Publications by authors named "Mary-Catherine Spires"
Prostheses and Rehabilitation Principles in Pediatric Limb Deficiency.
Phys Med Rehabil Clin N Am
November 2024
Article Synopsis
- - Pediatric limb loss or deficiency is rare in the U.S., happening at a rate of 1 in 1943 live births, primarily affecting upper limbs more than lower limbs and often stemming from congenital issues or trauma.
- - Amniotic band syndrome is a significant cause of congenital limb loss due to vascular disruption, posing unique medical and rehabilitation challenges for affected children.
- - Prosthetic development for children with limb differences needs a personalized approach, considering various factors like amputation level, cognitive development, family goals, and resources, rather than using a standardized method.
OBJECTIVEThe incorporation of ancillary testing in the preoperative setting for patients with neonatal brachial plexus palsy (NBPP) remains controversial, but the recommendation for early nerve reconstruction when a baby has a preganglionic lesion at the lower nerve roots is generally accepted. At some specialty centers, nerve surgeons use preoperative electrodiagnostic testing (EDX) and imaging to aid in lesion localization and the preoperative planning of the nerve reconstruction. EDX and imaging have been evaluated for their abilities to detect pre- and postganglionic lesions, but their accuracies have never been compared directly in the same set of patients.
View Article and Find Full Text PDFBackground: Low back pain is a common complaint in emergency departments (ED), where deviations from standard of care have been noted.
Objective: To relate the ordering of advanced imaging and opioid prescriptions with the presentation of low back pain in ED.
Methods: Six hundred adults with low back pain from three centers were prospectively analyzed for history, examination, diagnosis, and the ordering of tests and treatments.
Introduction: We investigated interrater reliability of overall assessment of nerve root lesions by electrodiagnostic testing (EDX) in neonatal brachial plexus palsy (NBPP).
Methods: Two blinded, board-certified reviewers retrospectively reviewed de-identified EDX data from 37 infants with NBPP for 2005-2012. Only nerve conduction and electromyography needle data were included.
This study reviewed the use of an inpatient rehabilitation unit for burn survivors. We hypothesized that adult burn patients admitted earlier to inpatient rehabilitation have an equal or better functional outcome than those remaining in acute burn center for rehabilitation care. Functional Independence Measure (FIM) data were prospectively collected on our burn center admissions dating January 2002 to August 2003.
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