European journal of physical and rehabilitation medicine
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Eur J Phys Rehabil Med · Apr 2016
Case ReportsDoes pain relief influence recovery of consciousness? a case report of a patients treated with ziconotide.
For people with cervical spinal cord injury (SCI), access to computers can be difficult, thus several devices have been developed to facilitate their Disorders of consciousness (DOC) are difficult to classify. The degree of consciousness varies from coma to vegetative state or unresponsive wakefulness syndrome (UWS) and minimally conscious state. Correct diagnosis has important ethical and legal implications, and pain may be cause of misdiagnosis. ⋯ Anecdotal reports of improved consciousness with intrathecal baclofen therapy may be due to pain relief. Reduction of pain in DOC is important and drugs should not interfere with cognition, and must be effective and manageable. Ziconotide may be one of the possible candidate due to its synergistic antispastic action in combination with baclofen when an intratecal pump has been implanted.
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Eur J Phys Rehabil Med · Apr 2016
Analyzing the modified rankin scale using concepts of the international classification of functioning, disability and health.
The World Health Organization (WHO) suggests using the International Classification of Functioning, Disability and Health (ICF) as a conceptual framework for disability outcomes and the modified Rankin Scale (mRS) as an outcome measure in stroke. ⋯ In order to follow the ICF model, interpretation of mRS rating requires caution.
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Eur J Phys Rehabil Med · Feb 2016
Randomized Controlled Trial Multicenter Study Comparative StudyEarly versus delayed rehabilitation treatment in hemiplegic patients with ischemic stroke: proprioceptive or cognitive approach?
Early/intensive mobilization may improve functional recovery after stroke but it is not clear which kind of "mobilization" is more effective. Proprioceptive neuromuscular facilitation (PNF) and cognitive therapeutic exercise (CTE) are widespread applied in post-stroke rehabilitation but their efficacy and safety have not been systematically investigated. ⋯ These results show a significant effect of time but not of technique that may impact the decision making in the acute phase of care.
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Eur J Phys Rehabil Med · Feb 2016
Multicenter Study Observational StudyEarly rehabilitation for severe acquired brain injury in intensive care unit: multicenter observational study.
The increased survival after a severe acquired brain injury (sABI) raise the problem of making most effective the treatments in Intensive Care Unit (ICU)/Neurointensive Care Unit (NICU), also integrating rehabilitation care. Despite previous studies reported that early mobilization in ICU was effective in preventing complications and reducing hospital stay, few studies addressed the rehabilitative management of sABI patients in ICU/NICU. ⋯ The study stresses the need to spread and implement a rehabilitative culture also for critical ill patients due to neurological diseases.
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Eur J Phys Rehabil Med · Dec 2015
Randomized Controlled Trial Multicenter StudyCervical joint position sense in neck pain. Immediate effects of muscle vibration versus mental training interventions: a RCT.
Impaired cervical joint position sense is a feature of chronic neck pain and is commonly argued to rely on abnormal cervical input. If true, muscle vibration, altering afferent input, but not mental interventions, should have an effect on head repositioning acuity and neck pain perception. ⋯ Mental interventions were effective in improving cervical joint position sense and are easy to integrate in rehabilitation regimes. Neck muscle vibration is effective in improving cervical joint position sense and pressure pain thresholds within 5 minutes of application.