Medico-Legal Considerations / Risk Management in Rehabilitation
[…] epidural abscess from negligent non-use of aseptic technique and this leads to the need for surgical decompression, which leads to spinal cord injury. The interventional physiatrist may still be liable for the spinal cord injury because the surgical decompression is an intervening […]
Models of Learning and Behavioral Modification in Rehabilitation
[…] activity), and Action Observation and Execution.13 Constraint Induced Motor Therapy (CIMT) is proposed to help relearn from impairments related with Motor neglect.13 For impaired mobility, as in spinal cord injury, neurorehabilitation techniques such as body-weight supported treadmill training (BWSTT) have targeted the proposed Locomotor or Central Pattern Generator (CPG), based primarily […]
Cervicogenic Headache
[…] patients has been documented as 42.9 years; it is four times more prevalent in women.1,2 Patho-anatomy/physiology The first three cervical spinal nerves and their rami are the primary peripheral nerve structures that can refer pain to the head. The ventral […]
Psychological Factors Affecting Physical Disorders Part 2: A General Approach to Treatment
[…] and noradrenaline reuptake inhibitors (SNRIs), which both act to prevent the reuptake of noradrenaline and serotonin in the brain and spinal cord, are the most effective. The mechanism of their effects remains unclear, but they are thought to provide analgesia […]
Energy Expenditure During Basic Mobility and Approaches to Energy Conservation
[…] palsy (CP), spasticity and associated abnormal (e.g., crouch) gait, balance, and motor control result in increased energy expenditure.8 After a spinal cord injury (SCI), reduced lower extremity strength and trunk control impose significant metabolic demands on the upper extremities to facilitate assistive […]
Fibromyalgia
[…] of excitatory neurotransmitters such as glutamate and substance P as well as decreased levels of serotonin and norepinephrine in the spinal cord There are also abnormalities such as the dysregulation of dopamine and endogenous cerebral opioids.1 Peripheral derangements may contribute […]
Neurofibromatosis: Type 2
[…] to intracranial or spinal tumor involvement predispose to infections, constipation, and impair community integration. Impairments after spinal tumor resection include spinal cord injury, neurogenic bowel and bladder, neuropathic and spinal pain syndromes. Post-radiation sequelae include myelopathy, plexopathy, lymphedema, encephalopathy, and pain syndromes. […]
Pregnancy Related Complications
[…] other syndromes. Specific secondary or associated conditions and complications Autonomic dysreflexia is a potentially life-threatening complication in pregnant women with spinal cord injuries at the T6 level or higher. Triggering events include labor, pelvic exams, bowel or bladder irritation, decubitus […]
Durable Medical Equipment that Supports Activities of Daily Living, Transfers and Ambulation
[…] therapy pumps and related supplies.1 Respiratory supplies can be utilized in multiple patient populations such as those with tetraplegia from spinal cord injury, neuromuscular weakness, or post-acute sequelae of COVID-19 to allow increased function and reduction of symptoms. These supplies, along with […]
Physiological Principles Underlying Electrodiagnosis and Neurophysiologic Testing
[…] unit action potential (MUAP). Motor nerve cell bodies of the peripheral nervous system begin in the anterior horn of the spinal cord and extend into the periphery, with the axon gradually dividing into many branches before ending at the neuromuscular […]