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Journal of Physical Medicine and Rehabilitation
ISSN: 2690-0297
Wan X. Yao
The University of Texas at San Antonio, USA
The Essential Elements of the PNF-concept, an Educational Narrative
The Use of Consumer Wearable Physical Activity Monitors in Clinical Populations with Functional L imitations
Exercise, Strains and Their Impact on Bone Mineral Content and Density Losses
Journal of Physical Medicine and Rehabilitation is an international peer-reviewed, open access journal devoted to publish original research, reviews, and clinical reports on key areas of physical medicine and rehabilitation and related fields. This peer-reviewed international journal serves as a best platform for researchers and clinicians to share their cutting-edge basic and clinical research.
Under-recognized Cause of Buttock Pain; Superior Cluneal Neuropathy and Diagnostic Utility of Combined Ultrasonography and Neurostimulation Guidance: Case Series
Background: Superior cluneal neuropathy (SCN) is an under-recognized source of unilateral low back and buttock pain, representing approximately 14% of lower back pain cases. The condition is caused by entrapment or irritation of the superior cluneal nerves. Diagnosis is challenging due to symptom overlap with other spinal and pelvic conditions and the absence of gold-standard diagnostic criteria.
Spinal Cord Injury: Epidemiology, Spontaneous Recovery, and Surgical Reconstruction for the Physiatrist
The focal article provides hand surgeons with an exploration of the basic principles of spinal cord injury (SCI) as well as the role that hand therapy, nerve transfers, and tendon transfers can play in maximizing the quality of life of these patients. In this commentary, we aim to provide a comprehensive guide for physiatrists, who often meet SCI patients early in their recovery course, on the role that nerve transfer and tendon transfer can play in the treatment of SCI patients, with the aim of optimizing referral patterns between providers in order to best serve SCI patients and improve their quality of life.
Virtual Reality in Chronic Pain Rehabilitation: A Systematic Review
Approximately 19% of adults complain of chronic pain, which poses considerable physical, mental, and economic burdens. Conventional chronic pain management includes physical therapy, analgesic drugs, and the avoidance of pain triggers. Metaverse-related technologies such as virtual reality (VR) are promising complementary approaches. This review aimed to systematically analyse the applications of VR in chronic pain management in the context of rehabilitation.
Utilizing an Osteopathic Manipulative Technique to Improve Tibio-Fibular Restriction at the Knee
A restricted tibio-fibular joint can result in decreased internal and external rotation of the ankle and feet. This decreased range of motion disrupts musculoskeletal function. The musculoskeletal function of the tibio-fibular joint promotes ankle stability and shock absorption during weight bearing activities. The leg tug technique (LTT) technique will be used to promote restoring the normal range of motion of this tibio-fibular joint.
A Case Report - Outcome of Bracing and Physiotherapeutic Scoliosis-Specific Exercises in an Adolescent with an Idiopathic Thoracic Scoliosis in Surgical Range
Adolescent idiopathic scoliosis (AIS) patients with a Cobb angle >45° are generally referred for surgery, especially in Asia. Physicians do not typically prescribe braces or physiotherapeutic scoliosis-specific exercises for such cases. We described a case of right thoracic scoliosis with a Cobb angle of 51°. The parents refused surgery and opted for conservative treatments. We braced the pre-menarchal patient at the age of 10, with Risser at 0, and coached her on exercises, which include traditional Schroth, the Schroth Best Practice, the dynamic neuromuscular stabilization (DNS), and the Pilates exercises.
New Simplified Approach to Real-Time Ultrasound-Guided Musculoskeletal and Peripheral Nerve Injections under Non-Draping, Non-Sterile Glove-Wearing Conditions
Ultrasound-guided musculoskeletal and peripheral nerve block injections are safe and cost-effective procedures that have gained popularity in pain medicine and family practice alike. The traditional injection process includes the use of sterile draping, sterile covering of transducer, and sterile glove wearing which significantly limits its efficiency and efficacy. From June 11, 2014 to January 30, 2025, our senior author, DG, has performed 33,509 musculoskeletal and joint injections, as well as peripheral nerve hydrodissections and block injections using a novel real-time ultrasound-guided musculoskeletal and peripheral nerve injection approach.
