Archives of physical medicine and rehabilitation
-
Arch Phys Med Rehabil · Jul 2004
Randomized Controlled Trial Multicenter Study Clinical TrialDose-dependent response to intramuscular botulinum toxin type A for upper-limb spasticity in patients after a stroke.
To test the hypothesis that intramuscular (IM) botulinum toxin type A (BTX) reduces excessive muscle tone in a dose-dependent manner in the elbow, wrist, and fingers of patients who experience spasticity after a stroke. ⋯ IM BTX reduced muscle tone in a dose-dependent manner in the elbow, wrist, and fingers of patients who experience spasticity after a stroke but did not appear to affect global quality of life or disability.
-
Arch Phys Med Rehabil · Jul 2004
ReviewHyperbaric oxygen therapy for traumatic brain injury: a systematic review of the evidence.
To identify the benefits and harms of hyperbaric oxygen therapy (HBOT) to treat traumatic brain injury (TBI). ⋯ The evidence for HBOT for TBI is insufficient to prove effectiveness or ineffectiveness, and more high-quality studies are needed. The evidence indicates that there is a small chance of a mortality benefit, which may depend on subgroup selection. The effect on functional status and the incidence and clinical significance of adverse effects are unclear.
-
Arch Phys Med Rehabil · Jul 2004
Randomized Controlled Trial Clinical TrialIntensity and duration threshold for aerobic exercise-induced analgesia to pressure pain.
To examine how exercise-induced analgesia is affected by the duration and intensity of aerobic exercise. ⋯ There are thresholds for both the intensity (>50% Vo(2)max) and duration (>10 min) of exercise required to elicit exercise analgesia.
-
Arch Phys Med Rehabil · Jun 2004
Rhomboid muscle electromyography activity during 3 different manual muscle tests.
To determine which of 3 previously published rhomboid manual muscle tests (MMTs) elicits the maximal rhomboid electromyographic activity in an asymptomatic population. ⋯ The posterior deltoid MMT position should be used to produce maximal rhomboid electromyographic activity for normalization purposes during kinesiologic studies. The Kendall and Kendall-Alternative rhomboid MMT are likely to be clinically indistinct. It is unlikely that clinicians can use standard MMT positions to distinguish rhomboid strength from synergists, such as the levator scapula and middle trapezius muscle, for diagnostic purposes.
-
Arch Phys Med Rehabil · Jun 2004
Case ReportsLong-term relief of posttraumatic headache by sphenopalatine ganglion pulsed radiofrequency lesioning: a case report.
Posttraumatic headache is a common and disabling pain syndrome in patients who sustain a head injury. Unfortunately, conventional treatments may fail or cause intolerable side effects. Because chronic headache may be mediated by central and peripheral neural processes, these structures may be therapeutic targets. ⋯ Because of the risks of neurolytic procedures, nonablative procedures that provide pain relief would be useful. We present a case wherein a man in his late twenties with posttraumatic headache obtained more than 17 months of relief with SPG pulsed-mode radiofrequency lesioning. SPG pulsed-mode radiofrequency is a nonablative, neural lesioning method that may be useful in the treatment of posttraumatic headache.