Filtered By:
Specialty: General Medicine
Condition: Pain

This page shows you your search results in order of relevance. This is page number 2.

Order by Relevance | Date

Total 390 results found since Jan 2013.

ESCAPS study protocol: a feasibility randomised controlled trial of 'Early electrical stimulation to the wrist extensors and wrist flexors to prevent the post-stroke complications of pain and contractures in the paretic arm
This study aims to evaluate the feasibility of a randomised controlled trial to test the efficacy and cost-effectiveness of delivering early intensive electrical stimulation (ES) to prevent post-stroke complications in the paretic upper limb. Methods and analysis This is a feasibility randomised controlled trial (n=40) with embedded qualitative studies (patient/carer interviews and therapist focus groups) and feasibility economic evaluation. Patients will be recruited from the Stroke Unit at the Nottingham University Hospitals National Health Service (NHS) Trust within 72 h after stroke. Participants will be randomis...
Source: BMJ Open - January 4, 2016 Category: Journals (General) Authors: Fletcher-Smith, J. C., Walker, D.-M., Sprigg, N., James, M., Walker, M. F., Allatt, K., Mehta, R., Pandyan, A. D. Tags: Open access, Neurology, Rehabilitation medicine Protocol Source Type: research

Acupuncture for acute stroke.
CONCLUSIONS: This updated review indicates that apparently improved outcomes with acupuncture in acute stroke are confounded by the risk of bias related to use of open controls. Adverse events related to acupuncture were reported to be minor and usually did not result in stopping treatment. Future studies are needed to confirm or refute any effects of acupuncture in acute stroke. Trials should clearly report the method of randomization, concealment of allocation, and whether blinding of participants, personnel, and outcome assessors was achieved, while paying close attention to the effects of acupuncture on long-term funct...
Source: Cochrane Database of Systematic Reviews - March 30, 2018 Category: General Medicine Authors: Xu M, Li D, Zhang S Tags: Cochrane Database Syst Rev 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

Ischemic stroke complicating thrombolytic therapy with tenecteplase for ST elevation myocardial infarction: two case reports
ConclusionsHemorrhagic stroke is not the only complication of thrombolysis, ischemic stroke can occur even if it is an extremely rare complication. The two cases on which we report shed light on the association between fibrinolytic therapy and ischemic stroke, the pathophysiology of which is not well understood.
Source: Journal of Medical Case Reports - June 11, 2017 Category: General Medicine 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

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

Mirror therapy for improving motor function after stroke.
CONCLUSIONS: The results indicate evidence for the effectiveness of mirror therapy for improving upper extremity motor function, motor impairment, activities of daily living, and pain, at least as an adjunct to conventional rehabilitation for people after stroke. Major limitations are small sample sizes and lack of reporting of methodological details, resulting in uncertain evidence quality. PMID: 29993119 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - July 11, 2018 Category: General Medicine Authors: Thieme H, Morkisch N, Mehrholz J, Pohl M, Behrens J, Borgetto B, Dohle C Tags: Cochrane Database Syst Rev Source Type: research

Aortic dissection diagnosed on stroke computed tomography protocol: a case report
ConclusionsWhen acute stroke is suspected due to neurological deficits, plain head CT is the first choice for imaging diagnosis. The addition of cervical CT angiography can reliably exclude stroke due to aortic dissection. CTP can identify ischemic penumbra, which cannot be diagnosed by plain head CT or diffusion-weighted magnetic resonance imaging. These combined stroke CT protocols helped us avoid missing an aortic dissection.
Source: Journal of Medical Case Reports - May 26, 2021 Category: General Medicine 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

Identifying palliative care issues in inpatients dying following stroke
Conclusions Dyspnoea, pain and respiratory secretions were identified as the main palliative care needs.
Source: Irish Journal of Medical Science - April 8, 2015 Category: Journals (General) Source Type: research

Clinical feasibility of interactive motion-controlled games for stroke rehabilitation
Conclusions: A post-stroke intervention using interactive motion-controlled games shows promise as a feasible and potentially effective treatment approach. This paper presents important recommendations for future game development and research to further explore long-term adherence, acceptability, safety and efficacy.Trial registrationAustralian and New Zealand Clinical Trials Registry (ACTRN12613000220763)
Source: BioMed Central - August 1, 2015 Category: Journals (General) Authors: Kelly BowerJulie LouieYoseph LandesrochaPaul SeedyAlexandra GorelikJulie Bernhardt Source Type: research

Bilateral vertebral artery dissection and cerebellar stroke: a rare complication of massage.
We describe the case of a 39-year-old male, who presented to our emergency department after a one-day history of headache and vomiting, with associated sudden onset posterior neck pain and cerebellar signs following a massage. Computed tomography angiogram and brain demonstrated bilateral vertebral artery dissection and cerebellar stroke. He was admitted to hospital for monitoring and conservative management with antiplatelet therapy, resulting in a good outcome. This is the first reported case of bilateral vertebral artery dissection and stroke to be associated with massage. This case also suggests, unlike many reports in...
Source: New Zealand Medical Journal - April 5, 2020 Category: General Medicine Tags: N Z Med J 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

Comment Alteplase in acute ischaemic stroke: the need for speed
Doctors treating patients who have had an acute ischaemic stroke must feel the need for speed more feverishly than a racing driver. Stroke does not hurt. There is none of the pain that might be registered on the face of a patient with acute myocardial infarction or the visceral sight of blood in the case of trauma to evoke a sense of immediacy. Yet stroke is exactly like acute myocardial infarction and acute trauma in the need for very fast treatment.
Source: LANCET - November 28, 2014 Category: Journals (General) Authors: Michael D Hill, Shelagh B Coutts Tags: Comment Source Type: research