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Physiatry jobs

All Physiatry jobs for Mon Feb 6 2012

Physiatry jobs in "Physical Medicine and Rehabilitation/Occupational Medicine - North Carolina" - NC

111215-1822 Physical Medicine and Rehabilitation/Occupational Medicine - North Carolina NC Seeking BC/BE PM & R physician with Occupational health experience to complement faculty at 850-bed level

Physiatry jobs in "Physical Medicine and Rehabilitation - North Carolina" - NC

111209-1794 Physical Medicine and Rehabilitation - North Carolina NC Seeking BC/BE PM & R physician to join faculty at reputable teaching hospital Previous academic experience required with approximately

Physiatry jobs in "Medical Director/south of Cleveland" - OH

BC/BE Physiatrist with 3 or more years experience needed to serve as Medical Director in highly acclaimed, nationally recognized facility. Patients come from all over the United States

Physiatry jobs in "Indiana" - PA

PA Indiana – 60 min to Pittsburg Physiatry :E mployed or private practice to replace a solo private practice physician who relocated due to her husband’s job requirements.

Physiatry jobs in "Central California's Bakersfield" - CA

Occupational Medicine opportunity located in Bakersfield near many California activities both in summer and winter, great weather, all the amenities and convenience of Metro-Suburban California,

Physiatry jobs in "MIlwaukee Outpatient -PM&R" - WI

Outpatient: Seeking a physiatrist for an outpatient practice in The Milwaukee area. All outpatient work in several offices throughout the metro city / suburbs. We have 2.5 PMR on staff. We are not

Physiatry jobs in "Eastern North Carolina" - NC

Seeking a Physiatrist in Eastern NC: Duties to include PM&R physician to provide medical care in the inpatient and outpatient setting.  Approximately 50% acute consult time,

Physiatry jobs in "Fort Leonard Wood" - MO

Overview: As a Psychologist, is responsible for performing psychological assessments and evaluation of eligible clients who have problems with personality, emotional adjustment or mental illness. Analyses

Physiatry jobs in "SW Lower Michigan" - MI

60 bed hospital in lower SW Michigan looking for PM&R physician to work in Rehab Unit. Do both inpat and outpat. Be employed or income guarantee whichever you like. For more

Physiatry jobs in "NYC Metro North" - NY

An excellent opportunity exists in the NYC Metro North area for a BC/BE Physical Medicine & Rehabilitation physician to join a well-trained group. Board Certified is preferred

Physiatry jobs in "University Town" - IA

100% OUTPATIENT PM&R PRACTICE HOSPITAL EMPLOYMENT Beautiful Thriving Midwest Medical Community A Practice Where You Can Use All Your Skills & Education

Physiatry jobs in "Silver Spring" - MD

Part time Physiatrist needed for multispecialty office in Silver Spring MD. Duties to include: Exams, supervision of care, joint and muscle injections, Rx meds,

Physiatry jobs in "Orange County" - NY

Physiatry-Pain- both interventional and non-interventional-New York-Physician needed to join one of the premier groups in NY- Orange County Work for a large multispecialty group expanding its department.

Physiatry jobs in "Philadelphia" - PA

Five Star Physician Services is a multi-specialty medical practice that provides innovative clinical leadership to acute, sub-acute, post-acute, rehabilitative and palliative-care settings. Our professionals

Physiatry jobs in "Santa Monica" - CA

Seeking a Part time Physiatrist/Pain Management Physician in Santa Monica, CA 90404. We are multispecialty private practice located about 14 miles west of LA. Very competitive salary and profit share.

Physiatry jobs in "Philadelphia" - PA

PM&R-Pennsylvania-Physician Needed- Interventional PM&R Physician Needed Outside of Philadelphia Seeking an Interventional trained PM&R Physician outside of Philadelphia.

