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Physical medicine and rehabilitation (PM&R) or physiatry is a branch of medicine dealing with functional restoration of a person affected by physical disability.

A physician who has completed training in this field is referred to as a physiatrist (fizz ee at' trist). In order to be a physiatrist in the United States, one must complete four years of medical school, one year of internship and three years of residency.

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Permanent Physiatry Job in Excellent Opportunity in Chicago Illinois with Enterprise Medical Service
Excellent PMR and/or NL Neurology opportunity located in Chicago! You will be joining one other physician in a practice that is growing. There are two office locations in the Chicago and N. West Indiana
Permanent Physiatry Job in 2 hours of Chicago Iowa with Enterprise Medical Service
Physical Medicine & Rehabilitation opportunity is now available in the Quad Cities. Outpatient practice, joining 3 other PMR physicians. New Spine center opening, beautiful facility. Candidate with
Permanent Physiatry Job in Ontario County, New York New York with Enterprise Medical Service
Excellent new PMR opportunity is available in New York located 45 miles of Rochester. Outpatient opportunity with NO CALL. Work Monday - Friday, 8a - 5p. Salary is $230,000 plus full benefits. This

Clinical Rehabilitation current issue

Electro-acupuncture versus sham electro-acupuncture for auditory hallucinations in patients with schizophrenia: a randomized controlled trial
Jing Cheng, , Gaohua Wang, , Ling Xiao, , Huiling Wang, , Xiaoping Wang, , Chengyan Li, Wed, 17 Jun 2009 00:00:00 -0000
Objective: To compare the efficacy of electro-acupuncture with that of sham electro-acupuncture for auditory hallucinations in patients with schizophrenia partially responsive or non-responsive to risperidone.Design: Patient- and assessor-blinded randomized controlled trial.Setting: Hospital-based practice.Participants: Schizophrenia patients with auditory hallucinations who are partially responsive or non-responsive to risperidone monotherapy (n = 60).Interventions: All patients were randomly allocated to a real electro-acupuncture group or a sham electro-acupuncture group and treated for 30 sessions within six weeks.Main outcome measures: The primary outcome measure was the Psychotic Symptom Rating Scales Auditory Hallucination Subscale. Secondary outcomes included the Positive and Negative Syndrome Scale and side-effects. A clinical response was defined as >20% reduction score (from baseline) on the total score of the Psychotic Symptom Rating Scales Auditory Hallucination Subscale.Results: Sixty patients were selected for randomized real electro-acupuncture treatment (n = 30) or sham electro-acupuncture treatment (n = 30). Patients in the real electro-acupuncture group experienced greater improvement in the Psychotic Symptom Rating Scales Auditory Hallucination Subscale total score, physical characteristics factor score and the Positive and Negative Syndrome Scale positive symptom score than the sham electro-acupuncture group at both week 4 and week 6. The clinical response rates in the real electro-acupuncture group and sham electro-acupuncture group were 43.3% (n = 30) and 13.3% (n = 30), respectively (2 = 6.648, P =0.027). There was no significance between-group difference in side-effects.Conclusion: Electro-acupuncture might provide improvement in auditory hallucinations and positive symptom for patients with schizophrenia partially responsive or non-responsive to risperidone monotherapy.
