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Functional restoration for chronic pain and disability

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https://www.readbyqxmd.com/read/27917457/patient-reported-outcomes-pros-after-total-extraperitoneal-hernia-repair-tep
#1
E H H Mommers, D R M Hünen, J C H M van Hout, M Guit, J A Wegdam, S W Nienhuijs, T S de Vries Reilingh
BACKGROUND: Patient-reported outcomes (PROs) such as quality of life (QoL), patient satisfaction, and work impairment, are arguably the most important outcomes of any medical treatment. In 2011, Staerkle and Villiger developed the Core Outcome Measurements Index (COMI) to standardise PROs and PRO measurement for inguinal hernia patients, in an attempt to increase inter-study comparability. The aim of this study is to prospectively evaluate the short- and long-term postoperative QoL, function, patient well-being, pain, and social/work disability, after total extraperitoneal (TEP) inguinal hernia repair and to provide the first clinical experience with the COMI-hernia questionnaire...
December 5, 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/27755205/lumbar-facet-resurfacing-first-experience-with-the-fenix-implant
#2
Erik V de Kelft
STUDY DESIGN: This is a feasibility study to confirm the design, patient population, and the surgical technique for FENIX implants. OBJECTIVE: This study evaluated the safety and the clinical and radiologic performance of bilaterally implanted FENIX facet resurfacing device. INTRODUCTION: Facet joint osteoarthritis is responsible for up to 30% of chronic low back pain. Arthroplasty is a surgical treatment option that aims to relieve pain while maintaining or restoring motion...
November 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27609352/biotechnological-management-of-skin-burn-injuries-challenges-and-perspectives-in-wound-healing-and-sensory-recovery
#3
Dorothée Girard, Betty Laverdet, Virginie Buhé, Marina Trouillas, Kamélia Ghazi, Maïa M Alexaline, Christophe Egles, Laurent Misery, Bernard Coulomb, Jean-Jacques Lataillade, François Berthod, Alexis Desmoulière
Many wound management protocols have been developed to improve wound healing after burn with the primordial aim to restore the barrier function of the skin and also provide a better esthetic outcome. Autologous skin grafts remain the gold standard in the treatment of skin burn, but this treatment has its limitation especially for patients presenting limited donor sites due to extensive burn areas. Deep burn injuries also alter the integrity of skin-sensitive innervation and have an impact on patient's quality of life by compromising perceptions of touch, temperature, and pain...
October 7, 2016: Tissue Engineering. Part B, Reviews
https://www.readbyqxmd.com/read/27491326/complex-regional-pain-syndrome
#4
Maria GalveVilla, Bjarne Rittig-Rasmussen, Lene Moeller Schear Mikkelsen, Anne Groendahl Poulsen
INTRODUCTION: Complex regional pain syndrome (CRPS) is a chronic pain condition that can occur after a minor trauma or surgery. It is a multifactorial condition with a complex cause and even more complex pathophysiology. There are disturbances and changes in the sympathetic, somatosensory and motor nervous system, resulting in severe pain and disability. Patients with CRPS can have their quality of life and functional ability greatly affected and they need appropriate and interdisciplinary interventions...
July 18, 2016: Manual Therapy
https://www.readbyqxmd.com/read/27417626/military-chronic-musculoskeletal-pain-and-psychiatric-comorbidity-is-better-pain-management-the-answer
#5
Cindy A McGeary, Donald D McGeary, Jose Moreno, Robert J Gatchel
Chronic musculoskeletal pain, such as low back pain, often appears in the presence of psychiatric comorbidities (e.g., depression, posttraumatic stress disorder (PTSD)), especially among U.S. military service members serving in the post-9/11 combat era. Although there has been much speculation about how to best address pain/trauma psychiatric symptom comorbidities, there are little available data to guide practice. The present study sought to examine how pre-treatment depression and PTSD influence outcomes in a functional restoration pain management program using secondary analysis of data from the Department of Defense-funded Functional and Orthopedic Rehabilitation Treatment (FORT) trial...
2016: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/27340523/efficacy-of-the-multifidus-retraining-program-in-computer-professionals-with-chronic-low-back-pain
#6
Leo Rathinaraj Antony Soundararajan, Sreeja Mannickal Thankappan
STUDY DESIGN: Randomized controlled trial. PURPOSE: To contrast the efficacy of two exercise programs-multifidus retraining program (MRP) and traditional back exercises (TBE)-on pain and functional disability in individuals with chronic low back pain. OVERVIEW OF LITERATURE: Low back pain is a common musculoskeletal disorder. Mechanical low back pain does not involve nerve roots. Stability of the spine is provided by the ligaments and muscles of the lower back and abdomen...
June 2016: Asian Spine Journal
https://www.readbyqxmd.com/read/27292116/effectiveness-of-kyphoplasty-in-the-treatment-of-osteoporotic-vertebral-compression-fracture-patients-with-chronic-kidney-disease
#7
Hao Chen, He Yang, Pu Jia, Li Bao, Hai Tang
BACKGROUND: Kyphoplasty is a popular treatment option for osteoporotic vertebral compression fractures (OVCFs). However, there is still a lack of comprehensive clinical evidence demonstrating whether kyphoplasty is suitable for treatment of OVCFs complicated by chronic kidney disease (CKD). The purpose of this study was to evaluate the effectiveness and safety of kyphoplasty in the treatment of OVCFs in CKD. METHODS: Twelve OVCF patients with CKD who received kyphoplasty were retrospectively reviewed...
