BACKGROUND: A recent study investigated the effects of galvanic vestibular stimulation (GVS) on pusher behavior (PB) in post-stroke patients. However, there have been no reports about the effects of multisession GVS on PB. OBJECTIVE: The purpose of this study was to investigate the feasibility and effects of multisession GVS combined with physical therapy for PB in stroke patients. METHODS: Two stroke patients who showed PB were enrolled. The ABAB single-case design was used. Each phase lasted 1 wk. In phases A1 and A2, the patients underwent a 60-min-long physical therapy session 5 days a week. In phases B1 and B2, they underwent GVS for 20 min before each physical therapy session, and then the same physical therapy program as in phases A1 and A2 were performed. PB was evaluated using the Scale for Contraversive Pushing (SCP) and the Burke Lateropulsion Scale (BLS). Outcomes were tested at the baseline and after each phase. RESULTS: In both patients, the SCP scores were reduced only during phase B2. Although the BLS scores improved at the A1 phase, a larger improvement was seen at the two B phases. CONCLUSIONS: Multisession GVS combined with physical therapy may have positive effects on PB in clinical setting.
Objective:To investigate the short-term effects of the life goal concept on subjective well-being and treatment engagement, and to determine the sample size required for a larger trial.Design:A quasi-randomized controlled trial that was not blinded.Setting:A subacute rehabilitation ward.Subjects:A total of 66 patients were randomized to a goal-setting intervention group with the life goal concept (Life Goal), a standard rehabilitation group with no goal-setting intervention (Control 1), or a goal-setting intervention group without the life goal concept (Control 2).Interventions:The goal-setting intervention in the Life Goal and Control 2 was Goal Attainment Scaling. The Life Goal patients were assessed in terms of their life goals, and the hierarchy of goals was explained. The intervention duration was four weeks.Main measures:Patients were assessed pre- and post-intervention. The outcome measures were the Hospital Anxiety and Depression Scale, 12-item General Health Questionnaire, Pittsburgh Rehabilitation Participation Scale, and Functional Independence Measure.Results:Of the 296 potential participants, 66 were enrolled; Life Goal (n = 22), Control 1 (n = 22) and Control 2 (n = 22). Anxiety was significantly lower in the Life Goal (4.1 ±3.0) than in Control 1 (6.7 ±3.4), but treatment engagement was significantly higher in the Life Goal (5.3 ±0.4) compared with both the Control 1 (4.8 ±0.6) and Control 2 (4.9 ±0.5).Conclusions:The life goal concept had a short-term effect on treatment engagement. A sample of 31 patients per group would be required for a fully powered clinical trial.
Objective: The purpose of this scoping review was to investigate the factors associated with rotator cuff tear pain and summarize them into the incidence, exacerbating, and remitting factors. Introduction: Rotator cuff tears are one of the most common shoulder disorders. A variety of associated factors have been cited in observational studies, and systematic reviews have examined factors associated with symptomatic rotator cuff tears. However, no reports differentiate pain factors into developmental, exacerbating, and remitting factors. Inclusion/exclusion criteria: The study will include patients whose physicians have diagnosed non-traumatic rotator cuff tears using Magnetic Resonance Imaging or ultrasound echo. Outcomes will be a pain, the severity of rotator cuff tear, physical function, and psychological factors. The study design will be observational, with no restrictions on region, race, gender, or language of the original paper. Methods: A systematic search of PubMed, Embase, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Physiotherapy Evidence Database (PEDro) databases using the keywords “rotator cuff tear”, “pain”, and “etiology” will be conducted during May 2022. In the first screening step, two independent reviewers will review all of the titles and abstracts to exclude irrelevant articles. In the second screening step, two independent reviewers will review all of the full texts to exclude irrelevant articles. Outcomes will focus on rotator cuff tear severity, pain, physical function, and psychosocial factors, categorizing factors associated with pain according to each study design and identifying incidence factors, exacerbating factors and remission factors.
Objective: The purpose of this scoping review was to investigate the factors associated with rotator cuff tear pain and summarize them into the incidence, exacerbating, and remitting factors. Introduction: Rotator cuff tears are one of the most common shoulder disorders. A variety of associated factors have been cited in observational studies, and systematic reviews have examined factors associated with symptomatic rotator cuff tears. However, no reports differentiate pain factors into developmental, exacerbating, and remitting factors. Inclusion/exclusion criteria: The study will include patients whose physicians have diagnosed non-traumatic rotator cuff tears using Magnetic Resonance Imaging or ultrasound echo. Outcomes will be a pain, the severity of rotator cuff tear, physical function, and psychological factors. The study design will be observational, with no restrictions on region, race, gender, or language of the original paper. Methods: A systematic search of PubMed, Embase, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Physiotherapy Evidence Database (PEDro) databases using the keywords “rotator cuff tear”, “pain”, and “etiology” will be conducted during May 2022. In the first screening step, two independent reviewers will review all of the titles and abstracts to exclude irrelevant articles. In the second screening step, two independent reviewers will review all of the full texts to exclude irrelevant articles. Outcomes will focus on rotator cuff tear severity, pain, physical function, and psychosocial factors, categorizing factors associated with pain according to each study design and identifying incidence factors, exacerbating factors and remission factors.
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