Evaluation of Interfascial Plane and Pericapsular Nerve Blocks to the Shoulder Joint: A Preliminary Analysis of Shoulder Anterior Capsular Block
AbstractIntroductionThe aim of this study is to verify if the shoulder anterior capsular block (SHAC), combined with other nerve blocks, is effective in relieving shoulder pain, avoiding motor block and allowing an early rehabilitation program.MethodsSeventy-five consecutive patients with painful shoulder were treated with the SHAC, alone (30 patients) or in combination with a suprascapular nerve block (SSnb: 25 patients) or with pectoralis and serratus plane block (PECS-2: 20 patients). All blocks were performed with 0.2% ropivacaine plus 8 mg dexamethasone. All patients were treated with three-weekly physiotherapy sessions for the following 2 weeks and then with home exercises.ResultsThe post-procedural analgesic effect was strong in all groups, with a mean change in numeric rating scale (NRS) values of −6.05 in group 1, −6.25 in group 2, and −6.19 in group 3 (p
CONCLUSION Surgical stabilization of rib fractures in children is safe and feasible, and should be considered as an alternative to nonoperative therapy in select pediatric thoracic trauma cases. Potential indications for SSRF in pediatric patients include poor pain control, chest wall deformity, or ventilator dependence. Further studies are needed to establish the role and possible benefits of SSRF in pediatric thoracic trauma. LEVEL OF EVIDENCE Collected case series, level V.
CONCLUSION: Telehealth-delivered exercise and diet programs improved pain and function in people with knee osteoarthritis and overweight or obesity. A dietary intervention conferred modest additional pain and function benefits over exercise.PRIMARY FUNDING SOURCE: Medibank, the Medibank Better Health Foundation Research Fund, and a National Health and Medical Research Council Centre of Research Excellence.PMID:34843383 | DOI:10.7326/M21-2388
CONCLUSION: About half patients undergoing knee arthroplasty seek support for rehabilitation after discharge to home contributing to a major portion of expenses incurred during rehabilitation. Cost-effective support mechanism for home-based rehabilitation is required for improving patient rehabilitation experiences.SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s43465-021-00405-6.PMID:34824731 | PMC:PMC8586390 | DOI:10.1007/s43465-021-00405-6
Conclusions: We found reduced moderate-intensity physical activity level and impaired quality of life in patients with non-CF bronchiectasis. Patients with non-CF bronchiectasis and healthy individuals had a similar level of COVID-19 phobia. Physical activity counseling and telerehabilitation can gain importance to improve affected outcomes during the COVID-19 pandemic.
Dysfunctional breathing (DB) is recognised as a modifiable factor in asthma management, and a differential diagnosis for exercise induced breathlessness (EIB). Recognition of DB can prevent excessive use of drug therapy. Further characterisation of this population seeks to assist clinicians in guiding referral for breathing retraining.Consecutive referrals to a dysfunctional breathing physiotherapy clinic were audited between 06/18 and 05/20. Patients with incomplete data sets were omitted. 77 referrals were included (7-17y (median 12y)). 24 (31%) had a confirmed asthma diagnosis, and asthma had been investigated and exclu...
Purpose: Total knee replacement (TKA) surgery is acknowledged as an effective management option to reduce pain symptoms, improve perceived function and quality of life. Nevertheless, considerable impairment of physical function and aberrant neuromuscular alterations often persist following surgery intervention and the reason for this is unclear. Accordingly, there is a need to examine objectively peri-surgical performance capabilities and neurophysiological changes of this clinical population to optimise the constituents and dosages for effective exercise conditioning interventions.
Purpose: Exploring the experiences of those with musculoskeletal (MSK) pain, having received physical activity (PA) brief intervention (BI) by healthcare professionals; understanding how the advice was received and whether advice influenced behaviour change (BC). It will examine whether individualised approaches were received and whether BC interventions were supportive and resulted in PA levels in accordance with national guidelines.
Purpose: Enabling Self-management and Coping with Arthritic Pain using Exercise, ESCAPE-pain, is a rehabilitation programme for people with knee and/or hip osteoarthritis (OA) that reduces pain, improves function and reduces healthcare utilisation. The programme is usually delivered in physiotherapy departments. However, constraints in the NHS limit the number of people who can access the programme. Delivering ESCAPE-pain in community venues would increase accessibility and provide better on-going support.
Purpose: A need was identified within the service for effective long-term management of patients with pre-existing or newly diagnosed fibromyalgia. These patients make up 25% of all referrals into the Pain Team. Fibromyalgia is a complex, long-term, multi-factorial health condition that has high healthcare and societal burden. Previously these patients have received inconsistent management which has been frustrating for patients and clinicians alike. The goal was to be able to create a clear, consistent and effective patient pathway within the Moving Well Service at Lancashire and South Cumbria NHS Foundation Trust and wit...
Purpose: Almost 50 years of research demonstrates the ability of hand-based left/right judgment tasks (LRJTs) to elicit motor imagery of upper limb movements and subsequently interrogate the body schema. Recently, this ability has led to the adoption of LRJTs in chronic pain management with considerable success. This has resulted in the development of LRJTs targeting other parts of the body (e.g. neck-based LRJTs) assuming that they elicit motor imagery of the targeted area (e.g. neck movements).