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Constraint-induced movement therapy for upper extremities in people with stroke.
CONCLUSIONS: CIMT is a multi-faceted intervention where restriction of the less affected limb is accompanied by increased exercise tailored to the person's capacity. We found that CIMT was associated with limited improvements in motor impairment and motor function, but that these benefits did not convincingly reduce disability. This differs from the result of our previous meta-analysis where there was a suggestion that CIMT might be superior to traditional rehabilitation. Information about the long-term effects of CIMT is scarce. Further trials studying the relationship between participant characteristics and improved outc...
Source: Cochrane Database of Systematic Reviews - October 8, 2015 Category: Journals (General) Authors: Corbetta D, Sirtori V, Castellini G, Moja L, Gatti R Tags: Cochrane Database Syst Rev Source Type: research

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

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

Identification and description of controlled clinical trials published in Physiotherapy journals in Spain
ConclusionsThe number of CCTs published in Spanish physiotherapy journals is limited. Handsearching these journals is essential, since none is indexed in major databases. In general, the identified CCTs carry a high risk of bias.
Source: Journal of Evaluation in Clinical Practice - September 14, 2015 Category: Journals (General) Authors: Maitane Turrillas, Mercè Sitjà‐Rabert, Hector Pardo, Jordi Vilaró Casamitjana, Azahara Fort‐Vanmeerhaeghe, Antonio Morral Fernández, Maria Àngels Cebrià i Iranzo, Xavier Bonfill Cosp Tags: Original Article Source Type: research

Treatment of dizziness: an interdisciplinary update.
Abstract This review provides an update on interdisciplinary treatment for dizziness. Dizziness can have various causes and the treatment offered should depend on the cause. After reading this article, the clinician will have an overview of current treatment recommendations. Recommendations are made for the most prevalent causes of dizziness including acute and chronic vestibular syndromes, vestibular neuritis, benign paroxysmal positional vertigo, endolymphatic hydrops and Menière's disease, vestibular paroxysmia and vestibular migraine, cardiac causes, transient ischaemic attacks and strokes, episodic ataxia ty...
Source: Swiss Medical Weekly - December 28, 2017 Category: General Medicine Authors: Spiegel R, Rust H, Baumann T, Friedrich H, Sutter R, Göldlin M, Rosin C, Müri R, Mantokoudis G, Bingisser R, Strupp M, Kalla R Tags: Swiss Med Wkly Source Type: research

Surgical interventions for symptomatic mild to moderate knee osteoarthritis.
CONCLUSIONS: The review found no placebo-or sham-controlled trials of surgery in participants with symptomatic mild to moderate knee osteoarthritis. There was low quality evidence that there may be no evidence of a difference between arthroscopic partial meniscectomy surgery and a home exercise program for the treatment of this condition. Similarly, low-quality evidence from a few small trials indicates there may not be any benefit of arthroscopic surgery over other non-surgical treatments including saline irrigation and hyaluronic acid injection, or one type of surgery over another. We are uncertain of the risk of adverse...
Source: Cochrane Database of Systematic Reviews - July 18, 2019 Category: General Medicine Authors: Palmer JS, Monk AP, Hopewell S, Bayliss LE, Jackson W, Beard DJ, Price AJ Tags: Cochrane Database Syst Rev Source Type: research

Patient with rheumatoid arthritis with deep vein thrombosis presenting as a calf strain: a case report
ConclusionsVenous thromboembolism risk in rheumatoid arthritis is stated as being less recognized as an arterial complication. This is borne out by this patient ’s clinical journey, wherein his youth, fitness, athletic appearance, and onset of symptoms during exercise were said to suggest a diagnosis of a calf strain at a minor injuries unit. Ultrasonography at a different accident and emergency unit later that day ultimately was used to diagnose deep vei n thrombosis.
Source: Journal of Medical Case Reports - July 23, 2020 Category: General Medicine Source Type: research