Treatment for Central Sensitization and Shoulder Pain Using Systemic Manual Therapy (SMT)
Objective: The purpose of this study is to test a hypothesized treatment for the central sensitization component of shoulder pain, which is based on Halili’s proposed temporal model for central sensitization. Design: Cohort retrospective multivariate analysis. Methods: This study uses The Halili physical therapy statistical analysis tool (HPTSAT) to evaluate the average rate of improvement in shoulder pain and overall associated symptoms in 734 patients after provision of 552 protocol combinations of Systemic Manual Therapy.
Exercise Benefits on Alzheimer’s Disease
Alzheimer’s disease (AD) is an age-related neurodegenerative disorder [1] and the most common cause of human dementia, accounting for approximately 60%?80% of cases. It is estimated that more than 30 million AD patients, and the number likely to increase to over 100 million by 2050 because of the increase of the elderly population [2].
The Use of Consumer Wearable Physical Activity Monitors in Clinical Populations with Functional L imitations
The prevalence of many musculoskeletal and cardiovascular diseases that cause limitations in physical functioning has increased globally [1] with age-adjusted rates of incidence rising for many of these diseases [2-5]. In the United States alone, chronic health conditions that limit physical function have an estimated economic impact of $200
A Neuromuscular Integration Approach to the Rehabilitation of Forward Head and Rounded Shoulder Posture: Systematic Review of Literature
Forward head posture (FHP) and rounded shoulder posture (RSP) are common postural misalignments caused by muscular imbalance that lead to a variety of pain patterns in the neck and shoulder [1,2]. FHP prevalence ranges from 61% to 85% and is associated with RSP [3-7]. RSP prevalence ranges from 66% to 78% [3,5,7]. Importantly,
Bronchoscopic Lung Volume Reduction Operation and Pulmonary Rehabilitation
The main symptom in Chronic Obstructive Pulmonary Disease (COPD) is shortness of breath. Shortness of breath occurs especially with exercise and progresses over the years despite all medical treatments. One of the main mechanisms by which this symptom occurs is hyperinflation in the lungs [1].
Evaluating an Approach to Improving Attention Networks by Theta Stimulation
In this paper we consider the hypothesis, based on our human and mouse studies, that white matter connectivity can be altered by appropriate stimulation at the theta frequency [1,2]. In one study we used optogenetics to change the output of cells in the mouse anterior cingulate cortex (ACC) at 1, 8 or 40Hz.
Long-Term Use of Oral Bisphosphonates and Fracture Risk in Men with Traumatic Spinal Cord Injury
Lower extremity fractures in individuals with a spinal cord injury (SCI) cause significant morbidity [1] and contribute to excess mortality [2]. Early identification of persons at highest risk for fracture is possible using bone mineral density (BMD) testing by dual-energy X-ray absorptiometry (DXA) imaging
A Neuromuscular Integration Approach to the Rehabilitation of Forward Head and Rounded Shoulder Posture: Systematic Review of Literature
Forward head posture (FHP) and rounded shoulder posture (RSP) are common postural misalignments caused by muscular imbalance that lead to a variety of pain patterns in the neck and shoulder [1,2]. FHP prevalence ranges from 61% to 85% and is associated with RSP [3-7]. RSP prevalence ranges from 66% to 78% [3,5,7]. Importantly,
Rehabilitation Providers’ Experiences with Rapid Telerehabilitation Implementation During the COVID-19 Pandemic in the United States
Telehealth has been around since the 1960s as a healthcare delivery modality, though it did not gain widespread acceptance as a viable and reliable clinical tool until the late 1990s, when digital imaging and high speed, high bandwidth telecommunications technology became widely available [1]. Historical boundaries to its acceptance and
Role of Exercise and Natural Protective Substances on Sirtuin Activation
The advancement of chronological age is characterized by the progression of symptoms of chronic degenerative diseases that are triggered or accelerated in their progression by unhealthy lifestyles, decreased fitness and inadequate nutrition with decreased consumption of natural protective substances. Recent scientific evidence
Evaluating an Approach to Improving Attention Networks by Theta Stimulation
In this paper we consider the hypothesis, based on our human and mouse studies, that white matter connectivity can be altered by appropriate stimulation at the theta frequency [1,2]. In one study we used optogenetics to change the output of cells in the mouse anterior cingulate cortex (ACC) at 1, 8 or 40Hz.
