Pub Date : 2020-10-01DOI: 10.4103/jisprm.jisprm_17_20
Ranaivondrambola Tatiana, Rasolofo Rakotoanadahy, Raoninah Tatamo, S. Duval
Introduction: One-third of children with cerebral palsy (CP) do not yet walk at the age of 5. Orthopedic deformity is one of the pathologies that may compromise the efficiency of gait in those patients. The aim of our study was to describe the clinical characteristics of orthopedic deformities for CP patients and to describe device prescription to manage the deformities. Methods: A retrospective chart review was conducted at the Equipment Teaching Hospital of Madagascar, after ethic committee approval, during a period of 1 year, from the beginning of January 2017 to the end of December 2017. Patients diagnosed with CP, during the period of the study, regardless of age and gender, were included in the study. Incomplete patients' records have been excluded from the study. The different types of orthopedic deformities were analyzed. Results: New cases of CP were in the order of 5.61% (n = 100) in 1783 new patients seen in consultation during 2017. Ninety-five patients were kept out. Eighty-nine percent of patients reported to the hospital after 12 months of age. Orthopedic deformity was detected in 48 patients, including 27.36% with deformity of the foot, 5.26% of the knee, 4.21% of the hip, and 16.84% of the spine. More than 73% of the patients had spasticity. In 45.26% of the cases, patients with CP had a complete functional restriction with a Gross Motor Function Classification System V (GMFCS), and only 27 patients had GMFCS I or II. In 82.1% of the cases, patients with CP needed devices to reduce their deficit or maintain functional gain. Conclusion: CP is a public health problem. Orthopedic deformities are often discovered late, affecting the gait quality for these patients. Orthopedic deformities prevention is crucial, and multidisciplinary care should be done early.
{"title":"Orthopedic lower limb deformities in cerebral palsy: A case series","authors":"Ranaivondrambola Tatiana, Rasolofo Rakotoanadahy, Raoninah Tatamo, S. Duval","doi":"10.4103/jisprm.jisprm_17_20","DOIUrl":"https://doi.org/10.4103/jisprm.jisprm_17_20","url":null,"abstract":"Introduction: One-third of children with cerebral palsy (CP) do not yet walk at the age of 5. Orthopedic deformity is one of the pathologies that may compromise the efficiency of gait in those patients. The aim of our study was to describe the clinical characteristics of orthopedic deformities for CP patients and to describe device prescription to manage the deformities. Methods: A retrospective chart review was conducted at the Equipment Teaching Hospital of Madagascar, after ethic committee approval, during a period of 1 year, from the beginning of January 2017 to the end of December 2017. Patients diagnosed with CP, during the period of the study, regardless of age and gender, were included in the study. Incomplete patients' records have been excluded from the study. The different types of orthopedic deformities were analyzed. Results: New cases of CP were in the order of 5.61% (n = 100) in 1783 new patients seen in consultation during 2017. Ninety-five patients were kept out. Eighty-nine percent of patients reported to the hospital after 12 months of age. Orthopedic deformity was detected in 48 patients, including 27.36% with deformity of the foot, 5.26% of the knee, 4.21% of the hip, and 16.84% of the spine. More than 73% of the patients had spasticity. In 45.26% of the cases, patients with CP had a complete functional restriction with a Gross Motor Function Classification System V (GMFCS), and only 27 patients had GMFCS I or II. In 82.1% of the cases, patients with CP needed devices to reduce their deficit or maintain functional gain. Conclusion: CP is a public health problem. Orthopedic deformities are often discovered late, affecting the gait quality for these patients. Orthopedic deformities prevention is crucial, and multidisciplinary care should be done early.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"3 1","pages":"112 - 115"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46903648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-10-01DOI: 10.4103/jisprm.jisprm_21_20
David H. Sherwood, Benjamin Gill, D. Schirmer, Alexandra Arickx, Cheng Shu, A. Jackson, S. Eickmeyer
Background: In 2012, the Centers for Medicare and Medicaid Services began to reduce payments to qualifying hospitals for 30-day readmission rates that were higher than predicted for specific diagnoses. The process was broadened to include skilled nursing facilities in 2018. It is reasonable to expect future expansion will include acute inpatient rehabilitation facilities. A pre-intervention quality improvement project from 2017 identified that patients admitted to an acute inpatient rehabilitation facility (IRF) for the primary diagnosis of debility were readmitted within 30 days of discharge at a rate of 38%, which was nearly three times higher than the next most readmitted diagnosis. A literature review identified rapid primary care provider (PCP) outpatient follow up as a worthy intervention to reduce readmissions. Objectives: Over a six-month intervention period, we attempted to achieve a reduction in 30-day readmission rates in the debility population of an IRF by scheduling PCP follow-ups within seven business days after discharge. Results: Of those that received the intervention, 7% were readmitted (P=0.018). Of those who did not receive the intervention, 56% were readmitted. Conclusion: The adoption of PCP follow-up within seven business days of discharge may lower the 30-day readmission rate for patients admitted to IRF with a primary diagnosis of debility.
