941 results match your criteria: "Adult Physiatric History and Examination"

Background: This research aims to improve the control of assistive devices for individuals with hemiparesis after stroke by providing intuitive and proportional motor control. Stroke is the leading cause of disability in the United States, with 80% of stroke-related disability coming in the form of hemiparesis, presented as weakness or paresis on half of the body. Current assistive exoskeletonscontrolled via electromyography do not allow for fine force regulation.

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Background: Pain is a complex problem that is triaged, diagnosed, treated, and billed based on which body part is painful, almost without exception. While the "body part framework" guides the organization and treatment of individual patients' pain conditions, it remains unclear how to best conceptualize, study, and treat pain conditions at the population level. Here, we investigate (1) how the body part framework agrees with population-level, biologically derived pain profiles; (2) how do data-derived pain profiles interface with other symptom domains from a whole-body perspective; and (3) whether biologically derived pain profiles capture clinically salient differences in medical history.

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Respiratory Muscle Strength Correlation with Functional Capacity, Quality of Life, Demographics and Co-morbidities in Stroke and Spinal Cord Injury.

J Musculoskelet Neuronal Interact

December 2024

Laboratory for Research of the Musculoskeletal System, School of Medicine, National and Kapodistrian University of Athens, KAT Hospital, Athens, Greece.

Objectives: To record Maximal Inspiratory Pressure (MIP) and Maximal Expiratory Pressure (MEP) in neuro-rehabilitation patients and establish correlation with functional status, quality of life, demographics and co-morbidities.

Methods: Respiratory muscle strength was measured in 50 stroke patients and 50 spinal cord injury (SCI) patients. Both groups were evaluated with the Modified Barthel Index (MBI-Shah version) and the 36-Item Short Form Survey.

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Background: Considering the importance of cardiac rehabilitation after coronary artery bypass grafting (CABG) and the development of acupuncture over the past few decades, the aim of this study was to evaluate the effects of acupuncture on patients' exercise tolerance, heart rate and blood pressure after CABG.

Methods: Thirty-four patients with a history of recent CABG were recruited between 2019 and 2020 for this clinical trial and randomly divided into two groups receiving acupuncture plus cardiac rehabilitation (group A) and cardiac rehabilitation alone (group B). In both groups, exercise-based rehabilitation exercise was performed.

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Gait variability predicts real-life falls in high-functioning stroke survivors.

Clin Biomech (Bristol)

January 2025

Department of Health and Exercise Science, Colorado State University, Fort Collins, CO, USA. Electronic address:

Article Synopsis
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Shoulder osteoarthritis facilitating the diagnosis of acromegaly.

BMJ Case Rep

November 2024

Paris Cité University, Department of physical medicine and rehabilitation, Hôpital Cochin - Assistance Publique- Hôpitaux de Paris, Paris, Île-de-France, France.

Article Synopsis
  • - A 50-something man experienced chronic shoulder pain and reduced motion without any prior trauma, leading to imaging that showed osteophytosis but no severe joint issues.
  • - A second consultation revealed swelling in his hands and feet, raising suspicion of acromegaly, which was confirmed by further tests and an MRI showing a sellar tumor.
  • - The shoulder pain was linked to undiagnosed acromegalic arthropathy, prompting treatment through surgery and medication, emphasizing the importance of early acromegaly diagnosis to prevent complications.
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Objectives: This study developed and investigated the possibility of using the walking and turning test (WTT) to indicate fall risk in community-dwelling older adults.

Design: Retrospective diagnostic study.

Setting: The study was carried out in a community setting.

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Importance: Blast-related mild traumatic brain injuries (TBIs), the "signature injury" of post-9/11 conflicts, are associated with clinically relevant, long-term cognitive, psychological, and behavioral dysfunction and disability; however, the underlying neural mechanisms remain unclear.

Objective: To investigate associations between a history of remote blast-related mild TBI and regional brain volume in a sample of US veterans and active duty service members.

Design, Setting, And Participants: Prospective cohort study of US veterans and active duty service members from the Long-Term Impact of Military-Relevant Brain Injury Consortium-Chronic Effects of Neurotrauma Consortium (LIMBIC-CENC), which enrolled more than 1500 participants at 5 sites used in this analysis between 2014 and 2023.

