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Self-Hypnosis for Phantom Limb Pain: A Multiple-Case Study 幻肢疼痛的自我催眠:多案例研究
Pub Date : 2022-06-29 DOI: 10.21926/obm.icm.2203040
A. Bicego, Pauline Delmal, D. Ledoux, M. Faymonville, B. M. D. Noordhout, Alfredo Cerasoli, H. Cassol, O. Gosseries, A. Vanhaudenhuyse
Phantom limb pain occurs in more than half of the people who have undergone an amputation. Hypnosis can alleviate pain effectively in experimental, procedural, and chronic pain. Thus, in this multiple-case study, we determined whether hypnosis might be a successful complementary approach to help patients with phantom limb pain in alleviating their pain quality (i.e., sensitive and affective), intensity, fatigue, and emotional distress (i.e., anxiety and depression). Seven patients experiencing phantom limb pain were trained to perform self-hypnosis in five sessions over two and a half months. The patients were encouraged to practice at home daily throughout the study. Measures of the intensity of pain and fatigue, the severity of insomnia, anxiety, depression, and the quality of pain (i.e., sensitive and affective) were performed before and after self-hypnosis training. Six years after the completion of the study, the patients were contacted over the telephone to follow up on their practice of self-hypnosis. All patients reported a reduction in the intensity of pain, severity of insomnia, anxiety, and quality of pain. They also reported a positive change in their behaviors and the sensation of pain after performing hypnosis. At the six-year follow-up, three patients were still practicing hypnosis and reported better control over pain and being more relaxed. The main reason for most patients to stop practicing self-hypnosis was that they failed to find the time. Self-hypnosis can effectively ameliorate pain, fatigue, and emotional distress in patients suffering from phantom limb pain. Large-sample clinical trials with a mixed design are needed to confirm these results.
超过一半的截肢患者会出现幻肢疼痛。催眠可以有效缓解实验性、程序性和慢性疼痛。因此,在这项多案例研究中,我们确定了催眠是否是一种成功的补充方法,可以帮助幻肢疼痛患者减轻他们的疼痛质量(即敏感和情感)、强度、疲劳和情绪困扰(即焦虑和抑郁)。七名经历幻肢疼痛的患者接受了为期两个半月的五次自我催眠训练。在整个研究过程中,鼓励患者每天在家练习。在自我催眠训练前后测量疼痛和疲劳的强度、失眠、焦虑、抑郁的严重程度以及疼痛的质量(即敏感性和情感性)。研究完成六年后,通过电话联系患者,跟进他们的自我催眠实践。所有患者都报告疼痛强度、失眠、焦虑和疼痛质量有所减轻。他们还报告说,在进行催眠后,他们的行为和疼痛感发生了积极变化。在六年的随访中,三名患者仍在练习催眠,并报告称对疼痛的控制更好,更放松。大多数患者停止自我催眠的主要原因是他们找不到时间。自我催眠能有效减轻幻肢疼痛患者的疼痛、疲劳和情绪困扰。需要混合设计的大样本临床试验来证实这些结果。
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引用次数: 1
A Mixed-Methods Pilot Study to Identify Facilitators Leading to Sustained Mindfulness Practice across the Perinatal Period 一项混合方法的试点研究,以确定在围产期持续正念练习的促进者
Pub Date : 2022-05-31 DOI: 10.21926/obm.icm.2203038
Jessica Walls, Charlotte V. Farewell, Kara Traikoff, Haley Burns, J. Whalen, Meredith Shefferman, J. Leiferman
Many women experience depression and/or anxiety during pregnancy and/or the postpartum period. Mind-Body Interventions (MBIs) have shown great efficacy in the mitigation of these symptoms; however, there is limited research spanning the postpartum period and exploring long-term sustainability of mindfulness practice. Furthermore, little is known about specific facilitators that contribute to sustainability. The primary objective of this mixed-methods study is to use the Theory of Planned Behavior (TPB) framework to inform multi-level factors associated with the sustainability of mindfulness practices and associated mental health outcomes in the postpartum period after participating in a prenatal MBI to inform and improve future interventions. Measures of mental health including depression, anxiety, and perceived stress were evaluated via quantitative assessments at three time points (n = 24) across the prenatal and postpartum periods prior to and following the prenatal MBI. Interviews were conducted post-intervention (n = 10) and 5-12-months postpartum (n = 8) to identify sustainability facilitators. Measures of depression, anxiety, and perceived stress were significantly lower post-intervention than pre-intervention, and decreased levels of depression were sustained over three months postpartum. After participation, all interview participants reported intention to continue practice postpartum. In the postpartum period, 73% of participants reported weekly sustained practice. Qualitative interviews revealed significant facilitators to be informal practice (attitudes and beliefs), family and peer support (social norms), life-integration and self-compassion (perceived control) and benefits to child (intentions/ behaviors). These findings suggest that future interventions should focus on ease of integrating informal practice into daily routines, communication with support systems, self-compassion, and benefits of mindfulness practices for the child to promote sustainability.
