Article
Clinical Neurology
Dougho Park, Sang-Eok Lee, Jae Man Cho, Joong Won Yang, Donghoon Yang, Mansu Kim, Heum Dai Kwon
Summary: This study investigated the association between C8/T1 level radiculopathy and root motor conduction time (RMCT). The results showed that delayed RMCT was independently associated with radiculopathy and correlated with symptom duration, but not with the degree of arm pain.
Article
Medicine, General & Internal
Min Soo Choi, Myung Hun Jang, Byeong Ju Lee, Yong Beom Shin, Sang Hun Kim
Summary: This study presented a case of a 62-year-old male patient with abdominal pseudohernia, where abdominal muscle activities were accurately and quantitatively measured using ultrasonography and surface electromyography. The decrease in muscle activity in the lesion area was quantitatively evaluated, and strengthening exercises and treatments were recommended to improve symptoms.
Review
Rehabilitation
Maryam Tahmasbi Sohi, Samuel Nortman, Kerry Brega, Jeri E. Forster, Jacob R. Guzzetti
Summary: A study found that needle examination of forearm muscles may improve the accuracy of MRI results for patients with radiculopathy, especially in the presence of peripheral and entrapment neuropathies. This suggests that including forearm muscle examination in electromyogram testing can reduce false-positive results compared to testing just hand intrinsic muscles.
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
(2021)
Article
Clinical Neurology
Andrei Fernandes Joaquim, Carlos Roberto Martins, K. Daniel Riew
Summary: This study aimed to evaluate the knowledge of spine surgeons regarding the use of electromyography (EMG) and nerve conduction studies (NCS) for degenerative cervical spine conditions. The results of the survey showed that the respondents' knowledge about EMG-NCS was poor, with only a small percentage of surgeons being able to correctly answer key questions. Identifying these knowledge gaps can help improve surgeons' knowledge in this area.
GLOBAL SPINE JOURNAL
(2023)
Article
Multidisciplinary Sciences
Seungyoon Paik, Yunhee Choi, Chun Kee Chung, Young Il Won, Sung Bae Park, Seung Heon Yang, Chang-Hyun Lee, John Min Rhee, Kyoung-Tae Kim, Chi Heon Kim
Summary: ObjectivePosterior full-endoscopic cervical foraminotomy (PECF) is a minimally invasive surgical technique for treating cervical radiculopathy. This study aimed to compare the cervical kinematics between patients with foraminal stenosis (FS) and disc herniation (DH) after PECF.
Review
Rehabilitation
Tyler Mcguire, Andrew J. Haig
Summary: Currently, there is no useful and reproducible technique for exploring the cervical paraspinal muscles, which hinders the clinical and scientific understanding of cervical radiculopathy.
Article
Clinical Neurology
Lawrence R. Robinson
Summary: This article reviews the epidemiology, classification, localization, prognosis, and mechanisms of recovery of traumatic peripheral nerve injuries (PNIs). Electrodiagnostic assessments are critical in treating patients with PNIs, as they aid in localizing the injury and determining the extent of axon loss. Mechanisms of recovery may include recovery from conduction block, muscle fiber hypertrophy, distal axonal sprouting, and axon regrowth. Early surgical intervention is recommended for patients with complete or severe nerve injuries.
Review
Clinical Neurology
Lawrence R. Robinson, Paul Binhammer
Summary: In the past two decades, there have been significant advancements in the surgical treatment of brachial plexus and peripheral nerve injuries, with nerve transfers becoming a key tool. Collaboration between surgeons and electrodiagnostic medicine specialists is crucial for optimal outcomes in these patients with severe nerve injuries. Ongoing monitoring of recovery post-operatively is essential for decision-making regarding continued surgical and rehabilitation treatments.
Article
Medicine, General & Internal
Hyeon Seong Kim, Ji Won Jung, You Jin Jung, Young Suck Ro, Si-Bog Park, Kyu Hoon Lee
Summary: This case highlights the need for clinicians to consider the possibility of post-herpetic paresis, such as herpes zoster radiculopathy, and the usefulness of electrodiagnostic study for diagnosis and follow-up.
