American journal of physical medicine & rehabilitation
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Am J Phys Med Rehabil · May 2014
Comparative StudyChanges in blood glucose and cortisol levels after epidural or shoulder intra-articular glucocorticoid injections in diabetic or nondiabetic patients.
The aim of this study was to investigate the changes in blood glucose and cortisol levels after glucocorticoid injections into the epidural space or the glenohumeral joint in patients with or without diabetes. ⋯ These findings indicate a need for caution when using local glucocorticoid injection therapy in diabetic patients, most notably when an epidural injection is given. It is also recommended that diabetic patients take more time off before receiving a succeeding epidural glucocorticoid injection.
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Am J Phys Med Rehabil · May 2014
Comparative StudyRelationship among fear of falling, physical performance, and physical characteristics of the rural elderly.
The aim of this study was to evaluate the relationship between the fear of falling, physical performance, and physical characteristics in an elderly population. ⋯ The experience of falls had a significant relationship with the fear of falling and physical performance, and greater fear of falling was related to poorer physical performance, independent of the experience of falls. This result implies that more attention should be paid to seniors with the fear of falling and the experience of falls, and screening and consequent intervention for fall prevention should be warranted in this population. For this purpose, the TUG test may be recommended as a screening tool because TUG time reflects the fear of falling and the experience of falls as well as physical performance.