Physiatry jobs in "New Hartford" - NY

PM&R-New York-Physician Needed-PM&R/Interventional Pain Management in Central New York, Partnership! Seeking 2 BC/BE PM&R or Anesthesiology with fellowship

Physiatry jobs in "New Hartford" - NY

PM&R-New York-Physician Needed-PM&R/Interventional Pain Management in Central New York -- New Hartford, NY Seeking 2 BC/BE PM&R or

Physiatry jobs in "White Marsh" - MD

Part time Physiatrist-interventional Physician needed for multispecialty office in White Marsh, Maryland 21162 We are looking for an interventional Pain Physician to come to the office 1-2 /Month and

Physiatry jobs in "Farmingdale" - NY

We have a current need for a Physiatrist for an 8 week assignment in Farmingdale NY . This is a multispecialty office with PT, Pain Mang, and Family medicine. We have another need for a Physician

Physiatry jobs in "Springfield" - OH

Seeking a full/part time Physiatrist for group practice in Springfield Ohio . We are looking for an experienced Physician looking to perform or experienced with Trigger Points injections,

Physiatry jobs in "Morganville" - NJ

PM&R-New Jersey-Physician Needed-Interventional Pain Management/Physiatry Opening in NJ New Jersey Interventional Pain Management Physiatrist needed to join a multi-disciplinary group

Physiatry jobs in "Wallingford" - CT

PM&R- Connecticut- Physician Needed- Staff Physiatrist needed in Central CT Proficiency in EMGs a Plus Staff Physiatrist needed in Central CT current full-time opportunity available covering

Physiatry jobs in "Fort Bliss" - TX

Overview: As a Counseling Psychologist, assists the Clinical Director in the implementation and direction of the rehabilitative aspects of the Army Substance Abuse Program. Within the guidelines, policies,

Physiatry jobs in "Mason City" - IA

Big-City Access, Country Attitude Join our Psychiatry team that has focused on providing quality patient care for more than 50 years. Our team has a passion for excellence. Come make your mark as

Physiatry jobs in "Washington" - DC

Part time Physiatrist needed for multispecialty office in Washington DC. Duties to include: Exams, supervision of care, joint and muscle injections, Rx meds, epidurals, and higher PM treatments (RF

Physiatry jobs in "Pittsburgh" - PA

Seeking a part Time PMR/Physiatrist in Pittsburgh PA 15220. We are a multispecialty office with other Family and Pain physicians. Very competitive salary and profit share. Ideally we need the physician

Physiatry jobs in "Mid Hudson" - NY

New today - we are adding Non-interventional physiatry -- ideal NY living area Are you looking to work within one hour of NYC? Beautiful area with great schools.

Physiatry jobs in "Bridgeport" - CT

Physiatrist- Medical Director for Rehab Unit-Physiatrist FAIRFIELD COUNTY, CONNECTICUT - Part time 4 hrs/day; 5 dys/wk $125,000 plus full benefits-- Exceptional opportunity Great location

Physiatry jobs in "Waterville" - ME

PM&R- Maine- Physician Needed- Physiatrist needed in Central Maine Seeking a BC/BE Physiatrist. You will be responsible for providing outpatient services including general rehab work,

Physiatry jobs in "New London" - CT

Physiatrist Coastal Connecticut - 280 bed, general, hospital. Physiatrist to join 2 full time and 2 part time physicians. Interventional procedures are available. This is an outpatient and Inpatient

Physiatry jobs in "Providence" - RI

Interventional Pain Management/PM&R Providence, RI Well established Orthopedic Group in the Providence, Rhode Island area is actively seeking an Interventional trained PM&R physician to assist in Pain

Physiatry jobs in "Macon Area" - GA

Reference: 20572/119038 Specialty: PMR Location: Georgia 2011 & 2012 need Physical Medicine and Rehabilitation - A six physician neurosurgery group associated with the second

Physiatry jobs in "Fort Hood" - TX

Overview: Works under the general supervision of the Chief Department of Psychiatry, Deputy Commander for Clinical Services or Hospital Commander who discusses policies and objectives. Is relied upon

