Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Jan 2006
Comparative StudyA follow-up study of older adults with traumatic brain injury: taking into account decreasing length of stay.
To examine age-related differences in rehabilitation outcomes following traumatic brain injury (TBI). ⋯ Results in this study are similar to those in earlier studies with smaller sample sizes. Major differences observed include significantly slower and more costly progress in inpatient rehabilitation for older patients with TBI, as well as a significantly lower rate of discharge to community for older patients. However, even with decreasing LOS in both settings, community discharge rate is still encouraging for older patients with TBI.
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Arch Phys Med Rehabil · Jan 2006
Use of a mechanical massage technique in the treatment of fibromyalgia: a preliminary study.
To investigate how a mechanical massage technique (LPG technique) could contribute to the treatment of fibromyalgia. ⋯ The findings suggest the possibility that the studied intervention might be associated with positive outcomes in women with fibromyalgia, and support the need for a controlled clinical trial to determine its efficacy.
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Arch Phys Med Rehabil · Jan 2006
Comparative StudyA multitest regimen of pain provocation tests as an aid to reduce unnecessary minimally invasive sacroiliac joint procedures.
To compare the diagnostic accuracy of a multitest regimen of 5 sacroiliac joint (SIJ) pain provocation tests with fluoroscopically controlled double SIJ blocks using a short- and long-acting local anesthetic in order to reduce the exposure of patients to unnecessary invasive SIJ procedures. ⋯ The test regimen with 3 or more positive tests is indicative of SIJ pain. It can be used in early clinical decision making to reduce the number of unnecessary minimally invasive diagnostic SIJ procedures.
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Arch Phys Med Rehabil · Dec 2005
Randomized Controlled Trial Multicenter StudyEfficacy and safety of oxymorphone immediate release for the treatment of mild to moderate pain after ambulatory orthopedic surgery: results of a randomized, double-blind, placebo-controlled trial.
To assess the analgesic efficacy and safety of 5 mg of oxymorphone immediate release (IR) for mild to moderate pain. ⋯ Five milligrams of oxymorphone IR was well tolerated and effective at relieving mild or moderate postsurgical pain after outpatient knee surgery.
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Arch Phys Med Rehabil · Dec 2005
ReviewManagement of diabetes during acute stroke and inpatient stroke rehabilitation.
To summarize evidence on the impact of hyperglycemia on stroke outcomes and to present therapy algorithms for inpatient management in diabetic stroke patients. ⋯ To achieve inpatient glycemic management targets, use of clinical management algorithms, self-management tools, and systems approaches such as diabetes management teams are useful.