-
The Journal of Orthopaedic and Sports... Jun 2011The patient was a 45-year-old woman who was referred to a physical therapist and a physiatrist in a rehabilitation medicine department for evaluation and treatment of...
The patient was a 45-year-old woman who was referred to a physical therapist and a physiatrist in a rehabilitation medicine department for evaluation and treatment of severe bilateral lower leg, ankle, and foot pain. The patient's past medical history was significant for sickle cell disease and she had undergone an allogeneic stem cell transplant 4 months prior with Sirolimus prescribed to prevent rejection. Magnetic resonance imaging of both lower legs revealed extensive bone marrow edema, as well as soft tissue swelling about the lower legs and ankles. These findings, along with the patient's presentation (constant bilateral pain and erythema of the lower legs within 6 months of transplantation) were found to be consistent with an atypical condition called posttransplant distal limb syndrome.
Topics: Anemia, Sickle Cell; Ankle; Complex Regional Pain Syndromes; Female; Foot; Humans; Immunosuppressive Agents; Leg; Magnetic Resonance Imaging; Middle Aged; Opiate Alkaloids; Sirolimus; Stem Cell Transplantation; Treatment Outcome
PubMed: 21628828
DOI: 10.2519/jospt.2011.0412 -
American Journal of Physical Medicine &... Jun 2021
Topics: Humans; Patient Care Team; Physiatrists; Physical Examination; Vision Disorders
PubMed: 32701638
DOI: 10.1097/PHM.0000000000001544 -
Missouri Medicine 2022Falls occur at staggering rates across the country, with 25% of Americans over 65 reporting annual falls. The fall rate in Missourian older adults is 27.3%. Eighty-six... (Review)
Review
Falls occur at staggering rates across the country, with 25% of Americans over 65 reporting annual falls. The fall rate in Missourian older adults is 27.3%. Eighty-six percent of fall-related deaths happen over the age of 65. There are many intrinsic and extrinsic factors that contribute to falls, with some factors that can be targeted and optimized by physicians. There are nuances to the history and physical that can help physicians identify these risk factors.
Topics: Accidental Falls; Aged; Demography; Humans; Risk Assessment; Risk Factors
PubMed: 36036034
DOI: No ID Found -
Electronic Physician Mar 2018Peripheral neuropathy is a disorder with often unknown causes. Some drugs, including statins, are proposed to be among the causes of peripheral neuropathy. This study...
BACKGROUND AND AIM
Peripheral neuropathy is a disorder with often unknown causes. Some drugs, including statins, are proposed to be among the causes of peripheral neuropathy. This study aimed at evaluating this condition by electrodiagnostic study among patients who had received statins.
METHODS
This case-control study was conducted in Shiraz, Iran in 2015, and included 39 patients aged 35-55 who had received statins for at least 6 months, and 39 healthy matched controls. Using electrodiagnosis, the sensory and motor wave features (amplitude, latency and nerve conduction velocity) of the peripheral nerves (Median, Ulnar, Tibial, Sural, and Peroneal) were evaluated among the subjects. Data were analyzed using SPSS software and p<0.05 was considered statistically significant.
RESULTS
Regarding the occurrence of neuropathy, there were no significant differences in any of the definitions presented for peripheral neuropathy. However, the difference was close to significance for one definition [2 abnormalities in 2 nerves (p=0.055)]. Regarding mean values of the features, significant differences were observed in two features: amplitude of the peroneal motor nerve (p=0.048) and amplitude of the sural sensory nerve (p=0.036).
CONCLUSION
Since statins are widely used, awareness regarding their side-effects would lead to better treatment. Even though no significant differences were found between the groups regarding the occurrence of peripheral neuropathy, there were significant differences in amplitudes of the sural sensory response and the peroneal motor response. This indicates the involvement of peripheral nerves. Therefore, we recommend that patients and physicians should be informed about the possible symptoms of this condition.
PubMed: 29765578
DOI: 10.19082/6527 -
Arquivos de Neuro-psiquiatria Nov 2023Detailed information about the electromyography practice in Brazil is largely unavailable.
BACKGROUND
Detailed information about the electromyography practice in Brazil is largely unavailable.
OBJECTIVE
To evaluate where and how electromyography is performed in Brazil, as well as regional disparities and the professional and academic credentials of electromyographers.
METHODS
We conducted an internet-based survey of active Brazilian electromyographers. The websites of health insurance companies, professional academies, medical cooperatives, online search engines, and social networks in each Brazilian state were screened and we evaluated the credentials of each electromyographer listed in the Brazilian Federal Medical Board (BFMB) registration website and their online in the Brazilian National Council for Scientific and Technological Development (Conselho Nacional de Desenvolvimento Científico e Tecnológico, CNPq, in Portuguese). We also evaluated the same parameters in a control group of non-electromyographer neurologists randomly matched by geographical distribution and gender.
