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Physical Medicine and Rehabilitation Clinics of North America

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https://read.qxmd.com/read/30470433/preface
#1
EDITORIAL
Blessen C Eapen, David X Cifu
No abstract text is available yet for this article.
February 2019: Physical Medicine and Rehabilitation Clinics of North America
https://read.qxmd.com/read/30470432/a-heritage-to-remember
#2
EDITORIAL
Santos F Martinez
No abstract text is available yet for this article.
February 2019: Physical Medicine and Rehabilitation Clinics of North America
https://read.qxmd.com/read/30470431/lower-limb-amputation-care-across-the-active-duty-military-and-veteran-populations
#3
REVIEW
Joseph B Webster
Traumatic amputation can result from injuries sustained both within and outside the military setting. Individuals with trauma-related amputations have unique needs and require specialized management with an interdisciplinary team approach and care coordination across the continuum of care to facilitate optimal outcomes. Management considerations include issues with the amputation itself, issues related to injury of other body parts, and the management of longer-term secondary conditions. Some of these issues are more prevalent and of greater severity in the early recovery period, whereas others develop later and have the potential for progressive worsening over time...
February 2019: Physical Medicine and Rehabilitation Clinics of North America
https://read.qxmd.com/read/30470430/upper-extremity-amputation-and-prosthetics-care-across-the-active-duty-military-and-veteran-populations
#4
REVIEW
Jill M Cancio, Andrea J Ikeda, Shannon L Barnicott, Walter Lee Childers, Joseph F Alderete, Brandon J Goff
The hand and arm are exceptionally dexterous, exquisitely sensitive, and proficient in performing tasks and functions. Given the invaluable functions of the upper extremity in daily life, replacement of a missing limb through prosthetic substitution is challenging. Prosthetic and rehabilitation needs of injured Service members from recent military conflicts have brought upper extremity amputation to the forefront, which has led to an increase in attention and resource allocation. This article provides an overview of the care of the upper extremity amputee including surgical considerations, prosthetic design and fitting, and preprosthetic and post-prosthetic rehabilitation considerations...
February 2019: Physical Medicine and Rehabilitation Clinics of North America
https://read.qxmd.com/read/30470429/comprehensive-care-for-persons-with-spinal-cord-injury
#5
REVIEW
Timothy Lavis, Lance L Goetz
Spinal cord injury results in multiple secondary comorbidities, which vary based on injury severity and other characteristics. Persons with spinal cord injury are at lifelong risk for many complications, most of which are at least partially preventable with proper medical care. The Veterans Health Administration Spinal Cord Injury and Disorders (SCI&D) System of Care offers these evaluations to all persons in their registries. Annual evaluations are performed at any of the 24 SCI&D Veterans Administration Centers nationwide...
February 2019: Physical Medicine and Rehabilitation Clinics of North America
https://read.qxmd.com/read/30470428/a-model-of-care-for-community-reintegration-the-polytrauma-transitional-rehabilitation-program
#6
REVIEW
Edan Critchfield, Kathleen M Bain, Crystal Goudeau, Christopher J Gillis, Maria Teresa Gomez-Lansidel, Blessen C Eapen
The Department of Veterans Affairs Polytrauma Transitional Rehabilitation Program was established to extend the rehabilitation of veterans and active duty service members past the acute phase and reintegrate them into the community. Effective community reintegration is best achieved with a diverse interdisciplinary team that treats patients' physical, cognitive, and psychological deficits in a collaborative approach. Barriers, such as lack of accurate awareness of functional limitations and premorbid psychosocial stressors, can limit the recovery process...
February 2019: Physical Medicine and Rehabilitation Clinics of North America
https://read.qxmd.com/read/30470427/evolution-of-care-for-the-veterans-and-active-duty-service-members-with-disorders-of-consciousness
#7
REVIEW
Michelle Peterson, Blessen C Eapen, Mary Himmler, Pawan Galhotra, David Glazer
The Veteran Health Administration Polytrauma Rehabilitation Center Emerging Consciousness Program (ECP) has served veterans and service members with disorders of consciousness (DOC) over the past 10 years. The ECP has evolved to meet the unique needs of this patient population, including updating admission criteria to follow evidence-based guidelines for the management of DOC, expanding the use of treatment modalities, and monitoring longitudinal outcomes. The authors review current assessment tools, medical management, and interventions and describe the current state of the ECP and how the evolution of the ECP has enhanced the care of veterans and service members with DOC...
