Journal of Back and Musculoskeletal Rehabilitation - Volume 4, issue 2
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Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty.
In each issue clinicians can find information which they can use in their patient setting the very next day. Manuscripts are provided from a range of health care providers including those in physical medicine, orthopedic surgery, rheumatology, neurosurgery, physical therapy, radiology, osteopathy, chiropractic and nursing on topics ranging from chronic pain to sports medicine. Diagnostic decision trees and treatment algorithms are encouraged in each manuscript. Controversial topics are discussed in commentaries and rebuttals. Associated areas such as medical-legal, worker's compensation and practice guidelines are included.
The journal publishes original research papers, review articles, programme descriptions and cast studies. Letters to the editors, commentaries, and editorials are also welcomed. Manuscripts are peer reviewed. Constructive critiques are given to each author. Suggestions for thematic issues and proposed manuscripts are welcomed.
Abstract: The increasing frequency and prevalence of functionally significant gait disorders in adults requires that more physicians become familiar with systematic assessment and treatment approaches. The classification system presented can help physicians organize their observations and their clinical management of patients with gait problems.
Abstract: Deconditioning is a prevalent problem in our sedentary society and is increasingly contributing to functional mobility problems in older adults. Information about exercise and appropriate exercise programs are increasingly available. Physicians and other health care professionals should identify when deconditioning is contributing to a patient's mobility problem and then assist the patient in developing a new exercise habit.
Abstract: Many studies have been conducted to document the positive effects of exercise in the elderly. Initially, the focus was on the benefits of aerobic training, however, more recent studies have shown that the elderly respond to isometric, isotonic, and isokinetic programs. Strength and mobility are two of the key factors in assessing a person's risk for falling. Studies have shown that people who fall frequently have weaker ankle dorsiflexors and knee extensors than persons who do not fall. As a result, it has been speculated that exercise programs to strengthen these muscle groups will improve functional mobility and reduce the…risk of falling. At present ongoing trials are trying to provide documentation to support this idea.
Abstract: More individuals over the age of 55 are becoming involved in athletics and physical fitness. These individuals benefit from this increased activity in a number of ways: improved cardiovascular function, improved muscle strength and functional ability, and less medical care. By following a gradual, low-intensity exercise program, an elderly individual can reap all of the benefits of improved physical fitness with little chance of injury. As physicians who care for elderly individuals, we need to be cognizant of the benefits and risk involved with geriatric athletes.
Abstract: Shoulder disorders, typically characterized by pain and diminished range of motion, is a common source of musculoskeletal pain in the elderly. Degenerative changes predominate in the elderly shoulder. Like younger patients rotator cuff and bicipital tendon disorders are common. Unlike younger patients elderly patients are more likely to suffer from shoulder pain as a consequence of a frozen shoulder, polymyalgia rheumatica, degenerative arthritis, referred pain—especially from visceral sources, and hemiplegic shoulder pain. The usefulness of high technological diagnostic tests such as magnetic resonance imaging (MRI) is very questionable in the elderly because it rarely influences management, which is invariably conservative…in the elderly.
Abstract: Shoulder dysfunction is a common but complex clinical problem among the aged. The shoulder is a diarthrodial joint that is designed to complement the elbow and wrist in stabilizing the arm and the hand. This complex joint has the greatest range of motion (ROM) of any joint in the human body. Unfortunately, the aging process increases the shoulder's vulnerability to many pathological conditions that decrease its ROM and interfere with self-care tasks. While initial therapy is typically managed by the primary care physician, the complexity of this problem often requires consultation across disciplines to assure pertinent management. This article provides…an overview of rheumatologic considerations specific to geriatric persons with shoulder dysfunction. The differential diagnosis and issues of treatment and rehabilitation are discussed.
Abstract: Geriatric rehabilitation is an ever increasing part of the general physiatrist practice. Stroke rehabilitation will continue to make up a large part of that practice. Rehabilitation decreases institutionalization thereby decreasing long run costs. Stroke rehabilitation also improves quality of life and lengthens life. The management of these patients requires expert physiatric care. The most effective and least costly treatment option is still to be determined.
Keywords: Stroke rehabilitation, rehabilitation, cerebral vascular accident, geriatric assessment unit
Abstract: As geriatric rehabilitation confronts major changes in health care funding, investigators and practitioners must identify and validate best practices in the field. Consistent, convincing outcomes research is lacking in several important areas of practice. Lack of scientific support for geriatric rehabilitation approaches is a common criticism at present, and may further jeopardize the availability of reimbursement in the future. It is, therefore, essential that geriatric rehabilitation investigators follow the lead of such influential groups as the Institute of Medicine and the Robert Wood Johnson Foundation in developing and defining a public policy-oriented research agenda.
Keywords: Public policy, rehabilitation, geriatrics