scholarly journals Mindfulness Training's Effect of Pain Outcomes in Musculoskeletal Pain: A Systematic Review

2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Elizabeth Cruze ◽  
Kenneth Games
Keyword(s):  
Systematic Review ◽  
Musculoskeletal Pain ◽  
Controlled Trial ◽  
Mindfulness Training ◽  
Care Plan ◽  
Cutoff Score ◽  
Inclusion Criteria ◽  
Specific Patient ◽  
Pain Outcomes ◽  
Meditation Group

Purpose: Athletic trainers frequently address and treat musculoskeletal pain (MSK). Complementary and alternative techniques for treating pain are becoming more widely accepted and utilized in clinical practice. Mindfulness based stress reduction (MBSR) is a meditation-based program that is designed to help patients learn to feel things in a non-judgmental way. Previous systematic reviews on mindfulness training have focused a range of conditions including IBS, fibromyalgia, and migraines. The purpose of this systematic review was to examine if the literature supports the use of MBSR as an intervention for MSK pain. Methods: We completed a systematic review utilizing PRISMA guidelines. Inclusion criteria were English language, human subjects, peer reviewed, randomized controlled trial, mindfulness training as an intervention, and MSK pain as an outcome measure. An electronic search was conducted using the single phrase “mindfulness training and musculoskeletal pain”. PubMed, Cochran Database, EBSCOhost, and Google Scholar were searched. Articles were first eliminated by title, and then by abstract contents. Remaining articles were given a full review and articles not meeting inclusion criteria were eliminated. Articles were assessed using the PEDRO scale with a cutoff score of 6 used to determine inclusion in the systematic review. Final analysis included 19 articles. Results: Study populations included patients diagnosed with cancer, nonspecific low back pain, chronic MSK pain, chronic tension headache, Gulf War illness, upper extremity injury, and one study employed healthy subjects and used experimentally induced pain. Intervention lengths ranged from single day to 10 weeks. Of the 19 studies in the analysis, nine of them indicated statistically significant results in favor of the meditation group for pain outcomes. Other studies noted improvement in the meditation group, but results did not reach statistically significant levels. Conclusion: MBSR has the potential to provide a beneficial effect in the treatment of MSK pain. The results of this systematic review indicate that the benefits of MBSR treatment may depend on the specific patient population and type of MSK pain. Further research is needed, but the systematic review suggests that MBSR may be an effective tool as part of a larger, complementary, and patient-centered care plan.

scholarly journals Views of commissioners, managers and healthcare professionals on the NHS Health Check programme: a systematic review

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e018606 ◽  
Author(s):  
Katie Mills ◽  
Emma Harte ◽  
Adam Martin ◽  
Calum MacLure ◽  
Simon J Griffin ◽  
...  
Keyword(s):  
Systematic Review ◽  
Healthcare Professionals ◽  
Health Management ◽  
Controlled Trial ◽  
Health Check ◽  
Public Access ◽  
Cochrane Library ◽  
Inclusion Criteria ◽  
The Impact ◽  
Nhs Health Check

ObjectiveTo synthesise data concerning the views of commissioners, managers and healthcare professionals towards the National Health Service (NHS) Health Check programme in general and the challenges faced when implementing it in practice.DesignA systematic review of surveys and interview studies with a descriptive analysis of quantitative data and thematic synthesis of qualitative data.Data sourcesAn electronic literature search of MEDLINE, Embase, Health Management Information Consortium, Cumulative Index of Nursing and Allied Health Literature, Global Health, PsycInfo, Web of Science, OpenGrey, the Cochrane Library, NHS Evidence, Google Scholar, Google, ClinicalTrials.gov and the International Standard Randomised Controlled Trial Number registry from 1 January 1996 to 9 November 2016 with no language restriction and manual screening of reference lists of all included papers.Inclusion criteriaPrimary research reporting views of commissioners, managers or healthcare professionals on the NHS Health Check programme and its implementation in practice.ResultsOf 18 524 citations, 15 articles met the inclusion criteria. There was evidence from both quantitative and qualitative studies that some commissioners and general practice (GP) healthcare professionals were enthusiastic about the programme, whereas others raised concerns around inequality of uptake, the evidence base and cost-effectiveness. In contrast, those working in pharmacies were all positive about programme benefits, citing opportunities for their business and staff. The main challenges to implementation were: difficulties with information technology and computer software, resistance to the programme from some GPs, the impact on workload and staffing, funding and training needs. Inadequate privacy was also a challenge in pharmacy and community settings, along with difficulty recruiting people eligible for Health Checks and poor public access to some venues.ConclusionsThe success of the NHS Health Check Programme relies on engagement by those responsible for its commissioning, management and delivery. Recognising and addressing the challenges identified in this review, in particular the concerns of GPs, are important for the future of the programme.

