6,226 results match your criteria: "Rehabilitation Management of Neuromuscular Disease"

Objective: Chemotherapy-induced neuropathy (CIN) significantly impacts cancer patients, leading to functional disability, diminished quality of life, and increased healthcare costs amid the ongoing opioid crisis. Auricular point acupressure (APA), a non-invasive and non-pharmacological alternative, has shown potential for alleviating the pain, numbness, and tingling associated with CIN. This study aims to assess the efficacy of APA for CIN symptoms and physical function and to examine the mechanisms underlying APA's effects on CIN.

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Purpose: To describe the clinical outcomes beyond pain relief of high-frequency spinal cord stimulation at 10 kHz (10 kHz SCS) in a patient with cervical myelopathy and drug-resistant chronic neuropathic pain with spastic tetraparesis.

Methods: A patient with C3-C6 myelomalacia and spastic tetraparesis previously treated with decompressive laminectomy underwent implantation of 10 kHz SCS for pain management through a trial procedure followed by permanent implantation. Due to the presence of epidural fibrotic scar tissue in the area of the previous C3-C6 laminectomy, the leads could not be implanted at the cervical level; therefore, the leads were positioned at the thoracic level.

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Article Synopsis
  • China faces a significant challenge with postherpetic neuralgia, necessitating effective new treatment options that minimize neurotoxic effects compared to current calcium channel ligands.
  • The study aimed to evaluate the efficacy and safety of crisugabalin, a new oral medication, involving a randomized clinical trial across 48 care centers in China, which included a 12-week treatment phase and a subsequent 14-week extension phase.
  • Results showed improvement in pain relief for patients taking crisugabalin, particularly at the 40 mg and 80 mg doses, highlighting its potential as a more effective treatment for managing postherpetic neuralgia compared to a placebo.
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Velocity-Based-Training Frequency Impacts Changes in Muscle Morphology, Neuromuscular Performance, and Functional Capability in Persons With Parkinson's Disease.

J Strength Cond Res

January 2025

Laboratory of Neuromuscular Research and Active Aging, Department of Kinesiology and Sports Sciences, University of Miami, Coral Gables, Florida.

Calaway, C, Walls, K, Levitt, H, Caplan, J, Mann, B, Martinez, K, Gastaldo, R, Haq, I, and Signorile, JF. Velocity-based-training frequency impacts changes in muscle morphology, neuromuscular performance, and functional capability in persons with Parkinson's disease. J Strength Cond Res 39(1): 99-106, 2025-Velocity-based training (VBT) positively impacts muscle morphology and performance in persons with Parkinson's disease (PD); however, optimal training frequencies for VBT in patients with PD remain undetermined.

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Profiles of disease progression and predictors of mortality in Colombian patients with amyotrophic lateral sclerosis: a comprehensive longitudinal study.

Amyotroph Lateral Scler Frontotemporal Degener

September 2024

Inserm U955, Institut Mondor de Recherche Biomédicale, NeuroPsychologie Interventionnelle, Créteil, France.

Article Synopsis
  • The study evaluated the effectiveness of the ALS Functional Rating Scale-Revised (ALSFRS-R) in predicting mortality and understanding disease progression in ALS patients in Colombia, analyzing data from 528 patients over 14 years.
  • Results showed that a one-point increase in the ALSFRS-R score significantly increased the risk of mortality, and initial assessments provided more reliable predictions than scores from multiple evaluations.
  • The research identified three different disease progression patterns (slow, intermediate, and rapid), highlighting the need for tailored treatment strategies based on individual patient trajectories.
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Background: Because of the unclear pathophysiology and the lack of consensus on the gold standard treatment of complex regional pain syndrome (CRPS), management requires a multidisciplinary approach, with the use of various treatment modalities. Nonetheless, no studies have ever been conducted to uncover the potential of mecobalamin as a treatment for CRPS type 1. Hence, the aim of this clinical trial was to evaluate the effects of mecobalamin on the functional outcomes of patients with CRPS type 1 of the foot and ankle, the total amount of pregabalin ingested, and the duration of pregabalin use in each patient.

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» Gunshot injuries to the upper extremity (UE) have high likelihood for causing peripheral nerve injury secondary to the high density of vital structures. Roughly one-fourth of patients sustaining a gunshot wound (GSW) to the UE incur a nerve injury. Of these nerve injuries, just over half are neurapraxic.

