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https://www.readbyqxmd.com/read/29691771/neuropathic-pain-is-it-an-underestimated-symptom-in-systemic-sclerosis
#1
Nihan Cuzdan, Ipek Turk, Tunay Sarpel, Eren Erken, Zeliha Nazan Alparslan
Pain is one of the most common symptoms in systemic sclerosis (SSc) patients, yet not considered in the assessment of disease severity. This study aimed to investigate the frequency of neuropathic pain (NP) and to evaluate its interference with the quality of life (QoL) in SSc patients. Diffuse and Limited SSc patients diagnosed by American College of Rheumatology 2013 criteria were included in the study. Pain was evaluated with Visual Analogue Scale (VAS); presence of NP was screened with The Leeds Assessment of Neuropathic Symptoms and Signs (LANNS) questionnaire; disease activity was evaluated with modified Medsger Severity Scale (MSS) and QoL with short-form 36 (SF-36)...
April 24, 2018: Clinical Rheumatology
https://www.readbyqxmd.com/read/29690780/prevalence-and-determinants-of-physical-activity-and-sedentary-behaviour-before-and-up-to-12-months-after-total-knee-replacement-a-longitudinal-cohort-study
#2
Alison Hodges, Alison R Harmer, Sarah Dennis, Lillias Nairn, Lyn March, Ross Crawford, David Parker, Marlene Fransen
OBJECTIVE: This study aims to evaluate the prevalence and determinants of inadequate physical activity and excessive sedentary behaviour before and after total knee replacement. DESIGN, SETTING AND SUBJECTS: Secondary analysis was performed on data from a cohort of 422 adults (45-74 years), drawn from 12 public or private hospitals, undergoing primary unilateral or bilateral total knee replacement surgery. MAIN MEASURES: Questionnaires were used to determine the presence of inadequate physical activity and excessive sedentary behaviour before and 6  and 12 months after total knee replacement surgery...
April 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29689182/occupational-therapy-for-nonoperative-four-part-proximal-humerus-fracture-a-case-report
#3
William P Finley, Steve Van Lew
OBJECTIVE: Proximal humerus fractures are highly traumatic and debilitating. Surgical fixation may be contraindicated in older clients, thus requiring a systematic rehabilitation protocol. These clients may suffer loss of independence and require long-term assistance if not treated properly. METHOD: In this case report, we describe the occupation-based conservative rehabilitation of a retired male client after a four-part proximal humerus fracture. Outcome measurements used were the QuickDASH, the Numeric Rating Scale for Pain, goniometric measurements, and manual muscle testing...
May 2018: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/29686884/exercise-therapy-patient-education-and-patellar-taping-in-the-treatment-of-adolescents-with-patellofemoral-pain-a-prospective-pilot-study-with-6-months-follow-up
#4
Michael S Rathleff, Camilla R Rathleff, Sinead Holden, Kristian Thorborg, Jens L Olesen
Background: Patellofemoral pain (PFP) is the most common knee condition among adolescents, with a prevalence of 6-7% resulting in reduced function and quality of life. Exercise therapy is recommended for treating PFP, but has only been tested in older adolescents (15-19 years). This pilot study aimed to investigate the adherence to, and clinical effects of, exercise and patient education in young adolescents (12-16 years), with PFP. Methods: Twenty adolescents (16 females) with PFP were recruited from a population-based cohort to undergo a 3-month multimodal intervention...
2018: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/29686481/effects-of-cervical-manipulation-on-pain-grip-force-control-and-upper-extremity-muscle-activity-a-randomized-controlled-trial
#5
Marcelo Anderson Bracht, Ana Carina Buogo Coan, Abdalghani Yahya, Marcio José Dos Santos
Objectives: Individuals with neck pain experience disrupted grip force control when performing manipulative tasks. Manipulative physical therapy might decrease pain and change the activity of surrounding muscles; however, its effect on upper limb motor control remains undetermined. This study aims to analyze the effects of cervical manipulation on pressure pain threshold (PPT), upper extremity muscle activity along with grip force control in individuals with neck pain. Methods: Thirty subjects with neck pain were instructed to grasp and lift an object before and after cervical ( n  = 15) or sham ( n  = 15) manipulation...
