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Acupuncture and neurologic disorders

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114 papers 25 to 100 followers Use of acupuncture to modulate the neuroplastic changes ocurred in the peripheral and central nervous Systems in crônica and açude pain patients
By Hugo Silva Pinto Sports medicine MD, neuromuscular pain and dysfunctions private practice
https://www.readbyqxmd.com/read/27802799/discord-between-approaches-to-spinal-and-extremity-disorders-is-it-logical
#1
Gwendolen Jull
Rapid advances in the basic, clinical, and behavioral sciences are molding developments in conservative management of musculoskeletal disorders. Curiously, there seems to be discord developing between approaches to the assessment and management of patients, depending on whether they present with an extremity or spinal disorder. This viewpoint will comment on examples of differences emerging in some current practices. The aim is not to present a scientific treatise about underpinning sciences and evidence-based practice or to comment on what is correct or incorrect...
November 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27677038/correlation-between-vo2max-and-isokinetic-parameters-spine-before-and-after-functional-restoration-program-in-chronic-low-back-pain
#2
Julien Nardoux
OBJECTIVE: Chronic low-back pain is accompanied by physical deconditioning which result among other by lower VO2max and by disturbances isokinetic explorations. The objective of this study was to investigate whether there was a correlation between VO2max and isokinetic parameters spine before and after a functional restoration program (FRP). MATERIAL/PATIENTS AND METHODS: Uni-centric retrospective study in routine care. Isokinetic spine muscle strength evaluation and functional exercise exploration were performed before and after FRP for all hospitalized patients for 4 weeks to FRP...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/26614421/does-load-influence-shoulder-muscle-recruitment-patterns-during-scapular-plane-abduction
#3
Darren Reed, Ian Cathers, Mark Halaki, Karen A Ginn
OBJECTIVES: Load is used to increasingly challenge muscle function and has been shown to increase muscle activity levels with no change in activation patterns during shoulder flexion, extension, adduction and rotation. However, the effect of load during shoulder abduction, a movement commonly used in assessment of shoulder dysfunction and to improve shoulder function, has not been comprehensively examined. Therefore, the purpose of this study was to determine if load influences shoulder muscle activation patterns and levels during scapular plane abduction in normal subjects...
September 2016: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/27525176/a-new-clinical-muscle-function-test-for-assessment-of-hip-external-rotation-strength-augustsson-strength-test
#4
Jesper Augustsson
INTRODUCTION: Dynamic clinical tests of hip strength applicable on patients, non-athletes and athletes alike, are lacking. The aim of this study was therefore to develop and evaluate the reliability of a dynamic muscle function test of hip external rotation strength, using a novel device. A second aim was to determine if gender differences exist in absolute and relative hip strength using the new test. METHODS: Fifty-three healthy sport science students (34 women and 19 men) were tested for hip external rotation strength using a device that consisted of a strap connected in series with an elastic resistance band loop, and a measuring tape connected in parallel with the elastic resistance band...
August 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27525175/the-efficacy-of-an-eight-week-core-stabilization-program-on-core-muscle-function-and-endurance-a-randomized-trial
#5
Carrie W Hoppes, Aubrey D Sperier, Colleen F Hopkins, Bridgette D Griffiths, Molly F Principe, Barri L Schnall, Johanna C Bell, Shane L Koppenhaver
BACKGROUND: Body armor is credited with increased survival rates in soldiers but the additional axial load may negatively impact the biomechanics of the spine resulting in low back pain. Multiple studies have found that lumbar stabilization programs are superior to generalized programs for patients with chronic low back pain. It is not known if such programs produce objective changes in trunk muscle function with wear of body armor. HYPOTHESIS/PURPOSE: An eight-week core stability exercise program would result in a larger improvement in physical endurance and abdominal muscle thickness than a control intervention...
