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Biomedical subjects

P S Tepperman

Publications and source records attributed to P S Tepperman.

9 recordsLinked to original sources
PubMed1989

Primary care after spinal cord injury. What every physician should know.

Primary care physicians can help patients with spinal cord injury return to the community by accepting them into their practice. The transition from physiatrist to primary care physician after formal rehabilitation is a cooperative effort. Knowing how to treat the common skin, pulmonary, cardiovascular, autonomic, neuromotor, and musculoskeletal complications of spinal cord injury is essential. Just as important is the willingness to address problems of sexual dysfunction and psychosocial issues. If so prepared, primary care physicians can provide excellent care to patients with spinal cord injury and thereby assume an important role in the long-term rehabilitation of these patients.

Follow-Up Studies↗
PubMed1986

Stroke rehabilitation. A problem-oriented approach.

Optimal rehabilitation of stroke disability depends on a detailed analysis of neurologic impairments, associated medical conditions, psychosocial status, activities of daily living, and environmental barriers. Such analysis will permit design of the most appropriate management program, aimed at minimizing disability, maximizing function, and returning the stroke patient to a gratifying existence in spite of residual impairment and disability.

Activities of Daily Living↗
PubMed1986

Arthritis rehabilitation. A multifaceted process.

Rehabilitation of the patient with arthritis is a multifaceted process that should always involve patient, family, and a wide variety of healthcare professionals and community organizations. The optimal goal is to improve the patient's functional performance. Success depends on correct identification of functionally limiting problems.

Anti-Inflammatory Agents, Non-Steroidal↗
PubMed1986

Cervical and lumbopelvic traction. To stretch or not to stretch.

Cervical traction and lumbopelvic traction are commonly prescribed for relief of neck pain and low back pain, respectively. Scientific validation of efficacy is scant, but considerable empirical benefit has been observed. In the absence of contraindications and with appropriate application, cervical and lumbopelvic traction may be used to provide symptomatic relief of neck and low back pain.

Back Pain↗
PubMed1986

Effect of ankle position on isometric quadriceps strengthening.

A prospective study of 20 normal subjects was undertaken to determine the effect of three ankle positions (active dorsiflexion, active plantar flexion, natural or rest position) on comfort and facilitation of quadriceps contraction in isometric strengthening in a supine position with the hip and knee fully extended. Surface EMG activity was found to be greatest for the vastus lateralis followed by the vastus medialis and least for the rectus femoris. Equal facilitation was apparent with either active ankle dorsiflexion or plantar flexion. Both were superior to the natural (rest) position. In situations where isometric quadriceps exercises are required, the authors recommend either active ankle dorsiflexion or plantar flexion to facilitate quadriceps strengthening. The choice between the two positions should be based on patient comfort.

Adult↗
PubMed1985

Assessment of hand blood flow: a modified technique.

A blood flow artifact has been identified with the conventional bolus-injection technique in radionuclide studies of hand disorders. The artifact, consisting of increased blood flow on the injected side, was demonstrated in 22 of 25 subjects. Using a modified injection technique to allow time for local blood flow to return to the basal state, the artifact could be eliminated in 19 of 23 additional subjects. Use of this simple protocol should help avoid misinterpretation of blood flow asymmetry in the assessment of hand disorders.

Adult↗
PubMed1977

Pressure sores. Prevention and step-up management.

The tissue changes that produce pressure sores may be described as occurring in five stages: blanching hyperemia, nonblanching hyperemia, blister and eschar formation, clean ulcer, and infected ulcer. Tissue breakdown is a direct response to external pressure, friction, or shearing force. Prevention of pressure sores comes down to identifying intrinsic and extrinsic risk factors and taking all possible steps to circumvent them. A "step-up" approach to management takes its name from the components surface agents, thermal agents, exposure, ultraviolet light, and pressure redistribution.

Humans↗