Archives of physical medicine and rehabilitation
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To review the relevant literature on cervical facet joint dysfunction and determine findings regarding its anatomy, etiology, prevalence, clinical features, diagnosis, and treatment. ⋯ Overall the literature provides very limited information regarding the treatment of this condition, with only radiofrequency neurotomy showing evidence of effectively reducing pain from cervical facet joint dysfunction.
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Arch Phys Med Rehabil · Apr 2008
Randomized Controlled Trial Comparative StudyCardiovascular and metabolic responses during functional electric stimulation cycling at different cadences.
To determine the influence of pedaling cadence on cardiorespiratory responses and muscle oxygenation during functional electric stimulation (FES) leg cycling. ⋯ Cardiorespiratory responses and muscle metabolism adjustments during FES leg cycling were independent of pedal cadence. FES cycling at a cadence of 50rpm may not confer any advantages over 30 or 15rpm for cardiovascular fitness promotion in persons with SCI.
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Arch Phys Med Rehabil · Apr 2008
Time course analysis of the effects of botulinum toxin type a on elbow spasticity based on biomechanic and electromyographic parameters.
To quantify changes of elbow spasticity over time after botulinum toxin type A (BTX-A) injection in the upper extremity of stroke patients. ⋯ Early relapse of spasticity (within 9 weeks of the injection) can be detected from biomechanic and neurophysiologic assessments in a clinical setup. These quantitative indices provide valuable information for clinicians when making decisions to perform additional rehabilitation interventions or another BTX-A injection in the early stages of treatment.
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Arch Phys Med Rehabil · Apr 2008
ReviewTreatment disparities for disabled medicare beneficiaries with stage I non-small cell lung cancer.
Treatment disparities for disabled Medicare beneficiaries with stage I non-small cell lung cancer. ⋯ Persons with disabilities were much less likely than nondisabled Medicare beneficiaries to receive surgery; statistically significant cancer-specific mortality differences disappeared after accounting for these treatment differences. Future research must explore reasons for these findings and whether survival of disabled Medicare beneficiaries with early-stage, non-small cell lung cancer could improve if surgical treatment disparities were eliminated.
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Arch Phys Med Rehabil · Apr 2008
Comparative StudyEffect of nasogastric tubes on incidence of aspiration.
To determine what effect, if any, a nasogastric (NG) tube has on occurrence of anterograde aspiration during objective evaluation of swallowing using both liquid and puree bolus consistencies. ⋯ No statistically significant differences were found regarding aspiration status for liquid or puree food consistencies between 2 separate but comparable groups, that is, one with and one without an NG tube, regardless of sex, age, or diagnostic category. Because objective swallowing evaluation, for example, FEES, can be performed with an NG tube in place, it is not necessary to remove an NG tube to evaluate dysphagia. Similarly, there is no contraindication to leaving an NG tube in place to supplement oral alimentation.