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SELECTED ABSTRACTS FROM THE 12TH INTERNATIONAL SOCIETY OF PHYSICAL AND REHABILITATION MEDICINE WORLD CONGRESS – ISPRM 2018
Poster Abstracts

July 2018, 1(1):103-557
DOI:10.4103/2349-7904.236308  
  13,327 1,462 -
REVIEW ARTICLES
Rehabilitation of critically Ill COVID-19 survivors
Radha Korupolu, Gerard E Francisco, Harvey Levin, Dale M Needham
April-June 2020, 3(2):45-52
DOI:10.4103/jisprm.jisprm_8_20  
Severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) has now infected over a million people around the world. This pandemic is stressing intensive care unit (ICU) capacity due to critical illness from coronavirus disease 2019 (COVID-19). Survivors of critical illness from acute respiratory syndrome and the prior SARS epidemic suggest that critically ill COVID-19 survivors may experience a wide range of sequelae, resulting in long-lasting physical, cognitive, and psychological dysfunction. Early rehabilitation can mitigate these complications and improve the quality of life. However, early rehabilitation of critically ill COVID-19 patients is challenging due to patients' severity of illness, the need for strict infection control measures, staffing issues, and scarcity of personal protective equipment. During this public health emergency, navigating rehabilitation of critically ill COVID-19 patients is crucial to allow timely transition of patients across different levels of care. Such timely transitions are vital for improving outcomes and freeing ICU and hospital beds within acute care hospitals. In this review, we discuss the challenges and potential solutions for rehabilitation of critically ill COVID-19 patients throughout the continuum of care.
  9,805 1,141 6
SELECTED ABSTRACTS FROM THE 12TH INTERNATIONAL SOCIETY OF PHYSICAL AND REHABILITATION MEDICINE WORLD CONGRESS – ISPRM 2018
Oral Abstracts

July 2018, 1(1):3-102
DOI:10.4103/2349-7904.236307  
  10,200 625 -
ABSTRACTS
Abstracts of scientific papers and posters presented at the ISPRM world congress and annual meeting of the association of academic physiatrists Orlando, Florida march 4–9, 2020

May 2020, 3(5):1-488
DOI:10.4103/2349-7904.283766  
  8,081 468 -
TECHNICAL NOTE
Patient and caregiver guide to managing COVID-19 patients at home
Anne Felicia Ambrose, Matthew Norbert Bartels, Tanya Cecilia Verghese, Joe Verghese
April-June 2020, 3(2):53-68
DOI:10.4103/jisprm.jisprm_4_20  
Since the beginning of 2020, COVID-19 infections have increased exponentially, overwhelming health-care services globally. Survivors of this infection have significant disabilities due to the debilitating weakness and compromised lung function. Unfortunately, rehabilitation services are scarce due to diversion of rehabilitation clinicians to emergency medical care. This manual aims to bridge this gap by providing a self-directed home care and graduated exercise program which does not require any special equipment. The exercises were carefully selected based on research by the authors on self-directed home exercises in frail, elderly patients.
  6,781 428 5
REVIEW ARTICLES
Management of fatigue in neurological disorders: Implications for rehabilitation
Fary Khan, Bhasker Amatya
October-December 2018, 1(2):9-36
DOI:10.4103/ijprm.ijprm_5_18  
This review systematically evaluates existing evidence for the effectiveness and safety of different rehabilitation interventions for managing fatigue in persons with multiple sclerosis (MS), stroke, traumatic brain injury (TBI), and Parkinson's disease (PD) for improved patient outcomes. A comprehensive literature search was conducted using medical and health science electronic (MEDLINE, EMBASE, PubMed, and the Cochrane Library) databases for published articles up to March 1, 2018. Both reviewers applied inclusion criteria to select potential studies and extracted data independently. Overall, 56 studies (22 systematic reviews/meta-analyses, 32 randomized clinical trials, 2 controlled clinical trials) fulfilled the inclusion criteria for this review. Although existing best-evidence for many interventions is still sparse, the overall findings suggest “strong” evidence for physical activity, cognitive-educational programs, and energy conservation strategies in MS; “moderate” evidence for multidisciplinary rehabilitation in MS; home-based physical activities in stroke and TBI; hydrotherapy in MS and TBI, group-education in stroke and self-management programs in TBI; and mindfulness intervention in MS, stroke, and TBI. There was “low” evidence for exercise in PD and other physical modalities such as yoga and cooling therapy in MS, pulsed electromagnetic devices in MS and stroke; light therapy, and biofeedback in TBI. Effect of other interventions was inconclusive. Despite the available range of rehabilitation interventions for management of fatigue in neurological conditions, there is lack of high-quality evidence for many modalities. More robust research is needed with appropriate study design, timing and intensity of modalities, and associated costs.
