{"title":"Rehabilitation of hemidystonia as a result of right pontine hemorrhagic stroke","authors":"Melanie Aing, Craig Ditommaso","doi":"10.1097/ph9.0000000000000015","DOIUrl":"https://doi.org/10.1097/ph9.0000000000000015","url":null,"abstract":"Dystonia is a movement disorder characterized by involuntary, repetitive writhing movements. Historically, dystonia is a disorder of the basal ganglia. However, recent studies have reported cases of dystonia associated with brainstem disorders. Although many theories have been proposed, the pathologic mechanism of the disorder is uncertain. Furthermore, few effective treatment options have been proposed. This case study reports a case of hemidystonia resulting from acute pontine hemorrhagic stroke successfully treated with pharmacotherapy and intensive inpatient rehabilitation. The patient presented to our inpatient rehabilitation facility, where baclofen was administered with intensive rehabilitation. On discharge, his functionality improved to mostly independent with activities of daily living.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"12 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139268215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Severe axonal motor neuropathy after heat stroke","authors":"Melanie Madeleine J. Quoilin, Nikola Dragojlovic","doi":"10.1097/ph9.0000000000000016","DOIUrl":"https://doi.org/10.1097/ph9.0000000000000016","url":null,"abstract":"A 22-year-old healthy man experienced heat stroke while hiking and collapsed, resulting in multiorgan failure, cerebral edema, and prolonged intensive care unit stay. He developed flaccid tetraplegia, facial weakness, and dysphagia, and was diagnosed with severe axonal sensorimotor polyneuropathy. Rehabilitation improved dysphagia, but he remained dependent on daily activities and required assistance for transfers. The prognosis of critical illness polyneuropathy is typically good in young, healthy individuals. Peripheral neuropathy is a rare complication of heat stroke due to hyperthermia-induced neuronal injury. As global temperatures continue to rise, it is essential to recognize the potential impact of climate change on the incidence of heat stroke and to implement public health interventions to mitigate its effects.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"50 3-4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139270197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eryn Campbell, Marcalee Alexander, J. Kotcher, E. Maibach
{"title":"Rehabilitation medicine professionals’ views on climate change and health","authors":"Eryn Campbell, Marcalee Alexander, J. Kotcher, E. Maibach","doi":"10.1097/ph9.0000000000000017","DOIUrl":"https://doi.org/10.1097/ph9.0000000000000017","url":null,"abstract":"Climate change is already harming human health, both directly and indirectly. Physical and rehabilitation medicine professionals are at the frontlines of addressing climate change and health, as their patients are particularly vulnerable to these health harms. It is, therefore, important to understand how these health professionals understand the connection between climate and health and what resources they need to engage with the issue. We surveyed the members of 2 medical societies—the Association of Academic Physiatrists and the International Society of Physical and Rehabilitation Medicine—to assess their climate beliefs and attitudes, understanding of climate change’s present and future health harms, the barriers they perceive to engagement with the issue, and the types of resources they would find helpful. We found that health professionals in the field of rehabilitation medicine understand that climate change impacts human health and think actions should be taken; however, they also perceive barriers to their own involvement in educating the public and policymakers about climate and health and believe there are more urgent health issues in the region where they practice. Our findings suggest that health professionals in the field of rehabilitation medicine are convinced of the realities of climate change and its relationship to their profession. Further, although many in this field do perceive other health issues to be more urgent in their regions of practice, there are opportunities to provide resources and support to those who are ready to engage directly with climate change and health.