PM & R : the journal of injury, function, and rehabilitation
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Comparative Study
Predictors of patient-reported recovery from motor or sensory deficits two years after acute symptomatic lumbar disk herniation.
To determine the prevalence of patient-reported recovery from motor or sensory deficits over 2 years of follow-up after acute symptomatic lumbar disk herniation and to identify predictors of perceived recovery. ⋯ Patient-reported recovery from motor deficits after lumbar disk herniation occurs for 75% of patients over 2 years, but recovery from sensory deficits over this time frame occurs in only 53% of patients. A positive straight-leg raise test and female gender may predict poor recovery from motor and sensory deficits, respectively.
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Comparative Study
Incidence and risk factors of poststroke falls after discharge from inpatient rehabilitation.
To investigate the incidence of falls and risk factors for falls in persons who had a stroke. ⋯ This study reveals a high incidence of poststroke falls after discharge from inpatient rehabilitation. More caution should be taken for patients with ambulatory ability and left hemiplegia/hemiparesis because they are more vulnerable to falls after a stroke. An increased prevalence of fear of falling in people who fell suggests that an appropriate intervention to reduce fear of falling should be provided to patients who have had a stroke.
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Comparative Study
Subjective experiences of men with and without spinal cord injury: tolerability of the juvent and WAVE whole body vibration plates.
Device tolerability is an important determinant of subject adherence and intervention effectiveness. Although popular in rehabilitation settings, the tolerability of whole-body vibration (WBV) among patients with spinal cord injury (SCI) is unknown. ⋯ SCI and non-SCI subjects reported differing frequencies of positive and negative descriptors and indicated divergent device preferences. SCI subjects preferred the WAVE plate and vibration at high frequency. Future research will determine the therapeutic potential and adverse events associated with the device and WBV parameters tolerable for persons with SCI.
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Comparative Study Clinical Trial
Reading performance after vision rehabilitation of subjects with homonymous visual field defects.
To examine whether increased visual functioning after vision-restoration training (VRT) coincides with improved reading abilities. ⋯ VRT improved visual fields in parafoveal areas, which are most relevant for reading. This finding cannot be explained by changes in eye movement behavior. Because of a significant association between improvements of parafoveal vision and reading speed, we propose that patients with homonymous visual field defects who have reading deficits may benefit from visual stimulation by training.
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To investigate whether capsule-preserving hydraulic distension with saline solution and corticosteroid for adhesive capsulitis induces biomechanical alterations in glenohumeral joint capsules along with clinical improvements. ⋯ Capsule-preserving hydraulic distension changed the biomechanical properties of the glenohumeral joint capsule, lessening the stiffness and enlarging the volume capacity. These alterations were accompanied by improved range of motion and relief of pain. Repeated capsule-preserving hydraulic distension with saline solution and corticosteroid would be useful to treat adhesive capsulitis and to evaluate the treatment results.