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Therapy: Pain Management
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Total 394 results found since Jan 2013.
Headaches Attributed to Ischemic Stroke and Transient Ischemic Attack.
CONCLUSION: Headache attributed to ischemic stroke is frequent and usually has a tension-type headache pattern. Its frequency varies according to the stroke's etiology. Further studies are required on pain management, prophylactic treatment, and characteristics of this headache.
PMID: 30667047 [PubMed - as supplied by publisher]
Source: Headache - January 22, 2019 Category: Neurology Authors: Oliveira FAA, Sampaio Rocha-Filho PA Tags: Headache Source Type: research
The three-dimensional shoulder pain alignment (3D-SPA) mobilization improves pain-free shoulder range, functional reach and sleep following stroke: a pilot randomized control trial.
CONCLUSIONS: The Three-Dimensional Shoulder Pain Alignment mobilization protocol significantly improved pain-free range of motion, functional reach and pain during sleep in shoulders with moderate/severe post-stroke upper-extremity impairment. Implications for rehabilitation Although three-dimensional clavicular/scapular/humeral rotations are an essential component of normal pain-free shoulder range of motion, current guidelines for treatment of post-stroke shoulder pain only includes uni-dimensional mobilizations for joint alignment and pain management. The Three-Dimensional Shoulder Pain Alignment (3D-SPA) mobilization p...
Source: Disability and Rehabilitation - March 22, 2019 Category: Rehabilitation Authors: Pain LAM, Baker R, Sohail QZ, Hebert D, Zabjek K, Richardson D, Agur AMR Tags: Disabil Rehabil Source Type: research
Prevalence of upper-limb spasticity and its impact on care among nursing home residents with prior stroke.
CONCLUSIONS: A high proportion (70%) of nursing home residents with stroke demonstrated upper-limb spasticity, associated with pain and passive care difficulties. These data suggest there is an unmet need for spasticity management among nursing-home residents. Implications for rehabilitation Upper-limb spasticity is prevalent among nursing home residents with prior stroke; here, observed in 70% of cases. Spasticity was associated with increased pain and more difficult passive limb care in this population. There is an unmet need for spasticity management among nursing home residents with prior stroke. Efforts should be made...
Source: Disability and Rehabilitation - March 30, 2019 Category: Rehabilitation Authors: Shiner CT, Vratsistas-Curto A, Bramah V, Faux SG, Watanabe Y Tags: Disabil Rehabil Source Type: research
IJERPH, Vol. 18, Pages 3089: Health-Related Quality of Life and Psychological Features in Post-Stroke Patients with Chronic Pain: A Cross-Sectional Study in the Neuro-Rehabilitation Context of Care
This study aims at exploring disability, health-related quality of life (HrQoL), psychological distress, and psychological features in post-stroke patients with chronic pain. An observational cross-sectional study involving 50 post-stroke patients (25 with chronic pain and 25 without pain) was conducted. The primary outcome was the self-reported level of disability and HrQoL which were both assessed through the Stroke Impact Scale 3.0. Both psychological distress and specific psychological features (i.e., self-efficacy, coping strategies, psychological flexibility, perceived social support) were examined. Post-stroke patie...
Source: International Journal of Environmental Research and Public Health - March 17, 2021 Category: Environmental Health Authors: Gandolfi Donisi Battista Picelli Val è Del Piccolo Smania Tags: Article Source Type: research
Life satisfaction and its influencing factors of middle-aged and elderly stroke patients in China: a national cross-sectional survey
Conclusions
Our study indicates the importance of improving the overall health of patients who had a stroke and mediating factors, such as pain management, and work ability, spouse and children relationship in improving the life satisfaction of patients in the poststroke rehabilitation.
Source: BMJ Open - August 3, 2022 Category: General Medicine Authors: Liu, Y., Liu, J., Zhou, S., Xu, X., Cheng, Y., Yi, Y., Zou, G. Tags: Open access, Public health Source Type: research
Predictive analysis for identifying potentially undiagnosed post-stroke spasticity patients in United Kingdom
Conclusions Using machine learning techniques, additional unrecorded post-stroke spasticity patients were identified, increasing the condition’s prevalence in THIN from 2% to 13%. This work shows the potential for under-reporting of PSS in primary care data, and provides a method for improved identification of cases and control records for future studies. Graphical abstract
Source: Journal of Biomedical Informatics - February 29, 2016 Category: Information Technology Source Type: research
Short-term effect of local muscle vibration treatment versus sham therapy on upper limb in chronic post-stroke patients: a randomized controlled trial.
CONCLUSION: Rehabilitation treatment with local muscle high frequency (300 Hz) vibration for 30 minutes, 3 times a week for 4 weeks, could significantly improve muscle strength and decrease muscle tonus, disability and pain in upper limb of hemiplegic post-stroke patients.
CLINICAL REHABILITATION IMPACT: Local muscle vibration treatment might be an additional and safe tool in the management of chronic post-stroke patients, granted its high therapeutic efficiency, limited cost and short and repeatable protocol of use.
