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Early prehabilitation in suspected locally advanced and metastatic lung cancer
CONCLUSIONS: Early prehabilitation is feasible alongside the investigation of locally advanced and metastatic lung cancer. Further work will aim to assess its impact on admission to the hospital, survival and treatment rates.PMID:37495261 | DOI:10.1136/spcare-2023-004349
Source: Pain Physician - July 26, 2023 Category: Anesthesiology Authors: Iain Phillips Rebecca Petrie Lindsey Allan Peter Hall Abi Walton Debbie McMillan Catriona Peacock Lorraine Primrose Mah éva Vallet Vallet Julie Mencnarowksi Neil MacDonald Melanie Mackean Colin Barrie Source Type: research

Demographic and clinical characteristics of patients with low back pain in primary and secondary care settings in Southern Denmark
Conclusion: The demographic and clinical characteristics of patients with low back pain differ considerably across the health care settings treating them.KEY POINTSThe study describes the symptoms and clinical findings of patients with low back pain consulting the Danish health care system in all its settings.Patients with chiropractors were youngest, while those with physiotherapists were the oldest and most frequently female.First consultations in general practice were generally with the least symptomatic patients while those returning for a subsequent consultation had more severe disease including more sick leave compar...
Source: Primary Care - May 8, 2023 Category: Primary Care Authors: Anders Hansen Lars Mors ø Mette Jensen Stochkendahl Merethe Kirstine Kousgaard Andersen Berit Schi øttz-Christensen Simon Dyrl øv Madsen Anders Munck Jesper Lykkegaard Source Type: research

Conventional chest physiotherapy compared to other airway clearance techniques for cystic fibrosis
CONCLUSIONS: We are uncertain whether CCPT has a more positive impact on respiratory function, respiratory exacerbations, individual preference, adherence, quality of life, exercise capacity and other outcomes when compared to alternative ACTs as the certainty of the evidence is very low. There was no advantage in respiratory function of CCPT over alternative ACTs, but this may reflect insufficient evidence rather than real equivalence. Narrative reports indicated that participants prefer self-administered ACTs. This review is limited by a paucity of well-designed, adequately powered, long-term studies. This review cannot ...
Source: Cochrane Database of Systematic Reviews - May 5, 2023 Category: General Medicine Authors: Eleanor Main Sarah Rand Source Type: research

Levator Ani Syndrome Presenting with Vaginal Pain
BMJ Case Rep. 2023 May 4;16(5):e255190. doi: 10.1136/bcr-2023-255190.ABSTRACTLevator ani syndrome (LAS), also known as levator ani spasm, puborectalis syndrome, chronic proctalgia, pyriformis syndrome and pelvic tension myalgia, produces chronic anal pain. The levator ani muscle is susceptible to the development of myofascial pain syndrome, and trigger points may be elicited on physical examination. The pathophysiology remains to be fully delineated. The diagnosis of LAS is suggested primarily by the clinical history, physical examination and the exclusion of organic disease that can produce recurrent or chronic proctalgia...
Source: Pain Physician - May 4, 2023 Category: Anesthesiology Authors: Louise Dunphy Frances Wood Emad Saleem Mubarak Lynda Coughlin Source Type: research

Health care professionals' experiences of supporting persons with metabolic risk factors to increase their physical activity level - a qualitative study in primary care
CONCLUSION: The findings suggests that barriers and facilitators for supporting patients with metabolic risk factors can be found at several levels within primary care, from individual patient and the health care professionals to the organisational level. In the primary care setting, this should be highlighted when implementing support to increase physical activity in people with metabolic risk factors.KEY POINTSHealth care professionals within primary care are in a position to support people with metabolic risk factors to increase their physical activity.Barriers and facilitators to support the patients should be addresse...
Source: Primary Care - March 17, 2023 Category: Primary Care Authors: Kristina Larsson Maria Hagstr ömer Jenny Rossen Unn-Britt Johansson Åsa Norman Source Type: research

Talar OsteoPeriostic grafting from the Iliac Crest (TOPIC) for lateral osteochondral lesions of the talus: operative technique
Oper Orthop Traumatol. 2023 Jan 9. doi: 10.1007/s00064-022-00789-0. Online ahead of print.ABSTRACTOBJECTIVE: To provide a natural scaffold, good quality cells, and growth factors to facilitate replacement of the complete osteochondral unit with matching talar curvature for large osteochondral lesions of the lateral talar dome.INDICATIONS: Symptomatic primary and non-primary lateral osteochondral lesions of the talus not responding to conservative treatment. The anterior-posterior or medial-lateral diameter should exceed 10 mm on computed tomography (CT) for primary lesions; for secondary lesions, there are no size limitati...
Source: Operative Orthopadie und Traumatologie - January 9, 2023 Category: Orthopaedics Authors: Jari Dahmen Quinten G H Rikken Gino M M J Kerkhoffs Sjoerd A S Stufkens Source Type: research

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