September 2016: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/27228514/high-frequency-spinal-cord-stimulation-at-10-khz-for-the-treatment-of-chronic-pain-6-month-australian-clinical-experience
#8
Marc Russo, Paul Verrills, Bruce Mitchell, John Salmon, Adele Barnard, Danielle Santarelli
BACKGROUND: High frequency spinal cord stimulation at 10 kHz (HF10 therapy) represents a prominent advance in spinal cord stimulation (SCS) therapy, having demonstrated enhanced efficacy in patients with back and leg pain and pain relief without paresthesia that is sustained at 24 months post implant. OBJECTIVE: To report on the effectiveness HF10 SCS therapy for a wide range of intractable pain conditions in clinical practice. STUDY DESIGN: Retrospective investigation of 256 patients who trialed HF10 SCS for chronic intractable pain of various etiologies...
May 2016: Pain Physician
https://www.readbyqxmd.com/read/27218046/outcome-of-radial-head-arthroplasty-in-comminuted-radial-head-fractures-short-and-midterm-results
#9
Arash Moghaddam, Tim Friedrich Raven, Eike Dremel, Stefan Studier-Fischer, Paul Alfred Grutzner, Bahram Biglari
BACKGROUND: Comminuted radial head fractures are often associated with secondary injuries and elbow instability. OBJECTIVES: The aim of this retrospective study was to evaluate how well the modular metallic radial head implant EVOLVE® prosthesis restores functional range of motion (ROM) and stability of the elbow in acute care. PATIENTS AND METHODS: Eighty-five patients with comminuted radial head fractures and associated injuries received treatment with an EVOLVE® prosthesis between May 2001 and November 2009...
February 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27145020/lumbar-facet-resurfacing-first-experience-with-the-fenix%C3%A2-implant
#10
Erik Van de Kelft
STUDY DESIGN: This is a feasibility study to confirm the design, the patient population and the surgical technique for FENIX™ implants. OBJECTIVE: This study evaluated the safety, the clinical and radiological performance of bilaterally implanted FENIX™ facet resurfacing device. INTRODUCTION: Facet joint osteoarthritis is responsible for up to 30% of chronic low back pain. Arthroplasty is a surgical treatment option that aims to relieve pain while maintaining or restoring motion...
May 3, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27128390/motor-control-exercise-for-nonspecific-low-back-pain-a-cochrane-review
#11
Bruno T Saragiotto, Christopher G Maher, Tiê P Yamato, Leonardo O P Costa, Luciola C Menezes Costa, Raymond W J G Ostelo, Luciana G Macedo
STUDY DESIGN: A systematic review. OBJECTIVE: The aim of this review was to evaluate the effectiveness of motor control exercise (MCE) in patients with nonspecific low back pain (LBP). SUMMARY OF BACKGROUND DATA: MCE is a common form of exercise used for managing LBP. MCE focuses on the activation of the deep trunk muscles and targets the restoration of control and coordination of these muscles, progressing to more complex and functional tasks integrating the activation of deep and global trunk muscles...
August 15, 2016: Spine
https://www.readbyqxmd.com/read/26866644/calcaneofibular-ligament-transfer-for-recurrent-peroneal-tendon-subluxation-in-pediatric-and-young-adult-patients
#12
Derek S Stenquist, Tyler A Gonzalez, Frances A Tepolt, Dennis E Kramer, Mininder S Kocher
BACKGROUND: Peroneal tendon subluxation is an uncommon cause of lateral ankle pain and instability but can be disabling for some young patients. Surgical management may be required to restore function for patients who fail nonoperative management. The purpose of this study was to determine the functional outcomes after surgical management of peroneal tendon subluxation in pediatric and adolescent patients. METHODS: A retrospective review of patients presenting to our institution over a 10-year period yielded 18 cases of recurrent subluxation refractory to nonoperative management in 14 children or young adults (mean age 15...
February 10, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/26653716/reduced-physical-activity-in-children-and-adolescents-with-juvenile-idiopathic-arthritis-despite-satisfactory-control-of-inflammation
#13
Anna-Helene Bohr, Susan Nielsen, Klaus Müller, Freddy Karup Pedersen, Lars Bo Andersen
BACKGROUND: Vascular health is of concern in patients with Juvenile Idiopathic Arthritis (JIA) since Rheumatoid Arthritis (RA) epidemiologically has a well-described association with premature development of atherosclerosis. Chronic inflammation with persisting systemic circulating inflammatory proteins may be a cause of vascular damage, but general physical inactivity could be an important contributor. Pain and fatigue are common complaints in patients with JIA and may well lead to an inactive sedentary lifestyle...
