002060-200110000-00012
更新日期：2001-10-01 00:00:00
abstract：:Topical formulations of diclofenac, a nonsteroidal anti-inflammatory drug commonly prescribed to treat musculoskeletal complaints such as osteoarthritis, low back pain, and myofascial pain, are available in the form of a solution, gel, and patch. The topical application of diclofenac results in substantially lower sys...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000000172
更新日期：2014-11-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to investigate the effectiveness of the virtual walking training program using a real-world video recording on walking balance and spatiotemporal gait parameters in patients with chronic stroke. DESIGN:Fourteen patients with chronic stroke were randomly assigned to either the ex...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,随机对照试验
doi：10.1097/PHM.0b013e31828cd5d3
更新日期：2013-05-01 00:00:00
abstract：OBJECTIVE:We investigated the correlation between movement patterns, measured by polyelectromyography (PEMG), and clinical motor manifestations in children with cerebral palsy. DESIGN:Subjects included 53 children with spastic cerebral palsy (diplegic [n = 43] and quadriplegic [n = 10] groups) and 18 normal children. ...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/01.PHM.0000078180.72129.5C
更新日期：2003-08-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to examine the effects of downhill walking training on gait and thoracic kyphosis in patients with Parkinson's disease. DESIGN:Thirty-three patients with Parkinson's disease were randomized into an experimental group (n = 16) or a control group (n = 17). Subjects in the experime...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,随机对照试验
doi：10.1097/PHM.0b013e3181e721c5
更新日期：2010-09-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to assess the reliability of a 6-min walk test in individuals with acquired brain injury. DESIGN:A total of 23 clients (14 men, 9 women) participated. All participants were clients in a postacute residential rehabilitation facility. The time from injury averaged 12 mo (range, 7-...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/01.PHM.0000052589.96202.BE
更新日期：2003-05-01 00:00:00
abstract：OBJECTIVE:Peak oxygen uptake (VO2peak) is a strong predictor of survival in cardiac patients. The aims of this study were to compare the effects of high interval training (HIT) to moderate continuous training (MCT) on VO2peak and to identify the safety of HIT in acute myocardial infarction patients with drug-eluting st...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,随机对照试验
doi：10.1097/PHM.0000000000000290
更新日期：2015-10-01 00:00:00
abstract：:Sarcoidosis is a multisystem granulomatous disorder that rarely involves the spinal cord. This report describes the presentation and rehabilitative course of a 31-yr-old man with quadriparesis secondary to spinal cord sarcoidosis. The patient had insidious, progressive weakness in his arms and legs for six weeks befor...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,评审
doi：10.1097/00002060-199104000-00002
更新日期：1991-04-01 00:00:00
abstract：OBJECTIVE:The purpose of this retrospective cohort study was to compare range of motion, subjective outcomes, and the prevalence of reoperation in groups of frozen shoulder patients with either low or moderate/high irritability treated with the same total end range time-maximizing protocol. DESIGN:A total of 36 patien...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e318214ed0d
更新日期：2011-09-01 00:00:00
abstract：OBJECTIVE:The current study was designed to document clinical and ultrasound (US) findings of patients with residual limb pain (RLP) after amputation and to investigate the relationship between these findings. MATERIALS AND METHODS:A chart review was performed to identify demographic and clinical data including the ag...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000000687
更新日期：2017-08-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to determine whether the relationship between impaired pulmonary function and level of spinal cord injury would relate to lower maximal ventilation during exercise (Vemax) and hence reduced aerobic capacity. DESIGN:Pulmonary function and maximal aerobic capacity (V˙O2max) were asses...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000000046
更新日期：2014-05-01 00:00:00
abstract：OBJECTIVE:The aim of the study was to compare the quality of life (QOL) of patients undergoing hematopoietic stem cell transplantation who improved their functional capacity during hospitalization (increased functional capacity group) with that of patients who maintained or decreased functional capacity during hospital...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000001125
更新日期：2019-06-01 00:00:00
abstract：:The purpose of this study was to examine the effect of a low-intensity, alternate-day, 12 wk quadriceps muscle-strengthening exercise program on muscle strength and muscle and motor unit integrity in 12 postpolio patients. Patients performed six to ten repetitions of a 5-s duration knee extension exercise with ankle w...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-199601000-00014
更新日期：1996-01-01 00:00:00
abstract：:Interest in global health is rising in graduate medical education. Trainees are increasingly seeking high quality, ethically sound, and educationally robust opportunities for global medical rotations. When based on best educational practices, these opportunities can provide a unique learning experience for residents i...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000001652
更新日期：2020-11-26 00:00:00
