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
Practice GuidelineNeuropathic pain in spinal cord injury: identification, classification, evaluation.
Chronic pain is very frequent after spinal cord injury, recent data showing that at least 80% of the patients experience pain, one-third at a severe level. The main objective of the present work is to report and discuss data regarding tools and procedures for the screening, diagnosis, and evaluation of neuropathic pain in spinal cord injury patients. ⋯ The DN4 questionnaire can be used for the screening and identification of neuropathic pain in this population of patients, often suffering from various types of pain. The use of the Spinal Cord Injury Pain Task Force of the International Association of the Study of Pain classification (SCIP-IASP), although some limitations, is recommended since taking into account physiopathology, localisation, and nature of pain. Daily uses of Visual Analogic Scale (VAS) or Numeric Scale (NS) are an obvious need and that of the questionnaire Douleur de Saint-Antoine (QDSA) for global evaluation and more specifically of the Neuropathic Pain Symptom Inventory (NPSI) for neuropathic pain are highly recommended.
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Ann Phys Rehabil Med · Mar 2009
Practice GuidelineChronic neuropathic pain management in spinal cord injury patients. What is the efficacy of pharmacological treatments with a general mode of administration? (oral, transdermal, intravenous).
The pharmacological treatment of patients with spinal cord injury (SCI) pain remains challenging despite new available drugs. Such treatment should always be viewed in the context of global pain management in these patients. To date few clinical trials have been specifically devoted to this topic, and the implementation of treatments is generally based on results obtained in peripheral neuropathic pain. The aim of this review is to present evidence for efficacy and tolerability of pharmacological treatments in SCI pain and propose therapeutic recommendations. ⋯ Very few pharmacological studies have dealt specifically with neuropathic pain related to SCI. Large scale studies and trials comparing several active drugs are warranted in SCI pain.