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Total 39 results found since Jan 2013.

Sensory training system for use at home by people with complex regional pain syndrome in England: protocol for a proof-of-concept study
Introduction Complex regional pain syndrome (CRPS) is a disabling and distressing chronic pain condition characterised by a range of sensory, motor, autonomic and trophic symptoms. UK guidelines recommend therapy interventions to help normalise touch perception through self-administered tactile and thermal desensitisation activities. Interventions have been developed, aiming to help individuals broaden their sensory experience, thereby relieving chronic pain. However, therapy-led interventions often experience practical constraints and poor adherence. In response, a sensory training system (STS) device has been designed fo...
Source: BMJ Open - May 30, 2023 Category: General Medicine Authors: Coggins, J., Grieve, S., Hart, D., Llewellyn, A., Palmer, M., Boichat, C., McCabe, C. Tags: Open access, Rehabilitation medicine Source Type: research

Automatic textual description of colorectal polyp features: explainable artificial intelligence
Endosc Int Open 2023; 11: E513-E518 DOI: 10.1055/a-2071-6652Computer-aided diagnosis systems (CADx) can improve colorectal polyp (CRP) optical diagnosis. For integration into clinical practice, better understanding of artificial intelligence (AI) by endoscopists is needed. We aimed to develop an explainable AI CADx capable of automatically generating textual descriptions of CRPs. For training and testing of this CADx, textual descriptions of CRP size and features according to the Blue Light Imaging (BLI) Adenoma Serrated International Classification (BASIC) were used, describing CRP surface, pit pattern, and vessels. CADx ...
Source: Endoscopy International Open - May 17, 2023 Category: Gastroenterology Authors: Thijssen, Ayla Schreuder, Ramon-Michel r Fonoll à, Roger van der Zander, Quirine Scheeve, Thom Winkens, Bjorn Subramaniam, Sharmila Bhandari, Pradeep de With, Peter Masclee, Ad van der Sommen, Fons Schoon, Erik Tags: Innovation forum Source Type: research

Transcranial direct current stimulation combined with bodyweight support-tai chi footwork for motor function of stroke survivors: a study protocol of randomised controlled trial
This study will be an assessor-blinded randomised controlled trial involving 12-week intervention and 6-month follow-up. One hundred and thirty-five individuals with stroke will be randomly divided in a ratio of 1:1:1 into three groups. Control group A, control group B and intervention group C will receive tDCS and conventional rehabilitation programmes (CRPs), BWS-TC and CRP, tDCS-BWS-TC and CRP for 12 weeks, respectively. The primary outcome measures will include the efficacy (Fugl-Meyer Assessment), acceptability and safety of these interventions. The secondary outcome measures will include balance ability (ie, limits o...
Source: BMJ Open - March 7, 2023 Category: General Medicine Authors: Lai, M.-h., Xu, H.-c., Huang, M.-c., Lu, Y., Yang, K., Jiang, L.-m., Yu, X.-m. Tags: Open access, Rehabilitation medicine Source Type: research

Clinical and neurophysiological effects of progressive movement imagery training for pathological pain
Movement limitation is a common characteristic of chronic pain such that pain prevents the very movement and activity that is most likely to promote recovery. This is particularly the case for pathological pain states such as complex regional pain syndrome (CRPS). One clinical approach to CRPS that has growing evidence of efficacy involves progressive movement imagery training. Graded Motor Imagery (GMI) targets clinical and neurophysiological effects through a stepwise progression through implicit and explicit movement imagery training, mirror therapy and then functional tasks.
Source: The Journal of Pain - April 29, 2022 Category: Materials Science Authors: Martin Lotze, G. Lorimer Moseley Tags: Focus Article Source Type: research

Algorithm combining virtual chromoendoscopy features for colorectal polyp classification
Conclusions Our novel approach and algorithm for CRP classification differentiates accurately between benign and premalignant polyps in non-magnified endoscopic images. This is the first algorithm combining three optical modalities (HDWL/BLI/LCI) exploiting the triplet network approach. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text
Source: Endoscopy International Open - September 16, 2021 Category: Gastroenterology Authors: Schreuder, Ramon-Michel van der Zander, Qurine E.W. Fonoll à, Roger Gilissen, Lennard P.L. Stronkhorst, Arnold Klerkx, Birgitt de With, Peter H.N. Masclee, Ad M. van der Sommen, Fons Schoon, Erik J. Tags: Original article Source Type: research

Treatment of complex regional pain syndrome in the hand region from the perspective of physiotherapy
CONCLUSION: Good patient education regarding the clinical picture and course of the disease form the basis for the treatment of CRPS. The patient should always be considered holistically and treated correspondingly by a multiprofessional team. Active involvement of the patient in the treatment from the beginning is always essential.PMID:33999218 | DOI:10.1007/s00113-021-01005-7
Source: Der Unfallchirurg - May 17, 2021 Category: Orthopaedics Authors: Cornelia Schubert Source Type: research

