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Specialty: Rehabilitation
Condition: Pain
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Total 939 results found since Jan 2013.
Demystifying Poststroke Pain: From Etiology to Treatment
Pain after stroke is commonly reported but often incompletely managed, which prevents optimal recovery. This situation occurs in part because of the esoteric nature of poststroke pain and its limited presence in current discussions of stroke management. The major specific afflictions that affect patients with stroke who experience pain include central poststroke pain, complex regional pain syndrome, and pain associated with spasticity and shoulder subluxation. Each disorder carries its own intricacies that require specific approaches to treatment and understanding.
Source: PM and R - June 14, 2016 Category: Rehabilitation Authors: Andrew K. Treister, Maya N. Hatch, Steven C. Cramer, Eric Y. Chang Tags: Narrative Review Source Type: research
Shoulder orthoses for the prevention and reduction of hemiplegic shoulder pain and subluxation: Systematic review.
CONCLUSION: Observational studies suggest that orthoses reduce vertical subluxation whilst in-situ. Available evidence from heterogeneous studies after stroke suggests that orthoses may reduce pain and are well-tolerated with prolonged use. No studies have tested whether subluxation and pain can be prevented by immediate post-stroke application of orthoses.
PMID: 27184582 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - May 15, 2016 Category: Rehabilitation Authors: Nadler M, Pauls M Tags: Clin Rehabil Source Type: research
Electrical Stimulation for Hemiplegic Shoulder Function: A Systematic Review and Meta-Analysis of 15 Randomized Controlled Trials
To review the evidence for the effect of functional electrical stimulation (FES) on shoulder subluxation, pain, upper arm motor function, daily function, and quality of life in patients with stroke when added to conventional therapy.
Source: Archives of Physical Medicine and Rehabilitation - May 9, 2016 Category: Rehabilitation Authors: Ping Gu, Juan-juan Ran Tags: Review article (Meta-Analysis) Source Type: research
Electrical Stimulation for hemiplegic shoulder function: A systematic review and meta-analysis of 15 randomized controlled trials
The objective of this meta-analysis was to review the evidence for the effect of FES on shoulder subluxation, pain, upper arm motor function, daily function and quality of life in stroke patients, when added to conventional therapy.
Source: Archives of Physical Medicine and Rehabilitation - May 9, 2016 Category: Rehabilitation Authors: Ping Gu, Juan-juan Ran, Lei Yu Source Type: research
Measurement variability of quantitative sensory testing in persons with post-stroke shoulder pain.
CONCLUSION: QST measurements, especially cold pain thresholds and mechanical pain thresholds, vary in persons with post-stroke shoulder pain. Before QST can be used routinely to evaluate post-stroke shoulder pain, a test protocol with decreased variability needs to be developed.
PMID: 27097884 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - April 23, 2016 Category: Rehabilitation Tags: J Rehabil Med Source Type: research
Time for Food—Including Nutrition on Physiatrists' Tables
Publication date: April 2016 Source:PM&R, Volume 8, Issue 4 Author(s): Rani Polak, Marie L. Dacey, Edward M. Phillips Unhealthy nutrition is a leading factor in various rehabilitation diagnoses such as stroke and several musculoskeletal complications. Further, the association between nutrition, pain management, and brain plasticity support the importance of having rehabilitation patients follow healthy nutrition guidelines. The goal of this brief report is to emphasize the importance of nutritional counseling to physiatrists and to briefly describe recommended communication skills, behavioral change strategies...
Source: PMandR - April 8, 2016 Category: Rehabilitation Source Type: research
Correlates of depressive symptoms in individuals attending outpatient stroke clinics.
Conclusions High levels of depressive symptoms are common in the chronic phase post-stroke and were partially related to cognition, pain, therapy enrollment and lifestyle factors. Implications for Rehabilitation Stroke patients who report cognitive deficits, pain, tobacco use or being enrolled in therapy may experience increased depressive symptoms. A holistic perspective of disease and lifestyle factors should be considered while assessing risk of depressive symptoms in stroke patients. Patients at risk for depressive symptoms should be monitored at subsequent outpatient visits.