Physiatry jobs in "Baltimore" - MD

Physiatry jobs in "Worcester" - MA

Physiatry Needed in Central MA -Directorship Seeking a Director of Physiatry in our academic affiliated health care facility in Central MA. The position involves leading the

Physiatry jobs in "Johnstown" - PA

PM&R-Pennsylvania-Physician Needed-PM&R Medical Director Needed in Central PA Seeking a Physical Medicine and Rehabilitation Director to join a dynamic, growing multi-specialty

Physiatry jobs in "Fairfield" - CT

PMR/Interventional Pain Opportunity in Fairfield County Well respected Group of 7 Neurologists located minutes from NYC is seeking a PMR/Interventional trained Physician to act as Director

Physiatry jobs in "Eatontown" - NJ

PM&R-New Jersey-Physician Needed- Physiatry Opportunity in Central NJ Multi Disciplinary Approach Multi Disciplinary Practice is seeking a Residency trained PM&R Physician to join

Physiatry jobs in "Manhattan" - NY

PM&R-New York-Physician Needed-PM&R- Physician Needed in the Manhattan area Seeking an experienced, well-trained Interventional Pain or Non-Interventional Physiatrist to

Physiatry jobs in "Lehighton" - PA

PM&R- Pennsylvania- Physician Needed- 100% Interventional Pain Management Eastern PA 1 Hour to Philadelphia $450k+ earning potential. 100% interventional pain practice with bonuses,

Physiatry jobs in Pennsylvania

All Physiatry jobs in Pennsylvania for Mon Feb 6 2012

Physiatry jobs in "Manhasset" - NY

PM&R- New York- Physician Needed- 100% Interventional Pain Opportunity in Queens, NY - $250k Base+RVU January 2012. New York City Pain Practice is seeking an Interventional Pain Management

Physiatry jobs in "Baltimore" - MD

Reference: 20308 Specialty: PMR Location: Baltimore MD Job need for 2012 candidates Visa: H1B accepted BALTIMORE, MARYLAND: 2-3 PHYSICIAN MEDICINE & REHABILITAION physicians are being sought

Physiatry jobs in "Rochester" - NY

BE/BC Pain Management Physician who utilizes a multidisciplinary approach to patient care including diagnostic and therapeutic injections; treatment of muscular/skeletal systems and management of pain

Physiatry jobs in "Portland" - OR

Portland, Oregon -- The Providence Brain & Spine Institute (PBSI) is seeking a BC physician to lead the clinical and research programs of our regional Institute that includes the service lines of

Physiatry jobs in "Missoula" - MT

Missoula, Montana -- St. Patrick Hospital and Health Sciences Center has an immediate physician practice opportunity in our Montana Spine & Pain Center. Along with traditional Physiatrist

Physiatry jobs in "Northern" - IN

Large well established Orthopedic group in Northern Metro Indiana seeks additional Physiatrist for outpatient, musculoskeletal rehab. Must do EMG's. Joint injections, non-interventional pain are also

Physiatry jobs in "Florence" - SC

We have an immediate need for a Physiatrist/Pain Management Physician for Florence, SC 29501 medical center. We treat a variety of pain related and spinal related conditions and ideally looking for a

Physiatry jobs in "New York" - NY

PM&R-New York-Physician Needed- Pain Mgmt - NYC Metro & Long Island Assisted Living and Nursing Homes Full-time or Part-Time. $200k+ earning potential! Our Integrative Practice

Physiatry jobs in "Marlboro" - NJ

Physiatry/Interventional Pain Opening less than 1 hr from NYC 07746- NJ Licensed/Board Certified Pain Management Specialist/Physiatrist wanted to join our Pain Management team in Monmouth

Physiatry jobs in "Newburgh" - NY

PM&R-New York- Physician Needed- PM&R Pain Opportunity in the NYC Area Well respected Orthopedic group located 1 hour north of Manhattan is seeking a General Physiatrists with

Physiatry jobs in "Southern" - IL

#1 Rated Rehabilitation Hospital in the US for the last 20 years! Progressive PMR in a suburban setting $350K+ Income Potential Practice Opportunity: * Partner with 2 other well qualified &

