GMNR Legacy Series: PMR...Everything

Gautam Malhotra MD attempts to answer the question "What is PMR?" through a deep and broad explanation. This has served as an orientation for new trainees just starting their residencies, and a review for senior residents and fellows who are studying for their board exams. This was probably the ultimate masterpiece of the GMNR series collecting information from a wide variety of sources. "GMNR" is a tongue-in-cheek play on words (PM&R) which stands for Gautam Malhotra's Notes and Reviews. The GMNR Legacy Series includes 20 years' of educational content created by Gautam Malhotra MD for Physical Medicine and Rehabilitation trainees (both resident physicians and medical students). These slides can be used as references and study materials as they are packed with information. 0:00 Introduction 1:20 the problem with knowing PM&R 3:00 the purpose of this talk 3:26 Differences between PMR and other fields 4:45 History of PMR 5:44 What is a Physiatrist? different definitions 6:33 Muscle is our organ system 7:08 Muscle: anatomy and physiology 10:21 Overview of Muscle Functions and Pathologies 11:08 Flexibility, Stretching, Range of Motion, and Contracture 13:19 Generation of Force, Strength, and Weakness 18:29 Conditioning and Deconditioning 22:37 Summary of Exercise Science 22:53 Application of these Concepts for Interdisciplinary rehabilitation 24:04 Cardiac Rehabilitation 24:48 Pulmonary Rehabilitation of Obstructive disease 26:08 Rehabilitation of Peripheral Vascular Disease 26:38 Amputee Rehabilitation 27:20 Prosthesis vs Orthosis vs. Prosthosis 27:53 Categories of Components of a Prosthesis 28:18 Prosthetic Components: Sockets 28:47 Prosthetic Components: Suspensions 29:24 Prosthetic Components: Knees and Ankles 30:53 Upper Limb Prosthetics 31:10 Gait 31:59 Ambulatory Aids 33:11 Lower limb Orthoses 33:38 Wheelchairs 34:26 Equipment for ADL impairments 35:30 Upper limb Orthoses 35:58 Locking mechanisms 36:05 Lower limb Orthoses 36:21 Foot Orthotics and Parts of the Shoe 36:31 Intermission 37:01 CENTRAL NERVOUS SYSTEM STUFF 37:11 BRAIN 37:27 Stroke: pathology, rehabilitation, prognosis 40:25 Restoring function: compensation vs recovery 41:43 Traumatic Brain Injury 43:07 Secondary Injury after TBI 44:23 Disorders of Consciousness / Coma 44:56 Issues associated with TBI and recovery 45:23 Speech and Language Pathology; Communication disorders 46:52 Swallowing & Dysphagia 47:38 Hearing Loss 48:13 Balance, Dizziness, Vertigo, Inner Ear 48:47 Other Brain issues including Dystonia 49:03 Intermission 49:13 SPINE STUFF 49:37 Vertebrae 50:00 Spine Dislocations and Fractures 52:10 Low back pain, Disk Herniations, Spinal Stenosis 55:51 Sacroiliac Joint 56:00 Coccyx 56:13 Spine Orthoses 57:23 Scoliosis 57:59 Myelopathy / SPINAL CORD INJURY 1:05:04 Heterotopic Ossification and Spasticity 1:05:50 Multiple Sclerosis 1:06:13 Intermission 1:06:21 PMR EVERYTHING ELSE 1:06:34 Neuromuscular Medicine Anatomy/physiology 1:11:29 Tendon, Golgi Tendon Organ, Spindle 1:13:52 Musculoskeletal Issues, Sports, Pain and treatment methods 1:16:26 Therapy Prescription 1:17:39 Modalities: thermal, manual, electrical, other 1:19:34 Neuromuscular Medicine and the Weakness Differential 1:21:30 Motor Neuron Diseases 1:22:27 Anatomicals (Radiculopathy, Plexopathy, Mononeuropathy) 1:22:36 Peripheral Poluyneuropathy 1:24:15 Neuromuscular junction disorders 1:24:51 myopathies 1:25:48 Electrodiagnostic Medicine 1:34:26 Rheumatological, Skin, Burns 1:35:39 Pediatric Rehabilitation, Spina Bifida, Cerebral Palsy 1:36:57 Lymphedema, Transplant Medicine, Women's Issues, etc