Evidence for the treatment of moderate depression: a systematic review

2017 ◽  
Vol 34 (3) ◽  
pp. 197-204 ◽  
Author(s):  
D. Aherne ◽  
A. Fitzgerald ◽  
C. Aherne ◽  
N. Fitzgerald ◽  
M. Slattery ◽  
...  
Keyword(s):  
Systematic Review ◽  
Depressive Disorders ◽  
Controlled Trial ◽  
Combined Treatment ◽  
Antidepressant Medication ◽  
Inclusion Criteria ◽  
Randomized Controlled ◽  
Search Terms ◽  
Moderate Depression ◽  
Different Levels

ObjectivesThis study aims to investigate existing evidence for the effectiveness of psychological treatments and/or antidepressant medication as a treatment for those diagnosed with moderate levels of depression.MethodsA PRISMA systematic review of articles using electronic research databases (2000–2014) was conducted to identify studies investigating the effectiveness of psychotherapy and/or medication as a treatment for people with moderate levels of depression. Search terms included moderate depression, psychotherapy and/or medication, depressive disorders, antidepressants, psychotherapy, mental health services, and randomized-controlled trial (RCT). The included studies were then assessed, extracted, and synthesised.ResultsA total of 14 studies met the inclusion criteria (11 RCTs and three additional studies) for this review. The findings of the systematic review indicate that there is limited evidence available specific to the treatment of moderate depression and that this research seems to suggest that psychotherapy or combined treatment has a beneficial effect.ConclusionsGiven that depression is one of the biggest challenges the world faces at present, further research is required to examine the effectiveness of treatment for different levels of depression severity.

scholarly journals Effects of Chewing Training on Orofacial and Cognitive Function in Healthy Individuals: A Systematic Review

Cosmetics ◽  
2020 ◽  
Vol 7 (2) ◽  
pp. 23
Author(s):  
Ricardo B. Viana ◽  
Wellington F. da Silva ◽  
Claudio A.B. de Lira
Keyword(s):  
Systematic Review ◽  
Cognitive Function ◽  
Controlled Trial ◽  
Healthy Adults ◽  
Chewing Gum ◽  
Control Group ◽  
Inclusion Criteria ◽  
Chronic Effects ◽  
Study Population ◽  
Orofacial Function

Background: There is some evidence showing significant correlations between acute chewing gum and orofacial function, and between acute chewing gum and cognitive function; however, as far as we are aware, little is known about the chronic effects of chewing gum training on cognitive and orofacial functions in healthy adults. Objectives: To evaluate the chronic effects of chewing gum training on orofacial and cognitive functions in healthy adults. Method: Searches of the electronic databases PubMed, Scopus, BVS, CENTRAL, Scopus, and Google Scholar were conducted from inception to 14 January 2020. The inclusion criteria used were: clinical trial or randomized controlled trial lasting a minimum of four weeks, chewing gum intervention in at least one arm of the study, presence of a non-exercise control group, study population consisting of healthy adults, study outcomes consisting of orofacial function and/or cognitive function. Results: Starting from 5973 sources, a total of six articles met the inclusion criteria, and they were subjected to a systematic review. The main findings were that chewing gum training improved some variables related to orofacial function. No clear effect of chewing gum training on cognitive function was found. Conclusions: Chronic chewing gum training has an unclear positive effect on specific variables related to orofacial and cognitive function in healthy adults.

scholarly journals The Effectiveness of Palate Re-Repair for Treating Velopharyngeal Insufficiency: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 57 (7) ◽  
pp. 860-871
Author(s):  
Nicole M. Kurnik ◽  
Erica M. Weidler ◽  
Kari M. Lien ◽  
Kelly N. Cordero ◽  
Jessica L. Williams ◽  
...  
Keyword(s):  
Systematic Review ◽  
Patient Selection ◽  
English Language ◽  
Meta Analysis ◽  
Velopharyngeal Insufficiency ◽  
Inclusion Criteria ◽  
Specific Patient ◽  
Additional Surgery ◽  
Obstructive Sleep ◽  
Normal Speech

