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1

Jeon, Minsoo, Kyojun Youn, and Shinseung Yang. "Reliability and quantification of gastrocnemius elasticity at relaxing and at submaximal contracted condition." Medical Ultrasonography 20, no. 3 (August 30, 2018): 342. http://dx.doi.org/10.11152/mu-1541.

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Aims: To investigate the feasibility of quantitative analysis of muscle stiffness by Acoustic Radiation Force Impulse (ARFI) imaging, to obtain the reference values at relaxing and contraction position of gastrocnemius medialis (GCM) and to evaluate the inter-observer and intra-observer reliabilities of shear wave velocities measurements in healthy skeletal muscles.Material and methods: The stiffness of the left GCM muscle of 15 healthy volunteers was measured by ARFI elastography in transverse scan while the ankle was in the relaxed position and in 30 degrees of plantar flexion with the submaximal isometric contraction. All subjects were examined by two experienced physiatrists with four years of experience. Reliability of ARFI measurements was assessed by means of the intraclass correlation coefficient (ICC). Interobserver and intra-observer reliabilities were statistically analyzed.Results: The mean shear wave velocity (SWV) of GCM at plantar flexion position with submaximal isometric contraction was significantly higher than that at relaxed position (first physiatrists: plantar flexion with submaximal isometric contraction 2.41±1.09 m/s, relaxed 0.84±0.28 m/s, second physiatrist: plantar flexion with submaximal isometric contraction 2.49±0.94m/s, relaxed 0.83±0.21), p<0.05. The inter-observer reliability was excellent for ankle-plantar flexion with submaximal isometric contraction (ICC=0.968), and good for relaxed position (ICC=0.891) respectively. The intra-observer reliability for ankle-plantar flexion with submaximal isometric contraction were excellent (ICC: first physiatrist 0.98 and second physiatrist 0.96) and that for relaxed position (ICC: first physiatrist 0.98 and second physiatrist 0.90) were also excellent. There was no significant correlation between SWV and body mass index.Conclusions: ARFI elastography is a reliable imaging modality for quantifying the stiffness of contracting muscles. Additionally, the characterization of pathological soft tissues by ARFI elastography would be a promising clinical practice for patients with musculoskeletal issues.
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Grabois, Martin, and Marcus J. Fuhrer. "Physiatrists?? Views on Research." American Journal of Physical Medicine & Rehabilitation 67, no. 4 (August 1988): 171–74. http://dx.doi.org/10.1097/00002060-198808000-00008.

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Grabois, Martin, and Marcus J. Fuhrer. "Physiatrists?? Views on Research." American Journal of Physical Medicine & Rehabilitation 70, Supplement (February 1991): S165???S168. http://dx.doi.org/10.1097/00002060-199102001-00026.

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Kirch, Darrell G. "Medical Educators and Physiatrists." American Journal of Physical Medicine & Rehabilitation 89, no. 11 (November 2010): 945–49. http://dx.doi.org/10.1097/phm.0b013e3181f71458.

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Reynolds, Evan L., Kevin A. Kerber, Chloe Hill, Lindsey B. De Lott, Brandon Magliocco, Gregory J. Esper, and Brian C. Callaghan. "The effects of the Medicare NCS reimbursement policy." Neurology 95, no. 7 (July 17, 2020): e930-e935. http://dx.doi.org/10.1212/wnl.0000000000010090.

