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https://www.readbyqxmd.com/read/29628812/exercise-therapy-for-a-patient-with-parkinson-disease-and-back-pain-a-case-report
#1
Christina L Rosarion
Objective: The purpose of this report is to describe an exercise intervention for an elderly patient with Parkinson disease with a chief complaint of lower back pain. Clinical Features: The patient was an 85-year-old man who had been diagnosed with Parkinson disease and kyphosis. Back pain was preventing him from carrying out activities of daily living. He was referred for physical therapy for treatment to reduce lower back pain and increase function. An initial examination consisted of testing flexibility and range of motion and administering a pain severity scale and a Lower Extremity Functional Index (LEFI); the patient's initial LEFI score was 14/80...
March 2018: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/29625874/peripheral-neuropathy-is-associated-with-more-frequent-falls-in-parkinson-s-disease
#2
Mélanie L Beaulieu, Martijn L T M Müller, Nicolaas I Bohnen
INTRODUCTION: Peripheral neuropathy is a common condition in the elderly that can affect balance and gait. Postural imbalance and gait difficulties in Parkinson's disease (PD), therefore, may stem not only from the primary neurodegenerative process but also from age-related medical comorbidities. Elucidation of the effects of peripheral neuropathy on these difficulties in PD is important to provide more targeted and effective therapy. The purpose of this study was to investigate the association between lower-limb peripheral neuropathy and falls and gait performance in PD while accounting for disease-specific factors...
April 3, 2018: Parkinsonism & related Disorders
https://www.readbyqxmd.com/read/29620137/effectiveness-of-wii-based-rehabilitation-in-stroke-a-randomized-controlled-study
#3
Ayça Utkan Karasu, Elif Balevi Batur, Gülçin Kaymak Karataş
OBJECTIVE: To investigate the efficacy of Nintendo Wii Fit®-based balance rehabilitation as an adjunc-tive therapy to conventional rehabilitation in stroke patients. METHODS: During the study period, 70 stroke patients were evaluated. Of these, 23 who met the study criteria were randomly assigned to either the experimental group (n = 12) or the control group (n = 11) by block randomization. Primary outcome measures were Berg Balance Scale, Functional Reach Test, Postural Assessment Scale for Stroke Patients, Timed Up and Go Test and Static Balance Index...
April 5, 2018: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29616749/impact-of-selected-magnetic-fields-on-the-therapeutic-effect-in-patients-with-lumbar-discopathy-a-prospective-randomized-single-blinded-and-placebo-controlled-clinical-trial
#4
Jakub Taradaj, Marcin Ozon, Robert Dymarek, Bartosz Bolach, Karolina Walewicz, Joanna Rosińczuk
BACKGROUND: Interdisciplinary physical therapy together with pharmacological treatment constitute conservative treatment strategies related to low back pain (LBP). There is still a lack of high quality studies aimed at an objective evaluation of physiotherapeutic procedures according to their effectiveness in LBP. OBJECTIVES: The aim of this study is to carry out a prospective, randomized, single-blinded, and placebocontrolled clinical trial to evaluate the effectiveness of magnetic fields in discopathy-related LBP...
March 23, 2018: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
https://www.readbyqxmd.com/read/29606335/spinal-manipulative-therapy-and-other-conservative-treatments-for-low-back-pain-a-guideline-from-the-canadian-chiropractic-guideline-initiative
#5
André E Bussières, Gregory Stewart, Fadi Al-Zoubi, Philip Decina, Martin Descarreaux, Danielle Haskett, Cesar Hincapié, Isabelle Pagé, Steven Passmore, John Srbely, Maja Stupar, Joel Weisberg, Joseph Ornelas
OBJECTIVE: The objective of this study was to develop a clinical practice guideline on the management of acute and chronic low back pain (LBP) in adults. The aim was to develop a guideline to provide best practice recommendations on the initial assessment and monitoring of people with low back pain and address the use of spinal manipulation therapy (SMT) compared with other commonly used conservative treatments. METHODS: The topic areas were chosen based on an Agency for Healthcare Research and Quality comparative effectiveness review, specific to spinal manipulation as a nonpharmacological intervention...
