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Biomedical subjects

C Hinterbuchner

Publications and source records attributed to C Hinterbuchner.

12 recordsLinked to original sources

Undergraduate instruction in physical medicine and rehabilitation.

The New York Medical College core curriculum includes a 1-week compulsory course in rehabilitation medicine in the student's senior year. The most common disabilities seen in rehabilitation medicine are discussed. The presentations consist of didactic lectures and patient demonstrations. The program which has evolved over the past 10 years has proved to be successful and has gained recognition from the school and students alike. Instructors teach topics of special interest to them and in which they have particular expertise. A written examination is given at the end of the course. Students also complete an extensive questionnaire which attempts to evaluate the course, compare it with the other rotations, and point out any changes in their attitudes. Of the 103 students who responded to the questionnaire, 75 indicated they achieved a better understanding of physical disability after the coarse, and 32 reported an improved attitude toward disability and improved perception of the field of rehabilitation medicine. Earlier exposure could have influenced the student's choice of a specialty. We believe that we have been allocated adequate time for effective presentation of the basic principles in rehabilitation medicine. However, crucial to attracting young students into the field is rotation through rehabilitation medicine early in their medical training.

Attitude↗

Rehabilitation outcome of patients with dual disability of hemiplegia and amputation.

The records of 30 patients with the dual disability of hemiplegia and amputation were reviewed. Six factors noted to have influenced the success of rehabilitation were: (1) age; (2) sequence of onset of disability, whether amputation or hemiplegia first; (3) localization of dual disability, whether ipsilateral or contralateral; (4) side of hemiplegia; (5) level of amputation; (6) availability of prolonged hospital stay and training. The final functional status was better if: (1) the amputation preceded the CVA; (2) the amputation and hemiplegia were ipsilateral; (3) amputation and hemiplegia were both on the right side. The hospital stay of patients with dual disability ranged from 4 months to 1 year. Those who had disability on contralateral sides and those who had left hemiplegia required a more prolonged hospital stay.

Adult↗

Traumatic common peroneal nerve palsy: a retrospective study.

A retrospective analysis of 26 consecutive cases of traumatic common peroneal nerve palsy seen during a four-year period in the Department of Rehabilitation Medicine at New York Medical College was carried out. Fifteen were complete lesions, nine were incomplete lesions, and there were two cases of neurapraxia. Among the factors studied were etiology, age, sex, associated injuries, electrodiagnostic findings, and prognosis for recovery. The ultimate functional status of the patients was evaluated up to three years following injury. Of the patients, 19.2% recovered fully, and 26.9% showed partial recovery. The maximum time of recovery was achieved in 15.5 months in complete lesions and 9.5 months in incomplete lesions. The relationship of peronneal nerve injury to fractures of the femur is emphasized. The indications for medical, surgical and rehabilitative management are discussed.

Adolescent↗

Pneumatic orthosis PILOT STUDY;.

The pneumatic orthosis is potentially a substitute or replacement for conventional long-ler and under outer clothing. Pneumatic tubes are incorporated into the orthosis and may be inflated at will by the patient. In a preliminary test it was found to be lighter, more comfortable and cosmetically more acceptable than conventional braces. This paper presents the results of the first pilot study of the orthosis in the United States, conducted by the New York Medical College--Bird S. Coler Hospital Department of Rehabilitation Medicine, using 11 patients with different levels of cord transection. The orthosis was tested for its effect in the following areas: pulmonary function, blood chemistries to determine calcuyn function and phosphorus metabolic retention or loss; spasticity; urinary tract studies; skin; systemic blood pressure and pulse; physical comfort; and effect of temperature and humidity on patient. Wearing time was increased daily until a patient tolerated a minimum of one hour of inflation and six to eight hours of deflation comfortably without negative results. All the patients tested tolerated daily use of the pneumatic orthosis up to six to eight hours with no harmful effect on the skin. It did not interfere with healing of existing decubiti. Use of the pneumatic orthosis prevented postural hypotension in all tested cases, facilitated urinary outflow, increased vital capacity and reduced spasms related to postural changes.

Activities of Daily Living↗