Rehabilitation and Therapy Commons^™

Combination Intrathecal Drug Therapy Strategies For Pain Management, Jay Karri, Mani Singh, Devas J Modi, Vwaire Orhurhu, Caleb Seale, Michael Saulino, Anuj Marathe, Darrell Vydra, Jonathan M Hagedorn, Brian Bruel, Alaa Abd-Elsayed

Department of Rehabilitation Medicine Faculty Papers

Background: Numerous combination intrathecal drug therapy (CIDT) strategies exist and are utilized for varying pain syndromes, typically when monotherapy dose escalation or medication alternation is deemed untenable or unfeasible. Unfortunately, the supportive evidence basis for the use of these strategies and specific drug combinations is generally lacking and unclear, with many medications being used for off-label indications.

Objective: In this manuscript, we provide a robust exploration and analysis of the literature to provide an evidence-based narrative for the use of CIDT strategies in regard to clinical indications, pharmacologic parameters, specific drug combinations, safety profiles, and future directions.

Study design: Narrative …

Anna Justina Magee: A Woman Of Determination And Vision, John F. Ditunno Jr., Chris S. Formal

Department of Rehabilitation Medicine Faculty Papers

This article tells the story of Anna J. Magee (AJM), the founder of the Magee Rehabilitation Hospital in Philadelphia, one of the country’s premier medical rehabilitation institutions. AJM’s life was shaped by her family, her times, and her city. The daughter of one of the founders of the Pennsylvania Railroad, she emerged in the late 19th century as an independent woman of elite Philadelphian society, demonstrating a special devotion to St. Stephen’s Episcopal Church at 10^th and Market Streets and, inspired by her personal physician, a determination to serve the rehabilitative needs of physically disabled patients, regardless of their …

Effect Of A Virtual Reality-Enhanced Exercise And Education Intervention On Patient Engagement And Learning In Cardiac Rehabilitation: Randomized Controlled Trial., Victoria Gulick, Daniel Graves, Shannon Ames, Pavitra Parimala Krishnamani

Department of Rehabilitation Medicine Faculty Papers

BACKGROUND: Cardiac rehabilitation (CR) is clinically proven to reduce morbidity and mortality; however, many eligible patients do not enroll in treatment. Furthermore, many enrolled patients do not complete their full course of treatment. This is greatly influenced by socioeconomic factors but is also because of patients' lack of understanding of the importance of their care and a lack of motivation to maintain attendance.

OBJECTIVE: This study aims to explore the potential benefits of virtual reality (VR) walking trails within CR treatment, specifically with regard to patient knowledge retention, satisfaction with treatment, and the overall attendance of treatment sessions.

METHODS: New …

Risk Factors For Stress Fractures In Female Runners: Results Of A Survey, Therese Johnston, Allison E Jakavick, Caroline A Mancuso, Kathleen C Mcgee, Lily Wei, Morgan L Wright, Jeremy Close, Md, Ayako Shimada, Benjamin E Leiby

Department of Rehabilitation Medicine Faculty Papers

Background: Few studies compare women with and without stress fractures and most focus on younger, elite runners.

Hypothesis/purpose: Compare risk factors between female runners with and without a stress fracture history.

Study design: Case control.

Methods: An online survey targeting women age ≥18 years was distributed primarily via social media. Questions included demographics, running details, cross training, nutrition, injury history, medical/menstrual history, and medications. Women with stress fracture histories answered questions about location, number, and changes made. Data were compared between groups using t-tests, chi-square tests, or Fisher's exact tests. Multivariable logistic regression models simultaneously investigated associations of multiple factors …