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139283731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dry needling versus corticosteroid injections to treat tendinopathy: a systematic review","authors":"Ifra Aman, Kalpana Zutshi, Depika Singla","doi":"10.1097/ph9.0000000000000014","DOIUrl":"https://doi.org/10.1097/ph9.0000000000000014","url":null,"abstract":"During physical activity and exercises, there is more stress and forces are exerted on the tendon, which increases the risk of injury. There are several studies that suggest dry needling has a positive effect in treating tendinopathy. Corticosteroid injections are the most commonly used treatment for acute and chronic tendon lesions. In this review, we will compare different lines of treatment; dry needling and corticosteroid injections for tendinopathy and their efficacy in reducing symptoms. The aim of this systematic review is to critically analyze the literature to find the effect of dry needling when compared with corticosteroid injection in treating tendinopathy.\u0000 \u0000 \u0000 \u0000 This systematic review was directed according to “Preferred Reporting Items for Systematic Reviews and Meta-analysis” guidelines. The principal research question that was studied “Is dry needling better than corticosteroid injections in treating tendinopathy?” Various different electronic databases were used to search relevant articles using different keywords. Articles were collected altogether and selected on the basis of eligibility criteria. The closing sets of articles were selected after complete screening.\u0000 \u0000 \u0000 \u0000 Both dry needling and corticosteroid injections are effective in treating tendinopathy for both short term whereas dry needling is more significantly effective in long-term use.\u0000 \u0000 \u0000 \u0000 Dry needling is superior to corticosteroid injection in treating tendinopathy.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135427728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Victor Figueiredo Leite, Leandro Gonçalves Cezarino, Valéria Conceição Jorge, Maria do Carmo Correia de Lima, Cleber Nunes da Rocha, Silmara Scontre, Danielle Bianchini Rampim
{"title":"Physical, psychological, and cognitive outcomes after coronavirus disease 2019 hospitalization: a prospective study with 3-month follow-up of a Brazilian cohort","authors":"Victor Figueiredo Leite, Leandro Gonçalves Cezarino, Valéria Conceição Jorge, Maria do Carmo Correia de Lima, Cleber Nunes da Rocha, Silmara Scontre, Danielle Bianchini Rampim","doi":"10.1097/ph9.0000000000000013","DOIUrl":"https://doi.org/10.1097/ph9.0000000000000013","url":null,"abstract":"Context: Post–coronavirus disease (COVID) is associated with multiple impairments. Aims: To identify consequences of COVID 2019 (COVID-19) hospitalization, and risk factors for functional dependence 3 months after discharge. Settings and design: Prospective cohort in a verticalized health care network. Material and methods: Individuals hospitalized from June to November 2020 due to COVID-19 were investigated assessing outcomes pertaining to physical and respiratory symptoms, mental health, and physical, swallow and vocal, and cognitive function at baseline, and after 1 and 3 months. Those admitted to the intensive care unit were compared with those in the ward. Statistical analysis used: Within and between-group comparison and across time points using T test paired samples, Wilcoxon test, 1-way analysis of variance and Kruskal-Wallis, Pearson χ 2 and Fisher exact test, with a statistical power of 80% and α = 5%, and a post hoc univariable and multivariable logistic regression. Results: Participants (n = 326) had a mean of 70.3 (9.2) years and were hospitalized for a median (interquartile range) of 5 (3–8) days. In the 3-month follow-up, participants persisted with fatigue (64.7%), breathlessness (44.5%), aches, and pains (18.5%). Dyspnea and fatigue rates worsened during the same time period. Multivariable regression showed Timed Up and Go (test) ≥20 seconds at discharge as a predictor of functional dependence for IADL at the 3-month follow-up [odds ratio =3.12 (95% CI: 1.25–7.84)]. Conclusions: The impact of COVID-19 persisted for at least 3 months, with improvement of only some outcomes in the period. A poor performance at the Timed Up and Go test at baseline was a predictor of functional dependence at 3 months.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135427726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alexander De La Rosa-Cabral, Francisco Irizarry, Edwardo Ramos
