Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Jul 2012
Comparative StudyIs spastic muscle echo intensity related to the response to botulinum toxin type A in patients with stroke? A cohort study.
To investigate the relationship between gastrocnemius muscle echo intensity and response to botulinum toxin type A (BoNT-A) in patients with spastic equinus foot resulting from stroke. ⋯ These findings support the hypothesis that patients with higher spastic muscle echo intensity have a reduced response to BoNT-A.
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Arch Phys Med Rehabil · Jul 2012
Lung volume recruitment slows pulmonary function decline in Duchenne muscular dystrophy.
To evaluate the long-term effect on measures of forced vital capacity (FVC) before and after the introduction of regular lung volume recruitment (LVR) maneuvers (breath-stacking) in individuals with Duchenne muscular dystrophy (DMD). ⋯ The rate of FVC decline in DMD patients improves dramatically with initiation of regular LVR.
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Arch Phys Med Rehabil · Jul 2012
Comparative StudyUltrasound-guided lateral approach for needle insertion into the subscapularis for treatment of spasticity.
To evaluate the safety and accuracy of ultrasound (US)-guided needle insertion into the subscapularis using fresh cadavers. ⋯ US-guided needle insertion into the subscapularis using this lateral approach was accurate and had the minimal risk of neurovascular or lung injuries.
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Arch Phys Med Rehabil · Jul 2012
Comparative StudyKey characteristics of low back pain and disability in college-aged adults: a pilot study.
To identify which factors commonly associated with low back pain (LBP) and disability differ between college-aged persons with LBP and with no or minimal LBP. ⋯ Back extensor endurance was consistently different between both the pain and disability groups. Addressing limited low back extensor endurance and low levels of physical activity in young adults may have clinical relevance for the prevention and treatment of LBP and disability.
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Arch Phys Med Rehabil · Jul 2012
CommentPhysiotherapy exercise after fast-track total hip and knee arthroplasty: time for reconsideration?
Major surgery, including total hip arthroplasty (THA) and total knee arthroplasty (TKA), is followed by a convalescence period, during which the loss of muscle strength and function is considerable, especially early after surgery. In recent years, a combination of unimodal evidence-based perioperative care components has been demonstrated to enhance recovery, with decreased need for hospitalization, convalescence, and risk of medical complications after major surgery-the fast-track methodology or enhanced recovery programs. It is the nature of this methodology to systematically and scientifically optimize all perioperative care components, with the overall goal of enhancing recovery. ⋯ The reason for this may be that the "pill" of physiotherapy exercise typically offered after THA and TKA does not contain the right active ingredients (too little intensity) or is offered at the wrong time (too late after surgery). We propose changing the focus to earlier initiated and more intensive physiotherapy exercise after THA and TKA (fast-track physiotherapy exercise), to reduce the early loss of muscle strength and function after surgery. Ideally, the physiotherapy exercise interventions after THA and TKA should be simple, using few and well-chosen exercises that are described in detail, adhering to basic exercise physiology principles, if possible.