February 2019: Physical Medicine and Rehabilitation Clinics of North America
https://read.qxmd.com/read/30470426/adaptive-sports-in-the-rehabilitation-of-the-disabled-veterans
#8
REVIEW
Kenneth K Lee, Michael J Uihlein
Sports are ingrained in our society and are part of being a human. Through the Armed Forces, military personnel and veterans are trained and adapt to the learned behavior of perseverance, comradery, and teamwork, putting them in an ideal situation for using adaptive sports as a rehabilitation modality. Integrating sports into this unique population of disabled individuals helps to produce productive members of society. This article outlines the challenges and benefits of adaptive sports for veterans.
February 2019: Physical Medicine and Rehabilitation Clinics of North America
https://read.qxmd.com/read/30470425/reintegrating-veterans-with-polytrauma-into-the-community-and-workplace
#9
REVIEW
Paul Wehman, Lauren Avellone, Frederick Pecharka, Katti Sorboro, Joseph B Webster, Cynthia Young, Sharon Barton, William A Robbins, Samuel T Clanton
This article addresses employment as a critical part of community reintegration for polytrauma patients. Interdisciplinary polytrauma teams can work to effectively identify and eliminate known barriers to employment for veterans and offer continued support and guidance. This article discusses key themes pertinent to vocational reentry for service members/veterans, identifies evidenced-based employment models, highlights the essential role of everyday technology in meeting support needs, and describes 2 exemplar polytrauma models: the Louis Stokes Cleveland Veteran Affairs Medical Center in Cleveland, Ohio, and the Service member Transitional Advanced Rehabilitation (STAR) program at the Hunter Holmes McGuire Veterans Affairs Medical Center in Richmond, Virginia...
February 2019: Physical Medicine and Rehabilitation Clinics of North America
https://read.qxmd.com/read/30470424/integrative-medicine-and-health-coaching-in-polytrauma-rehabilitation
#10
Micaela Cornis-Pop, Kavitha P Reddy
Veterans Health Administration (VHA) has embarked on a journey of cultural transformation focused on creating a personalized and patient-driven experience with health care service. In addition to training thousands of providers in the principles of whole health and expanding availability of complementary medicine, VHA also pursues developing the evidence for such care. The Polytrauma Integrative Medicine Pilot explored the feasibility of implementing health coaching in polytrauma care. The qualitative and quantitative data collected on 547 participants in the pilot shows high satisfaction with the health coaching services received and statistically significant positive changes in domains of life satisfaction and well-being...
February 2019: Physical Medicine and Rehabilitation Clinics of North America
https://read.qxmd.com/read/30470423/assistive-technology-in-polytrauma-rehabilitation
#11
REVIEW
Melissa Oliver
Assistive technology (AT) is a service or device that provides individuals with polytrauma injuries the chance to engage in their daily activities. AT specialists use the Human Activity Assistive Technology frame of reference to guide their evaluation, treatment, selection, and training process as it also takes into account the context in which AT devices would be used. AT devices include augmentative and alternative communication, electronic cognitive devices, wheeled mobility, electronic aides to daily living, adaptive computer access, and adaptive sports...
February 2019: Physical Medicine and Rehabilitation Clinics of North America
https://read.qxmd.com/read/30470422/department-of-veterans-affairs-polytrauma-telerehabilitation-twenty-first-century-care
#12
REVIEW
Joel Scholten, Cindy Poorman, Lesli Culver, Joseph B Webster
The use of telehealth for the management of the polytrauma patient provides a unique opportunity to leverage technology to enhance care for a complex patient cohort, to assist in clinical care, and to enhance support for community reintegration for veteran patients. Telehealth connects experts to patients in remote or underserved areas, thereby decreasing a health care disparity. This is especially important when the rehabilitation team is multidisciplinary. The future of telerehabilitation is unknown and implementing virtual care into rehabilitation providers' standard practice will be impeded until state licensure and payment issues are resolved...
February 2019: Physical Medicine and Rehabilitation Clinics of North America
https://read.qxmd.com/read/30470421/rehabilitation-of-cognitive-dysfunction-following-traumatic-brain-injury
#13
REVIEW
Inbal Eshel, Amy O Bowles, Melissa R Ray
This article outlines key principles and considerations in the rehabilitation of cognitive challenges following mild, moderate, and severe traumatic brain injuries, with a focus on the needs of the service member and veteran population. The authors highlight specific evidence-based strategies and interventions and provide functional examples to support implementation. By emphasizing the array of tools and resources that have been designed to address cognitive challenges in the service member and veteran population, they focus on optimizing cognition to support successful community reintegration and the resumption of a full and meaningful life...
