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Satisfaction of Patients Treated in physical medicine and rehabilitation department in CNHU-HKM of Cotonou

Open Journal of Therapy and rehabilitation 2018年第1期6卷 8-16页

作者： Hountondji Etienne Alagnide Didier Niama Natta Germain Houngbedji Mireille Adido Jean Olouka Eric Havyarimana Godonou Toussaint Kpadonou physical medicine and rehabilitation department in CNHU HKM Cotonou Benin

Satisfaction of patients is an important dimension of the hospital management and the evaluation of the quality of care and services offered to patients. Objective: To estimate the degree of satisfaction of patients admitted in physical medicine and rehabilitation department in the National Hospital and University Center (CNHU-HKM) in Cotonou. Method: Cross-sectional study with descriptive and analytical aim. It was led from June 15th to October 15th 2013, on 158 patients or guides of children or not communicating patients having ambulatory care in the department of physical medicine and rehabilitation and who agree to participate to the study. The level of global satisfaction of the subjects was estimated with a digital scale from 0 to 10. It was secondarily transformed into a discreet qualitative variable. Result: Rate of participation was 63.2%. Patients had deficiencies of rheumatilogical origine (41.1%), neurological (27.2%), traumatological (24.1%). Their pathologies were evolving since 1 month to 10 years. It was about their first attendance of the rehabilitation department of CNHU-HKM in 72.2%. Patients’ degree of satisfaction was good for the deadliness of expectation, reception (80%), cleanliness of the building, respect of patients’ intimacy. Global satisfaction of patients was good in 72%. It was influenced by the deadline of evolution of the pathologies. Discussion-Conclusion: The level of satisfaction of patients admitted in the rehabilitation department in CNHU-HKM was acceptable. However, they are parameters that remain to be improved.

关键词： Satisfaction Hospital Care rehabilitation Cotonou

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What aspects do we overlook in the rehabilitation of patients with inflammatory bowel disease?

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World Journal of Gastroenterology 2024年第27期30卷 3268-3272页

作者： Benil Nesli Ata Sibel Eyigor department of physical medicine and rehabilitation Izmir City HospitalIzmir 35530Türkiye department of physical medicine and rehabilitation Faculty of MedicineEge UniversityIzmir 35100Türkiye

In this editorial,we comment on the article by Stafie et *** bowel disease(IBD)constitutes a cluster of chronic and progressive inflammatory disorders affecting the digestive *** can impede an individual’s capacity to perform daily activities,hinder work productivity,limit physical capabilities,and negatively impact medical *** physical activity and structured exercise programs are becoming increasingly important in many chronic inflammatory diseases,they are not being sufficiently implemented in IBD *** prevention of future disability and drug dependence in IBD patients requires timely diagnosis and treatment of musculoskeletal problems,including sarcopenia,as well as decreased muscle strength,aerobic capacity,and bone mineral *** improve treatment outcomes for IBD patients,it is crucial to develop individualized rehabilitation programs tailored to their unique *** critical is the active participation of pertinent departments in this *** is imperative to highlight the significance of creating a personalized rehabilitation program with a multidisciplinary approach in IBD management.

关键词： Inflammatory bowel disease physical activity Disability Sarcopenia Structured exercise rehabilitation

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Exploring the associations between skeletal muscle echogenicity and physical function in aging adults:A systematic review with meta-analyses

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Journal of Sport and Health Science 2024年第6期13卷 820-840页

作者： Dustin J.Oranchuk Stephan G.Bodkin Katie L.Boncella Michael O.Harris-Love Muscle Morphology Mechanicsand Performance LaboratoryDepartment of Physical Medicine and RehabilitationUniversity of Colorado Anschutz Medical CampusAuroraCO 80045USA department of physical Therapy

