The effect of stabilization exercises along with self-care training on transverse abdominal activity, pain, and disability in mothers with low back pain having children with CP: a RCT Objective Many mothers of children with cerebral palsy (CP) experience low back pain (LBP), so the purpose of this study was to investigate the effect of stabilization exercises along with self-care training on transverse abdominal muscle activity, pain, disability and depression in them. Design In this single-blinded randomised clinical trial, 32 mothers with CP children were selected were randomly divided into two groups. Both groups received self-care training individually. For the experimental group, in addition to the self-care training, 24 sessions of stabilization exercises were held. Outcome measures included Visual Analog Scale, Roland-Morris Disability Questionnaire, Persian version of Beck Depression Inventory-II and ultrasonography. Results In the experimental group the transverse abdominal muscle activity during abdominal hollowing exercises were significantly increased (p <0.05). There was no significant difference between the two groups in pain, disability and depression (p >0.05). Conclusion Stabilization exercises could improve the voluntary activity of transverse abdominal muscle of mothers of children with cerebral palsy. Correspondence: Zahra Ahmadizadeh, Address: Department of Occupational therapy, School of rehabilitation, Semnan University of Medical Sciences, Km 5 Semnan to Damghan road, Semnan, Iran, Zip (postal) code: 3519899951. Email: ahmadizadeh.z@semums.ac.irAhmadizade.z@gmail.com, Phone number: 00989125312182 Author Disclosures: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. This study was supported by neuromuscular rehabilitation research center of Semnan University of Medical sciences. The authors would like to thank all of mothers who participated in this study Funding: this study has received funding from Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences. Funding number 821. Competing interests: The authors declare that they have no conflict of interest. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved. |
Reorganization of hand motor function to the primary somatosensory cortex in a patient with primary motor cortex infarct: Functional MRI and diffusion tensor tractography assessments No abstract available |
Efficacy of transcutaneous electronic nerve stimulation (TENS) in postoperative analgesia after pulmonary surgery: A systematic review and meta-analysis Objective This study aimed to identify the analgesic efficacy and safety of transcutaneous electronic nerve stimulation (TENS) in postoperative pain after pulmonary surgery. Design Electronic databases (PubMed, EmBase, Web of Science and CENTRAL) were systematically searched from their inception to June 2019. The continuous variables were pooled as the weighted mean difference (WMD) with correlated 95% confidence interval (CI). Results were recognized as significant when p< 0.05. Subgroup analyses, sensitivity analyses and quality assessment were performed. Results Altogether 10 studies were included. The pooled results indicated that TENS group conferred lower pain intensity score on the first postoperative day (POD) (WMD: -0.93, 95% CI: -1.56 to -0.30, p=0.004), POD 2 (WMD: -1.00, 95% CI: -1.64 to -0.35, p=0.002), POD 3 (WMD: -0.92, 95% CI: -1.76 to -0.09, p=0.03), POD 4 (WMD: -0.90, 95% CI: -1.24 to -0.56, p< 0.001), and POD 5 (WMD: -1.39, 95% CI: -2.20 to -0.57, p< 0.001) compared with the placebo TENS group. No publication bias was found. No significant discovery was obtained in sensitivity analyses. Conclusion TENS might be an effective supplementary analgesic regimen in multimodal analgesia to decrease pain intensity after pulmonary surgery. Corresponding author: Lunxu Liu, Telephone: 86 28 85422494. Fax: 86 28 85422494. Address: No. 37, Guoxue Alley, Chengdu, Sichuan, 610041, China. E-mail: lunxu_liu@aliyun.com Conflict of interest: None declared. Funding: This work was supported by Key Science and Technology Program of Sichuan Province, China (2016FZ0118) (to LL). Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved. |
Expression of Concern No abstract available |
Ultrasound Guided Sacroiliac Joint Injections No abstract available |
Assessing the Accuracy of Ultrasound-Guided Needle Placement in Sacroiliac Joint Injections: Letter to the Editor No abstract available |
Should hospitalized patients wear graduated compression stockings for prevention of deep vein thrombosis? - A Cochrane Review summary with commentary No abstract available |
