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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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Clinical Director of Spinal Cord Rehabilitation, Southern Metro, SEC University Town,#5178 :: Alabama :: Timeline Recruiting
Welcome to classic southern charm and hospitality. This vibrant, beautiful city is nestled in the rolling foothills of the Appalachian Mountains and serves up nationally recognized dining, shopping
Northern CA's Sierra Foothills near Sonora an hour from Sacramento :: California :: California Physician Opportunities
MT-1017 Gold-rush town made famous by the immortal Mark Twain, Historic downtown, modern conveniences in a rural mountain atmosphere. Enjoy a plethora of outdoor activities from Golf
Texas facility seeks Physical Medicine and Rehab (PMR) coverage :: Texas :: Weatherby Locums
Job 9553821-0018 Established hospital owned clinic seeks long term PMR physician for immediate start. No invasive procedures. Excellent opportunity for permanent placement. Inpatient only. Wonderful

Clinical Rehabilitation current issue

Effect of Warm-Supplementing Kidney Yang (WSKY) added to risperidone on quality of life in patients with schizophrenia: a randomized controlled trial
Chen, Z.-h., Wang, G.-h., Wang, X.-p., Huo, Y.-x., Yang, M.-h., Li, L., Mei, H.-b.Objective: To evaluate the quality of life, efficacy and safety of Warm-Supplementing Kidney Yang (WSKY) added to risperidone in patients with schizophrenia.Design: A randomized controlled trial.Setting: The outpatient and inpatient departments of three hospitals.Subjects: One hundred and twenty patients with clinically diagnosed schizophrenia with predominantly negative symptoms were included in the study.Intervention: All 120 patients were randomly assigned to double-blind treatment with WSKY group (n = 60) or placebo group (n = 60) added to risperidone for eight weeks.Main measure: The efficacy measures included the World Health Organization Quality of Life Scale (WHOQOL-100), the Positive and Negative Syndrome Scale (PANSS), the Social Disability Screening Schedule and the Hamilton Rating Scale for Depression. Safety and tolerability were assessed throughout the trial.Results: The scores of quality of life in the WSKY group showed statistically significant improvement at the end-point of treatment compared with those in the placebo group (WSKY, increasing 40.5 (29.4); placebo, increasing 14.4 (27.1); F =24.900, P<0.001), while the scores of social function and depression symptoms also showed statistically significant improvement. The response rates for the WHOQOL-100 total scores were 50.0% for the WSKY group versus 31.7% for placebo group ( 2 = 4.172, P=0.041). There were no significant differences in the safety/tolerability measures between the WSKY group and the placebo group during treatment.Conclusions: The results suggest that WSKY added to risperidone significantly improved the quality of life, social function, depression symptom compared with placebo added to risperidone.
Effectiveness of a video-based exercise programme to reduce falls and improve health-related quality of life among older adults discharged from hospital: a pilot randomized controlled trial
Haines, T. P, Russell, T., Brauer, S. G, Erwin, S., Lane, P., Urry, S., Jasiewicz, J., Condie, P.Objective: Falls, loss of health-related quality of life and physical capacity, reduced participation in activities of daily living, and increased fear of falling are all potential outcomes for older adults discharged from hospital. A low-cost video based exercise programme may address this.Design: This study was a randomized controlled trial with blinded outcomes assessment and a six-month follow-up.Subjects and setting: Participants were older adults (>65 years) using a mobility aid discharged from a tertiary hospital in Brisbane, Australia, without referral for community-based rehabilitation services.Intervention: A digital video disk-based programme encompassing six exercise types each with six levels of difficulty. A home visit from a project physiotherapist was conducted to ensure patient safety. Control group patients received usual care.Main measures: Falls, health-related quality of life, participation in activities of daily living, physical capacity and fear of falling.Results: Study participants (n = 53, 19 intervention, 34 control) experienced decreasing health-related quality of life, several falls (72), and lower levels of participation in activities of daily living over the six-month follow-up. The intervention group did not differ significantly from the control group in terms of the outcomes examined, though a non-significant reduction in the rate of falls was observed. Intervention group participants complied with the exercise programme well during the first two weeks following discharge from hospital but then reduced their compliance levels thereafter.Conclusions: The intervention may be beneficial for reducing the rate of falls in this patient population though further research with a larger sample size is indicated.
Long-term myocardial adaptations after cardiac rehabilitation in heart failure: a randomized six-year evaluation using magnetic resonance imaging
Muller, L., Myers, J., Kottman, W., Luchinger, R., Dubach, P.Objective: To assess exercise capacity and left ventricular function using magnetic resonance imaging (MRI) among patients with chronic heart failure randomized to a residential rehabilitation programme at baseline and six years after participation.Design: Randomized controlled study.Setting: Residential cardiac rehabilitation centre and community hospital. Intervention: One month of intensive exercise and risk reduction therapy including educational sessions, a low-fat diet, and 2 hours of individually prescribed exercise daily. Control subjects received usual care. Subjects were evaluated at baseline, after completing the one-month residential programme and six years later.Subjects: From an original study group of 50, 16 patients (8 exercise, 8 controls) with chronic heart failure were alive and available for evaluation after six years.Main measures: Cardiopulmonary exercise test responses and ventricular size and function using MRI.Results: Peak Vo2 was 20.0 and 12.4% higher after the rehabilitation programme and six years later, respectively, whereas minimal changes were observed among controls. Left ventricular mass and volumes tended to decrease among subjects in the exercise group, whereas left ventricular mass and volumes tended to increase among control subjects after six years. Ejection fraction increased approximately 20% in both groups.Conclusion: Six years after participation in a concentrated residential rehabilitation programme, exercise capacity was preserved and no significant changes were observed in ventricular size or function. These findings provide further support for exercise rehabilitation in chronic heart failure.

