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Efficacy and Safety of Trigeminal Nerve Stimulation for Migraine: A Meta-Analysis of Randomized Controlled Studies 三叉神经刺激治疗偏头痛的疗效和安全性:随机对照研究的Meta分析
IF 0.8 4区 医学 Q4 REHABILITATION Pub Date : 2023-02-09 DOI: 10.1055/a-2116-8022
Chunyan Deng, Yongmei Li
Abstract Objective Trigeminal nerve stimulation may have some potential in treating migraine, and this meta-analysis aims to study the efficacy and safety of trigeminal nerve stimulation for migraine patients. Methods We have searched several databases including PubMed, EMbase, Web of science, EBSCO and Cochrane library databases, and selected the randomized controlled trials (RCTs) comparing the efficacy of trigeminal nerve stimulation for migraine patients. This meta-analysis was conducted using the random-effect or fixed-effect model based on the heterogeneity. Results Four RCTs were included in this meta-analysis. Compared with sham procedure in migraine patients, trigeminal neurostimulation benefited to improve pain freedom at 2 h (OR=2.69; 95% CI=1.30 to 5.56; P=0.007), pain relief at 2 h (OR=2.05; 95% CI=1.53 to 2.74; P<0.00001), pain freedom at 24 h (OR=2.00; 95% CI=1.42 to 2.81; P<0.0001) as well as pain relief at 24 h (OR=1.71; 95% CI=1.25 to 2.33; P=0.0007), and reduce rescue medication (OR=0.70; 95% CI=0.52 to 0.95; P=0.02), but demonstrated no obvious impact on the incidence of adverse events (OR=2.24; 95% CI=1.21 to 4.13; P=0.01). Conclusions Trigeminal nerve stimulation is effective and safe for the treatment of migraine patients.
【摘要】目的三叉神经刺激治疗偏头痛可能具有一定的治疗潜力,本荟萃分析旨在研究三叉神经刺激治疗偏头痛患者的疗效和安全性。方法检索PubMed、EMbase、Web of science、EBSCO、Cochrane等数据库,选取比较三叉神经刺激治疗偏头痛疗效的随机对照试验(rct)。本meta分析采用基于异质性的随机效应或固定效应模型。结果本meta分析共纳入4项随机对照试验。与假手术相比,三叉神经刺激有利于改善偏头痛患者2小时的疼痛缓解(OR=2.69;95% CI=1.30 ~ 5.56;P=0.007), 2 h疼痛缓解(OR=2.05;95% CI=1.53 ~ 2.74;P<0.00001), 24 h疼痛消失(OR=2.00;95% CI=1.42 ~ 2.81;P<0.0001)以及24小时疼痛缓解(OR=1.71;95% CI=1.25 ~ 2.33;P=0.0007),减少抢救用药(OR=0.70;95% CI=0.52 ~ 0.95;P=0.02),但对不良事件发生率无明显影响(OR=2.24;95% CI=1.21 ~ 4.13;P = 0.01)。结论三叉神经刺激治疗偏头痛是一种安全有效的方法。
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引用次数: 0
Vielen Dank! 多谢!
4区 医学 Q4 REHABILITATION Pub Date : 2023-02-01 DOI: 10.1055/a-2006-6698
Das vorliegende Heft leitet den 33. Jahrgang der „Physikalischen Medizin – Rehabilitationsmedizin – Kurortmedizin“ ein.
本笔记本由第33届出版。在回归物理医疗界有很多种选择
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引用次数: 0
Deutsche Gesellschaft für Physikalische undRehabilitative Medizin e. V. 德国物理复兴医学协会
IF 0.8 4区 医学 Q4 REHABILITATION Pub Date : 2023-02-01 DOI: 10.1055/a-1992-8248
J. Friedrich, C. Wilke
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引用次数: 0
Prof. Dr. med. Christoph Gutenbrunner zum President elect von Rehabilitation International (RI Global) gewählt Christoph Gutenbrunner教授博士当选康复国际(RI Global)候任主席
IF 0.8 4区 医学 Q4 REHABILITATION Pub Date : 2023-02-01 DOI: 10.1055/a-2014-2273
Auf der jährlichen Hauptversammlung von Rehabilitation International (RI Global) am 2. Dezember 2022 wurde Prof. Dr. med. Christoph Gutenbrunner (ehemaliger Leiter der Klinik für Rehabilitationsmedizin der Medizinischen Hochschule Hannover) einstimmig zum President elect gewählt. Dies beinhaltet, dass er im Jahre 2024 automatisch der jetzigen Präsidentin Zhang Haidi nachfolgen wird. Die Kandidatur erfolgte auf Vorschlag der beiden deutschen RI-Mitgliedsorganisationen, der Bundesarbeitsgemeinschaft für Rehabilitation (BAR) und der Deutschen Vereinigung für Rehabilitation (DVfR) und wurde vom Bundesministerium für Arbeit und Soziales (BMAS) unterstützt.
