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Purpose of Review Spondylolysis is a defect in the pars interarticularis that can range from a stress reaction to an overt fracture. It is the most common cause of low back pain in adolescent athletes, with a higher incidence in sports involving repetitive hyperextension. The purpose of this review is to discuss the work-up and management of spondylolysis in the youth athlete. Recent Findings A...
The corticosteroid choice for a lumbar transforaminal epidural steroid injection (TFESI) remains controversial. Whether to utilize particulate or nonparticulate steroid preparations for these injections remains an unanswered question in the literature.To determine if a particulate or nonparticulate steroid is more effective in the treatment of electromyography (EMG)-confirmed lumbosacral radiculopathy...
The number of total knee arthroplasty (TKA) procedures performed in the United States is increasing each year, and the number of bilateral TKA procedures has also increased during the past 2 decades. However, few studies in the literature have investigated the rehabilitation outcomes of patients who undergo bilateral TKA. This study was performed to provide information on the benefits and role of...
Baclofen commonly is used to manage spasticity caused by central nervous system lesions or dysfunction. Although both intrathecal and oral delivery routes are possible, no study has directly compared clinical outcomes associated with these 2 routes of treatment.To compare spasticity levels, pain, sleep, fatigue, and quality of life between individuals receiving treatment with intrathecal versus oral...
The overhead throwing motion is a complex activity that is achieved through activation of the kinetic chain. The kinetic chain refers to the linkage of multiple segments of the body that allows for transfer of forces and motion. The lower extremities and core provide a base of support, generating energy that is transferred eventually through the throwing arm and hand, resulting in release of the ball...
The number of individuals with heart failure and the treatment modalities available to manage heart failure are increasing. Continuous inotropic support is a treatment modality used in cases of severe heart failure. Although most patients initiated on continuous inotropic support are discharged home, those with greater functional compromise, comorbid conditions that cause disability, or other significant...
To investigate the benefits of comprehensive inpatient rehabilitation for patients after left ventricular assist device (LVAD) implantation.A retrospective cohort study.An urban academic inpatient rehabilitation hospital.This study included 58 patients admitted to inpatient rehabilitation after LVAD implantation between 2009 and 2012.Chart review of demographic, clinical, and functional data for patients...
To determine the accuracy of knee and acromioclavicular (AC) joint line palpation in Physical Medicine and Rehabilitation (PM&R) residents using ultrasound (US) verification.Cohort study.PM&R residency program at an academic institution.Twenty-four PM&R residents participating in a musculoskeletal US course (7 PGY-2, 8 PGY-3, and 9 PGY4 residents).Twenty-four PM&R residents participating...
To report outcomes of intrathecal baclofen (ITB) therapy for spasticity management in a cohort of patients who had received this treatment for at least 10 years.A cross-sectional survey and retrospective chart review.An academic rehabilitation outpatient clinic.Adult patients with spasticity treated with ITB for at least 10 years.Surveys included the Brief Pain Inventory, Penn Spasm Frequency Scale,...
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