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All posts; Tags Include "Rehabilitation"

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  • February 16, 2012
  • 12:02 AM
  • 762 views

Is Early Passive Motion Exercise Necessary After Arthroscopic Rotator Cuff Repair?

by Stephen Thomas in Sports Medicine Research (SMR): In the Lab & In the Field

The objective of this randomized clinical trial was to determine if immobilization following rotator cuff repair improves functional outcomes and tendon healing in humans compared to early passive motion.... Read more »

  • February 10, 2012
  • 12:02 AM
  • 762 views

The Benefits of Prehabilitation: Mobilizing Your Patient Before it’s too Late

by Joseph Zeni in Sports Medicine Research (SMR): In the Lab & In the Field

The authors in this paper evaluated the value of “prehabilitation” before knee replacement.... Read more »

  • February 7, 2012
  • 12:02 AM
  • 737 views

Benefits of Spinal Manipulation or Home Exercise vs Medication for Neck Pain

by Kris Fayock in Sports Medicine Research (SMR): In the Lab & In the Field

Bronfort et al tested the effectiveness of spinal manipulation therapy (SMT), medication, and home exercise with advice (HEA) for acute and sub-acute neck pain.... Read more »

  • January 23, 2012
  • 03:18 PM
  • 506 views

Parent Training and Conduct Disorder Outcome

by William Yates, M.D. in Brain Posts

Three previous posts examined the clinical neuroscience disorder antisocial personality disorder (ASPD).  This condition results in high societal costs for crime and incarceration for individuals with ASPD.ASPD appears to have significant genetic contributions and brain imaging studies show abnormal brain maturational patterns in the premotor cortex area as well as impaired processing of facial emotional expression.Antisocial personality is an early age of onset disorder with conduct disord........ Read more »

Drugli MB, Larsson B, Fossum S, & Mørch WT. (2010) Five- to six-year outcome and its prediction for children with ODD/CD treated with parent training. Journal of child psychology and psychiatry, and allied disciplines, 51(5), 559-66. PMID: 20015193  

  • January 20, 2012
  • 11:40 AM
  • 676 views

Brain Imaging in Antisocial Personality: II

by William Yates, M.D. in Brain Posts

This is the second in a series of posts looking at recent imaging findings in antisocial personality.  In the first post, I reviewed an fMRI study that found deficits in connectivity maturation involving the premotor cortex in a sample of incarcerated juveniles.In this post, I will review a study looking a emotional face processing.  Accurately assessing the emotions of others and adjusting ones own behavior is a key component to social development and appropriate social behavior.Indiv........ Read more »

Passamonti L, Fairchild G, Goodyer IM, Hurford G, Hagan CC, Rowe JB, & Calder AJ. (2010) Neural abnormalities in early-onset and adolescence-onset conduct disorder. Archives of general psychiatry, 67(7), 729-38. PMID: 20603454  

  • January 19, 2012
  • 09:22 AM
  • 698 views

Brain Imaging in Antisocial Personality: I

by William Yates, M.D. in Brain Posts

Antisocial personality disorder (ASPD) is linked to a variety of emotional and behavioral abnormalities with significant public health implications.Key components of antisocial personality disorder include irritability with anger dysregulation.  Individuals with ASPD are quick tempered with anger outbursts commonly leading to physical or emotional aggressiveness towards others.The emotional and behavioral abnormalities in ASPD may provide a model for studying specific brain regions controll........ Read more »

Shannon BJ, Raichle ME, Snyder AZ, Fair DA, Mills KL, Zhang D, Bache K, Calhoun VD, Nigg JT, Nagel BJ.... (2011) Premotor functional connectivity predicts impulsivity in juvenile offenders. Proceedings of the National Academy of Sciences of the United States of America, 108(27), 11241-5. PMID: 21709236  

  • January 18, 2012
  • 09:40 AM
  • 684 views

Twin Study of Antisocial Personality Disorder

by William Yates, M.D. in Brain Posts

Twin studies provide a valuable method to explore the genetic and environmental contributions to a variety of clinical neuroscience disorders.Twin studies use a method where identical twins (monozygotic) sharing 100% of their genes are compared to non-identical twins (dizygotic) who share 50% of their genes.Disorders that are entirely environmental would be found at the same rates in non-identical twins and indentical twins.  Disorders with a strong genetic contribution would be more likely........ Read more »

