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Condition: Pain
Therapy: Physiotherapy

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Total 705 results found since Jan 2013.

Ultrasound-guided corticosteroid injections for adhesive capsulitis more effective than placebo
Commentary on: Prestgaard T, Wormgoor ME, Haugen S, et al.. Ultrasound-guided intra-articular and rotator interval corticosteroid injections in adhesive capsulitis of the shoulder: a double-blind, sham-controlled randomized study. Pain 2015;156:1683–91. Context Adhesive capsulitis (frozen shoulder or painful stiff shoulder) is relatively common. It is idiopathic: known associated factors include trauma, diabetes, prolonged immobilisation, age, stroke and autoimmune disease. While self-limited, pain and decreased range of motion can last up to 2–3 years. Therefore, there is practical value in therapeutic in...
Source: Evidence-Based Medicine - March 21, 2016 Category: Internal Medicine Authors: Lebrun, C. M. Tags: Rehabilitation medicine, Immunology (including allergy), Pain (neurology), Stroke, Radiology, Degenerative joint disease, Musculoskeletal syndromes, Osteoarthritis, Sports and exercise medicine, Clinical diagnostic tests, Radiology (diagnostics), Screenin Source Type: research

Systematic Review on Effectiveness of shoulder taping in Hemiplegia
Shoulder pain and subluxation are the commonly encountered problems among subjects with hemiplegia. Rehabilitating the shoulder following stroke is a challenging task among physiotherapists in rehabilitation set up. There is a need to validate the effectiveness of externally applied taping materials in hemiplegic shoulder.
Source: Journal of Stroke and Cerebrovascular Diseases - April 3, 2019 Category: Neurology Authors: Hariharasudhan Ravichandran, Balamurugan Janakiraman, Subramanian Sundaram, Berihu Fisseha, Tsiwaye Gebreyesus, Asmare Yitayeh Gelaw Source Type: research

The effectiveness of high-intensity laser therapy in the treatment of post-stroke patients with hemiplegic shoulder pain: a prospective randomized controlled study
AbstractTo evaluate clinical and ultrasonographic efficacy of high-intensity laser therapy (HILT) in patients with hemiplegic shoulder pain (HSP) accompanied by partial thickness rotator cuff tear (PTRCT). The study was designed as a prospective, randomized, controlled trial. Patients with HSP accompanied by PTRCT (n = 44) were randomly assigned to HILT and control groups. Both groups were treated with a multidisciplinary stroke rehabilitation and a therapeutic exercise program to the affected shoulder supervised by physiotherapists. In addition, HILT group received 3 sessions of the intervention per week for 3 weeks. Prim...
Source: Lasers in Medical Science - April 8, 2021 Category: Laser Surgery Source Type: research

Acupuncture in post-stroke shoulder pain syndrome with multiple sclerosis: A case study
Keywords: Acupuncture Treatment; Central Post-Stroke Pain; Multiple Sclerosis
Source: Physiotherapy - February 1, 2022 Category: Physiotherapy Authors: J.H. Gan, L. Santorelli Tags: P126 Source Type: research

Robot-Assisted Therapy in Upper Extremity Hemiparesis: Overview of an Evidence-Based Approach
Conclusion Robotic therapy has matured and represents an embodiment of a paradigm shift in neurorehabilitation following a stroke: instead of focusing on compensation, it affords focus in ameliorating the impaired limb in line with concepts of neuroplasticity. This technology-based treatment provides intensity, interactivity, flexibility, and adaptiveness to patient's performance and needs. Furthermore, it increases the productivity of rehabilitation care. Of course, efficiency must be discussed within a local perspective. For example, following the cost containment shown in the VA ROBOTICS study (46), the UK Nati...
Source: Frontiers in Neurology - April 23, 2019 Category: Neurology Source Type: research

Is long-term paracetamol use not as safe as we thought?
Conclusion This is a valuable review that has searched the literature and identified eight observational studies in adults that have looked at the adverse effects that may be associated with paracetamol use. As the researchers say, it will add to information on the potential harms of paracetamol – an area where up-to-date information has been lacking. The studies included very large population sizes, and collectively provide some evidence suggesting potential effects upon the cardiovascular system, kidney and gastrointestinal system. There was also a suggestion of increased risk of all-cause mortality. However, it is v...
Source: NHS News Feed - March 3, 2015 Category: Consumer Health News Tags: Heart/lungs Medication Source Type: news