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Article Synopsis
  • Researchers studied strokes from 1990 to 2021 to understand how many people get them and how they are affected around the world.
  • In 2021, strokes caused about 7.3 million deaths and were a major cause of health problems, especially in specific regions like Southeast Asia and Oceania.
  • There are differences in stroke risks based on where people live and their age, and some areas actually saw more strokes happening since 2015.
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  • - A clinical decision support system (CDSS) was created to improve the diagnosis and severity assessment of lumbosacral radiculopathy using intramuscular electromyography (iEMG) signals, which are traditionally hard to evaluate accurately.
  • - The CDSS employs an EMG interference pattern method (QEMG IP) to extract five key features from iEMG signals, leading to a high diagnostic accuracy of 93.3% based on tests with 75 patients.
  • - This system aims to provide objective and standardized assessments, potentially easing the workload for physicians and improving patient care, with future focus on validation across different clinical contexts.
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Background: Duchenne muscular dystrophy (DMD) is an incurable neuromuscular disease leading to progressive skeletal muscle weakness and fatigue. Cell transplantation in murine models has shown promise in supplementing the lack of the dystrophin protein in DMD muscles. However, the establishment of novel, long-term, relevant methods is needed to assess its efficiency on the DMD motor function.

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  • A trial was conducted to assess the effects of the EXOPULSE Mollii Suit, a device that provides electrical nerve stimulation, on fibromyalgia symptoms including pain, fatigue, and quality of life.
  • The study involved 33 adult patients with fibromyalgia in a double-blind, sham-controlled trial, demonstrating significantly reduced pain and improved symptoms after using the active device compared to the sham treatment.
  • Results showed that after a 4-week active treatment period, most patients reported improvements in various outcomes, highlighting the potential clinical benefits of the EXOPULSE Mollii Suit for managing fibromyalgia symptoms.
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Limb-girdle muscular dystrophy in pregnancy: a narrative review.

Arch Gynecol Obstet

November 2024

Bangalore Medical College and Research Institute, K.R Road, Bangalore, Karnataka, 560002, India.

Article Synopsis
  • Limb-girdle muscular dystrophy (LGMD) presents specific pregnancy challenges for women, highlighting the importance of personalized care and management strategies throughout the process.
  • Preconception counseling, thorough health assessments, and collaborations between specialists and obstetricians are vital for monitoring both maternal and fetal health during pregnancy.
  • Postpartum care should focus on pain management, mobility support, and emotional well-being, along with tailored assistance with breastfeeding to address muscle weakness issues.
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Article Synopsis
  • - Duchenne muscular dystrophy (DMD) is an X-linked genetic disorder primarily causing progressive muscle weakness, treated mainly with glucocorticoids and physical therapy.
  • - Joint hypermobility can occur alone or in connection with conditions like Ehlers-Danlos syndrome, which may lead to cardiovascular issues, while osteogenesis imperfecta involves fragile bones prone to fractures.
  • - Down syndrome (trisomy 21) is the most common chromosomal abnormality, and while routine imaging for atlantoaxial instability isn't recommended in asymptomatic children, careful evaluation is necessary for sports participation; achondroplasia, resulting in disproportionate short stature and other skeletal features, requires education for safe handling.
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Single center experience with hourglass-like constriction neuropathy of suprascapular nerve.

Muscle Nerve

November 2024

Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

Article Synopsis
  • * A retrospective review identified 14 patients with HGC of the SSN, with MRI indicating constriction primarily between the nerve's origin and the suprascapular notch, and most patients receiving non-operative treatment.
  • * Findings suggest that conservative management is often effective, with significant recovery noted in the majority of patients after at least 6 months, indicating that immediate invasive treatment may not be necessary.
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Purpose: Hip subluxation and dislocation are known problems for children with spinal muscular atrophy (SMA). Medical complexity of these children typically results in absence of monitoring and intervention for pathologic hips. Patterns of hip migration and acetabular morphology in SMA have not been described.

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Herpes zoster (HZ) is typically characterized by a burning, stabbing pain, hyperalgesia, and allodynia. In some patients, despite the lesions resolving, the pain persists and becomes chronic. If the pain continues for more than 6 months after the onset of the pain phase, this condition is called postherpetic neuralgia (PHN).

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Background: This study is a randomized controlled, biopsychosocial study investigating the effectiveness of pain neuroscience education (PNE) and motor imagery-based exercise protocol (MIEP) on fibromyalgia pain.

Methods: Our study has four groups (MIEP n = 12, PNE n = 12, MIEP + PNE n = 14, Control n = 12) and all participants (n = 50) consist of patients diagnosed with fibromyalgia with chronic back pain. The primary outcome measure was pain intensity, and secondary outcome measures were beliefs, kinesiophobia, anxiety-depression, cognitive-mood, self-esteem, and body awareness.

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Article Synopsis
  • The biopsychosocial approach for managing low back pain (LBP) could enhance patient care but often overlooks the importance of sexual activity, a significant aspect for those affected by LBP.
  • This study aimed to compare the effectiveness of manual therapy plus sexual advice (MT+SA) against manual therapy (MT) and exercise therapy (ET) for individuals with lumbar disc herniation and radiculopathy.
  • Results indicated that the MT+SA group showed greater improvements in pain, activity limitations, sexual disability, and kinesiophobia over 52 weeks compared to the other groups, demonstrating the added value of incorporating sexual advice into treatment.
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10. Complex regional pain syndrome.

