European journal of physical and rehabilitation medicine
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Eur J Phys Rehabil Med · Feb 2013
Comparative StudyPulmonary rehabilitation at home guided by telemonitoring and access to healthcare facilities for respiratory complications in patients with neuromuscular disease.
Pulmonary complications are the main cause of morbidity and mortality in neuromuscular patients. Aim of this study was to evaluate the feasibility of a home follow-up program combining telemonitoring and chest physiotherapy (CPT) in preventing acute respiratory episodes. ⋯ An apparent reduction of hospitalisation and emergency room admissions for respiratory complications can justify a randomized control trial to confirm efficacy and effectiveness.
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The care of pain patients often requires a specialized knowledge base and skill set that allows the pain medicine specialist with tools necessary for optimal patient outcomes. Interventional pain medicine is the field of judiciously and appropriately applying such skills in the diagnosis and treatment of chronic pain; with the increasing prevalence of the disease, it cannot be overemphasized that providers must be equipped with the knowledge and skills to provide the care needed. This commentary provides brief, point-of-care information for providers of pain therapies in a portable, easy-to-navigate format. ⋯ Food and Drug Administration after 12-week trials. Multiple interventional techniques have reported trials of 6-42 months in duration. It must be mentioned, however, that stronger evidence, namely, level 1 studies (double-blinded, controlled studies with long follow-up and outcome measures documenting both pain relief as well as functional improvement) are needed to provide a basis for interventional care.
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Eur J Phys Rehabil Med · Feb 2013
Comparative StudySymptomatic correlates of six-minute walk performance in persons with multiple sclerosis.
The six-minute walk (6MW) test has been identified as a valid, reliable, and reproducible measure of endurance walking performance that differentiates persons with multiple sclerosis (MS) and controls and correlates with disability and walking impairment. ⋯ Clinicians and practitioners might consider targeting fatigue as a method of managing compromised endurance walking in persons with MS.
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Eur J Phys Rehabil Med · Dec 2012
Randomized Controlled TrialUltrasound-guided aspiration and corticosteroid injection compared to horizontal therapy for treatment of knee osteoarthritis complicated with Baker's cyst: a randomized, controlled trial.
Combining different therapies, physical therapy agents, pharmacological and physical therapies, generally produces better outcomes for symptoms of knee osteoarthritis (OA) than do isolated therapies. ⋯ In this study we want to demonstrate the effectiveness of Horizontal Therapy in the treatment of knee OA complicated by BC.
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Although the combination of a detailed physical examination and a subsequent electrodiagnostic study is used for the diagnosis of peripheral nerve disorders, prompt imaging may also be necessary in daily practice. In this regard, as having higher spatial resolution, and being a faster, more cost-effective and dynamic study; ultrasound (US) has become a very convenient first-line imaging modality for the diagnosis, follow-up and treatment (i.e. guiding interventions or planning for surgery) of peripheral nerve pathologies. Yet, using the probe of US to "sono-auscultate" the peripheral nerves is indisputably paramount for unmasking the whole scenario of injury. Likewise, in this review, we will try to exemplify the role of US for the diagnosis and follow-up of peripheral nerve disorders in clinical practice.