Physical medicine and rehabilitation clinics of North America
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Pain and dysfunction related to tendinopathy are often refractory to traditional treatments and offer a unique challenge to physicians, because no gold standard treatment exists. Injectable biologics may represent a new modality in conjunction with a multifaceted treatment approach. ⋯ Studies are promising but have not been replicated with high-powered evidence at the clinical level. Further evidence to expand understanding of the role of PRP in the treatment of tendinopathy is needed.
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Phys Med Rehabil Clin N Am · Nov 2014
ReviewEvaluation and treatment of the concussed athlete - update.
Athletes with sports related concussions are increasingly seeking medical care for management and guidance for return to play. This article aims to provide an updated review of the management of youth sports concussions including preseason planning, on the field identification of concussion, clinical management of acute concussion, and discussion of prolonged symptoms including headache.
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Phys Med Rehabil Clin N Am · Aug 2014
ReviewStrategies for prevention of urinary tract infections in neurogenic bladder dysfunction.
In this article, the problem of urinary tract infections (UTIs) after spinal cord injury and disorders is defined, the relationship of bladder management to UTIs is discussed, and mechanical and medical strategies for UTI prevention in spinal cord injury and disorders are described.
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Phys Med Rehabil Clin N Am · Aug 2014
ReviewAssessment of neuromuscular conditions using ultrasound.
Upper extremity pain in persons with spinal cord injury is a common cause of morbidity. Ultrasound of nerve, muscle, and tendon has the potential to become a valuable modality in assessing this population, and has the advantage of reduced health care costs, portability, and use in populations that cannot tolerate MRI. It has the potential to detect issues before the onset of significant morbidity, and preserve patient independence. Upper extremity ultrasound already has many studies showing its utility in diagnosis, and newer techniques have the potential to enhance its use in the diagnosis and management of musculoskeletal conditions.
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Phys Med Rehabil Clin N Am · Aug 2014
ReviewFunctional electrical stimulation and spinal cord injury.
Spinal cord injuries (SCI) can disrupt communications between the brain and the body, resulting in loss of control over otherwise intact neuromuscular systems. Functional electrical stimulation (FES) of the central and peripheral nervous system can use these intact neuromuscular systems to provide therapeutic exercise options to allow functional restoration and to manage medical complications following SCI. The use of FES for the restoration of muscular and organ functions may significantly decrease the morbidity and mortality following SCI. Many FES devices are commercially available and should be considered as part of the lifelong rehabilitation care plan for all eligible persons with SCI.