RESULTS
We found 469 electromyographers (384 neurologists and 85 non-neurologists), with a male predominance. In total, 81.9% were BFMB-certified neurologists, 49.9%, BFMB-certified clinical neurophysiologists, and 10.4%, BFMB-certified physiatrists. Among the non-neurologists, 48.2% were physiatrists. Most electromyographers practiced in states on the Southern and Southeastern regions of Brazil. When adjusted by population, the Federal District and the states of Mato Grosso do Sul and Goiás presented the highest of eletromyographers density. Electromyographers were not more likely to have current/past academic affiliations.
CONCLUSION
In Brazil, electromyography is performed predominantly by neurologists, and half of them are BFMB-certified clinical neurophysiologists. The present study highlights regional disparities and may guide government-based initiatives, for instance, to improve the diagnosis of leprosy and the management of neuromuscular disorders within the Brazilian territory.
Topics: Humans; Male; Female; Brazil; Electromyography; Leprosy; Neurologists; Physicians
PubMed: 38035579
DOI: 10.1055/s-0043-1777007 -
American Journal of Physical Medicine &... Oct 2022Through increased temperature-related illness, exposure to wildfire smoke and air pollutants, and more frequent and intense natural disasters, climate change is...
Through increased temperature-related illness, exposure to wildfire smoke and air pollutants, and more frequent and intense natural disasters, climate change is disproportionately affecting the health of people with disabilities. Although the evidence behind the health effects of climate change is growing, there remain critical research gaps in the physiatric literature that must be addressed. Increased education throughout the medical-education continuum is also needed to prepare physiatrists to address the climate-related health effects impacting their patient populations. Physiatrists and their member organizations should advocate for policies that address climate change with a focus on the unique needs of their patient population and the inclusion of people with disabilities in the policy making process.
Topics: Climate Change; Humans; Physical and Rehabilitation Medicine; Prospective Studies; Smoke
PubMed: 35363629
DOI: 10.1097/PHM.0000000000002017 -
European Journal of Physical and... Feb 2017Mobility recovery after arthroscopic rotator cuff repair in different tears size.
BACKGROUND
Mobility recovery after arthroscopic rotator cuff repair in different tears size.
AIM
To investigate, after arthroscopic rotator cuff repair, the range of motion (ROM) progression in different sized tears (small, large and massive), and evaluating ROM changes in the pre- and postoperative periods of each group.
DESIGN
Cohort study.
SETTING
Policlinico Umberto I, "Sapienza" University, Rome, Italy.
POPULATION
Ninety-two patients with reparable rotator cuff tears.
METHODS
Patients were divided in three groups: group A (small lesions), group B (large lesions) and group C (reparable massive lesions) composed by 29, 31 and 32 patients, respectively. ROM were measured preoperatively (T0), and after 45 (T1), 70 (T2) and 100 (T3) days after the arthroscopic treatment.
RESULTS
From T0 to T3, small lesions are associated to excellent results, with an improvement of all parameters; the same in patients with large lesions, except for flexion parameter; in reparable massive lesions only external and internal rotation improved.
CONCLUSIONS
Not all parameters recover in the same way: postoperative rehabilitative protocol is an integral contributor to favorable outcomes in patients with rotator cuff tears.
CLINICAL REHABILITATION IMPACT
The knowledge about ROM recovering after arthroscopic rotator cuff repair is a strategic information for the patient, as well as for the surgeon and physiatrist.
Topics: Aged; Analysis of Variance; Arthroscopy; Cohort Studies; Female; Humans; Italy; Male; Recovery of Function; Rotator Cuff Injuries; Trauma Severity Indices
PubMed: 27332786
DOI: 10.23736/S1973-9087.16.04133-2 -
Journal of Rehabilitation Research and... 2014Fascia can be considered part of the connective tissues that permeates the human body. However, in medical training its definition is not clear, and even among... (Review)
Review
Fascia can be considered part of the connective tissues that permeates the human body. However, in medical training its definition is not clear, and even among specialists its role is not completely understood. Physiatrists have a unique opportunity to add to the growing scientific and clinical knowledge about fascia, particularly about how this connective tissue network may apply clinically to musculoskeletal disorders. In this narrative review, the structure and function of fascia is discussed from the perspective of physiatry.
Topics: Fascia; Humans; Musculoskeletal Diseases; Pain; Physical and Rehabilitation Medicine
PubMed: 25356911
DOI: 10.1682/JRRD.2013.10.0220