May 2018: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/29686165/-chronic-low-back-pain-associated-with-gluteus-medius-muscle-a-case-report
#6
Kazunori Oda, Kyongsong Kim, Rinko Kokubo, Daijiro Morimoto, Takao Kitamura, Toyohiko Isu, Akio Morita
The clinical features and etiology of low back pain(LBP)and buttock pain(BuP)has been poorly understood. We report a case of long-term BuP that was successfully treated with gluteus medius muscle(GMeM)decompression under local anesthesia. A 71-year-old man was referred to our hospital because of long-term BuP and claudication. Left BuP that radiated to the left thigh was observed. The pain was mostly triggered by palpation at the middle of the iliac crest and greater trochanter. Lumbar and pelvic radiograms showed no significant lesions...
April 2018: No Shinkei Geka. Neurological Surgery
https://www.readbyqxmd.com/read/29685875/identifying-subgroups-of-patients-with-chronic-nonspecific-low-back-pain-based-on-a-multifactorial-approach-protocol-for-a-prospective-study
#7
Kevin Rose-Dulcina, Nicolas Vuillerme, Anne Tabard-Fougère, Romain Dayer, Dennis E Dominguez, Stephane Armand, Stéphane Genevay
BACKGROUND: Low back pain, especially nonspecific chronic low back pain (LBP), the leading cause of disability worldwide, represents both social and economic problems. Different therapeutic management techniques can be used, but their effects vary. Clinicians and researchers attribute the variation in the efficacy of therapeutic and management techniques to the heterogeneity of the nonspecific chronic low back pain population, and they agree that nonspecific chronic LBP must be subgrouped...
April 23, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29685738/-idiopathic-orbital-inflammatory-syndrome-report-of-24-cases
#8
S Khochtali, M Zayani, I Ksiaa, I Ben Meriem, S Zaouali, B Jelliti, M Khairallah
BACKGROUND: Idiopathic orbital inflammatory syndrome (IOIS) is an inflammatory condition of unknown etiology. The inflammation may affect all the structures within the orbit (anterior, diffuse, apical, myositic, dacryoadenitis) and corresponds to uniquely orbital inflammation without an identifiable local cause or systemic disease. The goal of this study is to describe the clinical and radiographic characteristics of IOIS and discuss the role of orbital biopsy in this condition. PATIENTS AND METHODS: This is a retrospective review of the charts of 24 patients diagnosed with IOIS at Fattouma Bourguiba hospital, Monastir, Tunisia, from January 2007 to December 2015...
April 20, 2018: Journal Français D'ophtalmologie
https://www.readbyqxmd.com/read/29685560/high-rates-of-psychiatric-disorders-and-below-normal-mental-capacity-associated-with-spastic-peroneal-flatfoot-a-new-relationship
#9
Önder İsmet Kılıçoğlu, Ahmet Salduz, Fevzi Birişik, Fuat Bilgili, Gökhan Polat, İlyas Kaya, Funda Süleyman, Murat Coşkun
Spastic peroneal flatfoot (SPFF) is a rare hindfoot pathology usually seen in the adolescent age group that is characterized by painful spasms in the peroneal muscles. We have clinically observed that patients with SPFF also have some behavioral and emotional difficulties and problems in their academic achievements. Because of these observations, we investigated the prevalence and patterns of psychiatric disorders and intellectual disability among young subjects with SPFF. Our cohort consisted of 16 patients with SPFF...
May 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29685141/sinew-acupuncture-for-knee-osteoarthritis-study-protocol-for-a-randomized-sham-controlled-trial
#10
Kwok Yin Au, Haiyong Chen, Wing Chung Lam, Chiu On Chong, Andrew Lau, Varut Vardhanabhuti, Kin Cheung Mak, Fei Jiang, Wing Yi Lam, Fung Man Wu, Hiu Ngok Chan, Yan Wah Ng, Bacon Fung-Leung Ng, Eric Tat-Chi Ziea, Lixing Lao
BACKGROUND: Sinew acupuncture is a new modality of acupuncture in which needles are inserted into acupoints, ashi points or spasm points of sinew and muscles along the meridian sinew pathway. A previous observational study revealed that sinew acupuncture has immediate analgesic effects on various soft tissue injuries, including knee injuries. However, no rigorous trials have been conducted. This study aims to examine whether sinew acupuncture can safely relieve pain and symptoms of knee osteoarthritis (KOA) and improve patients' functional movement and quality of life...
