Health Parameters in Standing and Nonstanding Nonambulatory Adults With Cerebral Palsy.

Objective: To assess effects of standing exercise on adults with cerebral palsy with a focus on bone density, transfer skills, quality of life, and related health parameters.

Design: Prospective case series; pilot study.

Setting: Outpatient multispecialty clinic.

Supervised Resistance Exercise for Patients with Persistent Symptoms of Lyme Disease.

Purpose: The rapidly increasing incidence of Lyme disease has become a serious public health problem. Persistent symptoms of Lyme disease occur in over 40% of the 300,000 new cases diagnosed annually in the United States and often include debilitating musculoskeletal pain, fatigue, and poor health-related quality of life. No clinical practice guidelines for Lyme disease currently include resistance exercise partly because of concern over its safety and feasibility in this population.

Delayed gastric emptying in gastroesophageal reflux disease: reassessment with new methods and symptomatic correlations.

Background: Previous studies have shown that patients with gastroesophageal reflux disease (GERD) have slower rates of gastric emptying than control subjects, but the prevalence has differed because of variations in methodology. The recent establishment of international control values for scintigraphic gastric emptying assessment makes standardization of this technique possible. It would also be useful to determine whether specific gastrointestinal symptoms predicted delayed gastric emptying in GERD.

Artificial disc replacement. Preliminary report with a 3-year minimum follow-up.

Artificial disc replacement was performed in six patients with an average age of 55 years and average follow-up of 3.4 years. Four of the six patients had juxtafusion degeneration, one had multilevel disc degeneration, and one patient had isolated disc resorption.