Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Sep 2005
Randomized Controlled Trial Comparative Study Clinical TrialManual acupuncture for analgesia during electromyography: a pilot study.
To evaluate the analgesic effect of acupuncture for needle electromyography and to validate a sham acupuncture needle. ⋯ Acupuncture may represent an effective form of analgesia for electromyography. This is the first study to suggest independently the telescopic sham acupuncture needle as an effective control.
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Arch Phys Med Rehabil · Sep 2005
Randomized Controlled Trial Comparative Study Clinical TrialLumbar spine segmental mobility assessment: an examination of validity for determining intervention strategies in patients with low back pain.
To examine the predictive validity of posterior-anterior (PA) mobility testing in a group of patients with low back pain (LBP). ⋯ Patients with LBP judged to have lumbar hypomobility experienced greater benefit from an intervention including manipulation; those judged to have hypermobility were more likely to benefit from a stabilization exercise program.
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Arch Phys Med Rehabil · Sep 2005
Multicenter Study Comparative StudyHeadache after moderate and severe traumatic brain injury: a longitudinal analysis.
To measure longitudinally headache (HA) after moderate and severe traumatic brain injury (TBI) and to examine potential association with demographic, injury, and psychologic factors. ⋯ PTHA severity in this sample of persons with moderate and severe TBI showed a pattern of improvement that leveled off by 6 months posthospitalization.
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Arch Phys Med Rehabil · Sep 2005
Comparative StudyUse and perceived need of physical therapy following severe lower-extremity trauma.
To examine the utilization of physical therapy (PT), the level of perceived need for PT, and the proportion of patients with perceived need receiving no PT in a cohort of severe lower-extremity trauma patients treated at level I trauma centers. ⋯ The results suggest a significant proportion of patients in the severe lower-extremity trauma population have perceived need for PT, yet receive no PT services.
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Arch Phys Med Rehabil · Sep 2005
Comparative StudyComparison of clinical and neurophysiologic responses to intrathecal baclofen bolus administration in moderate-to-severe spasticity after acquired brain injury.
To compare clinical and neurophysiologic responses to intrathecal baclofen (ITB) bolus injection in subjects with spasticity after acquired brain injury. ⋯ H/M ratio is more sensitive than the Ashworth score or F-wave persistence in detecting a physiologic response to ITB bolus. H-reflex is useful for verification of ITB bolus administration, as an adjunct to clinical evaluation, particularly among patients with moderate spasticity at rest or with small changes in Ashworth score. However, potential application of the marked sensitivity of the H-reflex to other clinically challenging situations, such as early detection of possible ITB system malfunction, awaits further investigation.