Exercise intervention in brain injury: a pilot randomized study of Tai Chi Qigong
Blake, H., Batson, M. Wed, 17 Jun 2009 00:00:00 -0000
Objective: To examine the effects of a brief Tai Chi Chuan Qigong (`Qigong') exercise intervention on individuals with traumatic brain injury.Design: A single-centre randomized controlled trial pilot study.Setting: A registered charity day centre in the community.Subjects: Twenty individuals with traumatic brain injury.Intervention: Intervention participants attended a Qigong exercise session for one hour per week over eight weeks. Control participants engaged in non-exercise-based social and leisure activities for the same intervention period.Measures: Outcome was assessed at baseline and post intervention using the General Health Questionnaire-12, the Physical Self-Description Questionnaire and the Social Support for Exercise Habits Scale, to measure perceived mood, self-esteem, flexibility, coordination, physical activity and social support.Results: Groups were comparable at baseline. After the intervention, mood was improved in the exercise group when compared with controls (U = 22.0, P =0.02). Improvements in self-esteem (Z = 2.397, P =0.01) and mood (Z = —2.032, P =0.04) across the study period were also evident in the exercise group only. There were no significant differences in physical functioning between groups. In view of the sample size, these findings are inconclusive.Conclusions: This study provides preliminary evidence that a brief Qigong exercise intervention programme may improve mood and self-esteem for individuals with traumatic brain injury. This needs to be tested in a large-scale randomized trial.
Self- and manual mobilization improves spine mobility in men with ankylosing spondylitis -- a randomized study
Widberg, K., Karimi, H., Hafstrom, I. Wed, 17 Jun 2009 00:00:00 -0000
Aims: To evaluate effects of physiotherapeutic intervention in terms of self- and manual mobilization on chest expansion, vital capacity, posture, spine mobility and experienced consequences of the disease in patients with ankylosing spondylitis.Design: A prospective, randomized controlled study.Methods: Thirty-two men, aged between 23 and 60 years, with ankylosing spondylitis were randomized to active or no treatment for eight weeks. Physiotherapeutic intervention included individualized self- and manual mobilization for 1 hour twice a week and individually adjusted home exercises. Two blinded investigators made the assessments of chest expansion, posture and spinal mobility before and after the treatment period. The patient filled in three and the physiotherapist one of the four Bath Ankylosing Spondylitis scales (BAS scales).Results: In the treatment group chest expansion increased at the level of processus xiphoideus (P<0.01), with no difference in vital capacity compared with the control group. The posture improved in the cervical (C7—wall distance) (P<0.001) and in the thoracic spine (P<0.05). Thoracic and lumbar spine flexion improved (P<0.01) as did sagittal range of motion P<0.001 and P<0.01, respectively. The Bath Ankylosing Spondylitis Metrology Index total scoring improved (P<0.001) in the treatment group compared with the control group. The other three BAS scales showed no differences between groups. At four months follow-up of the treatment group, cervical spine posture, lumbar flexion and range of motion as well as BAS Metrology Index were still improved.Conclusion: This study shows that eight weeks of self- and manual mobilization treatment improved chest expansion, posture and spine mobility in patients with ankylosing spondylitis.

