Flow Of Studies Through The Review

It synthesizes the results of various primary studies by using strategies that reduces biases and random errors. These reviews follow a strict scientific design and provide consistent estimates about the effects of interventions, therefore, conclusions are defensible. Systematic reviews shows where knowledge is lacking and can be used to guide future research. These reviews are usually carried out in the areas of clinical tests such as diagnostic, screening and prognostic; public health interventions; economic evaluations; adverse effects and how and why interventions work. Cochrane reviews are systematic reviews undertaken by Cochrane Collaboration members, aims to help people to make well-informed decisions about healthcare by preparing, maintaining, and promoting the accessibility of systematic reviews of the effects of healthcare

The study was a systematic review of scientific papers selected by a search of the SciELO, Cochrane, MEDLINE, and LILACS-BIREME databases. Among the 2169 articles found, 12 studies proved relevant to the issue and presented an evidence strength rating of B. No publications rated evidence strength A. Seven of the studies analyzed were prospective cohorts and 5 were cross-sectional studies.

ROM, pain level and strength were all improved on re-evaluation. Short-term and long-term goals were achieved. Treatment plan was to educate HEP, E-stim-unattended, Joint/Soft tissue mobilization, manual therapy, MHP/CP, neuromuscular re-education, Therapeutic exercise and strengthening-increase ROM, and Ultrasound.

Such as, in the beginning, the condition attacks the site where the insult occurred and is believed to be connected to the flight or fight response of the body. CRPS can spread in the aspect that its attack migrates to other areas of the body. Generally associated with affecting the central nervous causing neuropathic pain such as burning, tingling, etc when the reality of the condition is much more widespread, CRPS affects the sympathetic and parasympathetic nervous system affecting: cognition; constitution, cardiac, and respiratory complications; systemic autonomic dysregulation; neurogenic edema; musculoskeletal changes, endocrine and dermatological manifestations; as well as affecting the urological and gastrointestinal function. More importantly, there is the potential for organ failure. Sadly, CRPS is widely misdiagnosed and misunderstood by the medical community. Moreover, due to a lack of information on the pathophysiology of CRPS and the similar absence of consistent objective diagnostic criteria, clinical trials that demonstrate effective therapies are difficult to

Angelo is a 65-year-old male who has left-sided hemiparesis because of a right cerebrovascular accident that occurred 7 years ago. Though he has left upper extremity weakness, it does not affect his right upper extremity, which is his dominant side. Angelo uses a cane to ambulate between locations, yet he needs to use a rail in order to climb up stairs, and he uses an ankle-foot-orthosis to support his left foot. Although Angelo has no visual and/or perceptual deficits, Angelo struggles to flex his shoulder, extend his elbow, and both flex and extend his fingers. Angelo experiences diminished sensation on his left upper extremity, but it depends on the time of day. When Angelo sits down on a chair next to the table, he places his left upper extremity on the top of the table to support it, using his right upper extremity. In addition, Angelo is able to articulate

The manifestations of CRPS can impact the orchestration of occupational therapy services and treatment. It is often dependent on the specific factors of the client which may include their belief that they are powerless to managing their symptoms. They may have a diminished ability to maintain their attention to tasks, and become emotionally overwhelmed during occupational performance due to their increased sensitivity to the continuous pain that they experience (American Occupational Therapy Association [AOTA], 2014). Their temperament as well as their energy and drive will have likely declined since chronic pain often inhibits a the ability of one to gain restful sleep. Light touch, sensitivity to temperature and pressure, and pain tolerance

The topic in this systematic review is clearly defined in the abstract & the introduction. Yes, the search for studies and other evidence was comprehensive and unbiased as it was able to be. Strict criteria were followed as described in Figure 1.

Mirror therapy is when patients use a mirror to view a superimposed reflection of their normal limb on their phantom limb. The patient would then exercise their normal limb. In a study conducted by Sumatani et al. (2008), 22 patients with PLP took part in a single session of mirror therapy. The results showed a significant alleviation of pre versus post treatment PLP visual analogue scale (VAS). The researchers found that patients described greater than 50% relief of deep-pain descriptors. Regular sessions of mirror therapy are required to maintain treatment effects (Timms, Carus, 2015). In a study performed by Gover-Chamlou (2015) two patients underwent mirror therapy. The first participant came back after four weeks and stated a huge decline in PLP after performing the mirror therapy. After an additional four weeks of therapy the participant stated the PLP was completely gone. Patient two did the same therapy and reported complete loss of PLP only four weeks after starting the

This article was published by Science Based Medicine; the website does not list any accreditations. However, all editors and contributors have minimum of a MD. The website provides easily obtainable contact information for the website but no information for the author.

Both clinicians who are enquiring clinical questions and researchers who are conducting in-depth searches for systematic reviews come across a few

Please list the references and clinical resources that you use in your review of this document. These references should support any clinical or extensive revisions or additions that you make. If your edits are based on your own clinical experience or opinion, please indicate this. References and resources used:

A total of 4219 studies were identified. After removal of duplicates and after exclusion criteria were applied, there were 13 studies to be included. All 13 were case series with controls.

It is systematic review articles with very good organize studies. It contains homogenous group of patients. The strength of this study came from a random clinical trial and doubled blinded research

With there being no cure and little treatment options, most of patients money goes into pain management medication. So far, it has been determined that the best course of action to manage CRPS is through medication and sometimes sympathetic nerve blocks. Financially, that is the most expensive cost with CRPS along with any doctor’s visits. Because it could cause more damage to do surgery, it is out of the question for that to be a financial issue. CRPS is possibly one of the least expensive conditions to have as far as treatment

For the present study with the same power of 80% and confidence interval of 95%, 43 patients in each group were needed to be included.