American journal of physical medicine & rehabilitation
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Am J Phys Med Rehabil · Dec 2007
Perceived preparedness for physiatric specialization and future career goals of graduating postgraduate year IV residents during the 2004-2005 academic year.
The purpose of this study was to evaluate trends among postgraduate year (PGY) IV physiatry residents, at the time of graduation from residency, in terms of their perceived experiences in the core clinical areas, confidence with procedural subspecialization, choice in career specialization, and desire to pursue clinical fellowship. ⋯ These results provide insight into how trainees perceive their current clinical education. With validation of measures for confidence and preparedness, this survey may be useful as an adjunct resource for residency programs to evaluate their trainees.
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Am J Phys Med Rehabil · Nov 2007
Case ReportsInferior vena cava thrombosis presenting as lumbar radiculopathy.
Lumbar epidural varices either primary or secondary to outflow obstruction have been implicated in causing lumbar radiculopathy. We report a case of an adolescent male who presented with lumbar radiculopathy attributable to thrombosed lumbar epidural varix as a result of inferior vena cava thrombosis emanating from factor V Leiden mutation. ⋯ All symptoms resolved shortly after initiation of intravenous heparin therapy. The relevant literature is reviewed.
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Am J Phys Med Rehabil · Nov 2007
Clinical TrialEffects of botulinum toxin A therapy with electrical stimulation on spastic calf muscles in children with cerebral palsy.
To assess the additive effect of adjuvant electrical stimulation on botulinum toxin A injection in children with spastic diplegic cerebral palsy. ⋯ Adjuvant electrical stimulation for a short period after botulinum toxin A injection was found to benefit early improvement of range of motion and maintenance of gait improvement in children with spastic diplegia cerebral palsy showing dynamic equinus.
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Am J Phys Med Rehabil · Oct 2007
Influence of admission hematocrit on inpatient rehabilitation outcomes after total knee and hip arthroplasty.
To examine admission hematocrit (Hct) status on inpatient rehabilitation outcomes after total knee (TKA) and hip arthroplasty (THA). ⋯ Although very low Hct at admission does not impede functional gains, it is related to longer LOS and greater hospital charges. Rehabilitation teams should consider this when preparing plans of care, rehabilitation goals, and plans for discharge.