Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Dec 2006
Randomized Controlled TrialRespiratory muscle training in restrictive thoracic disease: a randomized controlled trial.
To investigate the effects of respiratory muscle training (RMT) in patients with restrictive thoracic disorders and intermittent noninvasive positive-pressure ventilation (NPPV). ⋯ In patients with restrictive thoracic disorders and NPPV, RMT improved inspiratory muscle strength. Exercise performance and HRQOL were improved when the 2 groups were compared. RMT was practicable and safe despite severe respiratory impairment. Further evaluation, including different training intensities and modalities, seems warranted.
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Arch Phys Med Rehabil · Dec 2006
Time to rehabilitation admission and associated outcomes for patients with traumatic brain injury.
To examine the association between time from injury to rehabilitation admission and outcomes for patients with traumatic brain injuries (TBIs). ⋯ Patients who progress to rehabilitation earlier do better functionally and have lower costs and shorter LOSs. Furthermore, the time to rehabilitation admission is easily calculated and could be used by rehabilitation providers in adjunct with admission FIM scores to estimate resource utilization.
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Arch Phys Med Rehabil · Dec 2006
Ultrasound-guided piriformis injection: technique description and verification.
Piriformis injections are commonly used in the evaluation and treatment of patients presenting with buttock pain syndromes. Because of its small size, deep location, and relation to adjacent neurovascular structures, the piriformis is traditionally injected by using electromyographic, fluoroscopic, computed tomographic, or magnetic resonance imaging guidance. ⋯ Ultrasound offers several advantages over traditional imaging approaches, including accessibility, compact size, lack of ionizing radiation exposure, and direct visualization of neurovascular structures. With appropriate training and experience, interested physiatrists can consider implementing ultrasound-guided piriformis injections into their clinical practices.
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Arch Phys Med Rehabil · Nov 2006
Randomized Controlled Trial Comparative StudyComparison of the relative benefits of 2 versus 10 days of soft collar cervical immobilization after acute whiplash injury.
To investigate the effects of 2-day and 10-day immobilization of the cervical spine on pain, range of motion (ROM), and disability of patients with Quebec Task Force (QTF) grade II whiplash injuries. ⋯ In patients with QTF grade II whiplash injuries, there is no short- or long-term difference between 2-day and 10-day immobilization with a cervical collar in terms of pain, ROM, or disability.
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Arch Phys Med Rehabil · Nov 2006
Weight gain in children with hypertonia of cerebral origin receiving intrathecal baclofen therapy.
To identify the pattern of weight change in children receiving intrathecal baclofen (ITB) therapy. ⋯ Although excessive weight gain is not a common problem in children with cerebral origin spasticity, increased weight-gain velocity is prevalent in children receiving ITB therapy. Health care providers may anticipate a welcome weight gain in the underweight child. This consequence should be considered when managing children receiving ITB therapy, and health care providers must appropriately intervene to prevent excessive weight gain. Further studies exploring the reasons for the increased weight-gain velocity are warranted.