Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Sep 1995
Comparative StudyInfluence of early variables in traumatic brain injury on functional independence measure scores and rehabilitation length of stay and charges.
To determine the relationship between early variables (initial Glasgow Coma Scale [GCS] scores, computed tomography [CT] findings, presence of skeletal trauma, age, length of acute hospitalization) and outcome variables (Functional Independence Measure [FIM] scores, rehabilitation length of stay [LOS], rehabilitation charges) in traumatic brain injury (TBI). ⋯ Information readily available on rehabilitation admission, particularly the FIM motor score, may be useful in predicting discharge FIM scores as well as utilization of medical rehabilitation resources. Earlier transfer to rehabilitation may result in higher functional status and lower rehabilitation charges, as well as lower acute hospitalization charges. The presence of extremity fractures encountered during a motor vehicle crash is associated with a more favorable outcome in TBI as evidenced by higher discharge FIM cognitive scores.
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Arch Phys Med Rehabil · Jul 1995
Feedback-based training of grip force control in patients with brain damage.
Feedback-based training of grip force control in patients with various brain lesions was evaluated. ⋯ In view of these results, a feedback-based training of grip force may be a useful enrichment of motor therapy.
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Determine the electrophysiological effects of anterior knee pain using monosynaptic and polysynaptic reflexes. ⋯ Pain episodes do not appear to affect monosynaptic responses. NFR threshold differences found between PFD and control group could be explained by the increased excitability of the nervous system in subjects experimenting painful bouts. Functional implications of these findings are discussed.
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Arch Phys Med Rehabil · Mar 1995
Review Case ReportsRuptured intracranial mycotic aneurysm: a rare cause of intracranial hemorrhage.
Intracranial mycotic aneurysm is a rare complication in patients with infective endocarditis occurring in about 2% to 10% of cases. Although the risk of rupture is about 1.7%, it is usually a catastrophic event with a fatality rate of 80%. ⋯ Both had involvement of the right frontoparietal lobes with resultant left hemiparesis, left homonymous hemianopia, and impairments of cognition and perceptual function. Despite intensive rehabilitation, their functional outcomes were less than satisfactory as they needed assistance in self-care activities and mobility on discharge.
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Arch Phys Med Rehabil · Mar 1995
Sports medicine in physical medicine and rehabilitation residency programs.
Because sports medicine is a rapidly expanding field within many specialties, it is important to gauge how active physiatrists have become in this arena. A nationwide survey of program directors and chief residents of physical medicine and rehabilitation residency programs was conducted to determine such prevalence. For the purposes of this study, sports medicine was defined as the routine care of athletes involved in organized sporting activities at any level of competition. ⋯ Data was also obtained regarding research, clinical rotations, lectures, fellowships, association with academic departments of other specialties, and affiliations with professional sports medicine organizations. The actual level of educational opportunities available was much lower than might be expected given the high level of interest expressed. It is reasonable to conclude that more opportunities should exist for education in sports medicine.