Background: Palate re-repair has been proposed as an effective treatment for velopharyngeal insufficiency (VPI) with a low risk of obstructive sleep apnea (OSA). The authors conducted a systematic review and meta-analysis to determine the proportion of patients achieving normal speech resonance following palate re-repair for VPI, the proportion developing OSA, and the criteria for patient selection that are associated with increased effectiveness. Methods: PubMed, Embase, and Scopus were searched from inception through April 2018 for English language articles evaluating palate re-repair for the treatment of VPI in patients with a repaired cleft palate. Inclusion criteria included reporting of hypernasality, nasal air emission, nasometry, additional VPI surgery, and/or OSA outcomes. Meta-analysis was conducted using random effects models. Risk of bias was assessed regarding criteria for patient selection, blinding of outcome assessors, and validity of speech assessment scale. Results: Eighteen studies met inclusion criteria. The incidence of achieving no consistent hypernasality follow palate re-repair was 61% (95% confidence interval [CI]: 44%-75%). The incidence of additional surgery for persistent VPI symptoms was 21% (95% CI: 12%-33%). The incidence of OSA was 28% (95% CI: 13%-49%). Criteria for selecting patients to undergo re-repair varied, with anterior/sagittal position of palatal muscles (33%) and small velopharyngeal gap (22%) being the most common. No specific patient selection criteria led to superior speech outcomes ( P = .6572). Conclusions: Palate re-repair achieves normal speech resonance in many but not all patients with VPI. Further research is needed to identify the specific examination and imaging findings that predict successful correction of VPI with re-repair.

scholarly journals Peningkatan Kompetensi Mahasiswa Keperawatan Melalui Strategi Pembelajaran Berbasis Virtual Reality

2019 ◽  
Vol 2 (2) ◽  
pp. 67
Author(s):  
Ike Puspitaningrum ◽  
Rr. Sri Endang Pujiastuti ◽  
Kurniati Puji Lestari
Keyword(s):  
Systematic Review ◽  
Virtual Reality ◽  
Nursing Students ◽  
Industrial Revolution ◽  
Controlled Trial ◽  
Unit Cost ◽  
Cost Utility ◽  
Virtual Simulation ◽  
Psychomotor Skills ◽  
Inclusion Criteria

Nursing higher education has new challenges to prepare nursing students as agents of change in the era of the industrial revolution 4.0. Nursing students today are millennial and Z generation with unique needs and ways of learning. Students more interested in digital-based learning media. Digital-based learning methods were an urgent need to be developed to provide solutions to the learning needs of the millennial generation. The systematic review aimed to discuss the use of VR technology for educating the nursing student. The databases searched included: PubMed, Springerlink and Proquest from the years 2015 to 2019 with the keywords virtual reality, virtual simulation, simulation technology, immersive learning. The inclusion criteria included: articles published in the English language, student respondents and randomized controlled trial (RCT) research methods. The results of article was identified and reviewed by 3 researchers. Researchers approved 158 titles of article that match the keywords without duplicates and 5 articles that match the inclusion criteria. Four articles discuss the students' competencies when using virtual simulations compared with the manikin simulated. The results showed an increase in psychomotor skills, communication, and knowledge. Self-confidence increases, learning satisfaction and anxiety levels decrease. Two articles discuss the analysis of the unit cost, which states that the virtual simulation has cost utility ratio more profitable compared with the Manikin simulations. The results of the systematic review showed that virtual reality was relevant method as a learning strategy to enhance students’ competencies and have more profitable costs compared to conventional methods.

scholarly journals CORRELATION BETWEEN TROUGH LEVELS OF INFLIXIMAB AND POSTOPERATIVE ENDOSCOPIC RECURRENCE IN CROHN’S DISEASE PATIENTS SUBMITTED TO ILEOCOLONIC RESECTIONS: A SYSTEMATIC REVIEW

2021 ◽  
Vol 58 (1) ◽  
pp. 107-113
Author(s):  
Fernanda da Silva Barbosa BARAÚNA ◽  
Paulo Gustavo KOTZE
Keyword(s):  
Systematic Review ◽  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Randomized Clinical Trials ◽  
Controlled Trial ◽  
Cochrane Library ◽  
Inclusion Criteria ◽  
Endoscopic Recurrence ◽  
Postoperative Setting ◽  
Trough Levels

