Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Feb 2005
Complications and side effects of cervical and lumbosacral selective nerve root injections.
To determine the incidence of complications and side effects of cervical and lumbosacral selective nerve root injections (SNRIs). ⋯ There were no major complications with cervical and lumbosacral SNRIs, although various minor side effects occurred.
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Arch Phys Med Rehabil · Feb 2005
Comparative StudyAssessment of skeletal muscle fatigue in men with coronary artery disease using surface electromyography during isometric contraction of quadriceps muscles.
To evaluate whether using surface electromyography to assess skeletal muscle fatigue during an isometric exercise has the potential to be clinically useful in patients with coronary artery disease (CAD). ⋯ Skeletal muscle fatigue occurs sooner in men with CAD relative to matched healthy men, despite similar muscle strength. This finding may be the result of an abnormality of skeletal muscle function and may play an important role in measuring functional capacity. In addition, it may be a useful tool to assess the efficacy of cardiac rehabilitation interventions.
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Arch Phys Med Rehabil · Feb 2005
Case ReportsComplex regional pain syndrome involving the lower extremity: a report of 2 cases of sphenopalatine block as a treatment option.
We report 2 cases of complex regional pain syndrome (CRPS) involving the lower extremity; in both, a sphenopalatine ganglion (SPG) block was performed as part of a pain management program. In the first case, a woman in her late twenties presented with CRPS in the left lower extremity that was inadequately controlled with typical oral medications. Sympathetic block of the extremity did not provide significant pain relief. ⋯ The second case involved a woman in her mid forties with CRPS in the right lower extremity that was partially controlled with oral medications. The patient experienced a 50% reduction in pain level when SPG block with 4% tetracaine was given. Further study is needed to determine the effects of SPG blocks on symptoms related to chronic regional pain syndrome.
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Arch Phys Med Rehabil · Jan 2005
Randomized Controlled Trial Clinical TrialRandomized controlled trial of nocturnal splinting for active workers with symptoms of carpal tunnel syndrome.
To determine whether nocturnal splinting of workers identified through active surveillance with symptoms consistent with carpal tunnel syndrome (CTS) would improve symptoms and median nerve function as well as impact medical care. ⋯ Workers identified with CTS symptoms in an active symptom surveillance tended to benefit from a 6-week nocturnal splinting trial, and the benefits were still evident at the 1-year follow-up. The splinted group improved in terms of hand discomfort regardless of the degree of median nerve impairment, whereas the controls showed improvement only among subjects with normal median nerve function. Results suggest that a short course of nocturnal splinting may reduce wrist, hand, and/or finger discomfort among active workers with symptoms consistent with CTS.
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Arch Phys Med Rehabil · Jan 2005
The reliability and validity of a self-report version of the FIM instrument in persons with neuromuscular disease and chronic pain.
To evaluate the reliability and validity of a self-report version of the FIM instrument (FIM-SR). ⋯ The FIM-SR scales appear to be reliable and valid measures of independence in 6 specific (self-care, sphincter control, mobility, locomotion, communication, social cognition), and 3 global (motor, cognition, total) areas of functioning in persons with NMD.