2015: Pediatric Rheumatology Online Journal
https://www.readbyqxmd.com/read/26330300/interpersonal-responses-and-pain-management-within-the-us-military
#14
Cindy A McGeary, Tabatha H Blount, Alan L Peterson, Robert J Gatchel, Willie J Hale, Donald D McGeary
Purpose Chronic pain poses a significant problem for the US military. The benefits of self-management treatments for chronic pain are well-documented, but interpersonal responses also influence physical and psychological health and may not be addressed through self-management treatments alone. The current study examines whether perceived interpersonal responses to pain, as measured by the Multidimensional Pain Inventory (MPI), change as a result of participation in an intensive pain management program. It was hypothesized that interpersonal responses to pain would be significantly correlated to psychosocial and physical pain outcomes and that interpersonal responses to pain would change significantly for completers of a functional restoration (FR) program compared to those who were randomized to treatment-as-usual in the military medical system...
June 2016: Journal of Occupational Rehabilitation
https://www.readbyqxmd.com/read/26256495/-low-back-pain-when-and-what-to-do
#15
REVIEW
S Tamás Illés
The low back pain has become one of the greatest public health problems worldwide. The author based on the current international standards summarizes the knowledge necessary for every day treatment of low back pain. In acute low back pain the author underlines the necessity of the rapid, accurate diagnosis and separation for specific and non-specific low back pain. In specific acute low back pain the treatment should focus on to eliminate the root causes. In non-specific cases pain killing treatment and early active mobilization is the choice for the therapeutic process...
August 16, 2015: Orvosi Hetilap
https://www.readbyqxmd.com/read/26088213/fibromyalgia-the-prototypical-central-sensitivity-syndrome
#16
REVIEW
Chad S Boomershine
Fibromyalgia syndrome (FM), the most common central sensitivity syndrome (CSS) affecting over 5% of the population, is a disorder of chronic widespread pain accompanied by numerous other symptoms that causes significant functional impairment. The core FM symptom domains can be recalled using the FIBRO mnemonic and include Fatigue and Fog (cognitive dysfunction), Insomnia (difficulties with all aspects of sleep including initiation, maintenance and restorative), Blues (depression and anxiety), Rigidity (stiffness in muscles and joints) and Ow! (widespread pain and tenderness)...
2015: Current Rheumatology Reviews
https://www.readbyqxmd.com/read/25920336/changing-beliefs-for-changing-movement-and-pain-classification-based-cognitive-functional-therapy-cb-cft-for-chronic-non-specific-low-back-pain
#17
N Meziat Filho
This case report presents the effect of classification-based cognitive functional therapy in a patient with chronic disabling low back pain. The patient was assessed using a multidimensional biopsychosocial classification system and was classified as having flexion pattern of movement impairment disorder. Management of this patient was to change her belief that bending over and sitting would cause damage to her disc, combined with active exercises for graded exposure to lumbar flexion to restore normal movement...
February 2016: Manual Therapy
https://www.readbyqxmd.com/read/25793157/management-and-prevention-of-acute-and-chronic-lateral-ankle-instability-in-athletic-patient-populations
#18
REVIEW
Brendan J McCriskin, Kenneth L Cameron, Justin D Orr, Brian R Waterman
Acute and chronic lateral ankle instability are common in high-demand patient populations. If not managed appropriately, patients may experience recurrent instability, chronic pain, osteochondral lesions of the talus, premature osteoarthritis, and other significant long-term disability. Certain populations, including young athletes, military personnel and those involved in frequent running, jumping, and cutting motions, are at increased risk. Proposed risk factors include prior ankle sprain, elevated body weight or body mass index, female gender, neuromuscular deficits, postural imbalance, foot/ankle malalignment, and exposure to at-risk athletic activity...
March 18, 2015: World Journal of Orthopedics
https://www.readbyqxmd.com/read/25704221/the-effect-of-adding-forward-head-posture-corrective-exercises-in-the-management-of-lumbosacral-radiculopathy-a-randomized-controlled-study
#19
RANDOMIZED CONTROLLED TRIAL
Ibrahim M Moustafa, Aliaa A Diab
OBJECTIVE: The purpose of this study was to determine the immediate and long-term effects of a multimodal program, with the addition of forward head posture correction, in patients with chronic discogenic lumbosacral radiculopathy. METHODS: This randomized clinical study included 154 adult patients (54 females) who experienced chronic discogenic lumbosacral radiculopathy and had forward head posture. One group received a functional restoration program, and the experimental group received forward head posture corrective exercises...
March 2015: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/25662743/episodic-and-chronic-migraine-headache-breaking-down-barriers-to-optimal-treatment-and-prevention
#20
REVIEW
Richard B Lipton, Stephen D Silberstein
Migraine is a common disabling primary headache disorder that affects an estimated 36 million Americans. Migraine headaches often occur over many years or over an individual's lifetime. By definition, episodic migraine is characterized by headaches that occur on fewer than 15 days per month. According to the recent International Classification of Headache Disorders (third revision) beta diagnostic criteria, chronic migraine is defined as "headaches on at least 15 days per month for at least 3 months, with the features of migraine on at least 8 days per month...
March 2015: Headache
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