{"title":"The race for readmission reduction: Primary care follow-ups reduce debility readmissions after acute inpatient rehabilitation","authors":"David H. Sherwood, Benjamin Gill, D. Schirmer, Alexandra Arickx, Cheng Shu, A. Jackson, S. Eickmeyer","doi":"10.4103/jisprm.jisprm_21_20","DOIUrl":"https://doi.org/10.4103/jisprm.jisprm_21_20","url":null,"abstract":"Background: In 2012, the Centers for Medicare and Medicaid Services began to reduce payments to qualifying hospitals for 30-day readmission rates that were higher than predicted for specific diagnoses. The process was broadened to include skilled nursing facilities in 2018. It is reasonable to expect future expansion will include acute inpatient rehabilitation facilities. A pre-intervention quality improvement project from 2017 identified that patients admitted to an acute inpatient rehabilitation facility (IRF) for the primary diagnosis of debility were readmitted within 30 days of discharge at a rate of 38%, which was nearly three times higher than the next most readmitted diagnosis. A literature review identified rapid primary care provider (PCP) outpatient follow up as a worthy intervention to reduce readmissions. Objectives: Over a six-month intervention period, we attempted to achieve a reduction in 30-day readmission rates in the debility population of an IRF by scheduling PCP follow-ups within seven business days after discharge. Results: Of those that received the intervention, 7% were readmitted (P=0.018). Of those who did not receive the intervention, 56% were readmitted. Conclusion: The adoption of PCP follow-up within seven business days of discharge may lower the 30-day readmission rate for patients admitted to IRF with a primary diagnosis of debility.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"3 1","pages":"121 - 125"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44471004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-01DOI: 10.4103/jisprm.jisprm_19_20
Ning Cao, B. Nguyen, Stephani Li, R. Lamba, Ryan Hafner, Sheng Li
Acupuncture has been used in stroke recovery in Eastern countries from ancient times. Increased interests and attention have been paid to understand how this oriental practice works for stroke patients in Western medicine. In particular, the effort has been made to study whether adjunct use of acupuncture to standard rehabilitation treatment could potentially further improve recovery after stroke. Therefore, in this comprehensive review of most recent literature, we are able to summarize some convincing evidence on beneficial effect of adjunct acupuncture treatment on poststroke recovery in the domains, including dysphagia, poststroke pain syndrome, and spasticity. Furthermore, some limited emerging evidence in the areas of motor recovery, insomnia, cognitive impairment, and depression is reviewed as well. This comprehensive review intends to provide insights about the potential clinical application of acupuncture for stroke rehabilitation and its future research direction.
{"title":"An overview of acupuncture in stroke recovery: A narrative review","authors":"Ning Cao, B. Nguyen, Stephani Li, R. Lamba, Ryan Hafner, Sheng Li","doi":"10.4103/jisprm.jisprm_19_20","DOIUrl":"https://doi.org/10.4103/jisprm.jisprm_19_20","url":null,"abstract":"Acupuncture has been used in stroke recovery in Eastern countries from ancient times. Increased interests and attention have been paid to understand how this oriental practice works for stroke patients in Western medicine. In particular, the effort has been made to study whether adjunct use of acupuncture to standard rehabilitation treatment could potentially further improve recovery after stroke. Therefore, in this comprehensive review of most recent literature, we are able to summarize some convincing evidence on beneficial effect of adjunct acupuncture treatment on poststroke recovery in the domains, including dysphagia, poststroke pain syndrome, and spasticity. Furthermore, some limited emerging evidence in the areas of motor recovery, insomnia, cognitive impairment, and depression is reviewed as well. This comprehensive review intends to provide insights about the potential clinical application of acupuncture for stroke rehabilitation and its future research direction.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"3 1","pages":"80 - 86"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43620383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-01DOI: 10.4103/jisprm.jisprm_14_20
C. Dohle, M. Oh-Park, A. Gitkind, J. Menkes, M. Bartels
The current COVID-19 pandemic has put the global health-care system into an unprecedented crisis, leaving hospitals overwhelmed and desperate for additional capacity. As of April 20th, 2020, New York State had the most COVID-19 cases in the US. We here describe the process of transforming our freestanding rehabilitation hospital to help to create additional capacity for our parent system, the Montefiore Health System. This transformation required creating a capacity to handle an increased number of patients with higher medical complexity. The sequence of steps taken at Burke Rehabilitation Hospital to rise to the challenge is outlined in this article.
