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Interventions in Chronic Pain Management. 4. Monitoring Progress and Compliance in Chronic Pain Management

Ira D. Kornbluth, MD, Mitchell K. Freedman, DO, Michele Y. Holding, MD, E. Anthony Overton, DO, Michael F. Saulino, MD This self-directed learning module highlights the monitoring of progress and compliance in chronic pain management. It is part of the chapter on chronic pain in the Self-Directed Physiatric Education Program for practitioners in physical medicine [...]

Interventions in Chronic Pain Management. 3. Evaluation and Management of Lumbar Pain Syndromes

by Michael F. Saulino, MD, Ira D. Kornbluth, MD, E. Anthony Overton, DO, Michele Y. Holding, MD, Mitchell K. Freedman, DO This self-directed learning module highlights approaches to the investigation of selected lumbar spine conditions. It is part of the chapter on chronic pain management in the Self-Directed Physiatric Education Program for practitioners in physical [...]

Interventions in Chronic Pain Management. 2. Diagnosis of Cervical and Thoracic Pain Syndromes

by Mitchell K. Freedman, DO, E. Anthony Overton, DO, Michael F. Saulino, MD, Michele Y. Holding, MD, Ira D. Kornbluth, MD This self-directed learning module highlights approaches to the investigation of common cervical and thoracic conditions. It is part of the chapter on chronic pain management in the Self-Directed Physiatric Education Program for practitioners in [...]

Interventions in Chronic Pain Management. 1. Update on Important Definitions in Pain Management

by Michele Y. Holding, MD, Michael F. Saulino, MD, E. Anthony Overton, DO, Ira D. Kornbluth, MD, Mitchell K. Freedman, DO This self-directed learning module highlights definitions used in pain management. It is part of the chapter on chronic pain management in the Self-Directed Physiatric Education Program for practitioners in physical medicine and rehabilitation. Terms [...]

Hand path priming in manual obstacle avoidance: Rapid decay of dorsal stream information.

by Steven A. Jax, PhD, David A. Rosebaum Moss Rehabilitation Research Institute, Philadelphia, PA 19141, United States. The dorsal, action-related, visual stream has been thought to have little or no memory. This hypothesis has seemed credible because functions related to the dorsal stream have been generally unsusceptible to priming from previous experience. Tests of this [...]

Assessment of spatial attention and neglect with a virtual wheelchair navigation task.

by Laurel J. Buxbaum, PsyD, Mary Ann Palermo,  Dina Mastrogiovanni,  Mary Schmidt Read,  Ellen Rosenberg-Pitonyak,  Albert A. Rizzo, H. Branch Coslett Moss Rehabilitation Research Institute, Philadelphia, PA, USA A total of 9 participants with right-hemisphere stroke performed a new virtual reality (VR) wheelchair navigation test of lateralized spatial attention and neglect. The test consists of [...]

Successful reduction of neuropathic pain associated with spinal cord injury via of a combination of intrathecal hydromorphone and ziconotide: a case report.

by Michael Saulino, MD Moss Rehabilitation Research Institute, Albert Einstein Healthcare Network, Philadelphia, PA. STUDY DESIGN: Case report. OBJECTIVES: To report a novel management strategy for neuropathic pain management after spinal cord injury. SETTING: Outpatient spinal cord injury (SCI) clinic. METHODS: The patient demonstrated two neuropathic pain syndromes, namely at- and below-level pain. These syndromes [...]

Comparison of speeds used for the 15.2-meter and 6-minute walks over the year after an incomplete spinal cord injury: the SCILT Trial.

by H. Barbeau, PhD, R. Elashoff, PhD, D. Deforge, MD, J. Ditunno, MD, M. Saulino, MD, B.H. Dobkin, MD McGill University/Institut de Readaptation de Montreal, Montreal, Quebec, Canada. BACKGROUND: Timed walking speed for 6 to 15 m and the distance walked in 2 to 12 minutes are frequently used outcome measures in rehabilitation trials, presumably [...]

A practical overview of tizanidine use for spasticity secondary to multiple sclerosis, stroke, and spinal cord injury.

by Leonard Kamen, DO, Herbert R. Henney, Jacob D. Runyan Albert Einstein Medical Center, Moss Rehabilitation Outpatient Center, Philadelphia, PA, USA.  OBJECTIVE: Tizanidine is an imidazoline central alpha(2)-adrenoceptor agonist widely used to manage spasticity secondary to conditions such as multiple sclerosis (MS), stroke, and spinal cord injury (SCI). While there is widespread use of tizanidine [...]

Structural consequences of diffuse traumatic brain injury: a large deformation tensor-based morphometry study.

by Junghoon Kim, Brian Avants, Sunil Patel, John Whyte, MD, PhD, Branch H. Coslett, MD, John Pluta, John A. Detre, James C. Gee Moss Rehabilitation Research Institute, Albert Einstein Healthcare Network, Philadelphia, PA Traumatic brain injury (TBI) is one of the most common causes of long-term disability. Despite the importance of identifying neuropathology in individuals [...]

The dilemma of the control condition in experience-based cognitive and behavioural treatment research.

by Tessa Hart, PhD, Jesse R. Fan, Thomas A. Novak Department of Rehabilitation Medicine, Jefferson Medical College, Philadelphia, PA, USA. Rehabilitation using cognitive and behavioural treatment methods (i.e., experience-based interventions) faces particular challenges in improving its evidence base through rigorous studies such as randomised controlled trials (RCTs). Experience-based treatments are often complex, with multiple “active [...]

Impact of age on long-term recovery from traumatic brain injury.

by Carlos D. Marquez de la Plata, PhD, Tessa Hart, PhD, Flora M. Hammond, MD, Alan B. Frol, PhD, Anne Hudak, MD, Caryn R. Harper, MS, Therese M. O’Neil-Pirozzi, ScD, John Whyte, MD, PhD, Mary Carlile, MD, Ramon Diaz-Arrastia, MD, PhD Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, USA. OBJECTIVE: To determine whether older persons are at increased risk for progressive [...]