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ObjectiveTo determine whether the 2013 nerve conduction study (NCS) reimbursement reduction changed Medicare use, payments, and patient access to Medicare physicians by performing a retrospective analysis of Medicare data (2012–2016 fee-for-service data from the CMS Physician and Other Supplier Public Use File).MethodsIndividual billable services were identified by Healthcare Common Procedure Coding System Current Procedural Terminology and G codes. Medicare use and payments were stratified by specialty and type of service (electrodiagnostic tests, including NCS and EMG, and other neurologic procedures). We also assessed access to Medicare physicians using the annual number of unique beneficiaries receiving initial Evaluation and Management (E/M) services.ResultsWe identified 676,113 Medicare providers included in all analysis years from 2012 to 2016 (10,599 neurologists, 5,881 physiatrists, and 659,633 other specialties). Comparing 2016 to 2012 showed that 21.1% fewer neurologists, 28.6% fewer physiatrists, and 69.3% fewer other specialists performed NCS and 3.8% fewer neurologists, 21.7% fewer physiatrists, and 5.6% fewer other specialists performed EMG. For NCS providers in 2012, the mean number of unique Medicare beneficiaries increased for neurologists (1.2%) and physiatrists (4.8%) but decreased for other specialists (−6.5%) by 2016. After the NCS cut, the number of providers performing autonomic and evoked potential testing increased substantially.ConclusionsThe Medicare NCS reimbursement policy resulted in a larger decrease in NCS providers than in EMG providers. Despite fewer neurologists and physiatrists performing NCS, Medicare access to these physicians for E/M services was not affected. Increased autonomic and evoked potential testing may be an unintended consequence of NCS reimbursement change.
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Chiodo, Anthony E. "Physiatrists as Pain Medicine Physicians." PM&R 2, no. 3 (March 2010): 171–73. http://dx.doi.org/10.1016/j.pmrj.2010.03.006.

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Gregory, Patricia, Joshua Alexander, and Jennifer Satinsky. "Clinical Telerehabilitation: Applications for Physiatrists." PM&R 3, no. 7 (July 2011): 647–56. http://dx.doi.org/10.1016/j.pmrj.2011.02.024.

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Berry, John F., and Joseph J. Biundo. "THE SHAPING OF ACADEMIC PHYSIATRISTS." American Journal of Physical Medicine & Rehabilitation 70, no. 4 (August 1991): 228. http://dx.doi.org/10.1097/00002060-199108000-00018.

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9

Burke, David T., Andrew L. Judelson, Jeffrey C. Schneider, Melissa C. DeVito, and Danielle Latta. "Reading Habits of Practicing Physiatrists." American Journal of Physical Medicine & Rehabilitation 81, no. 10 (October 2002): 779–87. http://dx.doi.org/10.1097/00002060-200210000-00011.

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HATANO, Eiji. "Role of Physiatrists in the Community." Japanese Journal of Rehabilitation Medicine 43, no. 5 (2006): 279–90. http://dx.doi.org/10.2490/jjrm1963.43.279.

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DeLisa, Joel A., Steven Kirshblum, Sudesh Sheela Jain, Denise I. Campagnolo, Mark Johnston, Kenneth D. Wood, and Thomas Findley. "PRACTICE AND CAREER SATISFACTION AMONG PHYSIATRISTS." American Journal of Physical Medicine & Rehabilitation 76, no. 2 (March 1997): 90–101. http://dx.doi.org/10.1097/00002060-199703000-00002.

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Alwashmi, Ahmad H., and Abdulmajeed A. Alkhamees. "Burnout and the Psychological Impact among Physiatrists in Saudi Arabia during COVID-19." International Journal of Environmental Research and Public Health 18, no. 18 (September 13, 2021): 9621. http://dx.doi.org/10.3390/ijerph18189621.

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Background: Burnout is an emerging critical issue facing specialists and trainees in all disciplines and not particularly studied among physiatry specialists and trainees in Saudi Arabia during the COVID-19 pandemic. Objective: To assess physiatrist burnout, depression, anxiety, and stress during the current COVID-19 pandemic crisis in Saudi Arabia. Design: Cross-sectional study. Setting: By distributing an electronic survey, the researcher assessed burnout using the Maslach Burnout Inventory (MBI) Human Services Survey (HSS) in the midst of the curfew that Saudi authorities imposed. Participants: One hundred one participating trainees, specialists, and consultants. Results: Of the 101 study participants, the majority (73.3%) were between the ages of 24 and 34 years old, with the rest distributed within the age group ranging from 35 to 65 years old. Junior residents represented 34.7%, senior residents 22.8%, physiatrist specialists 26.7%, and consultants 15.8%. The sample included 55.4% males and 44.6% females; 64.4% of the participants were married, 29.7% were still single, and 5.9% were divorced. Among the total group participating, 25.7% were handling COVID-19 patients. In the total participant sample, 80.2% reported experiencing burnout, 10.9% experienced stress, and 22.8% and 6.9% experienced anxiety and depression, respectively. Conclusion: Burnout in Saudi Arabia exists among more than two-thirds of practicing physiatrists in Physical Medicine & Rehabilitation (PM&R), and that did not appear to have a statistically significant influence on stress, anxiety, or depression (p > 0.05). The current COVID-19 global pandemic might escalate burnout and influence mental health outcomes. The healthcare authority and administration should take the lead in identifying the challenges, overcoming the obstacles, and optimizing clinician well-being, delivering up-to-date solutions, and promptly checking their effectiveness.
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Liang, Kevin E., Pham Vivian Ngo, and Paul Winston. "Access to Focal Spasticity Care: A Cross Canada Survey of Physiatrists." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 47, no. 6 (June 4, 2020): 834–38. http://dx.doi.org/10.1017/cjn.2020.108.

