Reorganization of hand motor function to the primary somatosensory cortex in a patient with primary motor cortex infarct: Functional MRI and diffusion tensor tractography assessments No abstract available |
Efficacy of transcutaneous electronic nerve stimulation (TENS) in postoperative analgesia after pulmonary surgery: A systematic review and meta-analysis Objective This study aimed to identify the analgesic efficacy and safety of transcutaneous electronic nerve stimulation (TENS) in postoperative pain after pulmonary surgery. Design Electronic databases (PubMed, EmBase, Web of Science and CENTRAL) were systematically searched from their inception to June 2019. The continuous variables were pooled as the weighted mean difference (WMD) with correlated 95% confidence interval (CI). Results were recognized as significant when p< 0.05. Subgroup analyses, sensitivity analyses and quality assessment were performed. Results Altogether 10 studies were included. The pooled results indicated that TENS group conferred lower pain intensity score on the first postoperative day (POD) (WMD: -0.93, 95% CI: -1.56 to -0.30, p=0.004), POD 2 (WMD: -1.00, 95% CI: -1.64 to -0.35, p=0.002), POD 3 (WMD: -0.92, 95% CI: -1.76 to -0.09, p=0.03), POD 4 (WMD: -0.90, 95% CI: -1.24 to -0.56, p< 0.001), and POD 5 (WMD: -1.39, 95% CI: -2.20 to -0.57, p< 0.001) compared with the placebo TENS group. No publication bias was found. No significant discovery was obtained in sensitivity analyses. Conclusion TENS might be an effective supplementary analgesic regimen in multimodal analgesia to decrease pain intensity after pulmonary surgery. Corresponding author: Lunxu Liu, Telephone: 86 28 85422494. Fax: 86 28 85422494. Address: No. 37, Guoxue Alley, Chengdu, Sichuan, 610041, China. E-mail: lunxu_liu@aliyun.com Conflict of interest: None declared. Funding: This work was supported by Key Science and Technology Program of Sichuan Province, China (2016FZ0118) (to LL). Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved. |
Expression of Concern No abstract available |
Ultrasound Guided Sacroiliac Joint Injections No abstract available |
Assessing the Accuracy of Ultrasound-Guided Needle Placement in Sacroiliac Joint Injections: Letter to the Editor No abstract available |
Should hospitalized patients wear graduated compression stockings for prevention of deep vein thrombosis? - A Cochrane Review summary with commentary No abstract available |
Benefit and harms of percutaneous vertebroplasty for the treatment of osteoporotic vertebral compression fracture - A Cochrane Review summary with commentary No abstract available |
Complications Associated With Electromyography: A Systematic Review Objective To systematically review the available literature concerning complications due to electromyography (EMG) as well as review those associated with nerve conduction studies (NCS). Design A systematic review was undertaken of Medline and Cochrane Central Register of Controlled Trials. Any complication related to clinical EMG written in English were included, and all bibliographies were scanned for missed articles. Results A total of 27 articles fit the inclusion criteria, with two observational studies, and the rest case series or case studies; 42 patients were reported. Of these, 28 patients required hospitalization and 22 required surgery or a procedure, with zero deaths reported. Needle-related complications were the most prevalent (18 patients reported), with 17 related to pneumothoraces. Disorders of hemostasis were identified in 13 patients (many were asymptomatic) and cutaneous disorders were identified in 11 patients. Only one complication was identified in the narrative review related to NCS. Conclusions This systematic review identified a variety of complications related to EMG. Though the incidence of these occurrences cannot be elucidated from the case series- and case study-predominant literature, adverse events appear to be rare but can cause significant morbidity. Electromyographers should be aware of all reported complications; this review outlines all reported occurrences that fit the inclusion criteria. Corresponding author: Daniel Cushman, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, P: 801-587-7109, F: 801-587-7111. dan.cushman.work@gmail.com No funding was received for this study Competing interests: The authors have no competing interests to declare. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved. |
Disaster Rehabilitation Response Plan: Now or Never There is a strong consensus amongst humanitarian response authorities for a need for global action by professional organizations to work towards developing a structured approach to provide a coordinated international response during sudden-onset disasters (SODs). The aim of this report is to develop a Disaster Rehabilitation Response Plan (DRRP) to enable International Society of Physical and Rehabilitation Medicine (ISPRM) to provide leadership and governance role in liaison/coordination with the WHO Emergency Medical Team (EMT) Initiative and other relevant stakeholders to provide rehabilitation input during SODs. The proposed plan uses a ‘three-tier approach’: Tier-1- Immediate disaster response at a national/international level, Tier-2- Organisation and deployment of rehabilitation personnel, and Tier-3- Rehabilitation management of disaster survivors and community reintegration. The ISPRM (and its sub-committee, the Disaster Rehabilitation Committee (DRC)), categorised in the Tier-2, could provide central leadership role working for the rehabilitation sub-cluster within the WHO- EMT Initiative (Tier-1) and support in coordination, preparation and management of rehabilitation teams and/or members for deployment to SODs. The DRC could also contribute to advocacy, training and accreditation processes for rehabilitation professionals. The challenge ahead is commitment of countries worldwide to develop comprehensive rehabilitation-inclusive approach to ensure effective delivery of services to communities at risk. Corresponding author: Dr. Bhasker Amatya, Department of Rehabilitation Medicine, Royal Melbourne Hospital, 34-54 Poplar Road Parkville, Victoria 3052, Australia, Ph: +61 3 83872037, fax: +61 3 83872222. Email: bhasker.amatya@mh.org.au Bhasker Amatya and Su Yi Lee — Joint first authors of the manuscript FINANCIAL DISCLOSURE This report was prepared by the Department of Rehabilitation Medicine, Royal Melbourne Hospital, Australia. No external funding was available. No commercial party had any financial interest in the results of this article. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved. |
Ultrasound Imaging and Rehabilitation of Muscle Disorders Part 1. Traumatic injuries Ultrasound (US) imaging has several advantages that include the absence of radiation, portability, excellent resolution of neuromuscular structures, and the ability to perform dynamic examinations. Traumatic muscle injury can be comprehensively evaluated using static, dynamic, and Doppler US imaging. In the present review, we briefly discuss mechanisms of traumatic muscle injury, present US images of normal muscles, focus on US assessment of injured muscles, and concisely discuss treatment and rehabilitation options for muscle injuries. Corresponding author: Levent Özçakar, MD, Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Turkey. Email: lozcakar@yahoo.com Author Disclosures: Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article. Funding information: No funding was received. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved. |
ΩτοΡινοΛαρυγγολόγος Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,
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Δευτέρα 9 Σεπτεμβρίου 2019
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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com,
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00302841026182,
00306932607174,
alsfakia@gmail.com,
Anapafseos 5 Agios Nikolaos 72100 Crete Greece,
Medicine by Alexandros G. Sfakianakis
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