Pain Outcomes with an Elliptical Regimen (POWER) Study: Identifying the Proper Dosage of Exercise for Therapeutic Effect in Persons with Chronic Back Pain
Low back pain (LBP) is one of the most prevalent conditions that will affect 70-85% of individuals at some point in their life [1]. LBP accounts for 2.3% of all visits to the physician, and is the most common area of the body to experience pain [2]. Exercise has been a mainstay for managing persons with chronic low back pain for almost 40
Diet and Exercise: A Novel Cure for Asthma? - A Short Communications on a Non-Pharmacological Strategy
Behavioral interventions with regular physical activity, weight loss and diet have repeatedly demonstrated preventive effects in a wide range of diseases. Furthermore, an unhealthy lifestyle is a known predictor for increased use of medication and also the leading risk factor for global mortality.
Changes in Obesity Prevalence Following Spinal Cord Injury: A Retrospective Review of Body Mass Index
Background: The prevalence of obesity is high in individuals with spinal cord injury (SCI) due to the alterations in body composition that occur as a direct result of injury. Body mass index (BMI) is used to classify body habitus. In 2009, an adjusted BMI classification, with lower thresholds for obesity, was recommended for individuals with SCI. Objective: Determine obesity prevalence before and after SCI to examine the trajectory of obesity development.
The Essential Elements of the PNF-concept, an Educational Narrative
The term Proprioceptive Neuromuscular Facilitation (PNF) was introduced in the 1950s by Dr. Kabat and Mrs. Knott. From the mid-1950s the PNF-concept has been in a progressive development clarifying the use of techniques, performances and clinical applications. The concept of PNF was originally developed by Dr. Kabat and Mrs. Knott for rehabilitation purposes. The International PNF Association (IPNFA) consider themselves to be the official successor of Dr. Kabat and Mrs. Knott.
Manual Therapy Improves Immediate Blood Flow and Tissue Fiber Alignment of the Forearm Extensors
It is well established that lateral elbow pain and dysfunction is a common pathology in general and sport populations [1-3]. Lateral elbow pain has been termed tennis elbow, epicondylitis, elbow tendinosis, elbow tendinopathy, but currently, the term lateral epicondylalgia (LE) encompasses the spectrum of degeneration and
Exercise Benefits on Alzheimer’s Disease
Alzheimer’s disease (AD) is an age-related neurodegenerative disorder [1] and the most common cause of human dementia, accounting for approximately 60%?80% of cases. It is estimated that more than 30 million AD patients, and the number likely to increase to over 100 million by 2050 because of the increase of the elderly population [2].
Bronchoscopic Lung Volume Reduction Operation and Pulmonary Rehabilitation
The main symptom in Chronic Obstructive Pulmonary Disease (COPD) is shortness of breath. Shortness of breath occurs especially with exercise and progresses over the years despite all medical treatments. One of the main mechanisms by which this symptom occurs is hyperinflation in the lungs [1].
Exercise, Strains and Their Impact on Bone Mineral Content and Density Losses
Bone mineral content and density (BMC, BMD) losses, which may subsequently lead to osteopenia and osteoporosis, appear in various disuse (aging, space flight and its analogs, spinal cord injury, etc.) conditions. While diet and hormonal status impact BMC and BMD values, a major factor responsible for these losses are the
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