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ABSTRACT:Successful management of focal spasticity requires access to botulinum toxin type A (BoNT-A) injections, physiotherapy, occupational therapy, and orthoses/bracing. To assess the quality of focal spasticity care across Canada, we sent a survey consisting of 22 questions to physiatrists involved in the management of outpatient spasticity. Thirty-four physiatrists from all 10 provinces responded to the survey. Wait time for BoNT-A treatment averaged 12.7 weeks from time of referral across Canada. More than 75% of patients faced barriers to obtaining physical therapy and orthoses. Access to best quality care for spasticity patients across Canada varies widely.
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Rathore, F. A., C. O'connell, and J. Li. "(A313) Role of Physiatrists in Post Disaster Scenarios - Lessons Learned from Pakistan, China and Haiti Earthquakes." Prehospital and Disaster Medicine 26, S1 (May 2011): s105. http://dx.doi.org/10.1017/s1049023x1100330x.

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IntroductionPhysical Medicine and Rehabilitation is a goal oriented and patient centered specialty which focuses on functional restoration and quality of life of persons with disability. The patterns of injuries among survivors of recent disasters have, range from mild (single limb fracture) to catastrophic (spinal cord injury, amputation, traumatic brain injury). Historically physiatrists have not participated the acute disaster management phase or in the emergent post disaster rehabilitation planning. This task is usually relegated to the trauma, orthopedic and general surgeons.MethodologyAuthors had firsthand experience in the acute and emergent care and rehabilitation of trauma patients after Pakistan, China and Haiti earthquakes. An electronic literature search (English, 1965–2010, Key words: trauma, rehabilitation, disability, spinal cord injury, amputation, disaster, nerve injury) was carried out. Experience sharing through committees, online forum, and communications were conducted with physiatry colleagues internationally.ResultsIn these three recent earthquakes, Physiatrists provided direct patient care, including guidance in the evacuation of survivors with pre-existing disabilities, transport of persons with spinal trauma, treatment of wounds, fractures, pain, spinal trauma patients and persons with amputations. Physiatrists devised appropriate plans for conservative management of fractures. Education of local staff and coordination of rehabilitation was initiated. Monitoring, prevention and treatment of secondary complications including prolonged immobility, pressure ulcers, chronic pain, urinary, bowel and respiratory dysfunction was performed. Physiatrists helped in patient counseling and family education.ConclusionPhysiatrists by virtue of their training and skills are in a better position to manage the disabilities, including direction of rehabilitation and community integration, prevention of complications, and education and training of health workers and teams. Timely rehabilitation interventions for Spinal cord injuries and lower limb amputations following the Pakistan, China and Haiti earthquakes resulted in reduction in morbidity and mortality among those with catastrophic injuries.
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Dietzen, Anton, William Ide, and Larissa Pavone. "Telehealth in pediatric rehabilitation medicine: A survey of clinician reported utilization and experience." Journal of Pediatric Rehabilitation Medicine 13, no. 3 (November 23, 2020): 281–88. http://dx.doi.org/10.3233/prm-200762.