Differences in clinical knowledge levels between residents in two post ‐graduate rotation programmes in Japan
In Japan, between 2010 and 2020, there were two post-graduate training curricula for post-graduate medical education, as follows: comprehensive rotation programmes (CRPs), which require rotation in at least se...
Source: BMC Medical Education - April 21, 2021 Category: Universities & Medical Training Authors: Saki Muroya, Sachiko Ohde, Osamu Takahashi, Joshua Jacobs and Tsuguya Fukui Tags: Research article Source Type: research

Modifications in fMRI Representation of Mental Rotation Following a 6 Week Graded Motor Imagery Training in Chronic CRPS Patients
Complex regional pain syndrome (CRPS) shows severe painful symptoms of the affected body part (for a concise description of symptoms and pathophysiology see 6) and has an incidence rate of approximately 26 per 100,000 person years.33 Because of its high rate of chronification, powerful treatment options are needed. Longitudinal intervention studies with neurophysiological and imaging control can help to understand treatment gain and underlying brain changes.
Source: The Journal of Pain - January 6, 2021 Category: Materials Science Authors: Sebastian Strauss, Silke Barby, Jonas H ärtner, Nicola Neumann, G. Lorimer Moseley, Martin Lotze Source Type: research

Primary sensorimotor cortex is modified by a 6 week graded motor imagery training in chronic CRPS patients: a randomized trial
Complex regional pain syndrome (CRPS) shows severe painful symptoms of the affected body part (for a concise description of symptoms and pathophysiology see 6) and has an incidence rate of approximately 26 per 100,000 person years33. Because of its high rate of chronification, powerful treatment options are needed. Longitudinal intervention studies with neurophysiological and imaging control can help to understand treatment gain and underlying brain changes.
Source: The Journal of Pain - January 6, 2021 Category: Materials Science Authors: S. Strauss, S. Barby, J. H ärtner, N. Neumann, G.L. Moseley, M. Lotze Tags: Original Reports Source Type: research

Exergames for patients with complex regional pain syndrome : A feasibility study.
CONCLUSION: In this study the use of exergames proved to be a suitable tool for rehabilitation of the hand in adult CRPS patients. Whether exergames represent an effective rehabilitation strategy should be examined by means of functional and activity-related target criteria in a representative sample in a randomized controlled study. PMID: 32095887 [PubMed - as supplied by publisher]
Source: Schmerz - February 23, 2020 Category: Anesthesiology Authors: Storz C, Schulte-Göcking H, Woiczinski M, Azqueta-Gavaldon M, Azad SC, Kraft E Tags: Schmerz Source Type: research

Suboptimal learning of tactile-spatial predictions in patients with complex regional pain syndrome
In complex regional pain syndrome (CRPS), tactile sensory deficits have motivated the therapeutic use of sensory discrimination training. However, the hierarchical organisation of the brain is such that low-level sensory processing can be dynamically influenced by higher-level knowledge, eg, knowledge learnt from statistical regularities in the environment. It is unknown whether the learning of such statistical regularities is impaired in CRPS. Here, we used a hierarchical Bayesian model of predictive coding to investigate statistical learning of tactile-spatial predictions in CRPS. Using a sensory change-detection task, w...
Source: Pain - January 23, 2020 Category: Anesthesiology Tags: Research Paper Source Type: research

Acupuncture for Post-stroke Shoulder-Hand Syndrome: A Systematic Review and Meta-Analysis
Conclusions: Acupuncture therapy seems effective for motor function, pain relief and activities of daily living in stroke patients with mild SHS, when it is used in combination with rehabilitation. The low certainty of evidence downgrades our confidence in making recommendations to clinical practice. Introduction Shoulder-hand syndrome (SHS) is a common condition among people who have had a stroke, with its reported prevalence ranging from 12% to 49% (1, 2). The main symptoms of SHS include pain, hyperalgesia, joint swelling and limitations in range of motion (ROM) (3). Post-stroke SHS is also named type I complex ...
Source: Frontiers in Neurology - April 25, 2019 Category: Neurology Source Type: research

The Effectiveness of Fluidotherapy in Poststroke Complex Regional Pain Syndrome: A Randomized Controlled Study
Objective: To evaluate whether combining fluidotherapy to conventional rehabilitation program provides additional improvements on pain severity, upper extremity functions, and edema volume in patients with poststroke complex regional pain syndrome (CRPS). Design: Randomized controlled trial. Setting: Training and research hospital. Participants: Thirty hemiplegic patients with subacute stage CRPS type-1 of the upper extremity. Interventions: The patients randomly divided into 2 groups. Both groups received a 3 week conventional rehabilitation program (5days/week, 2-4 hours/day).
Source: Journal of Stroke and Cerebrovascular Diseases - March 29, 2019 Category: Neurology Authors: Didem Sezgin Ozcan, Hilmi Umut Tatli, Cemile Sevgi Polat, Oznur Oken, Belma Fusun Koseoglu Source Type: research