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November 2015

Volume 1 Issue 3

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Research Article

Effectiveness of High Intensity Radial Shock Wave Therapy in The Treatment of Chronic Plantar Fasciitis

Demoulin C*, Vanderthommen M, Fromm A, Laurent JM, Donneau AF, Bornheim S, Crielaard JM, Kaux JF

Plantar fasciitis (PF) is the most common cause of heel pain in adults and can affect various kinds of individuals (for example, sedentary people and athletes). It is characterized by several symptoms among which heel pain with the first steps in the morning or deep pain with palpation of a specific point. Although a conservative treatment (rest, analgesics, stretching techniques) is usually effective within a few weeks in decreasing the disabling pain, complementary treatments are sometimes necessary (for example, foot orthotics, corticosteroid injections).

 

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Case Study

Training a Phantom Hand to Move

Margaret H Moon*

Phantom limb pain has been described from different angles for years. Many limb amputees are purported to experience a painful stump, a phantom hand, or phantom pain; all are difficult conditions to treat. The pathophysiology is not completely understood. Sensations in the phantom limb can be described as shooting, cramping, burning and aching and may be intermittent or present all the time. Gender, age of adults, and side of amputation are not recognised as being pertinent. Peripheral, spinal and superspinal mechanisms have been suggested and investigated but without decisive  conclusions about the aetiology. A broad range of treatments are offered but without proven results.

 

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Research Article

Early Intervention Vs Vojta Therapy for Neurological Development Of Infants With Hypoxic Ischemic Encephalopathy

Angélica García-Pérez, Blanca Rivera-García, Gerardo Alvarado-Ruiz, María del Carmen Rojas-Sosa,Verónica Ramírez-Alvarado, Margarita Rojano-Rodríguez, Israel Grijalva*

Hypoxic Ischemic Encephalopathy (HIE) in the perinatal period is the most frequent cause of neonatal mortality and chronic  neurological handicap in infancy, and causes serious neurological sequelae in 20-50% of cases. HIE is classified according to severity in 3 degrees. The majority of patients with Grade I do not present neurological sequelae. Grade II (GII) is customarily associated with encephalopathy and between 25 and 50% show neurological sequelae in the long term, including: fine motor problems in the absence of cerebral paralysis, neuropsychological and memory disorders, behavior problems with repercussions in daily life (especially problems with attention and social integration), as well as special education needs (patients with Grade II HIE can benefit from rehabilitation strategies). Finally, patients with Grade III HIE present severe sequelae or die.

 

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Research Article

Pediatric Physical Medicine & Rehabilitation Program Directors’ Involvement in Training Provided to Pediatric Residents: A Longitudinal National View Conducted Over a Decade

Angelo P. Giardino *, MD, PhD, Carl D. Tapia, MD, MPH, Aloysia Schwabe, MMD, Xuan G.Tran MHA, Jeannie Yoon, MPH, Eileen R. Giardino, PhD, RN, APRN

Professionals interested in the ideal care of children and youth with special health care needs (CYSHCN) should assess whether training programs are fully taking advantage of the educational partnerships possible between pediatric physical medicine and rehabilitation (PM&R) and pediatric residency programs to prepare the physician workforce of tomorrow in order to enhance the care for CYSHCN around their chronic health issues and rehabilitation needs. PM&R residency training programs house faculty and staff with significant expertise in the care of CYSHCN and would likely serve as a valuable resource to their counterparts in pediatric residency programs to optimize training of pediatric residents in best practices around the care for CYSHCN as well.

 

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Review Article

Hyperglycemia and Degenerative Tendinopathy: A Role for Diet in Tendon Health

James Crownover* MD, Kenneth Bielak, MD

Tendinopathies are a common source of pain, poor mobility and decreased performance. The cause of tendinopathy is multi-factorial and systemic inputs play an underappreciated role. Metabolic syndrome is a growing problem in the developed world and usually involves varying degrees of insulin resistance and central obesity. Chronic hyperglycemia and central obesity are independent risk factors for degenerative tendon disease and the underlying mechanisms involve an accelerated accumulation of advanced glycation end-products (AGE’s), collagen cross-linking, oxidative damage, and aberrant remodeling of the extracellular matrix.

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