  5,250 557 -
Rehabilitation in spinal muscular atrophy
Agus Iwan Foead, Wendy Wai Yeng Yeo, Thirupathirao Vishnumukkala, Michael Larvin
January-March 2019, 2(1):62-70
DOI:10.4103/jisprm.jisprm_4_19  
Spinal muscular atrophy (SMA) is an autosomal recessive disorder with symptoms of progressive skeletal muscular atrophy which requires multidisciplinary medical care. The advent of nusinersen treatment has created a paradigm shift in rehabilitation treatment for SMA. However, the principles of rehabilitation remain the same for the respiratory, musculoskeletal, gastrointestinal, and speech and nutrition care which are all required. Patient education based on multiple sources of easily available evidence-based information has improved quality of life and has changed treatment goals. Functional assessment is critical before rehabilitation is commenced. In general, SMA patients are classified as “nonsitter,” “sitter,” and “walker.” This review provides an update on rehabilitation provided in contemporary SMA centers.
  5,051 444 -
ABSTRACTS
Abstracts of Scientific Papers and Posters Presented at the 13th ISPRM World Congress, Kobe, Japan, June 9-13, 2019

September 2020, 3(6):489-1157
DOI:10.4103/2349-7904.294561  
  5,176 190 -
REVIEW ARTICLES
The benefit of exercise in patients who undergo allogeneic hematopoietic stem cell transplantation
Shinichiro Morishita, Atsuhiro Tsubaki, Kazuki Hotta, Jack B Fu, Shigeo Fuji
January-March 2019, 2(1):54-61
DOI:10.4103/jisprm.jisprm_2_19  
Allogeneic hematopoietic stem cell transplantation (allo-HSCT) is increasingly used in the treatment of hematologic cancers such as leukemias, lymphomas, and myeloma and for other hematologic disorders such as primary immunodeficiency, aplastic anemia, and myelodysplasia. Allo-HSCT entails a conditioning regimen of frequent high-dose chemotherapy in combination with total body irradiation, followed by infusion of donor-harvested bone marrow or peripheral blood stem cells. As an aggressive and demanding medical therapy that profoundly impacts patient quality of life (QOL), allo-HSCT is associated with numerous treatment-related physical, psychological, and psychosocial side effects. The procedure can result in decreased respiratory and balance function, skeletal muscle strength, and exercise capacity. Thus, as physical exercise has been shown to positively affect physical and psychosocial function and QOL in allo-HSCT patients, it is a recommended intervention for improving essential functions and offsetting lost exercise capacity after the procedure. Furthermore, recent evidence has shown that physical exercise can influence survival rate and mortality in allo-HSCT patients. This review provides an overview of the current research on the effectiveness of physical exercise for allo-HSCT patients.
  4,305 583 6
PERSPECTIVE
The international society of physical and rehabilitation medicine: The past, present, and way forward-III
Jorge Lains, Francesca Gimigliano, Jianan Li, Leonard Li, Sam Wu, Louise Gorringe, Linda Bosschers, Walter Frontera
January-March 2019, 2(1):1-11
DOI:10.4103/ijprm.ijprm_7_18  
This article is meant as an update on the previous articles published about the International Society of Physical and Rehabilitation Medicine (ISPRM). It reflects the current organizational structure and describes its core activities. Strengths, weaknesses, opportunities, and threats of the society are analyzed to define a strategic plan for the future of ISPRM. Key activities like ISPRM World Congresses, the foundation of the Journal of ISPRM and the creation of a certification project are described. The article reports also about the external relationship of ISPRM with different organizations and in particular with the World Health Organization and with the United Nations.
