American journal of physical medicine & rehabilitation
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Am J Phys Med Rehabil · Nov 2002
Randomized Controlled Trial Comparative Study Clinical TrialOne-shot percutaneous electrical nerve stimulation vs. transcutaneous electrical nerve stimulation for low back pain: comparison of therapeutic effects.
To investigate the therapeutic effects of one shot of low-frequency percutaneous electrical nerve stimulation one shot of transcutaneous electrical nerve stimulation in patients with low back pain. ⋯ Simple one-shot treatment with percutaneous electrical nerve stimulation or transcutaneous electrical nerve stimulation provided immediate pain relief for low back pain patients. One-shot transcutaneous electrical nerve stimulation treatment is recommended due to the rarity of side effects and its convenient application.
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Am J Phys Med Rehabil · Nov 2002
ReviewRole of fatigue in limiting physical activities in humans with neuromuscular diseases.
New methods of examining both central and peripheral fatigue are now available. A broader understanding of the mechanisms of fatigue in healthy human subjects has begun to emerge. The mechanisms of fatigue in patients with various neuromuscular diseases are even more complex than in healthy persons. Examples of both central and peripheral fatigue in various neuromuscular diseases and other disorders are presented, including metabolic myopathy, chronic fatigue syndrome, postpolio syndrome, and amyotrophic lateral sclerosis.
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Am J Phys Med Rehabil · Oct 2002
Randomized Controlled Trial Clinical TrialBotulinum toxin type A use in piriformis muscle syndrome: a pilot study.
This study was undertaken to test the hypothesis that intramuscular botulinum toxin type A decreases chronic pain attributed to piriformis muscle syndrome to a greater extent than a similar injection with vehicle (saline) alone. ⋯ VAS data suggest that intramuscular piriformis injection with 100 units of botulinum toxin type A can reduce pain to a greater extent than similar injections with vehicle alone.
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Am J Phys Med Rehabil · Oct 2002
Clinical Trial Controlled Clinical TrialLocal botulinum toxin type A injections in the treatment of spastic toes.
To investigate the efficacy and safety of botulinum toxin type A treatment of spastic toes using varying doses based on the degree of spasticity (Modified Ashworth Scale). ⋯ Botulinum toxin type A treatment using doses based on spasticity severity seems to be safe and effective in the treatment of spastic toes, and further study is warranted.
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Am J Phys Med Rehabil · Oct 2002
Postadmission function best predicts acute hospital outcomes after stroke.
This study was conducted to determine the relative value of selected variables for predicting three acute hospital outcomes (length of stay, charges, discharge destination) after stroke. ⋯ Postadmission Barthel Index scores were the best predictor of the three outcomes measured in this study.