Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Apr 1999
Comparative Study Clinical TrialResidential and home-based postacute rehabilitation of individuals with traumatic brain injury: a case control study.
To compare the outcomes of severely brain-injured individuals treated in a postacute residential rehabilitation program with a matched sample of individuals receiving limited services in their homes or on an outpatient basis. ⋯ Postacute rehabilitation appears to be effective in improving function for individuals with severe brain injury. Residential-based services appear to produce greater functional improvement, whereas home-based services are more effective at maintaining community integration.
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Arch Phys Med Rehabil · Apr 1999
Cognitive status at admission: does it affect the rehabilitation outcome of elderly patients with hip fracture?
To determine the effect of cognitive status at admission on functional gain during rehabilitation of elderly hip-fractured patients. ⋯ Impaired cognitive status at admission lowered the rehabilitation outcome of elderly hip fracture patients. Cognitive impairment was strongly and directly associated with functional gain in these patients. Absolute motor gain appeared to be independent of cognitive status, whereas the relative motor gain depended on it. These findings support the implementation of comprehensive rehabilitation for selected cognitively impaired elderly hip fracture patients.
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Arch Phys Med Rehabil · Mar 1999
Randomized Controlled Trial Clinical TrialTranscutaneous electrical nerve stimulation: nonparallel antinociceptive effects on chronic clinical pain and acute experimental pain.
To investigate to what extent a single 60-minute session of transcutaneous electrical nerve stimulation (TENS) would modify chronic clinical pain, acute experimental pain, and the flexion reflex evoked in chronic low back pain patients. ⋯ The same TENS protocol had different degrees of antinociceptive influence on chronic and acute pain in chronic low back pain patients.
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Arch Phys Med Rehabil · Mar 1999
Case ReportsMeralgia paresthetica secondary to limb length discrepancy: case report.
Meralgia paresthetica consists of pain and dysthesia in the lateral thigh caused by entrapment of the lateral femoral cutaneous nerve (L2-L3) underneath the inguinal ligament. Abdominal distension, tight clothing, and hip hyperextension are all described causes of this condition. To our knowledge this has never been attributed to a limb length discrepancy. ⋯ There was continuing pain without and with the lift in the right shoe but no pain or numbness with the lift in left shoe. It was concluded that the limb length discrepancy was responsible for the meralgia paresthetica. Pertinent literature and possible pathomechanics are discussed.
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Arch Phys Med Rehabil · Jan 1999
Comparative Study Clinical Trial Controlled Clinical TrialLong-term continuously infused intrathecal baclofen for spastic-dystonic hypertonia in traumatic brain injury: 1-year experience.
To determine if the long-term use of continuously infused intrathecal baclofen (ITB) over a 1-year period will control spastic-dystonic hypertonia in patients with traumatic brain injury (TBI). ⋯ Continuous intrathecal infusion of baclofen is capable of maintaining a reduction in spasticity and dystonia in both the upper and lower extremities of TBI patients.