许多妇女在怀孕和/或产后期间会感到抑郁和/或焦虑。身心干预(MBI)在缓解这些症状方面显示出巨大的疗效;然而,关于产后和探索正念练习的长期可持续性的研究有限。此外,对有助于可持续性的具体促进者知之甚少。这项混合方法研究的主要目的是使用计划行为理论(TPB)框架,在参与产前MBI后,告知与产后正念实践的可持续性和相关心理健康结果相关的多层次因素,以告知和改进未来的干预措施。在产前MBI前后的产前和产后三个时间点(n=24),通过定量评估评估包括抑郁、焦虑和感知压力在内的心理健康指标。干预后(n=10)和产后5-12个月(n=8)进行访谈,以确定可持续性促进者。干预后抑郁、焦虑和感知压力的测量值显著低于干预前,产后三个月抑郁水平持续下降。参与后,所有访谈参与者都表示有意在产后继续练习。在产后期间,73%的参与者报告每周持续练习。定性访谈显示,重要的促进者是非正式实践(态度和信仰)、家庭和同伴支持(社会规范)、生活整合和自我同情(感知控制)以及对儿童的益处(意图/行为)。这些发现表明,未来的干预措施应侧重于将非正式实践融入日常生活的便利性、与支持系统的沟通、自我同情以及正念实践对儿童促进可持续性的好处。
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引用次数: 1
Living Well with Illness: Evaluation of a Transdiagnostic Compassion-Focused Therapy Group for Long-Term Health Conditions 与疾病共存:对长期健康状况的跨诊断同情治疗小组的评估
Pub Date : 2022-05-31 DOI: 10.21926/obm.icm.2203035
Rachel Snodgrass, Joanna Carnell, Tim Chapman
This study presents a mixed methods evaluation of a transdiagnostic Compassion Focused Therapy (CFT) group intervention, for adults with long-term health conditions (LTHCs). It aims to assess whether group completion was associated with improved outcomes in mood, overall well-being and the extent of LTHC interference in confidence for managing daily activities. Additionally, it examines the extent to which changes were related to processes targeted by CFT. The ‘Living Well with Illness’ group consisted of eleven weekly sessions, ten in group format and one individual formulation session at the course midpoint. Group participants were under the care of a medical consultant for their LTHC and were referred by a Psychology in Healthcare clinician. Outcome measurement data was collected from participants who attended groups conducted between January 2018 to January 2020. These measures assessed levels of anxiety, depression, overall well-being and confidence engaging in daily activities. Processes targeted by CFT were also measured including self-compassion and self-criticism. Additionally, qualitative questionnaire feedback was collated and analysed using conventional content analysis. The current study revealed a significant reduction in scores of anxiety and depression. A significant improvement was observed for well-being and confidence for engaging in daily activities. Additionally, a significant improvement was seen in self-compassion and a concurrent reduction in levels of self-criticism. Qualitative findings provided support for changes in self-compassion, utility of compassion-focused strategies and the benefits of a transdiagnostic group format. The findings of this study suggest CFT is an effective therapeutic approach to improve psychological well-being in LTHCs and that this can be delivered in a transdiagnostic group format.