{"title":"Camptocormia and drop head syndrome secondary to myotonic dystrophy type 1: a case series and literature review","authors":"Alexander De La Rosa-Cabral, Francisco Irizarry, Edwardo Ramos","doi":"10.1097/ph9.0000000000000012","DOIUrl":"https://doi.org/10.1097/ph9.0000000000000012","url":null,"abstract":"Camptocormia and drop head syndrome (DHS) is an abnormal flexion of the spine (kyphosis) caused by paraspinal muscle weakness. Camptocormia is used when the kyphosis is at the thoracolumbar levels and DHS is used when the kyphosis is in the cervical area. This manifestation can be seen in different populations including myotonic dystrophy type 1 (DM1). The purpose of this article is to present a case series of patients with DM1 developing camptocormia or DHS in addition to a literature review about pathophysiology, diagnosis, and treatment. The case series are 2 patients diagnosed with camptocormia and 1 patient diagnosed with DHS secondary to DM1 evaluated at a neuromuscular outpatient clinic. Physical examination showed flexible thoracolumbar kyphosis in 2 patients, and 1 patient presented with a flexible kyphotic cervical spine. Imaging studies showed atrophy of the paraspinal muscles (magnetic resonance imaging and computed tomography scan). Physical therapy was prescribed with poor results. The orthotic recommendation was given to patients with camptocormia with marked functional improvement. The DHS patient showed no improvement with an orthosis. In conclusion, camptocormia and DHS are possible long-term complications in patients with DM1. Clinically they present with flexible cervical and thoracic kyphosis due to atrophic changes with fatty infiltration at the paraspinal muscles. Physical therapy has poor results, and orthosis use has mixed results.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135428903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The efficacy of climatotherapy on medical rehabilitation outcomes: a systematic review","authors":"Bhasker Amatya, Fary Khan","doi":"10.1097/ph9.0000000000000011","DOIUrl":"https://doi.org/10.1097/ph9.0000000000000011","url":null,"abstract":"Climatotherapy is the planned medical application of climatic factors for the improvement of functioning and prevention or treatment of diseases. Various climatic factors affect the physical and psychosocial functioning in persons with various health conditions including neuromuscular conditions, rheumatic diseases, and chronic respiratory illness. This systematic review is an evidence-based overview of the efficacy of the application of various climatotherapy on rehabilitation outcomes. A comprehensive literature search was conducted using medical/health science databases: PubMed, EMBASE, CINAHL, and Cochrane Library (from inception till May 2022). Two reviewers independently performed study selection, data extraction, and appraised study quality. Due to heterogeneity amongst included trials, a qualitative analysis provided the best evidence synthesis. Overall, 11 randomized controlled trials and 7 observational studies, which evaluated the impact of different climatic factors/conditions (such as warm/cold climate and high altitudes) on patient outcomes postrehabilitation interventions, were included. Most studies scored “low” on quality assessment due to methodological limitations. The findings suggest evidence for the beneficial effect of a warm climate in reducing disability and improved participation in patients with rheumatological, neuromuscular, and chronic respiratory conditions. Rehabilitation interventions conducted in warmer climate tends to enhance physical activity in some of these conditions. No data was available for adverse effects or associated care costs. Although the impact of climatic factors on rehabilitation outcomes is widely documented, high-quality research is sparse in this area. More methodologically robust studies are needed to build evidence for the use of climatotherapy to enhance rehabilitative care.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135471831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Pinheiro, L. R. Branquinho, Joana Pinheiro, Susana Ramos
{"title":"Understanding sports injury: A preliminary study","authors":"J. Pinheiro, L. R. Branquinho, Joana Pinheiro, Susana Ramos","doi":"10.1097/ph9.0000000000000010","DOIUrl":"https://doi.org/10.1097/ph9.0000000000000010","url":null,"abstract":"","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48148683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marla A. Petriello, A. Mathews, Kaile Eison, Elana Hartman, Hannah K Steere
{"title":"Survey of global health education in physical medicine and rehabilitation residency programs across the United States","authors":"Marla A. Petriello, A. Mathews, Kaile Eison, Elana Hartman, Hannah K Steere","doi":"10.1097/ph9.0000000000000009","DOIUrl":"https://doi.org/10.1097/ph9.0000000000000009","url":null,"abstract":"","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42719635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Partly cystic common peroneal nerve schwannoma: an unusual cause of hallux drop","authors":"A. Mishra, Naresh Kumar, Simarjeet Singh","doi":"10.1097/ph9.0000000000000007","DOIUrl":"https://doi.org/10.1097/ph9.0000000000000007","url":null,"abstract":"","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44499421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}