Muscle Weakness

Publication Title: 
Acupuncture in Medicine: Journal of the British Medical Acupuncture Society

In the public funded healthcare arena, acupuncture is delivered with 'disease' as the defining label that grants access to funding. This funding process is regulated by recommendations derived from systematic reviews and meta-analyses of randomised controlled trials. However, 'off-label' use of acupuncture, outside established indications like pain or nausea, happens frequently, though there is a paucity of data about this situation. The case of a young man with weakness and fatigue as residuum of relapsing-remitting multiple sclerosis highlights the situation.

Author(s): 
Foell, Jens
Publication Title: 
Annales De Chirurgie

Retrospective studies have confirmed the feasibility and safety of thyroid and parathyroid procedures performed under hypnoanesthesia (hypnosis, local anesthesia and minimal conscious sedation) as sole method of anesthesia. This very effective technique seems to provide physiological, psychological and economic benefits for the patient. STUDY AIM: To assess, by means of a prospective randomized study, the advantages of hypnosedation as an alternative to general anesthesia in terms of clinical and laboratory parameters.

Author(s): 
Defechereux, T.
Degauque, C.
Fumal, I.
Faymonville, M. E.
Joris, J.
Hamoir, E.
Meurisse, M.
Publication Title: 
Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association

OBJECTIVE: The study purpose was to test the effectiveness of a psychological intervention combining cognitive-behavioral therapy and hypnosis (CBTH) to treat radiotherapy-related fatigue. DESIGN: Women (n = 42) scheduled for breast cancer radiotherapy were randomly assigned to receive standard medical care (SMC) (n = 20) or a CBTH intervention (n = 22) in addition to SMC. Participants assigned to receive CBTH met individually with a clinical psychologist. CBTH participants received training in hypnosis and CBT.

Author(s): 
Montgomery, Guy H.
Kangas, Maria
David, Daniel
Hallquist, Michael N.
Green, Sheryl
Bovbjerg, Dana H.
Schnur, Julie B.
Publication Title: 
Malaria Journal

BACKGROUND: Combination antimalarial therapy is recommended for the treatment of uncomplicated falciparum malaria in Africa; however, some concerns about the safety and tolerability of new regimens remain. This study compared the safety and tolerability of three combination antimalarial regimens in a cohort of Ugandan children. METHODS: A longitudinal, single-blind, randomized clinical trial of children was conducted between November 2004 and May 2007 in Kampala, Uganda.

Author(s): 
Maiteki-Sebuguzi, Catherine
Jagannathan, Prasanna
Yau, Vincent M.
Clark, Tamara D.
Njama-Meya, Denise
Nzarubara, Bridget
Talisuna, Ambrose O.
Kamya, Moses R.
Rosenthal, Philip J.
Dorsey, Grant
Staedke, Sarah G.
Publication Title: 
International Journal of Medical Sciences

Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease that affects nerve cells in the brain and the spinal cord. Previous proteomic evidence revealed that the content of certain peptide fragments including Vgf-derived peptide aa 398-411 (Vgf(398-411)) of the precursor Vgf protein in the cerebral spinal fluid (CSF) correctly identified patients with ALS from normal and disease controls. Using quantitative ELISA immunoassay we found that the CSF levels of Vgf decreases with muscle weakness in patients with ALS.

Author(s): 
Zhao, Zhong
Lange, Dale J.
Ho, Lap
Bonini, Sara
Shao, Belinda
Salton, Stephen R.
Thomas, Sunil
Pasinetti, Giulio Maria
Publication Title: 
Complementary Therapies in Clinical Practice

METHODS: Forty-six adults with hand pain were randomly assigned to a massage therapy or a standard treatment control group. Those assigned to the massage therapy group were massaged by a therapist on the affected hand once a week for a 4-week period and were also taught self-massage on the hand that was to be done by the individual participant once daily. RESULTS: The massage therapy group versus the control group had less pain and greater grip strength after the first and last sessions, and their anxiety and depressed mood scores decreased more than the control group.

Author(s): 
Field, Tiffany
Diego, Miguel
Delgado, Jeannette
Garcia, Daniel
Funk, C. G.
Publication Title: 
Journal of Bodywork and Movement Therapies

Neurogenic thoracic outlet syndrome (NTOS) is a neuromuscular condition affecting brachial plexus functionality. NTOS is characterized by paresthesia, pain, muscle fatigue, and restricted mobility in the upper extremity. This study quantified massage therapy's possible contribution to treatment of NTOS. A 24-year-old female with NTOS received eight treatments over 35 days. Treatment included myofascial release, trigger point therapy, cross fiber friction, muscle stripping, and gentle passive stretching.

Author(s): 
Streit, Robin S.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To discuss the management of a patient with wrist weakness and a diminution in active range of motion resulting from Colles' fracture. CLINICAL FEATURES: A 58-year-old woman complained of persistent loss of grip strength and mobility in her right wrist. These complaints were from Colles' fracture occurring 19 months before initiation of care. Dynamometer and goniometric testing revealed significant loss of grip strength and range of motion compared with the uninvolved, nondominant wrist.

Author(s): 
Kaufman, R. L.
Bird, J.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: The objective of this study was to determine whether mechanical force, manually-assisted (MFMA) spinal manipulative therapy (SMT) affects paraspinal muscle strength as assessed through use of surface electromyography (sEMG). DESIGN: Prospective clinical trial comparing sEMG output in 1 active treatment group and 2 control groups. SETTING: Outpatient chiropractic clinic, Phoenix, AZ. SUBJECTS: Forty subjects with low back pain (LBP) participated in the study.

Author(s): 
Keller, T. S.
Colloca, C. J.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To determine if Active Release Technique (ART) protocols could be used as an effective way to influence strength and muscle inhibition in the quadriceps muscles of athletes with anterior knee pain. DESIGN: Pilot clinical outcome study. METHODS: The sample consisted of 9 athletes (4 male athletes, 5 female athletes) who were identified as suffering from unilateral anterior knee pain. A Biodex dynamometer and the interpolated twitch technique were used to determine isometric strength and inhibition in the quadriceps muscles, respectively.

Author(s): 
Drover, Janice M.
Forand, Dominique R.
Herzog, Walter

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