Potentially inappropriate medication use among older adults with lower-limb loss.

Objective: The aim of this study was to evaluate the prevalence of, and explore factors related to, prescription of potentially inappropriate medications (PIMs) among older adults with lower-limb loss (LLL).

Methods: This was a secondary analysis of a cross-sectional dataset collected through an interdisciplinary limb loss clinic between September 2013 and November 2022. Self-report medication lists were reviewed during in-clinic face-to-face interviews and compared to the American Geriatrics Society Beers Criteria corresponding to the patient's evaluation year.

Risk Factors for Underreporting of Life-Limiting Comorbidity Among Adults With Lower-Limb Loss.

Peripheral neuropathy (PN) and peripheral arterial disease (PAD) are life-limiting comorbidities among adults with lower-limb loss that may not be adequately addressed in current care models. The objective of this study was to evaluate underreporting of PN and PAD among adults with lower-limb loss. We conducted a secondary analysis of a cross-sectional dataset of community-dwelling adults with unilateral lower-limb loss seen in an outpatient Limb Loss Clinic (n = 196; mean age = 56.

Time Since Lower-Limb Amputation: An Important Consideration in Mobility Outcomes.

Objective: The aim of this study was to evaluate associations between time since amputation (TSAmp) and mobility outcomes of adults with lower-limb amputation.

Design: A secondary analysis of a cross-sectional dataset, including 109 community-dwelling adults, 1 yr or more after unilateral transfemoral (n = 39; mean age, 54 ± 15 yrs) or transtibial (n = 70; mean age = 58 ± 14 yrs) amputation, was conducted. Participants attended standardized clinical evaluations and completed mobility-related outcome measures: Prosthesis Evaluation Questionnaire-Mobility Subscale, timed up and go, 10-m walk test, and 6-min walk test.

Self-reported socket comfort, mobility, and balance-confidence of individuals with transtibial amputation using pinlock vs suction suspension.

Background: Improper suspension between the residual limb and prosthesis can result in pistoning, which may compromise skin integrity and reduce overall user comfort. In addition to objective measures of limb pistoning, user perspective may provide insight into suspension system effectiveness.

Objectives: The primary objective of this analysis was to explore differences in self-reported measures among adults with transtibial amputation (TTA) using pinlock vs suction suspension systems.

Differences in Physical Performance Measures Among Patients With Unilateral Lower-Limb Amputations Classified as Functional Level K3 Versus K4.

Objective: To determine whether differences in physical function, assessed via self-report questionnaires and physical performance tests, exist between individuals with lower-limb loss using a prosthetic device classified as a K3 versus a K4 functional level.

Design: Cross-sectional study.

Setting: A university physical therapy amputee clinic.

Spinal Metastases from a Primary Fallopian Tube Serous Adenocarcinoma: A Case Report.

Study Design Case report. Objective This case exemplifies the importance of a high index of suspicion when dealing with intractable pain and neurologic symptoms in patients with a history of cancer. Fallopian tube cancer is relatively uncommon, accounting for less than 0.

Efficacy of lumbosacral transforaminal epidural steroid injections: a systematic review.

Objective: To critically review the best available studies evaluating the efficacy of lumbosacral transforaminal epidural steroid injections (TFESIs) in the treatment of radicular pain.

Data Sources: MEDLINE, EMBASE, and the Cochrane database were searched for the period between 1950 and May 2008. Search terms included epidural steroid injection (ESI), transforaminal ESI, foraminal ESI, selective nerve root block, nerve root injection (NRI), selective NRI, periradicular infiltration, and periradicular injection.

Is sedation indicated before spinal injections?

Study Design: Survey.

Objective: The purpose of this research was to help determine whether sedation is indicated before lumbar and cervical interventional pain management procedures, and additionally, to determine whether benzodiazepams are effective at controlling anxiety for these procedures.

Summary Of Background Data: The use of sedation before diagnostic and therapeutic epidurals seems to vary widely and no guidelines have been issued that address whether sedation is indicated and for which patients.

A comparison of Christiana Spine Center's whiplash patients' course of illness to the guidelines set forth by the Quebec Task Force for Whiplash Associated Disorders.

In 1995, the Quebec Task Force on Whiplash Associated Disorders came out with guidelines for diagnosis and management of automobile related "whiplash" injuries to the neck. The task force reviewed the available literature and found it quite lacking, but nonetheless came up with a "best evidence synthesis" and based their recommendations on this. The purpose of this paper was to determine how frequently these guidelines were followed in a group of patients with whiplash who were referred to a spine specialist clinic in New Castle County, Delaware.

A survey: conscious sedation with epidural and zygapophyseal injections: is it necessary?

Background Context: Substantial variation exists regarding the use of sedation before interventional spine techniques. Patient preference should play an important role in decision making regarding the need for sedation. However, little is known about patients' anxiety levels before spinal injections and their perceptions about the necessity of sedation.

Lumbosacral transitional vertebrae: incidence in a consecutive patient series.

Background: Great variability exists in the reported frequency of transitional vertebra in the general population as well as in symptomatic lumbar spine patients.

Objective: To determine the occurrence rate of transitional vertebra in consecutive lumbar spine patients in our practice.

Design: A prospective, observational study

Methods: Plain films were viewed and the presence or absence of a lumbar transitional vertebra was documented.

Treatment of lumbar spinal stenosis with epidural steroid injections: a retrospective outcome study.

Objective: To determine patient satisfaction, relief of pain, frequency of injections, change of function, and subsequent surgical rate in patients who received epidural steroid injections (ESIs) for the diagnosis of lumbar spinal stenosis (LSS).

Design: Retrospective review conducted using a standard set of questions asked over the telephone, 6 to 36 months after the patient received an ESI.

Setting: An outpatient spine center.