American journal of physical medicine & rehabilitation
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Am J Phys Med Rehabil · Jan 2009
Randomized Controlled Trial Clinical TrialThe feasibility of hypnotic analgesia in ameliorating pain and anxiety among adults undergoing needle electromyography.
Our hypothesis was that hypnotic analgesia reduces pain and anxiety during electromyography (EMG). ⋯ A short hypnotic induction seems to reduce worst pain during electromyography.
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Am J Phys Med Rehabil · Jan 2009
Case ReportsSelf-delivered home-based mirror therapy for lower limb phantom pain.
Home-based patient-delivered mirror therapy is a promising approach in the treatment of phantom limb pain. Previous studies and case reports of mirror therapy have used a therapist-guided, structured protocol of exercises. No case report has described treatment for either upper or lower limb phantom pain by using home-based patient-delivered mirror therapy. The success of this case demonstrates that home-based patient-delivered mirror therapy may be an efficacious, low-cost treatment option that would eliminate many traditional barriers to care.
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Am J Phys Med Rehabil · Jan 2009
Selective blocking of the anterior branch of the obturator nerve in children with cerebral palsy.
To evaluate the effect of selective blocking of the anterior branch of the obturator nerve by using phenol in controlling adductor spasticity in children with cerebral palsy. ⋯ Selective blocking of the anterior branch of the obturator nerve with 5% aqueous phenol can safely and effectively control adductor spasticity in children with cerebral palsy.
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Am J Phys Med Rehabil · Nov 2008
Case ReportsPneumothorax associated with mechanical insufflation-exsufflation and related factors.
Impaired cough that results in ineffective airway secretion clearance is an important contributor to pulmonary complications in patients with neuromuscular weakness including spinal cord injury. Mechanical insufflation-exsufflation (MI-E) is a respiratory aid used by patients with weak respiratory muscles to increase cough peak flows and improve cough effectiveness. ⋯ Both patients also used positive-pressure ventilatory assistance. Although seemingly rare in this patient population, ventilator users also using MI-E who have increasing dyspnea or who require increasing positive inspiratory pressures when using noninvasive ventilation should be evaluated for pneumothorax.