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PURPOSE: Telehealth services have been touted to improve access to specialty pediatric care. COVID-19 accelerated the adoption of telehealth across many medical specialties. The purpose of this study was to examine telehealth utilization and satisfaction among pediatric physiatrists. METHODS: Using Google Forms, a voluntary survey was created and administered to pediatric physiatrists. The survey collected information on practice setting, telehealth utilization, provider satisfaction, perceived satisfaction of patients and families, and the anticipated role of telehealth in pediatric rehabilitation going forward. RESULTS: Seventy-eight respondents completed the survey. There was a significant reported increase in telehealth utilization since COVID-19 from 14.5% to 97.4%. Eighty-two percent of participants reported feeling comfortable utilizing telehealth, 77% felt confident in the quality of the care provided, and 91% believed patients were satisfied with telehealth visits. Responses indicate that telehealth is expected to play a role in future pediatric physiatry and interest in telehealth continuing medical education is prevalent. Most pediatric physiatrists plan to continue or expand telehealth offerings after COVID-19. CONCLUSION: Telehealth adoption has been expedited by COVID-19. Physician interest in and satisfaction with telehealth is high. Patient and family perceptions, outcomes of care, and barriers to implementation limiting program expansion deserve further study.
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Verduzco-Gutierrez, Monica, Lisa Pascual, Lauren T. Shapiro, Luis Baerga-Varela, Belmarie Rodriguez-Santiago, and Debjani Mukherjee. "The Role of Physiatrists in Natural Disasters." PM&R 10, no. 4 (April 2018): 417–25. http://dx.doi.org/10.1016/j.pmrj.2018.02.015.

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Glasbrenner, Kimberly. "Need for physiatrists never greater than now." JAMA: The Journal of the American Medical Association 254, no. 2 (July 12, 1985): 193. http://dx.doi.org/10.1001/jama.1985.03360020019002.

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Glasbrenner, K. "Need for physiatrists never greater than now." JAMA: The Journal of the American Medical Association 254, no. 2 (July 12, 1985): 193–94. http://dx.doi.org/10.1001/jama.254.2.193.

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de Laat, Fred A., Wouter de Vos, Jan Geertzen, and Leo D. Roorda. "Development of a cosmetic knee disarticulation prosthesis: A single-patient case study." Prosthetics and Orthotics International 39, no. 6 (June 18, 2014): 507–11. http://dx.doi.org/10.1177/0309364614537108.

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Background and aim:If a person does not become ambulant after an amputation, a knee disarticulation (KD) shouldbe considered and the person may then benefit from a cosmetic KD prosthesis. The features of a cosmetic KD prosthesis are, however, seldom described. The aim of this clinical note is to describe the development of a cosmeticKD prosthesis.Technique:A non-ambulant person with bilateral KD formulated, together with her physiatrist, the criteria for a cosmetic KD prosthesis. On the basis of these, a lightweight, natural-looking, well-fitting, easy-to-put-on and take-off KD prosthesis, with no thigh lengthening during sitting, was made. This prosthesis was fixed on a wheelchair and does not impede transfer.Discussion:A newly constructed cosmetic prosthesis for non-ambulant persons with a KD is described in detail. We hope that this will encourage physiatrists and prosthetists to offer non-ambulant persons with a KD a cosmetic prosthesis.Clinical relevanceA cosmetic leg prosthesis with good cosmetic properties, good sitting comfort, and no restrictions in making transfers is described in detail for non-ambulant persons with a knee disarticulation.
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Polak, R., M. Dacey, and E. Phillips. "Time for food - training physiatrists in nutritional prescription." Journal of Rehabilitation Medicine 49, no. 2 (2017): 106–12. http://dx.doi.org/10.2340/16501977-2178.

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IZUE, S. "Postgraduate Training and Certification of Physiatrists in Japan." Japanese Journal of Rehabilitation Medicine 41 (2004): S154—S155. http://dx.doi.org/10.2490/jjrm1963.41.supplement_s154.

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Polak, Rani, Marie L. Dacey, and Edward M. Phillips. "Time for Food—Including Nutrition on Physiatrists' Tables." PM&R 8, no. 4 (April 2016): 388–90. http://dx.doi.org/10.1016/j.pmrj.2015.09.026.

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Özçakar, Levent, Murat Kara, Ke-Vin Chang, Alparslan Bayram Çarl, Nuray Akkaya, Fatih Tok, Wen-Shiang Chen, et al. "Nineteen Reasons Why Physiatrists Should Do Musculoskeletal Ultrasound." American Journal of Physical Medicine & Rehabilitation 94, no. 6 (June 2015): e45-e49. http://dx.doi.org/10.1097/phm.0000000000000223.

