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05) (R=0.497). No significant interactions between other factors were found (p-value>0.05).

Several prognostic factors should be considered when planning an appropriate tailored rehabilitation program.

Several prognostic factors should be considered when planning an appropriate tailored rehabilitation program.

To investigate changes in regional brain volume after concussion (mild traumatic brain injury, mTBI), and to examine the relationship between change in brain volume and cognitive deficits.

Twenty-eight patients with mTBI and 27 age-matched controls were included in this study. Magnetic resonance imaging (3T) data was obtained from the participants. Structural brain volume changes were examined using tensor-based morphometry, which identifies regional structural differences in the whole brain, including cerebrospinal fluid, gray matter, and white matter. Volume contraction and expansion were compared between groups using a two-sample t test. The association between time post-injury or neurocognitive function and volumetric changes was examined using regression analysis.

Individuals with mTBI exhibited volume reduction in the brainstem, including the pontine reticular formation. Regional cerebral volume changes were not associated with time post-injury but were significantly associated with neurocognitive function, especially with executive card sorting tests, forward digit span test, and performance on verbal learning test. The greater regional cerebral volume was associated with better cognitive performance after mTBI.

Decreased brainstem volume may indicate its vulnerability to traumatic injury, and cerebral volume in specific regions was positively associated with patients' cognitive function after injury.

Decreased brainstem volume may indicate its vulnerability to traumatic injury, and cerebral volume in specific regions was positively associated with patients' cognitive function after injury.A 36-year-old male with history of industrial accident causing traumatic left hip disarticulation, pubic symphysis and right sacroiliac joint fractures presented with a three-year history of left-sided lower back pain radiating down the amputated limb. Computed tomography lumbar spine showed osteophytes surrounding the sacroiliac joint bilaterally with reduced left L4-L5 foraminal space. A fluoroscopically-guided left sacroiliac steroid injection led to mild improvement in low back pain. Magnetic resonance imaging (MRI) of the lumbar spine without contrast showed transitional type L5 vertebral body with left-sided flowing osteophytes abutting the extraforaminal L4 and L5 nerves. Ultimately, multi-level left fluoroscopically-guided transforaminal epidural steroid injection at L4-L5 and L5-S1 significantly improved symptoms. Though phantom radiculopathy is a rare entity, clinical suspicion of degenerative spine disease or other pathology contributing to nerve impingement in patients with amputations should remain; this unique case discusses bony osteophyte complex as the cause for phantom radiculopathy instead of previously described disc herniation. MRI remains a key tool in delineating causes of low back pain among patients with lower extremity amputations.

The variety and use of technologies used in vestibular rehabilitation is very limited. The purpose of this study was to investigate the effects of a web-based system on vestibular rehabilitation in patients with vestibular hypofunction.

20 patients with unilateral vestibular hypofunction were randomly assigned to two groups. Conventional vestibular rehabilitation was applied to the control group, whereas the study group received treatment with the web-based system supporting the vestibulo-ocular reflex with oculomotor and optokinetic stimulus (SVORE-Simulation of Vestibulo-Ocular Reflex Exercises). Vestibular and balance tests, oculomotor level, Tampa Kinesiophobia Scale (TKS) and Dizziness Handicap Inventory (DHI) were used to evaluate the efficacy treatment's.

Vestibular symptoms and findings, balance tests, oculomotor functions, Tampa Kinesiophobia Scale and Dizziness Handicap Inventory improved significantly in both of the groups after the interventions (p<0.05). In the intergroup analysis, improvement was found in eyes closed Romberg, semi-tandem and left one-foot position balance tests in favor of the study group (p<0.05).

The new vestibular technology, SVORE was found to be effective in vestibular rehabilitation.

The new vestibular technology, SVORE was found to be effective in vestibular rehabilitation.

Clear reporting on rehabilitation treatments is critical for interpreting and replicating study results and for translating treatment research into clinical practice. This article reports the recommendations of a working group on improved reporting on rehabilitation treatments. These recommendations are intended to be combined with the efforts of other working groups, through a consensus process, to arrive at a reporting guideline for randomized controlled trials in physical medicine and rehabilitation (Randomized Controlled Trials Rehabilitation Checklist). The work group conducted a scoping review of 156 diverse guidelines for randomized controlled trial reporting, to identify themes that might be usefully applied to the field of rehabilitation. Themes were developed by identifying content that might improve or enhance existing items from the Template for Intervention Description and Replication. selleck inhibitor Guidelines addressing broad research domains tended to define reporting items generally, from the investigator Trials Rehabilitation Checklist). The work group conducted a scoping review of 156 diverse guidelines for randomized controlled trial reporting, to identify themes that might be usefully applied to the field of rehabilitation. Themes were developed by identifying content that might improve or enhance existing items from the Template for Intervention Description and Replication. Guidelines addressing broad research domains tended to define reporting items generally, from the investigator's perspective of relevance, whereas those addressing more circumscribed domains provided more specific and operationalized items. Rehabilitation is a diverse field, but a clear description of the treatment's separable components, along with distinct treatment theories for each, can improve reporting of relevant information. Over time, expert consensus groups should develop more specific guideline extensions for circumscribed research domains, around coalescing bodies of treatment theory.