March 29, 2018: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/29601222/effects-of-dance-based-movement-therapy-on-balance-gait-and-psychological-functions-in-severe-cerebellar-ataxia-a-case-study
#6
Yong-Gwan Song, Young-Uk Ryu, Seung-Jin Im, Ye-Seung Lee, Jin-Hoon Park
PURPOSE: Individuals in the later stages of cerebellar ataxia usually experience serious balance and immobility problems. Currently, there is a lack of adequate rehabilitative programs for individuals with severe cerebellar ataxia that can help improve ataxia-related motor impairment. The purpose of the present study was to explore the potential physiotherapeutic benefits of partnered dance on balance, motor functions, and psychological well-being in an individual demonstrating severe cerebellar ataxia symptoms...
March 30, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29600097/concurrent-thymic-carcinoma-and-middle-lobe-syndrome
#7
Xi Zheng, Yue Huang, Junhe Gou, Daxing Zhu, Qinghua Zhou
Surgery is one of the first-line treatments for thymic carcinoma. Middle lobe syndrome which is irresponsive to conservative therapies also calls for surgical intervention. We reported the case of a 65-year-old male who was diagnosed with coexistent thymic carcinoma and non-obstructive middle lobe syndrome. Before the operation, we took measures including repeated sputum examination, physical therapy, postural sputum drainage and bronchodilator inhalation. After removal of the mediastinal neoplasm, venous antibiotics were used to prevent pneumonia...
January 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29581658/effect-of-interferential-current-therapy-on-forward-head-posture
#8
Ye-Jin Choi, Hee-Jung Kim, Sun-Young Han, Bo-Ram Choi
[Purpose] The purpose of this study was to examine the effects of interferential current therapy on the shoulder muscles of subjects with forward head posture. [Subjects and Methods] Thirty volunteers (15 forward head posture, 15 control) participated in this study. Interferential current therapy treatment was conducted for 10 min, three times per week, for 3 weeks on both the upper trapezius and levator scapulae. Subjects were measured anterior both acromion distance and posterior both acromial distance using a ruler, and the forward head posture angle using an electronic application...
March 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29561967/variables-associated-with-mouth-breathing-diagnosis-in-children-based-on-a-multidisciplinary-assessment
#9
Jovana de Moura Milanesi, Luana Cristina Berwig, Mariana Marquezan, Luiz Henrique Schuch, Anaelena Bragança de Moraes, Ana Maria Toniolo da Silva, Eliane Castilhos Rodrigues Corrêa
PURPOSE: : This study was conducted to identify variables associated with mouth breathing diagnosis in children, based on multidisciplinary domains. METHODS: 119 children, six to 12 years old, underwent anamnesis, speech therapy (orofacial structures and stomatognathic functions), otorhinolaryngologic (OTRL) with clinical and endoscopic examinations, dental (occlusion) and physiotherapy (body posture and nasal patency) assessments. Nasal patency was evaluated using Peak Nasal Inspiratory Flow (PNIF) and the Nasal Obstruction Symptom Evaluation (NOSE) scale...
March 19, 2018: CoDAS
https://www.readbyqxmd.com/read/29558836/after-effects-of-neck-muscle-vibration-on-sensorimotor-function-and-pain-in-neck-pain-patients-and-healthy-controls-a-case-control-study
#10
Konstantin Beinert, Volker Englert, Wolfgang Taube
PURPOSE: Neck muscle vibration immediately improves cervical joint position sense and dynamic postural control but increases pressure pain thresholds in neck pain patients. The aim of this study was to explore longer lasting effects of neck muscle vibration on sensorimotor control and pressure pain threshold. MATERIALS AND METHODS: Five series of neck muscle vibration were delivered to 15 neck pain patients and 11 healthy controls in this case control study. Outcomes were cervical joint position sense, arm-matching acuity, and pressure pain threshold at the zygapophyseal joint of C2/C3, the angulus superior, and the tibialis anterior muscle...