Physiotherapy Research International

Pain and hip lateral rotator muscle strength contribute to functional status in females with patellofemoral pain
Frances Long-Rossi, Gretchen B. Salsich Tue, 29 Sep 2009 04:12:00 -0000
Background and Purpose. Patellofemoral pain (PFP) is a common musculoskeletal pain condition, especially in females. Decreased hip muscle strength has been implicated as a contributing factor, yet the relationships between pain, hip muscle strength and function are not known. The purpose of this study was to test the hypothesis that pain and hip muscle strength explain unique portions of variance in the functional status of females with PFP. Methods. An observational, cohort study was conducted. The subjects for this study were twenty-one females with PFP (age: 26 ± 7 years; height: 163 ± 4 cm; and body mass: 62 ± 10 kg). Subjects had a minimum pain duration of two months (mean pain duration: 4.9 ± 3.6 years). The main measures were pain during a unilateral squat, measured with a visual analogue scale; isometric muscle force of gluteus medius, gluteus maximus and hip lateral rotators; and Kujala score (self-report measure of function). Hierarchical multiple regression analysis was performed with Kujala score as the dependent variable. Pain and hip lateral rotator muscle strength were independent variables, entered in that order. Other strength measures were not correlated with the Kujala score, and as such, were not used in the analysis. Results. Pain explained 22% of the variance in the Kujala score (p = 0.03). Hip lateral rotator strength explained an additional 14% of the variance, after accounting for pain level (p = 0.06). Conclusions. Pain and hip lateral rotator strength contributed to the functional status of females with PFP. Improving pain and hip lateral rotator muscle strength may improve function in females with this common pain condition. Copyright © 2009 John Wiley & Sons, Ltd.
Validation of the Comprehensive ICF Core Set for obstructive pulmonary diseases from the perspective of physiotherapists
Alexandra Rauch, Inge Kirchberger, Gerold Stucki, Alarcos Cieza Thu, 17 Sep 2009 07:25:00 -0000
Background and Purpose. The 'Comprehensive ICF Core Set for obstructive pulmonary diseases' (OPD) is an application of the International Classification of Functioning, Disability and Health (ICF) and represents the typical spectrum of problems in functioning of patients with OPD. To optimize a multidisciplinary and patient-oriented approach in pulmonary rehabilitation, in which physiotherapy plays an important role, the ICF offers a standardized language and understanding of functioning. For it to be a useful tool for physiotherapists in rehabilitation of patients with OPD, the objective of this study was to validate this Comprehensive ICF Core Set for OPD from the perspective of physiotherapists. Method. A three-round survey based on the Delphi technique of physiotherapists who are experienced in the treatment of OPD asked about the problems, resources and aspects of environment of patients with OPD that physiotherapists treat in clinical practice (physiotherapy intervention categories). Responses were linked to the ICF and compared with the existing Comprehensive ICF Core Set for OPD. Results. Fifty-one physiotherapists from 18 countries named 904 single terms that were linked to 124 ICF categories, 9 personal factors and 16 'not classified' concepts. The identified ICF categories were mainly