  3,192 225 -
REVIEW ARTICLES
Strengthening rehabilitation in health systems worldwide by implementing information on functioning in rehabilitation practice, quality management, and policy: 2018 status report
Francesca Gimigliano, Melissa Selb, Masahiko Mukaino, Cristiana Baffone, Jerome Bickenbach, Julia Engkasan Patrick, Christoph Gutenbrunner, Jianan Li, Stefano Negrini, Gerold Stucki, Mauro Zampolini, Jorge Lains
October-December 2018, 1(2):37-48
DOI:10.4103/jisprm.ijprm_13_18  
The link between rehabilitation, functioning, and the International Classification of Functioning, Disability and Health (ICF) is nothing new. This is reflected not only in the numerous peer-reviewed papers on applying the ICF in rehabilitation but also in the indispensable role of functioning and the ICF in developing the conceptual descriptions of rehabilitation as a health strategy and of physical and rehabilitation medicine (PRM) as a medical specialty. Since the World Health Organization's (WHO's) Rehabilitation 2030 Call for Action in 2017, functioning and the ICF have gained an even more prominent role in rehabilitation. This paper provides an overview of the current efforts toward strengthening rehabilitation in health systems throughout the world by applying information on functioning in rehabilitation practice, Clinical Quality Management for Rehabilitation (CQM-R), and policy, using the ICF as a reference framework. These initiatives are led by rehabilitation and rehabilitation-related societies and academic institutions in various countries and regions of the world. This paper briefly describes them and puts them into the context of WHO's call for strengthening rehabilitation. It concludes by highlighting lessons learned from these initiatives, introducing Cochrane Rehabilitation as a conduit for promoting the use of ICF in evidence gathering and calling for collaboration from new partners who have not yet been active in promoting ICF implementation. This call for collaboration from the International Society of PRM strives to diversify the representation of contributors and experiences in implementing the ICF in rehabilitation practice, CQM-R, and policy.
  2,918 371 -
REVIEW ARTICLE
Disability and rehabilitation medicine in Bangladesh: Current scenario and future perspectives
Taslim Uddin, Mohammad T Islam, Farooq A Rathore, Colleen O’Connell
October-December 2019, 2(4):168-177
DOI:10.4103/jisprm.jisprm_61_19  
Physical medicine and rehabilitation (PMR) is evolving in low- to middle-income countries. Although established as a separate specialty in Bangladesh 40 years ago, there has been no formal documentation of the history and current state of PMR, or associated disability issues in Bangladesh. The aim of this review is to provide a brief overview of the health-care system in Bangladesh, to discuss the available disability statistics, legislation for persons with disability (PWD), and current system(s) of disability management in the country. The evolution of PMR is presented along with an exploration of future perspectives. Data sources included an online literature search (English language only; 1970–2018) with predefined keywords. Official government websites were examined for disability-related statistics, and informal interviews with Bangladeshi government officials and rehabilitation professionals provided further insights. The reported disability prevalence in Bangladesh varies widely from 5.6% to 16.2%. Currently, there are 130 physiatrists, and over 1400 physiotherapists, 190 occupational therapists, and 200 speech and language therapists. A developing economy, illiteracy, maldistributions of wealth, and a rising prevalence of chronic diseases add to the burden of the existing disability. Legislations have been passed with an aim to protect the rights and dignity of PWD, but there are major barriers in implementing the acts. Social stigmatization of PWD remains largely unaddressed, with low rates of community reintegration. PWD also face mobility barriers and accessibility issues. PMR and other rehabilitation services are improving, but disability management is largely considered a social issue rather than a medical problem. There is a need to involve all stakeholders in disability management to strengthen medical rehabilitation and improve service delivery, while advocating for the rights of PWD.
  2,978 292 -
REVIEW ARTICLES
The Surprising Effect of Body Mass Index on Elective Orthopedic Surgeries
David T Burke, Regina B Bell, Daniel P Burke
January-March 2019, 2(1):50-53
DOI:10.4103/jisprm.ijprm_12_18  
Elective orthopedic surgeries are often deferred or declined due to concern about the patient's elevated body mass index (BMI). The study team conducted a literature review of studies focusing on the relationship between BMI and outcomes of elective orthopedic surgical procedures. The literature review found that overweight and obese patients have similar gains in function and pain reduction as do patients with normal weight, with adverse perioperative outcomes more evident in the higher levels of obesity. These data suggest a need to review the current policies concerning surgical eligibility based on BMI. These data suggest that restrictions of surgical procedures based on BMI may be too restrictive and should be revised based on the current literature.