March 21, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29557988/personalized-botulinum-toxin-type-a-therapy-for-cervical-dystonia-based-on-kinematic-guidance
#11
Olivia Samotus, Jack Lee, Mandar Jog
BACKGROUND: Botulinum toxin type A (BoNT-A) injections is the accepted first-line therapy for cervical dystonia (CD), however, numerous patients discontinue treatment early due to perceived sub-optimal relief. To improve BoNT-A therapy for CD, proper assessment of neck motion and selection of relevant muscles and dosing must be met. Kinematic technology may improve treatment outcomes by guiding physicians to better tailor muscle selection and BoNT-A dosing for CD therapy. METHODS: 28 CD participants were placed into either group: expert injector determined injection patterns by visual assessment ("vb") versus injection patterns based on kinematics interpreted by an expert injector ("kb")...
March 20, 2018: Journal of Neurology
https://www.readbyqxmd.com/read/29537989/psilocin-and-ketamine-microdosing-effects-of-subchronic-intermittent-microdoses-in-the-elevated-plus-maze-in-male-wistar-rats
#12
Rachel R Horsley, Tomáš Páleníček, Jan Kolin, Karel Valeš
Short-term moderate doses of serotonergic and dissociative hallucinogens can be useful in the treatment of anxiety. Recently, a trend has developed for long-term intermittent 'microdosing' (usually one-tenth of a 'full' active dose), with reports of long-lasting relief from anxiety and related disorders; however, there is no scientific evidence for the efficacy of therapeutic microdosing nor to show its lasting effects. The objective of this study was to test for lasting effects on anxiety in rats after microdosing with ketamine or psilocin...
March 13, 2018: Behavioural Pharmacology
https://www.readbyqxmd.com/read/29525396/use-of-commercial-video-games-to-improve-postural-balance-in-patients-with-multiple-sclerosis-a-systematic-review-and-meta-analysis-of-randomised-controlled-clinical-trials
#13
M Parra-Moreno, J J Rodríguez-Juan, J D Ruiz-Cárdenas
INTRODUCTION: Commercial video games are considered an effective tool to improve postural balance in different populations. However, the effectiveness of these video games for patients with multiple sclerosis (MS) is unclear. OBJECTIVES: To analyse existing evidence on the effects of commercial video games on postural balance in patients with MS. MATERIAL AND METHOD: We conducted a systematic literature search on 11 databases (Academic-Search Complete, AMED, CENTRAL, CINAHL, WoS, IBECS, LILACS, Pubmed/Medline, Scielo, SPORTDiscus, and Science Direct) using the following terms: "multiple sclerosis", videogames, "video games", exergam*, "postural balance", posturography, "postural control", balance...
March 7, 2018: Neurología: Publicación Oficial de la Sociedad Española de Neurología
https://www.readbyqxmd.com/read/29512863/re-emergent-tremor-in-parkinson-s-disease-the-effect-of-dopaminergic-treatment
#14
D Belvisi, A Conte, C Cutrona, M Costanzo, G Ferrazzano, G Fabbrini, A Berardelli
BACKGROUND AND PURPOSE: Patients with Parkinson's disease (PD) with resting tremor may be affected by a tremor that appears after a varying latency while a posture is maintained, a phenomenon referred to as re-emergent tremor (RET). The aim of the study was to evaluate the occurrence and clinical features of RET in patients with PD tested off and on treatment, and to compare the effect of dopaminergic treatment on RET with the effect on resting and action tremor. METHODS: We consecutively enrolled 100 patients with PD...
March 7, 2018: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/29480887/hand-posturing-is-a-nonverbal-indicator-of-catastrophic-thinking-for-finger-hand-or-wrist-injury
#15
Suzanne C Wilkens, Jonathan Lans, Claudia A Bargon, David Ring, Neal C Chen
BACKGROUND: Prior research documents that greater psychologic distress (anxiety/depression) and less effective coping strategies (catastrophic thinking, kinesophobia) are associated with greater pain intensity and greater limitations. Recognition and acknowledgment of verbal and nonverbal indicators of psychologic factors might raise opportunities for improved psychologic health. There is evidence that specific patient words and phrases indicate greater catastrophic thinking. This study tested proposed nonverbal indicators (such as flexion of the wrist during attempted finger flexion or extension of uninjured fingers as the stiff and painful finger is flexed) for their association with catastrophic thinking...
