Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Sep 2011
CommentHyperbaric oxygen therapy for traumatic brain injury: still an enigma.
With their article on the use of HBOT for post TBI dysautonomia, Lv and colleagues discuss a novel use for this form of treatment. Although HBOT has been a part of our TBI treatment armamentarium for many years, its use remains a very controversial issue. In this commentary, the science and research studies behind HBOT for TBI are reviewed, hopefully leaving the reader with an adequate knowledge base to answer a patient or family's inquiries as to the usefulness of HBOT for TBI.
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Arch Phys Med Rehabil · Aug 2011
Randomized Controlled TrialNonsteroidal anti-inflammatory drug or glucosamine reduced pain and improved muscle strength with resistance training in a randomized controlled trial of knee osteoarthritis patients.
To investigate the effect of 12 weeks of strength training in combination with a nonsteroidal anti-inflammatory drug (NSAID), glucosamine, or placebo on muscle cross-sectional area (CSA), strength (primary outcome parameters), and function, power, pain, and satellite cell number (secondary outcome parameters) in patients with knee osteoarthritis (OA). ⋯ In patients with knee OA, NSAID or glucosamine administration during a 12-week strength-training program did not improve muscle mass gain, but improved maximal muscle strength gain in comparison with treatment with placebo. However, we do not find that the benefits are large enough to justify taking NSAIDs or glucosamine.
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To evaluate the relationship between poststroke fatigue and suicidality (SI) in Chinese patients with first or recurrent stroke. ⋯ These findings should alert clinicians that early identification and treatment of fatigue may reduce the suicidal risk in stroke patients.
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Arch Phys Med Rehabil · Aug 2011
Review Meta AnalysisWhat is our knowledge of functioning and disability in hand conditions based on?
To analyze the content of published studies on hand conditions using the International Classification of Functioning, Disability and Health (ICF) as a reference, and to highlight the most common aspects of functioning as well as those that deserve more consideration in research on hand conditions. ⋯ The ICF provides a valuable reference to systematically analyze the content of published studies on hand conditions. Research activity needs to widen its focus on mental functions, further mobility functioning, self-care, and domestic life aspects, as well as environmental factors to encompass the impact of hand conditions on an individual's health. This would increase our knowledge on patients' needs and would help to ensure patient-oriented care.
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Arch Phys Med Rehabil · Aug 2011
Trends in function and postdischarge mortality in a medicine for the elderly rehabilitation center over a 10-year period.
To ascertain trends in function and mortality after admission to a medicine for the elderly rehabilitation unit, and to analyze factors associated with these outcomes. ⋯ Functional and mortality outcomes improved over a 10-year period in this rehabilitation unit, despite similar Barthel scores on admission and equivalent lengths of stay.