American journal of physical medicine & rehabilitation
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Am J Phys Med Rehabil · Dec 2014
Randomized Controlled Trial Clinical TrialTranscranial direct current stimulation to primary motor area improves hand dexterity and selective attention in chronic stroke.
The aim of this study was to determine whether transcranial direct current stimulation (tDCS) applied to the primary motor hand area modulates hand dexterity and selective attention after stroke. ⋯ Twenty minutes of cathodal tDCS to M1nonlesioned can promote both paretic hand dexterity and selective attention in people with chronic stroke.
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Am J Phys Med Rehabil · Dec 2014
Randomized Controlled TrialEffect of extracorporeal shock wave therapy on gait pattern in hemiplegic cerebral palsy: a randomized controlled trial.
The aim of this study was to investigate the effects of shock wave therapy on gait pattern in children with hemiplegic cerebral palsy. ⋯ Shock wave therapy may be a useful tool for improving spasticity and gait pattern in children with hemiplegic cerebral palsy.
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Am J Phys Med Rehabil · Dec 2014
Can American Board of Physical Medicine and Rehabilitation Part 2 board examination scores be predicted from rotation evaluations or mock oral examinations?
The aim of this study was to determine whether either Physical Medicine and Rehabilitation residency performance on core competency evaluations or on practice mock oral examinations is correlated to performance on future American Board of Physical Medicine and Rehabilitation Part 2 board-certifying examination. ⋯ The postgraduate year 4 mock oral examinations and the core competency evaluations composite are each predictive of performance on American Board of Physical Medicine and Rehabilitation part 2 examination. Further research into this area, with a larger sample size and with multiple institutions, would be helpful to allow for a better measurement of these evaluation tools' effectiveness.
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Modern rehabilitation medicine is propelled by newfound knowledge aimed at offering solutions for an increasingly aging population afflicted by chronic debilitating conditions. Considered a core component of future health care, the rollout of regenerative medicine underscores a paradigm shift in patient management targeted at restoring physiologic function and restituting normative impact. ⋯ In this context, principles of regenerative science are increasingly integrated in rehabilitation practices as illustrated in the present Supplement. Encompassing a growing multidisciplinary domain, the emergent era of "regenerative rehabilitation" brings radical innovations at the forefront of healthcare blueprints.
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Am J Phys Med Rehabil · Nov 2014
Comparative StudyAssociation of early ambulation with length of stay and costs in total knee arthroplasty: retrospective cohort study.
The objective of this study was to evaluate the association of early ambulation with length of stay, costs, and outcomes in inpatients undergoing total knee arthroplasty. ⋯ As little as a 1-day difference in the day of first ambulation was associated with a shorter length of stay, lower hospitalization costs, and improved knee function. The results of this study provide the first empirical support for the usefulness of early ambulation after total knee arthroplasty.