February 14, 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29477133/randomized-controlled-trial-efficacy-of-ultrasound-and-exercise-in-patients-with-ankylosing-spondylitis
#16
Ying-Yan Sun, Hu-Jun Cui, Jia-Nan Dong, Ping Sun, Qing-Xin Meng
Context • The aim in treating ankylosing spondylitis (AS) is to reduce patients' symptoms, including pain, stiffness, and fatigue; to correct their posture; and to improve their quality of life. Currently, no definitive therapy is available for treating AS. Previous studies have reported positive results regarding the efficacy of exercise. Objective • This study aimed to assess the efficacy of ultrasound, combined with exercise, in patients with AS. Design • The research team designed a randomized, double-blind, 2-arm parallel-group, placebo-controlled trial...
February 24, 2018: Alternative Therapies in Health and Medicine
https://www.readbyqxmd.com/read/29475822/gastric-perforation-as-a-complication-of-intragastric-balloon
#17
Ahmed Arifur Rahman, Ken Loi
Obesity is considered the most common nutritional disorder in Western countries and is related to multiple morbidity and mortality. There are different options for obesity treatment, including diet, behavioral therapy, medications, and surgery. If patients do not meet the criteria for bariatric surgery, intragastric balloons may be used to achieve weight reduction. Currently, the intragastric balloon is one of the most common bariatric procedures in obese patients in Europe. Gastric perforation associated with intragastric balloon is a rare but dangerous complication...
January 31, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/29474100/cervical-myelopathy-causing-numbness-and-paresthesias-in-lower-extremities-a-case-report-identifying-the-cause-of-a-false-positive-sharp-purser-test
#18
Cody J Mansfield
INTRODUCTION: The patient was referred to an outpatient physical therapy clinic for lumbar radiculopathy by a primary care physician and subsequently referred for imaging due to suspicion of cervical myelopathy. The case highlights the clinical reasoning of the physical therapist differentiating between lumbar stenosis, cervical myelopathy, and upper cervical instability. To the author's knowledge, this is the only case report in the literature to describe the mechanism that could underpin a false positive Sharp-Purser test (SPT)...
February 23, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29473456/peripheral-somatosensory-stimulation-and-postural-recovery-after-stroke-a-systematic-review
#19
Jonas Schröder, Steven Truijen, Tamaya Van Criekinge, Wim Saeys
Purpose It is hypothesized that peripheral somatosensory stimulation (PSS) can promote postural recovery after stroke by increasing afferent input and postural contribution of the paretic leg. Therefore, this systematic review aims to investigate which PSS approaches are documented and investigated on effectiveness. Methods Five databases (PubMed, Web of Science, PEDro, Cochrane Library Trials, RehabData) have been searched on clinical studies in stroke rehabilitation, investigating PSS, which is defined as a non-motor and focal stimulation to the paretic leg aiming an increase in somatosensory input...
February 23, 2018: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29468616/does-focal-mechanical-stimulation-of-the-lower-limb-muscles-improve-postural-control-and-sit-to-stand-movement-in-elderly
#20
G Attanasio, F Camerota, M Ralli, G Galeoto, G La Torre, M Galli, M De Vincentiis, A Greco, Claudia Celletti
BACKGROUNDS: Imbalance in elderly is a common problem strictly related to fall. AIMS: This study investigates the possibility that a new protocol based on the focal mechanical muscle vibration may improve balance and stability in elderly. METHODS: Pre-post non-randomized clinical trial has been used. Patients referring postural disequilibrium with negative vestibular bed-side examinations have been treated with focal muscle vibration applied to quadriceps muscles and evaluated before and immediately after therapy and after 1 week and after 1 month with postural stabilometric examination and with an inertial measurement units during the time up and go test...
February 21, 2018: Aging Clinical and Experimental Research
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