Physiatry jobs in "Newburgh" - IN

AllStaffedOut Employment Services is Seeking: Pain Management Interventional Physicians. You should be board certified or fellowship trained in pain management. MD or D.O anesthesiologists or physiatrists

Physiatry jobs in "Killeen" - TX

Job Description: Spectrum Healthcare Resources has an opportunity for a civilian Physical Medicine and Rehabilitation (PM&R) Physician / Physiatrist at Darnall Army Medical Center at Fort Hood

Physiatry jobs in "Medford" - OR

Medford, Oregon -- Providence Health & Services is recruiting for an excellent Physiatrist to join us in beautiful southern Oregon. Full-time employed position with Providence Medical Group, the

Physiatry jobs in "Bristol" - TN

Bristol Regional Medical Center, a member of the Wellmont Health System is seeking a PM&R physician to service patient needs at the newly acquired Rehabilitation Hospital of Southwest Virginia, a partnership

Physiatry jobs in "Augusta" - GA

Exciting opportunity anticipated in Beautiful Augusta GA. Board Certification, any state license and sincere desire to serve those who serve our country.

Physiatry jobs in "Central" - MD

Multispecialty group in Maryland that is interested in a non-interventional Physiatrist/ Sports, and, or a Primary Care Sports physician to join the group. The group consists of four Neurosurgeons,

Physiatry jobs in "Kennett" - MO

Busy from the Start! We are looking for an experienced Psychiatrist to join our team in the Heartland of America. Work in an environment that will utilize your skills and your experience to it's

Physiatry jobs in "Coastal" - NC

The Department of Physical Medicine & Rehabilitation seeks a general rehabilitation physician (with experience or new graduate) primarily designated to work with and be the medical director of the

Physiatry jobs in "Newport" - RI

Rhode Island – Medical Director Needed in beautiful southern RI Seeking a qualified, full-time Medical director. Located in a beautiful seaport community this community hospital boasts a state-of-the-art

Physiatry jobs in "Atlanta" - GA

Seeking a part time PMR/Physiatrist for Atlanta GA. We are a multi-specialty group treating primarily musculoskeletal pain conditions. The ideal candidate will have joint injection and Trigger point

Physiatry jobs in "Houston" - TX

Seeking a part time PMR/Physiatrist Physician for Houston Texas. We are a multi-specialty group treating primarily musculoskeletal pain and Osteoarthritis. The ideal candidate will have joint injection

Physiatry jobs in "Phoenix" - AZ

Seeking a part time PMR/Physiatrist for Phoenix AZ. We are a multi-specialty group treating primarily musculoskeletal pain conditions. The ideal candidate will have joint injection and Trigger

Physiatry jobs in "Newport" - RI

PM&R- Rhode Island Medical Director Needed in beautiful southern RI Seeking a qualified, full-time Medical director. Located in a beautiful seaport community this community hospital

Physiatry jobs in "Newport" - RI

PM&R-Rhode Island-Physician Needed-Medical Director Needed in Coastal Rhode Island

Physiatry jobs in "LEBANON" - NH

PMR-Dartmouth The Department of Orthopaedics, Section of Physical Medicine and Rehabilitation at Dartmouth-Hitchcock Medical Center is seeking to hire a board ertified physical medicine and rehabilitation

Physiatry jobs in "Concord" - NH

PM&R-New Hampshire-Physician Needed-Interventional Pain Specialist Needed in New Hampshire Seeking a BC/BE Interventional Pain Specialist to join one other in New Hampshire.

Physiatry jobs in "Upstate" - NY

PM&R-New York-Physician Needed-PM&R-Physician Needed in the Finger Lakes Region of New York 14901 Seeking a BC sought to join one other physiatrist in a 160+-member

Physiatry jobs in "Indiana" - PA

PM&R- Pennsylvania- Physician Needed- Physiatrist Opportunity 1 Hour from Pittsburgh Seeking a Physiatrist with the option to be employed or establish a private practice.

