Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Jun 2003
Comparative StudyPain characteristics in patients admitted to hospital with complications after spinal cord injury.
To determine characteristics of pain, the relation between pain and mood, the effect of pain on activities, and the perceived difficulty in coping with pain in patients hospitalized for treatment of complications associated with spinal cord injury (SCI). ⋯ Pain is a common problem in people admitted to hospital with SCI for treatment of other complications. It has a significant impact on activities and is associated with a reduction in global self-rated health and higher levels of psychologic distress.
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Arch Phys Med Rehabil · May 2003
Randomized Controlled Trial Multicenter Study Clinical TrialStatic magnetic field therapy for symptomatic diabetic neuropathy: a randomized, double-blind, placebo-controlled trial.
To determine if constant wearing of multipolar, static magnetic (450G) shoe insoles can reduce neuropathic pain and quality of life (QOL) scores in symptomatic diabetic peripheral neuropathy (DPN). ⋯ Static magnetic fields can penetrate up to 20mm and appear to target the ectopic firing nociceptors in the epidermis and dermis. Analgesic benefits were achieved over time.
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Arch Phys Med Rehabil · May 2003
Complications of fluoroscopically guided interlaminar cervical epidural injections.
To assess the incidence of complications of fluoroscopically guided interlaminar cervical epidural injections. ⋯ Because all complications resolved without morbidity and no patient required hospitalization, fluoroscopically guided interlaminar cervical epidural injections may be a safe procedure for use in patients with cervical radicular pain.
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To evaluate the efficacy of cyproheptadine in the management of acute intrathecal baclofen (ITB) withdrawal. ⋯ Cyproheptadine may be a useful adjunct to baclofen and benzodiazepines in the management of acute ITB withdrawal syndrome.
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Arch Phys Med Rehabil · May 2003
Intrathecal baclofen in subjects with spastic hemiplegia: assessment of the antispastic effect during gait.
To determine whether leg muscle stiffness is measurably reduced after intrathecal baclofen (ITB) in subjects with spastic hemiplegia. ⋯ Acute ITB improved walking and reduced muscle stiffness at both the ankles and knees on the spastic hemiplegic side of our subjects. Electromyographic findings suggest that some of the post-ITB reduction in muscle stiffness might be attributed to decreased spasticity.