42,874 results match your criteria manual therapy


Chemoradiotherapy in a patient with locally advanced small cell neuroendocrine carcinoma of the cervix complicated by pelvic organ prolapse: A case report.

Gynecol Oncol Rep 2021 Aug 10;37:100832. Epub 2021 Jul 10.

Department of Radiation Oncology, Benavides Cancer Institute, University of Santo Tomas Hospital, Manila 1015, Philippines.

Background: The coexistence of cervical cancer and pelvic organ prolapse represents a rare clinical scenario. Small cell neuroendocrine histology likewise represents only 0.9-1. Read More

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Progressive Resistance Exercises plus Manual Therapy Is Effective in Improving Isometric Strength in Overhead Athletes with Shoulder Impingement Syndrome: A Randomized Controlled Trial.

Biomed Res Int 2021 30;2021:9945775. Epub 2021 Jun 30.

Centre for Physiotherapy and Rehabilitation Sciences, Jamia Millia Islamia, New Delhi, India.

Reduction in isometric strength of the scapulohumeral muscles is a commonly seen impairment in overhead athletes afflicted with shoulder impingement syndrome (SIS). The purpose of this study was to compare the effects of two different treatment programs: progressive resistance exercises plus manual therapy (PRE plus MT) and motor control exercises (MCE), on isometric strength of upper trapezius (UT), middle trapezius (MTr), lower trapezius (LT), serratus anterior (SA), supraspinatus (Supr.), anterior deltoid (A. Read More

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Droplet Size and Distribution of Nebulized 3% Sodium Chloride, Albuterol, and Epoprostenol by Phase Doppler Particle Analyzer.

Curr Ther Res Clin Exp 2021 18;94:100623. Epub 2021 Feb 18.

Department of Mechanical Engineering, University of Wisconsin-Madison College of Engineering, Madison, Wisconsin.

Background: Aerosolized drug therapy administered to mechanically ventilated patients is a standard part of pulmonary critical care medicine. Aerosol particle size and distribution are important factors in the optimal delivery of aerosolized drugs to ventilated patients.

Objective: The objective of this study was to characterize aerosol droplet size and distribution with laser diffraction for nebulized 3% sodium chloride, albuterol, and epoprostenol sodium (containing glycine) delivered via Aeroneb Solo Mesh Nebulizers (Aerogen, Mountain View, California). Read More

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February 2021

External validation of prognostic models for recovery in patients with neck pain.

Braz J Phys Ther 2021 Jul 1. Epub 2021 Jul 1.

Department of General Practice, Erasmus MC, Rotterdam, the Netherlands; University of Technology Sydney, Sydney, Australia.

Background: Neck pain is one of the leading causes of disability in most countries and it is likely to increase further. Numerous prognostic models for people with neck pain have been developed, few have been validated. In a recent systematic review, external validation of three promising models was advised before they can be used in clinical practice. Read More

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Automated Loss-of-Balance Event Identification in Older Adults at Risk of Falls during Real-World Walking Using Wearable Inertial Measurement Units.

Sensors (Basel) 2021 Jul 7;21(14). Epub 2021 Jul 7.

Department of Mechanical Engineering, University of Michigan, Ann Arbor, MI 48109, USA.

Loss-of-balance (LOB) events, such as trips and slips, are frequent among community-dwelling older adults and are an indicator of increased fall risk. In a preliminary study, eight community-dwelling older adults with a history of falls were asked to perform everyday tasks in the real world while donning a set of three inertial measurement sensors (IMUs) and report LOB events via a voice-recording device. Over 290 h of real-world kinematic data were collected and used to build and evaluate classification models to detect the occurrence of LOB events. Read More

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Ultrasound Imaging as a Visual Biofeedback Tool in Rehabilitation: An Updated Systematic Review.

Int J Environ Res Public Health 2021 Jul 15;18(14). Epub 2021 Jul 15.

Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, 28922 Alcorcón, Spain.

Rehabilitative ultrasound imaging (RUSI) is used by physical therapists as a feedback tool for measuring changes in muscle morphology during therapeutic interventions such as motor control exercises (MCE). However, a structured overview of its efficacy is lacking. We aimed to systematically review the efficacy of RUSI for improving MCE programs compared with no feedback and other feedback methods. Read More

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Quality of Automated Stereotactic Radiosurgery Plans in Patients with 4 to 10 Brain Metastases.