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Silver, Julie K., Sara J. Cuccurullo, Anne Felicia Ambrose, Saurabha Bhatnagar, Glendaliz Bosques, Talya K. Fleming, Walter R. Frontera, et al. "Association of Academic Physiatrists Women’s Task Force Report." American Journal of Physical Medicine & Rehabilitation 97, no. 9 (September 2018): 680–90. http://dx.doi.org/10.1097/phm.0000000000000958.

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Ehde, Dawn M., and Marisol A. Hanley. "Pain in Patient Groups Frequently Treated by Physiatrists." Physical Medicine and Rehabilitation Clinics of North America 17, no. 2 (May 2006): 275–85. http://dx.doi.org/10.1016/j.pmr.2005.12.009.

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Teel, Jordan, Megan Reynolds, Monica Bennett, Jacob W. Roden-Foreman, Evan McShan, Rita Hamilton, Simon Driver, Mark B. Powers, and Ann Marie Warren. "Secondary traumatic stress among physiatrists treating trauma patients." Baylor University Medical Center Proceedings 32, no. 2 (March 26, 2019): 209–14. http://dx.doi.org/10.1080/08998280.2018.1559694.

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Slipman, Curtis W., Rajeev K. Patel, Kenneth Botwin, Christopher Huston, Lei Zhang, David Lenrow, and Cynthia Garvan. "Epidemiology of spine tumors presenting to musculoskeletal physiatrists." Archives of Physical Medicine and Rehabilitation 84, no. 4 (April 2003): 492–95. http://dx.doi.org/10.1053/apmr.2003.50125.

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Foti, Calogero, Levent Özçakar, Murat Kara, Asmaa Mahmoud, Marcello Sallì, Eleonora Ciocchetti, Morena Pitruzzella, and Franco Franchignoni. "Changing the awareness of physiatrists on musculoskeletal ultrasound." International Journal of Rehabilitation Research 36, no. 2 (June 2013): 178–81. http://dx.doi.org/10.1097/mrr.0b013e32835b6662.

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Shenoi, Ranee, and Willibald Nagler. "Expanding role for physiatrists in the emergency room." Archives of Physical Medicine and Rehabilitation 75, no. 9 (September 1994): 1037. http://dx.doi.org/10.1016/0003-9993(94)90762-5.

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Yun, Seo Jung, Min-Gu Kang, Dongseok Yang, Younggeun Choi, Heejae Kim, Byung-Mo Oh, and Han Gil Seo. "Cognitive Training Using Fully Immersive, Enriched Environment Virtual Reality for Patients With Mild Cognitive Impairment and Mild Dementia: Feasibility and Usability Study." JMIR Serious Games 8, no. 4 (October 14, 2020): e18127. http://dx.doi.org/10.2196/18127.

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Background Cognitive training using virtual reality (VR) may result in motivational and playful training for patients with mild cognitive impairment and mild dementia. Fully immersive VR sets patients free from external interference and thus encourages patients with cognitive impairment to maintain selective attention. The enriched environment, which refers to a rich and stimulating environment, has a positive effect on cognitive function and mood. Objective The aim of this study was to investigate the feasibility and usability of cognitive training using fully immersive VR programs in enriched environments with physiatrists, occupational therapists (OTs), and patients with mild cognitive impairment and mild dementia. Methods The VR interface system consisted of a commercialized head-mounted display and a custom-made hand motion tracking module. We developed the virtual harvest and cook programs in enriched environments representing rural scenery. Physiatrists, OTs, and patients with mild cognitive impairment and mild dementia received 30 minutes of VR training to evaluate the feasibility and usability of the test for cognitive training. At the end of the test, the usability and feasibility were assessed by a self-report questionnaire based on a 7-point Likert-type scale. Response time and finger tapping were measured in patients before and after the test. Results Participants included 10 physiatrists, 6 OTs, and 11 patients with mild cognitive impairment and mild dementia. The mean scores for overall satisfaction with the program were 5.75 (SD 1.00) for rehabilitation specialists and 5.64 (SD 1.43) for patients. The response time of the dominant hand in patients decreased after the single session of cognitive training using VR, but this was not statistically significant (P=.25). There was no significant change in finger tapping in either the right or left hand (P=.48 and P=.42, respectively). None of the participants reported headaches, dizziness, or any other motion sickness after the test. Conclusions A fully immersive VR cognitive training program may be feasible and usable in patients with mild cognitive impairment and mild dementia based on the positive satisfaction and willingness to use the program reported by physiatrists, OTs, and patients. Although not statistically significant, decreased response time without a change in finger tapping rate may reflect a temporary increase in attention after the test. Additional clinical trials are needed to investigate the effect on cognitive function, mood, and physical outcomes.
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Ko, Gordon D., and David Berbrayer. "Complementary and alternative medicine: Canadian physiatrists' attitudes and behavior." Archives of Physical Medicine and Rehabilitation 81, no. 5 (May 2000): 662–67. http://dx.doi.org/10.1016/s0003-9993(00)90051-0.

