Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Mar 2003
Multicenter Study Clinical TrialAnalyzing risk factors for late posttraumatic seizures: a prospective, multicenter investigation.
To ascertain the natural history and to stratify risks for the development of late posttraumatic seizures in individuals with moderate to severe traumatic brain injury (TBI). ⋯ Stratification by CT scan findings and neurosurgical procedures performed were the most useful findings in defining individuals at highest risk for late posttraumatic seizures.
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Arch Phys Med Rehabil · Mar 2003
Randomized Controlled Trial Multicenter Study Clinical TrialContinuous low-level heatwrap therapy for treating acute nonspecific low back pain.
To evaluate the efficacy of 8 hours of continuous low-level heatwrap therapy for the treatment of acute nonspecific low back pain (LBP). ⋯ Continuous low-level heatwrap therapy was shown to be effective for the treatment of acute, nonspecific LBP.
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Arch Phys Med Rehabil · Mar 2003
ReviewInterventions in chronic pain management. 2. New frontiers: invasive nonsurgical interventions.
Invasive nonsurgical techniques have a central role in the management of patients suffering from acute and chronic pain. This article surveys common percutaneous pain procedures: trigger point injections, intra-articular injections, spinal injections, nerve blocks, radiofrequency lesioning (thermocoagulation and pulsed-mode), epidural adhesiolysis and decompressive neuroplasty, neural mapping, intradiskal and intra-annular procedures, neuromodulation, continuous intrathecal analgesia, and deep brain stimulation. Physiatrists must understand the guiding principles behind these procedures before practicing interventional pain management. ⋯ To review invasive, nonsurgical pain management procedures.
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This self-directed learning module highlights that the underlying problem in many types of muscle pain disorders is a distortion of critical structures that causes functional deficits and pain. An objective of treatment is to reverse this distortion, enabling repair of damaged tissues and strengthening of weakened muscles. ⋯ This article specifically focuses on pertinent review articles, results of controlled and open-trial data, and case reports to assess the role of BTX-A treatment in chronic pain disorders. OVERALL LEARNING To review the clinical trial data of the safety and efficacy of BTX-A for the treatment of chronic pain syndromes associated with muscle disorders.
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Arch Phys Med Rehabil · Mar 2003
Randomized Controlled Trial Multicenter Study Clinical TrialOvernight use of continuous low-level heatwrap therapy for relief of low back pain.
To evaluate of the efficacy and safety of 8 hours of continuous, low-level heatwrap therapy administered during sleep. ⋯ Overnight use of heatwrap therapy provided effective pain relief throughout the next day, reduced muscle stiffness and disability, and improved trunk flexibility. Positive effects were sustained more than 48 hours after treatments were completed.