WORLD JOURNAL OF CLINICAL CASES
(2021)
Article
Clinical Neurology
Morsi Khashan, Jesus de Santiago, Itai Pardo, Gilad Regev, Dror Ophir, Khalil Salame, Zvi Lidar, Silviu Brill, Uri Hochberg
Summary: This study evaluated the outcomes of retro-laminar cervical blocks (RLCB) in patients with cervical radiculopathy. The results showed that RLCB could be an alternative to cervical epidural steroid injections (ESI) and decompressive surgery, as it provided significant pain reduction and improved functional outcomes for most patients.
Article
Clinical Neurology
Faye Y. Chiou-Tan
Summary: This AANEM monograph explores musculoskeletal mimics of cervical radiculopathy, including head/neck pain, referred pain from shoulder pathology, joint hyperlaxity and instability, etc. Formulating a differential diagnosis and recognizing mimics can decrease the time between symptom onset and diagnosis/treatment plan.
Article
Clinical Neurology
Simran Chhugani, Nivedita Agarwal, Faraz Sheikh, Florina Borca, Aginor Spanoulis, Ian Galea
Summary: The study found that cervical spinal degenerative disease (SDD) is more common in patients with progressive multiple sclerosis (MS), with foraminal stenosis being a significant feature. Therefore, a higher index of suspicion for cervical SDD is needed in progressive MS patients experiencing appropriate neurological symptoms, to guide appropriate treatment or monitoring.
EUROPEAN JOURNAL OF NEUROLOGY
(2021)
Article
Clinical Neurology
Ji Yeon Kim, Dong Hwa Heo, Dong Chan Lee, Tae Hyun Kim, Choon Keun Park
Summary: This study compared the clinical and radiological outcomes between conventional posterior endoscopic cervical foraminotomy (PECF) and modified inclined technique for PECF. The modified inclined technique showed better foraminal expansion and lower facet resection rate, resulting in improved postoperative neck and arm pain symptoms.
Article
Multidisciplinary Sciences
J. Hutchins, K. Lagerstrand, E. Stavlid, P-A Svensson, K. Rennerfelt, H. Hebelka, H. Brisby
Summary: This study aimed to test the feasibility of a new compression device and evaluate the image quality and foraminal properties during a Spurling test under MRI acquisition. The results showed that using this novel device for individualized provocation test could obtain satisfactory image quality and reveal changes in cervical lordosis and foraminal cross distance, which may help detect changes in foraminal properties.
SCIENTIFIC REPORTS
(2023)
Review
Public, Environmental & Occupational Health
Quan-You Gao, Fei-Long Wei, Kai-Long Zhu, Cheng-Pei Zhou, Hu Zhang, Wen-Xing Cui, Tian Li, Ji-Xian Qian, Ding-Jun Hao
Summary: A network meta-analysis was conducted to evaluate the clinical efficacy and safety of various surgical interventions for pure cervical radiculopathy. The results showed no significant differences between treatments in terms of major clinical effectiveness and safety outcomes. Anterior cervical foraminotomy, posterior cervical foraminotomy, and anterior cervical discectomy with fusion and additional plating had higher postoperative success rates. Cervical disc replacement had a higher rate of postoperative complications. Autologous bone graft showed better relief from arm pain and neck disability.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Rehabilitation
Gang Liu, Bradley Chi
Summary: This article provides a comprehensive review of the technological advances in the diagnosis and treatment of patients with a disorder of consciousness over the past 10 years. While these advances show promise, there is limited high-quality evidence supporting their widespread clinical adoption.
PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA
(2024)
Article
Rehabilitation
Amy Shapiro-Rosenbaum, Michelle P. Jaffe
Summary: Caregivers of persons with DoC experience high levels of perceived burden, which is associated with adverse physical, emotional, psychosocial, and financial outcomes and is directly tied to expressed needs for information and support. Providing individualized education and training at each phase of recovery can enhance effective communication between providers and caregivers, helping to increase caregiver proficiency in managing their loved one's care while also helping to mitigate the challenges associated with perceived burden. This may subsequently increase the rate of community discharge among persons with DoC, potentially translating to a reduction in the long-term costs of care for this population.
PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA
(2024)
Article
Rehabilitation
Jean E. Woo, Abana Azariah, Eboni A. Reed, Nicholas Gut
PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA
(2024)
Article
Rehabilitation
Katherine O'Brien, Bei Zhang, Elizabeth Anderl, Sunil Kothari
Summary: Behavioral assessment is essential in the clinical evaluation of disorders of consciousness, and it should be supplemented by qualitative behavioral observations and individualized quantitative assessments. Therapy disciplines, staff, and family members all play important roles in this process.
PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA
(2024)
Article
Rehabilitation
Mary E. Russell, Cindy B. Ivanhoe, Eboni A. Reed
Summary: Acquired brain injury, especially severe brain injury, is a chronic medical condition that lacks research studies on postacute care and long-term outcomes. There is a need for standardized admission criteria, diagnostic tools, and prognostic protocols. Furthermore, healthcare systems should consider personalized factors and different perspectives on meaningful recovery and quality of life.
PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA
(2024)
Article
Rehabilitation
Brooke Murtaugh, Susan Fager, Tabatha Sorenson
PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA
(2024)
Article
Rehabilitation
Amanda Appel, Eric Spier
Summary: This article discusses the importance of the emergence of consciousness in brain-injured patients and presents a framework for evaluating and tailoring treatment of sleep and pain. Although more research is needed, validated tools are currently available for assessing consciousness, pain, and sleep.
PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA
(2024)
Article
Rehabilitation
Kristen A. Harris, Yi Zhou, Stacey Jou, Brian D. Greenwald
PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA
(2024)
Article
Rehabilitation
Ruth Tangonan, Christos Lazaridis
Summary: Acute disorders of consciousness refer to impairments in arousal and awareness that occur within 28 days of an initial injury, which can be caused by various insults. Thorough evaluations, including assessments of consciousness level, brainstem reflexes, and motor responses, are important. Laboratory tests, imaging, and electrophysiology testing are needed for the evaluation of acute disorders of consciousness. Prognostication in this phase should be done cautiously, with open and frequent communication with families, considering the significant multidimensional uncertainty.
PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA
(2024)
Editorial Material
Rehabilitation
Sunil Kothari, Bei Zhang
PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA
(2024)
Article
Rehabilitation
Michael H. Marino
PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA
(2024)
Article
Rehabilitation
Linda B. Xu, Stephen Hampton, David Fischer
Summary: Neuroimaging in DoC has evolved to characterize complex brain networks and may have significant implications for understanding the natural history of DoC and optimizing long-term management.
PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA
(2024)
Article
Rehabilitation
David B. Arciniegas, Lindsey J. Gurin, Bei Zhang
Summary: Understanding the neuroanatomy of wakefulness and awareness is crucial for clinicians dealing with disorders of consciousness. Wakefulness is supported by brainstem-forebrain-diencephalic systems, while awareness is a result of integrated activity within and between wakefulness systems and cortical areas. Disruptions in these neural systems can inform the clinical presentation and treatment options for disorders of consciousness.
PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA
(2024)
Article
Rehabilitation
Katherine Golden, Yelena G. Bodien, Joseph T. Giacino
Summary: This article discusses the classification associated with the four major disorders of consciousness (DoC): coma, vegetative state or unresponsive wakefulness syndrome, minimally conscious state, and post-traumatic confusional state. The history of each disorder are briefly reviewed and operational definitions and diagnostic criteria are provided. The article heavily relies on recently released practice guidelines and identifies knowledge gaps and discusses future directions to advance DoC research and practice.
PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA
(2024)
Article
Rehabilitation
Beth S. Slomine, Stacy J. Suskauer
Summary: Research on children with disorders of consciousness (DoC) lags behind adult literature, and there is a lack of rigorous evaluation of assessment tools for this population. However, recent developments show promise in improving assessment for young children and those without overt command following. Early signs of consciousness are associated with better long-term outcomes. Although large clinical trials are lacking, programmatic data provide valuable information for standards of care and treatment options for children with DoC.
PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA
(2024)