Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Jul 2008
Spinal cord injury and co-occurring traumatic brain injury: assessment and incidence.
To examine prospectively the incidence and severity of co-occurring traumatic brain injury (TBI) in persons with traumatic spinal cord injury (SCI) and to describe a TBI assessment process for SCI rehabilitation professionals. ⋯ Findings from our prospective study provide strong support that TBI is a common co-occurring injury with traumatic SCI. Incomplete acute care medical record documentation of TBI in the traumatic SCI population remains a considerable issue, and there is a significant need to educate emergency department and acute care personnel on the TBI clinical data needs of acute rehabilitation providers. A systematic algorithm for reviewing acute care medical records can yield valid estimates of TBI severity in the traumatic SCI population.
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Arch Phys Med Rehabil · Jul 2008
Intradermal botulinum toxin type A injection effectively reduces residual limb hyperhidrosis in amputees: a case series.
To study the effectiveness of botulinum toxin type A (BTX-A) therapy for residual limb hyperhidrosis, prosthesis fit and function, and residual and phantom limb pain in patients with limb amputation. ⋯ BTX-A may be an effective treatment for residual limb hyperhidrosis, resulting in subjective improvement in prosthesis fit and functioning. BTX-A should be considered as a method to manage excessive sweating in the residual limb of traumatic amputees.
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Arch Phys Med Rehabil · Jul 2008
The efficacy of a multidisciplinary falls prevention clinic with an extended step-down community program.
To investigate the efficacy of a falls prevention clinic and a community step-down program in reducing the number of falls among community-dwelling elderly at high risk of fall. ⋯ The programs in the falls prevention clinic were effective in reducing the number of falls and injurious falls. The community step-down programs were crucial in maintaining the intervention effects of the falls prevention clinic.
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Arch Phys Med Rehabil · Jul 2008
A distinct pattern of myofascial findings in patients after whiplash injury.
To identify objective clinical examinations for the diagnosis of whiplash syndrome, whereby we focused on trigger points. ⋯ Patients with whiplash showed a distinct pattern of trigger point distribution that differed significantly from other patient groups and healthy subjects. The semispinalis capitis muscle was more frequently affected by trigger points in patients with whiplash, whereas other neck and shoulder muscles and the masseter muscle did not differentiate between patients with whiplash and patients with nontraumatic chronic cervical syndrome or fibromyalgia.