Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Mar 2004
Predictive value of fear avoidance in developing chronic neck pain disability: consequences for clinical decision making.
To improve clinical decision making in posttraumatic neck pain by investigating the additional value of fear-avoidance variables in predicting chronic neck pain disability. ⋯ A simple rating of baseline neck pain disability within a week of the trauma, separately or in combination with a test for fear of movement, can be used to predict future outcome. Patients showing fear of movement can be offered an intervention that focuses on reduction of this fear.
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Arch Phys Med Rehabil · Mar 2004
Comparative StudyA comparison of true and premodulated interferential currents.
To compare true and premodulated interferential currents (IFCs) in terms of sensory, motor, and pain thresholds; maximum electrically induced torque (MEIT); and comfort. ⋯ The findings indicate that premodulated IFC, delivered via 2 large electrodes, may be clinically more effective than the traditional true IFC arrangement in terms of depth efficiency, torque production, and patient comfort.
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Arch Phys Med Rehabil · Mar 2004
Comparative StudyQuantitative posturography in altered sensory conditions: a way to assess balance instability in patients with chronic whiplash injury.
To quantify neck mobility and posture with and without various postural perturbations. ⋯ Patients with chronic whiplash injury had a protective response to neck movement and different tuning, sequencing, and execution of the postural synergies probably because of excessive reliance on visual input despite a possible deficit and altered vestibular and/or proprioceptive activity. In healthy volunteers, the pain induced by a single bolus injection of hypertonic saline was probably too limited in intensity and spreading to decrease postural stability.
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Arch Phys Med Rehabil · Mar 2004
Comparative StudyOutcomes after spinal cord injury: comparisons as a function of gender and race and ethnicity.
To identify gender and racial and ethnic differences in subjective well-being (SWB), participation, and general health ratings in participants with spinal cord injury (SCI). ⋯ There are racial and ethnic differences in outcomes after SCI focused primarily on subjective outcomes in areas in which racial and ethnic minorities have traditionally been disadvantaged. The results of this study direct rehabilitation professionals to the outcomes that need to be targeted for intervention to eliminate inequities in outcomes for all persons with SCI.
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Arch Phys Med Rehabil · Mar 2004
Treatment of lumbar spinal stenosis with epidural steroid injections: a retrospective outcome study.
To determine patient satisfaction, relief of pain, frequency of injections, change of function, and subsequent surgical rate in patients who received epidural steroid injections (ESIs) for the diagnosis of lumbar spinal stenosis (LSS). ⋯ ESI is a reasonable treatment for LSS, providing one third of our patient population with sustained relief and more than half with sustained improvement in function.