{"title":"The vital role of inpatient rehabilitation facilities in a large health system: The COVID-19 pandemic","authors":"C. Dohle, M. Oh-Park, A. Gitkind, J. Menkes, M. Bartels","doi":"10.4103/jisprm.jisprm_14_20","DOIUrl":"https://doi.org/10.4103/jisprm.jisprm_14_20","url":null,"abstract":"The current COVID-19 pandemic has put the global health-care system into an unprecedented crisis, leaving hospitals overwhelmed and desperate for additional capacity. As of April 20th, 2020, New York State had the most COVID-19 cases in the US. We here describe the process of transforming our freestanding rehabilitation hospital to help to create additional capacity for our parent system, the Montefiore Health System. This transformation required creating a capacity to handle an increased number of patients with higher medical complexity. The sequence of steps taken at Burke Rehabilitation Hospital to rise to the challenge is outlined in this article.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"3 1","pages":"75 - 79"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46338643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-01DOI: 10.4103/jisprm.jisprm_20_20
C. Lakra, M. Desai
Patients with ankylosing spondylitis (AS) are at an 11-fold greater risk of vertebral fracture, with higher mortality and morbidity rates than the general spinal cord injury (SCI) population. We present the case of a patient with established AS who suffered from a cervical SCI. Following admission to a specialist spinal injury rehabilitation unit, he was diagnosed with severe established heterotopic ossification (HO) and spasticity. The key considerations required to manage a case of significant disability in the rehabilitation setting are outlined. The need for earlier diagnosis of HO to prevent progression and associated complications is discussed.
{"title":"Heterotopic ossification in a patient with cervical spinal cord injury and ankylosing spondylitis: The consequences of the late diagnosis","authors":"C. Lakra, M. Desai","doi":"10.4103/jisprm.jisprm_20_20","DOIUrl":"https://doi.org/10.4103/jisprm.jisprm_20_20","url":null,"abstract":"Patients with ankylosing spondylitis (AS) are at an 11-fold greater risk of vertebral fracture, with higher mortality and morbidity rates than the general spinal cord injury (SCI) population. We present the case of a patient with established AS who suffered from a cervical SCI. Following admission to a specialist spinal injury rehabilitation unit, he was diagnosed with severe established heterotopic ossification (HO) and spasticity. The key considerations required to manage a case of significant disability in the rehabilitation setting are outlined. The need for earlier diagnosis of HO to prevent progression and associated complications is discussed.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"3 1","pages":"97 - 100"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41469673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-01DOI: 10.4103/jisprm.jisprm_16_20
R. Costa, M. Pinto, J. Ruas, Nilza Pinto
Lyme neuroborreliosis (LNB) is a nervous system infection caused by the species of the spirochete Borrelia. A woman, with a history of right facial palsy, was admitted to the physical and rehabilitation medicine (PRM) unit for the rehabilitation of presumed sequalae of aneurism rupture and neuromuscular weakness related to critical illness. She presented in the PRM unit with flaccid quadriparesis, right facial nerve paresis, bulbar paresis, aphonia, dysphagia, and hypoactive deep-tendon reflexes. Electromyography (EMG) revealed multifocal neuropathy and serologic tests revealed positive for Borrelia (IgG). The patient was treated with 2 weeks of intravenous ceftriaxone with a marked improvement in the following days. LNB diagnosis was made due to the clinical presentation, positive Borrelia serology, and great improvement with targeted therapy. Neuromuscular weakness related to critical illness was the main differential diagnosis; however, weakness in bulbar and facial musculature and the EMG findings were not consistent with this diagnosis.