Benefit and harms of percutaneous vertebroplasty for the treatment of osteoporotic vertebral compression fracture - A Cochrane Review summary with commentary No abstract available |
Complications Associated With Electromyography: A Systematic Review Objective To systematically review the available literature concerning complications due to electromyography (EMG) as well as review those associated with nerve conduction studies (NCS). Design A systematic review was undertaken of Medline and Cochrane Central Register of Controlled Trials. Any complication related to clinical EMG written in English were included, and all bibliographies were scanned for missed articles. Results A total of 27 articles fit the inclusion criteria, with two observational studies, and the rest case series or case studies; 42 patients were reported. Of these, 28 patients required hospitalization and 22 required surgery or a procedure, with zero deaths reported. Needle-related complications were the most prevalent (18 patients reported), with 17 related to pneumothoraces. Disorders of hemostasis were identified in 13 patients (many were asymptomatic) and cutaneous disorders were identified in 11 patients. Only one complication was identified in the narrative review related to NCS. Conclusions This systematic review identified a variety of complications related to EMG. Though the incidence of these occurrences cannot be elucidated from the case series- and case study-predominant literature, adverse events appear to be rare but can cause significant morbidity. Electromyographers should be aware of all reported complications; this review outlines all reported occurrences that fit the inclusion criteria. Corresponding author: Daniel Cushman, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, P: 801-587-7109, F: 801-587-7111. dan.cushman.work@gmail.com No funding was received for this study Competing interests: The authors have no competing interests to declare. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved. |
Disaster Rehabilitation Response Plan: Now or Never There is a strong consensus amongst humanitarian response authorities for a need for global action by professional organizations to work towards developing a structured approach to provide a coordinated international response during sudden-onset disasters (SODs). The aim of this report is to develop a Disaster Rehabilitation Response Plan (DRRP) to enable International Society of Physical and Rehabilitation Medicine (ISPRM) to provide leadership and governance role in liaison/coordination with the WHO Emergency Medical Team (EMT) Initiative and other relevant stakeholders to provide rehabilitation input during SODs. The proposed plan uses a ‘three-tier approach’: Tier-1- Immediate disaster response at a national/international level, Tier-2- Organisation and deployment of rehabilitation personnel, and Tier-3- Rehabilitation management of disaster survivors and community reintegration. The ISPRM (and its sub-committee, the Disaster Rehabilitation Committee (DRC)), categorised in the Tier-2, could provide central leadership role working for the rehabilitation sub-cluster within the WHO- EMT Initiative (Tier-1) and support in coordination, preparation and management of rehabilitation teams and/or members for deployment to SODs. The DRC could also contribute to advocacy, training and accreditation processes for rehabilitation professionals. The challenge ahead is commitment of countries worldwide to develop comprehensive rehabilitation-inclusive approach to ensure effective delivery of services to communities at risk. Corresponding author: Dr. Bhasker Amatya, Department of Rehabilitation Medicine, Royal Melbourne Hospital, 34-54 Poplar Road Parkville, Victoria 3052, Australia, Ph: +61 3 83872037, fax: +61 3 83872222. Email: bhasker.amatya@mh.org.au Bhasker Amatya and Su Yi Lee — Joint first authors of the manuscript FINANCIAL DISCLOSURE This report was prepared by the Department of Rehabilitation Medicine, Royal Melbourne Hospital, Australia. No external funding was available. No commercial party had any financial interest in the results of this article. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved. |
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com,
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Τρίτη 10 Σεπτεμβρίου 2019
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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com,
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00302841026182,
00306932607174,
alsfakia@gmail.com,
Anapafseos 5 Agios Nikolaos 72100 Crete Greece,
Medicine by Alexandros G. Sfakianakis
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