Tuesday, 30 May 2017

Role of Practice And Mental Imagery on Hand Function Improvement in Stroke Survivors

Stroke Survivors
The purpose of this study was to evaluate the Role of Practice and Mental Imagery on Hand function improvement in stroke survivors.

We conducted systematic review of the previous studies and searched electronic databases for the years 1995 to 2016, studies were selected according to inclusion criteria, and critical appraisal was done for each study and summarized the use of mental practice for the improvement in hand function in stroke survivors.

Studies differed in the various aspects like intervention protocols, outcome measures, design, and patient’s characteristics.

Friday, 19 May 2017

Discography for Preoperative Evaluation of Patients with Chronic Low Back Pain

Degeneration of intervertebral discs can sometimes cause chronic pain known as degenerative disc disease (DDD), and this condition is primarily treated conservatively.
Chronic Low Back Pain

If this fails, surgery can be considered; these patients are often assessed through medical history, clinical findings, and radiology. In some patients uncertainty prevails, therefore additional examinations might be beneficial.

One such examination is provocative discography, but its reliability is disputed. No studies have been performed on the impact of discography on clinical outcome after surgery.

Monday, 15 May 2017

The Elephant in the Room: The Case of Re-Categorization of Moderate Traumatic Brain Injury

Traditionally traumatic brain injury based on Glasgow comma scale is classified into mild, moderate and severe category.

According to estimate by USA CDC, annually about 5 million persons suffer with traumatic brain injuries, out of which 230,000 get hospitalized and further 50,000 also dies.
Traumatic Brain Injury

Initial evaluation and resuscitation of traumatic brain injury cases on arrival at the hospital and further management is critical for survival and disability reduction as well as initial Glasgow comma score is an important entity for early categorization and further planning of management.

Monday, 8 May 2017

Epidural Spinal Cord Stimulation for Neuropathic Pain: Algology Unit in Bagcilar Training and Research Hospital Data Collection and Analysis

Neuropathic pain is a chronic condition, challenging to treat and deeply correlated with psychological aspect it can be codetermined by emotional and behavioural factors, and it can play an important role in determining depression or in decreasing quality of life.
Spinal Cord Stimulation

Spinal cord stimulation (SCS) is a therapeutic option in patients with chronic/neuropathic pain with different aetiologies (i.e. failed back surgery syndrome (FBSS), chronic spine pathologies and neuropathic diseases) not eligible for surgery and refractory to any pharmacological and other conservative treatment.

SCS is theoretically based on the Gate Control Theory developed by Melzack and Wall, which explains physiopathology of such conditions as hyperalgesia, painful anaesthesia and spontaneous pain.