Complex issues in neuro physiotherapy

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  • Created by: indibrad
  • Created on: 05-05-19 15:21
Is electrical stimulation recommended by Nielson et al?
It is not recommended as an isolated treatment but may be a useful adjunct
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FES had a positive effect on gait speed in MS. What were the limitations of this study?
Low methodological quality - 2/20 were RCT's
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FES moderately improved activity in stroke. What was the limitations of this study?
Low participant numbers within trials. Lack of double blinding
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SENSe trial found improvement in sensation when participants were given sensory discrimination exercises in comparison to passive touch and grasp of common objects. Were there any limitations?
Only 50 participants
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How many studies were found by a recent SLR to be specifically focusing on physiotherapy for FMD
28
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2016 Cochrane review found no results for spasticity treatment. Why was this?
High heterogeneity on interventions giving low quality evidence. Small sample sizes
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Why was the botox study finding improvement in upper limb spasticity good?
All of them
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Modified Ashworth, vestibular rehabilitation benefit questionnaire. What are the pros/cons.
high inter/intra rater reliability - some debate to say opposite. Self-reported - most evidence to support reliability
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2019 RCT found statistically significant improvement in dizziness and mobility following vestibular rehab. What were the limitations of the study.
Effects weren't maintained at follow up and only single blinded
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What were the results of the 2008 SLR
Good for botox, does not support overnight splinting
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Why might results from stroke be hard to apply to TBI patients
TBI patients have aggressive behaviours and low mood so may not tolerate treatment
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What was negative about the EXCITE trial
Excluded participants with shoulder pain
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How can the results from Ploughman and Corbetta be applied to shoulder pain?
Amount of mitten wearing did not correlate with worsening of shoulder pain
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Action observation is beneficial in improving function in stroke however the quality of included studies was low with a number of studies showing risk of bias. How can these results be applied to shoulder pain?
Attrition due to worsening of condition
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Why might patients with stroke not want to comply to treatments?
Lack of motivation caused by depression
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How can CRPS results be applied to stroke?
Shoulder-hand syndrome. Increased likelihood of central sensitisation
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What percentage of recovery in TBI takes place in the first 6 months
85
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What is the name of the outcome measure for vestibular rehab
Vestibular rehabilitation benefit questionnaire
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What percentage of patients experience hemiplegic shoulder pain?
84
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how many participants did ploughman and corbett have
23
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what were the limitations of action observation review
high risk of bias and poor reporting of data
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hows does gmi work
Activates mirror neural system
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Card 2

Front

FES had a positive effect on gait speed in MS. What were the limitations of this study?

Back

Low methodological quality - 2/20 were RCT's

Card 3

Front

FES moderately improved activity in stroke. What was the limitations of this study?

Back

Preview of the front of card 3

Card 4

Front

SENSe trial found improvement in sensation when participants were given sensory discrimination exercises in comparison to passive touch and grasp of common objects. Were there any limitations?

Back

Preview of the front of card 4

Card 5

Front

How many studies were found by a recent SLR to be specifically focusing on physiotherapy for FMD

Back

Preview of the front of card 5
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