Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Dec 2007
Randomized Controlled TrialAugmented exercise in the treatment of deconditioning from major burn injury.
To investigate the efficacy of a 12-week exercise program in producing greater improvement in aerobic capacity in adult burn survivors, relative to usual care. ⋯ The aerobic capacity of adult burn survivors can be improved with participation in a structured, 12-week exercise program after injury.
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Arch Phys Med Rehabil · Dec 2007
Randomized Controlled Trial Comparative StudyComparison of the effectiveness of amitriptyline and gabapentin on chronic neuropathic pain in persons with spinal cord injury.
To test the hypotheses that both amitriptyline and gabapentin are more effective in relieving neuropathic pain than an active placebo, diphenhydramine. ⋯ Amitriptyline is more efficacious in relieving neuropathic pain than diphenhydramine at or below the level of spinal cord injury in people who have considerable depressive symptomatology.
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Arch Phys Med Rehabil · Dec 2007
Randomized Controlled TrialFactors influencing the efficacy of virtual reality distraction analgesia during postburn physical therapy: preliminary results from 3 ongoing studies.
To assess the efficacy and side effects of immersive virtual reality (VR) distraction analgesia, as well as patient factors associated with VR analgesic efficacy in burn patients who require passive range-of-motion (ROM) physical therapy (PT). ⋯ When added to standard analgesic therapy, VR distraction provides a clinically meaningful degree of pain relief to burn patients undergoing passive ROM PT. Multiple patient factors do not appear to affect the analgesic effect. Immersive VR distraction is a safe and effective nonpharmacologic technique with which to provide adjunctive analgesia to facilitate patient participation in rehabilitation activities.
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Arch Phys Med Rehabil · Dec 2007
Randomized Controlled TrialThe effect of a series of repetitive transcranial magnetic stimulations of the motor cortex on central pain after spinal cord injury.
To study the analgesic effect of repetitive transcranial magnetic stimulation (rTMS) of the motor cortex on central pain in patients with chronic spinal cord injury (SCI). ⋯ Whereas the pain alleviation induced by a single rTMS treatment is probably due to placebo, patients with SCI may benefit from a series of rTMS treatments.
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Arch Phys Med Rehabil · Dec 2007
Randomized Controlled TrialEffects of cessation of a structured and supervised exercise conditioning program on lean mass and muscle strength in severely burned children.
To determine whether the benefits of exercise by burned children are maintained 3 months after the exercise program is concluded. ⋯ Participation in an exercise program resulted in a greater improvement in LBM and muscle strength in the exercise group than in the no-exercise group. Three months after the exercise training ended, there were persistent mild-to-moderate increases in LBM and muscle strength. Absolute levels continued to be below previously reported nonburned, age-matched values, however, which underscores the need for continued exercise to improve LBM and muscle strength in severely burned children.