American journal of physical medicine & rehabilitation
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Am J Phys Med Rehabil · Jul 2008
Withdrawal of analgesic medication for chronic low-back pain patients: improvement in outcomes of multidisciplinary rehabilitation regardless of surgical history.
To determine the posttreatment outcomes of multidisciplinary pain rehabilitation that incorporates analgesic medication withdrawal for chronic low-back pain patients on the basis of lumbar spine surgical history. ⋯ Study results demonstrate that multidisciplinary pain rehabilitation treatment incorporating analgesic medication withdrawal is associated with significant clinical improvements in physical and emotional functioning, regardless of lumbar spine surgical history.
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Am J Phys Med Rehabil · Jul 2008
Multicenter StudyA multicenter examination of the Center for Medicare Services eligibility criteria in total-joint arthroplasty.
The Centers for Medicare and Medicaid Services (CMS) use a diagnostic category (revised in 2004) as one of eight criteria to determine whether a hospital is eligible for payment as an inpatient rehabilitation facility (IRF). Among the 13 specific categories of patients, there are three particular ones involving total knee arthroplasty (TKA) and hip arthroplasty (THA) patients. The purpose of this investigation was to analyze inpatient rehabilitation outcomes in TKA and THA patients, using these CMS criteria. ⋯ All arthroplasty patients demonstrated improved physical function after inpatient rehabilitation. Those aged >or=85 yrs demonstrated the lowest efficiency, the greatest cost, and were the least likely to return home.
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Am J Phys Med Rehabil · Jul 2008
Case ReportsBack and thigh pain of unusual etiology complicates rehabilitation after bilateral total knee arthroplasty.
Total knee arthroplasty is frequently performed and usually associated with favorable results. A case is presented where persistent back and thigh pain limited rehabilitation progress following bilateral total knee arthroplasty procedures. The pain was found to be related to the presence of a symptomatic 5.24-cm infrarenal abdominal aortic aneurysm with the pain resolving after endovascular repair of the aneurysm.