Background:Assessment and quantification of skeletal muscle within the aging population is vital for diagnosis,treatment,and injury/disease *** clinical availability of assessing muscle quality through diagnostic ultrasound presents an opportunity to be utilized as a screening tool for function-limiting ***,relationships between muscle echogenicity and clinical functional assessments require authoritative ***,we aimed to(a) synthesize the literature to assess the relationships between skeletal muscle echogenicity and physical function in older adults(≥60 years),(b) perform pooled analyses of relationships between skeletal muscle echogenicity and physical function,and(c) perform sub-analyses to determine between-muscle ***:CINAHL,Embase,MEDLINE,PubMed,and Web of Science databases were systematically searched to identify articles relating skeletal muscle echogenicity to physical function in older ***-of-bias assessments were conducted along with funnel plot ***-analyses with and without sub-analyses for individual muscles were performed utilizing Fisher's Z transformation for the most common measures of physical ***'s Z was back-transformed to Pearson's r for ***:Fifty-one articles(n=5095,female=~2759,male=~2301,72.5± 5.8 years,mean±SD(1 study did not provide sex descriptors))were extracted for review,with previously unpublished data obtained from the authors of 13 *** rectus femoris(n=34) and isometric knee extension strength(n=22) were the most accessed muscle and physical qualities,*** relationship between quadriceps echogenicity and knee extensor strength was moderate(n=2924,r=-0.36(95% confidence interval:-0.38 to-0.32),p <0.001),with all other meta-analyses(grip strength,walking speed,sit-to-stand,timed up-and-go) resulting in slightly weaker correlations(r:-0.34 to-0.23,all p <0.001).Sub-analyses determined minimal differences in predicti

关键词： Correlations Echo intensity Elderly Intramuscular fat Strength

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Use of artificial intelligence in the field of pain medicine

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World Journal of Clinical Cases 2024年第2期12卷 236-239页

作者： Min Cheol Chang department of physical medicine and rehabilitation College of MedicineYeungnam UniversityDaegu 705-717South Korea

In this editorial we comment on the article“Potential and limitations of ChatGPT and generative artificial intelligence in medial safety education”published in the recent issue of the World Journal of Clinical *** article described the usefulness of artificial intelligence(AI)in medial safety ***,we focus specifically on the use of AI in the field of pain *** technology has emerged as a powerful tool,and is expected to play an important role in the healthcare sector and significantly contribute to pain medicine as further developments are *** may have several applications in pain ***,AI can assist in selecting testing methods to identify causes of pain and improve diagnostic *** of a patient’s symptoms into the algorithm can prompt it to suggest necessary tests and possible *** on the latest medical information and recent research results,AI can support doctors in making accurate diagnoses and setting up an effective treatment ***,AI assists in interpreting medical *** neural and musculoskeletal disorders,imaging tests are of vital *** can analyze a variety of imaging data,including that from radiography,computed tomography,and magnetic resonance imaging,to identify specific patterns,allowing quick and accurate image ***,AI can predict the outcomes of pain treatments,contributing to setting up the optimal treatment *** predicting individual patient responses to treatment,AI algorithms can assist doctors in establishing a treatment plan tailored to each patient,further enhancing treatment *** efficient utilization of AI in the pain medicine field,it is crucial to enhance the accuracy of AI decision-making by using more medical data,while issues related to the protection of patient personal information and responsibility for AI decisions will have to be *** the future,AI technology is expected to be innovatively applied in the field of

关键词： Artificial intelligence Pain medicine Diagnosis Prediction Image

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Chronic venous insufficiency, could it be one of the missing pieces in the puzzle of treating pain?

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World Journal of Clinical Cases 2024年第1期12卷 232-235页

作者： Min Cheol Chang department of physical medicine and rehabilitation Yeungnam University HospitalDaegu 705-717South Korea

Pain is a common complaint among patients seeking medical *** left un-treated,pain can become chronic,significantly affecting patients’quality of *** accurate diagnosis of the underlying cause of pain is crucial for effective *** venous insufficiency(CVI)is frequently overlooked by pain ***,many pain physicians lack sufficient knowledge about *** is a common condition resulting from malfunctioning or damaged valves in lower limb *** of CVI,ranging from mild to severe,include pain,heaviness,fatigue,itching,swelling,skin color changes,and ulcers in the lower ***,it has become more widely known that these symptoms can be attributed to *** slight or mild CVI can cause related *** physicians primarily consider neuromusculoskeletal disorders when assessing patients with leg pain,and often neglect the possibility of *** clinical practice,when pain physicians encounter patients with unresolved leg pain,they must assess whether the patients exhibit symptoms of CVI and conduct tests to differ-entiate CVI from other potential causes.