Cancers (Basel) 2021 Jul 10;13(14). Epub 2021 Jul 10.

Department of Radiation Oncology, Haaglanden Medical Center, 2262 BA Leidschendam, The Netherlands.

The purpose was to compare linac-based stereotactic radiosurgery and hypofractionated radiotherapy plan quality of automated planning, intensity modulated radiotherapy (IMRT) and manual dynamic conformal arc (DCA) plans as well as single- and multiple-isocenter techniques for multiple brain metastases (BM). For twelve patients with four to ten BM, seven non-coplanar linac-based plans were created: a manually planned DCA plan with a separate isocenter for each metastasis, a single-isocenter dynamic IMRT plan, an automatically generated single-isocenter volumetric modulated arc radiotherapy (VMAT) plan, four automatically generated single-isocenter DCA plans with three or five couch angles, with high or low sparing of normal tissue. Paddick conformity index, gradient index (GI), mean dose, total V and V of uninvolved brain, number of monitor units (MUs), irradiation time and pass rate were compared. Read More

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Effects of Electrical Automatic Massage on Cognition and Sleep Quality in Alzheimer's Disease Spectrum Patients: A Randomized Controlled Trial.

Yonsei Med J 2021 Aug;62(8):717-725

Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Purpose: Muscle relaxation following electrical automatic massage (EAM) has been found to reduce fatigue, depression, stress, anxiety, and pain in individuals with various conditions. However, the effects of EAM have not been extensively explored in patients with Alzheimer's disease (AD).

Materials And Methods: Here, we conducted a randomized controlled study to evaluate the effects of EAM on the cognitive and non-cognitive functions of patients with AD spectrum disorders. Read More

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3D deformable registration of longitudinal abdominopelvic CT images using unsupervised deep learning.

Comput Methods Programs Biomed 2021 Jul 8;208:106261. Epub 2021 Jul 8.

Department of Radiology, University of Cambridge, CB2 0QQ Cambridge, United Kingdom; Cancer Research UK Cambridge Centre, University of Cambridge, CB2 0RE Cambridge, United Kingdom; Department of Biomedical Imaging and Image-guided Therapy, Medical University Vienna, 1090 Vienna, Austria.

Background And Objectives: Deep learning is being increasingly used for deformable image registration and unsupervised approaches, in particular, have shown great potential. However, the registration of abdominopelvic Computed Tomography (CT) images remains challenging due to the larger displacements compared to those in brain or prostate Magnetic Resonance Imaging datasets that are typically considered as benchmarks. In this study, we investigate the use of the commonly used unsupervised deep learning framework VoxelMorph for the registration of a longitudinal abdominopelvic CT dataset acquired in patients with bone metastases from breast cancer. Read More

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Comparative effectiveness of low-level laser therapy with different wavelengths and transcutaneous electric nerve stimulation in the treatment of pain caused by temporomandibular disorders: a systematic review and network meta-analysis.

J Oral Rehabil 2021 Jul 21. Epub 2021 Jul 21.

Department of Temporomandibular joint and Occlusion, School/Hospital of Stomatology, Lanzhou University, Lanzhou, 730000, China.

Objective: To assess the efficacy of low-level laser therapy (LLLT) with different wavelengths and transcutaneous electric nerve stimulation (TENS), and explore the optimal wavelength range of laser application in the treatment of pain caused by temporomandibular disorders (TMD).

Methods: An electronic search on PubMed, Cochrane Library, Embase, Scopus, and Web of Science was undertaken to identify the randomized clinical trials (RCTs) published from database inception to 16 April 2021, aiming to compare the effects of LLLT with different wavelengths (632.8-672nm, 780-904nm, and 910-1100nm) or TENS or placebo group on TMD patients' pain reduction. Read More

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EFFECT OF MANUAL THERAPY INTERVENTIONS ON RANGE OF MOTION AMONG INDIVIDUALS WITH MYOFASCIAL TRIGGER POINTS: A SYSTEMATIC REVIEW AND META-ANALYSIS.

Pain Med 2021 Jul 21. Epub 2021 Jul 21.

