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https://www.readbyqxmd.com/read/28654614/evidence-based-medicine-surgical-management-of-flexor-tendon-lacerations
#1
Robin N Kamal, Jeffrey Yao
LEARNING OBJECTIVES: After reading this article, the participant should be able to: 1. Accurately diagnose a flexor tendon injury. 2. Develop a surgical approach with regard to timing, tendon repair technique, and rehabilitation protocol. 3. List the potential complications following tendon repair. SUMMARY: Flexor tendon lacerations are complex injuries that require a thorough history and physical examination for accurate diagnosis and management. Knowledge of operative approaches and potential concomitant injuries allows the surgeon to be prepared for various findings during exploration...
July 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28584214/study-on-language-rehabilitation-for-aphasia
#2
REVIEW
Zeng-Zhi Yu, Shu-Jun Jiang, Zi-Shan Jia, Hong-Yu Xiao, Mei-Qi Zhou
OBJECTIVE: The aim is to update our clinical recommendations for evidence-based language rehabilitation of people with aphasia, based on a systematic review of the literature from 1999 to 2015. DATA SOURCES: Articles referred to in this systematic review of the Medline and PubMed published in English language literatures were from 1998 to 2015. The terms used in the literature searches were aphasia and evidenced-based. STUDY SELECTION: The task force initially identified citations for 51 published articles...
June 20, 2017: Chinese Medical Journal
https://www.readbyqxmd.com/read/28512066/use-of-electroencephalography-brain-computer-interface-systems-as-a-rehabilitative-approach-for-upper-limb-function-after-a-stroke-a-systematic-review
#3
REVIEW
Esther Monge-Pereira, Jaime Ibañez-Pereda, Isabel M Alguacil-Diego, Jose I Serrano, María P Spottorno-Rubio, Francisco Molina-Rueda
BACKGROUND: Brain-computer interface (BCI) systems have been suggested as a promising tool for neurorehabilitation. However, to date, there is a lack of homogeneous findings. Furthermore, no systematic reviews have analyzed the degree of validation of these interventions for upper limb (UL) motor rehabilitation poststroke. OBJECTIVES: The study aims were to compile all available studies that assess an UL intervention based on an electroencephalography (EEG) BCI system in stroke; to analyze the methodological quality of the studies retrieved; and to determine the effects of these interventions on the improvement of motor abilities...
May 13, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28404557/exercise-prescription-for-overhead-athletes-with-shoulder-pathology-a-systematic-review-with-best-evidence-synthesis
#4
REVIEW
Alexis A Wright, Eric J Hegedus, Daniel T Tarara, Samantha C Ray, Steven L Dischiavi
OBJECTIVE: To produce a best evidence synthesis of exercise prescription used when treating shoulder pathology in the overhead athlete. DESIGN: A systematic review of exercises used in overhead athletes including case studies and clinical commentaries. DATA SOURCES: MEDLINE, PubMed, SPORTDiscus and CINAHL from database inception through July 8, 2016. METHODS: We examined data from randomised controlled trials and prospective cohort (level I-IV evidence) studies that addressed exercise intervention in the rehabilitation of the overhead athlete with shoulder pathology...
April 12, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28044204/25%C3%A2-years-of-dysphagia-rehabilitation-what-have-we-done-what-are-we-doing-and-where-are-we-going
#5
REVIEW
Caryn Easterling
As deglutologists, we strive to use the best evidence available in the treatment of swallowing disorders. Evidence-based medicine is a bottom-up approach that thoughtfully combines the best external evidence with individual clinical expertise and the patients' choice reflective of their clinical state and preferences for their specific care plan. Evidence-based medicine is not restricted to randomized clinical trials and meta-analyses; rather, evidence-based medicine includes our ability to discriminate the best external evidence with which to answer clinical questions and then skillfully and appropriately being able to apply this evidence in the care and treatment of our patients (Sackett et al...
February 2017: Dysphagia
https://www.readbyqxmd.com/read/28032161/psychological-and-psychiatric-traits-in-post-bariatric-patients-asking-for-body-contouring-surgery
#6
Chiara Pavan, Massimo Marini, Eleonora De Antoni, Carlotta Scarpa, Tito Brambullo, Franco Bassetto, Annapina Mazzotta, Vincenzo Vindigni
BACKGROUNDS: Obese patients, mainly females, feel uncomfortable and unsatisfied with their physical appearance; they have a wrong perception of their image and consequently diminish their self-esteem, sometimes showing difficulties in functional areas such as work, relationship, social activity. Beside health concerns, improving their appearance and body image are often common motives for weight loss in obese individuals and after weight loss about 30% of bariatric surgery patients undergo plastic surgical correction of excessive skin...
December 28, 2016: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28027259/evidence-based-medicine-thumb-basal-joint-arthritis
#7
REVIEW
Richard H J Baker, Jaber Al-Shukri, Tim R C Davis
LEARNING OBJECTIVES: After studying this article, the participant should be able to: 1. Assess the patient's history, clinical examination, and radiographic findings to diagnose and stage basilar joint arthritis. 2. Recall the cause and epidemiology of the condition. 3. Formulate a management plan including nonoperative management, and evaluate the candidacy for surgical treatment. 4. Understand the rationale for the various surgical options available (including rehabilitation), their potential complications, and the evidence related to outcomes...