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Ohry, Avi, Rafi Heruti, Vadim Bluvshtein, Elena Aidinoff, and Amiram Catz. "Post Irradiation Myelopathy: From the Physiatrists' Point of View." Ortopedia Traumatologia Rehabilitacja 16, no. 1 (March 20, 2014): 75–78. http://dx.doi.org/10.5604/15093492.1097491.

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Schroeder, Allison, Allison Bean, Martin Weaver, Patrick Spicer, Chan Gao, Walter Frontera, and Dinesh Kumbhare. "Empowering Physiatrists in Training to the Peer-Review Process." American Journal of Physical Medicine & Rehabilitation 98, no. 10 (October 2019): 839–40. http://dx.doi.org/10.1097/phm.0000000000001115.

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Herring, Stanley A. "Sports Concussions: Physiatrists Earning Their Seat at the Table." PM&R 1, no. 5 (May 2009): 404–5. http://dx.doi.org/10.1016/j.pmrj.2009.03.011.

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Momosaki, Ryo. "Board-certificated Physiatrists and Functional Recovery after Hip Fracture." Japanese Journal of Rehabilitation Medicine 53, no. 3 (2016): 202–6. http://dx.doi.org/10.2490/jjrmc.53.202.

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Sukhov, Renat, Afua Asante, and Gavriil Ilizarov. "Telemedicine for pediatric physiatry: How social distancing can bring physicians and families closer together." Journal of Pediatric Rehabilitation Medicine 13, no. 3 (November 23, 2020): 329–38. http://dx.doi.org/10.3233/prm-200747.

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The coronavirus (COVID-19) pandemic triggered wide scale implementation of telemedicine in the United States. The government response, Coronavirus Aid, Relief, and Economic Security (CARES) Act, permitted loosening of existing restrictions on telemedicine enabling its rapid incorporation into the delivery of medical care for children and adults. Prior to COVID-19, few pediatric physiatrists had opportunities to access high fidelity telemedicine platforms to provide health care for patients with special needs, mobility impairments, developmental delays, neuromuscular disorders or other complex medical conditions. This literature review will explore how telemedicine can optimize health care delivery options for pediatric physiatrists in various inpatient and outpatient settings such as consultations, acute inpatient units, outpatient clinics and long-term care facilities. Detailed analysis of the current research in telemedicine applications as well as a critical review of the limitations and barriers for its use offers a plethora of opportunities for enhancement of continuity and coordination of care. Telemedicine may decrease healthcare disparities and increase access of care for children with special needs. Additional research is needed to assess the efficacy of telemedicine when addressing complex medical conditions in children.
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Fernández-Ávila, D. G., D. Rincón-Riaño, and J. Gutiérrez. "THU0467 CONCEPTS AND PERCEPTIONS ABOUT FIBROMYALGIA DIAGNOSIS, MONITORING AND TREATMENT AMONG COLOMBIAN RHEUMATOLOGISTS, PHYSIATRIST AND PAIN PHYSICIAN." Annals of the Rheumatic Diseases 79, Suppl 1 (June 2020): 470.1–471. http://dx.doi.org/10.1136/annrheumdis-2020-eular.5213.

