Annals of physical and rehabilitation medicine
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Ann Phys Rehabil Med · Jul 2009
Randomized Controlled Trial Comparative StudyEfficacy and treatment compliance of a home-based rehabilitation programme for chronic low back pain: a randomized, controlled study.
To assess the efficacy and treatment compliance of a home-based rehabilitation programme for chronic low back pain (CLBP). ⋯ Our results suggest that a home-based rehabilitation programme is as effective as standard physical therapy. However, this type of programme requires patient motivation and regular follow-up.
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Ann Phys Rehabil Med · Jul 2009
ReviewPreliminary questions before studying mild traumatic brain injury outcome.
To point out from the literature the issues in mild traumatic brain injury outcome. METHODOLOGY-RESULTS: The literature review allows to point out several different factors involved in the difficulty to study mild traumatic brain injury: mild traumatic brain injury definition, postconcussional syndrome definition, diagnosis threshold, severity and functional symptoms outcome, neuropsychological tests, unspecific syndrome feature, individual factors, confounding factors and treatment interventions. ⋯ The mild traumatic brain injury outcome study is complicated by the definitions issues and especially their practical use and by the multiplicity and the intricate interrelationships among involved factors. The individual outcome and social cost weight is widely emphasized for an event still considered as medically trivial. The well-ordered preventive interventions necessity and the targeted treatment programs need for the persisting postconcussive symptoms complete our critical review.
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Ann Phys Rehabil Med · Apr 2009
Treatment of muscle trauma in sportspeople (from injury on the field to resumption of the sport).
Muscle trauma mainly results from sporting activities and accounts for 10 to 55% of sports injuries. However, information on optimal muscle trauma management is scarce. The present study sought to assess the initial treatment of muscle injury in sportspeople, evaluate rehabilitation programs and observe the impact on healing. ⋯ The RICE protocol might give better results if compression were to be used more extensively. In terms of rehabilitation, therapeutic compliance is rather weak and physiotherapists do not fully comply with physician's prescription. However, for both minor and major injuries, rehabilitation (to the extent that it was implemented by the physiotherapists in the present study) did not lead to quicker recovery.
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Ann Phys Rehabil Med · Mar 2009
Chronic neuropathic pain of spinal cord injury: what is the effectiveness of psychocomportemental management?
To determine the efficacy of treating neuropathic pain in spinal cord injury (SCI) patients by psychological, cognitive or behavioral therapies and suggest recommendations for clinical practices. ⋯ There is no scientific evidence for validating this type of pain management care. However, the high level of evidence of the articles studying the efficacy of these therapies in patients with chronic pain suggest that it could be applied to SCI patients. These techniques must be developed in France and further studies should be conducted on SCI patients affected by neuropathic pain.
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Ann Phys Rehabil Med · Mar 2009
Chronic neuropathic pain in spinal cord injury: efficiency of deep brain and motor cortex stimulation therapies for neuropathic pain in spinal cord injury patients.
In spite of all the scientific advances in pharmacological research, a great number of patients cannot efficiently manage their chronic pain with conventional pharmacological treatments. Brain stimulation techniques have considerably improved these last 10 years. These techniques could be an interesting option after a rigorous selection of patients. We aim to evaluate the efficacy of brain stimulation (deep brain stimulation [DBS] and motor cortex stimulation [MCS]) within the framework of neuropathic pain management in spinal cord injury (SCI) patients and elaborate some recommendations. ⋯ For central pain in SCI patients, there is no sufficient level of evidence to validate the use of DBS. There is however a low level of evidence for MCS. These results must be validated by larger comparative or controlled versus placebo clinical studies.