April 23, 2018: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/29684996/low-grade-chronic-inflammation-mediated-by-mast-cells-in-fibromyalgia-role-of-il-37
#11
F Mastrangelo, I Frydas, G Ronconi, S K Kritas, L Tettamanti, Al Caraffa, C D Ovidio, A Younes, C E Gallenga, P Conti
It has been observed that acute stress causes the activation of TH1 cells, while TH2 cells regulate and act on chronic inflammation. Fibromyalgia (FM) is a chronic, idiopathic disorder which affects about twelve million people in the United States. FM is characterized by chronic widespread pain, fatigue, aching, joint stiffness, depression, cognitive dysfunction and non-restorative sleep. The mechanism of induction of muscle pain and inflammation is not yet clear. In FM there is an increase in reactivity of central neurons with increased sensitivity localized mainly in the CNS...
March 2018: Journal of Biological Regulators and Homeostatic Agents
https://www.readbyqxmd.com/read/29684594/new-apetx-like-peptides-from-sea-anemone-heteractis-crispa-modulate-asic1a-channels
#12
Rimma Kalina, Irina Gladkikh, Pavel Dmitrenok, Oleg Chernikov, Sergey Koshelev, Aleksandra Kvetkina, Sergey Kozlov, Emma Kozlovskaya, Margarita Monastyrnaya
Sea anemones are an abundant source of various biologically active peptides. The hydrophobic 20% ethanol fraction of tropical sea anemone Heteractis crispa was shown to contain at least 159 peptide compounds including neurotoxins, proteinase and α-amylase inhibitors, as well as modulators of acid-sensing ion channels (ASICs). The three new peptides, π-AnmTX Hcr 1b-2, -3, and -4 (41 aa) (short names Hcr 1b-2, -3, -4), identified by a combination of reversed-phase liquid chromatography and mass spectrometry were found to belong to the class 1b sea anemone neurotoxins...
April 20, 2018: Peptides
https://www.readbyqxmd.com/read/29684118/spontaneous-endometriosis-in-cynomolgus-monkeys-as-a-clinically-relevant-experimental-model
#13
A Nishimoto-Kakiuchi, S Netsu, S Okabayashi, K Taniguchi, H Tanimura, A Kato, M Suzuki, T Sankai, R Konno
STUDY QUESTION: Does spontaneous endometriosis in cynomolgus monkeys have the characteristics required of a good experimental model? SUMMARY ANSWER: Spontaneous endometriosis in cynomolgus monkeys exhibited similar clinicopathological characteristics to the human disease and was useful as an experimental model. WHAT IS KNOWN ALREADY: The prevalence of endometriosis in autopsied cynomolgus monkeys (Macaca fascicularis) in a breeding colony was reported to be 28...
April 19, 2018: Human Reproduction
https://www.readbyqxmd.com/read/29683337/foot-mobilization-and-exercise-program-in-combination-with-toe-separator-improves-outcomes-in-women-with-moderate-hallux-valgus-at-the-one-year-follow-up-a-randomized-clinical-trial
#14
Sahar A Abdalbary
BACKGROUND: Few studies have documented the outcome of conservative treatment of hallux valgus deformities on pain and muscle strength. Our objective in this study was to determine the effects of foot mobilization and exercise program, in combination with use of a toe separator, on symptomatic moderate hallux valgus in female patients. METHODS: As part of the randomized clinical trial, 56 adult female patients with moderate hallux valgus were randomly assigned to one of two groups: 36 sessions for 3 months or no intervention (waiting list)...
April 23, 2018: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/29682985/the-7-structures-distal-to-the-elbow-that-are-critical-to-successful-anterior-transposition-of-the-ulnar-nerve
#15
John M Felder, Susan E Mackinnon, Megan M Patterson
BACKGROUND: Ulnar nerve transposition (UNT) surgery is performed for the treatment of cubital tunnel syndrome. Improperly performed UNT can create iatrogenic pain and neuropathy. The aim of this study is to identify anatomical structures distal to the medial epicondyle that should be recognized by all surgeons performing UNT to prevent postoperative neuropathy. METHODS: Ten cadaveric specimens were dissected with attention to the ulnar nerve. Intramuscular UNT surgery was simulated in each...
