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November 2021 - Volume 100 - Issue 11

  • Walter R. Frontera, MD, PhD
  • 0894-9115
  • 1537-7385
  • 12 issues / year
  • Sports Sciences 59/88, Rehabilitation 40/68
  • 2.159

November 2021

Dear AJPM&R Readers,

Limb loss affects more than 2 million people in the United States and many more around the world. Limb loss may lead to the development of medical complications that are independent of the primary cause of the amputation. In this issue of the AJPM&R, we include a study by Resnick and collaborators on the prevalence and impact of back and neck pain in upper limb amputees. They report a high prevalence of these disorders in a large sample of Veterans that interfere with quality of life. More importantly, the outcomes were worse than baseline after a one-year follow up. In another study, Bastas and collaborators have examined the impact of an amputation on the use of medications, drug interactions, and dosage changes associated with the loss of body tissue; an area that is significantly understudied. The changes in body size and vascular and tissue compartments associated with the surgery could change the effect of a given drug concentration and alter its metabolism. It makes sense to call for more research in this area and to explore the need for adjustments in drug prescriptions after surgery.

On a final note, I encourage all readers to look at the "Editor's Pick" of the month on the topic of disaster rehabilitation. Recent news reports from around the world have made it clear that different types of disasters are becoming more frequent. How should the world of rehabilitation prepare for this and respond? 

I hope you will enjoy reading this month's issue of the AJPM&R!

Walter R. Frontera, MD, PhD, FRCP

Current Issue Highlights

How to One Up a Pandemic: University of Minnesota’s Physical Medicine and Rehabilitation Virtual Clerkship—A Model for Alternative Clinical Training and Preliminary Validation Study

Topor, Lauren; Balser, David; Bruhnding, Paul; More

American Journal of Physical Medicine & Rehabilitation. 100(11):1100-1104, November 2021.

Published April 2021
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