ABSTRACT BACKGROUND: The rates of postoperative endoscopic recurrence (PER) in patients with Crohn’s disease (CD) are consistent. Anti-TNF therapy has been increasingly used in the postoperative setting, despite the lack of robust data in the literature on the measurement of trough levels and consequences of their use. OBJECTIVE: The aim of this review was to assess trough levels of infliximab (IFX) in CD patients after ileocolonic resections in correlation with the presence of PER. METHODS: We searched for studies that evaluated trough levels of IFX in patients with CD, who underwent ileocaecal resections, and correlated them with the presence of PER. We used MEDLINE through PubMed and CENTRAL Cochrane library databases, and after matching the inclusion criteria, the studies were methodologically evaluated with qualitative analysis of the data. RESULTS: A total of 155 studies were initially identified in the databases search and only four matched the inclusion criteria. They comprised one prospective cohort study, one randomized controlled trial and two retrospective cohort studies, the last one performed in pediatric patients. This evidence suggested the correlation of PER with low trough levels of IFX and the presence of antibodies to the drug. The quality of the evidence generated varied from very low to high, due to the heterogeneity found between the studies and the risks of bias that were identified. CONCLUSION: Low levels of IFX and the presence of antibodies to the drug were directly associated with increased PER rates in patients with CD, who underwent ileocolonic resections. Controlled and randomized clinical trials with adequate methodological quality are warranted to confirm the conclusions from this systematic review.

scholarly journals Effects of manual therapy techniques in the treatment of pain in post mastectomy patients: systematic review.

2014 ◽  
Vol 12 ◽  
pp. 190
Author(s):  
Franciane Batista Basilio ◽  
Raphaela Medeiros Miranda Anjos ◽  
Elany Pereira Medeiros ◽  
Elaine Marques Franco Melo ◽  
Rodrigo Marcel Valentim Silva
Keyword(s):  
Systematic Review ◽  
Randomized Controlled Trial ◽  
Manual Therapy ◽  
Muscle Pain ◽  
Controlled Trial ◽  
Inclusion Criteria ◽  
Functional Changes ◽  
Randomized Controlled ◽  
Treatment Objective ◽  
External Causes

Introduction: Cancer is now the third leading cause of death in the world, surpassed only by accidents and cardiovascular deaths by external causes, among them stands mammary carcinoma. Mastectomy is in a procedure consisting of invasive breast removal due to some anatomical and functional changes previously diagnosed. With the growth of the disease and its high content in increasingly young women, Manual Therapy has been used as a new form of treatment. Objective: To show the effects of manual therapy in patients after mastectomy surgery. Method: This was a systematic review study in which secondary and tertiary sources were used, using the databases PubMed, Medline, Lilacs and SciELO. It was adopted as inclusion criteria studies classified as: a randomized controlled trial, with publication period between 2009 and 2013. Were used as search terms: "Mastectomy", "Neck", "Shoulder Pain", "Musculoskeletal Manipulations" and "Functionality". Results: Among the 37 initially selected by electronic search in the databases of articles, 25 were excluded for the title did not meet the inclusion criteria. Of the 12 retained studies, 5 were excluded for duplicity. 7 studies were selected for a more thorough analysis through summary, 2 of them being excluded. The remaining 5 articles were evaluated from reading the text. It can be seen that the manual therapy techniques have significant results in the alleviation of muscle pain in patients submitted to surgery mastectomia. Conclusion: It can be seen that the manual therapy techniques have significant results in the alleviation of muscle pain in patients undergoing the mastectomy surgery. However, there is still a lack of studies of type randomized controlled trial on the effects of manual therapy in patients in the postoperative period of mastectomy

The Need for Studies on Oral Corticosteroids After Sialendoscopy for Obstructive Salivary Gland Disease: Systematic Review

2021 ◽  
pp. 000348942110452
Author(s):  
Gabriella Donaldson ◽  
Sandro de Paiva Leite ◽  
Tim Hardcastle ◽  
Zahoor Ahmad ◽  
Randall P. Morton
Keyword(s):  
Systematic Review ◽  
Salivary Gland ◽  
Comparative Study ◽  
Controlled Trial ◽  
Operative Management ◽  
Total Daily Dose ◽  
Inclusion Criteria ◽  
Qualitative Systematic Review ◽  
Oral Corticosteroids ◽  
Salivary Gland Disease