April 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29682982/resection-of-medial-talocalcaneal-coalition-with-interposition-of-a-pediculated-flap-of-tibialis-posterior-tendon-sheath
#16
Jan Hubert, Thelonius Hawellek, Frank Timo Beil, Dominik Saul, Jens Henning Kling, Christoph Viebahn, Oliver Jungesblut, Ralf Stücker, Martin Rupprecht
BACKGROUND: The purpose of the study was to present a novel operative technique in the management of medial talocalcaneal coalition (TC) and to report our clinical and radiologic results after interposition of a pediculated flap (PF) of the tibialis posterior tendon sheath. METHODS: Twelve feet of 10 patients with a medial TC were treated with the interposition of PF of the tibialis posterior tendon sheath following resection. Pre- and postoperative clinical examinations were performed to evaluate the range of motion and the function of the tibialis posterior muscle of the affected foot...
April 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29682258/low-level-laser-therapy-in-the-treatment-of-muscle-skelet-pain-in-patients-affected-by-temporo-mandibular-disorders
#17
M Basili, A Barlattani, A Venditti, P Bollero
Background: The purpose of the study is to evaluate the effectiveness of Low-Level Laser Therapy in reducing joint and muscle pain in patients with acute and chronic temporomandibular dysfunction. Materials and methods: The study was conducted on a sample of 180 patients. The sample was divided into two groups according to the time of onset of the disease: acute TMD (<6 months) and chronic TMD (> 6 months). The treatment for all patients provided for the irradiation with Diode Laser Wiser Doctor Smile with tip plane wave at wavelength of 830 nm, continuous beam to 40nW diameter and radius of 6 mm...
October 2017: Oral & Implantology
https://www.readbyqxmd.com/read/29682131/the-efficiency-of-anterior-repositioning-splints-in-the-management-of-pain-related-to-temporomandibular-joint-disc-displacement-with-reduction
#18
Malgorzata Pihut, Malgorzata Gorecka, Piotr Ceranowicz, Mieszko Wieckiewicz
Background and Objective: Intra-articular temporomandibular disorders are often related to pain in the area of the temporomandibular joint, ear, and temple. The aim of the study was to investigate the efficiency of anterior repositioning splints in decreasing pain related to temporomandibular joint disc displacement with reduction. Methods: The research material consisted of 112 patients, aged 24 to 45 years, of both genders, who reported for treatment at the Consulting Room of Temporomandibular Joint Dysfunctions at the Jagiellonian University in Cracow between 2014 and 2016 due to pain in the area of the temporomandibular joint(s) and noise(s) of temporomandibular joint(s) present during jaw movements with comorbid contracture of masticatory muscles...
2018: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/29681639/effectiveness-of-surgical-treatment-in-chronic-migraine
#19
Francisco Javier Amaya-Blas, Gabriel A Mecott, Alejandro Marfil-Rivera, María de Lourdes Tamayo-Esquivel, Mauricio Manuel García-Pérez, Hernán Chacón-Moreno, Sergio Pérez-Porras, Rosa Coutiño, Yanko Castro-Góvea
Objective: Migraine affects more than 35 million people in the United States of America, and 10% of the population in the world. The purpose of this study was to evaluate the effectiveness of surgical treatment in chronic migraine with frontal or occipital trigger areas. Methods: We designed a pilot, proof of concept, and prospective study to analyze the effectiveness of surgical release of trigger nerves in severe frontal or occipital chronic migraines. The study was approved by the Ethics and Investigation Committee of Hospital Universitario Dr...
2018: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/29681188/improvement-in-clinical-outcomes-after-dry-needling-versus-myofascial-release-on-pain-pressure-thresholds-quality-of-life-fatigue-pain-intensity-quality-of-sleep-anxiety-and-depression-in-patients-with-fibromyalgia-syndrome
#20
Adelaida M Castro Sánchez, Hector García López, Manuel Fernández Sánchez, José Manuel Pérez Mármol, María Encarnación Aguilar-Ferrándiz, Alejandro Luque Suárez, Guillermo Adolfo Matarán Peñarrocha
PURPOSE: To compare the effectiveness of dry needling versus myofascial release on myofascial trigger points pain in cervical muscles, quality of life, impact of symptoms pain, quality of sleep, anxiety, depression, and fatigue in patients with fibromyalgia syndrome. METHOD: A single-blind randomized controlled trial was conducted. Sixty-four subjects with fibromyalgia were randomly assigned to a dry needling group or a myofascial release group. Pain pressure thresholds of myofascial trigger points were evaluated in the cervical muscles...
April 23, 2018: Disability and Rehabilitation
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