在康复国际(RI Global)于2日举行的年度股东大会上。2022年12月,Christoph Gutenbrunner教授博士(汉诺威医学院康复医学系前主任)一致当选总统。这意味着他将在2024年自动接替现任国家主席张海迪。这项提名是根据两个德国康复协会成员组织的提议提出的,这两个组织分别是德国康复协会和德国康复协会,并得到了联邦劳动和社会事务部的支持。
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引用次数: 0
7. Münchner Symposium für Haltungs- und Bewegungssteuerung, 26.11.2022 der Gesellschaft für Haltungs- und Bewegungsforschung (GHBF) Thema „Der Mensch im Netzwerk der Medizin“ 7. 慕尼黑养护和运动控制研讨会,养护和运动研究协会的专题是“人在医学网络上”,2022年11月26日
IF 0.8 4区 医学 Q4 REHABILITATION Pub Date : 2023-02-01 DOI: 10.1055/a-2007-4329
Am 26. November 2022 fand das 7. Symposium der Gesellschaft für Haltungs- und Bewegungsforschung (GHBF) unter dem Thema „Der Mensch im Netzwerk der Medizin“ statt. Wie bei den vorherigen Symposien konnte der Moderator Prof. Erich Wühr wieder 145 Teilnehmer aus vielen medizinischen Fachgebieten begrüßen. Diese, die Fachgebiete übergreifende Beteiligung entspricht auch dem Konzept der Gesellschaft, die Gesunderhaltung und die Therapie als eine interprofessionelle Aufgabe zu begreifen, wissenschaftlich zu bearbeiten und zugunsten des Patienten zu praktizieren. Chronische Erkrankungen entwickeln sich immer multifaktoriell und es sind trotz „differenter Diagnosen“ letztendlich immer alle Organe, Funktionssysteme und Gewebe beteiligt, der gesamte Mensch ist krank. So ist es eine Notwendigkeit fachlich „stets über den Tellerrand zu schauen“ und das Wissen und die Praxis eines interprofessionellen Teams aus Ärzten, Physiotherapeuten und Sportwissenschaftlern zur therapeutischen Basis zu machen.
26日。2022年11月发现7。Gesellschaft für Posture-und Bewegungsforschung(GHBF)研讨会,主题为“医学网络中的人类”。Erich Wühr再次欢迎来自多个医疗领域的145名参与者。这种跨学科的参与也符合社会的概念,即将健康维护和治疗理解为一项跨专业的任务,科学地工作,并为患者的利益而实践。慢性病总是多因素发展的,尽管有“不同的诊断”,但最终涉及到所有器官、功能系统和组织,整个人类都患病了。因此,有必要专业地“始终跳出框框”。“并将由医生、物理治疗师和体育科学家组成的跨专业团队的知识和实践作为治疗基础。
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引用次数: 0
Liebe Leserinnen und Leser, 亲爱的读者们,
4区 医学 Q4 REHABILITATION Pub Date : 2023-02-01 DOI: 10.1055/a-1992-8289
Hermann Locher, Norman Best
das neue Jahr ist schon wieder einige Tage alt. Die Zeit vergeht wie im Flug. Höchste Zeit auf das nunmehr aktuelle Jahr zu blicken und auf drei Höhepunkte hinzuweisen.