  • January 15, 2012
  • 08:09 PM
  • 926 views

Avoiding Lasting Pain With Administration of High Dosage Spurts of Morphine

by DJ Busby in Astronasty

This discovery, in a nutshell, can be found in the last sentence of the abstract:
"Opioids thus not only temporarily dampen pain but may also erase a spinal memory trace of pain."... Read more »

Drdla-Schutting, R., Benrath, J., Wunderbaldinger, G., & Sandkuhler, J. (2012) Erasure of a Spinal Memory Trace of Pain by a Brief, High-Dose Opioid Administration. Science, 335(6065), 235-238. DOI: 10.1126/science.1211726  

  • December 16, 2011
  • 12:20 AM
  • 4,396 views

Shoulder force couples – How do they function throughout rehab exercises?

by Mark Rice in Sports Medicine Research (SMR): In the Lab & In the Field

Swanik et al. investigated muscle coactivation levels and coactivation patterns of the subscapularis, infraspinatus, and teres minor throughout the range of motion (ROM) of 4 commonly utilized therapeutic exercises.... Read more »

  • December 13, 2011
  • 12:08 AM
  • 4,172 views

Long-Term Effect of Physical Training as Treatment for Overuse Injury

by Hallie Labrador in Sports Medicine Research (SMR): In the Lab & In the Field

The purpose of this follow-up trial was to revisit the original subjects of a randomized controlled trial studying the impact of a training program on adductor-related groin pain and test whether the effects were still statistically significant 8 to 12 years later.... Read more »

  • November 16, 2011
  • 02:59 PM
  • 693 views

CBT and Exercise Reduce Pain in Fibromyalgia

by William Yates, M.D. in Brain Posts

Cognitive Behavior Therapy or (CBT) is a form of psychotherapy originally developed for the treatment of major depression.  Modifications of CBT for a variety of other neuropsychiatric disorders quickly emerged and now the demand for CBT exceeds the supply of trained therapists.  Efforts to extend the benefits seen with CBT now includes telephone and internet-based methods. CBT hold promise in management of pain from a variety of medical conditions.  This promise requires the deve........ Read more »

McBeth, J., Prescott, G., Scotland, G., Lovell, K., Keeley, P., Hannaford, P., McNamee, P., Symmons, D., Woby, S., Gkazinou, C.... (2011) Cognitive Behavior Therapy, Exercise, or Both for Treating Chronic Widespread Pain. Archives of Internal Medicine. DOI: 10.1001/archinternmed.2011.555  

  • November 9, 2011
  • 12:26 AM
  • 826 views

Hip Strengthening Improves Patellofemoral Pain: A Double Feature

by Jeffrey B. Driban in Sports Medicine Research (SMR): In the Lab & In the Field

While several articles have reported associations between hip strength/kinematics and knee pain, including studies that suggest hip strengthening may improve knee pain (see Related Posts below), few have been randomized controlled trials assessing the benefits of isolated hip strengthening on patellofemoral pain. Recently, two randomized controlled trials assessing hip strengthening among females with patellofemoral pain have been published in JOSPT. ... Read more »

  • November 8, 2011
  • 09:42 AM
  • 1,356 views

Smart Homes: Clever ideas for tomorrow’s health

by Stuart Farrimond in Dr Stu's Science Blog

As anyone who’s spent time in a hospital ward will know, dementia is a big problem. The elderly with memory problems occupy a disproportionate number of hospital beds. Often admitted for a simple illness, they represent a forgotten populace left in limbo. No longer able to fully care for themselves yet not needing full-time care; … Continue reading »... Read more »

Orpwood, R., Gibbs, C., Adlam, T., Faulkner, R., & Meegahawatte, D. (2005) The design of smart homes for people with dementia—user-interface aspects. Universal Access in the Information Society, 4(2), 156-164. DOI: 10.1007/s10209-005-0120-7  

  • November 7, 2011
  • 12:01 AM
  • 660 views

Resistance Training vs. Static Stretching

by Kris Fayock in Sports Medicine Research (SMR): In the Lab & In the Field

It is important for both athletes and non-athletes to have adequate range of motion (ROM) in their muscle-joint complexes. Long-standing beliefs of how static stretching and resistance training affect strength and flexibility are now being challenged by recent research. The purpose of this study was to determine how full-range resistance training affected flexibility and strength compared to static-stretching of the same muscle-joint complexes in untrained adults. ... Read more »

Morton SK, Whitehead JR, Brinkert RH, & Caine DJ. (2011) Resistance Training vs. Static Stretching: Effects on Flexibility and Strength. Journal of Strength and Conditioning Research. PMID: 21969080  