Physiatry jobs in "Gilford" - NH

PM&R- New Hampshire- Physician Needed- Outpatient PM&R Physician needed in New Hampshire Lakes Region of NH - Outpatient PM&R. 11 Physician Orthopedic/Neurosurgery group

Physiatry jobs in "Augusta" - ME

Physiatry-MaineAugusta-Waterville Central Maine region- Maine's third-largest health care system with three campuses in Central Maine, state-of-the-art regional outpatient cancer treatment center, 287-bed

Physiatry jobs in "Hanover" - NH

PMRNew Hampshire--The Department of Orthopaedics, Section of Physical Medicine and Rehabilitation at Dartmouth-Hitchcock Medical Center is seeking to hire a board ertified physical medicine and rehabilitation

Physiatry jobs in "Central" - ME

Center, a 400-bed tertiary hospital serving 500,000, has a 36-bed rehab unit. Services include TBI, SCI, musculoskeletal and spine, pain, CP/spasticity management, EMG, and procedural Rx. Exceptional

Physiatry jobs in "Albany" - NY

Excellent Permanent Psychiatry Opportunity in Albany, NY Client is seeking a full-time Psychiatrist to join a growing Behavioral Health line -Inpatient -Physician incentive compensation

Physiatry jobs in "Muncie" - IN

Seeking a Part time/Full time Physiatrist/Pain Management Physician in Muncie IN 47305. We are multispecialty private practice located about one hour NE of Indianapolis. Very competitive salary and profit

Physiatry jobs in "Kuwait" - XX

Physiatry Kuwait Upgrading four hospitals in Kuwait to JACHO Standards Owned and operated by a Major Health System in the USA Many jobs to fill- with a total of 2800 beds in four hospitals

Physiatry jobs in "Bronx" - NY

Manhattan based Physiatry group seeks additional Physiatrist to anchor new Bronx location. Practice will be outpatient rehab, musculoskeletal , EMG, non-interventonal.Patient base is majority Medicaid,

Physiatry jobs in "Other" - GA

Rehab Hospital seeks Physiatrist for primarily inpatient with opportunity to follow discharged patients in our outpt practice. Would have assigned inpt case load of 15 to 20 inpatients. Patient volume

Physiatry jobs in "Bronx" - NY

Small group of Physiatrists seeks to add another for outpatient rehab in office located in Bronx, NY. Office rehab, musculoskeletal, EMG, Joint Injections, non-Interventional pain, etc. No nights, no

Introductory paragraph - Volume 26, Issue 2

A multidisciplinary and multidimensional intervention for patients with hand osteoarthritis

Background: Although several guidelines recommend that treatment programmes in patients with hand osteoarthritis should be both multidisciplinary and multidimensional, currently no such treatment programme for hand osteoarthritis has been described. Therefore the aim of this study was to systematically develop a multidisciplinary and multidimensional non-pharmacological treatment programme and to give a detailed description on the content of this treatment programme. Development of the treatment programme: The programme was developed in phases. In a preclinical theoretical phase, disease-specific problems, current evidence and the influence of patient characteristics on the benefit of interventions were explored. In a modelling phase, the treatment programme was designed. Treatment programme: The programme contains an individual intake, four weekly nurse and occupational therapist-led group sessions and a booster session after six months. Treatment components of the programme are self-management, daily home exercises to enhance joint mobility and grip strength and education about ergonomic principles. The treatment programme is tailored to the needs of individual patients with hand osteoarthritis. Conclusions: A non-pharmacological multidisciplinary and multidimensional treatment programme for patients with hand osteoarthritis was developed. Further research is necessary to investigate the effectiveness of this treatment programme. Currently, the programme is being evaluated in an ongoing randomized clinical trial.

