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

authors： Hillman L

更新日期：2013-11-01 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

authors： Vachon PJ,Sestier F

更新日期：2013-08-01 00:00:00

abstract：:Ambulation requires significant motor coordination. Because of inherent differences in body proportions, level of coordination, motivation, and other factors, each individual gait pattern is unique. However, despite the existence of these individual differences that contribute to each person's own unique walking style...

journal_title：Physical medicine and rehabilitation clinics of North America

authors： Vachranukunkiet T,Esquenazi A

更新日期：2013-05-01 00:00:00

abstract：:In this review, we delineate clinical, electrodiagnostic, and radiographic features of ulnar mononeuropathies. Ulnar neuropathy at the elbow (UNE) is most commonly due to lesions at the level of the retroepicondylar groove (RTC), with approximately 25% at the humeroulnar arcade (HUA). The term 'cubital tunnel syndrome...

journal_title：Physical medicine and rehabilitation clinics of North America

authors： Landau ME,Campbell WW

更新日期：2013-02-01 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

authors： Hehir MK,Logigian EL

更新日期：2013-02-01 00:00:00

abstract：:Restrictive lung disease occurs commonly in patients with neuromuscular disease. The earliest sign of respiratory compromise in the patient with neuromuscular disease is nocturnal hypoventilation, which progresses over time to include daytime hypoventilation and eventually the need for full-time mechanical ventilation...

journal_title：Physical medicine and rehabilitation clinics of North America

authors： Wolfe LF,Joyce NC,McDonald CM,Benditt JO,Finder J

更新日期：2012-11-01 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

authors： Abresch RT,Carter GT,Han JJ,McDonald CM

更新日期：2012-08-01 00:00:00

abstract：:The rehabilitation medicine prescription is a communication tool between the referring physician and the rehabilitation team in both the inpatient and outpatient settings. This instrument is critical in both directing a course of treatment as well as minimizing risk to the patient during the treatment sessions. The go...

journal_title：Physical medicine and rehabilitation clinics of North America

authors： Brathwaite D,Aziz F,Eakins C,Charles AJ,Cristian A

更新日期：2012-05-01 00:00:00

abstract：:This article reviews and summarizes the literature on patient safety issues in the rehabilitation of adults with an amputation. Safety issues in the following areas are discussed; the prosthesis, falls, wound care, pain, and treatment of complex patients. Specific recommendations for further research and implementatio...

journal_title：Physical medicine and rehabilitation clinics of North America

authors： Latlief G,Elnitsky C,Hart-Hughes S,Phillips SL,Adams-Koss L,Kent R,Highsmith MJ

更新日期：2012-05-01 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

authors： Lou JS

更新日期：2012-02-01 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

authors： Mayans D,Cartwright MS,Walker FO

更新日期：2012-02-01 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

authors： McCullough BJ,Jarvik JG

更新日期：2011-11-01 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

authors： Bogduk N

更新日期：2011-08-01 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

authors： Pangarkar S,Lee PC

更新日期：2011-08-01 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

authors： Schneider JC,Qu HD

更新日期：2011-05-01 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

authors： Rho ME,Tang CT

更新日期：2011-02-01 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

authors： Carneiro KA,Rittenberg JD

更新日期：2010-11-01 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

authors： Patel N

更新日期：2010-11-01 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

authors： Lento PH,Strakowski JA

更新日期：2010-08-01 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

authors： Widerström-Noga E,Finlayson ML

更新日期：2010-05-01 00:00:00

abstract：:The boundaries once faced by individuals with amputations are quickly being overcome through biotechnology. Although there are currently no prosthetics capable of replicating anatomic function, there have been radical advancements in prosthetic technology, medical science, and rehabilitation in the past 30 years, vast...

journal_title：Physical medicine and rehabilitation clinics of North America

authors： Laferrier JZ,Gailey R

更新日期：2010-02-01 00:00:00

abstract：:Advances in medical and surgical care over the past 20 years have resulted in children who formerly would have died at birth or in infancy now surviving into adulthood, many with significant, permanent physical disabilities, including those due to cerebral palsy (CP). Increased awareness of these problems is needed by...

journal_title：Physical medicine and rehabilitation clinics of North America

authors： Murphy KP,Sobus K,Michael Bliss P

更新日期：2009-08-01 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

authors： Cheville AL

更新日期：2009-05-01 00:00:00

abstract：:Sports and recreational activities are associated with a variety of injuries. Although many of these injuries are musculoskeletal in nature, both the peripheral nervous system and the central nervous system are at risk for injury as well. This article examines the incidence of nervous system injuries in particular spo...

journal_title：Physical medicine and rehabilitation clinics of North America

authors： Toth C

更新日期：2009-02-01 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

authors： Cummins CA,Schneider DS

更新日期：2009-02-01 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

authors： Martin-Harris B,Jones B

更新日期：2008-11-01 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

authors： Ravits J,Traynor BJ

更新日期：2008-08-01 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

authors： Mayadev AS,Weiss MD,Distad BJ,Krivickas LS,Carter GT

更新日期：2008-08-01 00:00:00

abstract：:Injuries to the hip and pelvis are the least common of lower extremity injuries in youth sports, but include many of the more serious conditions. This article describes the bone and soft-tissue conditions of the hip and pelvis that may present to health care providers caring for the pediatric and adolescent sporting p...

journal_title：Physical medicine and rehabilitation clinics of North America

authors： Waite BL,Krabak BJ

更新日期：2008-05-01 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

authors： Hoffman-Snyder C,Smith BE

更新日期：2008-02-01 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

authors： Crooks CY,Zumsteg JM,Bell KR

更新日期：2007-11-01 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

authors： Giugliano DN,Solomon JL

更新日期：2007-08-01 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

authors： Shore WS,DeLateur BJ

更新日期：2007-08-01 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

authors： Ullrich PM

更新日期：2007-05-01 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

authors： Burck JR,Vena M,Jolicoeur M,Jolicoeur LE

更新日期：2007-02-01 00:00:00

abstract：:In this chapter we touched on a wide variety of unique musculoskeletal conditions in the musician and dancer. We outlined generalized methods of evaluation that stress the importance of the interdisciplinary approach in this highly specialized patient population and stressed the importance of specific involvement of t...

journal_title：Physical medicine and rehabilitation clinics of North America

authors： Hansen PA,Reed K

更新日期：2006-11-01 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

authors： Carr CM

更新日期：2006-08-01 00:00:00

abstract：:Fencing is a sport in which two people attempt to score points by making their weapon (epee, foil, or saber) contact their opponent. The most common types of injury seen in fencing are weapon injuries; strains, sprains, and trauma; and nontraumatic injuries, the pathologic findings of which are discussed in this artic...

journal_title：Physical medicine and rehabilitation clinics of North America

authors： Murgu AI,Buschbacher R

更新日期：2006-08-01 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

authors： Allen RJ

更新日期：2006-05-01 00:00:00

abstract：:Postoperative management of the lower extremity amputation continues to evolve as a crucial first step in amputee rehabilitation. Although the major goals of early rehabilitation remain fairly constant, external forces continually pressure the rehabilitation team to complete these goals within shorter time frames. The...

journal_title：Physical medicine and rehabilitation clinics of North America

authors： Goldberg T

更新日期：2006-02-01 00:00:00