  2,817 154 1
ORIGINAL ARTICLES
Phenol nerve block for ankle plantar flexor and invertor spasticity in upper motor neuron lesions: A case series
Fahim Anwar, Harry Mee, Shruthika Ramanathan
October-December 2018, 1(2):55-60
DOI:10.4103/ijprm.ijprm_2_18  
Aim: The study aims to evaluate the effectiveness of tibial nerve block with phenol on ankle plantarflexion and inversion spasticity caused by the upper motor neuron lesions. Materials and Methods: A single-center retrospective study was undertaken to assess the effectiveness of tibial nerve block on the spasticity of ankle plantar flexors and invertors in upper motor neuron lesions. Forty-four patients with ankle plantar flexion and inversion spasticity were included in the study. Clinical outcomes were measured before tibial nerve block at 6 and 24 weeks following the treatment. The outcome measures included Modified Ashworth Scale (MAS), the passive range of motion of the ankle dorsiflexion with the knee in a flexed position and with the knee in an extended position. The patients were advised to continue with the pharmacological and nonpharmacological interventions such as medications, splinting, and stretching. Friedman test of differences among repeated measures was conducted from data at 0, 6, and 24 weeks. Results: There was a statistically significant difference between the baseline MAS and ankle passive range of dorsiflexion motions (both with the knee flexed and extended) measured at 6 and 24 weeks following the phenol nerve block of the tibial nerve. Conclusions: This study highlights that phenol nerve block of the tibial nerve helps to reduce the spasticity of the ankles when combined with other pharmacological and nonpharmacological interventions such as splinting and stretching.
  2,595 244 -
EDITORIAL
Why does the international society of physical and rehabilitation medicine need its own journal?
Laíns Jorge
July 2018, 1(1):1-2
DOI:10.4103/ijprm.ijprm_6_18  
  2,250 342 1
ORIGINAL ARTICLES
Meaningful effectiveness of platelet-rich plasma in treating patients with osteoarthritis of the knee: Meta-analysis and review
Abir Hegazy, Paula Karabelas, Abdulhafez Selim
October-December 2019, 2(4):159-167
DOI:10.4103/jisprm.jisprm_58_19  
Background: Osteoarthritis (OA) of the knee is a significant cause of disability. The current conservative treatment options include physiotherapy, analgesia, intra-articular injection of platelet-rich plasma (PRP), hyaluronic acid, or corticosteroids. Regarding PRP, some meta-analyses studies have been reported. However, these studies focused on the effectiveness of intra-articular PRP when compared to other controls, and none thoroughly investigated the anchored-based effectiveness concerning the minimal clinically important difference (MCID). Objective: We, therefore, conducted this work to address this apparent knowledge gap and to provide objective data that could be used by decision-makers. Methods: Electronic databases were searched to identify relevant publications. We included controlled trials that evaluated the efficacy of PRP for the treatment of OA of the knee. All included studies must have had a minimum follow-up of 24 weeks as well as pre- and post-injection Western Ontario and McMaster Universities Arthritis Index (WOMAC) scores. Results: A total of 12 studies, involving 405 patients, were included in this analysis. The primary endpoint of this study was to compare the treatment effect measured by WOMAC scores improvement to MCID. For WOMAC score analyses, the mean difference (MD) between baseline and 6-month scores was utilized. The pooled data established significant functional improvement as demonstrated by MD of 25.5 ± 3.3 (95% confidence interval: 19.1–31.9, P< 0.001). In addition, the overall comparison of MD (25.5) to MCID (7.9) showed that the MD was approximately three-fold higher. Due to the known impact of the baseline scores on the MD, we conducted further analyses comparing MD values to the corresponding MCID for various baseline severity grades (i.e. high, intermediate, and low). The analyses showed significantly higher MD values in all categories. Conclusions: In conclusion, evidence from studies of low-to-moderate methodological quality shows that intra-articular PRP has the potential to provide a clinically meaningful symptomatic benefit for OA of the knee, at least in the short term.