本研究提出了一种针对患有长期健康状况(LTHC)的成年人的跨诊断同情集中治疗(CFT)组干预的混合方法评估。它旨在评估小组完成是否与情绪、整体幸福感的改善以及LTHC对日常活动管理信心的干扰程度有关。此外,它还考察了变化与CFT目标流程相关的程度。“带病健康生活”小组由11次每周会议、10次小组会议和一次课程中点的个人配方会议组成。小组参与者由LTHC的医疗顾问照顾,并由医疗保健心理学临床医生转介。结果测量数据是从参加2018年1月至2020年1月期间进行的小组的参与者中收集的。这些测量评估了日常活动中的焦虑、抑郁、整体幸福感和信心水平。CFT针对的过程也被衡量,包括自我同情和自我批评。此外,使用传统的内容分析对定性问卷反馈进行了整理和分析。目前的研究显示,焦虑和抑郁的得分显著降低。观察到,在日常活动的幸福感和信心方面有了显著改善。此外,自我同情有了显著改善,同时自我批评水平也有所下降。定性研究结果为自我同情的变化、以同情为中心的策略的效用以及跨诊断小组形式的好处提供了支持。这项研究的结果表明,CFT是改善LTHC心理健康的有效治疗方法,并且可以以跨诊断组的形式提供。
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引用次数: 0
Recruiting Perinatal Fathers to Interventions and Research: A Conceptual Model of Engagement and Integrative Review of Barriers Encountered and Strategies Used 招募围产期父亲参与干预和研究:参与的概念模型和遇到的障碍和使用的策略的综合回顾
Pub Date : 2022-05-31 DOI: 10.21926/obm.icm.2203041
John R Holmberg
The perinatal period represents a unique developmental window for families and an opportunity to reach and engage fathers in research and preventive interventions. The distinctiveness of this period stems from the changes and stressors that parents experience which affect their openness to enroll in interventions (e.g., adaptive parenting, physical and mental health, relationship skills, and economic self-sufficiency) and participate in research. While long understudied, paternal research in the perinatal period has flourished in the past decade. Recent studies find that fathers struggle with the transition to parenting and report increased health and mental health problems during this time; but, compared to mothers, they are less likely to enroll in supportive services. Intervention programs and research studies have found recruiting, engaging, and retaining fathers is difficult due to factors such as men’s low knowledge of and openness to the use of available support resources as well as logistical, internalized, and program-level barriers. Aside from a few quasi-experimental studies on the impact of altering advertisement text to specifically state they are recruiting fathers, little systematic study of or conclusive evidence for the effectiveness of paternal recruitment strategies has been published. To frame future work, this manuscript first offers a conceptual model of phases of paternal engagement and the factors believed to impact father recruitment. Secondly, this paper summarizes, the predominantly anecdotal, previous publications on barriers faced and strategies found to be helpful in paternal recruitment and engagement.
围产期是家庭独特的发展窗口期,也是接触父亲并使其参与研究和预防干预的机会。这一时期的独特性源于父母经历的变化和压力因素,这些变化和压力因素影响了他们参加干预措施(例如,适应性养育、身心健康、关系技巧和经济自给自足)和参与研究的开放性。虽然长期未被充分研究,但在围产期的父亲研究在过去十年中蓬勃发展。最近的研究发现,父亲们在过渡到为人父母的过程中遇到了困难,在这段时间里,他们报告的健康和心理健康问题有所增加;但是,与母亲相比,她们不太可能参加支持性服务。干预项目和研究发现,由于男性对现有支持资源的知识和开放程度较低,以及后勤、内部化和项目层面的障碍等因素,招募、吸引和留住父亲很困难。除了一些关于改变广告文本以明确说明他们正在招募父亲的影响的准实验研究外,很少有关于父亲招募策略有效性的系统研究或结论性证据发表。为了构建未来的工作框架,本文首先提供了一个父亲参与阶段的概念模型和被认为影响父亲招募的因素。其次,本文总结,主要是轶事,以前的出版物所面临的障碍和策略,发现有助于父亲的招募和参与。
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引用次数: 0
A Scoping Literature Review on Compassion-Focused Therapy for Individuals with Intellectual Disability 以同情为中心的智力残疾患者治疗的范围界定文献综述
Pub Date : 2022-05-30 DOI: 10.21926/obm.icm.2203037
Lucia D Willems, S. Vacaru, H. Hokke, P. Sterkenburg
Individuals with intellectual disabilities (ID) are at a higher risk of shame and self-criticism and tend to make downward social comparisons. Compassion-focused therapy (CFT) is commonly used to address these issues in the general population, however, information on the adaptability and effectiveness of CFT for individuals with ID is limited. Thus, we conducted a scoping review of studies on CFT for individuals with ID, to accumulate and consolidate the information and provide a basis for future studies to further develop, alter, and implement CFT for individuals with ID. To conduct this review, we searched eight databases and included