Effects of robot-assisted upper limb rehabilitation on daily function and real-world arm activity in patients with chronic stroke: a randomized controlled trial

Objective: To compare the outcome of robot-assisted therapy with dose-matched active control therapy by using accelerometers to study functional recovery in chronic stroke patients. Design: Prospective, randomized, controlled trial. Setting: Stroke units in three medical centres. Subjects: Twenty patients post stroke for a mean of 22 months. Intervention: Robot-assisted therapy (n = 10) or dose-matched active control therapy (n = 10). All patients received either of these two therapies for 90–105 minutes each day, 5 days per week, for four weeks. Main measures: Outcome measures included arm activity ratio (the ratio of mean activity between the impaired and unimpaired arm) and scores on the Fugl-Meyer Assessment Scale, Functional Independence Measure, Motor Activity Log and ABILHAND questionnaire. Results: The robot-assisted therapy group significantly increased motor function, hemiplegic arm activity and bilateral arm coordination (Fugl-Meyer Assessment Scale: 51.20 ± 8.82, P = 0.002; mean arm activity ratio: 0.76 ± 0.10, P = 0.026; ABILHAND questionnaire: 1.24 ± 0.28, P = 0.043) compared with the dose-matched active control group (Fugl-Meyer Assessment Scale: 40.90 ± 13.14; mean arm movement ratio: 0.69 ± 0.11; ABILHAND questionnaire: 0.95 ± 0.43). Conclusions: Symmetrical and bilateral robotic practice, combined with functional task training, can significantly improve motor function, arm activity, and self-perceived bilateral arm ability in patients late after stroke.

Community-based Yang-style Tai Chi is safe and feasible in chronic stroke: a pilot study

Objective: Examine the safety and feasibility of a 12-week Tai Chi intervention among stroke survivors. Design: Two-group, prospective pilot study with random allocation. Setting: Outpatient rehabilitation facility. Subjects: Stroke survivors ≥50 years and at ≥three months post-stroke. Interventions: Tai Chi subjects attended group-based Yang Style classes three times/week for 12-weeks, while Usual Care subjects received weekly phone calls along with written materials/resources for participating in community-based physical activity. Main outcome measures: Indicators of study safety and feasibility included recruitment rates, intervention adherence, falls or adverse events, study satisfaction, drop-outs, and adequacy of the outcomes measures. Results: Interested persons pre-screened by phone (n = 69) were on average 68 years old, (SD = 13) years old, 48% (n = 33) women, 94% (n = 65) were at least three months post-stroke. A total of 28 subjects aged 69 (SD = 11) years enrolled in this pilot study. Intervention adherence rates were very high (≥92%). There were no falls or other adverse events. The dose of Tai Chi exercise (≥150 minutes/week) was well tolerated. Overall study satisfaction was high (8.3 (SD = 1.9); 1 = not satisfied, 10 = most satisfied), while drop-outs (n = 3, 11%) were unrelated to study intervention. Score distributions for the outcome measures were approximately normal, sensitive to change, and seemed to favor the Tai Chi intervention. Conclusions: Tai Chi is a safe, community-based exercise program for stroke survivors. Our data suggest that recruitment and retention of an adequate sample is feasible, and that in a full-scale study 52 subjects/group are needed to detect statistically significant between group differences (alpha = 0.05, power = 0.80).

Pelvic floor muscle exercises utilizing trunk stabilization for treating postpartum urinary incontinence: randomized controlled pilot trial of supervised versus unsupervised training

Objective: To investigate the effect of supervised and unsupervised pelvic floor muscle exercises utilizing trunk stabilization for treating postpartum urinary incontinence and to compare the outcomes. Design: Randomized, single-blind controlled study. Setting: Outpatient rehabilitation hospital. Subjects: Eighteen subjects with postpartum urinary incontinence. Interventions: Subjects were randomized to either a supervised training group with verbal instruction from a physiotherapist, or an unsupervised training group after undergoing a supervised demonstration session. Main measures: Bristol Female Lower Urinary Tract Symptom questionnaire (urinary symptoms and quality of life) and vaginal function test (maximal vaginal squeeze pressure and holding time) using a perineometer. Results: The change values for urinary symptoms (–27.22 ± 6.20 versus –18.22 ± 5.49), quality of life (–5.33 ± 2.96 versus –1.78 ± 3.93), total score (–32.56 ± 8.17 versus –20.00 ± 6.67), maximal vaginal squeeze pressure (18.96 ± 9.08 versus 2.67 ± 3.64 mmHg), and holding time (11.32 ± 3.17 versus 5.72 ± 2.29 seconds) were more improved in the supervised group than in the unsupervised group (P < 0.05). In the supervised group, significant differences were found for all variables between pre- and post-test values (P < 0.01), whereas the unsupervised group showed significant differences for urinary symptom score, total score and holding time between the pre- and post-test results (P < 0.05). Conclusions: These findings suggest that exercising the pelvic floor muscles by utilizing trunk stabilization under physiotherapist supervision may be beneficial for the management of postpartum urinary incontinence.

