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Condition: Pain
Therapy: Physiotherapy

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Total 705 results found since Jan 2013.

The early use of botulinum toxin in post-stroke spasticity: study protocol for a randomised controlled trial
Background: Patients surviving stroke but who have significant impairment of function in the affected arm are at more risk of developing pain, stiffness and contractures. The abnormal muscle activity, associated with post-stroke spasticity, is thought to be causally associated with the development of these complications. Treatment of spasticity is currently delayed until a patient develops signs of these complications Methods: This protocol is for a phase II study that aims to identify whether using OnabotulinumtoxinA (BoNT-A) in combination with physiotherapy early post stroke when initial abnormal muscle activity is neur...
Source: Trials - January 8, 2014 Category: Journals (General) Authors: Cameron LindsayJulie SimpsonSissi IspoglouSteve SturmanAnand Pandyan Source Type: research

Incidence, Time Course and Predictors of Impairments Relating to Caring for the Profoundly Affected arm After Stroke: A Systematic Review
DiscussionThere is no published evidence on predicting the likelihood of difficulty caring for the arm following stroke. However, the related impairments of spasticity, pain and contracture are common. Given the time‐course of development, clinicians may need not only to intervene early but also be prepared to act over a longer time period. Further research is needed to examine difficulty caring for the arm and the relationship with associated impairments to enable researchers and clinicians to develop targeted interventions. Copyright © 2015 John Wiley & Sons, Ltd.
Source: Physiotherapy Research International - May 25, 2015 Category: Physiotherapy Authors: Rhoda Allison, Laura Shenton, Kathryn Bamforth, Cherry Kilbride, David Richards Tags: Research Article Source Type: research

The ESCAPS study: a feasibility randomized controlled trial of early electrical stimulation to the wrist extensors and flexors to prevent post-stroke complications of pain and contractures in the paretic arm.
CONCLUSION: Early initiation of electrical stimulation was acceptable and feasible. Data collection methods used were feasible and acceptable to participants. A large definitive study is needed to determine if electrical stimulation is efficacious and cost effective. PMID: 31423822 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - August 18, 2019 Category: Rehabilitation Authors: Fletcher-Smith JC, Walker DM, Allatt K, Sprigg N, James M, Ratib S, Boadu J, Richardson C, Pandyan AD Tags: Clin Rehabil Source Type: research

Using mixed methods to evaluate efficacy and user expectations of a virtual reality-based training system for upper-limb recovery in patients after stroke: a study protocol for a randomised controlled trial
DiscussionThe interviews will help to gain a deeper understanding of the phenomena under investigation to provide sound recommendations for the implementation of the virtual reality training system for routine use in neurorehabilitation complementing the quantitative clinical assessments.Trial registration: Cliniclatrials.gov Identifier: NCT01774669 (15 January 2013)
Source: Trials - September 6, 2014 Category: Journals (General) Authors: Corina Schuster-AmftKynan EngIsabelle LehmannLudwig SchmidNagisa KobashiIrène ThalerMartin VerraAndrea HennekeSandra SignerMichael McCaskeyDaniel Kiper Source Type: research

Using mixed methods to evaluate efficacy and user expectations of a virtual reality¿based training system for upper-limb recovery in patients after stroke: a study protocol for a randomised controlled trial
DiscussionThe interviews will help to gain a deeper understanding of the phenomena under investigation to provide sound recommendations for the implementation of the virtual reality training system for routine use in neurorehabilitation complementing the quantitative clinical assessments.Trial registrationCliniclatrials.gov Identifier: NCT01774669 (15 January 2013)
Source: Trials - September 6, 2014 Category: Journals (General) Authors: Corina Schuster-AmftKynan EngIsabelle LehmannLudwig SchmidNagisa KobashiIrène ThalerMartin VerraAndrea HennekeSandra SignerMichael McCaskeyDaniel Kiper Source Type: research

Additional early active repetitive motor training did not prevent contracture in adults receiving task-specific upper limb training after stroke: a randomised trial
ConclusionIn adults who are already receiving task-specific motor training for upper limb rehabilitation following stroke, 5 weeks of up to 1 hour of additional daily active repetitive motor training using the SMART Arm device did not prevent or reduce contracture in upper limb muscles.Trial registrationACTRN12614001162606.
Source: Journal of Physiotherapy - March 23, 2019 Category: Physiotherapy Source Type: research

IJERPH, Vol. 17, Pages 4796: Influence of an Aquatic Therapy Program on Perceived Pain, Stress, and Quality of Life in Chronic Stroke Patients: A Randomized Trial
In conclusion, physical exercise performed in water has positive effects on several factors that contribute towards improving the mood and quality of life of people with acquired brain injury.
Source: International Journal of Environmental Research and Public Health - July 2, 2020 Category: Environmental Health Authors: de la Cruz Tags: Article Source Type: research