descriptive studies, reviews, and empirical peer-reviewed English and Dutch studies. We focused on ID and also included concurrent visual and intellectual disabilities, compassion-focused therapy, compassion, shame, self-criticism, and social comparison. Seven articles were included in the review. We found that CFT can be adapted for individuals with ID and can effectively reduce self-criticism and downwards social comparison. Thus, CFT can promote the well-being of individuals with ID. However, the methodologies of these studies had several limitations, for example, the lack of standardized instruments or protocols for individual or group therapy. While CFT is adaptable and clinically relevant for individuals with ID, its limitations need to be addressed in future studies. In this review, we highlighted and elaborated on the limitations of the research conducted and provided suggestions for the next steps in the field. We provided an overview of the current studies on CFT and ID and highlighted their positive therapeutic effects. Future studies should design robust protocols through collaborations between clinicians and researchers to provide clients with appropriate support and determine the clinical and statistical significance of CFT.
智障人士(ID)有更高的羞耻感和自我批评的风险,并倾向于进行向下的社会比较。以同情为中心的治疗(CFT)通常用于解决一般人群中的这些问题,然而,关于CFT对ID患者的适应性和有效性的信息有限。因此,我们对ID个体CFT的研究进行了范围综述,以积累和巩固相关信息,为后续研究进一步开发、修改和实施ID个体CFT提供基础。为了进行这项综述,我们检索了8个数据库,包括描述性研究、综述和经验的同行评议的英语和荷兰研究。我们专注于本我,还包括并发的视觉和智力障碍,以同情为中心的治疗,同情,羞耻,自我批评和社会比较。7篇文章被纳入综述。我们发现CFT可以适用于有ID的个体,并且可以有效地减少自我批评和向下的社会比较。因此,CFT可以促进本我个体的幸福感。然而,这些研究的方法有一些局限性,例如,缺乏标准化的工具或个人或团体治疗方案。虽然CFT对ID患者具有适应性和临床相关性,但其局限性需要在未来的研究中加以解决。在这篇综述中,我们强调并阐述了所进行研究的局限性,并为该领域的下一步工作提出了建议。我们概述了目前CFT和ID的研究,并强调了它们的积极治疗作用。未来的研究应通过临床医生和研究人员之间的合作,设计出强有力的方案,为患者提供适当的支持,并确定CFT的临床和统计意义。
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引用次数: 1
The Beneficial and Adverse Effects of Phytoestrogens 植物雌激素的有益和有害作用
Pub Date : 2022-05-19 DOI: 10.21926/obm.icm.2203034
A. Blázovics, Botond Csorba, A. Ferencz
The most well-known phytoestrogens (flavonoids, isoflavonoids, lignans, coumestans, stilbenes, and prenylflavonoids) are isoflavonoids, which are important active ingredients in medicinal and food plants. They are highly abundant in the Fabaceae family. More than 1,000 types of isoflavonoids have been isolated from nearly 300 kinds of plants, and more are being discovered through modern analytical methods. Glycosides O and C of isoflavonoids are poorly absorbed in the intestine. They are converted by bacterial esterases and/or β-glycosidase enzymes to aglycones, which are absorbed more efficiently. Their bioavailability shows significant differences due to variation in the intestinal microflora of various races. The compounds formed during their biotransformation are structurally similar to estrogens. In Traditional Chinese medicine, several herbs rich in phytoestrogens are used to prevent and cure various diseases, such as osteoporosis, cardiovascular diseases, diabetes mellitus, hypertension, hyperlipidemia, tumors, and inflammation; additionally, 185 herbs are used to treat menopausal symptoms. Some of these herbs can be used to alleviate the unpleasant symptoms of menopause and treat breast and prostate cancer. From a nutritional physiology perspective, the consumption of Glycine max and Vigna unguiculata should be emphasized. Soy has been consumed in China for about 5,000 years while it was introduced to Europe nearly 300 years ago. Soybean cultivation in Hungary dates back only 100 years. The assessment of the efficacy of phytoestrogens is unclear. Although several experimental and molecular biology studies have shown favorable results, studies on humans have not shown prominent therapeutic benefits. However, comparing and interpreting the findings of modern studies might elucidate the therapeutic utility of phytoestrogens.
