Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Aug 2016
Review Meta AnalysisComparison of the Effectiveness of Suprascapular Nerve Block With Physical Therapy, Placebo, and Intra-Articular Injection in Management of Chronic Shoulder Pain: A Meta-Analysis of Randomized Controlled Trials.
To explore the effectiveness of suprascapular nerve block (SSNB) at different timing after administration compared with physical therapy, placebo, and intra-articular injections in patients with chronic shoulder pain. ⋯ This meta-analysis demonstrated the superiority of SSNB to placebo and physical therapy and a similar efficacy of SSNB compared with intra-articular injection for treatment of chronic shoulder pain. Ultrasound was the most preferable guidance tool, and future studies are advised to integrate physical therapy in order to improve the long-term effectiveness of SSNB.
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Arch Phys Med Rehabil · Aug 2016
Randomized Controlled TrialSwimming Improves Pain and Functional Capacity of Patients With Fibromyalgia: A Randomized Controlled Trial.
To evaluate the effect of swimming on pain, functional capacity, aerobic capacity, and quality of life in patients with fibromyalgia (FM). ⋯ Swimming, like walking, is an effective method for reducing pain and improving both functional capacity and quality of life in patients with FM.
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Arch Phys Med Rehabil · Aug 2016
ReviewSystematic Review of Behavioral Interventions Targeting Social Communication Difficulties After Traumatic Brain Injury.
To determine whether behavioral interventions are beneficial for adults with social communication difficulties after traumatic brain injury (TBI). ⋯ Overall, interventions addressing social communication skills for people with TBI were found to be beneficial irrespective of treatment approach used. While the evidence base is small and with varying levels of scientific rigor, there is a body of quality evidence that supports the use of context-sensitive approaches. Further research is still required to determine the role of impairment-specific versus context-specific interventions when treating individuals with social communication difficulties after TBI to inform clinical decision-making.
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Arch Phys Med Rehabil · Aug 2016
Observational StudyThalamic Functional Connectivity in Mild Traumatic Brain Injury: Longitudinal Associations With Patient-Reported Outcomes and Neuropsychological Tests.
(1) To examine differences in patient-reported outcomes, neuropsychological tests, and thalamic functional connectivity (FC) between patients with mild traumatic brain injury (mTBI) and individuals without mTBI and (2) to determine longitudinal associations between changes in these measures. ⋯ Findings suggest that alterations in thalamic FC occur after mTBI, and improvements in pain and postconcussive symptoms are correlated with normalization of thalamic FC over time.