American journal of physical medicine & rehabilitation
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Am J Phys Med Rehabil · Mar 2003
Effects of a 1.5-day multidisciplinary outpatient treatment program for fibromyalgia: a pilot study.
The purpose of this pilot study was to determine the effect of a 1.5-day multidisciplinary fibromyalgia treatment program on impact of illness, depression, and life fulfillment. ⋯ These results suggest that a 1.5-day multidisciplinary fibromyalgia treatment program does have a significant positive effect on the impact of illness among patients with fibromyalgia with or without concomitant depression and may be a cost-effective model for the treatment of these patients.
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Am J Phys Med Rehabil · Mar 2003
Comparative StudyNutritional assessment of patients with neuromuscular diseases.
To study the nutritional status of patients with Duchenne muscular dystrophy and amyotrophic lateral sclerosis. ⋯ The body mass index should be used with caution for the evaluation of the nutritional status of patients with amyotrophic lateral sclerosis and Duchenne muscular dystrophy. Indices that incorporate the assessment of the compartmental distribution of muscle and fat are more sensitive.
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Am J Phys Med Rehabil · Jan 2003
Use of somatosensory-evoked potentials and cognitive event-related potentials in predicting outcomes of patients with severe traumatic brain injury.
This study was performed to evaluate the usefulness of somatosensory-evoked potentials (SEPs) and cognitive event-related potentials (ERPs) in predicting functional outcomes of severe traumatic brain injury patients. ⋯ Although median nerve SEP continues to make reliable prediction of ominous outcome in severe traumatic brain injury, the addition of the speech-evoked ERPs may be helpful in predicting favorable outcomes. The strength of the latter test seems to complement the weakness of the former.
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Am J Phys Med Rehabil · Dec 2002
Fluoroscopically guided lumbar transformational epidural steroid injections in degenerative lumbar stenosis: an outcome study.
To identify the short- and long-term therapeutic benefit of fluoroscopically guided lumbar transforaminal epidural steroid injections in patients with radicular leg pain from degenerative lumbar stenosis. ⋯ Fluoroscopically guided transforaminal epidural steroid injections may help reduce unilateral radicular pain and improve standing and walking tolerance in patients with degenerative lumbar spinal stenosis.
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Am J Phys Med Rehabil · Dec 2002
Assessing physicians' interpersonal skills: do patients and physicians see eye-to-eye?
To determine the level of agreement between standardized patient ratings and resident physician self-ratings of physician interpersonal skills and the level of agreement between faculty observer and standardized patient ratings of resident physicians' interpersonal skills. ⋯ Some resident physicians have significant difficulty accurately assessing how well they communicate with patients. Physicians in training rarely get feedback regarding their interpersonal skills and may have difficulty using social comparison. Conversely, standardized patients and faculty observers may have insight into interpersonal skills about which resident physicians are unaware.