{"title":"Lyme neuroborreliosis in a critically ill patient","authors":"R. Costa, M. Pinto, J. Ruas, Nilza Pinto","doi":"10.4103/jisprm.jisprm_16_20","DOIUrl":"https://doi.org/10.4103/jisprm.jisprm_16_20","url":null,"abstract":"Lyme neuroborreliosis (LNB) is a nervous system infection caused by the species of the spirochete Borrelia. A woman, with a history of right facial palsy, was admitted to the physical and rehabilitation medicine (PRM) unit for the rehabilitation of presumed sequalae of aneurism rupture and neuromuscular weakness related to critical illness. She presented in the PRM unit with flaccid quadriparesis, right facial nerve paresis, bulbar paresis, aphonia, dysphagia, and hypoactive deep-tendon reflexes. Electromyography (EMG) revealed multifocal neuropathy and serologic tests revealed positive for Borrelia (IgG). The patient was treated with 2 weeks of intravenous ceftriaxone with a marked improvement in the following days. LNB diagnosis was made due to the clinical presentation, positive Borrelia serology, and great improvement with targeted therapy. Neuromuscular weakness related to critical illness was the main differential diagnosis; however, weakness in bulbar and facial musculature and the EMG findings were not consistent with this diagnosis.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"3 1","pages":"91 - 96"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43919305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-01DOI: 10.4103/jisprm.jisprm_15_20
Victor F Leite, Jesuel Padro-Guzman
Objective: The objective of this study is to describe the individuals that undergo intra-articular injections for musculoskeletal pain in a cancer rehabilitation clinic, as well as the safety of those procedures.
Materials and methods: Retrospective cross-sectional study from July 2017 to May 2018.
Results: We included 157 individuals in the study. Participants underwent a total of 546 injections, with a median of two injections per individuals. Osteoarthritis was the most common indication for injections (82.1%). Most injections were guided by ultrasound (62.2%). There were six AEs in our study: four procedure-related, none serious.
Conclusions: Intra-articular injections were safe in the short-term in this population.
{"title":"Intra-articular Injections for Musculoskeletal Pain in a Cancer Rehabilitation Clinic: A Cross-Sectional Study.","authors":"Victor F Leite, Jesuel Padro-Guzman","doi":"10.4103/jisprm.jisprm_15_20","DOIUrl":"10.4103/jisprm.jisprm_15_20","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study is to describe the individuals that undergo intra-articular injections for musculoskeletal pain in a cancer rehabilitation clinic, as well as the safety of those procedures.</p><p><strong>Materials and methods: </strong>Retrospective cross-sectional study from July 2017 to May 2018.</p><p><strong>Results: </strong>We included 157 individuals in the study. Participants underwent a total of 546 injections, with a median of two injections per individuals. Osteoarthritis was the most common indication for injections (82.1%). Most injections were guided by ultrasound (62.2%). There were six AEs in our study: four procedure-related, none serious.</p><p><strong>Conclusions: </strong>Intra-articular injections were safe in the short-term in this population.</p>","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"3 1","pages":"87-90"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43541572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-05-01DOI: 10.4103/2349-7904.283766
{"title":"ISPRM 2020","authors":"","doi":"10.4103/2349-7904.283766","DOIUrl":"https://doi.org/10.4103/2349-7904.283766","url":null,"abstract":"","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49055826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.4103/jisprm.jisprm_2_20
S. Lee, B. Amatya, M. Galea, F. Khan
Objective: To assess the preparedness among medical rehabilitation professionals for deployment to disaster settings and to establish a rehabilitation professional database for disaster training and deployment under the auspices of the International Society of Physical and Rehabilitation Medicine (ISPRM). Methods: A survey tool for preparedness for deployment to disaster settings was developed by the authors following approval from the Rehabilitation Medicine Society of Australia and New Zealand (RMSANZ) and ISPRM. The link to the online survey was distributed by email to members through the RMSANZ and Central Office of ISPRM. Participants were registered rehabilitation professionals who were members of the RMSANZ and/or ISPRM. The survey was voluntary. Results: Of the 76 respondents, the majority (94%) were rehabilitation physicians, 72% had >10 years of experience in rehabilitation medicine, 63% expressed an interest in future deployment, and only 24% had some disaster management training in the past. Almost all who expressed an interest in deployment wanted to receive any relevant disaster management training and education before deployment; others were interested in potential opportunities and expectations in disaster management, mitigation, communication, team structure, and telemedicine utilization. Conclusion: Surveying a larger cohort of rehabilitation professionals and documentation of context-specific rehabilitation skills relevant to disaster settings are needed. Establishment of a database of rehabilitation professionals, willing to be deployed, should be considered to assist with the integration of the rehabilitation workforce within the World Health Organization Emergency Medical Team Initiative.
