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31.
Ali E. Oskouei Ghadam Ali Talebi Seyed Kazem Shakouri Kamyar Ghabili 《Journal of Physical Therapy Science》2014,26(7):1017-1022
[Purpose] The aim of this study was to investigate the efficacy of neuromobilization
combined with routine physiotherapy in patients with carpal tunnel syndrome through
subjective, physical, and electrophysiological studies. [Subjects and Methods] Twenty
patients with carpal tunnel syndrome (totally 32 hands) were assigned two groups:
treatment and control groups. In both groups, patients received the routine physiotherapy.
In addition to the routine physiotherapy, patients in the treatment group received
neuromobilization. The symptoms severity scale, visual analogue scale, functional status
scale, Phalen’s sign, median nerve tension test, and median nerve distal sensory and motor
latency were assessed. [Results] There were significant improvements in the symptoms
severity scale, visual analogue scale, median nerve tension test, and Phalen’s sign in
both groups. However, the functional status scale and median nerve distal motor latency
were significantly improved only in the treatment group. [Conclusion] Neuromobilization in
combination with routine physiotherapy improves some clinical findings more effectively
than routine physiotherapy. Therefore, this combination can be used as an alternative
effective non-invasive treatment for patients with carpal tunnel syndrome.Key words: Carpal tunnel syndrome, Neuromobilization, Electrophysiological measures 相似文献
32.
Lucas SM Sundaram CP Wolf JS Leveillee RJ Bird VG Aziz M Pautler SE Luke P Erdeljan P Baldwin DD Ebrahimi K Nadler RB Rebuck D Thomas R Lee BR Boylu U Figenshau RS Munver R Averch TD Gayed B Shalhav AL Gundeti MS Castle EP Anderson JK Duffey BG Landman J Okhunov Z Wong C Strom KH 《The Journal of urology》2012,187(2):522-527
33.
Mohamed Suliman Peter Stenvinkel Abdul Rashid Qureshi Kamyar Kalantar-Zadeh Peter Bárány Olof Heimbürger Edward F Vonesh Bengt Lindholm 《Nephrology, dialysis, transplantation》2007,22(1):209-217
BACKGROUND: The reason(s) for the apparently paradoxical 'reverse' association in end-stage renal disease (ESRD) patients in whom a low, rather than a high, total plasma total homocysteine (tHcy) level is an indicator of poor outcome remains unclear. The aim of this study was to examine whether the inverse association maintains, mitigates or reverses after comprehensive multivariate adjustment for the presence of wasting and inflammation as well as other potential confounders. METHODS: We studied 317 ESRD patients starting dialysis therapy. Fasting blood samples were taken for the analyses of tHcy, serum albumin, C-reactive protein (CRP), serum creatinine and plasma folate. Nutritional status was assessed by subjective global assessment (SGA). Survival was followed for up to 66 months; 105 patients died. RESULTS: Using Kaplan-Meier analysis, a low tHcy concentration (< or =30 micromol/l) was associated with higher all-cause and cardiovascular (CV) mortality (P < 0.05). Using Cox proportional analysis adjusting for age, gender, glomerular filtration rate = GFR, cardiovascular disease = CVD, plasma folate, total cholesterol and diabetes mellitus, the all-cause and CV mortality still tended to be high for patients with low tHcy. Adding nutritional and inflammation markers (Body mass index = BMI, SGA, serum creatinine, serum albumin and CRP), a low tHcy level was no longer associated with higher mortality but a trend for high tHcy was observed. CONCLUSIONS: The link between wasting inflammation and a low tHcy appears to be responsible for the reverse association between plasma tHcy and clinical outcome in ESRD patients. After adjustment for confounders including nutritional and inflammation markers, a trend towards increased death risk for high, rather than low, tHcy levels was apparent after adjustment. 相似文献
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Association of Pre‐ESRD Serum Calcium With Post‐ESRD Mortality Among Incident ESRD Patients: A Cohort Study
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Rachelle Bross Nazanin Noori Csaba P. Kovesdy Sameer B. Murali Debbie Benner Gladys Block Joel D. Kopple Kamyar Kalantar‐Zadeh 《Seminars in dialysis》2010,23(4):359-364
Examining the quality and quantity of food intake by appropriate methods is critical in the management of patients with chronic kidney disease (CKD). The four commonly used dietary assessment methods in CKD patients include short‐term dietary recalls, several days of food records with or without dietary interviews, urea kinetic based estimates such as protein nitrogen appearance calculation, and food histories including food screeners and food frequency questionnaires (FFQ). There are a number of strengths and limitations of these dietary assessment methods. Accordingly, none of the four methods is suitable in and of itself to give sufficiently accurate dietary information for all purposes. Food frequency questionnaires, which is the preferred method for epidemiological studies, should be used for dietary comparisons of patients within a given population rather than individual assessment. Food histories including FFQ and dietary recalls may underestimate important nutrients, especially in CKD patients. Given the large and increasing number of dialysis patients and work responsibilities of renal dietitians, routine analysis of dietary records and recalls is becoming less feasible. Ongoing and future studies will ascertain additional strengths and limitations of dietary assessment methods in CKD populations including the assessment of food intake during an actual hemodialysis treatment. 相似文献
40.
Kalantar-Zadeh K Golan E Shohat T Streja E Norris KC Kopple JD 《Seminars in dialysis》2010,23(6):586-594
There are counterintuitive but consistent observations that African American maintenance dialysis patients have greater survival despite their less favorable socioeconomic status, high burden of cardiovascular risks including hypertension and diabetes, and excessively high chronic kidney disease prevalence. The fact that such individuals have a number of risk factors for lower survival and yet live longer when undergoing dialysis treatment is puzzling. Similar findings have been made among Israeli maintenance dialysis patients, in that those who are ethnically Arab have higher end-stage renal disease but exhibit greater survival than Jewish Israelis. The juxtaposition of these two situations may provide valuable insights into racial/ethnic-based mechanisms of survival in chronic diseases. Survival advantages of African American dialysis patients may be explained by differences in nutritional status, inflammatory profile, dietary intake habits, body composition, bone and mineral disorders, mental health and coping status, dialysis treatment differences, and genetic differences among other factors. Prospective studies are needed to examine similar models in other countries and to investigate the potential causes of these paradoxes in these societies. Better understanding the roots of racial/ethnic survival differences may help improve outcomes in both patients with chronic kidney disease and other individuals with chronic disease states. 相似文献