Clinical rehabilitation
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Clinical rehabilitation · Jun 1999
Clinical TrialLumbar spine range of motion as a measure of physical and functional impairment: an investigation of validity.
To investigate the validity of the spinal range of motion models outlined in the second and fourth editions of the American Medical Association Guides to the evaluation of permanent impairment (AMA Guides), for assessing the percentage impairment in chronic low back pain patients. ⋯ There was no evidence for a relationship between low back range of motion and impairment, and thus it would appear illogical to evaluate impairment in chronic low back pain patients using a spinal range of motion model when aiming to measure or compensate disability.
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Clinical rehabilitation · Jun 1999
Case ReportsShoulder joint replacement for osteoarthrosis in association with thalidomide-induced phocomelia.
The natural history of thalidomide-induced phocomelia has not yet been established since only 35 years have elapsed since the problems associated with this drug became evident. This paper presents what is considered to be the first case of osteoarthrosis in such an individual treated by shoulder joint replacement. Joint arthoplasty is almost certainly going to become an integral part of the life-long rehabilitation process in such affected individuals.