最著名的植物雌激素(类黄酮、类黄酮、木脂素、香豆素、二苯乙烯和异戊二烯类黄酮)是类黄酮,它们是药用和食用植物中的重要活性成分。它们在豆科植物中非常丰富。从近300种植物中分离出1000多种异黄酮,通过现代分析方法发现了更多的异黄酮。类黄酮的糖苷O和C在肠道中吸收不良。它们被细菌酯酶和/或β-糖苷酶转化为苷元,苷元被更有效地吸收。由于不同种族肠道菌群的差异,它们的生物利用度显示出显著差异。在生物转化过程中形成的化合物在结构上类似于雌激素。在传统中医中,几种富含植物雌激素的草药用于预防和治疗各种疾病,如骨质疏松症、心血管疾病、糖尿病、高血压、高脂血症、肿瘤和炎症;此外,185种草药被用于治疗更年期症状。这些草药中的一些可以用来缓解更年期的不愉快症状,并治疗乳腺癌和前列腺癌癌症。从营养生理学的角度来看,应重视食用甘氨酸和黑木耳。大豆在中国已经消费了大约5000年,而它在近300年前被引入欧洲。匈牙利的大豆种植可以追溯到100年前。植物雌激素的疗效评估尚不清楚。尽管一些实验和分子生物学研究已经显示出良好的结果,但对人类的研究并没有显示出显著的治疗益处。然而,比较和解释现代研究的结果可能会阐明植物雌激素的治疗作用。
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引用次数: 3
Patient’s Acting on their Own Care: Medical Hypnosis for Perioperative Management in The Awake Craniotomy. Technical Report and Clinical Cases. 病人的自我护理:苏醒期开颅术围手术期管理的医学催眠。技术报告和临床病例。
Pub Date : 2022-05-09 DOI: 10.21926/obm.icm.2203030
Gilda F. Pardey Bracho, K. Collomb, A. Topouzkhanian
The patient as the custodian of their own care is a concept that has been evolving for several years and can help the patient to a better and quicker recovery. Medical Hypnosis (MH) assist the practitioner to reduce the patient’s pain and disorders and help the patient to understand, accept, and manage their situation. Recently, this technique has been increasingly used in awake surgery protocols. This paper describes three examples of the successful perioperative management of patients who benefited from an awake craniotomy for tumor resection with the aid of MH. Another case of a patient who had developed post-traumatic stress disorder (PTSD) after an operation without MH is also described.
