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Condition: Chronic Pain
Therapy: Pain Management

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Total 682 results found since Jan 2013.

Management of Central Poststroke Pain: Systematic Review of Randomized Controlled Trials Clinical Sciences
Conclusions— Our findings are inconsistent with major clinical practice guidelines; the available evidence suggests no beneficial effects of any therapies that researchers have evaluated in randomized controlled trials.
Source: Stroke - September 28, 2015 Category: Neurology Authors: Mulla, S. M., Wang, L., Khokhar, R., Izhar, Z., Agarwal, A., Couban, R., Buckley, D. N., Moulin, D. E., Panju, A., Makosso-Kallyth, S., Turan, A., Montori, V. M., Sessler, D. I., Thabane, L., Guyatt, G. H., Busse, J. W. Tags: Other Treatment, Other Stroke Clinical Sciences 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

Modafinil for the Improvement of Patient Outcomes Following Traumatic Brain Injury
Conclusion. Modafinil is a central nervous system stimulant with well-established effectiveness in the treatment of narcolepsy and shift-work sleep disorder. There is conflicting evidence about the benefits of modafinil in the treatment of fatigue and EDS secondary to TBI. One randomized, controlled study states that modafinil does not significantly improve patient wakefulness, while another concludes that modafinil corrects EDS but not fatigue. An observational study provides evidence that modafinil increases alertness in fatigued patients with past medical history of brainstem diencephalic stroke or multiple sclerosis. ...
Source: Innovations in Clinical Neuroscience - April 1, 2018 Category: Neuroscience Authors: ICNS Online Editor Tags: Current Issue Review excessive daytime sleep fatigue head injury modafinil stroke TBI traumatic brain injury Source Type: research

A qualitative study on palliative needs of stroke patients in an Indian tertiary care setting - Doctors & #39; perspective
Conclusions: From the interviews of the clinicians, we can conclude that care of a stroke patient is more than medical management and rehabilitation, as several other aspects of the patient's life are affected by the condition. The quality of life aspect has to be looked upon as an area that requires active intervention in a setting of stroke. Physical disabilities were viewed as the most significant factor in reducing the quality of life. Spiritual needs have a low priority in comparison to other physical needs. Due to high patient load and time constraints, many of the needs are unaddressed. Two important area...
Source: Indian Journal of Palliative Care - January 31, 2019 Category: Palliative Care Authors: Jacob Lloyd Ashna Maria Pinto Shoba Nair Subhash Tarey Source Type: research

Complications after stroke : Clinical challenges in stroke aftercare.
CONCLUSION: The wide spectrum of secondary complications after a stroke constitutes a complex, sustained and multidisciplinary challenge, which requires a cross-sectoral interaction of various and numerous actors in outpatient poststroke care. PMID: 32914296 [PubMed - as supplied by publisher]
Source: Der Nervenarzt - September 9, 2020 Category: Neurology Authors: Schwarzbach CJ, Grau AJ Tags: Nervenarzt Source Type: research

Usefulness and effectiveness of herbal medicines in stroke: Narrative review
ABSTRACT Stroke causes various disabilities, reducing the quality of life and motivation for life. It is also one of the major causes of death in the aging population. Therefore, prevention and treatment are crucial. In conventional medicine, thrombolysis and various surgical techniques have been developed and used to treat stroke, but, despite the advancements and benefits, many patients still experience various disabilities. In East Asian countries, herbal prescriptions have been widely used for the treatment and prevention of stroke. Recently, the efficacy of herbal complexes as an adjunct to conventional treatment has ...
Source: Traditional and Kampo Medicine - September 30, 2016 Category: Complementary Medicine Authors: Ki ‐Ho Cho, Seungwon Kwon Tags: REVIEW Source Type: research

Foot and ankle impairments affect balance and mobility in stroke (FAiMiS): the views and experiences of people with stroke.
CONCLUSIONS: Foot and ankle impairments such as pain, altered somatosensory input and weakness significantly contribute to problems with community ambulation, balance and fear of falling in people with chronic stroke. Specific foot and ankle impairments may also negatively contribute to perceptions of physical appearance and self-esteem. Therapeutic management approaches within clinical practice appear to focus mostly on the gross performance of the lower limb with little emphasis on the specific assessment or treatment of the foot or ankle. Implications for Rehabilitation Foot pain, sensory impairments and muscle weakness...
Source: Disability and Rehabilitation - June 9, 2015 Category: Rehabilitation Authors: Gorst T, Lyddon A, Marsden J, Paton J, Morrison SC, Cramp M, Freeman J Tags: Disabil Rehabil Source Type: research

Early versus late injections of Botulinumtoxin type A in post-stroke spastic movement disorder: A literature review
Toxicon. 2023 May 3:107150. doi: 10.1016/j.toxicon.2023.107150. Online ahead of print.ABSTRACTPost-stroke spastic movement disorder (PS-SMD) is one of the main causes of severe disability in the chronic phase after stroke. The prevalence of SMD rises up with time after stroke to more than 28% in the chronic phase, and its secondary complications such as contracture, abnormal postures and/or movement patterns, spasticity-associated pain, also increases with time after stroke when physical and medical management of PS-SMD had been delayed in the early stroke phase. It has been published by several controlled studies that the...
Source: Toxicon - May 5, 2023 Category: Toxicology Authors: J örg Wissel Songjin Ri Anatol Kivi 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

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

Ischemic Stroke Management: Posthospitalization and Transition of Care
Am Fam Physician. 2023 Jul;108(1):70-77.ABSTRACTIschemic stroke is a major cause of morbidity and mortality worldwide. Ischemic stroke and transient ischemic attack exist on a continuum of the same disease process. Ischemic stroke is common, and more than 85% of stroke risk is attributed to modifiable risk factors. The initial management of acute stroke is usually performed in the emergency department and hospital settings. Family physicians have a key role in follow-up, ensuring that a complete diagnostic evaluation has been performed, addressing modifiable risk factors, facilitating rehabilitation, and managing chronic s...
Source: American Family Physician - July 13, 2023 Category: Primary Care Authors: Scott T Larson Brigit E Ray Jason Wilbur Source Type: research