  2,318 270 -
Use of ergogenic supplements by young athletes in a sports specialized school
Manuel F Mas, Joezer Lugo Ranal, Raúl A Rosario Concepcion, Lorena Gonzalez-Sepulveda, Sona Rivas-Tumanyan, Walter R Frontera, Edwardo Ramos
July-September 2019, 2(3):126-137
DOI:10.4103/jisprm.jisprm_55_19  
Background: Few studies have examined the use of ergogenic supplements (ESs) by young athletes residing in a sports specialized school. Methods: In this cross-sectional study, 120 students from a sports specialized school (ages 12–19) completed a questionnaire to assess the prevalence of use of ES according to sex, sport, type of supplement, reasons for use, knowledge of supplements, and sources of information. Results: Most athletes were males (55%) and participated in track and field (32%). Mean age was 14.7 ± 1.6 years. Approximately 98% of athletes indicated using one or more supplements. Sport beverages (95.0%), proteins/amino acids (57%), and vitamins (54%) were the most commonly used. Athletes practicing racquet sports were more likely to consume proteins/amino acids every day than those in any other type of sport (P < 0.05). The adjusted odds of using vitamins were 14% (95% confidence interval [CI]: 0.22–3.30) and 71% (95% CI: 0.09–0.96) lower among athletes practicing explosive sports and high intensity, respectively, as compared to those practicing endurance-intensive sports. On the other hand, the odds of using proteins/amino acids was higher for those practicing explosive (adjusted odds ratio [AOR]: 3.48, 95% CI: 1.02–11.86) and high-intensity (AOR: 2.88, 95% CI: 1.00–8.26) sports. Approximately 62% of athletes used supplements to improve performance. Only 8% of athletes were willing to use a prohibited substance to achieve participation in the Olympics. Conclusion: There was a very high prevalence of use of ES in a sports specialized school. Education regarding supplement use is warranted for athletes, coaches, and family.
  2,397 181 -
REVIEW ARTICLE
ULIS (Upper Limb International Spasticity), a 10-year Odyssey: An international, multicentric, longitudinal cohort of person-centered spasticity management in real-life practice
Lynne Turner-Stokes, Klemens Fheodoroff, Jorge Jacinto, Pascal Maisonobe, Stephen Ashford
July-September 2019, 2(3):138-150
DOI:10.4103/jisprm.jisprm_47_19  
Homer's Odyssey, one of the major Greek epic poems, tells the story of the hero Odysseus (or Ulysses in Roman versions) and his journey home to his wife Penelope. An epic poem is a long, narrative poem that is usually about heroic deeds and events that are significant to the culture of the poet. In keeping with this classic storytelling style, we describe the journey that the Upper Limb International Spasticity Study (ULIS) program has taken. The program was started in 2008 and has encountered a number of trials and obstacles along the way. This article sets out the history of development through its 10-year “Odyssey.” We use the benefit of hindsight to discuss how conducting large-scale, international observational studies can inform and influence routine practice in an area as diverse and complex as spasticity rehabilitation. We focus on the clinical pearls found within the now extensive ULIS dataset and how continually building upon the insights from each study can provide a real impetus for change.