PMID: 27598342 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - September 5, 2016 Category: Rehabilitation Authors: Costantino C, Galuppo L, Romiti D Tags: Eur J Phys Rehabil Med Source Type: research
Hemiplegic Shoulder Pain Reduces Quality of Life After Acute Stroke: A Prospective Population-Based Study
Conclusion: Hemiplegic shoulder pain reduces health-related quality of life at 12 months. More effort should be directed towards screening and management of this frequent complication of stroke.
Source: American Journal of Physical Medicine and Rehabilitation - September 20, 2016 Category: Rehabilitation Tags: Original Research Articles Source Type: research
Interventions for treating urinary incontinence after stroke in adults.
CONCLUSIONS: There is insufficient evidence to guide continence care of adults in the rehabilitative phase after stroke. As few trials tested the same intervention, conclusions are drawn from few, usually small, trials. CIs were wide, making it difficult to ascertain if there were clinically important differences. Only four trials had adequate allocation concealment and many were limited by poor reporting, making it impossible to judge the extent to which they were prone to bias. More appropriately powered, multicentre trials of interventions are required to provide robust evidence for interventions to improve urinary inco...
Source: Cochrane Database of Systematic Reviews - February 1, 2019 Category: General Medicine Authors: Thomas LH, Coupe J, Cross LD, Tan AL, Watkins CL Tags: Cochrane Database Syst Rev Source Type: research
Pain in stroke patients: characteristics and impact on the rehabilitation treatment. A multicenter cross-sectional study.
CONCLUSIONS: The results from this multicenter study showed that in about ¼ of the patients, pain negatively influenced the rehabilitation program delaying the recovery and likely increasing the cost of rehabilitation.
CLINICAL REHABILITATION IMPACT: Clinicians should pay more attention to pain, especially neuropathic pain, in post--stroke patients. Tailored pharmacological therapy, to treat and prevent pain, might improve patients' compliance during the rehabilitation process.
PMID: 25739508 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - February 26, 2015 Category: Rehabilitation Authors: Aprile IG, Briani C, Pazzaglia C, Cecchi F, Negrini S, Padua L Tags: Eur J Phys Rehabil Med Source Type: research
Presence of decreased Intraepidermal Nerve Fiber Density consistent with Small Fiber Neuropathy in Patients with Central Post-Stroke Pain (P1.050)
CONCLUSIONS: We have demonstrated evidence of decreased ENFD in a small series of patients with CPSP. These findings do not imply causality; however, they do bring up several important questions for further consideration. Does the central nervous system injury associated with stroke result in small fiber neuropathy in certain patients? Are patients with asymptomatic, previously undiagnosed small fiber neuropathy at increased risk for developing CPSP following a stroke? Do these findings have any implication for treatment? Further studies including prospective analyses are necessary to better understand these findings for b...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Yushvayev-Cavalier, Y., Amory, C., Bernardini, G., Argoff, C. Tags: Cerebrovascular Disease and Interventional Neurology: The Spectrum of Small Vessel Cerebrovascular Disease Source Type: research
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
Is higher patient satisfaction associated with better stroke outcomes?
CONCLUSIONS: Global patient satisfaction was positively associated with the quality of stroke care; however, improvements in patient satisfaction were linked to higher stroke care costs. In addition, patient satisfaction with discharge information was linked to worse outcomes. As a result, patient satisfaction should be used with caution as a quality indicator for stroke care.
PMID: 29087636 [PubMed - in process]
Source: The American Journal of Managed Care - October 1, 2017 Category: Health Management Authors: Xiang X, Xu WY, Foraker RE Tags: Am J Manag Care Source Type: research
Passive accessory joint mobilization in the multimodal management of chronic dysesthesia following thalamic stroke.
CONCLUSION: Manual therapy may be a beneficial intervention in management of thalamic stroke-related dysesthesia. Implications for Rehabilitation While pain is common following thalamic stroke, patients may present with chronic paresthesia or dysesthesia, often in a hemisensory distribution. Passive movement may promote inhibition of hyperexcitable cortical pathways, which may diminish aberrant sensations. Passive oscillatory manual therapy may be an effective way to treat sensory disturbances such as paresthesias or dysesthesia.
PMID: 29557687 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - March 20, 2018 Category: Rehabilitation Authors: Griffin K, O'Hearn M, Franck CC, Courtney CA Tags: Disabil Rehabil Source Type: research
Effects of an intensive thalassotherapy and aquatic therapy program in stroke patients. A pilot study.
CONCLUSIONS: Our results suggest that an intensive program of thalassotherapy and aquatic therapy could be useful during stroke rehabilitation to improve balance, gait and pain.
PMID: 28895998 [PubMed - in process]
Source: Revista de Neurologia - September 13, 2017 Category: Neurology Authors: Morer C, Boestad C, Zuluaga P, Alvarez-Badillo A, Maraver F Tags: Rev Neurol Source Type: research
