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Biomedical subjects

J A Schuchmann

Publications and source records attributed to J A Schuchmann.

13 recordsLinked to original sources
PubMed2003

Parental knowledge of school backpack weight and contents.

Parental knowledge of their students' backpack weight and contents was assessed by identifying 188 students who carried backpacks weighing at least 10% of their body weights through a survey of 745 students in three elementary schools. Most parents (96%) had never checked their child's backpack weight; 34% had never checked the backpack contents.

Adult↗
PubMed2000

A prospective blinded evaluation of nerve conduction velocity versus Pressure-Specified Sensory Testing in carpal tunnel syndrome.

The aim of this study was to compare the sensitivity, specificity, and pain associated with nerve conduction velocity testing and a new modality, the Pressure-Specified Sensory Device, in the diagnosis of carpal tunnel syndrome. The authors evaluated 79 patients, including 26 control subjects, and made the diagnosis of carpal tunnel syndrome based on the patient's history and physical examination. Both tests were then performed on each patient. The testers were blinded to the diagnosis and to any other test results. A 0 to 10-point visual analog pain scale was used to record the patient's reported testing discomfort. The sensitivity, specificity, and mean pain scale scores were calculated for each testing modality and compared. The nerve conduction velocity test had a sensitivity of 80% and a specificity of 77% whereas the sensitivity of the Pressure-Specified Sensory Device was 91% and the specificity was 82%. The difference between the tests was not significant. There was, however, a significant difference in the pain scores: nerve conduction velocity, 2.7 points; Pressure-Specified Sensory Device, 0.9 points (p < 0.001). This study shows that the Pressure-Specified Sensory Device is as sensitive and specific as nerve conduction velocity testing in the diagnosis of carpal tunnel syndrome, and is significantly less painful for the patient.

Adult↗
PubMed1988

Low back pain: a comprehensive approach.

Back pain generally has a good prognosis. Most individuals with low back pain will not be seen by a physician. Symptoms will be resolved spontaneously with time. Patients who are seen with complaints of low back pain need a thorough history and physical examination, with appropriate additional studies as indicated. Conservative therapy will usually prove successful. Current trends in therapy are toward shorter periods of inactivity, with more emphasis on education and rehabilitation, to include active reconditioning in an attempt to decrease the risk of reinjury. For individuals with chronic back pain, referral to a multidisciplinary chronic pain center may be necessary.

Back Pain↗
PubMed1983

Stroke rehabilitation. Minimizing the functional deficits.

Stroke rehabilitation has evolved into a complex multidisciplinary team approach that aims to return the patient with significant neurologic and functional deficits to as independent and productive a lifestyle as possible. Stroke patients should be evaluated from a rehabilitation standpoint; disabilities should be assessed in terms of their impact on function at home and in the community, both in the vocational and in the avocational sphere, and specific rehabilitation needs should be identified. Rehabilitation is expensive; however, the cost of institutionalized care in a nursing home for a long time is much greater. With effective rehabilitation programs and positive support from families and friends, about 80% of stroke patients can be successfully returned to their home environment.

Cerebrovascular Disorders↗
PubMed1980

Isolated sural neuropathy: report of two cases.

Two cases of isolated sural neuropathy are reported. In 1 case it was thought that the neuropathy was a direct result of compression of the sural nerve by a combat boot. In the 2nd case the etiology possibly involved 2 factors: chronic trauma to the nerve by walking on an inverted foot and irritative neuritis secondary to chronic, low-grade thrombophlebitis of the small saphenous vein. In both cases nonsurgical treatment was successful. Although isolated sural neuropathy occurs infrequently, the diagnosis should be considered in patients who have numbness along the lateral aspects of the foot.

Adult↗
PubMed1978

H reflex latency in radiculopathy.

This study was designed to evaluate whether the H reflex latency obtained from the triceps surae following tibial-nerve stimulation was of value in detecting and differentiating S1 from L5 radiculopathy. Thirty-two patients were studied, 15 with a definite unilateral L5 radiculopathy and 17 with a definite unilateral S1 radiculopathy. Data revealed a mean H reflex latency difference of 0.03 msec (range--0.1 to 0.2 msec) between the affected and unaffected extremities for the 15 patients with L5 radiculopathy and of 2.9 msec (range 1.3 to 4.1 msec) for the 13 patients with S1 radiculopathy where an H reflex could be recorded. The H reflex was unobtainable in the affected extremity in four of the patients with S1 radiculopathy. It is concluded that H reflex latency testing is a valuable tool in helping to differentiate S1 from L5 radiculopathy.

Adult↗
PubMed1977

Sural nerve conduction: a standardized technique.

Occasionally patients with symptoms and signs suggestive of mild peripheral neuropathy, after routine nerve conduction and electromyographic studies, are found to have values within normal limits. Several authors have suggested that sural nerve conduction studies might be more sensitive indicators of mild peripheral neuropathy. Normal values for sural nerve latencies, amplitudes and conduction velocities have been reported; however, the techniques used have not generally been rigidly standardized. This study describes a standardized and reproducible method of performing human sural nerve conduction studies and presents values obtained from systematically studying a series of 56 normal volunteers.

Adolescent↗