third-level categories compared with mainly second-level categories of the Comprehensive ICF Core Set for OPD. Seventy of the ICF categories, all personal factors and 15 'not classified' concepts gained more than 75% agreement among the physiotherapists. Of these ICF categories, 55 (78.5%) were covered by the Comprehensive ICF Core Set for OPD. Conclusion. The validity of the Comprehensive ICF Core Set for OPD was largely supported by the physiotherapists. Nevertheless, ICF categories that were not covered, personal factors and not classified terms offer opportunities towards the final ICF Core Set for OPD and further research to strengthen physiotherapists' perspective in pulmonary rehabilitation. Copyright © 2009 John Wiley & Sons, Ltd.
Types of article published in physiotherapy journals: a quantitative analysis
Matteo Paci, Claudio Cigna, Marco Baccini, Lucio A. Rinaldi Thu, 10 Sep 2009 04:11:00 -0000
Background and Purpose. The aim of this study was to quantify and assess the types of research and review articles published in physiotherapy professional journals with international circulations. Method. Selected articles from nine physiotherapy journals in a period of five years were classified according to their study design. Results. A total number of 1627 articles were included in this study of which 205 (12.60%) were randomized controlled trial (RCT). Articles published with the highest frequency were 'observational/descriptive studies' (n = 305, 18.75%), whereas 'meta-analyses' were the rarest ones (n = 21, 1.29%). Many articles were validation studies (n = 216, 13.28%) and articles classified as 'others' (n = 217, 13.34%). High heterogeneity was found in terms of distribution over years and journals with an improvement of the number of RCTs among years. Conclusion. The distribution of different types of article in physiotherapy journals is similar to other disciplines. The improvement of RCTs represents an important move in the right direction for evidence-based physiotherapy research. Copyright © 2009 John Wiley & Sons, Ltd.

Developmental Neurorehabilitation: Articles recently published in

Executive function and the frontal lobes: Themes for child development, brain insult and rehabilitation
Anderson, VickiYlvisaker, Mark Thu, 01 Oct 2009 00:00:00 -0000

Hitting a moving target: Basic mechanisms of recovery from acquired developmental brain injury
Prins, Mayumi L.Asarnow, Robert F.Harris, Neil G.Kolb, BryanGiza, Christopher C. Thu, 01 Oct 2009 00:00:00 -0000

Factors influencing frontal cortex development and recovery from early frontal injury
Kolb, BryanFrost, Douglas O.Gibb, RobbinComeau, WendyHalliwell, Celeste Thu, 01 Oct 2009 00:00:00 -0000


Physiotherapy Theory and Practice: Articles recently published in

Transversus abdominis: Changes in thickness during the unsupported upper limb exercise test in older adults
Petkov, JohnThoirs, KerryWilliams, MariePieterse, JohnMcEvoy, MaureenFulton, Ian Sun, 01 Nov 2009 00:00:00 -0000

Exploration of patients' perspectives of quality within an extended scope physiotherapists' spinal screening service
Reeve, SarahMay, Stephen Sun, 01 Nov 2009 00:00:00 -0000

Bridging the gap between theory and practice: Dynamic systems theory as a framework for understanding and promoting recovery of function in children and youth with acquired brain injuries
Levac, DanielleDeMatteo, Carol Sun, 01 Nov 2009 00:00:00 -0000


 
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