MMW Fortschritte der Medizin
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Multicenter Study Comparative Study Controlled Clinical Trial
[Naturopathic and orthopaedic in-patient treatment of chronic back pain--a comparison study].
This study compares orthopaedic and naturopathic inpatient treatment concepts for back pain with regards to therapeutic efficacy. ⋯ Treatment results of naturopathic, complex" inpatient treatment of chronic back pain are comparable to conventional orthopaedic treatment at all points of time T1 to T3. The study design does not allow the conclusion, that the therapeutical concept can be changed forthetwo groups of patients with the same chance of good therapeutical efficacy. The result of the study is limited in this respect as the therapeutic effect cannot be claimed to be the same if the treatment groups were exchanged. Thus the improvement is only comparable.
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Randomized Controlled Trial
[Treatment of myofascial pain syndrome (MPS) with botulinum toxin type A (BoNT-A)].
Myofascial pain syndrome (MPS) is characterised by acute and chronic pain of the muscles and neighbouring tendons and fasciae. A chronification of the symptoms can take place quite rapidly or develop over years, depending on the individual disposition. Since the mid-nineties, the treatment of MPS with botulinum toxin A (BoNT-A) has gained more importance, especially in cases where conservative therapies were not efficient. ⋯ BoNT-A, appropriately administered, is an effective and safe therapy option in the treatment of MPS. For the effective treatment of MPS, concomitant physiotherapy with different therapeutical options must be applied in order to compensate for muscular imbalances.
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The Palliative Home Care Team of the InterdisciplinaryCenterfor Palliative Medicine at Munich University Hospital has been providing Specialized Home Palliative Care (German abbreviation: SAPV) according to the new German regulations since October 2009. ⋯ The requirement for SAPV in the urban setting is high, in spite of the intensive primary care, with an increasing proportion of non-oncological patients. A key aspect concerns the work with family members. SAPV can minimize the number of hospital admissions and emergency calls. The patient's wishes concerning the place of death can be fulfilled. Feed-back from patients and family members indicates that SAPV makes an important contribution towards removing the taboo associated with death and dying.