Ditch the Machine to Improve Accuracy in Blood Pressure Measurement and Diagnostics
Conclusion For the patient in this case, the decision to forego the convenience of a machine in favor of the skills of a knowledgeable paramedic was lifesaving. Much like the comparison often drawn between the old-fashioned barbell and more sophisticated exercise machines, newer, more complex, and more expensive might make a process more comfortable, but doesn’t always equate to superior results. As we surrender more and more of our hands-on skills to the ease of automated technology, we risk more than the loss of the aptitudes that form the foundation of sound patient assessment—we place our patients in jeopardy of mi...
Source: JEMS Special Topics - October 24, 2018 Category: Emergency Medicine Authors: Mark Rock, NRP Tags: Exclusive Articles Cardiac & Resuscitation Source Type: news

Intra- and inter-rater reliability of the Italian Fugl-Meyer assessment of upper and lower extremity
CONCLUSIONS: The Italian version of the FMA showed to be a reliable instrument that can therefore be recommended for clinical and research purposes.Implications for rehabilitationThe FMA is the gold standard for assessing stroke patients' sensorimotor impairment worldwide.The Italian Fugl-Meyer Assessment of Upper Extremity (FMA-UE) and Lower Extremity (FMA-LE) is substantially reliable within and between two raters at the item, subtotal, and total score level in patients with sub-acute stroke.The use of FMA in the Italian context will provide an opportunity for international comparisons and research collaborations.PMID:36...
Source: Disability and Rehabilitation - August 29, 2022 Category: Rehabilitation Authors: Ines Hochleitner Leonardo Pellicciari Chiara Castagnoli Anita Paperini Angela Maria Politi Silvia Campagnini Silvia Pancani Benedetta Basagni Filippo Gerli Maria Chiara Carrozza Claudio Macchi Margit Alt Murphy Francesca Cecchi Source Type: research

Pain and muscles properties modifications after botulinum toxin type A (BTX-A) and radial Extracorporeal Shock Wave (rESWT) combined treatment.
CONCLUSIONS: Radial Extracorporeal Shock Wave Therapy could be an effective physical treatment aimed at the reduction of upper and lower limbs spasticity and could lead to the improvement of trophic conditions of the spastic muscles in post-stroke. PMID: 30843498 [PubMed - as supplied by publisher]
Source: Endocrine, Metabolic and Immune Disorders Drug Targets - March 8, 2019 Category: Drugs & Pharmacology Tags: Endocr Metab Immune Disord Drug Targets Source Type: research

An assessment of the management of spasticity in Spain: the 5E Study.
CONCLUSIONS: Most of the patients have post-stroke spasticity. Moreover, botulinum A toxin was the most commonly treatment applied to patients with spasticity. The results demonstrate that the management of spasticity varies significantly across the different centers participating in the study. PMID: 27658359 [PubMed - in process]
Source: Revista de Neurologia - September 25, 2016 Category: Neurology Authors: Garreta-Figuera R, Torrequebrada-Gimenez A, En Representacion Del Grupo de Estudio 5e ER Tags: Rev Neurol Source Type: research

Economic evaluations of physiotherapy interventions for neurological disorders: a systematic review.
CONCLUSIONS: There are limited studies that have evaluated the cost-effectiveness of physiotherapy treatments in neurological disorders. Three studies that combined extra physiotherapy-by-physiotherapy assistant and novel interventions with conventional physiotherapy were found not cost-effective. Implications for Rehabilitation Progressive muscle strengthening exercise over a period of 6-month is reported to be cost-effective for falls prevention in people with Parkinson's disease Aerobic training is reported as potentially cost-effective for older adults with vascular cognitive impairment Physiotherapy given as an adjuva...
Source: Disability and Rehabilitation - January 7, 2019 Category: Rehabilitation Authors: Winser S, Lee SH, Law HS, Leung HY, Bello UM, Kannan P Tags: Disabil Rehabil Source Type: research

Shoulder Pain after Recent Stroke (SPARS): Hemiplegic shoulder pain incidence within 72 hours post-stroke and 8-10 week follow-up (NCT 02574000)
This study aimed to identify very early incidence of hemiplegic shoulder pain within 72  hours (HSP), how clinical assessment was related to pain at 8-10 week follow-up and explore current standard therapy/management.
Source: Physiotherapy - August 8, 2019 Category: Physiotherapy Authors: Martine Nadler, Mathilde Pauls, Gillian Cluckie, Barry Moynihan, Anthony C. Pereira Source Type: research

Shoulder pain after recent stroke (SPARS): hemiplegic shoulder pain incidence within 72hours post-stroke and 8 –10 week follow-up (NCT 02574000)
This study aimed to identify very early incidence of hemiplegic shoulder pain within 72hours (HSP), how clinical assessment was related to pain at 8 –10 week follow-up and explore current standard therapy/management.
Source: Physiotherapy - August 8, 2019 Category: Physiotherapy Authors: Martine Nadler, Mathilde Pauls, Gillian Cluckie, Barry Moynihan, Anthony C. Pereira Source Type: research