Physiotherapy Research International

Using a partnership between academic faculty and a physical therapist liaison to develop a framework for an evidence-based journal club: a discussion
Tricia M. Austin, Randy R. Richter, Tracy Frese Fri, 26 Jun 2009 06:09:00 -0000
Evidence-based practice (EBP) in rehabilitation is increasingly recognized as important. Despite the importance of EBP, physical therapists' knowledge of EBP varies. Journal clubs have been used to educate clinicians about EBP. This discussion paper describes the partnership between academic faculty members and a physical therapist at a community hospital, and the process used to develop a framework to implement an evidence-based journal club. The partnership blended the expertise of academic faculty members and a physical therapist with knowledge of EBP who served as the liaison between members of the partnership team and the clinicians at the community hospital. The three-step framework developed enabled the clinicians to learn about critical appraisal, participate in guided practice of critical appraisal with the liaison, and lead critical appraisal of a paper with the assistance of the liaison as needed. This process could be easily replicated by other partnerships between academic faculty members and clinicians. Developing partnerships like the one described enables academicians to provide service to the profession, may enhance physical therapists' knowledge of the principles of EBP and may encourage EBP. Copyright © 2009 John Wiley & Sons, Ltd.
Reproducibility and validity of digital inclinometry for measuring cervical range of motion in normal subjects
Tamara Prushansky, Orly Deryi, Bahaa Jabarreen Wed, 24 Jun 2009 08:44:00 -0000
Background and Purpose. Measurements of cervical range of motion (CROM) have been extensively reported in the past decade employing simple (goniometers) as well as sophisticated (electro-, magneto- and ultrasonography-based) systems. The recent introduction of the simple, user-friendly and relatively cheap digital inclinometer (DI) has opened a potentially new venue for measurement of this segment's motion. The purpose of the present study was to assess intra-tester reproducibility of DI-based findings as well as its validity in comparison to the ultrasonography-based Zebris CMS 70P (Zebris Medizintechnik GmbhTM, Isny, Germany) for measuring CROM in normal subjects. Methods. Active CROM of healthy women (n = 15) and men (n = 15) aged 24.2(2.4) years was measured on two sessions, Test 1 and Test 2, spread over 7.2(±0.7) days apart. On Test 1, the six primary movements of the neck (flexion, F; extension, E; right and left lateral flexion, RLF and LLF; and right and left rotations, RR and LR) were measured using the DI and the Zebris. On Test 2, the same measurements were performed using the DI only. All measurements were conducted by the same tester, with the subject in the seated position. The only exception was DI measurement of cervical rotation that was performed in the supine position due to the DI gravity-dependence, rendering DI measurements in the transverse plane irrelevant. Results. No significant differences were revealed between the two instruments with respect to the sagittal and frontal planes, whereas the DI-based CROM in rotation was significantly greater then its Zebris-based counterpart. The inter-device interclass correlation coefficients (ICCs) for the frontal were 0.72 (RLF) and 0.62 (LLF), and 0.77 (F) and 0.83 (E). Poor correlations were indicated for the rotations. The intra-tester reproducibility derived from the test-retest DI measurement indicated good to excellent reproducibility in all planes with ICCs ranging from 0.82 (LLF) to 0.94 (E). The Standard Error of Measurement ranged from 1.6° (RR) to 2.6° (F). Conclusion. DI-based CROM measurements are reproducible and valid for recording sagittal and frontal plane motions in healthy subjects. The higher range in rotations, relative to the Zebris-based findings, is most probably attributable to the test position. Being relatively cheap, portable and convenient for tester and subject alike, the DI seems to be an effective instrument for assessing CROM. Copyright © 2009 John Wiley & Sons, Ltd.
Quality of life issues following surgery for vulval cancer: a case report
Doreen Mcclurg, Suzanne Hagen Wed, 27 May 2009 09:45:00 -0000
Background and Purpose. Surgical intervention for vulvar cancer and vulvar intraepithelial neoplasia causes mutilation of the genital area and can impose significant bladder, bowel and sexual dysfunction. This case report outlines how conservative interventions such as pelvic floor muscle training (PFMT) may reduce the long-term morbidities of such dysfunction. Method. The patient underwent 16 weeks of PFMT in conjunction with advice on fluid intake and bladder training. Results. An increase in pelvic floor muscle strength and endurance were recorded. Improved bladder control as demonstrated by a reduction in frequency of voiding (from 15 to 7 per 24 hours), and number of pads used (from 6 to 3 per 24 hours) was evident. The impact of urinary incontinence on everyday life was much less at the end of the treatment period as measured by the Incontinence Impact Questionnaire with a change in score from 21 (maximum impact) to 10. Conclusions. These positive results indicate that further research is needed to investigate the effect of PFMT on bladder function following such surgery. Copyright © 2009 John Wiley & Sons, Ltd.

Developmental Neurorehabilitation: Articles recently published in

Cri-du-chat
Sigafoos, JeffO'Reilly, Mark F.Lancioni, Giulio E. Mon, 01 Jun 2009 00:00:00 -0000

Stereotypies and repetitive/restrictive behaviours in infants with autism and pervasive developmental disorder
Fodstad, Jill C.Dempsey, TimothyMatson, Johnny L. Mon, 01 Jun 2009 00:00:00 -0000

Management of spasticity and dystonia in children with acquired brain injury with rehabilitation and botulinum toxin A
Guettard, EmilieAbada, GenevieveLemesle, CatherineVidailhet, MarieLaurent-Vannier, AnneChevignard, Mathilde P.Roze, Emmanuel Mon, 01 Jun 2009 00:00:00 -0000


Physiotherapy Theory and Practice: Articles recently published in

Editorial - Special Issue “Physical Therapy Practice in the 21st Century: A New Evidence-Informed Paradigm and Implications”
Hasson, Scott Wed, 01 Jul 2009 00:00:00 -0000

Foreword from the Special Issue Editor
Dean, Elizabeth Wed, 01 Jul 2009 00:00:00 -0000

Physical therapy in the 21st century (Part I): Toward practice informed by epidemiology and the crisis of lifestyle conditions
Dean, Elizabeth Wed, 01 Jul 2009 00:00:00 -0000


 
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