ashpt, Author at Physical Medicine and Rehabilitation Qbank Review

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So far ashpt has created 12 blog entries.

Transient ischemic attack

Transient ischemic attack (TIA) PM&R News • February 2021 Anatomy/Etiology: Disruption of circulatory system: Large artery disease, carotid stenosis, small vessel disease (lipohyalinosis), cryptogenic (unknown origin), embolus, atherosclerosis, inflammation, amyloid (protein associated with certain diseases) deposition, arterial dissection, developmental malformation, aneurysmal dilation, or thrombosis. Secondary to: atrial fibrillation, decreased perfusion pressure, or increased blood viscosity. That leads to ischemia in any of the following: brain, spinal cord, or retina. Pathophysiology TIA definition (UTD): “Transient episode of neurologic dysfunction caused by focal brain, spinal cord, or retinal ischemia, without acute infarction” or injury to tissues. Highest risk of CVA in the first 2 days. [...]

Transient ischemic attackashpt2021-04-23T10:59:51+00:00

Systemic lupus erythematosus (SLE)

Systemic lupus erythematosus (SLE) PM&R News • December 2020 A 16-year-old black female presents to her primary care physician with symptoms of fatigue, musculoskeletal pain, and a facial rash. On examination she is noted to be thin with malar skin changes. No other abnormality is found. Description Autoimmune disorder – systemic autoantibodies Multiple phenotypic presentations Remitting and relapsing course is common Anatomy: Dependent on phenotypes expressed: any organ system can be involved Pathophysiology Increased predisposition → cell damage (2/2 environment or infections) secondary to self-antigens → immune activation of T & B cells → immunity mediator release (cytokines, complement system, autoantibody activation) and [...]

Systemic lupus erythematosus (SLE)ashpt2020-12-16T03:56:14+00:00

Avascular Necrosis

Avascular Necrosis PM&R News • December 2020 A 41-year-old male presented to a chiropractor’s office for ongoing right sided low back, hip and knee pain for the past six months following jumping off a two meter high roof and landing on his feet. He had immigrated to Canada from abroad two months prior to consulting us. The patient had an antalgic limp and walked with the help of a cane. He complained of intermittent pain radiating into his right groin and anteriomedial thigh region. He stated that his symptoms were aggravated by walking and stair climbing. His pain was relieved by sitting and resting. [...]

Avascular Necrosisashpt2020-12-04T15:08:12+00:00

Music Therapy and CVA Benefits

Music Therapy and CVA Benefits PM&R News • March 2020 New research from Addenbrooke's hospital in Cambridge has shown promising results with the use of music therapy in treatment of patients with acute CVAs. A 2-year study performed on 177 patients who underwent 675 sessions was recently reported for improvements in patient's mood and thus possibility of increased patient engagement with rehabilitation sessions. Prior studies have shown that depression amongst those affected by CVAs, particularly aphasia, is high. The impact that music therapy has on improved mood could also affect rehabilitation participation, depression scales, and ultimately rehabilitation outcomes. The use of music therapy [...]

Music Therapy and CVA Benefitsashpt2020-03-13T19:58:29+00:00

Blood Flow Restriction Training in the Lower Extremity

Blood Flow Restriction Training (BFRT) – True Gains? PM&R News • November 2019 By now many of you have heard of blood flow restriction training (BFRT). With this relatively novel treatment, few studies have looked at effects on both proximal and distal segments as well as the contralateral limb. So remind me again of what BFR training entails? “low-load exercise performed while wearing an inflatable tourniquet on the proximal limb, which partially restricts arterial inflow and venous return from the extremity.” In this 6-week randomized controlled-trial¹ 26 participants were observed for effects of strength, torque, work, power, and limb circumference. [...]

Blood Flow Restriction Training in the Lower Extremityashpt2019-11-10T21:22:33+00:00