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Background:Fibromyalgia is a chronic disease characterized by the presence of widespread and persistent musculoskeletal pain associated with a variety of symptoms. The concepts and perceptions around diagnosis and treatment of fibromyalgia among physicians are not objectively known. The purpose of this study is to obtain objective data through a survey and describe the concepts and perceptions about the diagnosis, treatment and treatment of fibromyalgia among colombian rheumatologists, physiatrist and pain physiciansObjectives:The main purpose of this study is to obtain objective data on this subject and describe the concepts and perceptions about the diagnosis, treatment and monitoring of FM among colombian rheumatologists, physiatrist and pain physicians.Methods:Cross-sectional study. Through a focus group in which two rheumatologists and one expert in qualitative research methods participated, a survey was designed to evaluated the perceptions and concepts that rheumatologists, physiatrist and pain physicians have on the diagnosis and treatment of fibromyalgia. The survey was self-applied anonymously through the internet.Results:Survey applied to 139 rheumatologists, 99 physiatrist and 81 pain physicians. 35 rheumatologists (25.2 %), 17 physiatrist (17.1 %) and 58 pain physicians (71.6 %) consider that there is not enough evidence to recognize fibromyalgia as a disease. 45 rheumatologists (32.4 %), 86 physiatrist (86 %) and 73 pain physicians (90.1 %) consider that the 1990 ACR (American college of Rheumatology) criteria are not sufficient to diagnose fibromyalgia, despite the fact more than 90% of them use the criteria as a tool to approach the diagnosis when suspecting fibromyalgia. The most formulated medications for managing fibromyalgia are antidepressants and is used by more than 80% of the respondents, followed by antiepileptics in pain physician (88.9%) but less than physiatrists and rheumatologists (66.6 % and 64.7 % respectively), and analgesic much more for pain physician and physiatry and less for rheumatologists (84 %, 75.7 % and 26.6 % respectively). All respondents consider that the patient with fibromyalgia should have a multidisciplinary approach. Most doctors of the three specialties believe that physiatrist should be the leaders of interdisciplinary management in the treatment of fibromyalgia patients.Conclusion:We present objective information on the perceptions of fibromyalgia among a group of Colombian rheumatologists, physiatrist and pain physician, documenting a frequent use of the ACR 1990 classification criteria. As regards treatment, a high percentage use of antidepressants and antiepileptic. Most believe that physiatrist should be the leaders of interdisciplinary management in the treatment of fibromyalgia patients.References:[1]Mu R, Li C, Zhu J-X, Zhang X-Y, Duan T-J, Feng M, et al. National survey of knowledge, attitude and practice of fibromyalgia among rheumatologists in China. Int J Rheum Dis. 2013;16:258–63.[2]Arshad A, Kong KO. Awareness and perceptions of fibromyalgia syndrome: a survey of Malaysian and Singaporean rheumatologists. Singapore Med J. 2007;48:25–30.[3]Arshad A, Kong KO, Ooi KK. Awareness and perceptions of fibromyalgia syndrome: a survey of southeast asian rheumatologists. J Clin Rheumatol. 2007;13:59–62.[4]Bloom S, Ablin JN, Lebel D, Rath E, Faran Y, Daphna-Tekoah S, et al. Awareness of diagnostic and clinical features of fibromyalgia among orthopedic surgeons. Rheumatol Int. 2013;33:927–31.[5]Clark P, Paiva ES, Ginovker A, Salomón PA. A patient and physician survey of fibromyalgia across Latin America and Europe. BMC Musculoskelet Disord. 2013;14:188.Disclosure of Interests: :None declared
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Dincer, Fitnat, Serdar Kesikburun, Oya Ozdemir, Evren Yaşar, Susana Munoz, Raquel Valero, Alvydas Juocevidius, et al. "The approach of physiatrists to low back pain across Europe." Journal of Back and Musculoskeletal Rehabilitation 32, no. 1 (January 24, 2019): 131–39. http://dx.doi.org/10.3233/bmr-171001.

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39

Ashe, M. C., J. J. Eng, and A. Krassioukov. "Physiatrists' opinions and practice patterns for bone health after SCI." Spinal Cord 47, no. 3 (August 19, 2008): 242–48. http://dx.doi.org/10.1038/sc.2008.104.

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40

Sutliff, Matthew H. "Team Focus: Physical Therapist." International Journal of MS Care 10, no. 4 (January 1, 2008): 127–32. http://dx.doi.org/10.7224/1537-2073-10.4.127.