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Background And Purpose: Fear of falling and low physical activity become prevalent in an aged society, but their association with fall risk warrants further investigation.

Methods: Our study involved 600 individuals aged 70.8-96.

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Article Synopsis
  • Carpal tunnel syndrome (CTS) is a common condition that arises from nerve compression, and accurately grading its severity is crucial for treatment decisions.
  • This study examined 50 patients experiencing CTS, analyzing their electrodiagnostic results and using ultrasound to measure the cross-sectional area of the median nerve at the wrist.
  • The results indicated a significant correlation between the severity of CTS and the findings from both ultrasound and electrodiagnosis, showing that the mean measurements increase as the severity of the condition worsens.
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Data demonstrated the role of natural killer (NK) cells in systemic lupus erythematosus (SLE). We aimed to determine the immunophenotype and frequency of NK cells and their subsets, CXCR3, CD161 expression in blood and renal tissue of SLE patients with and without lupus nephritis and their relationship with disease activity. The study included 31 SLE patients and 11 controls.

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  • The study investigates the effectiveness of coalition resection surgery for talocalcaneal coalition (TCC) patients, particularly focusing on those with middle and posterior facet coalitions versus those without.
  • It involves a retrospective analysis of 115 patients who underwent TCC surgery, categorizing them into two groups based on preoperative CT scans to compare various clinical outcomes, including pain levels and functional recovery.
  • Results showed no statistically significant demographic or outcome differences between the isolated posterior facet coalition and middle-posterior facet coalition groups, suggesting more research is needed to understand the impact of these coalitions on surgical effectiveness.
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  • The study investigates the relationship between psoriasis severity and clinical features of psoriatic arthritis (PsA) in a real-world clinical setting, as previous connections between the two have been unclear.
  • Seventy-six adult patients with both psoriasis and PsA were assessed for various clinical measures, including joint tenderness, swelling, and enthesitis, using standard evaluation metrics.
  • The results showed no significant link between psoriasis severity (PASI) and most PsA variables, except a moderate correlation with enthesitis, suggesting that higher psoriasis severity may indicate more enthesitis presence, especially in older patients.
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Article Synopsis
  • - This study examined how the cause of rotator cuff injuries (RCIs)—either traumatic or non-traumatic—affects the recovery outcomes after surgical repair.
  • - A total of 73 patients were divided into a traumatic group (31 patients) and a non-traumatic group (42 patients), with evaluations conducted both before and after surgery to assess factors like shoulder mobility and muscle strength.
  • - Findings showed that while the non-traumatic group had better initial scores and longer disease duration, post-surgery outcomes were similar across both groups; factors like full-layer tears and fat infiltration were identified as significant predictors of recovery success.
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A comprehensive scoring system for the diagnosis and staging of adhesive capsulitis: development, application, and implications.

Eur J Orthop Surg Traumatol

December 2024

IRCCS Istituto Ortopedico Rizzoli, 1st Orthopaedics and Traumatology clinic, Bologna, University of Bologna, Bologna, Italy.

Article Synopsis
  • Adhesive capsulitis (AC), or frozen shoulder, is a painful condition typically affecting people aged 40-60, and diagnosing it can be difficult due to its gradual onset and different stages.
  • A new scoring system was created to improve the diagnosis of AC, assessing factors like patient history, imaging results, and other health conditions.
  • This scoring system successfully categorized patients, helping to identify those with clear cases of AC, uncertain diagnoses, or excluded them from having the condition altogether, which could lead to better treatment strategies.
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  • * A study of 427 SCI patients analyzed demographic and injury-related factors to understand patterns of bone loss over time, utilizing advanced testing methods and statistical analysis.
  • * Key risk factors for bone loss identified include older age, female gender, low body mass index, and lower scores on the Korean Spinal Cord Independence Measure, suggesting these factors may require closer monitoring in this population.
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Adults born preterm have lower peripheral skeletal muscle area and strength.

Sci Rep

September 2024

Research Center, CHU Sainte-Justine, 3175 Chemin de la Côte-Sainte-Catherine, Montréal, QC, H3T 1C5, Canada.

Prematurity is associated with lower exercise capacity, which relies on the integrity of the cardiovascular, pulmonary, and skeletal muscle systems. Our animal model mimicking prematurity-associated conditions showed altered muscle composition and atrophy in adulthood. This study aimed to compare muscle composition and strength in adults born preterm versus full-term controls.

