Objetivo: Pain

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Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review

Many interventions are available to manage chronic pain; understanding the durability of treatment effects may assist with treatment selection. We sought to assess which noninvasive nonpharmacological treatments for selected chronic pain conditions are associated with persistent improvement in function and pain outcomes at least 1 month after the completion of...

PMID: 30179389

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Low-Level Laser Therapy for Fibromyalgia: A Systematic Review and Meta-Analysis.

Yeh SW, Hong CH, Shih MC, Tam KW, Huang YH, Kuan YC

Fibromyalgia is a chronic disorder characterized by widespread pain and tenderness. Low-level laser therapy (LLLT), an emerging nonpharmacological treatment, has been used for relieving musculoskeletal or neuropathic pain.The objective of this review and meta-analysis was to determine the efficacy of LLLT on patients with fibromyalgia.This study involved systematic review and...

PMID: 31151332

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Robotic-Assisted Shoulder Rehabilitation Therapy Effectively Improved Poststroke Hemiplegic Shoulder Pain: A Randomized Controlled Trial.

Kim MS, Kim SH, Noh SE, Bang HJ, Lee KM

The purpose of this study was to investigate the therapeutic effects of a newly developed shoulder robot on poststroke hemiplegic shoulder pain. Prospective, single-blind randomized controlled trial. Inpatient department of a tertiary university hospital. Hemiplegic shoulder pain patients (N=38) were consecutively recruited and randomly assigned to an intervention or control...

PMID: 30878496

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Effects of whole-body vibration exercise for non-specific chronic low back pain: an assessor-blind, randomized controlled trial.

Wang XQ, Gu W, Chen BL, Wang X, Hu HY, Zheng YL, Zhang J, Zhang HY, Chen PJ

To confirm the benefits of whole-body vibration exercise for pain intensity and functional disability in patients with non-specific chronic low back pain. Single-blind randomized controlled trial. Outpatient. Eighty-nine patients with non-specific chronic low back pain met the inclusion criteria, they were randomly allocated to either the intervention group ( n = 45)...

PMID: 31099264

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A geriatrician’s guide to the use of the physical modalities in the treatment of pain and dysfunction.

Perret DM, Rim J, Cristian A

The use of the physical modalities in the treatment of musculoskeletal conditions has a long and rich history. This article explores the various physical modalities and their indications, precautions, and contraindications, especially in their applied use in pain management. It also highlights the role of the physical modalities as agents...

PMID: 16627082

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Effect of Extracorporeal Shockwave Therapy Versus Intra-articular Injections of Hyaluronic Acid for the Treatment of Knee Osteoarthritis.

Lee JK, Lee BY, Shin WY, An MJ, Jung KI, Yoon SR

To evaluate and compare the effects and outcomes of extracorporeal shock wave therapy (ESWT) and intra-articular injections of hyaluronic acid (HA) in patients with knee osteoarthritis (OA). Of the 78 patients recruited for the study, 61 patients met the inclusion criteria. The enrolled patients were randomly divided into two groups:...

PMID: 29201822

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Extracorporeal shockwave therapy for the treatment of knee osteoarthritis: A retrospective study.

Li W, Pan Y, Yang Q, Guo ZG, Yue Q, Meng QG

This retrospective study investigated the effect and safety of extracorporeal shockwave therapy (ESWT) for treatment of knee osteoarthritis (KOA).In this retrospective study, 105 patients with KOA were included. Of those, 60 patients underwent ESWT, whereas 45 patients received laser therapy. Effect was measured by the Numeric Rating Scale (NRS) and...

PMID: 29979441

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A randomized controlled trial on the effects of low-dose extracorporeal shock wave therapy in patients with knee osteoarthritis.

Zhong Z, Liu B, Liu G, Chen J, Li Y, Chen J, Liu X, Hu Y

To test the efficacy of low-dose extracorporeal shock wave therapy (ESWT) on osteoarthritis knee pain, lower limb function and cartilage alteration for patients with knee osteoarthritis. Randomized controlled trial with placebo control. Outpatient PT clinics within a hospital network. 63 eligible volunteers with knee osteoarthritis (Kellgren-Lawrence grade II or III)...

PMID: 31194946

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The effect of extracorporeal shock wave therapy on the treatment of moderate to severe knee osteoarthritis and cartilage lesion.

Xu Y, Wu K, Liu Y, Geng H, Zhang H, Liu S, Qu H, Xing G

Knee osteoarthritis (KOA) is a major cause leading to chronic bone and muscle pain. Extracorporeal shock wave therapy (ESWT) has been applied in treating KOA in recent years. From April 2016 to April 2017, 82 patients were diagnosed with KOA that received ESWT were selected as the ESWT group. The...

PMID: 31096453

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Improving Access to and Usability of Systematic Review Data for Health Systems Guidelines Development

Evidence presented in systematic reviews informs the development of healthcare practice, guidelines, and policy. The inherent complexity and quantity of data in systemic reviews may impede understanding and use in decision processes, but little evidence exists on transforming large volumes of these data into accessible formats for end users. The...

PMID: 31013017

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