ABSTRACT
OBJECTIVES: Spinal cord stimulation (SCS) has been shown to be an effective and safe option to treat patients with intractable pain in the general population. Our study examined the experience of US veterans with SCS. METHODS: We reviewed electronic health records and conducted phone interviews with 65 veterans who had SCS from 2008 to 2020 at the Southeastern Louisiana Veterans Health Care System (SLVHCS). Our primary outcome measure was veteran would recommend SCS to peers. Secondary outcomes were improvements in activities of daily living and ability to decrease opioid pain medications. RESULTS: A majority (77%) of veterans recommended SCS to their peers. Statistical difference was seen in 16 of 18 categories of activities of daily living based on the Pain Outcomes Questionnaire. No permanent neurologic deficits or deaths were associated with SCS use. There were no neurological sequelae. Three patients (5%) developed skin dehiscence postimplant and were treated with explant surgery but all were eager to get a new SCS implanted. CONCLUSION: Veterans at SLVHCS were satisfied with their experience using SCS and few experienced adverse effects.
ABSTRACT
UNLABELLED: This self-directed learning module highlights physical medicine and rehabilitation (PM and R) interventions for common disorders that cause disability in older adults. It is part of the study guide on geriatric rehabilitation in the Self-Directed Physiatric Education Program for practitioners and trainees in PM and R and geriatric medicine. This article specifically focuses on PM and R interventions for arthritides, fractures, cardiovascular disorders, peripheral vascular disease, amputations, pulmonary disorders, cancer, stroke, traumatic brain injury, Parkinson's disease, spinal cord injury, peripheral neuropathies, and diabetic complications. OVERALL ARTICLE OBJECTIVE: To summarize the physical medicine and rehabilitation interventions for commonly disabling conditions of older adults.
Subject(s)
Disabled Persons/rehabilitation , Aged , Diabetic Nephropathies/rehabilitation , Fractures, Bone/rehabilitation , Humans , Myocardial Infarction/rehabilitation , Osteoarthritis/rehabilitation , Parkinson Disease/rehabilitation , Pulmonary Disease, Chronic Obstructive/rehabilitation , Shoulder Pain/rehabilitationABSTRACT
UNLABELLED: This self-directed learning module highlights physical medicine and rehabilitation (PM and R) interventions for age-related physiologic changes. It is part of the study guide on geriatric rehabilitation in the Self-Directed Physiatric Education Program for practitioners and trainees in PM and R and geriatric medicine. This article specifically focuses on PM and R interventions (including exercise) for mobility alterations, activities of daily living alterations, osteoporosis, cognitive and behavioral changes, bladder changes, and bowel changes. OVERALL ARTICLE OBJECTIVE: To summarize the physical medicine and rehabilitation interventions for age-related physiologic changes.
Subject(s)
Aging/physiology , Aged , Aging/psychology , Cognition Disorders/etiology , Cognition Disorders/physiopathology , Constipation/physiopathology , Constipation/therapy , Depression/psychology , Depression/therapy , Exercise , Humans , Hypertension/rehabilitation , Osteoporosis, Postmenopausal/therapy , Urinary Incontinence/physiopathology , Urinary Incontinence/therapyABSTRACT
UNLABELLED: This self-directed learning module highlights the societal aspects of disability and the older adult. It is part of the study guide on geriatric rehabilitation in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation and geriatric medicine. This article specifically focuses on ethical issues, including capacity, psychodynamics, sexuality, community integration, work, leisure skills, and the issue of driving a motor vehicle. OVERALL ARTICLE OBJECTIVE: To summarize the societal aspects of disability and the older adult.
