Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Dec 2007
Acute pain at discharge from hospitalization is a prospective predictor of long-term suicidal ideation after burn injury.
To determine the extent to which pain contributes to risk for suicidal ideation after burn injury. ⋯ These are the first findings to suggest an association between acute pain severity and the development and maintenance of suicidal ideation in burn patients. Further research in this area, including the study of improved pain management programs as a prophylaxis against suicidal ideation, may benefit those who are at elevated suicide risk as a consequence of burn injuries.
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Arch Phys Med Rehabil · Dec 2007
Identification and quantification of myofascial taut bands with magnetic resonance elastography.
To explore the feasibility of using a new magnetic resonance imaging (MRI) technique--magnetic resonance elastography (MRE)--to identify and quantitate the nature of myofascial taut bands. ⋯ Our findings suggest that MRE can quantitate asymmetries in muscle tone that could previously only be identified subjectively by examination.
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To ascertain from patients' perspectives what should be included in the educational component of pulmonary rehabilitation and how it should be delivered, and to compare those perspectives with the views of health professionals. ⋯ Gaining a greater understanding of patients' educational needs permits health professionals who design pulmonary rehabilitation programs to include these requirements in a format that is acceptable to patients. The key topics, content, and format for delivery of the educational component for pulmonary rehabilitation were identified. Future research should focus on the development of an educational package and assessment of its efficacy, which would facilitate equitable patient access to education in pulmonary rehabilitation.
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Arch Phys Med Rehabil · Dec 2007
Subacromial corticosteroid injection for poststroke shoulder pain: a retrospective chart review.
To assess the effectiveness of subacromial corticosteroid injections for the treatment of poststroke shoulder pain. ⋯ Subacromial corticosteroid injection is associated with a significant reduction in poststroke shoulder pain. However, controlled trials are needed to show a cause-and-effect relationship and rule out spontaneous recovery, placebo effect, and other confounds.
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Arch Phys Med Rehabil · Dec 2007
The S1 "Scotty dog": report of a technique for S1 transforaminal epidural steroid injection.
To report a technique for needle placement by using the bony landmark of the "Scotty dog" on an oblique view for epidural injection of corticosteroid into the S1 foramina. ⋯ Classic description of the S1 spinal nerve block uses an anteroposterior approach to the foramen. Looking for an S1 Scotty dog facilitates predictable visualization of the foramen, medial needle placement with epidural flow of contrast, and simultaneous visualization for needle placement to the L5 foramen.