新的一年又开始了。时间过得很快。正值青春年华,让人回顾以往的一年,并指出其中三个要点。
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引用次数: 0
Lower back pain scale and return to sports in elite Taekwondo athletes with lower back injuries 优秀跆拳道运动员下背部疼痛量表与重返运动
IF 0.8 4区 医学 Q4 REHABILITATION Pub Date : 2023-01-19 DOI: 10.1055/a-2089-1609
Tae Gyeom Jung, K. Park
Abstract Objectives This study compares back pain scale, functionality, and ability to return to sport according to sex for Taekwondo athletes with lower back injuries. Methods The study included 52 elite adolescent Taekwondo athletes (26 in both male and female groups), who participated in advanced competitions at a training camp between January and December 2021. The lower back pain scale, Modified Oswestry Disability Index, isokinetic muscular function, and recovery time according to sex were assessed using an independent sample t-test. Pearson's correlation and simple linear regression analyses were used to evaluate the correlation between variables, and identify factors associated with pain. Results The lower back pain scale (p=0.003) and recovery time (p=0.018) significantly differed between the sexes. In all athletes, the pain scale was significantly correlated with the Modified Oswestry Disability Index (p<0.001) and recovery time (p<0.001). For each point increase in the pain scale, the Modified Oswestry Disability Index increased by 3.01 (p=0.001) and 3.25 (p=0.013) for males and females, respectively. In addition, recovery time increased by 1.70 days (p<0.001) and 1.98 days (p<0.001) in males and females, respectively. Conclusion These results may help generate the data needed to develop rehabilitation programs that improve an athlete’s performance.
摘要目的本研究比较了跆拳道运动员腰背部损伤的疼痛程度、功能和恢复运动的能力。方法选取2021年1 - 12月在某训练营参加高级比赛的52名优秀青少年跆拳道运动员(男女各26名)为研究对象。腰痛量表、改良Oswestry残疾指数、等速肌肉功能和按性别恢复时间采用独立样本t检验进行评估。采用Pearson相关分析和简单线性回归分析评估变量之间的相关性,确定与疼痛相关的因素。结果腰痛量表(p=0.003)和恢复时间(p=0.018)在两性间差异有统计学意义。在所有运动员中,疼痛量表与改良Oswestry残疾指数(Modified Oswestry Disability Index)和恢复时间(p<0.001)显著相关。疼痛评分每增加1分,男性和女性的改良Oswestry残疾指数分别增加3.01 (p=0.001)和3.25 (p=0.013)。恢复时间雄性比雌性分别增加1.70 d (p<0.001)和1.98 d (p<0.001)。结论:这些结果可能有助于产生所需的数据,以制定康复计划,提高运动员的表现。
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引用次数: 0
Analgesic Efficacy of Foot and Hand Massage for Laparoscopic Cholecystectomy: A Meta-Analysis 足部和手部按摩对腹腔镜胆囊切除术镇痛效果的Meta分析
IF 0.8 4区 医学 Q4 REHABILITATION Pub Date : 2023-01-07 DOI: 10.1055/a-2132-6691
Jia Chen, Piyun Zhang, Yuanxiu Wei, Li Zhou, Xiao Xiao, Xiaoqiang Wan
Abstract Background Foot and hand massage may benefit to alleviate pain for laparoscopic cholecystectomy, and this meta-analysis is intended to study the influence of foot and hand massage on pain intensity after laparoscopic cholecystectomy. Methods We systematically searched PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases, and included randomized controlled trials (RCTs) assessing the effect of foot and hand massage on postoperative pain of laparoscopic cholecystectomy. Results Six RCTs and 663 patients were included in the meta-analysis. Compared with control intervention for laparoscopic cholecystectomy, massage intervention resulted in significantly decreased pain scores at 60 min (SMD=–0.73; 95% CI=–1.27 to –0.19; P=0.008), pain scores at 90 min (SMD=–0.80; 95% CI=–1.23 to –0.37; P=0.0003), pain scores at 120–150 min (SMD=–1.74; 95% CI=–1.96 to –1.52; P<0.00001) and the need of additional analgesia (OR=0.04; 95% CI=0.02 to 0.07; P<0.00001), but demonstrated no influence on pain scores at 10–30 min (SMD=–0.14; 95% CI=–0.39 to 0.12; P=0.29). Conclusions Foot and hand massage may be able to reduce pain intensity after laparoscopic cholecystectomy.
