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To develop a scientifically sound and clinically relevant evidence-based guideline for the treatment of painful diabetic neuropathy (PDN).We performed a systematic review of the literature from 1960 to August 2008 and classified the studies according to the American Academy of Neurology classification of evidence scheme for a therapeutic article, and recommendations were linked to the strength of...
Clinical screening to assess knee biomechanical dysfunctions and its comorbidities has been of interest for researchers and clinicians in recent years. Although research in the area of knee injury mechanics has elucidated some of the biomechanical predisposing factors that lead to knee injury, clinicians are still puzzled on how to translate these findings to their clinical practice. Highly instrumented,...
To evaluate whether the level of mobilization achieved and the barriers for progressing to the next mobilization level differ between nurses and physical therapists.Prospective, observational study.Twenty-bed surgical intensive care unit (SICU) of the Massachusetts General Hospital.Sixty-three critically ill patients.Physical therapists and nurses performed 179 mobilization therapies with 63 patients...
To assess whether adults, aged 50-59 years, who are obese or moderately to severely obese have impaired quadriceps strength and muscle quality in comparison with adults who are not obese, both groups with and without knee osteoarthritis (OA).Cross-sectional observational study.Rural community acquired sample.Seventy-seven men and 84 women, aged 50-59 years.Comparisons by using mixed models for clustered...
This article aims to examine pediatric concussion literature with respect to epidemiology, etiology, return to play, and recurrent concussions, and to provide recommendations for future research. We conducted a review of pediatric concussion literature regarding incidence, etiology, return to play, and recurrent concussive injury by using MEDLINE, CINAHL, Sport-Discus, and PsychInfo databases from...
To determine whether a 10-week supervised hip flexor stretching program in frail elderly subjects would increase peak hip extension, stride length, and gait speed and reduce anterior pelvic tilt during comfortable and fast-paced walking.A double-blinded, randomized, controlled trial.Pre- and post-treatment assessments were performed in a gait laboratory and stretching exercises were performed outside...
To study the association of time to inpatient rehabilitation hospital (IRH) admission and functional outcomes of patients who have had a stroke.A retrospective cohort study.A regional IRH.Moderately (n = 614) and severely (n = 1294) impaired patients who had a stroke who were admitted to the facility between 2002 and 2006.Not applicable.Change in total, motor, and cognitive Functional Independence...
To determine whether a 10-week supervised hip flexor stretching program in healthy elderly subjects would increase peak hip extension, stride length and gait speed and reduce anterior pelvic tilt during walking.A double-blinded, randomized, controlled trial.Pre- and posttreatment assessments were performed in a gait laboratory, whereas stretching exercises were performed outside of the laboratory,...
To examine the factors affecting postacute care discharge decisions among persons undergoing major lower limb amputations as a result of dysvascular causes.A population-based, multicenter prospective study.Eighteen participating hospitals in Baltimore, Maryland, and Milwaukee, Wisconsin, served as the referral base for this study.The study population consisted of patients aged 21 years or older who...
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