Use of Opioid Analgesics in Patients with Chronic Low Back Pain and Knee Osteoarthritis

No abstract available

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Fit4SurgeryTV at-home prehabilitation for frail elderly planned for colorectal cancer surgery: a pilot study

Objective The preoperative phase is a potential window of opportunity. Although frail elderly patients are known to be more prone to postoperative complications, they are often not considered capable of accomplishing a full prehabilitation program. The aim of this study was to assess the feasibility of Fit4SurgeryTV, an at-home prehabilitation program specifically designed for frail elderly with colorectal cancer (CRC). Design The Fit4SurgeryTV program consisted of a daily elderly-adapted computer-supported strength training workout and two protein-rich meals. Frail patients ≥70 years with CRC were included. The program was considered feasible if 80% of the patients would be able to complete 70% of the program. Results Fourteen patients (median age 79, 5 males) participated. At baseline, 86% patients were physically impaired and 64% were at risk for malnourishment. Median duration of the program was 26 days. The program was feasible as patients followed the exercises for 6/7 (86%) days and prepared the recipes 5/7 (71%) days per week. Patients specifically appreciated at-home exercises. Conclusion This study showed that at-home prehabilitation in frail elderly with CRC is feasible. As a result, patients might be fitter for surgery and might recover faster. The perioperative period could serve as a pivotal time point in reverting complications of immobility. Address for correspondence and requests for reprints: Emma RJ Bruns, MD, Department of surgery, Academic Medical Centre, PO Box 22660, 1100 DD Amsterdam, The Netherlands, Tel: +31-6-14041036. E-mail: e.r.bruns@amc.nl During review process: e.r.bruns@amc.nl Category: Pilot study Conflicts of interest and source of funding: None Based on a previous communication to a society or meeting: Abstract presentation at the 2nd World Prehabilitation Congress in Eindhoven, The Netherlands, on June 29th 2018. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.

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Rehabilitation – key for healthy ageing and longevity

No abstract available

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Empowering Physiatrists In-Training to the Peer-Review Process

No abstract available

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Injury of the Medial Lemniscus due to Compression of the Medulla Oblongata by Tortuous Vertebral Artery

No abstract available

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Activation of Supraspinatus and Infraspinatus Partitions and Periscapular Musculature during Rehabilitative Elastic Resistance Exercises

Objective The purpose of this study was to quantify the activation of partitions within supraspinatus and infraspinatus and some periscapular muscles during four resistance exercises with elastic bands. Design 27 right handed healthy volunteers (22.5 ± 2.7 years old) were recruited. Intramuscular EMG from supraspinatus (anterior and posterior) and infraspinatus (superior and middle) and surface EMG data from the upper, middle and lower trapezius and serratus anterior were recorded during four elastic resistance exercises (Y, T, W, L). Kinematics were recorded synchronously. Electromyography values were presented as % of maximal voluntary isometric contraction (MVIC) and compared across exercises using ANOVA. Muscle activation ratios were also calculated. Results Mean activations of all rotator cuff partitions were over 40% MVIC, except middle infraspinatus during the T exercise (29.3% MVIC). Serratus anterior activity was significantly higher during the Y exercise (p

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Subtle motor signs in children with chronic traumatic brain injury

Objective To characterize subtle motor signs in children with moderate-severe traumatic brain injury (TBI) in the chronic phase of injury. Design Fourteen children with moderate (n=6) or severe (n=8) TBI, ages 11–18 years, who had sustained their injury at least 1-year prior to study participation (Range 1–14 years since injury), and 14 matched typically-developing controls were examined using the Physical and Neurological Examination of Subtle Signs (PANESS). To examine the neural correlates of subtle motor signs, measures of total cerebral volume and motor/premotor volume were derived from MRI. Results Children with TBI had significantly poorer PANESS performance than controls on the Total Timed subscore, proximal overflow, and the PANESS total score. Participants with severe TBI had greater proximal overflow than those with moderate injury, after controlling for age at injury. Across all participants, greater proximal overflow correlated with reduced total cerebral volume, while within the TBI group, reduced motor/premotor volume correlated with lower PANESS total score. Conclusion The study highlights the importance of examining subtle motor signs including overflow during clinical evaluation of chronic pediatric TBI and establishes the clinical utility of the PANESS as a measure sensitive to chronic subtle motor signs in this population. *Work was completed while Dr. Sibel was at Kennedy Krieger Institute; she is currently at MedStar Baltimore Hospitals. Corresponding author: Stacy J Suskauer, Postal address: Kennedy Krieger Institute, 716 N. Broadway, Baltimore, MD 21205, Phone: (443) 923-9440, Fax: 443-923-9255. Email: suskauer@kennedykrieger.org Disclosures: There are no competing interests or financial benefit to the authors to report. Study Funding: This research was supported by the National Institutes of Health (S.S: K23HD06161, UL1TR001079-04, and K12 HD001097). Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.

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