Universidad de Castilla la-Mancha, Health and Social Research Center, Santa Teresa Jornet, s/n, 16071, Cuenca, Spain.

Objective: Patients with myofascial trigger points (MTPs) frequently manifest restricted range of motion (ROM) during physical evaluation. Multiple manual therapy interventions have been developed for the treatment of MTPs, but their effect on ROM has not been clarified through a systematic review and meta-analysis. Thus, this systematic review aimed to assess the effect of manual therapy interventions on ROM among individuals with MTPs. Read More

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Relevant factors of self-care in children and adolescents with spastic cerebral palsy.

PLoS One 2021 21;16(7):e0254899. Epub 2021 Jul 21.

Faculty of Health Sciences, Department of Physical Therapy, Tokyo Metropolitan University, Arakawa-ku, Tokyo, JP.

Objective: Manual ability is considered one of the factors that can predict functional independence in activities of daily living. For evaluating personal tasks such as self-care, the Pediatric Evaluation of Disability Inventory (PEDI) comprises/introduces/offers a set of useful measures that assist in enhancing the capability for self-care among children and adolescents with cerebral palsy (CP). The aim of this study was to investigate the relevant factors of self-care capability and performance in children and adolescents with spastic CP. Read More

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A novel manual therapy technique is effective for short-term increases in tibial internal rotation range of motion.

J Exerc Rehabil 2021 Jun 30;17(3):184-191. Epub 2021 Jun 30.

School of Kinesiology and Recreation, Illinois State University, Normal, IL, USA.

The coupled motions of tibial internal rotation (T-IR) and ankle dorsiflexion (DF) are necessary for proper lower-limb function. Anecdotally, clinicians have been performing techniques to restore T-IR to improve ankle DF, however, no evidence exists to support their efficacy. Therefore, the two objectives were to: (a) determine the effectiveness of a manual therapy technique for improving T-IR range of motion (ROM) and (b) Examine the relationship between ankle DF and T-IR ROM. Read More

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Effect of whole-body vibration therapy on lower extremity function in subacute stroke patients.

J Exerc Rehabil 2021 Jun 30;17(3):158-163. Epub 2021 Jun 30.

Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine, Busan, Korea.

This study aimed to investigate the effect of whole-body vibration therapy on lower extremity function in subacute stroke patients. Subacute stroke patients who were able to undergo gait training were randomly divided into a vibration therapy group and a control group. All patients attended 20-min training sessions twice daily, 5 times a week for 2 weeks. Read More

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Respiratory Events After Intensive Care Unit Discharge in Trauma Patients: Epidemiology, Outcomes, and Risk factors.

J Trauma Acute Care Surg 2021 Jul 20. Epub 2021 Jul 20.

Surgical Outcomes Research Center, Department of Surgery, University of Washington, Seattle, WA Department of Surgery, Harborview Medical Center, Seattle, WA Department of Surgery, University of California San Francisco, San Francisco, CA.

Background: Respiratory complications are associated with significant morbidity and mortality in trauma patients. The care transition from the intensive care unit (ICU) to the acute care ward is a vulnerable time for injured patients. There is a lack of knowledge about the epidemiology of respiratory events and their outcomes during this transition. Read More

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A Systematic Review of Parkinson's Disease Pharmacogenomics: Is There Time for Translation into the Clinics?

Int J Mol Sci 2021 Jul 5;22(13). Epub 2021 Jul 5.

Clinical Institute of Medical Genetics, University Medical Center Ljubljana, 1000 Ljubljana, Slovenia.

Background: Parkinson's disease (PD) is the second most frequent neurodegenerative disease, which creates a significant public health burden. There is a challenge for the optimization of therapies since patients not only respond differently to current treatment options but also develop different side effects to the treatment. Genetic variability in the human genome can serve as a biomarker for the metabolism, availability of drugs and stratification of patients for suitable therapies. Read More

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Using Ozone Therapy as an Option for Treatment of COVID-19 Patients: A Scoping Review.

Adv Exp Med Biol 2021 ;1327:151-160

Biotechnology Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad, Iran.

Recent investigations are seeking a novel treatment to control the new pandemic of coronavirus 19 (COVID-19). The aim of this systematic review was to study the effect of ozone therapy on COVID-19 patients and the available supporting evidence. Electronic databases including MEDLINE (via PubMed), EMBASE, Cochrane Library (CENTRAL), and TRIP, clinical trial registries, and preprint sources were searched for published evidence-based articles. Read More

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Fear of childbirth in Iran: A systematic review of psychological intervention research.