Responsiveness of the cervical Northern American Spine Society questionnaire (NASS) and the Short Form 36 (SF-36) in chronic whiplash

Objective: To determine and compare the sensitivity to change of the condition-specific cervical Northern American Spine Society (NASS) and the generic Short Form 36 (SF-36). Design: Prospective cohort study. Subjects: One hundred and seventy five patients after whiplash injury. Interventions: Four-week inpatient interdisciplinary pain management programme. Main measures, analysis: Responsiveness of the NASS and the SF-36 was quantified by effect size and standardized response mean and compared within the same construct by the modified Jacknife test. Ability to detect improvement was compared using sensitivities determined from receiver operating characteristics curves. Results: In pain, the NASS was comparable responsive to the SF-36 at the one-month follow-up (n = 175): effect sizes: 0.62 (NASS) versus 0.61 (SF-36), P = 0.914. The NASS was less responsive than the SF-36 in function: 0.23 versus 0.63, P < 0.001 and in pain+function: 0.35 versus 0.58 (P = 0.001). These relationships remained consistent using standardized response means, at the six-month follow-up (n = 103), and in the comparison of the sensitivities. Sensitivities at one month, pain: 70% (NASS) versus 62% (SF-36), P = 0.234; function: 65% versus 80%, P = 0.002; pain+function: 68% versus 78%, P = 0.035. The six-month data were similar. Conclusions: The generic SF-36 was more responsive in function and equally responsive in pain when compared to the condition-specific NASS. The SF-36 can be recommended as a responsive instrument for measurement of pain and function in chronic whiplash syndrome.

Psychometric validation of the Cardiac Rehabilitation Barriers Scale

Objective: The purpose of this study was to investigate the factor structure and psychometric properties of the Cardiac Rehabilitation Barriers Scale (CRBS). Design, setting, and participants: In total, 2636 cardiac inpatients from 11 hospitals completed a survey. One year later, participants completed a follow-up survey, which included the CRBS. A subsample of patients also completed a third survey which included the CRBS, the Cardiac Rehabilitation Enrolment Obstacles scale, and the Beliefs About Cardiac Rehabilitation scale three weeks later. The CRBS asked participants to rate 21 cardiac rehabilitation barriers on a five-point Likert scale regardless of cardiac rehabilitation referral or enrolment. Results: Maximum likelihood factor analysis with oblique rotation resulted in a four-factor solution: perceived need/healthcare factors (eigenvalue = 6.13, Cronbach’s α = .89), logistical factors (eigenvalue = 5.83, Cronbach’s α = .88), work/time conflicts (eigenvalue = 3.78, Cronbach’s α = .71), and comorbidities/functional status (eigenvalue = 4.85, Cronbach’s α = .83). Mean total perceived barriers were significantly greater among non-enrollees than cardiac rehabilitation enrollees (P < .001). Convergent validity with the Beliefs About Cardiac Rehabilitation and Cardiac Rehabilitation Enrolment Obstacles scales was also demonstrated. Test-retest reliability of the CRBS was acceptable (intraclass correlation coefficient = .64). Conclusion: The CRBS consists of four subscales and has sound psychometric properties. The extent to which identified barriers can be addressed to facilitate greater cardiac rehabilitation utilization warrants future study.

