Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Jan 2005
Randomized Controlled Trial Clinical TrialRandomized controlled trial of nocturnal splinting for active workers with symptoms of carpal tunnel syndrome.
To determine whether nocturnal splinting of workers identified through active surveillance with symptoms consistent with carpal tunnel syndrome (CTS) would improve symptoms and median nerve function as well as impact medical care. ⋯ Workers identified with CTS symptoms in an active symptom surveillance tended to benefit from a 6-week nocturnal splinting trial, and the benefits were still evident at the 1-year follow-up. The splinted group improved in terms of hand discomfort regardless of the degree of median nerve impairment, whereas the controls showed improvement only among subjects with normal median nerve function. Results suggest that a short course of nocturnal splinting may reduce wrist, hand, and/or finger discomfort among active workers with symptoms consistent with CTS.
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Arch Phys Med Rehabil · Oct 2004
Randomized Controlled Trial Clinical TrialEfficacy of multiwavelength light therapy in the treatment of pressure ulcers in subjects with disorders of the spinal cord: A randomized double-blind controlled trial.
To study the efficacy of multiwavelength light therapy in the treatment of pressure ulcers in subjects with spinal cord disorders. ⋯ Multiwavelength light therapy from a gallium-aluminum-arsenide laser source did not influence overall healing pressure ulcers. Limited evidence suggested that it improved healing of stage 3 and 4 pressure ulcers.
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Arch Phys Med Rehabil · Jul 2004
Randomized Controlled Trial Multicenter Study Clinical TrialDose-dependent response to intramuscular botulinum toxin type A for upper-limb spasticity in patients after a stroke.
To test the hypothesis that intramuscular (IM) botulinum toxin type A (BTX) reduces excessive muscle tone in a dose-dependent manner in the elbow, wrist, and fingers of patients who experience spasticity after a stroke. ⋯ IM BTX reduced muscle tone in a dose-dependent manner in the elbow, wrist, and fingers of patients who experience spasticity after a stroke but did not appear to affect global quality of life or disability.
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Arch Phys Med Rehabil · Jul 2004
Randomized Controlled Trial Clinical TrialIntensity and duration threshold for aerobic exercise-induced analgesia to pressure pain.
To examine how exercise-induced analgesia is affected by the duration and intensity of aerobic exercise. ⋯ There are thresholds for both the intensity (>50% Vo(2)max) and duration (>10 min) of exercise required to elicit exercise analgesia.
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Arch Phys Med Rehabil · May 2004
Randomized Controlled Trial Clinical TrialBotulinum toxin type B in upper-limb poststroke spasticity: a double-blind, placebo-controlled trial.
To determine whether botulinum toxin type B (BTX-B) is effective in controlling upper-limb spasticity. ⋯ Our study does not show a significant decrease in tone from 10000 U of BTX-B. Dry mouth was common.