Int J Reprod Biomed 2021 May 23;19(5):401-420. Epub 2021 Jun 23.

Department of lnternal Medicine, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.

Background: Due to the fear of childbirth (FOC) and failure to provide painless delivery in Iran, the prevalence rate of elective cesarean section (C-section) performed on request by pregnant women is on the rise. However, no systematic review assessing the results of studies in this respect has been thus far developed.

Objective: To systematically review published psychological intervention research reflecting on FOC in Iran. Read More

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Safety of immune checkpoint inhibitors in patients with cancer and pre-existing autoimmune disease.

Ann Transl Med 2021 Jun;9(12):1033

Division of Rheumatology, University of Washington, Seattle, WA, USA.

Background: Patients with pre-existing autoimmune disease (AD) have been largely excluded from clinical trials of immune checkpoint inhibitors (ICI), so data on safety of ICIs among patients with pre-existing AD are relatively limited. There is a need for deeper understanding of the type and management of complications from ICI in patients with pre-existing AD. We sought to investigate the safety of ICIs in patients with pre-existing ADs as well as factors associated with AD flare. Read More

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The process of National Health Insurance coverage for Chuna Manual Therapy in Korea: A qualitative study.

Integr Med Res 2022 Mar 26;11(1):100746. Epub 2021 May 26.

Division of Humanities and Social Medicine, School of Korean Medicine, Pusan National University, Yangsan, Korea.

Background: Chuna Manual Therapy (CMT) has been widely used in Korea, and coverage in Korean National Health Insurance (NHI) was finally implemented in 2019. The objectives of this study were to analyze the process of NHI coverage for CMT qualitatively, and to summarize important roles, streams, and implications regarding its inclusion in the modern public health insurance system.

Methods: Related literature was collected and 8 key personnel involved in the policy-making process were qualitatively interviewed, and Zahariadis' version of the Multiple Streams Framework (MSF) was applied to analyze the policy agenda setting and the roles of stakeholders. Read More

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The Challenges and Perspectives of the Integration Between Virtual and Augmented Reality and Manual Therapies.

Front Neurol 2021 30;12:700211. Epub 2021 Jun 30.

Foundation COME Collaboration, Pescara, Italy.

Virtual reality (VR) and augmented reality (AR) have been combined with physical rehabilitation and psychological treatments to improve patients' emotional reactions, body image, and physical function. Nonetheless, no detailed investigation assessed the relationship between VR or AR manual therapies (MTs), which are touch-based approaches that involve the manipulation of tissues for relieving pain and improving balance, postural stability and well-being in several pathological conditions. The present review attempts to explore whether and how VR and AR might be integrated with MTs to improve patient care, with particular attention to balance and to fields like chronic pain that need an approach that engages both mind and body. Read More

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Kinesio taping as an alternative treatment for manual laborers with carpal tunnel syndrome: A double-blind randomized clinical trial.

J Back Musculoskelet Rehabil 2021 Jul 9. Epub 2021 Jul 9.

Department of Physical Therapy, School of Rehabilitation, Semnan University of Medical Sciences, Semnan, Iran.

Background: Carpal tunnel syndrome (CTS) is one of the most common forms of peripheral neuropathies due to median nerve compression. Occupational factors, such as repetitive hand motions are believed to be associated with this condition.

Objective: This clinical trial assessed the effect of Kinesio taping (KT) of hand flexor muscles on the management of mild to moderate CTS in Iranian manual laborers. Read More

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Safety and efficacy of different antibiotic regimens in patients with ocular toxoplasmosis: systematic review and meta-analysis.

Syst Rev 2021 Jul 19;10(1):206. Epub 2021 Jul 19.

NeURos Research Group, Escuela de Medicina Y Ciencias de La Salud, Universidad del Rosario, Carrera 24 # 63 C 69, Bogotá, Colombia.