  2,287 252 -
ORIGINAL ARTICLES
Screening for occult lower-extremity deep vein thrombosis on admission to acute inpatient rehabilitation: A cross sectional, prospective study
Leila Ettefagh, Mairin A Jerome, Joseph Porter, Hassan H Monfared, David T Burke
July-September 2019, 2(3):110-113
DOI:10.4103/jisprm.jisprm_42_19  
Introduction and Background: Early detection and treatment of deep venous thrombosis (DVT) can decrease the morbidity of postthrombotic syndrome as well as the mortality and morbidity resulting from pulmonary embolism. Despite this risk, it is not the standard of care to screen patients for DVT on admission to an inpatient rehabilitation facility (IRF). There are few studies examining the prevalence of occult DVT on admission to acute IRF and the effect of this screening. Guidelines for the prophylaxis of hospitalized patients have informed patient's care for years. Recently, however, the patient population in the inpatient rehabilitation hospitals has changed, and new prophylactic medications have been introduced. Given these changes, the study reviewed the frequency of lower-extremity DVT among consecutive patients admitted to a university-based freestanding rehabilitation facility. Materials and Methods: This pilot, prospective observational cross-sectional study was designed to better understand the prevalence of occult DVT among patients admitted to a freestanding IRF and to identify associated clinical factors. All consecutive patients admitted to our university-based IRF between October and December 2017, excluding those with a preexisting DVT diagnosis or the inability to undergo lower-extremity ultrasound, were consented. All patients were assessed with a bilateral duplex ultrasound of the lower extremities within 72 h of admission. Results: Of 98 patients screened, 47 (48.0%) were male and 51 (53.1%) were female, with a mean age of 61.4 (±14.2) years. The most common admission diagnoses were ischemic stroke (23.5%), debility/medical complexity (22.4%), and hemorrhagic stroke (11.2%). One patient was positive for a lower-extremity DVT on admission screening duplex ultrasound, yielding an incidence of 1.02%. Conclusions: Our study suggests that DVT screening by duplex ultrasound for all patients admitted to an acute IRF does not seem clinically warranted.
  2,308 201 -
Postbreast cancer surgery outpatient rehabilitation program: Analysis of clinical profile, impact, and direct medical costs
Marina Boralli de Sousa, Camila da Silva Bueno, Rossana Veronica Mendoza Lopez, Elisângela Pinto Marinho de Almeida, Rebeca Boltes Cecatto, Christina May Moran de Brito
January-March 2019, 2(1):22-29
DOI:10.4103/jisprm.jisprm_17_18  
Context: Approximately 600,000 new cases of cancer are estimated to occur in Brazil over the 2-year period of 2018–2019, and the world economic impact of cancer was $895 billion dollars in 2008. Aims: To perform an analysis contemplating the clinical profile, impact, and direct medical costs of an outpatient rehabilitation program for patients who have undergone breast cancer surgery. Settings and Design: A partial economic analysis was performed from the perspective of a Brazilian public hospital. Subjects and Methods: An observational study was conducted using data from a retrospective cohort of patients who had undergone breast cancer surgery. These patients had their first rehabilitation appointment between August 2015 and July 2016. Statistical Analysis Used: Pearson's Chi-square test or Fisher's exact test, Student's t-test, Fisher's F-test analysis of variance, or the nonparametric Kruskal–Wallis test. Post hoc tests were conducted to check for differences between the pairs of categories. The nonparametric Kolmogorov–Smirnov test evaluated the data normality. All hypothesis testing used a significance level of 5%. Results: A total of 132 patients underwent the referred rehabilitation program. The goal of total rehabilitation was achieved in approximately 70% of cases. There was improvement in patients' quality of life in most Short-Form Health Survey-36 dimensions. The program's direct cost had an overall median per patient of R$ 7235.32. Conclusions: The study found good results in the indicators of clinical outcome and quality of life. The costs were reported from a partial evaluation point of view and may contribute to future full evaluations.
  2,280 184 -
GUIDELINES
Minimum technical standards and recommendations for traumatic brain injury rehabilitation teams in sudden-onset disasters
Bhasker Amatya, Vandana Vasudevan, Nina Zhang, Seema Chopra, Irina Astrakhantseva, Fary Khan
October-December 2018, 1(2):72-94
DOI:10.4103/ijprm.ijprm_3_18  
Current advances in disaster response and management have improved survival rates of disaster victims, resulting in overwhelming number of survivors with injuries relative to mortality. These include complex and long-term disabling injuries, such as traumatic brain injury (TBI), spinal cord injury, peripheral nerve injury, musculoskeletal injuries and others. Despite lack of accurate data on TBI in sudden-onset disasters (SODs), it remains a common neurological consequence of armed conflict worldwide. TBI is complex and survivors often have long-term physical, cognitive and behavioural disabilities, residual neurological deficits, medical complications and lifestyle consequences. These necessitate comprehensive interdisciplinary management, including medical, surgical and rehabilitation. The goal of rehabilitation in disaster settings is to improve functional independence and successful reintegration into the community, with an emphasis on patient education and self-management. Rehabilitation of TBI survivors should commence from early-response phase during disasters to minimise disability, prevent secondary injury and should be continued long-term in the community. Specialized rehabilitation teams in any SODs are deployed based on the skill-base and response required to meet specific local needs at the request of host health authorities. These interdisciplinary teams (specialized cells) need to be integrated into emergency disaster response and management plans. This report extends the previously published guidelines for WHO Emergency Medical Teams (EMTs) to establishe minimum standards for development and deployment of TBI specialized rehabilitation team in SODs. Overview of rehabilitation input for TBI survivors by EMT type, and specific recommendations and considerations for the management of the TBI victims for EMTs are provided. These include: deployment decision-making process; elements of making rapid assessment of existing TBI care capacity; leadership & operational support; outreach services; medical and surgical input; human resources, skill mix, team competencies and team configuration; equipment including consumables and pharmacological supplies; discharge & referral; data collection, management and health care records; and exit strategy.
