Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Jun 2008
Factors affecting self-reported pain and physical function in patients with hip osteoarthritis.
To determine the factors associated with self-reported pain and physical function in patients with hip osteoarthritis (OA). ⋯ Educational level, life satisfaction, and number of comorbidities were identified as significant factors for both self-reported pain and physical functioning in hip OA. Performance measures are better predictors of physical function than pain in hip OA. Factors explaining disability and pain in hip OA are multidimensional and no single predicting factor was found to be superior to any other.
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Arch Phys Med Rehabil · Jun 2008
Daily utility and satisfaction with rollators among persons with chronic obstructive pulmonary disease.
To characterize the daily utility and satisfaction with rollators in patients with chronic obstructive pulmonary disease (COPD). ⋯ COPD patients provided with a rollator for use during daily life were most satisfied with its effectiveness and least satisfied with its weight. Daily use was generally high with over half the patients using the rollator on a daily basis. Rollators were more often used outdoors than indoors.
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Arch Phys Med Rehabil · Jun 2008
Development of a symptoms questionnaire for complex regional pain syndrome and potentially related illnesses: the Trauma Related Neuronal Dysfunction Symptoms Inventory.
To develop a questionnaire to evaluate symptoms of complex regional pain syndrome type I (CRPS-I), fibromyalgia, and repetitive strain injury to determine the test-retest reliability and investigate concurrence in the clinical manifestations of CRPS-I and fibromyalgia. ⋯ The TSI is a reliable instrument with good content validity, which can be used in the evaluation of similarities and differences between CRPS-I and fibromyalgia. The systematic evaluation of symptoms of CRPS-I and potentially related illnesses may provide a better basis for future research into the underlying mechanism(s).
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Arch Phys Med Rehabil · Jun 2008
The relationship between repeated epidural steroid injections and subsequent opioid use and lumbar surgery.
To evaluate whether the use of epidural steroid injections (ESIs) is associated with decreased subsequent opioid use in patients in the Department of Veteran's Affairs (VA) and to determine whether treatment with multiple injections are associated with decreased opioid use and lumbar surgery after ESIs. ⋯ Opioid use did not decrease in the 6 months after ESIs. In this population, patients who received multiple injections were more likely to start taking opioids and to undergo lumbar surgery within the 6 months after treatment with ESIs. These findings are concerning because our data suggest that ESIs are not reducing opioid use in this VA population.
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Arch Phys Med Rehabil · Jun 2008
The experience of phantom limb pain in patients with combat-related traumatic amputations.
To describe the prevalence and characteristics of phantom limb pain (PLP) and the use and perceived effectiveness of standard medical and self-treatment methods by traumatic amputees with combat-related injuries. ⋯ With over 750 service members living with amputations from recent combat, PLP will continue to be a troubling problem that requires effective interventions. The discrepancy between perceived effectiveness of different treatment types supports the need for highly individualized pain management plans.