关键词： Pain Chronic venous insufficiency Diagnosis Treatment Vein

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Exercise as a modality to improve heart transplantation-related functional impairments: An article review

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World Journal of Transplantation 2024年第3期14卷 9-21页

作者： Arnengsih Nazir department of physical and rehabilitation medicine Faculty of Medicine Universitas PadjadjaranBandung 40161West JavaIndonesia

Heart transplantation(HT),the treatment choice of advanced heart failure pa-tients,is proven effective in increasing the survival and functional status of the ***,compared to normal controls,functional status is lower in HT *** given in cardiac rehabilitation has been shown to improve exercise capacity as measured with peak oxygen uptake(VO2 peak)and muscle strength after completion of the program and cessation of exercise results in loss of exercise *** factors related to cardiac denervation and the use of immunosuppressive agents in HT recipients result in functional impairments including cardiovascular,pulmonary,exercise capacity,psychological,and qua-lity of life(QoL)***-intensity interval training(HIIT)is the most common type of exercise used in HT recipients and given as a hospital-based *** of functional impairments was found to have occurred due to primarily musculoskeletal adaptations through improvement of muscle structure and aerobic capacity and cardiovascular *** general,exercise given after transplantation improved VO2 peak significantly and improvement was better in the HIIT group compared to moderate intensity continuous training or no-exercise *** of QoL was ascribed to improve-ment of exercise capacity,symptoms,pulmonary function,physical capacity improve-ment,anxiety,and depression.

关键词： Cardiac rehabilitation Exercise tolerance Functional status Heart transplantation High-intensity interval training Muscle strength Quality of life

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Protocol for lower back pain management: Insights from the French healthcare system

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World Journal of Clinical Cases 2024年第11期12卷 1875-1880页

作者： Lea Evangeline Boyer Mathieu Boudier-Revéret Min Cheol Chang department of physical medicine and rehabilitation CHU de la RéunionReunion Island CIC 1410France department of rehabilitation medicine University of Montreal Health CenterMontrealQC H2X 3E4Canada department of physical medicine and rehabilitation Yeungnam University HospitalDaegu 705-717South Korea

In this editorial we comment on the article published in a recent issue of the World Journal of Clinical *** article described a novel ultrasound-guided lateral recess block approach in treating a patient with lateral recess *** impact of spinal pain-related disability extends significantly,causing substantial human suffering and medical *** county has its preferred treatment strategies for spinal ***,we explore the lower back pain(LBP)treatment algorithm recommended in *** treatment algorithm for LBP recommended by the French National Authority for Health emphasizes early patient activity and minimal medication *** encourages the continuation of daily activities,limits excessive medication and spinal injections,and incorporates psychological assessments and non-pharmacological therapies for chronic ***,the algorithm may not aggressively address acute pain in the early stages,potentially delaying relief and increasing the risk of ***,the recommended infiltrations primarily involve caudal epidural steroid injections,with limited consideration for other injection procedures,such as transforaminal or interlaminar epidural steroid *** fixed follow-up timeline may not accommodate patients who do not respond to initial treatment or experience intense pain,potentially delaying the exploration of alternative *** these limitations,understanding the strengths and weaknesses of the French approach could inform adaptations in LBP treatment strategies globally,potentially enhancing patient outcomes and satisfaction across diverse healthcare systems.

关键词： Lower back pain Protocol France Treatment Chronic pain

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Differences between the healthcare systems of Quebec and France for the treatment of pain due to spinal disorders

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World Journal of Clinical Cases 2024年第15期12卷 2682-2685页

作者： Lea Evangeline Boyer Mathieu Boudier-Revéret Min Cheol Chang department of physical medicine and rehabilitation CHU de la RéunionReunion Island CIC 1410France department of rehabilitation medicine University of Montreal Health CenterMontrealQC H2X 3E4Canada department of physical medicine and rehabilitation College of MedicineYeungnam UniversityDaegu 705-717South Korea

In Quebec,Canada,the public healthcare system offers free medical ***,patients with spinal pain often encounter long waiting times for specialist appointments and limited physiotherapy *** contrast,private clinics provide expedited care but are relatively scarce and entail out-of-pocket *** a patient with pain caused by a spinal disorder meets a pain medicine specialist,spinal intervention is quickly performed when indicated,and patients are provided lifestyle *** epidural steroid injections are frequently administered to patients with radicular pain,and steroid injections are administered on a facet joint to control low back or neck ***,medial branch blocks are performed prior to ***’s universal healthcare system ensures accessibility at controlled *** emphasizes physical activity and provides free physical therapy ***,certain interventions,such as transforaminal and interlaminar epidural injections,are not routinely used in France owing to limited therapeutic efficacy and safety *** underutilization may be a potential cause of chronic pain for many *** examining the differences,strengths,and weaknesses of these two systems,valuable insights can be gained for the enhancement of global spinal pain management strategies,ultimately leading to improved patient outcomes and satisfaction.