Effectiveness of dry needling for upper extremity spasticity, quality of life and function in subacute phase stroke patients.
CONCLUSION: The addition of a specific DDN treatment to a standard physiotherapy treatment appeared to lead to a higher reduction in spasticity in the affected arm; however, it did not provide additional changes in functionality, pain and quality of life. Further studies with a randomised controlled trial design are required to confirm our findings. PMID: 32815384 [PubMed - as supplied by publisher]
Source: Acupuncture in Medicine : journal of the British Medical Acupuncture Society - August 19, 2020 Category: Complementary Medicine Authors: Cuenca Zaldívar JN, Calvo S, Bravo-Esteban E, Oliva Ruiz P, Santi-Cano MJ, Herrero P Tags: Acupunct Med Source Type: research

Risk factors for post-stroke shoulder pain: A systematic review and meta-analysis
Purpose: To identify the risk factors identified within one month post-stroke that predict the onset of post-stroke shoulder pain (PSSP) within the first year after stroke.
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: R. Holmes, K. McManus, C. Koulouglioti, B. Hale Tags: O052 Source Type: research

Effectiveness of the physiotherapy interventions on complex regional pain syndrome in patients with stroke: A systematic review and meta-analysis
This study reviewed the available literature of physiotherapy treatment for CRPS following a stroke.
Source: Journal of Bodywork and Movement Therapies - April 28, 2023 Category: Physiotherapy Authors: Kanika, Manu Goyal, Kanu Goyal Source Type: research

Efficacy and safety of botulinum toxin type A (Dysport) for the treatment of post-stroke arm spasticity: Results of the German–Austrian open-label post-marketing surveillance prospective study
Abstract: The current practice in Germany and Austria, and the safety and efficacy of botulinum toxin type A (BoNT-A; Dysport) in the treatment of patients with post-stroke arm spasticity (with no fixed upper-limb contractures), were assessed in this observational prospective non-interventional study. One treatment cycle was documented with assessments at baseline, approximately week 4 (optional), and approximately week 12. Pattern of spasticity, treatment goal, safety and efficacy were recorded. Overall response and goal achievement was rated on a 4-point scale (‘no goal achievement’, ‘goal achievement’, ‘good g...
Source: Journal of the Neurological Sciences - December 23, 2013 Category: Neurology Authors: Wolfgang H. Jost, Harald Hefter, Andrea Reissig, Katja Kollewe, Joerg Wissel Tags: Original Articles Source Type: research

Estimating the Threshold Value for Change for the Six Dimensions of the Impairment Inventory of the Chedoke-McMaster Stroke Assessment.
Conclusions: Clinicians can use a change of 1 impairment point for the arm, hand, leg, foot, and postural control dimensions and a change of 2 impairment points for the shoulder pain dimension to identify true change in a patient's motor recovery. PMID: 31040505 [PubMed]
Source: Physiotherapy Canada - May 3, 2019 Category: Physiotherapy Authors: Beyer R, Wharin C, Gillespie E, Odumeru K, Stratford PW, Miller PA Tags: Physiother Can Source Type: research

Predictors of the effect of an arm sling on gait efficiency in stroke patients with shoulder subluxation: a pre-post design clinical trial.
CONCLUSION: An arm sling may improve gait efficiency in individuals with hemiplegia and shoulder subluxation able to walk with a single cane, who have consistency in handedness and sling position, and with good upper extremity function, including no shoulder pain and reduced spasticity. PMID: 32741231 [PubMed - as supplied by publisher]
Source: Physiotherapy Theory and Practice - August 1, 2020 Category: Physiotherapy Authors: Jeong YG, Jeong YJ, Kim HS, Lee KH Tags: Physiother Theory Pract Source Type: research

Robotic rehabilitation for end-effector device and botulinum toxin in upper limb rehabilitation in chronic post-stroke patients: an integrated rehabilitative approach
ConclusionOur results suggest, in line with the literature, a good efficacy in the reduction of spasticity and in the improvement of the function of the UL, with the reduction of pain, adopting a rehabilitation protocol integrated with BoTN, robot-assisted training, and traditional physiotherapy.
Source: Neurological Sciences - April 7, 2021 Category: Neurology Source Type: research

Multimodal physical therapy management of a 48-year-old female with post-stroke complex regional pain syndrome.
Abstract Abstract This case report describes a 48-year-old female who presented with complaints of right shoulder pain, hyperesthesias and swelling of the hand along with added symptoms of pain centralization following a cerebrovascular accident. On clinical evaluation, the patient satisfied the Budapest diagnostic criteria for Complex Regional Pain Syndrome (CRPS) type-1. Physical therapy management (1st three sessions) was initially focused on pain neurophysiology education with an aim to reduce kinesiophobia and reconceptualise her pain perception. The patient had an immediate significant improvement in her pai...
Source: Physiotherapy Theory and Practice - July 23, 2013 Category: Physiotherapy Authors: Anandkumar S, Manivasagam M Tags: Physiother Theory Pract Source Type: research