August 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27522643/arm-position-influences-the-activation-patterns-of-trunk-muscles-during-trunk-range-of-motion-movements
#6
Aaron Siu, Alison Schinkel-Ivy, Janessa Dm Drake
To understand the activation patterns of the trunk musculature, it is also important to consider the implications of adjacent structures such as the upper limbs, and the muscles that act to move the arms. This study investigated the effects of arm positions on the activation patterns and co-activation of the trunk musculature and muscles that move the arm during trunk range-of-motion movements (maximum trunk axial twist, flexion, and lateral bend). Fifteen males and fifteen females, asymptomatic for low back pain, performed maximum trunk range-of-motion movements, with three arm positions for axial twist (loose, crossed, abducted) and two positions for flexion and lateral bend (loose, crossed)...
October 2016: Human Movement Science
https://www.readbyqxmd.com/read/27568517/coupled-activation-of-primary-sensory-neurons-contributes-to-chronic-pain
#7
Yu Shin Kim, Michael Anderson, Kyoungsook Park, Qin Zheng, Amit Agarwal, Catherine Gong, Saijilafu, LeAnne Young, Shaoqiu He, Pamela Colleen LaVinka, Fengquan Zhou, Dwight Bergles, Menachem Hanani, Yun Guan, David C Spray, Xinzhong Dong
Primary sensory neurons in the DRG play an essential role in initiating pain by detecting painful stimuli in the periphery. Tissue injury can sensitize DRG neurons, causing heightened pain sensitivity, often leading to chronic pain. Despite the functional importance, how DRG neurons function at a population level is unclear due to the lack of suitable tools. Here we developed an imaging technique that allowed us to simultaneously monitor the activities of >1,600 neurons/DRG in live mice and discovered a striking neuronal coupling phenomenon that adjacent neurons tend to activate together following tissue injury...
September 7, 2016: Neuron
https://www.readbyqxmd.com/read/27177436/suprascapular-nerve-block-versus-interscalene-block-as-analgesia-after-arthroscopic-rotator-cuff-repair-a-randomized-controlled-noninferiority-trial
#8
Asuka Desroches, Shahnaz Klouche, Charles Schlur, Thomas Bauer, Thomas Waitzenegger, Philippe Hardy
PURPOSE: To compare the efficacy of suprascapular nerve block (SSB) and interscalene block (ISB) as postoperative analgesia within the first 24 hours after arthroscopic supraspinatus and/or infraspinatus tendon repair. METHODS: A single-blind, randomized controlled study was performed between 2013 and 2014. The inclusion criteria were arthroscopic supraspinatus and/or infraspinatus tendon repair confirmed intraoperatively, with or without associated procedures, and informed consent...
May 10, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/26847014/cervico-ocular-reflex-is-increased-in-people-with-nonspecific-neck-pain
#9
Jurryt de Vries, Britta K Ischebeck, Lennard P Voogt, Malou Janssen, Maarten A Frens, Gert-Jan Kleinrensink, Jos N van der Geest
BACKGROUND: Neck pain is a widespread complaint. People experiencing neck pain often present an altered timing in contraction of cervical muscles. This altered afferent information elicits the cervico-ocular reflex (COR), which stabilizes the eye in response to trunk-to-head movements. The vestibulo-ocular reflex (VOR) elicited by the vestibulum is thought to be unaffected by afferent information from the cervical spine. OBJECTIVE: The aim of the study was to measure the COR and VOR in people with nonspecific neck pain...
August 2016: Physical Therapy
https://www.readbyqxmd.com/read/27525182/using-the-selective-functional-movement-assessment-and-regional-interdependence-theory-to-guide-treatment-of-an-athlete-with-back-pain-a-case-report
#10
Gabriella R Goshtigian, Brian T Swanson
BACKGROUND: Despite the multidirectional quality of human movement, common measurement procedures used in physical therapy examination are often uni-planar and lack the ability to assess functional complexities involved in daily activities. Currently, there is no widely accepted, validated standard to assess movement quality. The Selective Functional Movement Assessment (SFMA) is one possible system to objectively assess complex functional movements. The purpose of this case report is to illustrate the application of the SFMA as a guide to the examination, evaluation, and management of a patient with non-specific low back pain (LBP)...