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Molecular investigation of MEFV gene polymorphisms among patients with familial mediterranean fever-like symptoms.

Cell Mol Biol (Noisy-le-grand)

September 2024

Department of Medical Biochemistry and Molecular Biology, Faculty of Medicine, Benha University, Benha, Egypt.

The diagnosis of familial Mediterranean fever (FMF) is primarily based on clinical standards. The purpose of this study was to investigate the relevance of Mediterranean fever (MEFV) genetic testing in the diagnosis of FMF as well as to identify the most frequent variant alleles and their relationship to clinical symptoms in Egyptian patients. Egyptian patients with a clinical suspicion of having FMF were studied in order to determine MEFV genotypes.

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  • The Test of Memory Malingering (TOMM) is a performance validity measure available in both English and Spanish, but the Spanish version previously lacked reliable data for U.S. Hispanic individuals.
  • The study aimed to collect normative data for the updated TOMM 2 specifically for Hispanic individuals in the U.S., involving 188 cognitively healthy adults.
  • Results showed that the Hispanic sample scored better on the TOMM 2 compared to the English-speaking normative sample, establishing the first culturally appropriate norms for Spanish speakers in the U.S.
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Center of Pressure- and Machine Learning-based Gait Score and Clinical Risk Factors for Predicting Functional Outcome in Acute Ischemic Stroke.

Arch Phys Med Rehabil

December 2024

Department of Neurology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan; Korea University Zebrafish Translational Medical Research Center, Ansan, South Korea. Electronic address:

Objectives: To investigate whether machine learning (ML)-based center of pressure (COP) analysis for gait assessment, when used in conjunction with clinical information, offers additive benefits in predicting functional outcomes in patients with acute ischemic stroke.

Design: A prospective, single-center cohort study.

Setting: A tertiary hospital setting.

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Exploring Responsiveness to Highly Challenging Balance and Gait Training in Parkinson's Disease.

Mov Disord Clin Pract

November 2024

Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.

Background: Exercise potentially improves gait, balance, and habitual physical activity in Parkinson's disease (PD). However, given the heterogeneous nature of the disease, it is likely that people respond differently to exercise interventions. Factors determining responsiveness to exercise interventions remain unclear.

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Associations between smoking history, baseline pain interference and symptom distribution, and physical function at discharge, in individuals seeking care for musculoskeletal pain.

Addict Behav

November 2024

Doctor of Science in Physical Therapy Program, Bellin College, 3201 Eaton Rd, Green Bay, WI 54311, USA; Department of Rehabilitation Medicine, Uniformed Services University of Health Sciences School of Medicine, 4301 Jones Bridge Road, Bethesda, MD, USA. Electronic address:

Objective: Study of the association between smoking and pain intensity has produced conflicting results; with less focus on pain interference. Different pain constructs could have varying associations with smoking behaviors. This study sought to investigate the association between smoking history and not only pain intensity, but also pain interference, symptom distribution and physical function.

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The prevalence of cervical contribution in patients reporting shoulder pain. An observational study.

Musculoskelet Sci Pract

October 2024

Faculty of Medicine and Health Sciences, Physiotherapy and Nursing Department, University of Alcalá, Madrid, Spain; Physiotherapy in Women's Health Research Group, University of Alcalá, Madrid, Spain; Ramón y Cajal Institute of Health Research - IRYCIS, Hospital Universitario Ramón y Cajal, Madrid, Spain. Electronic address:

Background: Shoulder pain is the third most common musculoskeletal disorder yet diagnosis remains challenging. In some cases, shoulder symptoms can be partially attributed to a cervical origin.

Objectives: To estimate the prevalence of cervical contribution in patients presenting with shoulder pain.

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Article Synopsis
  • The study aimed to compare the prevalence of Forward Head Posture (FHP) between car and bike drivers and explore its correlation with neck and cardiopulmonary health.
  • Involving 400 participants, the research found that car drivers exhibited a significantly higher occurrence of FHP than bike drivers, with notable correlations between FHP and cervical motion metrics as well as resting heart rate and lung function.
  • The findings suggest that prolonged static postures in car driving may lead to worse postural health outcomes compared to the more dynamic posture involved in biking.
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