Physical medicine and rehabilitation clinics of North America
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This article describes the evolution of vocational rehabilitation and the development of the rehabilitation counselor's role as the generally accepted expert in forensic vocational rehabilitation assessment. The vocational rehabilitation process is discussed within an empirically derived structural model of forensic vocational assessment. The concept of work-life expectancy is discussed as a key feature in estimating the duration of time vocational damages are likely to occur based on a person's remaining work participation.
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Phys Med Rehabil Clin N Am · Aug 2013
ReviewConsiderations for neuropathic pain conditions in life care planning.
Significant progress has been made in assessing and managing neuropathic pain. Newer, more effective treatments with minimal side effects are available. ⋯ A clear understanding of the underlying issues and careful coordination with neurologists and other treatment providers are key to providing optimal life care plans. Understanding that pain treatments vary over time and by individual patient is integral to comprehensive life care planning.
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Phys Med Rehabil Clin N Am · Feb 2013
ReviewClinical and electrodiagnostic features of sciatic neuropathies.
Sciatic neuropathy is the second most common neuropathy of the lower extremity and a common cause of foot drop. This article reviews the anatomy, clinical features, pathophysiology, and electrodiagnostic assessment of sciatic neuropathies. ⋯ Diagnosis is augmented by careful electrodiagnostic studies and imaging to help distinguish sciatic neuropathy from other sources of pathology. Electrodiagnostic studies may also help in assessing for early recovery and in determining prognosis.
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Cervical radiculopathy is a common diagnosis with a peak onset in the fifth decade. The most commonly affected nerve root is C7, C6, and C8. The etiology is often compressive, but may arise from noncompressive sources. ⋯ Diagnostic tests include imaging and electrodiagnostic study. Electrodiagnostic study serves as an extension of the neurologic examination. Electrodiagnostic findings can be useful for patients with atypical symptoms, potential pain-mediated weakness, and nonfocal imaging findings.
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This article discusses the historical aspects related to the understanding of carpal tunnel syndrome (CTS) and its diagnosis, highlighting observations about this disease that have yet to be challenged. This is followed by a discussion regarding the use of electrodiagnostic testing as a diagnostic tool for CTS, as well as the author's approach to making the diagnosis of CTS. Finally, conclusions about future directions in the diagnosis and treatment of this disorder are presented.