January 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27986428/rehabilitation-of-unilateral-neglect-evidence-based-medicine
#8
REVIEW
Philippe Azouvi, Sophie Jacquin-Courtois, Jacques Luauté
BACKGROUND: In the last decades, several rehabilitation methods have been developed to improve spatial neglect. These can be classified according to their theoretical basis: (i) enhance awareness of neglect behaviour through a top-down mechanism; (ii) low-level bottom-up sensory stimulation; (iii) modulation of inhibitory processes; (iv) increase arousal. OBJECTIVE: The purpose of this study was to provide an overview of the evidence on the effectiveness of rehabilitation procedures for unilateral neglect...
December 13, 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27676935/perceived-effectiveness-tolerance-of-cares-in-children-and-adults-with-cerebral-palsy
#9
Laetitia Houx, Hélène Saudreau, Philippe Galien, Christelle Pons, Marion Roquet, Ronan Garlantezec, Sylvain Brochard
OBJECTIVE: A better understanding of the perception of the rehabilitative and medical care's by persons with cerebral palsy (CP) and their families may help in providing better adherence to these cares. The main objective of this study was to assess overall satisfaction, self-perception of effectiveness and tolerance of the rehabilitative and medical cares in individuals with CP. MATERIAL AND METHODS: This was a cross-sectional questionnaire-based study. A total of 950 questionnaires were sent to French Britain children and adults with CP...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27649984/-aphasia-evidence-based-therapy-approaches
#10
REVIEW
R Darkow, A Flöel
Speech and language therapy is essential in the rehabilitation of aphasic disorders following a stroke. Due to the predicted increase of aphasia and limited resources within the healthcare system, the development of efficient and sustainable treatment methods is of exceptional importance. The effectiveness of both traditional and innovative approaches needs to be evaluated against the standards of evidence-based medicine. Class I evidence has been established for high-intensity speech and language therapy in subacute and chronic stages of aphasia...
October 2016: Der Nervenarzt
https://www.readbyqxmd.com/read/27632829/the-effectiveness-of-nonoperative-rehabilitation-programs-for-athletes-diagnosed-with-osteitis-pubis
#11
REVIEW
Scott W Cheatham, Morey J Kolber, Kathryn Kumagai Shimamura
Clinical Scenario: The differential diagnosis of groin pain can be very challenging due to the many causative pathologies. Osteitis pubis is a pathology that is becoming more recognized in athletes who participate in sports such as soccer, ice hockey, rugby, and football. Conservative nonoperative treatment is often prescribed first before surgical intervention. Of particular interest are the outcomes of nonoperative rehabilitation programs and their effectiveness to return athletes to preinjury levels of participation...
December 2016: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/27531205/-efficacy-of-early-neurological-and-neurosurgical-rehabilitation-evidence-based-treatment-outcome-and-prognostic-factors
#12
REVIEW
M Pohl, M Bertram
BACKGROUND: Early neurological and neurosurgical rehabilitation (ENNR) as a complex post-acute form of treatment for patients with severe neurological diseases and continued need for intensive care is well established in Germany. OBJECTIVE: To assess the efficacy of ENNR from the perspective of evidence-based medicine as well as to present data on the outcome of ENNR patients including the analysis of prognostic factors. MATERIAL AND METHODS: A search was carried out in PubMed databases to identify early rehabilitation treatment forms evaluated by randomized controlled trials and with respect to large multicenter surveys of outcome and prognostic factors...
October 2016: Der Nervenarzt
https://www.readbyqxmd.com/read/27500673/-the-analysis-of-compliance-of-pharmacotherapy-of-patients-with-myocardial-infarction-to-the-principles-evidence-based-medicine-at-the-stage-of-rehabilitation-in-modern-conditions
#13
I M Burykin, G N Aleeva, R Kh Khafizianova
GOAL: Acute myocardial infarction is one of the causal factors of society and economic losses of companionship. Success in the treatment of acute myocardial infarction raises questions on the effective rehabilitation of the first places. New methods, clinical guidelines and standards have been introduced into clinical practice. However, the effectiveness of rehabilitation in the Russian Federation lower than developed countries. The present study was aimed to improve rehabilitation care to patients after acute myocardial infarction...
2016: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
https://www.readbyqxmd.com/read/27269806/the-effectiveness-of-a-functional-knee-brace-on-joint-position-sense-in-anterior-cruciate-ligament-reconstructed-individuals
#14
Dai Sugimoto, Jessica C LeBlanc, Sarah E Wooley, Lyle J Micheli, Dennis E Kramer
It is estimated that approximately 350,000 individuals undergo anterior cruciate ligament (ACL) reconstruction surgery in each year in the US. Although ACL-reconstruction surgery and postoperative rehabilitation are successfully completed, deficits in postural control remain prevalent in ACL-reconstructed individuals. In order to assist the lack of balance ability and reduce the risk of retear of the reconstructed ACL, physicians often provide a functional knee brace on the patients' return to physical activity...