February 2019: Physical Medicine and Rehabilitation Clinics of North America
https://read.qxmd.com/read/30470420/vision-rehabilitation-after-traumatic-brain-injury
#14
REVIEW
Sandra M Fox, Paul Koons, Sally H Dang
Visual dysfunctions and symptoms are commonly experienced after even mild traumatic brain injury (TBI) despite excellent visual acuity. All individuals who have experienced a TBI/concussion should be screened for vision symptoms and visual dysfunction. A TBI-specific eye examination is necessary to identify the visual sequelae of TBI and address any vision/ocular issues that may be contributing to other post-TBI complaints. A vision rehabilitation plan that includes vision therapy can improve visual dysfunction secondary to TBI...
February 2019: Physical Medicine and Rehabilitation Clinics of North America
https://read.qxmd.com/read/30470419/rehabilitation-assessment-and-management-of-neurosensory-deficits-after-traumatic-brain-injury-in-the-polytrauma-veteran
#15
REVIEW
Saurabha Bhatnagar, Meredith Anderson, Michael Chu, Daniel Kuo, Ogo Azuh
Neurosensory deficits after traumatic brain injury can frequently lead to disability; therefore, diagnosis and treatment are important. Posttraumatic headaches typically resemble migraines and are managed similarly, but adjuvant physical therapy may be beneficial. Sleep-related issues are treated pharmacologically based on the specific sleep-related complaint. Fatigue is difficult to treat; cognitive behavioral therapy and aquatic therapy can be beneficial. Additionally, methylphenidate and modafinil have been used...
February 2019: Physical Medicine and Rehabilitation Clinics of North America
https://read.qxmd.com/read/30470418/neurobehavioral-management-of-the-polytrauma-veteran
#16
REVIEW
Bryan P Merritt, Tracy Kretzmer, Tamara L McKenzie-Hartman, Praveen Gootam
Since the inception of the Afghanistan and Iraq wars, an increasing number of veterans have sought treatment from the Department of Veterans Affairs for combat-related injuries. Many veterans experience postconcussive symptoms, traumatic stress, chronic pain, sensory deficits, and/or headaches. The goal of this article was to highlight some of the challenges treatment providers may face, while providing rehabilitation specialists with important evaluation and treatment considerations in working with this population to maximize outcomes for these veterans...
February 2019: Physical Medicine and Rehabilitation Clinics of North America
https://read.qxmd.com/read/30470417/department-of-veterans-affairs-polytrauma-rehabilitation-centers-inpatient-rehabilitation-management-of-combat-related-polytrauma
#17
REVIEW
Michael Armstrong, Julie Champagne, Diane Schretzman Mortimer
Traumatic brain injury (TBI) is one of the signature injuries of Operation Iraqi Freedom and Operation Enduring Freedom. To ensure that rehabilitation care needs of veterans and active duty servicemembers with TBI and polytrauma injuries were met, the Department of Veterans Affairs (VA) established the Polytrauma System of Care (PSC) in 2005. The 5 VA Polytrauma Rehabilitation Centers provide tertiary, acute inpatient rehabilitation for the PSC. Interdisciplinary treatment teams of multiple rehabilitation disciplines provide the complex, patient-centered care to achieve maximum benefit...
February 2019: Physical Medicine and Rehabilitation Clinics of North America
https://read.qxmd.com/read/30470416/rehabilitation-of-burn-injuries-an-update
#18
REVIEW
Alan W Young, William Scott Dewey, Booker T King
A major burn is a severe injury with a global impact. Our system of medical evacuation has led to the survival of many severely injured service members. Burn rehabilitation is a complex and dynamic process and will not be linear. Recovery requires a comprehensive, interdisciplinary team-based approach, individually designed to maximize function, minimize disability, promote self-acceptance, and facilitate survivor and family reintegration into the community.
February 2019: Physical Medicine and Rehabilitation Clinics of North America
https://read.qxmd.com/read/30470415/rehabilitation-in-the-department-of-veterans-affairs-polytrauma-system-of-care-historical-perspectives
#19
REVIEW
Micaela Cornis-Pop, Sidney R Hinds, Linda M Picon, Rebecca N Tapia
The purpose of this article is to inform the reader of the historical aspects of the Polytrauma System of Care, understand the solutions that were implemented in addressing the continuum of care needs for service members and veterans, and provide an understanding of ongoing research efforts that will inform future solutions to strategically identified future care needs.
February 2019: Physical Medicine and Rehabilitation Clinics of North America
https://read.qxmd.com/read/30293633/the-value-electrodiagnosis-adds-to-patient-care-making-it-transparent
#20
EDITORIAL
Karen P Barr, Ileana M Howard
No abstract text is available yet for this article.
November 2018: Physical Medicine and Rehabilitation Clinics of North America
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