  • October 31, 2011
  • 03:54 AM
  • 930 views

Trick or Treatment: Do Doctors Encourage Poor Patient Behaviors?

by Pranab Chatterjee in Scepticemia

Happy Pumpkin Day folks, and to celebrate this day of weird encounters, I am going to reel off a list of the commonest peeves I have experienced in the past couple of years I have been doing Medicine. There are obvious gaps in the stories, and many are not even unique to me, but I [...]... Read more »

Moseley, J., O'Malley, K., Petersen, N., Menke, T., Brody, B., Kuykendall, D., Hollingsworth, J., Ashton, C., & Wray, N. (2002) A Controlled Trial of Arthroscopic Surgery for Osteoarthritis of the Knee. New England Journal of Medicine, 347(2), 81-88. DOI: 10.1056/NEJMoa013259  

  • October 24, 2011
  • 06:30 PM
  • 543 views

Post-extubation dysphagia risks and outcomes

by Adam in slowdog

Well, well dysphagia. Its been a while since you and I have gotten together for a little research. Its about time too, since my last post on the topic was several months ago. Time to snap out of this little funk and get back to some good ole nerdy writing.

I came across a nice study by some folks out in Colorado looking at dysphagia risk factors for critically ill patients, and the link between dysphagia and outcomes following critical illness. We know there seems to be a link between intubat........ Read more »

  • September 27, 2011
  • 03:34 PM
  • 577 views

The Ways We Talk About Pain

by Krystal D'Costa in Anthropology in Practice

Excerpts from the Personal Journal of Krystal D’Costa [i] Tuesday: I fell. Again. This time it was while getting out of the car. I’m not sure how I managed it. I got my foot caught on the door jamb and tumbled forward. I hit my shin—hard—against the door jamb and I think I tweaked my [...]









... Read more »

Pia Haudrup Christensen. (1999) "It Hurts": Children's Cultural Learning About Everyday Illness. Stichting Ethnofoor, 12(1), 39-52. info:/

  • September 22, 2011
  • 12:42 PM
  • 912 views

Is Lithium a Potential Aid in Traumatic Brain Injury?

by William Yates, M.D. in Brain Posts

Lithium carbonate serves as a primary treatment option in the treatment of mania and bipolar affective disorder.  An elemental metal, lithium has atomic number 3 in the periodic table of elements.The mechanism of action for lithium carbonate in bipolar disorder is unclear.  Some of the proposed mechanisms for lithium in the central nervous system include:alteration of the neurotransmitter glutamate (affected by other drugs linked to therapeutic effect in bipolar disorder, i.e. sodium v........ Read more »

  • September 20, 2011
  • 02:02 PM
  • 829 views

Melatonin For Tinnitus Clinical Trial

by William Yates, M.D. in Brain Posts

Tinnitus, or persistent ear ringing, has no definitive treatment.  I had recently posted a summary of the status of this disorder based on a research review.Since that post, a small but important placebo-controlled clinical trial examined the effect of melatonin on a group of subjects with tinnitus.Here are the key elements of the study design from this clinical trial:Subjects: Chronic tinnitus of at least 6 months duration as primary complaint (subjects ranged in age from 34 to 86)Clinical........ Read more »

Hurtuk A, Dome C, Holloman CH, Wolfe K, Welling DB, Dodson EE, & Jacob A. (2011) Melatonin: can it stop the ringing?. The Annals of otology, rhinology, and laryngology, 120(7), 433-40. PMID: 21859051  

  • September 19, 2011
  • 01:39 PM
  • 737 views

Inflammation, Depression and Heart Disease

by William Yates, M.D. in Brain Posts

Sunset in Santa Fe, New MexicoMajor depression appears linked to risk for coronary artery disease and an adverse outcome following myocardial infarction.  The mechanism for this association is unclear.One proposed mechanism relates to systemic markers of inflammation.  Elevated serum blood levels of inflammatory markers such as interleukin-6 and C-reactive protein are risk factors for heart disease.  Some research point to higher inflammatory markers levels in samples of individua........ Read more »

Duivis, H., de Jonge, P., Penninx, B., Na, B., Cohen, B., & Whooley, M. (2011) Depressive Symptoms, Health Behaviors, and Subsequent Inflammation in Patients With Coronary Heart Disease: Prospective Findings From the Heart and Soul Study. American Journal of Psychiatry, 168(9), 913-920. DOI: 10.1176/appi.ajp.2011.10081163  

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