Pain Pract

January 2025

Department of Anesthesiology, Center for Pain Medicine, Erasmus MC University Medical Center, Rotterdam, The Netherlands.

Introduction: Complex regional pain syndrome (CRPS) is a clinical disorder that can develop following surgery or trauma. Based on the most prominent underlying pathophysiological mechanisms, CRPS can be classified into different subtypes, namely inflammatory, nociplastic/neuropathic, vasomotor, and motor. Depending on the subtype, personalized treatment can be applied.

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Background: The ability to find, understand, appraise and utilise health information is crucial among individuals living with rare disorders. The aim of this study was to give a comprehensive overview of the literature on health literacy in adult persons with rare disorders.

Methods: We applied a scoping review methodology and performed a systematic search in 2021 in bibliographic databases.

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Article Synopsis
  • Duchenne muscular dystrophy (DMD) is a serious genetic disorder that results in muscle weakness and major health issues, and current imaging methods like quantitative ultrasound (QUS) assess muscle condition through fat and fibrosis metrics.
  • The study introduces a new ultrasound technique called robust reference frequency method (RRFM) to improve imaging of muscle microstructures by measuring acoustic attenuation, which could serve as a key indicator for DMD.
  • Results show that RRFM significantly enhances attenuation estimation accuracy—reducing bias by 50%—and demonstrates strong diagnostic performance in distinguishing between early and late stages of ambulatory function in DMD patients, outperforming traditional QUS methods.
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Objectives: Herpes zoster (HZ) substantially affects patients' health-related quality of life (HRQoL), both in the acute phase and also in those developing postherpetic neuralgia (PHN). Building upon a previous qualitative concept elicitation study in Canada, we adopted a similar approach to further understand the patient experience of HZ/PHN in Argentina and impact on quality of life and qualitatively validate the previously published conceptual model for Argentina.

Methods: (1) Comprehensive literature review of HZ impact on HRQoL in Latin America.

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Psychological Factors Modulate Quantitative Sensory Testing Measures in Fibromyalgia Patients: A Systematic Review and Meta-Regression Analysis.

Psychosom Med

November 2024

From the Mood Disorders Unity-ProGruda and Service of Interdisciplinary Neuromodulation; Department and Institute of Psychiatry, Faculty of Medicine (Carneiro), University of São Paulo, São Paulo, Brazil; Neuromodulation Center and Center for Clinical Research Learning, Spaulding Rehabilitation Hospital and Massachusetts General Hospital (Pacheco-Barrios, Andrade, Martinez-Magallanes, Pichardo, Fregni), Harvard Medical School, Boston, Massachusetts; Universidad San Ignacio de Loyola, Vicerrectorado de Investigación, Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud (Pacheco-Barrios), Lima, Peru; Post-Graduate Program in Medical Sciences, School of Medicine (Caumo), Universidade Federal do Rio Grande do Sul; and Laboratory of Pain and Neuromodulation at Hospital de Clínicas de Porto Alegre (Caumo), Porto Alegre, Rio Grande do Sul, Brazil.

Objective: Considering the growing evidence that psychological variables might contribute to fibromyalgia syndrome (FMS), our study aims to understand the impact of psychological factors in quantitative sensory testing (QST) in FMS patients by performing a systematic review with meta-analysis.

Methods: A systematic search was carried out in PubMed/MEDLINE, EMBASE, Web of Science, and PsycINFO databases for records up until January 2024. We included 20 studies ( n = 1623, 16 randomized controlled trials, and 4 nonrandomized controlled trials) with low or moderate risk of bias included.

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Article Synopsis
  • * The relationship between muscle force and bone health is crucial as decreased muscle activity can lead to bone loss, a concern not yet fully studied in clinical settings.
  • * The review examines how the use of BTX can disrupt the balance between muscles and bones, potentially leading to conditions like osteopenia and increased bone resorption, especially in instances such as spinal cord injuries.
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Article Synopsis
  • Cervicogenic headache (CEH) and occipital neuralgia (ON) are types of headaches that originate from the neck and often have overlapping symptoms, making diagnosis challenging and reliant on headache history and physical examinations.
  • A literature review from 2015 to August 2022 highlights various conservative and interventional treatments, including pain education, physical therapy, medication, nerve blocks, and advanced techniques like radiofrequency ablation and occipital nerve stimulation for chronic cases.
  • Ultimately, radiofrequency treatment is preferred for CEH, while pulsed radiofrequency is recommended for ON, with occipital nerve stimulation as an option for difficult cases.
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