Objectives: This qualitative systematic review evaluates the evidence in support of the use of oral corticosteroids in patients undergoing sialendoscopy for the treatment of obstructive sialadenitis. Design: Qualitative systematic review. Methods: A literature search was conducted from January 1985 and September 2020. Inclusion criteria embraced peer-reviewed articles in which adult patients undergoing interventional sialendoscopy for obstructive salivary gland disease received oral corticosteroids. The results were initially screened based on title and abstract, and the remaining articles were reviewed for eligibility. Results: About 218 papers were selected by title and abstract, 96 were selected for full-text review, and 9 met the inclusion criteria. Eight published reports were retrospective observational studies and 1 was a prospective comparative study. Overall, the heterogeneity of clinical data stood out in this systematic review. The pooled success rate in the studies was 873/979 (89%). Only 5 studies described a rationale for oral corticosteroid use as part of the post-operative management. In 4 studies, a prednisone total daily dose of 40 to 50 mg was used. One study clearly showed a lower recurrence rate in patients who received oral steroids for more than 7 days in addition to sialendoscopy for management of ductal stenoses. Conclusion: This systematic review showed that most centers that prescribe oral corticosteroids after sialendoscopy are unaware of the specific results with this treatment. For ductal stenoses, only 1 paper clearly showed the benefits of oral corticosteroids after sialendoscopy but more high-quality evidence is required in the form of a comparative study or randomized controlled trial, with appropriate long-term follow up.

scholarly journals Carpal Tunnel Release Surgery- A Systematic Review of Open and Endoscopic Approaches

2020 ◽  
Vol 10 (6) ◽  
Author(s):  
Vwaire Orhurhu ◽  
Sebastian Orman ◽  
Jacquelin Peck ◽  
Ivan Urits ◽  
Mariam Salisu Orhurhu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pain Relief ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Inclusion Criteria ◽  
Short Term ◽  
Pain Outcomes ◽  
Tunnel Syndrome ◽  
Open Carpal Tunnel Release

Context: Carpal tunnel syndrome (CTS) is the most frequent peripheral compression-induced neuropathy observed in patients worldwide. Surgery is necessary when conservative treatments fail and severe symptoms persist. Traditional Open carpal tunnel release (OCTR) with visualization of carpal tunnel is considered the gold standard for decompression. However, Endoscopic carpal tunnel release (ECTR), a less invasive technique than OCTR is emerging as a standard of care in recent years. Evidence Acquisition: Criteria for this systematic review were derived from Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Two review authors searched PubMed, MEDLINE, and the Cochrane Database in May 2018 using the following MeSH terms from 1993-2016: ‘carpal tunnel syndrome,’ ‘median nerve neuropathy,’ ‘endoscopic carpal tunnel release,’ ‘endoscopic surgery,’ ‘open carpal tunnel release,’ ‘open surgery,’ and ‘carpal tunnel surgery.’ Additional sources, including Google Scholar, were added. Also, based on bibliographies and consultation with experts, appropriate publications were identified. The primary outcome measure was pain relief. Results: For this analysis, 27 studies met inclusion criteria. Results indicate that ECTR produced superior post-operative pain outcomes during short-term follow-up. Of the studies meeting inclusion criteria for this analysis, 17 studies evaluated pain as a primary or secondary outcome, and 15 studies evaluated pain, pillar tenderness, or incision tenderness at short-term follow-up. Most studies employed a VAS for assessment, and the majority reported superior short-term pain outcomes following ECTR at intervals ranging from one hour up to 12 weeks. Several additional studies reported equivalent pain outcomes at short-term follow-up as early as one week. No study reported inferior short-term pain outcomes following ECTR. Conclusions: ECTR and OCTR produce satisfactory results in pain relief, symptom resolution, patient satisfaction, time to return to work, and adverse events. There is a growing body of evidence favoring the endoscopic technique for pain relief, functional outcomes, and satisfaction, at least in the early post-operative period, even if this difference disappears over time. Several studies have demonstrated a quicker return to work and activities of daily living with the endoscopic technique.

Sign in / Sign up

Export Citation Format

Share Document