May 2016: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/27269805/postoperative-rehabilitation-after-hip-resurfacing-a-systematic-review
#15
Scott W Cheatham, Monique Mokha, Matt Lee
CONTEXT: Hip-resurfacing arthroplasty (HRA) has become a popular procedure in the treatment of hip-joint arthritis in individuals under the age of 65 y. Although the body of literature examining operative procedures has grown, there is a lack of consistent reporting of the effectiveness of an HRA postoperative rehabilitation program. To date, no systematic reviews have evaluated the available evidence on postoperative rehabilitation programs. OBJECTIVE: To evaluate the available evidence on postoperative rehabilitation programs after HRA...
May 2016: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/27117993/-exercise-therapy-in-the-treatment-of-idiopathic-adolescent-scoliosis-is-it-useful
#16
REVIEW
M Porte, K Patte, A Dupeyron, J Cottalorda
Many practitioners, pediatricians, and general practitioners prescribe physical therapy when tracking scoliosis. However, has physical therapy alone proved its efficacy in the care of the scoliosis to slow down progression? Our purpose is to report the results of a literature review on the effectiveness of rehabilitation in idiopathic scoliosis. No current study presents sufficient scientific proof to validate the efficacy of isolated exercise therapy in scoliosis. Learned societies recognize, however, the efficacy of combining conservative therapy (brace+physiotherapy) in idiopathic scoliosis...
June 2016: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/27013598/rehabilitation-interventions-in-children-and-adults-with-infectious-encephalitis-a-systematic-review-protocol
#17
Shanice Christie, Vincy Chan, Tatyana Mollayeva, Angela Colantonio
INTRODUCTION: Many encephalitis survivors can benefit from rehabilitation. However, there is currently no comprehensive review describing rehabilitation intervention outcomes among children and adults with infectious encephalitis. This is a protocol for a systematic review that will summarise the current literature on outcomes following rehabilitative interventions among children and adults with infectious encephalitis. With a sufficient sample size, a sex-stratified analysis of the findings will also be presented, as variability between male and female patients with neurological disorders, including encephalitis, regarding outcomes after rehabilitative interventions has been noted in the literature...
March 24, 2016: BMJ Open
https://www.readbyqxmd.com/read/26946219/european-society-of-coloproctology-consensus-on-the-surgical-management-of-intestinal-failure-in-adults
#18
C J Vaizey, Y Maeda, E Barbosa, F Bozzetti, J Calvo, Ø Irtun, P B Jeppesen, S Klek, M Panisic-Sekeljic, I Papaconstantinou, A Pascher, Y Panis, W D Wallace, G Carlson, M Boermeester
Intestinal failure (IF) is a debilitating condition of inadequate nutrition due to an anatomical and/or physiological deficit of the intestine. Surgical management of patients with acute and chronic IF requires expertise to deal with technical challenges and make correct decisions. Dedicated IF units have expertise in patient selection, operative risk assessment and multidisciplinary support such as nutritional input and interventional radiology, which dramatically improve the morbidity and mortality of this complex condition and can beneficially affect the continuing dependence on parenteral nutritional support...
June 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/26824401/-better-reporting-of-interventions-template-for-intervention-description-and-replication-tidier-checklist-and-guide
#19
T C Hoffmann, P P Glasziou, I Boutron, R Milne, R Perera, D Moher, D G Altman, V Barbour, H Macdonald, M Johnston, S E Lamb, M Dixon-Woods, P McCulloch, J C Wyatt, A-W Chan Phelan, S Michie
Without a complete published description of interventions, clinicians and patients cannot reliably implement interventions that are shown to be useful, and other researchers cannot replicate or build on research findings. The quality of description of interventions in publications, however, is remarkably poor. To improve the completeness of reporting, and ultimately the replicability, of interventions, an international group of experts and stakeholders developed the Template for Intervention Description and Replication (TIDieR) checklist and guide...
March 2016: Das Gesundheitswesen
https://www.readbyqxmd.com/read/26385041/evidence-based-care-in-a-population-with-chronic-kidney-disease-and-acute-coronary-syndrome-findings-from-the-australian-cooperative-national-registry-of-acute-coronary-care-guideline-adherence-and-clinical-events-concordance
#20
MULTICENTER STUDY
Jerrett K Lau, Malcolm O Anastasius, Karice K Hyun, Bilyana Dabin, Steven Coverdale, Cate Ferry, Joseph Hung, Paul Antonis, Derek P Chew, Bernadette Aliprandi-Costa, Alan Cass, David B Brieger
BACKGROUND: Acute coronary syndrome (ACS) guidelines recommend that patients with chronic kidney disease (CKD) be offered the same therapies as other high-risk ACS patients with normal renal function. Our objective was to describe the gaps in evidence-based care offered to patients with ACS and concomitant CKD. METHODS: Patients presenting to 41 Australian hospitals with suspected ACS were stratified by presence of CKD (glomerular filtration rate <60 mL/min)...
September 2015: American Heart Journal
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