Patient inclusion in goal setting during early inpatient rehabilitation after acquired brain injury

Objective: To investigate the effects of patient participation in multidisciplinary goal setting during early inpatient rehabilitation after acquired brain injury. Design: Case controlled retrospective study. Setting: Regional neurological rehabilitation unit. Subjects: One hundred and five patients with acquired brain injury. Main measures: Numbers of goals set and achieved per patient before and after intervention; Barthel Index and Functional Independence Measure. Results: The intervention resulted in a significant increase in the number of goals set per patient (340 versus 411 total goals, mean per patient 6.3 pre versus 8.05 post, P = 0.008). More patients had multiple goals set within each domain (P = 0.023). There was an increase in the number of patients with sleeping (0 pre, 9 post), continence (3 pre, 17 post) and leisure (15 pre, 35 post) goals set, and leisure goals achieved (60% pre and 68% post, P < 0.001). Correlations between goal achievement and change in activity-related outcome measures (Barthel Index and Functional Independence Measure) also improved with the new goal setting process. The proportion of goals achieved remained similar (60% pre and 63% post intervention), suggesting there was no evidence of inappropriate or unachievable goals set when the patient and family were included. Conclusions: Real-time engagement of brain-injured patients in the goal setting process during early inpatient rehabilitation is achievable, but requires a structured multidisciplinary assessment of need. We found it increases the number of domains in which goals are set and includes functional areas not rated by commonly used global measures of outcome during inpatient rehabilitation.

Safety and self-reported efficacy of botulinum toxin for adult spasticity in current clinical practice: a prospective observational study

Objective: To determine the safety and the self-reported efficacy of botulinum toxin injections for adult spasticity in current clinical practice. Design: A prospective observational study. Subjects: A total of 406 adult patients with focal spasticity received of 1136 series botulinum toxin injections at Bordeaux University Hospital from January 2007 to December 2009. Methods: Adverse events following botulinum toxin injections were reported. Their severity and the therapeutic efficacy of botulinum toxin injections were estimated with a four-point self-reporting scale (0 to 3). Latency and duration of adverse events and subjective improvement were also noted. Results: The data of 640 series of injections were analyzed. Forty-six (7.2%) adverse events were reported, of which 36 (78%) were local. There were 18 (39%) cases of local muscular weakness with an average duration of 30.0 (SD 38.2) days, and an average severity score of 1.0 (SD 0.97). Among systemic adverse events, there were 8 (17%) cases of excessive fatigue without global muscular weakness and 2 (4%) cases of transitory generalized muscular weakness. The average subjective improvement score was 1.89 (SD 0.97) and was higher for upper, than for lower, limbs (P=0.007). Conclusion: Self-reported adverse events following botulinum toxin injections in spasticity are rare, often benign and of short duration in current clinical practice. Botulinum toxin is considered effective by patients in treating spasticity of the upper and lower limbs.

Beyond the body image: a qualitative study on how adults experience lower limb amputation

Objective: To explore adults’ experiences of lower limb amputation, focusing on the changes in self-identity related to the impairment. Design: A cross-sectional and qualitative study, using semi-structured interviews. Interviews were transcribed, coded and analysed by two independent researchers. Setting: A rehabilitation medicine service from a general public hospital. Participants: A convenience sample of 42 patients with lower limb amputation performed after the age of 18 and followed up in the physical medicine and rehabilitation department of a general hospital. Main outcome measures: A semi-structured interview, addressing three core areas: the emotional impact of amputation; the adjustment process; and the relation with the external resources. Results: Eight themes emerged from interviews: reactions and feelings about becoming amputee; changes in own life; problems in well-being; relation with the prosthesis; self-perceptions; aims related to the rehabilitation and future plans; relation with the rehabilitation; and perceived social support. These results supported a theoretical model for the self-identity changes related to limb loss. Conclusions: The self-identity changes after a lower limb amputation appear beyond the patient’s body image and functioning, affecting the patient’s awareness of the impairment, biographical self and any future projections.