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Multiple sclerosis (MS) is a complex neurological disease that requires comprehensive multidiscipli-nary care to maximize patient outcomes. A multidisciplinary health care team treating MS patients often consists of neurologists, physiatrists, nurses, physician assistants or nurse practitioners, and physical and occupational therapists, many of whom are specialists in MS. This article clarifies the role of the physical therapist in the care of patients within a multidisciplinary MS clinic.
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Chang, Ke-Vin, Murat Kara, Daniel Chiung-Jui Su, Eda Gürçay, Bayram Kaymak, Wei-Ting Wu, and Levent Özçakar. "Sonoanatomy of the spine: a comprehensive scanning protocol from cervical to sacral region." Medical Ultrasonography 21, no. 4 (November 24, 2019): 474. http://dx.doi.org/10.11152/mu-2034.

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Ultrasound has been increasingly used in the musculoskeletal system, including the spine. In this protocol, the probe positionings, anatomical relationships, and ultrasound images of commonly scanned spinal structures are described. With an international consensus of several expert physiatrists i.e. USPRM; Ultrasound Study Group of ISPRM (International Society of Physical and Rehabilitation Medicine), this guide can provide a standardized approach for physicians who are interested in ultrasound diagnosis and guided pain interventions of the spine.
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42

Moroz, Alex, Neil Prufer, Zvi Rosen, and Carol Eisenberg. "Important qualities in physiatrists: Perceptions of rehabilitation team members and patients." Archives of Physical Medicine and Rehabilitation 81, no. 6 (June 2000): 812–16. http://dx.doi.org/10.1016/s0003-9993(00)90116-3.

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43

Yang, Eun Joo, Seung Hyun Chung, Jae-Yong Jeon, Kwan Sik Seo, Hyung-Ik Shin, Ji Hye Hwang, and Jae-Young Lim. "Current Practice and Barriers in Cancer Rehabilitation: Perspectives of Korean Physiatrists." Cancer Research and Treatment 47, no. 3 (January 7, 2015): 370–78. http://dx.doi.org/10.4143/crt.2014.084.

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Rondinelli, Robert D. "Collaboration as an Adaptive Strategy for the Association of Academic Physiatrists." American Journal of Physical Medicine & Rehabilitation 84, no. 10 (October 2005): 727–32. http://dx.doi.org/10.1097/01.phm.0000179441.70748.a8.

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Iaccarino, Mary A., Adam S. Tenforde, Ross D. Zafonte, Julie K. Silver, Jaye Hefner, and Sabrina Paganoni. "Neurological Manifestation of COVID-19 and the Enhanced Role of Physiatrists." American Journal of Physical Medicine & Rehabilitation 99, no. 9 (June 15, 2020): 858–59. http://dx.doi.org/10.1097/phm.0000000000001502.

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Spill, Gayle R., Fay J. Hlubocky, and Christopher K. Daugherty. "Oncologists' and Physiatrists' Attitudes Regarding Rehabilitation for Patients With Advanced Cancer." PM&R 4, no. 2 (February 2012): 96–108. http://dx.doi.org/10.1016/j.pmrj.2011.08.539.

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Greenwald, Brian D., Elizabeth J. Narcessian, and Bruce A. Pomeranz. "ASSESSMENT OF PHYSIATRISTS' KNOWLEDGE AND PERSPECTIVES ON THE USE OF OPIOIDS." American Journal of Physical Medicine & Rehabilitation 78, no. 5 (September 1999): 408–15. http://dx.doi.org/10.1097/00002060-199909000-00002.

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Wada, Yosuke, Yuki Uchiyama, and Kazuhisa Domen. "A Home-Based Medical Care Performed by Physiatrists Working in Hospital." Japanese Journal of Rehabilitation Medicine 54, no. 7 (2017): 508–11. http://dx.doi.org/10.2490/jjrmc.54.508.

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Daugherty, C. K., G. Spill, M. Siegler, and F. J. Hlubocky. "Oncologists and physiatrists attitudes regarding rehabilitation for patients with advanced cancer." Journal of Clinical Oncology 26, no. 15_suppl (May 20, 2008): 6623. http://dx.doi.org/10.1200/jco.2008.26.15_suppl.6623.

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50

Moroz, Alex, Neil Prufer, Zvi Rosen, and Carol Eisenberg. "Important qualities in physiatrists: Perceptions of rehabilitation team members and patients." Archives of Physical Medicine and Rehabilitation 81, no. 6 (June 2000): 812–16. http://dx.doi.org/10.1053/apmr.2000.6272.

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