病人作为自己护理的监护人是一个已经发展了好几年的概念,可以帮助病人更好更快地康复。医学催眠(MH)帮助医生减少病人的痛苦和紊乱,帮助病人理解、接受和管理他们的情况。最近,这项技术已越来越多地用于清醒手术方案。本文描述了三个成功的患者围手术期管理的例子,这些患者受益于清醒开颅手术和MH的帮助下切除肿瘤。另一个病例的患者在没有MH的手术后发展为创伤后应激障碍(PTSD)也被描述。
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引用次数: 0
Assessing the Ability of Reiki Practitioners to Detect Human Energy Fields 评估灵气从业者探测人类能量场的能力
Pub Date : 2022-05-05 DOI: 10.21926/obm.icm.2203033
Gabrielle Moss, Gi-Ming Wang, Bethanny Bristol, Hasina Momotaz, Ming Li, Richard T. Lee
Reiki is a form of energy healing that has gained popularity in the United States, but there remains skepticism about its scientific validity. This study examines the ability of Reiki practitioners (RP) to detect human energy fields (HEF). Volunteer RP were asked to identify the location of a human hand under blinded conditions for a total of 20 trials. Four potential options existed for subjects (right, left, both, or neither); thus, random chance would predict a success rate of 25%. A success rate of >40% was considered significant, and these individuals would be asked to conduct another 40 trials. A control group of non-energy trained volunteers were also asked to complete the same task. A total of 67, mainly female (91%), RP participated in this study. The majority were Reiki Masters (90%) and practiced Reiki an average of 11.4 years (±6.2, 1.5-24). They had a mean success rate of detecting HEF of 25.4%, (median 5 ± 1.8, 1-10), while the control group (n = 25) had an average success rate of 24.2% (median 5 ± 1.6, 2-8). One subject met criteria for repeat testing for a final 42% accuracy rate. Level of training (masters versus level II), years of experience (>10), age (>60), female sex, handedness, or time to detect HEF (average >20 sec) did not correlate to an increase in accuracy for RP. RPs’ ability to HEF was equivalent to chance and similar to the control group of non-energy trained volunteers. The mechanism by which reiki provides benefits to patients is still unknown, and while this study indicates that it may not be through the manipulation of energy fields, alternate explanations include physical touch and healing touch, both of which should be explored in future research.
灵气是一种能量疗法,在美国很受欢迎,但其科学有效性仍存在疑问。这项研究考察了灵气练习者(RP)检测人体能量场(HEF)的能力。志愿者RP被要求在盲法条件下识别人手的位置,总共进行了20次试验。受试者有四种潜在的选择(右、左、两者都有或两者都没有);因此,随机机会可以预测25%的成功率。>40%的成功率被认为是显著的,这些人将被要求再进行40次试验。一组未经能量训练的志愿者也被要求完成同样的任务。共有67名RP,主要是女性(91%)参与了这项研究。大多数是灵气大师(90%),平均练习灵气11.4年(±6.2,1.5-24)。他们检测HEF的平均成功率为25.4%(中位数5±1.8,1-10),而对照组(n=25)的平均成功度为24.2%(中位数5士1.6,2-8)。一名受试者符合重复测试的标准,最终准确率为42%。训练水平(硕士与II级)、经验年限(>10)、年龄(>60)、女性、惯用手或检测HEF的时间(平均>20秒)与RP准确性的提高无关。RP的HEF能力与偶然性相当,与非能量训练志愿者的对照组相似。灵气为患者提供益处的机制仍然未知,虽然这项研究表明它可能不是通过操纵能量场实现的,但替代的解释包括物理触摸和愈合触摸,这两种都应该在未来的研究中进行探索。
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引用次数: 0
Potential Role of Blood Flow Restricted Exercise for Older Adults 限流运动对老年人的潜在作用
Pub Date : 2022-04-29 DOI: 10.21926/obm.icm.2203025
Dean M. Cordingley, S. Cornish
Sarcopenia is the age-related loss of muscle mass and strength which is associated with the loss of physical performance, lower quality of life, and other negative health outcomes. Resistance training (RT) is a recognized method to increase muscle strength and mass, however some older adults may be limited in their ability to perform RT with traditionally recommended higher-loads. Occluding blood flow to a limb, commonly referred to as muscle blood flow restriction (MBFR), has been investigated as an adjunct to RT to elicit muscle strength and hypertrophy adaptations while utilizing lower-loads of resistance as compared to traditional training recommendations. This technique could be of particular interest for older adults who may be limited in their ability to otherwise complete RT due to health reasons or may be debilitated due to a lack of muscle mass and strength. The aim of this narrative review is to discuss the current literature investigating the use of MBFR with and without a combination of exercise, in older adults and its effects on skeletal muscle strength, hypertrophy, and physical function.
