European journal of physical and rehabilitation medicine
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Eur J Phys Rehabil Med · Jun 2012
Comparative StudyProprioception and functional deficits of partial meniscectomized knees.
The partial meniscectomy leads to proprioceptive knee deficits in a short period after the arthroscopic procedure; however, to our knowledge, a limited number of studies have investigated the long-term outcomes of partial meniscectomy on the knee joint proprioception. ⋯ The present study demonstrated that 1-2 years after partial meniscectomy, patients had reduced proprioception and knee muscular ability in the operated leg compared to the non-operated leg. Clinical rehabilitation impact. Proprioception and knee muscular ability deficits significantly affect objective knee function, indicating the importance not only of the restoring muscle function but also of the proprioception ability in partial meniscectomy patients.
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Eur J Phys Rehabil Med · Jun 2012
Case ReportsPersistent hiccup after surgical resection of a brainstem arteriovenous malformation: a case successfully treated with gabapentin during rehabilitation. Case report.
Persistent hiccup rarely occurs during rehabilitation, but its management can prove to be very difficult, particularly in presence of associated dysphagia, requiring longer hospitalization and higher risk of severe clinical complications. We present a case of persistent hiccup after surgical resection of a brainstem arteriovenous malformation successfully treated with gabapentin during rehabilitation.
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Eur J Phys Rehabil Med · Mar 2012
Accupouncture for acute management and rehabilitation of traumatic brain injury.
Traumatic brain injury (TBI) can be life threatening depending on the severity of the insult to the brain. It can also cause a range of debilitating sequelae which require cognitive, motor, communication, emotional, or behavioral rehabilitation of varying intensity and duration. A number of studies conducted and published in China have suggested that acupuncture may be beneficial in the acute treatment and rehabilitation of TBI. The aim of this paper was to determine the efficacy and safety of acupuncture in the acute management or rehabilitation (or both) of patients with a TBI, including cognitive, neurological, motor, communication, emotional, or behavioral complications, or a combination of such complications. ⋯ The low methodological quality of the included studies does not allow us to make conclusive judgments on the efficacy and safety of acupuncture in either the acute treatment and/or rehabilitation of TBI. Its beneficial role for these indications remains uncertain. Further research with high quality trials is required.
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Eur J Phys Rehabil Med · Mar 2012
Comparative StudyCombined therapeutic application of botulinum toxin type A, low-frequency rTMS, and intensive occupational therapy for post-stroke spastic upper limb hemiparesis.
For spastic upper limb hemiparesis after stroke, we developed triple-element protocol of botulinum toxin type A (BoNTA) injection, low-frequency repetitive transcranial magnetic stimulation (LF-rTMS), and intensive occupational therapy (OT). Aim. To investigate the safety and feasibility of the protocol. Design. A preliminary study. Setting. At a university hospital. Population. Fourteen post-stroke patients with spastic upper limb hemiparesis (mean age: 54.9±9.2 years, time after onset: 87.1±48.2 months, ±SD). ⋯ The protocol is a potentially useful neurorehabilitative approach for this patient population.
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Eur J Phys Rehabil Med · Mar 2012
Case ReportsSimultaneous complex regional pain syndrome of the upper and lower limb in a stroke patient. Case report.
Complex regional pain syndrome (CRPS) is a clinical condition charactarized by localised or diffuse pain accompanied with vasomotor, sudomotor and trophic changes in the affected part of the body. CRPS type-1 (CRPS-1) is a disabling problem after stroke and it is frequently reported in plegic upper limb. ⋯ In this article a 70 year-old left hemiplegic woman secondary to ischemic stroke who had a complaint of constant and severe pain in quality of sharp stinging of left arm and leg for approximately 2 months and diagnosed as CRPS-1 in both upper and lower plegic limb simultaneously is presented. By the combination of medical and physical therapy the symptoms and signs resolved within 5 weeks and increased participation to the rehabilitation program is observed.