months) for the CET group compared with a 0.3% (3 months) and10% (6 months) increase for the TMT group. Treadmill PFETincreased by 173% (3 months) and 139% (6 months) for the CETcohort, and by 58% (3 months) and 107% (6 months) for the TMTcohort. Treadmill MXT increased by 96% (3 months) and 320% (6months) for the CET cohort, and by 53% (3 months) and 59% (6months) for the TMT cohort. Mean calf exercise PFET increased by56% (3 months) and 46% (6 months) for the CET cohort, and by6.5% (3 months) and 4.5% (6 months) for the TMT cohort. Meancalf exercise MXT increased by 189% (3 months) and 255% (6months) for the CET cohort, and by 4.5% (3 months) and 23% (6months) for the TMT cohort. Both groups demonstrated an increasein mean StO2 resaturation slope over time. The mean PAQ Sum-mary Score decreased by 9% (3 months) and increased by 13% (6months) for the CET group, and increased by 19% and 2%, respec-tively, for the TMT group.Conclusions: CET may be beneficial as an alternative to TMwalking for patients with PAD.

Poster 276Factors Affecting Resident Attendance at DidacticTeaching Conferences.Katherine Payne, MD (MetroHealth Medical Center,Cleveland, OH, United States); Aleece Caron, PhD,Richard D. Wilson, MD.

Disclosures: K. Payne, none.Objective: To identify factors that prevent punctuality of resi-dents for weekly didactic sessions.Design: Cohort study.Setting: A physical medicine and rehabilitation residency pro-gram.Participants: Residents in a physical medicine and rehabilitationprogram (postgraduate year level 2-4).Interventions: NA.Results: An anonymous survey was distributed to residents atweekly didactic lecture series. The information collected includedcurrent rotation setting (eg, inpatient versus outpatient), time ofarrival, and reason for delayed arrival if applicable. A total of 190surveys were collected over a total of 13 weeks. Overall, 46% ofresidents arrived late to the weekly didactic teaching conference. Ofthose arriving late, 64% were currently on an in-house inpatientrotation. The most common reasons for delayed arrival were inter-disciplinary team rounds (25%), patient care (20%), and trafficand/or travel (20%). The pattern of delayed punctuality of residentsdid not improve throughout the period of data collection.Conclusions: Nearly half of the residents arrived late to theweekly lecture series. The majority of late residents were on aninpatient rotation and reported being delayed primarily due toparticipation in interdisciplinary rounds or patient care. Althoughweekly didactic sessions are designated as protected education time,there is a tendency for residents to place priority on completingpatient care rather than attending lectures. Although participationin patient care provides important clinical experience, participationin core curriculum lectures aids acquisition of medical knowledge.Impaired punctuality of residents for weekly didactic sessions im-pairs resident’s ability to fully participate in the curriculum. Thecause of delayed arrival is multifactorial, and a system-based solu-tion is required to optimize attendance of lectures.

Poster 277Nasal Visual Occlusion Treatment for Diplopia.David Rosenblum, MD (Gaylord Hospital, Wallingford,CT, United States); Mary Ellen Santucci.

Disclosures: D. Rosenblum, none.Objective: Describe the effect, relative benefits and disadvan-tages of the technique of nasal occlusion in the treatment of diplo-pia.Design: Descriptive.Setting: Inpatient long-term acute care hospital, rehabilitationdivision.Participants: One patient with traumatic brain injury, 2 withintracranial hemorrhage, and 1 with a brain tumor.Interventions: Nasal visual occlusion was provided to all 4 pa-tients.Main Outcome Measures: Compliance, mobility, balance,activities of daily living.Results: In all cases, the diplopia improved, and there was resolu-tion of diplopia in 3 of 4 cases. All had good compliance with thenasal occlusion, and all had improvement in their mobility, balance,and activities of daily living after the nasal occlusion.Conclusions: Diplopia is a common visual disturbance for peo-ple with central nervous system disorders that can threaten functionand quality of life. Treatment of diplopia during an inpatient reha-bilitation stay can be problematic: traditional eye patches are cum-bersome; inhibit peripheral vision; and adversely affect light, move-ment, and space perception. Nasal occlusion offers an alternativethat is effective, well tolerated, no cost, and, for some people, mayobviate the need for prism glasses. This intervention will be re-viewed in detail: patient selection and evaluation, technique ofapplication, and rehabilitation interventions will be emphasized.Treatment options, as well as advantages and disadvantages ofpartial nasal occlusion will be outlined. The role of neuro-optometryas well as visual training rehabilitation will be highlighted.

Poster 278Rehabilitation of Stiff Person Syndrome PresentingAfter Laminectomy: A Case Report.Rajat Mathur (National Rehabilitation Hospital, Wash-ington, DC, United States); Robert D. Bunning, MD,Cynthia G. Pineda, MD, Nina Rajaei, MD.

Disclosures: R. Mathur, none.Patients or Programs: A 39-year-old woman with worseningspasticity after laminectomy.Program Description: The patient had a history of insulin-dependent diabetes mellitus and progressive low back pain withincreased tone in lower extremities for 3 years. Spine imaging(computed tomography, serial magnetic resonance imaging) re-vealed L5-S1 mild disk herniation with mild foraminal narrowing.The patient underwent a L5-S1 laminectomy, and, after surgery, herspasticity and neuropathic pain in the lower extremities increased.Anti-GAD75 antibody titer was elevated (77.6, n�1.5), and simul-taneous firing of agonist-antagonist muscles of lower extremities inelectromyography confirmed the diagnosis of stiff person syn-drome. The patient received intravenous immunoglobulin over 5days and oral baclofen. She was transferred to acute inpatientrehabilitation with lower extremity pain, increased tone, and flexioncontracture at the hips with difficult ambulation.

S267PM&R Vol. 3, Iss. 10S1, 2011