{"title":"Preparedness among medical rehabilitation professionals for deployment to future disaster settings","authors":"S. Lee, B. Amatya, M. Galea, F. Khan","doi":"10.4103/jisprm.jisprm_2_20","DOIUrl":"https://doi.org/10.4103/jisprm.jisprm_2_20","url":null,"abstract":"Objective: To assess the preparedness among medical rehabilitation professionals for deployment to disaster settings and to establish a rehabilitation professional database for disaster training and deployment under the auspices of the International Society of Physical and Rehabilitation Medicine (ISPRM). Methods: A survey tool for preparedness for deployment to disaster settings was developed by the authors following approval from the Rehabilitation Medicine Society of Australia and New Zealand (RMSANZ) and ISPRM. The link to the online survey was distributed by email to members through the RMSANZ and Central Office of ISPRM. Participants were registered rehabilitation professionals who were members of the RMSANZ and/or ISPRM. The survey was voluntary. Results: Of the 76 respondents, the majority (94%) were rehabilitation physicians, 72% had >10 years of experience in rehabilitation medicine, 63% expressed an interest in future deployment, and only 24% had some disaster management training in the past. Almost all who expressed an interest in deployment wanted to receive any relevant disaster management training and education before deployment; others were interested in potential opportunities and expectations in disaster management, mitigation, communication, team structure, and telemedicine utilization. Conclusion: Surveying a larger cohort of rehabilitation professionals and documentation of context-specific rehabilitation skills relevant to disaster settings are needed. Establishment of a database of rehabilitation professionals, willing to be deployed, should be considered to assist with the integration of the rehabilitation workforce within the World Health Organization Emergency Medical Team Initiative.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"3 1","pages":"5 - 10"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49228361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.4103/jisprm.jisprm_3_20
M. Tay, K. Chua
Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is a rare but potentially life-threatening and disabling autoimmune encephalitis mainly affecting young women. We report the case of a male in his early thirties who developed behavioral and neurocognitive manifestations of anti-NMDAR encephalitis. This case highlights the unique behavioral challenges in a male patient during the course of rehabilitation, including impulsivity, inappropriate sexual behavior, and hyperphagia, which has not been well-described in the literature. This presented complex problems for the rehabilitation team and amelioration of these clinical issues required a multidisciplinary approach. The behavioral and pharmacological strategies employed, which had a pronounced positive contribution in this patient, are described. A brief review of the epidemiology, course, and common complications of anti-NMDAR encephalitis is also presented.
{"title":"A combined behavioral and pharmacological approach in nonparaneoplastic-related anti-N-methyl-D-aspartate receptor encephalitis: A case report with positive outcome in a male patient","authors":"M. Tay, K. Chua","doi":"10.4103/jisprm.jisprm_3_20","DOIUrl":"https://doi.org/10.4103/jisprm.jisprm_3_20","url":null,"abstract":"Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is a rare but potentially life-threatening and disabling autoimmune encephalitis mainly affecting young women. We report the case of a male in his early thirties who developed behavioral and neurocognitive manifestations of anti-NMDAR encephalitis. This case highlights the unique behavioral challenges in a male patient during the course of rehabilitation, including impulsivity, inappropriate sexual behavior, and hyperphagia, which has not been well-described in the literature. This presented complex problems for the rehabilitation team and amelioration of these clinical issues required a multidisciplinary approach. The behavioral and pharmacological strategies employed, which had a pronounced positive contribution in this patient, are described. A brief review of the epidemiology, course, and common complications of anti-NMDAR encephalitis is also presented.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"3 1","pages":"22 - 27"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46359298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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