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To determine the effect of varying initial bipedal stance width (ISW) on the clinical measurement of unipedal balance time (UBT).Observational, cross-sectional study.Academic physiatric outpatient facility.Thirty-one clinic subjects with neuromuscular and/or musculoskeletal conditions known to influence mobility and 30 similarly-aged healthy subjects.Demographic and clinical information were recorded...
To compare the recovery of mobility and self-care functions among veteran amputees according to the timing and type of rehabilitation services received.Observational study of inpatient rehabilitation care patterns of 2 types (specialized and consultative) with 2 timings (early and late).Data from inpatient specialized rehabilitation units (SRUs) and consultative services within 95 Veterans Affairs...
To identify a form of binocular vision dysfunction (vertical heterophoria) in a traumatic brain injury (TBI) population and to assess the effect of individualized prismatic spectacle lenses on postconcussive symptoms.Retrospective study.Private physical medicine and rehabilitation practice and private optometric practice.A subset of TBI patients who were initially evaluated by a single physiatrist...
The use of botulinum toxins to decrease spasticity in children with cerebral palsy has become standard of care during the past decade. In 2008 reports of severe adverse events, including death, were reported in children who received injections of these medications. The following discussion focuses on the background of these reports, the response of the U.S. Food and Drug Administration, as well as...
To evaluate the efficacy and safety of botulinum toxin type A (BoNT-A) injected intra-articularly in 60 subjects with moderate pain and functional impairment secondary to knee osteoarthritis. The study investigators hypothesized that intra-articular BoNT-A would result in statistically significant improvements in pain and function at 8 weeks.Double-blind, randomized, single tertiary care academic...
To determine the safety and efficacy of 2 intra-articular, fluoroscopically guided hylan G-F 20 injections for painful glenohumeral osteoarthritis.This study was a prospective open-label pilot investigation with both U.S. Food and Drug Administration and institutional review board approval.Private, outpatient practice within a tertiary care, university medical school.Thirty-six subjects with moderate...
This article will review relevant mechanisms and markers associated with overtraining syndrome (OTS), and discuss signs and symptoms, differential diagnosis, and current assessment tools for fatigue within the context of overtraining. The findings are drawn from original research and review articles referenced by PubMed and ScienceDirect databases. Sources were selected for their contributions to...
The extreme conditions causing fatigue in military service members in combat and combat training deserve special consideration. The collective effects of severe exertion, limited caloric intake, and sleep deprivation, combined with the inherent stressors of combat, lead to both physiological and psychological fatigue that may significantly impair performance. Studies of combat training have revealed...
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