摘要背景足部和手部按摩可能有助于减轻腹腔镜胆囊切除术后的疼痛,本荟萃分析旨在研究足部和手部将对腹腔镜胆囊切除后疼痛强度的影响。方法系统检索PubMed、EMbase、Web of science、EBSCO和Cochrane图书馆数据库,并纳入随机对照试验(RCT),评估足部和手部按摩对腹腔镜胆囊切除术后疼痛的影响。结果6项随机对照试验和663名患者纳入荟萃分析。与腹腔镜胆囊切除术的对照干预相比,按摩干预显著降低了60岁时的疼痛评分 min(SMD=-0.73;95%CI=-1.27至-0.19;P=0.008),疼痛评分为90 min(SMD=-0.80;95%CI=-1.23至-0.37;P=0.0003),疼痛评分为120–150 min(SMD=-1.74;95%CI=-1.96至-1.52;P<0.00001)和额外镇痛的需要(OR=0.04;95%CI=0.002至0.07;P<.00001),但在10-30时对疼痛评分没有影响 min(SMD=-0.14;95%CI=-0.39-0.12;P=0.29)。结论足部和手部按摩可以减轻腹腔镜胆囊切除术后的疼痛强度。
{"title":"Analgesic Efficacy of Foot and Hand Massage for Laparoscopic Cholecystectomy: A Meta-Analysis","authors":"Jia Chen, Piyun Zhang, Yuanxiu Wei, Li Zhou, Xiao Xiao, Xiaoqiang Wan","doi":"10.1055/a-2132-6691","DOIUrl":"https://doi.org/10.1055/a-2132-6691","url":null,"abstract":"Abstract Background Foot and hand massage may benefit to alleviate pain for laparoscopic cholecystectomy, and this meta-analysis is intended to study the influence of foot and hand massage on pain intensity after laparoscopic cholecystectomy. Methods We systematically searched PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases, and included randomized controlled trials (RCTs) assessing the effect of foot and hand massage on postoperative pain of laparoscopic cholecystectomy. Results Six RCTs and 663 patients were included in the meta-analysis. Compared with control intervention for laparoscopic cholecystectomy, massage intervention resulted in significantly decreased pain scores at 60 min (SMD=–0.73; 95% CI=–1.27 to –0.19; P=0.008), pain scores at 90 min (SMD=–0.80; 95% CI=–1.23 to –0.37; P=0.0003), pain scores at 120–150 min (SMD=–1.74; 95% CI=–1.96 to –1.52; P<0.00001) and the need of additional analgesia (OR=0.04; 95% CI=0.02 to 0.07; P<0.00001), but demonstrated no influence on pain scores at 10–30 min (SMD=–0.14; 95% CI=–0.39 to 0.12; P=0.29). Conclusions Foot and hand massage may be able to reduce pain intensity after laparoscopic cholecystectomy.","PeriodicalId":54611,"journal":{"name":"Physikalische Medizin Rehabilitationsmedizin Kurortmedizin","volume":"1 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41365572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute Effects of kinesiotaping on Pain and Muscle Strength in Individuals with Anterior Cruciate Ligament Tear 运动胶带对前交叉韧带撕裂患者疼痛和肌力的急性影响
IF 0.8 4区 医学 Q4 REHABILITATION Pub Date : 2022-12-30 DOI: 10.1055/a-2060-9765
Dovilė Kielė, Rima Solianik
Abstract Objective Limited data are available regarding the effects of application of kinesiology tape (KT) on pain and muscular strength in individuals with complete anterior cruciate ligament (ACL) tear. Thus, we aimed to evaluate the short-term effects of KT on knee pain and maximal strength. Materials and Methods 25 subjects were divided into two groups: a) the control group participants (n=11) were without ACL-tear; and b) the experimental group participants (n=14) were with ACL-tear. Participants in the experimental group were tested under two conditions: with and without KT. Pain was recorded using the visual analog scale, isometric and concentric maximal voluntary contractions (MVCs) were measured using dynamometry, and limb symmetry index was calculated. Results Application of KT causes reduction in pain by 50 % (p<0.05), increases knee flexors and knee extensors isometric MVC and knee extensor concentric MVC at 60°/s angular velocity (p<0.05), and improves limb symmetry (p<0.05), but deficit of MVC as compared to healthy controls is maintained (p<0.05). Conclusions Short-term KT can be an effective tool for decreasing ACL-tear associated pain and muscle weakness.
