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Showing posts from September, 2018

Treatments and Procedures Physiatrists Perform

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Especially in the inpatient setting, physiatrists provide general medical treatment like internal medicine to maintain medical stability and provide secondary prevention of disability. Physiatrists do not do operation yet have many procedural opportunities for diagnosis and treatment. Many of these procedures may require fellowship or innovative training to perform. These PM&R treatment procedures include: EMG (electromyography) : Introducing fine needle electrodes in muscles and observing the noted motor unit potentials when the muscles are activated to help distinguish whether weakness is due to muscle or nerve dysfunction (i.e., myopathy vs. neuropathy). NCS (nerve conduction studies) : Usage of electrodes to record motor and sensory responses that are propagated by electrical stimuli. This treatment can help distinguish the location of a nervous system lesion (radiculopathy, peripheral neuropathy, motor neuron disease, or neuromuscular junction). Peripheral jo

Recent Advances in Rehabilitation

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In Many countries, 13-14% of the population have some degree of disability. The demand for rehabilitation services will rise as evidence accrues for their usefulness and as more people survive longer with substantial disability. Recent evidence strongly supports the provision of well organized, coordinated, multidisciplinary rehabilitation services based on a problem-oriented method. In the future, specific interventions will be more evidence-based, leading to the more appropriate use of interventions and more appropriate referrals to professional facilities. Rehabilitation has recently seen many practical inventions and new evidence for specific interventions, but the major advances in rehabilitation are theoretical rather than practical. Firstly, the approach to patients has moved from a mainly medical one to one in which psychological and sociocultural aspects are equally important. Secondly, the need for organized professional rehabilitation services—for example, for neuro

Current Trends in Rehabilitation

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The rehab equipment industry has changed extremely in the last few years. Some tools have gained popularity, others are on the failure and the market is filled with new products designed to improve patient care and make Physical therapists ’ lives easier. Many of these changes have been driven by altering reimbursement structures as clinic directors have had to adjust their practices to stay profitable. Still, other new developments have more to do with aging patient populations, the convenience of better technologies and parallel changes in surgical practices. 1. Water-Based Therapy Water therapy is on the rise, particularly among elderly people and osteoarthritis patients. Water provides both buoyancy and resistance, a combination that may benefit people whose joints are too repressed or painful for land-based, full range of motion exercises. Specifically, aquatic exercise is beneficial for patients who suffer from both knee and hip osteoarthritis, and that it m

Iliotibial band syndrome – Symptoms and Diagnosis

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Persons who exercise frequently, particularly runners, are prone to experience pain in the outer part of the knee. When this happens, iliotibial band syndrome may be the cause. Iliotibial (IT) band syndrome is frequently caused by repeatedly bending the knee during physical activities, such as running, cycling, swimming, and climbing. The IT band is a group of fibers that run the length of the upper leg, from the hip to the top of the shin. When overused, the IT band can become stiffened. The constriction can cause the band to rub against the outside of the knee. The brass rubbing can lead to pain and swelling. IT band syndrome may begin as minor pain and increase if left untreated. The best treatment is often to stop doing the action that is producing the pain. In more severe cases, operating options may need to be considered. Symptoms: Symptoms of IT band syndrome may vary a little from individual to individual in intensity and how they appear. Some sympto