肌肉减少症是一种与年龄有关的肌肉质量和力量的丧失,与身体机能的丧失、生活质量的下降和其他负面的健康结果有关。阻力训练(RT)是一种公认的增加肌肉力量和质量的方法,然而一些老年人在传统上推荐的高负荷下进行阻力训练的能力可能有限。闭塞血流到肢体,通常被称为肌肉血流限制(MBFR),已被研究作为RT的辅助手段,以诱导肌肉力量和肥厚适应,同时利用比传统训练建议更低的阻力负荷。由于健康原因,老年人完成RT的能力有限,或者由于缺乏肌肉量和力量而虚弱,这种技术可能对老年人特别感兴趣。这篇叙述性综述的目的是讨论目前的文献调查MBFR在老年人中结合或不结合运动的使用及其对骨骼肌力量、肥大和身体功能的影响。
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引用次数: 0
Speech-Language Pathology Management for Adults with COVID-19 in the Acute Hospital Setting: What Do We Know? 新冠肺炎急性住院成人语言病理学管理:我们知道什么?
Pub Date : 2022-04-29 DOI: 10.21926/obm.icm.2203036
Luis F. Riquelme, S. Diab, Angela Horyacheva, Isabel Huribal, Andreea Shellerud, Sophia Werden Abrams, Ashwini M. Namasivayam-MacDonald
The purpose of this study was to collate and summarize the content covered in published literature describing speech-language pathology management of adult patients with COVID-19 in the acute hospital setting as of February 2022. This review serves as an updated review of the initial recommendations to guide speech-language pathology management for adults with COVID-19 in the acute hospital setting previously provided by Namasivayam-MacDonald and Riquelme in July of 2020. This scoping review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Scoping Review Extension protocol. We searched for relevant peer-reviewed articles in the following electronic databases: MEDLINE, EMBASE, and CINAHL. The article review process was conducted using Covidence. Our searches yielded a combined total of 3019 unique citations, of which 54 were accepted for full-text review. Thirty-seven of the 54 studies were review articles, recommendations, or opinion pieces. This translates to mostly low levels of evidence (i.e., Levels VI and VII) and a grade of ‘D’ when applying the American Society of Plastic Surgeons grade recommendation scale for evidence-based clinical practice guidelines, meaning there is little or no systematic empirical evidence available. The remaining 17 provided empirical data, which translates to higher levels of evidence and a grade of ‘B’. The empirical data shared in this scoping review provide support for the ongoing role of the SLP in the acute care setting and the impact COVID-19 and its variants have on the underlying systems for communication and swallowing. This document serves as further proof of the need for ongoing research into the clinical presentations of patients with speech-language, cognitive and/or swallowing deficits resulting from COVID-19, as well as into systems of care that will provide the best outcomes in their rehabilitation.
本研究的目的是整理和总结已发表的文献中涵盖的内容,这些文献描述了截至2022年2月在急性医院环境中新冠肺炎成年患者的语言病理学管理。这篇综述是对Namasivayam-MacDonald和Riquelme之前于2020年7月提供的指导急性医院环境中新冠肺炎成人言语语言病理学管理的初步建议的更新综述。本范围界定审查遵循系统评价和荟萃分析的首选报告项目范围界定审查扩展协议。我们在以下电子数据库中搜索了相关的同行评审文章:MEDLINE、EMBASE和CINAHL。文章评审过程使用Covidence进行。我们的搜索总共产生了3019条独特的引文,其中54条被全文审查接受。54项研究中有37项是综述文章、建议或观点文章。这意味着,在应用美国整形外科医生协会的循证临床实践指南等级推荐量表时,证据水平大多较低(即VI和VII级),等级为“D”,这意味着几乎没有或根本没有系统的经验证据。剩下的17个提供了经验数据,这意味着证据水平更高,等级为“B”。本范围界定审查中共享的经验数据为SLP在急性护理环境中的持续作用以及新冠肺炎及其变体对沟通和吞咽的基本系统的影响提供了支持。本文件进一步证明,有必要对新冠肺炎导致的语言、认知和/或吞咽障碍患者的临床表现以及为其康复提供最佳结果的护理系统进行持续研究。
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OBM integrative and complimentary medicine
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