American journal of physical medicine & rehabilitation
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Am J Phys Med Rehabil · Mar 2014
Comparative Study Observational StudyDevelopment and validation of a discharge planning index for achieving home discharge after hospitalization for acute stroke among those who received rehabilitation services.
The aim of this study was to develop an index for establishing the probability of being discharged home after hospitalization for acute stroke using information about previous living circumstances, comorbidities, hospital course, and the physical grades and cognitive stages of independence achieved. ⋯ The treatment team might apply prognostic estimates from this index in discharge planning and functional goal setting after initial physical medicine and rehabilitation assessment.
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Am J Phys Med Rehabil · Mar 2014
Review Comparative StudyPhysical therapy modalities and rehabilitation techniques in the management of neuropathic pain.
Neuropathic pain is an important problem because of its complex natural history, unclear etiology, and poor response to standard physical therapy agents. It causes severe disability unrelated to its etiology. The primary goals of the management of neuropathic pain are to detect the underlying cause, to define the differential diagnosis and eliminate risk factors, and to reduce the pain. ⋯ In addition, psychosocial support and cognitive behavioral therapy could also be taken into consideration. It has been suggested that the importance of pain rehabilitation techniques will increase in time and these will take a larger part in the management of neuropathic pain. However, it is now early to comment on these methods because of the lack of adequate publications.
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Am J Phys Med Rehabil · Mar 2014
Comparative StudyThe Uniform Data System for Medical Rehabilitation: report of follow-up information on patients discharged from inpatient rehabilitation programs in 2002-2010.
The aim of this study was to present yearly aggregated summaries of rehabilitation outcomes at admission, discharge, and follow-up from a national sample of patients receiving inpatient medical rehabilitation for stroke, traumatic brain injury, lower extremity fracture, lower extremity joint replacement, traumatic spinal cord injury, or debility. ⋯ The follow-up data from the national sample of patients discharged from inpatient rehabilitation indicate that gains in mean functional independence scores from both admission to discharge and discharge to follow-up gradually increased from 2002 to 2010. At follow-up, more than nine of ten patients in all six groups are living in the community.
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Am J Phys Med Rehabil · Feb 2014
Case ReportsAlternatives to mouthpiece noninvasive ventilatory support to permit dental care.
Patients who are dependent on continuous noninvasive intermittent positive pressure ventilation for ventilatory support via angled mouthpiece interfaces during daytime hours often need dental interventions that are prevented by the presence of the mouthpiece. To permit dental interventions, however, the noninvasive intermittent positive pressure ventilation can most conveniently and safely be delivered via nasal interface using oximetry monitoring as long as both sedation and supplemental oxygen are avoided. Three mouthpiece continuous noninvasive intermittent positive pressure ventilation users are described who were switched to nasal noninvasive intermittent positive pressure ventilation to permit dental care. The most common mistake is to fail to cover the nasal interface exhalation portals when switching from ventilatory assistance by bilevel positive airway pressure devices with passive ventilator circuits to portable ventilators with active ventilator circuits and exhalation valves.
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Am J Phys Med Rehabil · Feb 2014
The dose and volume-response relationship of an ethanol-induced tibial nerve block in a rabbit model.
The aim of this study was to observe the dose-response relationship in an ethanol-induced tibial nerve block in a rabbit model. ⋯ There was a positive linear relationship between ethanol injection volume and effect on compound muscle action potential. The safe and effective volume of 100% ethanol for a tibial nerve block is 0.3 ml in a rabbit model.