Cognitive Treatment of Illness Perceptions in Patients With Chronic Low Back Pain: A Randomized Controlled Trial.
Cognitive Treatment of Illness Perceptions in Patients With Chronic Low Back Pain: A Randomized Controlled Trial.
Filed under: Rehab Centers
Phys Ther. 2012 Nov 15;
Siemonsma PC, Stuive I, Roorda LD, Vollebregt JA, Walker MF, Lankhorst GJ, Lettinga AT
BACKGROUND: Illness perceptions have been shown to predict patient activities. We studied the effectiveness of a targeted illness-perception intervention on chronic non-specific low back pain (CLBP). OBJECTIVE: To compare the effectiveness of treatment of illness perceptions against a waiting list for patients with CLPB. DESIGN: A prospectively registered randomized controlled trial with an assessor blinded for group allocation. SETTING: The study was conducted in an outpatient rehabilitation clinic. PARTICIPANTS: The participants were 156 patients (18-70 years) with chronic (> 3 months) non-specific low back pain. INTERVENTION: Patients were randomly assigned to either the treatment group or to a waiting list. Trained physical and occupational therapists delivered 10 to 14, one hour, treatment sessions according to the treatment protocol. MEASUREMENTS: The primary outcome measure was change in patient-relevant physical activities (Patient Specific Functioning List). The secondary outcome measures were changes in illness perceptions (Illness Perceptions Questionnaire) and generic physical activity level (Quebec Back Pain Disability Scale). Measures were taken at baseline and post-treatment (0 weeks and 18 weeks). RESULTS: A baseline-adjusted analysis of covariance showed that there were statistically significant differences (p=0.010) between intervention and control groups at 18 weeks for the change in patient-relevant physical activities. This was a clinically relevant change (19.1 mm) for the intervention group. Statistically significant differences were found for the majority of illness perception scales (p=0.001 to 0.046). There were no significant differences in Generic physical activity levels. LIMITATIONS: Longer-term effectiveness was not studied. CONCLUSIONS: This first trial evaluating cognitive treatment of illness perceptions concerning CLBP showed statistically significant and clinically relevant improvements in patient-relevant physical activities at 18 weeks.
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Neonatal lupus complicated by hemorrhagic stroke.
Filed under: Rehab Centers
Lupus. 2012; 21(14): 1582-5
Chen C, Huang J, Hsu J, Chung C, Lin K
Neonatal lupus is a passively acquired autoimmune syndrome resulting from the transplacental passage of maternal anti-Ro/SSA and/or anti-La/SSB antibodies to the fetus. Few past studies have reported central nervous system involvement in neonatal lupus, and most cases had a good neurological outcome. We report here a preterm case of neonatal lupus with thrombocytopenia and comorbid hemorrhagic stroke. In the follow-up, the infant developed spastic quadriplegia and showed delayed milestones. We believe that this is the first reported case of neonatal lupus accompanied by perinatal hemorrhagic stroke. We present this case to remind clinicians to conduct regular central nervous system surveys in cases of neonatal lupus.
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Lead accumulation and association with Fe on Typha latifolia root from an urban brownfield site.
Filed under: Rehab Centers
Environ Sci Pollut Res Int. 2012 Nov 17;
Feng H, Qian Y, Gallagher FJ, Wu M, Zhang W, Yu L, Zhu Q, Zhang K, Liu CJ, Tappero R
Synchrotron X-ray microfluorescence and X-ray absorption near-edge microstructure spectroscopy techniques were applied to Typha latifolia (cattail) root sections and rhizosphere soils collected from a brownfield site in New Jersey to investigate lead (Pb) accumulation in T. latifolia roots and the role of iron (Fe) plaque in controlling Pb uptake. We found that Pb and Fe spatial distribution patterns in the root tissues are similar with both metals present at high concentrations mainly in the epidermis and at low concentrations in the vascular tissue (xylem and phloem), and the major Pb and Fe species in T. latifolia root are Pb(II) and Fe(III) regardless of concentration levels. The sequestration of Pb by T. latifolia roots suggests a potential low-cost remediation method (phytostabilization) to manage Pb-contaminated sediments for brownfield remediation while performing wetland rehabilitation.
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Multicenter evaluation of Neurelec Digisonic(®) SP cochlear implant reliability.
Filed under: Rehab Centers
Eur Arch Otorhinolaryngol. 2012 Nov 18;
R?dulescu L, Cozma S, Niemczyk C, Guevara N, Gahide I, Economides J, Lavieille JP, Meller R, Bébéar JP, Radafy E, Bordure P, Djennaoui D, Truy E
Over the past decade, the adoption of universal hearing screening in newborns has led to earlier detection of hearing problems and significant lowering of the age of first cochlear implantation. As a consequence, recipients are now expected to keep their cochlear implants (CIs) for a longer period of time. Comprehensive longitudinal information on CI reliability is essential for device choice. The aim of this study was to assess the reliability (in children and adults) of the latest generation of the Digisonic(®) SP CI launched in 2006 by Neurelec. Failure rate (FR) and cumulative survival rate (CSR) for a 5-year period were calculated. This survey is a multicenter retrospective study. A questionnaire was sent to nine CI centers requesting information about patients implanted with Neurelec Digisonic(®) SP CIs. FR and CSR over a 5-year period were calculated on this group. Collaborating centers collected data on 672 patients (362 children and 310 adults) implanted between March 2006 and March 2011. The overall rate of explantation was 2.23 % (15 cases): six devices were explanted due to device failure (0.89 %) and nine were explanted for medical reasons (1.34 %). Four patients were lost to follow-up. The CSR at 5 years was 98.51 % on all patients, 98.48 % for children and 98.57 % for adults. FR was 0.97 % for adults and 0.83 % for children. This first independent study that assesses FR and CSR on the current generation of Digisonic(®) SP CI represents an important resource that can help clinicians and patients during their device choice.
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