August 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27598553/manual-therapy-in-joint-and-nerve-structures-combined-with-exercises-in-the-treatment-of-recurrent-ankle-sprains-a-randomized-controlled-trial
#11
Gustavo Plaza-Manzano, Marta Vergara-Vila, Sandra Val-Otero, Cristina Rivera-Prieto, Daniel Pecos-Martin, Tomás Gallego-Izquierdo, Alejandro Ferragut-Garcías, Natalia Romero-Franco
BACKGROUND: Recurrent ankle sprains often involve residual symptoms for which subjects often perform proprioceptive or/and strengthening exercises. However, the effectiveness of mobilization to influence important nerve structures due to its anatomical distribution like tibial and peroneal nerves is unclear. OBJETIVES: To analyze the effects of proprioceptive/strengthening exercises versus the same exercises and manual therapy including mobilizations to influence joint and nerve structures in the management of recurrent ankle sprains...
December 2016: Manual Therapy
https://www.readbyqxmd.com/read/27545714/identification-of-early-ret-deep-dorsal-spinal-cord-interneurons-in-gating-pain
#12
Lian Cui, Xuerong Miao, Lingli Liang, Ishmail Abdus-Saboor, William Olson, Michael S Fleming, Minghong Ma, Yuan-Xiang Tao, Wenqin Luo
The gate control theory (GCT) of pain proposes that pain- and touch-sensing neurons antagonize each other through spinal cord dorsal horn (DH) gating neurons. However, the exact neural circuits underlying the GCT remain largely elusive. Here, we identified a new population of deep layer DH (dDH) inhibitory interneurons that express the receptor tyrosine kinase Ret neonatally. These early RET+ dDH neurons receive excitatory as well as polysynaptic inhibitory inputs from touch- and/or pain-sensing afferents. In addition, they negatively regulate DH pain and touch pathways through both pre- and postsynaptic inhibition...
September 7, 2016: Neuron
https://www.readbyqxmd.com/read/27301691/guideline-for-prescribing-opioids-for-chronic-pain
#13
Centers For Disease Control And Prevention Public Health Service U S Department Of Health And Human Services
Improving the way opioids are prescribed through clinical practice guidelines can ensure patients have access to safer, more effective chronic pain treatment while reducing the number of people who misuse, abuse, or overdose from these drugs. The Centers for Disease Control and Prevention (CDC) developed and published the Guideline for Prescribing Opioids for Chronic Pain to provide recommendations for the prescribing of opioid pain medication for patients 18 and older in primary care settings. Recommendations focus on the use of opioids in treating chronic pain (pain lasting longer than 3 months or past the time of normal tissue healing) outside of active cancer treatment, palliative care, and end-of-life care...
June 2016: Journal of Pain & Palliative Care Pharmacotherapy
https://www.readbyqxmd.com/read/27329514/pathophysiology-of-pain
#14
REVIEW
Khalida Anwar
No abstract text is available yet for this article.
September 2016: Disease-a-month: DM
https://www.readbyqxmd.com/read/26417092/placebo-analgesia-and-its-opioidergic-regulation-suggest-that-empathy-for-pain-is-grounded-in-self-pain
#15
RANDOMIZED CONTROLLED TRIAL
Markus Rütgen, Eva-Maria Seidel, Giorgia Silani, Igor Riečanský, Allan Hummer, Christian Windischberger, Predrag Petrovic, Claus Lamm
Empathy for pain activates brain areas partially overlapping with those underpinning the first-hand experience of pain. It remains unclear, however, whether such shared activations imply that pain empathy engages similar neural functions as first-hand pain experiences. To overcome the limitations of previous neuroimaging research, we pursued a conceptually novel approach: we used the phenomenon of placebo analgesia to experimentally reduce the first-hand experience of pain, and assessed whether this results in a concomitant reduction of empathy for pain...