关键词： Spinal pain Healthcare system France Quebec Pain treatment

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Effects of mesenchymal stem cell on dopaminergic neurons,motor and memory functions in animal models of Parkinson's disease:a systematic review and meta-analysis

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Neural Regeneration Research 2024年第7期19卷 1584-1592页

作者： Jong Mi Park Masoud Rahmati Sang Chul Lee Jae Il Shin Yong Wook Kim department and Research Institute of rehabilitation medicine Yonsei University College of MedicineSeoulSouth Korea department of physical Education and Sport Sciences Faculty of Literature and Human SciencesLorestan UniversityKhoramabadIran department of Pediatrics Yonsei University College of MedicineSeoulSouth Korea

Parkinson’s disease is chara cterized by the loss of dopaminergic neurons in the substantia nigra pars com pacta,and although restoring striatal dopamine levels may improve symptoms,no treatment can cure or reve rse the disease *** cell therapy has a regenerative effect and is being actively studied as a candidate for the treatment of Parkinson’s *** stem cells are considered a promising option due to fewer ethical concerns,a lower risk of immune rejection,and a lower risk of *** performed a meta-analysis to evaluate the therapeutic effects of mesenchymal stem cells and their derivatives on motor function,memory,and preservation of dopamine rgic neurons in a Parkinson’s disease animal *** searched bibliographic databases(PubMed/MEDLINE,Embase,CENTRAL,Scopus,and Web of Science)to identify articles and included only pee r-reviewed in vivo interve ntional animal studies published in any language through J une 28,*** study utilized the random-effect model to estimate the 95%confidence intervals(CI)of the standard mean differences(SMD)between the treatment and control *** use the systematic review center for laboratory animal expe rimentation’s risk of bias tool and the collaborative approach to meta-analysis and review of animal studies checklist for study quality assessment.A total of 33studies with data from 840 Parkinson’s disease model animals were included in the *** with mesenchymal stem cells significantly improved motor function as assessed by the amphetamine-induced rotational *** the stem cell types,the bone marrow MSCs with neurotrophic factor group showed la rgest effect size(SMD[95%CI]=-6.21[-9.50 to-2.93],P=0.0001,I^(2)=0.0%).The stem cell treatment group had significantly more tyrosine hydroxylase positive dopamine rgic neurons in the striatum([95%CI]=1.04[0.59 to 1.49],P=0.0001,I^(2)=65.1%)and substantia nigra(SMD[95%CI]=1.38[0.89 to 1.87],P=0.0001,I^(2)=75.3%),indicating a

关键词： animal animal experimentation mesenchymal stem cells models Parkinson’s disease stem cell transplantation

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Exercise-with-melatonin therapy improves sleep disorder and motor dysfunction in a rat model of ischemic stroke

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Neural Regeneration Research 2024年第6期19卷 1336-1343页

作者： Haitao Zhao Tong Zhang Haojie Zhang Yunlei Wang Lingna Cheng School of rehabilitation medicine Capital Medical UniversityBeijingChina department of Neurological rehabilitation Beijing Bo’ai HospitalChina Rehabilitation Research CenterBeijingChina School of rehabilitation medicine University of Health and Rehabilitation SciencesQingdaoShandong ProvinceChina Laboratory of Brain Injury Repair and rehabilitation China Rehabilitation Science InstituteBeijingChina

Exercise-with-melatonin therapy has complementary and synergistic effects on spinal cord injury and Alzheimer's disease,but its effect on stroke is still poorly *** this study,we established a rat model of ischemic stroke by occluding the middle cerebral artery for 60 *** treated the rats with exercise and melatonin therapy for 7 consecutive *** showed that exercise-with-melatonin therapy significantly prolonged sleep duration in the model rats,increased delta power values,and regularized delta power ***,exercise-with-melatonin therapy improved coordination,endurance,and grip strength,as well as learning and memory *** the same time,it led to higher hippocampal CA1 neuron activity and postsynaptic density thickness and lower expression of glutamate receptor 2 than did exercise or melatonin therapy *** findings suggest that exercise-withmelatonin therapy can alleviate sleep disorder and motor dysfunction by increasing glutamate receptor 2 protein expression and regulating hippocampal CA1 synaptic plasticity.

关键词： exercise glutamate receptor 2 hippocampus ischemic stroke learning melatonin memory sleep disorder synaptic plasticity

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