PMID: 26883012 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - February 17, 2016 Category: Rehabilitation Authors: Vermeer J, Rice D, McIntyre A, Viana R, Macaluso S, Teasell R Tags: Disabil Rehabil Source Type: research
Fatty replacement of rotator cuff in brain-injured patients is associated with hemiplegic arm function, but not with tendon tear: A multicenter study.
CONCLUSION: Disuse leading to muscle atrophy rather than rotator cuff tear might be the cause of fatty replacement of these muscles, which may be associated with decreased function of the hemiplegic upper extremities.
PMID: 26484513 [PubMed - in process]
Source: NeuroRehabilitation - January 25, 2016 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research
Does hemiplegic shoulder pain share clinical and sensory characteristics with central neuropathic pain? A comparative study.
CONCLUSION: The similarities between HSP and SCI-CNP and the altered spinothalamic function and sensitization suggest that HSP has neuropathic components in its mechanism. Nevertheless, the unique features of HSP point towards additional possible mechanisms.
CLINICAL REHABILITATION IMPACT: The use of specific therapy options for neuropathic pain should be considered when treating patients with HSP.
PMID: 26761563 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - January 13, 2016 Category: Rehabilitation Authors: Zeilig G, Rivel M, Doron D, Defrin R Tags: Eur J Phys Rehabil Med Source Type: research
Movement changes due to hemiplegia in stroke survivors: a hermeneutic phenomenological study.
CONCLUSIONS: The first four themes attempt to express participants' pain and difficulty in living with their present body; the last three attempt to express methods for coping with the present body in the company of others. Results will assist therapists to understand the significant needs of their clients in the maintenance phase. Implications for Rehabilitation Hemiplegia is paralysis of half of the body; it represents one kind of physical disability caused by stroke. Re-interpretation of how patients had experienced the changes of their movements after they had hemiplegia is helpful for the therapists to understand the ...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Takashima R, Murata W, Saeki K Tags: Disabil Rehabil Source Type: research
Similar barriers and facilitators to physical activity across different clinical groups experiencing lower limb spasticity.
Conclusions In this population, participation in physical activity includes activities such as housework which are different than what is typically considered as physical activity. Further, the presence of similar barriers and facilitators across the groups suggests that support and services to promote valued forms of physical activity could be organised and delivered based on limitations in mobility and functioning rather than clinical diagnosis. Implications for rehabilitation Physical activity is of utmost importance in maintaining health and wellness in clinical populations. This research highlights the desired and act...
Source: Disability and Rehabilitation - January 4, 2016 Category: Rehabilitation Authors: Hundza S, Quartly C, Kim JM, Dunnett J, Dobrinsky J, Loots I, Choy K, Chow B, Hampshire A, Temple VA Tags: Disabil Rehabil Source Type: research
Frequency and characteristics of goal attainment following BoNT-A injection for management of spasticity.
CONCLUSIONS: Although active goals are commonly identified by people with spasticity, passive goals were more likely to be achieved following BoNT-A injection. A long duration of spasticity does not preclude patients from achieving mobility and transfer goals. Non-stroke participants were more likely to achieve mobility and transfer goals. Implications for Rehabilitation Patients with chronic spasticity should be considered for BoNT-A as clinically meaningful outcomes can be achieved. When spasticity is present in multiple muscles, the GAS can be an assistive tool to guide clinicians in determining which muscles are a prio...
Source: Disability and Rehabilitation - December 30, 2015 Category: Rehabilitation Authors: Mullins D, Winter A, Fini N, Dixon C, Aldous S, Palit M, Holland AE Tags: Disabil Rehabil Source Type: research
Systematic review of the influence of spasticity on quality of life in adults with chronic neurological conditions.
CONCLUSIONS: Spasticity is associated with worse health status, however its relationship with overall QOL is not established. The relationship between spasticity and QOL is confounded by other impairments and requires multivariate analysis. Implications for Rehabilitation Effective management of spasticity may result in significant improvements in HRQOL. It is important to address multiple factors in the management of spasticity including pain, bladder problems, fatigue and sleep, as the interplay of these may have significant negative effects on HRQOL. Clinician-administered methods for measuring spasticity, such as the A...
Source: Disability and Rehabilitation - December 29, 2015 Category: Rehabilitation Authors: Milinis K, Young CA, Trajectories of Outcome in Neurological Conditions (TONiC) study Tags: Disabil Rehabil Source Type: research