October 13, 2015: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/27445748/a-framework-for-understanding-the-relationship-between-descending-pain-modulation-motor-corticospinal-and-neuroplasticity-regulation-systems-in-chronic-myofascial-pain
#16
Leonardo M Botelho, Leon Morales-Quezada, Joanna R Rozisky, Aline P Brietzke, Iraci L S Torres, Alicia Deitos, Felipe Fregni, Wolnei Caumo
Myofascial pain syndrome (MPS) is a leading cause of chronic musculoskeletal pain. However, its neurobiological mechanisms are not entirely elucidated. Given the complex interaction between the networks involved in pain process, our approach, to providing insights into the neural mechanisms of pain, was to investigate the relationship between neurophysiological, neurochemical and clinical outcomes such as corticospinal excitability. Recent evidence has demonstrated that three neural systems are affected in chronic pain: (i) motor corticospinal system; (ii) internal descending pain modulation system; and (iii) the system regulating neuroplasticity...
2016: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/27471458/motor-cortex-excitability-and-bdnf-levels-in-chronic-musculoskeletal-pain-according-to-structural-pathology
#17
Wolnei Caumo, Alícia Deitos, Sandra Carvalho, Jorge Leite, Fabiana Carvalho, Jairo Alberto Dussán-Sarria, Maria da Graça Lopes Tarragó, Andressa Souza, Iraci Lucena da Silva Torres, Felipe Fregni
The central sensitization syndrome (CSS) encompasses disorders with overlapping symptoms in a structural pathology spectrum ranging from persistent nociception [e.g., osteoarthritis (OA)] to an absence of tissue injuries such as the one presented in fibromyalgia (FM) and myofascial pain syndrome (MPS). First, we hypothesized that these syndromes present differences in their cortical excitability parameters assessed by transcranial magnetic stimulation (TMS), namely motor evoked potential (MEP), cortical silent period (CSP), short intracortical inhibition (SICI) and short intracortical facilitation (SICF)...
2016: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/27475508/myofascial-pain-mechanisms-to-management
#18
REVIEW
James Fricton
More than 100 million adults in the United States have chronic pain conditions, costing more than $500 billion annually in medical care and lost productivity. They are the most common reason for seeking health care, for disability and addiction, and the highest driver of health care costs. Myofascial pain is the most common condition causing chronic pain and can be diagnosed through identifying clinical characteristics and muscle palpation. Management is focused on integrating patient training in changing lifestyle risk factors with evidence-based treatment...
August 2016: Oral and Maxillofacial Surgery Clinics of North America
https://www.readbyqxmd.com/read/27454281/complex-regional-pain-syndrome-caused-by-lumbar-herniated-intervertebral-disc-disease
#19
Se Hee Kim, Sang Sik Choi, Mi Kyung Lee, Jung Eun Kin
Most cases of complex regional pain syndrome (CRPS) occur after some inciting injury. There are a few cases of CRPS after an operation for disc disease. CRPS from a mild herniated intervertebral disc (HIVD) without surgical intervention is even rarer than CRPS after an operation for disc disease.A 22-year-old man was transferred to a pain clinic. He had continuously complained about back and right leg pain. He presented with a skin color change in the right lower leg, intermittent resting tremor, stiffness, and swelling in the right leg...
July 2016: Pain Physician
https://www.readbyqxmd.com/read/27376635/mechanoreceptors-of-the-ligaments-and-tendons-around-the-knee
#20
Haluk Çabuk, Fatmagül Kuşku Çabuk
Proprioceptive inputs from the joints and limbs arise from mechanoreceptors in the muscles, ligaments and tendons. The knee joint has a wide range of movements, and proper neuroanatomical organization is critical for knee stability. Four ligaments (the anterior (ACL) and posterior (PCL) cruciate ligaments and the medial (MCL) and lateral (LCL) collateral ligaments) and four tendons (the semitendinosus (STT), gracilis (GT), popliteal (PoT), and patellar (PaT) tendons) from eight fresh frozen cadavers were harvested...
September 2016: Clinical Anatomy
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