Articles related to Physical Medicine & Rehabilitation

Patients who survive severe intracerebral hemorrhage (ICH) and intraventricular hemorrhage (IVH) typically have poor functional outcome in the short term and understanding of future recovery has been limited. These findings indicate that hospital events significantly influenced long-term functional recovery after ICH and IVH, suggesting that aggressive ICH and IVH resolution and prevention of systemic complications and cerebral ischemic injury may promote better outcomes among patients with ICH and IVH with high clinical severity.

The knee arthritis meta-analysis reviewed 169 trials involving 21,163 patients, with the evidence demonstrating viscosupplementation is associated with a clinically irrelevant reduction in pain intensity and with an increased risk of serious adverse events compared with placebo. For the meniscus study, the commentary may sum it up best: “Multiple studies, including several with sham surgeries as a control have shown repeatedly over the previous 2 decades that surgery is not superior to physical therapy, yet the issue and use of surgery persist.”

Walking exercises have been found to improve outcomes for people suffering from peripheral artery disease (PAD). Specifically, among adults with PAD and intermittent claudication, a home-based, walking exercise behavior change intervention, compared with usual care, resulted in improved walking distance at three months. However, authors of the JAMA study concluded that further research is needed to determine the durability of these findings.

Given the high burden of shoulder conditions, clinicians should pay attention to any factors that may further increase risks. This study found a low incidence of shoulder issues following vaccination in the deltoid muscle but does delineate population at higher risk for developing these issues.