Publications by authors named "Hillel M Finestone"
Article Synopsis
- Chronic noncancer pain management is often over-reliant on medications like opioids, rather than utilizing recommended non-drug approaches and multidisciplinary care.
- The program aims to provide an effective non-pharmacologic alternative for managing chronic pain in primary care settings.
- A nurse-led initiative involved teaching self-management skills and utilizing resources, demonstrating promising results in reducing pain intensity, improving daily functioning, and decreasing opioid use among participants without requiring additional funding.
Motor-Equivalent Intersegmental Coordination Is Impaired in Chronic Stroke.
Neurorehabil Neural Repair
March 2020
. Kinematic abundance permits using different movement patterns for task completion. Individuals poststroke may take advantage of abundance by using compensatory trunk displacement to overcome upper limb (UL) movement deficits.
View Article and Find Full Text PDFBackground: Approximately 40% of patients diagnosed with stroke experience some degree of aphasia. With limited health care resources, patients' access to speech and language therapies is often delayed. We propose using mobile-platform technology to initiate early speech-language therapy in the acute care setting.
View Article and Find Full Text PDFBackground: To maximize the benefit of therapies, patients must understand their condition, recall treatment suggestions and comply with treatments. The Pain Explanation and Treatment Diagram (PETD) is a one-page worksheet that identifies risk factors (health-related habits, sleep, exercise, ergonomics and psychosocial factors) involved in chronic pain. Clinician and patient complete the PETD together, and the clinician notes recommended treatments and lifestyle changes.
View Article and Find Full Text PDFObjective: To update evidence-based clinical practice guidelines (EBCPG) on massage therapy compared to control or other treatment for adults (>18 years) suffering from acute, sub-acute and chronic low back pain (LBP).
Methods: A literature search was performed for relevant articles between January 1, 1948 and December 31, 2010. Eligibility criteria were then applied focussing on participants, interventions, controls, and outcomes, as well as methodological quality.
Objective: To update evidence-based clinical practice guideline (EBCPG) on the use of massage compared to a control or other treatments for adults (>18 years) suffering from sub-acute and chronic neck pain.
Methods: A literature search was performed from January 1, 1948 to December 31, 2010 for relevant articles. The Ottawa Panel created inclusion criteria focusing on high methodological quality and grading methods.
Objective: Research on stroke survivors' driving safety has typically used either self-reports or government records, but the extent to which the 2 may differ is not known. We compared government records and self-reports of motor vehicle collisions and driving convictions in a sample of stroke survivors.
Methods: The 56 participants were originally recruited for a prospective study on driving and community re-integration post-stroke; the study population consisted of moderately impaired stroke survivors without severe communication disorders who had been referred for a driving assessment.
Background And Purpose: The objective of this review was to construct an updated evidence-based clinical practice guideline on the use of physical activity and diet for the management of osteoarthritis (OA) in adults (>18 years of age) who are obese or overweight (body mass index ≥25 kg/m(2)).
Data Sources: Articles were extracted from the following databases: MEDLINE, EMBASE (Current Contents), SPORTDiscus, SUM, Scopus, CINAHL, AMED, BIOMED, PubMed, ERIC, the Cochrane Controlled Trials, and PEDro.
Study Selection: The Ottawa Panel and research assistance team strictly applied the inclusion and exclusion criteria from previous Ottawa Panel publications.
Objective: To investigate the relationship between driving versus not driving and community integration after stroke. Much research on patients who drive after experiencing a stroke has focused on driving assessment protocols; little attention has been given to the implications of assessment outcomes.
Design: Prospective study.
Objective: To develop a unique clinical prediction point-score system for the diagnosis of carpal tunnel syndrome (CTS) and to prospectively evaluate this clinical rule to determine its ability to predict electrodiagnostic results.
Design: Retrospective case control to develop the clinical point-score system and then prospective diagnostic study with blind comparison to electrodiagnostic results.
Setting: Community-based electrodiagnostic laboratory.
Objective: To determine the demographic, medical, and transportation use characteristics of stroke survivors wanting to drive who resumed or did not resume driving and compare the driving habits of those who drove with those of a nonstroke control group.
Design: One hundred and six stroke survivors who underwent a driving evaluation at a rehabilitation center in Ottawa, Canada, between 1995 and 2003, participated in a structured telephone interview 4-5 yrs after the evaluation. Information on driving history and transportation use before the driving assessment was obtained from the driving assessment client database.
Objectives: (1) To integrate the scientific literatures of the biopsychosocial model of chronic musculoskeletal pain and of stress-induced physiologic wound and muscle changes, and (2) to propose a clinical assessment and treatment model that incorporates this dual literature into the management of chronic musculoskeletal pain.
Methods: English language literature search from January 1990 to February 2008 using the MEDLINE and PsycINFO databases and the keywords "wound healing," "musculoskeletal injury," "skeletal muscle injury," "psychological," "social," "stress," "anxiety," and "pain."
Results: An illustrative case report is introduced.