Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Jun 2003
Randomized Controlled Trial Comparative Study Clinical TrialOutpatient cognitive behavioral pain management programs: a randomized comparison of a group-based multidisciplinary versus an individual therapy model.
To compare the efficacy of 2 models of chronic pain management. ⋯ The 2 programs appear to be equally efficacious for pain management in adults with chronic pain. In practical terms, the choice of model for service provision may rest more on local issues such as the availability of space and staff time.
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Arch Phys Med Rehabil · Jun 2003
Randomized Controlled Trial Comparative Study Clinical TrialThe accuracy of needle placement in lower-limb muscles: a blinded study.
To assess the accuracy of common anatomic guides for electromyographic needle placement in muscles. ⋯ The accuracy of blind needle placement varied according to muscle. With the blind insertion technique, more accurate and safe needle placement strategies can be developed.
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Arch Phys Med Rehabil · Jun 2003
Comparative StudyOverwork weakness in Charcot-Marie-Tooth disease.
To determine the incidence of overwork weakness in Charcot-Marie-Tooth disease (CMT). ⋯ CMT muscles in the dominant hand are weaker than in the nondominant hand. This may be the result of overwork weakness.
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Arch Phys Med Rehabil · Jun 2003
Case ReportsFemoral, saphenous nerve palsy after tourniquet use: a case report.
Persistent motor and sensory abnormalities after surgery may affect the rehabilitation process. Patients with continued weakness may be perceived as lacking motivation by health care providers. However, there may be an underlying pathophysiologic abnormality preventing patients from progressing through their rehabilitation programs. ⋯ Our report is the first on tourniquet-induced saphenous nerve injury as well as on abnormal femoral NCSs caused by tourniquet use. A review of the literature indicates that tourniquet-induced nerve palsies are not a rare event. Further evaluation should be considered if patients who are having persistent weakness or sensory findings after surgery have used a tourniquet.
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Arch Phys Med Rehabil · Jun 2003
Robot-assisted arm trainer for the passive and active practice of bilateral forearm and wrist movements in hemiparetic subjects.
To determine whether use of a robotic arm trainer for bilateral exercise in daily repetitive training for a 3-week period reduced spasticity and improved motor control in the arm of severely affected, chronic hemiparetic subjects. ⋯ The arm trainer made possible intensive bilateral elbow and wrist training of severely affected stroke patients. Future studies should address the treatment effect in subacute stroke patients and determine the optimum treatment intensity.