Journal of Physical Medicine and Rehabilitation

Original Research Open Access

A 6-week Lagree Intervention Improves Functional Movement, Dynamic Balance, and Muscular Endurance—A Case Series

Mayrena Isamar Hernandez , Samuel T. Lauman , Jose N. Romo , Nia Matthews , Mary L. Williams , Christopher D. Greenleaf , Cynthia Trowbridge , Harsh H. Buddhadev

Lagree Methodology is a new multimodal exercise approach that is rapidly gaining popularity, and it claims to improve areas such as muscular endurance, balance, functional movements. However, no research has prospectively examined these effects. The purpose of this case series study was to determine the effectiveness of a 6-week Lagree methodology program on functional performance and balance in healthy adults. 

Case Report Open Access

Septic Pubic Symphysis Osteomyelitis in a Tetraplegic Patient: An Overlooked Cause of Autonomic Dysreflexia

Alicia Badts , Antoine Royer

Autonomic dysreflexia is a serious and potentially life-threatening complication of spinal cord injury occurring at T6 or above. It is most often triggered by a sublesional irritative stimulus, typically involving the urinary or gastrointestinal tract. Although common causes are well recognized, less typical etiologies may complicate the clinical picture. 

Case Report Open Access

Focal Dystonia in Complex Regional Pain Syndrome: Can Surgery Make Both Better?

Michelle L. Andary , Ian S. Ackers , Cheryl N. Craig , Brian G. Loder , Michael T. Andary , Geoffrey K. Seidel

Objective: This case aims to describe a rare case of complex regional pain syndrome type II (CRPS II) associated with tibial nerve entrapment and dystonia, and to highlight the role of electrodiagnostic (EDX) testing in identifying a potentially treatable peripheral nerve lesion. Methods: We report a rare case of CRPS II involving the tibial nerve with associated dystonia, painful paresthesia’s, and autonomic changes in the right foot. 

Original Research Open Access

Quantifying Clinical Outcomes of IDD Therapy in Patients with Cervical and Lumbar Disc Bulges and Herniations

Samuel Bartrom , Esa Syed , Tyler Graham

Lumbar and cervical disc herniations and bulges are common causes of pain and disability, with conservative, non-invasive treatments recommended as first-line interventions. Intervertebral Differential Dynamics (IDD) Therapy is a form of targeted spinal decompression that aims to reduce disc pressure and promote healing. While some studies question the efficacy of traction-based therapies, others suggest potential benefits.

Original Research Open Access

Treatment of Pelvic Pain Using Systemic Manual Therapy

Adi Halili

Background: The purpose of this study is to test the effectiveness of physical therapy treatment for non-specific pelvic pain using Systemic Manual Therapy (SMT). This study evaluates outcomes across episode of care and after implementation of specific SMT protocols. Design: Computerized decision support software (CDSS) analysis of electronic medical records (EMR) using the Halili Physical Therapy Statistical Analysis Tool (HPTSAT) to query EMR.

Case Report Open Access

Cervical Non-Surgical Spinal Decompression for Disc Herniation in a Patient with Multiple Sclerosis: A Case Study Using the DRX9000C

Jacob A. Connolly , Amanda M. Gabro , Susan Welsh , Jessie Bexley , Nathan D. Schilaty

Cervical disc herniation (CDH) can produce severe radiculopathy and functional impairment, and management becomes more complex when neurological comorbidities such as multiple sclerosis (MS) are present. This case study reports on a 35-year-old female with CDH at C5–C6 with a concurrent demyelinating MS lesion at the same level, who presented with debilitating cervical pain, marked left upper-extremity weakness (3/5 strength), sensory loss, absent reflexes, and significant activity limitations.

Original Research Open Access

Prosthetics and Orthotics Service Distribution in Ghana: A Geospatial and Demographic Correlation Study

Daniel Opoku-Gyamfi , Akouetevi Aduayom-Ahego , Prince Oduro , Benjamin Acheampong , Joseph Pitoor Bikala , Cecil Owusu Bempah , Christian Kwaku Agbewoavi

The availability and accessibility of Prosthetics and Orthotics (P&O) services in Ghana remain largely unquantified, with anecdotal evidence suggesting significant disparities between urban and rural areas. A quantitative, cross-sectional geospatial design was utilized in this study using Geographic Information Systems (GIS) to map P&O service distribution.