  2,230 226 -
ORIGINAL ARTICLES
Hospital versus home-based rehabilitation in patients undergoing knee arthroplasty: Evaluation of current evidence through meta-analysis approach
Komal Shah
July-September 2019, 2(3):117-125
DOI:10.4103/jisprm.jisprm_54_19  
Background: Rehabilitation techniques have provided encouraging results in achieving functional goals in patients undergoing total hip &/or knee arthroplasty. Aims and Objectives: Current meta-analysis compares hospital-based rehabilitation techniques for improving pain score and functional status of patients undergoing hip and knee arthroplasty. Methods: From 1332 initial articles, 29 randomized controlled trials were included in quantitative synthesis. Results: Higher improvement in oxford knee score [MD = -0.60, 95% CI: -1.69 to 0.48, I2–58%, P = 0.05], 6 minutes' walk test [MD = 22.27, 95% CI: -1.96 to 46.49, I2–53%, P =0.06], mental health [MD = 3.56, 95% CI: -0.62 to -7.74, I2–88%, P < 0.00001] was observed with home as compared to hospital based rehabilitation. Greater cost reduction (P = 0.04) benefits were associated with home-based rehabilitation techniques. Conclusion: Home-based rehabilitation technique is clinical and cost-effective alternative of hospital-based rehabilitation in the patients undergoing knee arthroplasty.
  2,177 215 -
SPECIAL ARTICLES
ClinFIT: ISPRM's Universal Functioning Information Tool based on the WHO's ICF
Walter Frontera, Francesca Gimigliano, John Melvin, Jianan Li, Leonard Li, Jorge Lains, Gerold Stucki
January-March 2019, 2(1):19-21
DOI:10.4103/jisprm.jisprm_36_19  
  2,110 263 -
CASE REPORTS
Oropharyngeal recovery in a patient with the pharyngeal cervical brachial variant of Guillain–Barré syndrome
Matthew Rong Jie Tay, Shuen-Loong Tham
April-June 2019, 2(2):100-103
DOI:10.4103/jisprm.jisprm_46_19  
Patients with the rare pharyngeal cervical brachial variant of Guillain–Barré Syndrome present with a sudden and progressive onset in weakness of the pharyngeal, cervical, and brachial muscles, but usually make a rapid recovery. However, in a patient with delayed oropharyngeal recovery, early identification of poor clinical and electrophysiological prognostic factors can guide rehabilitation planning to optimize functional outcomes.
  2,021 135 -
FROM THE ISPRM PRESIDENT
The scientific article and the future of physical and rehabilitation medicine
Walter R Frontera
October-December 2018, 1(2):4-8
DOI:10.4103/ijprm.ijprm_10_18  
Scientific research is the process by which new information and/or knowledge is generated. This knowledge can serve the purpose of supporting the practice of a medical specialty like physical and rehabilitation medicine (PRM). The research process consists of various steps including the dissemination of the findings in the form of a scientific article. Progress in science and medicine is communicated to others through the scientific article. The number of journals and articles in science in general and in the field of physical and rehabilitation medicine in particular has been increasing in the last few decades. This trend is expected to continue because of the expansion of research (including clinical trials) in the field and other activities such as the initiation of Cochrane Rehabilitation. Authors should understand the sections of a scientific article, the peer-review process, the hierarchy of levels of evidence, new rules regarding scientific reporting, and the need to prevent scientific misconduct through education.
  1,854 269 -