【摘要】目的关于应用运动机能胶带(KT)对完全性前交叉韧带(ACL)撕裂患者疼痛和肌肉力量的影响的数据有限。因此,我们的目的是评估KT对膝关节疼痛和最大力量的短期影响。材料与方法将25例受试者分为两组:a)对照组(n=11)无acl撕裂;b)实验组(n=14)有acl撕裂。实验组的参与者在两种情况下进行测试:有和没有KT。采用视觉模拟量表记录疼痛,采用动力测量法测量等长和同心最大自主收缩(MVCs),计算肢体对称指数。结果应用KT可使疼痛减轻50% (p<0.05),增加膝关节屈伸肌等距MVC和60°/s角速度下膝关节伸伸肌同心圆MVC (p<0.05),改善肢体对称性(p<0.05),但MVC与健康对照组相比保持缺陷(p<0.05)。结论短期KT术可有效减轻acl撕裂引起的疼痛和肌无力。
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引用次数: 0
Rehabilitation after Injuries of the Musculoskeletal System Sustained During Fitness Training 健身训练中肌肉骨骼系统损伤后的康复
IF 0.8 4区 医学 Q4 REHABILITATION Pub Date : 2022-12-15 DOI: 10.1055/a-2092-8485
C. Lang
Abstract The relevance of this study comes from the fact that with the growing popularity of fitness training, the number of injuries is also increasing. Injuries sustained during fitness activity can result in interruptions to one's daily life, loss of income, temporary or permanent disability. Along with physical discomfort, injuries sustained during physical activity lead to post-traumatic emotional reactions, often associated with depression, tension, anger and low self-esteem. All of these factors contribute to a deterioration in the overall quality of life of people who initially strive for an active and healthy lifestyle. Therefore, this article aims to identify effective techniques for the swift recovery process following injuries sustained during fitness activities. This treatment should include not only the physical but also the psycho-emotional aspect of rehabilitation. The leading investigation approach was a comprehensive theoretical research method, which led to the development of an innovative approach to rehabilitation after fitness injuries. The uniqueness of this method is that it was both individually oriented and universally accessible, regardless of the condition of the injured person. The study presents statistics of injuries and their classification after fitness sessions describes characteristic psycho-emotional disorders associated with post-traumatic syndrome, outlines methods of rehabilitation and substantiates its use for effective comprehensive recovery of people striving to lead an active life. The materials of this article are of practical value for trainers of fitness centres of all specialisations, doctors of rehabilitation centres, family doctors, and physiotherapists, who will be able to apply this method of rehabilitation directly and thus improve the quality of life of the patient, helping them to regain an active lifestyle and restore their psycho-emotional health.
本研究的相关性来自于随着健身训练的日益普及,受伤的数量也在不断增加。在健身活动中受伤可能导致日常生活中断、收入损失、暂时或永久残疾。伴随着身体不适,在体育活动中受到的伤害会导致创伤后的情绪反应,通常与抑郁、紧张、愤怒和自卑有关。所有这些因素都导致最初努力追求积极健康生活方式的人的整体生活质量下降。因此,本文旨在确定在健身活动中受伤后快速恢复过程的有效技术。这种治疗不仅包括身体方面的,也包括心理和情感方面的康复。主导的调查方法是综合理论研究方法,从而发展了一种创新的健身损伤后康复方法。这种方法的独特之处在于,它既面向个人,又可普遍使用,无论伤者的情况如何。这项研究提供了受伤的统计数据和他们在健身课程后的分类,描述了与创伤后综合症相关的典型心理情绪障碍,概述了康复的方法,并证实了它对努力过上积极生活的人的有效全面康复的应用。本文的材料对所有专业健身中心的教练、康复中心的医生、家庭医生和物理治疗师都有实用价值,他们将能够直接应用这种康复方法,从而提高患者的生活质量,帮助他们重新获得积极的生活方式,恢复他们的心理和情感健康。
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引用次数: 0
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