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Cost-effectiveness of upper extremity dry needling in the rehabilitation of patients with stroke
DISCUSSION: Cost-effectiveness with responder rate results were favourable for the DN group and were confirmed by the sensitivity analysis according to levels of care. In addition, our findings revealed that 4 weeks of treatment could be more cost-effective than 8 weeks. DN treatment of the upper extremity appears to be cost-effective based on the rate of responders measured using the MMAS scale.PMID:34856821 | DOI:10.1177/09645284211055750
Source: Acupuncture in Medicine : journal of the British Medical Acupuncture Society - December 3, 2021 Category: Complementary Medicine Authors: Daniel Fern ández Sanchis Juan Nicol ás Cuenca Zaldívar Sandra Calvo Pablo Herrero Manuel G ómez Barrera Source Type: research

Post-COVID and the BHRUT one-stop shop MDT approach to managing the longterm sequale of a novel disease process
Conclusions: Patients reported significant physical, functional and psychological issues. These results led to a newly established one-stop face-to-face and virtual MDT clinic with respiratory physician, occupational and physiotherapist and psychologist including digital rehabilitation programmes.
Source: European Respiratory Journal - November 25, 2021 Category: Respiratory Medicine Authors: Kumar, P., Nyberg, S., Jiwan, R., Ainley, A. Tags: Rehabilitation and chronic care Source Type: research

What Tools and Resources do Pulmonary Rehabilitation Teams use to Deliver Education?
Conclusions: Research needs to identify what patients want to know, and materials should be developed to ensure patients receive the information they need to manage their condition.
Source: European Respiratory Journal - October 28, 2020 Category: Respiratory Medicine Authors: Roberts, N. J., Kidd, L., Kirkwood, K., Cross, J., Partridge, M. Tags: Rehabilitation and chronic care 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

Video-guided exercise after stroke: a feasibility randomised controlled trial.
CONCLUSION: A trial of video-guided exercise is feasible, although an optimal main trial would require some relatively minor changes to design, outcome measures, eligibility, and the intervention. PMID: 32684076 [PubMed - as supplied by publisher]
Source: Physiotherapy Theory and Practice - July 19, 2020 Category: Physiotherapy Authors: Kenny M, Gilmartin J, Thompson C Tags: Physiother Theory Pract Source Type: research

Acupuncture for Post-stroke Shoulder-Hand Syndrome: A Systematic Review and Meta-Analysis
Conclusions: Acupuncture therapy seems effective for motor function, pain relief and activities of daily living in stroke patients with mild SHS, when it is used in combination with rehabilitation. The low certainty of evidence downgrades our confidence in making recommendations to clinical practice. Introduction Shoulder-hand syndrome (SHS) is a common condition among people who have had a stroke, with its reported prevalence ranging from 12% to 49% (1, 2). The main symptoms of SHS include pain, hyperalgesia, joint swelling and limitations in range of motion (ROM) (3). Post-stroke SHS is also named type I complex ...
Source: Frontiers in Neurology - April 25, 2019 Category: Neurology 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

Motor Abilities in Adolescents Born Preterm Are Associated With Microstructure of the Corpus Callosum
Conclusions: Impairments in motor abilities are present in preterm born adolescents without major neuromotor impairment and in the absence of focal brain injury. Altered microstructure of the corpus callosum microstructure appears a crucial factor, in particular for movement quality. Introduction Very preterm birth (birth <32 weeks of gestation) is associated with high risk of impaired neurodevelopment. Rates of severe neuromotor impairment, i.e., Cerebral Palsy (CP), are decreasing, in particular in those preterm children born with moderately low and very low birth weight (1). However, in a substantial propo...
Source: Frontiers in Neurology - April 15, 2019 Category: Neurology Source Type: research

A retrospective study to assess resource utilization and costs in patients with post-stroke spasticity in the United Kingdom.
CONCLUSION: Costs after stroke for patients developing PSS are twice as high compared to patients who do not develop it, with the major driver being the number of hospital admissions. This highlights the need for better recording and closer management of PSS. PMID: 29490512 [PubMed - as supplied by publisher]
Source: Current Medical Research and Opinion - March 3, 2018 Category: Research Tags: Curr Med Res Opin Source Type: research

Associations between Greenness, Impervious Surface Area, and Nighttime Lights on Biomarkers of Vascular Aging in Chennai, India
Conclusion: Greenness, ISA, and NTL were associated with increased SBP, DBP, and cPP, and with reduced FMD, suggesting a possible additional EVA pathway for the relationship between urbanization and increased CVD prevalence in urban India. https://doi.org/10.1289/EHP541 Received: 20 May 2016 Revised: 03 January 2017 Accepted: 23 January 2017 Published: 02 August 2017 Address correspondence to K.J. Lane, Yale School of Forestry and Environmental Studies, 195 Prospect Street, New Haven, CT 06511 USA. Telephone: (781) 696-4537; Email: kevin.lane@yale.edu Supplemental Material is available online (https://doi.org/10.1289...
Source: EHP Research - August 2, 2017 Category: Environmental Health Authors: Daniil Lyalko Tags: Research Source Type: research