New Technologies for Stroke Rehabilitation.

New technologies for stroke rehabilitation.

Filed under: Rehab Centers

Stroke Res Treat. 2013; 2013: 815814
Iosa M, Hesse S, Oliviero A, Paolucci S

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Higher cortisol predicts less improvement in verbal memory performance after cardiac rehabilitation in patients with coronary artery disease.

Filed under: Rehab Centers

Cardiovasc Psychiatry Neurol. 2013; 2013: 340342
Saleem M, Herrmann N, Swardfager W, Oh PI, Shammi P, Koren G, Van Uum S, Kiss A, Lanctôt KL

Objective. While physical activity can improve verbal memory performance in subjects with coronary artery disease (CAD), there is large variability in response. Elevated cortisol production has been suggested to negatively affect verbal memory performance, yet cortisol concentrations have not been assessed as a predictor of response to exercise intervention in those with CAD. Methods. CAD patients participating in a one-year cardiac rehabilitation program were recruited. Memory was assessed with the California Verbal Learning Test second edition at baseline and one year. Cortisol was measured from a 20?mg, 3.0?cm hair sample collected at baseline. Results. In patients with CAD (n = 56, mean?±?SD age?=?66 ± 11, 86% male), higher cortisol (hair cortisol concentrations???153.2?ng/g) significantly predicted less memory improvement (F(1,50) = 5.50, P = 0.02) when controlling for age (F(1,50) = 0.17, P = 0.68), gender (F(1,50) = 2.51, P = 0.12), maximal oxygen uptake (F(1,50) = 1.88, P = 0.18), and body mass index (F(1,50) = 3.25, P = 0.08). Conclusion. Prolonged hypothalamic pituitary adrenal axis activation may interfere with exercise-related improvements in memory in CAD.
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Imaging Algorithms for Evaluating Suspected Rotator Cuff Disease: Society of Radiologists in Ultrasound Consensus Conference Statement.

Filed under: Rehab Centers

Radiology. 2013 Feb 11;
Nazarian LN, Jacobson JA, Benson CB, Bancroft LW, Bedi A, McShane JM, Miller TT, Parker L, Smith J, Steinbach LS, Teefey SA, Thiele RG, Tuite MJ, Wise JN, Yamaguchi K

The Society of Radiologists in Ultrasound convened a panel of specialists from a variety of medical disciplines to reach a consensus about the recommended imaging evaluation of painful shoulders with clinically suspected rotator cuff disease. The panel met in Chicago, Ill, on October 18 and 19, 2011, and created this consensus statement regarding the roles of radiography, ultrasonography (US), computed tomography (CT), CT arthrography, magnetic resonance (MR) imaging, and MR arthrography. The consensus panel consisted of two co-moderators, a facilitator, a statistician and health care economist, and 10 physicians who have specialty expertise in shoulder pain evaluation and/or treatment. Of the 13 physicians on the panel, nine were radiologists who were chosen to represent a broad range of skill sets in diagnostic imaging, different practice types (private and academic), and different geographical regions of the United States. Five of the radiologists routinely performed musculoskeletal US as part of their practice and four did not. There was also one representative from each of the following clinical specialties: rheumatology, physical medicine and rehabilitation, orthopedic surgery, and nonoperative sports medicine. The goal of this conference was to construct several algorithms with which to guide the imaging evaluation of suspected rotator cuff disease in patients with a native rotator cuff, patients with a repaired rotator cuff, and patients who have undergone shoulder replacement. The panel hopes that these recommendations will lead to greater uniformity in rotator cuff imaging and more cost-effective care for patients suspected of having rotator cuff abnormality.© RSNA, 2013.
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