Background: Ocular toxoplasmosis (OT) is the most common cause of posterior uveitis, which leads to visual impairment in a large proportion of patients. Antibiotics and corticosteroids lower the risk of permanent visual loss by controlling infection and inflammation. However, there remains disagreement regarding optimal antibiotic therapy for OT. Read More

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Comparative short-term efficacy and safety of add-on anti-seizure medications in Dravet syndrome: An indirect treatment comparison.

Seizure 2021 Jun 29;91:316-324. Epub 2021 Jun 29.

Department of Pharmacy Practice, National Institute of Pharmaceutical Education and Research, SAS Nagar, Punjab 160062, India. Electronic address:

Purpose: Although cannabidiol and fenfluramine have been recently approved by the US Food and Drug Administration (FDA) for seizures in children with Dravet syndrome (DS), the comparative efficacy and safety of these and stiripentol as an add-on therapy for DS has not been evaluated in head-to-head trials. The current study aimed to assess the comparative efficacy and safety of add-on anti-seizure medications in DS.

Methods: PubMed and EMBASE database search and a manual search was done using keywords; "antiepileptic", "Dravet syndrome" and "antiseizure". Read More

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Are Radial Pressure Waves Effective in Treating Erectile Dysfunction? A Systematic Review of Preclinical and Clinical Studies.

Sex Med 2021 Jul 15;9(4):100393. Epub 2021 Jul 15.

Boston Medical Group, Bogotá, Colombia.

Introduction: Radial waves are used to treat erectile dysfunction; however, they are different than focal waves, and their mechanism of action or effect on improving this condition is not known.

Aim: To evaluate the effect of radial waves at the cellular level and their effectiveness at the clinical level for the treatment of erectile dysfunction.

Methods: Systematic literature review. Read More

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Precise segmentation of non-enhanced computed tomography in patients with ischemic stroke based on multi-scale U-Net deep network model.

Comput Methods Programs Biomed 2021 Jul 9;208:106278. Epub 2021 Jul 9.

Department of Neurosurgery, Cangzhou Central Hospital, Hebei 061000, China.

Background And Objective: Acute ischemic stroke requires timely diagnosis and thrombolytic therapy, but it is difficult to locate and quantify the lesion site manually. The purpose of this study was to explore a more rapid and effective method for automatic image segmentation of acute ischemic stroke.

Methods: The image features of 30 stroke patients were segmented from non-enhanced computed tomography (CT) images using a multi-scale U-Net deep network model. Read More

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The effectiveness of topical forms of dexamethasone in the treatment of oral lichen planus- a systematic review.

Oral Dis 2021 Jul 17. Epub 2021 Jul 17.

Department of Gerodontology and Oral Pathology, Poznan University of Medical Sciences, Poland.

Objective: The goal of this systematic review was to assess the efficacy of dexamethasone compared to other treatments in oral lichen planus (OLP).

Methods: The literature search used the following inclusion criteria: randomized controlled trials (RCT) comparing dexamethasone and other treatment strategies in patients with OLP. The outcome measures included: relief of symptoms, decrement of erosive area size, and changes in quality of life. Read More

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Intensive group-based cognitive therapy in patients with cardiac disease and psychological distress-a randomized controlled trial protocol.

Trials 2021 Jul 16;22(1):455. Epub 2021 Jul 16.

Department of Cardiology, Bispebjerg-Frederiksberg Hospital, Bispebjerg Bakke 23, bygning 67, 2400, Copenhagen, NV, Denmark.

Background: Many patients with coronary artery disease (CAD) and valvular heart disease (VHD) suffer from psychological distress. Such stress is associated with increased morbidity, reduced quality of life and delayed return to work. European guidelines emphasize recognition and intervention, but evidence-based treatment options are limited and perceived as costly. Read More

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Probability Distribution of Pixel Intensities of EBT3 Films and its Application in the Correction of Uncertainty Budget.

J Med Phys 2021 Jan-Mar;46(1):26-32. Epub 2021 May 5.

Radiological Physics and Advisory Division, Bhabha Atomic Research Centre, Mumbai, Maharashtra, India.

Background And Aim: Modern radiotherapy modalities, such as Intensity-Modulated Radiotherapy and Volumetric Modulated Arc Therapy involve complex dose delivery. The dose delivery is complex as it involves beam modulation, hence, manual dose calculations for these techniques are not possible. Film dosimetry is commonly used method of dose verification for these modalities because of the advantages associated with it. Read More

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