Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Mar 2002
Review Case ReportsSpinal cord injury medicine. 2. Medical complications after spinal cord injury: Identification and management.
This is a self-directed learning module that reviews medical complications associated with spinal cord injury (SCI). It is part of a chapter on SCI medicine in the Self-Directed Physiatric Educational Program for practitioners and trainees in physical medicine and rehabilitation. This article includes discussion of common medical complications that impact rehabilitation and long-term follow-up for individuals with SCI. Issues addressed include the rehabilitation approach to SCI individuals with pressure ulcers, unilateral lower-extremity swelling (deep venous thrombosis, heterotopic ossification, fractures), along with the pathophysiology, assessment, and treatment of spasticity, autonomic dysreflexia, orthostatic hypotension, and pain. ⋯ To describe diagnostic and treatment approaches for medical complications common to individuals with SCI.
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Arch Phys Med Rehabil · Mar 2002
Comparative StudyFrench translation and validation of 3 functional disability scales for neck pain.
To translate and assess the reliability and the construct validity of 3 functional disability scales for neck pain. ⋯ The 3 translated scales are valid, but the NPDS seems to have the best construct validity.
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Arch Phys Med Rehabil · Mar 2002
Comparative StudyChronic medial and lateral epicondylitis: a comparison of pain, disability, and function.
To investigate pain, disability, and muscle function of the arm in medial epicondylitis and to compare the results with those in chronic lateral epicondylitis. ⋯ In chronic medial epicondylitis, muscle function and pain measures showed a lesser impaired function of the arm than in chronic lateral epicondylitis. The results may be useful in rehabilitation and treatment of epicondylitis.
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Arch Phys Med Rehabil · Mar 2002
Pediatric physiatry in 2000: a survey of practitioners and training programs.
To assess the current status and future prospects of the field of pediatric rehabilitation medicine (PRM) physiatry by detailing the demographics, training, research interests, and other characteristics of physicians currently practicing in that field and to determine the availability of training programs in PRM. ⋯ The rehabilitation needs of children are met by physiatrists with specialized pediatric training. Our survey provided a demographic overview of the PRSIG membership. Given the decline in PRM training programs, it is imperative that the remaining programs be strengthened through communication and organization among physiatrists who practice PRM. We believe that a national database and an interactive Web site are feasible means with which to facilitate this goal.
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Arch Phys Med Rehabil · Mar 2002
Excess risk of bladder cancer in spinal cord injury: evidence for an association between indwelling catheter use and bladder cancer.
To evaluate whether the risk of bladder cancer is greater in individuals with spinal cord injury (SCI) than in the general population and whether indwelling catheter (IDC) use is a significant independent risk factor for bladder cancer. ⋯ Bladder cancer risk and mortality are heightened in SCI compared with the general population. IDC is a significant independent risk factor for the increased risk of and mortality caused by bladder cancer in the SCI population.