American journal of physical medicine & rehabilitation
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Am J Phys Med Rehabil · May 2008
Multicenter Study Comparative StudyFunctional and economic outcomes of cardiopulmonary patients: a preliminary comparison of the inpatient rehabilitation and skilled nursing facility environments.
To examine the major clinical and economic outcomes of cardiopulmonary patients referred for inpatient rehabilitation or skilled nursing care after an acute care stay. ⋯ More patients achieved functional independence, had shorter LOS, and had a higher rate of homebound discharge in the IRF than in the SNF, and this is associated with a higher cost of care. These SNF outcomes may be related to advancing age, type of illness, dementia, and inability to fully participate in therapies.
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Am J Phys Med Rehabil · May 2008
Randomized Controlled TrialBotulinum toxin type A injections into the calf muscles for treatment of spastic equinus in cerebral palsy: a randomized trial comparing single and multiple injection sites.
To investigate the hypothesis that the multiple-site injection technique is associated with better outcomes than the single-point injection method in children with cerebral palsy and spastic equinus gait. ⋯ Using the methods described, no major changes in main outcome measures were associated with the number of injection sites. Issues other than efficacy guide the decision on whether to inject in single or multiple sites when treating spastic equinus with botulinum toxin.
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To examine the incidence of peripheral nerve injury within 90 days of a limb trauma diagnosis in patients who have presented to the hospital or outpatient clinic. ⋯ When looking at the population sampled, rates for peripheral nerve injury in people incurring limb trauma are low. Crush injuries seem to have the highest rate of associated nerve injury. Further studies are needed to observe outcomes for people with nerve damage after trauma.
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Am J Phys Med Rehabil · May 2008
Case ReportsPostpartum sacral stress fracture: an unusual case of low-back and buttock pain.
Low-back and buttock pain is a common complaint during pregnancy and the postpartum period and is usually attributable to mechanical lesions of the pelvis. Sacral stress fractures are unusual but important causes that should be considered in differential diagnosis. To date, only eight postpartum sacral stress fractures have been reported in the literature. ⋯ There was no history of trauma, excessive weight gain, strenuous physical activity, or contribution of mechanical factors. The question remains whether this is an insufficiency fracture or a fatigue fracture. Clinicians should consider sacral fracture during pregnancy and the postpartum period as a diagnostic possibility in patients with low-back and/or buttock pain.