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This third edition of the incomparable review bible for thePhysical Medicine and Rehabilitation Board Examinationhas been completely updated to reflect current practice and the core knowledge tested on the exam. Known for its organisation, consistency, and clarity, the book distils the essentials and provides focused reviews of all major topics. Coverage is expanded in the third edition to include dedicated sections on pain management, medical ethics, and ultrasound that reflect new board requirements. Written in outline format for readability and easy access to information, content is modelled after the topic selection of the AAMPR Self-Directed Medical Knowledge Program used by residents nationwide. To aid in information retention, \"\"Pearls\"\" are designated with an open-book icon to highlight key concepts and stress clinical and board-eligible aspects of each topic. The text is divided into major subspecialty areas written by authors with clinical expertise in each subject area, and content is reviewed by senior specialists to ensure the utmost accuracy. More than 500 high-quality illustrations clarify and reinforce concepts. The book also provides updated epidemiologic and statistical data throughout and includes a section on biostatistics in physical medicine and rehabilitation. In addition to its proven value as a resource for exam preparation, the book is also a must-have for practicing physiatrists seeking recertification, and for PM&R instructors helping trainees to prepare for the exam. New to the Third Edition: Thoroughly reviewed, revised, and updated to reflect current practice and core knowledge tested on Boards Improved organization, clarity, and consistency Presents new chapters/sections on pain management, medical ethics, and ultrasound Key Features: Board\"\"Pearls\"\" are highlighted with an open-book icon throughout the text to flag key concepts and stress high-yield aspects of each topic Models the table of contents after the topic selection of the AAPMR Self-Directed Medical Knowledge Program used by residents nationwide Authored by physicians with special interest and clinical expertise in their respective areas and reviewed by senior specialists in those areas Organizes information in outline format and by topic for easy reference Includes over 500 illustrations to clarify concepts Provides updated epidemiologic and statistical data throughout Contains a section on biostatistics in physical medicine & rehabilitation

Doody's Core Title 2013!\"This book does an excellent job and is currently the only known review book for physiatrists.The author has done it again, producing an excellent, concise resource that provides clinicians with an optimal solution for studying for the written board examination.\" --Doodys Reviews This third edition of the incomparable.

Ischemic stroke remains a leading cause of disability worldwide. Preliminary studies have suggested that noninvasive, frequency-tuned, low-intensity electromagnetic network targeting field (ENTF) stimulation may have recovery benefit for patients with stroke. To evaluate the safety and effectiveness of ENTF therapy in reducing global disability among patients in the subacute ischemic stroke phase with moderate to severe disability and upper-extremity impairment. This multicenter, double-blind, sham-controlled, randomized clinical trial was conducted at 15 US-based acute care and inpatient rehabilitation facilities from December 2021 to November 2023. Participants were enrolled 4 to 21 days after a stroke and had a baseline modified Rankin Scale (mRS) score of 3 or 4 (moderate or moderately severe global disability) and Fugl-Meyer Assessment for Upper Extremity score of 10 to 45 (higher scores indicating better arm function). Target sample size was 150 participants. Participants were randomly allocated to receive either active or sham ENTF stimulation. Modified intention-to-treat approach was used in primary efficacy and safety analyses. Participants allocated to the active or sham ENTF stimulation were treated with a proprietary brain-computer interface-based stimulation device paired with an evidence-based, functional, repetitive, home-based physical and occupational exercise regimen for 45 one-hour sessions, 5 times per week within the first 90 days after a stroke. The primary end point was change in global disability, assessed with the mRS (score range: 0 [indicating normal or no symptoms] to 6 [indicating death]), from baseline to day 90. Secondary end points were change from baseline to day 90 in upper-limb impairment, arm motor function, gait speed, hand function, and physical and functional limitations as well as day-90 health-related quality of life, each of which was assessed with a specific metric. The trial was stopped early after enrollment of 100 participants (50 in active group, 50 in sham group) when a promising zone threshold was not attained at planned interim analysis of the first 78 evaluable participants. Participants had a mean age of 59.0 (12.5) years and included 66 males (67.3%). The median (IQR) time from stroke to first ENTF treatment was 14 (12-19) days. Study groups were similar in age, sex, and baseline mRS scores, but imbalances were noted with participants in the active, compared with the sham, group having more right-hemisphere strokes (31 of 49 [63.3%] vs 22 of 49 [44.9%]), more severe upper-extremity impairment (Shoulder Abduction Finger Extension score <5; 31 of 49 [63.3%] vs 24 of 49 [49.0%]), and fewer small-vessel infarcts (14 of 49 [28.6%] vs 21 of 49 [42.9%]). For the primary outcome, the mean (SD) disability reduction on mRS at day 90 was not statistically significantly higher in the active group than in the sham group (-1.96 [0.12] vs -1.72 [0.12]), including mRS score of 0 to 1 attained in 12 participants (26.0%) vs 5 participants (10.0%) (odds ratio, 2.99; 95% CI, 0.96-9.30; P = .05). Point estimates for secondary outcomes favored the active group, although the differences were not statistically significant, in the prespecified analysis. No ENTF device-related serious adverse events were noted. This trial found that ENTF therapy is safe. Although the difference between groups was not statistically significant, ENTF therapy may reduce global disability in patients with severe baseline disability after ischemic stroke. These results warrant confirmation in a higher powered pivotal trial of ENTF therapy. ClinicalTrials.gov Identifier NCT05044507.